Relining , Rebasing and Repair of RPDs
Reline
Addition of Material to the tissue side of a
denture to improve its adaptation to the
supporting mucosa.
Resurfacing the tissue surface
 Jig used to maintain vertical dimension &
occlusal contacts with cold-cure acrylic
Or
 Reprocessing with heat cure
Rebase
Replacement of the entire denture base material
to improve its adaptation to the supporting
mucosa
Reline Indications
 Loss of retention
 Instability
 Food under denture
 Abused mucosa
Reline: General Considerations
 Optimal tissue health
 Reasonable CR/CO
 Adequate vertical dimension
 Adequate peripheral extensions
Also relining cannot be used when
 No free way space
 Lack of balanced occlusion and articulation
 Non-alignment with optimal denture space
 Incorrect contour for neuromuscular
control.
Relining
Both
Hard and resilient
Hard relining
Aims: Provides even contact between the
impression surface of a denture and its
supporting tissues, thereby improving
retentive forces and support.
Techniques of liner
Both
Hard and resilient
 Chair side relining technique
 Conventional relining
technique
Chair side (Direct relines): Indications
1. Where no longer than 6 weeks is
required
2. Around overdenture abutments
3. Border additions
4. RPD base areas
Resilient soft linings
Aims : to absorb the impact
energy of masticatory forces
and distribute it more evenly
over the supporting tissues.
Indications of soft lining
 It is most effective when used over
corticated bony elevations.
 Use to improve retention by engaging
undercuts.
 Not advised where mental neurovascular
is superficially placed.
Disadvantages of soft linings
 Tend to peal off the hard acrylic denture
base (acrylic material adhere better).
 Difficult to adjust (acrylic materials more
easily altered).
 Porous, tending to absorb fluids ) with
resultant swelling and bad odour) due
to harbor bacteria and fungi
Disadvantages of soft linings
 Need more thickness to be
effective this may be weaken the
denture specially the lower.
Rapidly deteriorate
 some patients can become
habituated to such linings and
cannot be satisfy with hard tissue
surface.
 Rub the oral mucosa since they
deform under masticatory pressure.
Resilient lining after 11 months in service
Silicon lining showing colonies of Candida
Conventional relining technique
Reline of New RPD
Clean the Denture before
relining
Reline of old RPD
Open mouth technique for relining
 Put your fingers on main occlusal rests
and indirect retainer
Reline of denture Functional impression
Occlusal adjustment of finished denture
RELINING AND REPAIR OF RPD.pptxbhjyuijknbhgyuj
Materials used for Reline RPD’s
ZnO wash
Wax wash
Relining with wax
Denture base inadequate requiring repair material to be
used to extend the base.
Excessive space between arches.
Excessive wear of the teeth requires new teeth be placed on
the partial denture.
The rebase is used when the base is fractured
Replace teeth if worn out, unesthetic, infraocclusion,
broken, etc
REBASING:
RELINING AND REPAIR OF RPD.pptxbhjyuijknbhgyuj
Repairs and additions to partial dentures
Accidents or careless handling of the denture
by the patient might result in a need for repair.
The following are some of the repair
procedures which might be necessary in these
cases.
Broken clasp arms
 The most common type of
repair is the replacement of a broken
clasp arm. Breakage may result from
repeated flexure into and out of too
severe undercut
A broken retentive clasp arm
 Regardless of its type, may be replaced with a
wrought-wire retentive arm embedded in a resin
base or attached to a metal base by electric
soldering.
Broken retentive arm of
A circumferential clasp
Fractured direct retainer and replaced by
wrought wire
Repair by electric soldering between minor and major
connectors ( Repair is not strong as the original)
Electric soldering
machine
soldering between clasp
and base
Laser welding to repair broken clasp
Laser welding machine
to
⚫ O
n
e
o
f
t
h
e
m
o
s
t
c
o
Wrought Wire retentive arm attachment
Laser weld to
framework mesh or
bead
arm attached to a metal base by
electric soldering.
Loss of an additional tooth
 If for some reasons a tooth is to be
extracted, the addition of such a tooth to the
partial is usually a simple procedure where the
bases are made of resin. When the base is made
of metal the procedure is more complex and
necessitates either casting a new component or
adding it by soldering, or creating retentive
elements for the attachment of resin extension
carrying the added tooth.
A new component or adding it by soldering
to replace lost tooth
Cast weld
Repairs a broken continuous clasp
and lingual bar by laser welding
Broken Occlusal Rests
 Breakage of an occlusal rest almost always occurs at
the point where it crosses the marginal ridge, due to
weakness at this point. Improperly prepared occlusal
rest seats are usually the cause of such weakness.
 In case of broken occlusal rest it is always best to
replace
the whole clasp assembly.
BROKEN OCCLUSAL RESTS
Breakage of an occlusal
rest of a roach clasp
Replace the whole clasp assembly.

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RELINING AND REPAIR OF RPD.pptxbhjyuijknbhgyuj

  • 1. Relining , Rebasing and Repair of RPDs
  • 2. Reline Addition of Material to the tissue side of a denture to improve its adaptation to the supporting mucosa. Resurfacing the tissue surface  Jig used to maintain vertical dimension & occlusal contacts with cold-cure acrylic Or  Reprocessing with heat cure
  • 3. Rebase Replacement of the entire denture base material to improve its adaptation to the supporting mucosa
  • 4. Reline Indications  Loss of retention  Instability  Food under denture  Abused mucosa
  • 5. Reline: General Considerations  Optimal tissue health  Reasonable CR/CO  Adequate vertical dimension  Adequate peripheral extensions
  • 6. Also relining cannot be used when  No free way space  Lack of balanced occlusion and articulation  Non-alignment with optimal denture space  Incorrect contour for neuromuscular control.
  • 8. Hard relining Aims: Provides even contact between the impression surface of a denture and its supporting tissues, thereby improving retentive forces and support.
  • 9. Techniques of liner Both Hard and resilient  Chair side relining technique  Conventional relining technique
  • 10. Chair side (Direct relines): Indications 1. Where no longer than 6 weeks is required 2. Around overdenture abutments 3. Border additions 4. RPD base areas
  • 11. Resilient soft linings Aims : to absorb the impact energy of masticatory forces and distribute it more evenly over the supporting tissues.
  • 12. Indications of soft lining  It is most effective when used over corticated bony elevations.  Use to improve retention by engaging undercuts.  Not advised where mental neurovascular is superficially placed.
  • 13. Disadvantages of soft linings  Tend to peal off the hard acrylic denture base (acrylic material adhere better).  Difficult to adjust (acrylic materials more easily altered).  Porous, tending to absorb fluids ) with resultant swelling and bad odour) due to harbor bacteria and fungi
  • 14. Disadvantages of soft linings  Need more thickness to be effective this may be weaken the denture specially the lower. Rapidly deteriorate  some patients can become habituated to such linings and cannot be satisfy with hard tissue surface.  Rub the oral mucosa since they deform under masticatory pressure.
  • 15. Resilient lining after 11 months in service Silicon lining showing colonies of Candida
  • 18. Clean the Denture before relining Reline of old RPD
  • 19. Open mouth technique for relining  Put your fingers on main occlusal rests and indirect retainer
  • 20. Reline of denture Functional impression
  • 21. Occlusal adjustment of finished denture
  • 23. Materials used for Reline RPD’s ZnO wash Wax wash
  • 25. Denture base inadequate requiring repair material to be used to extend the base. Excessive space between arches. Excessive wear of the teeth requires new teeth be placed on the partial denture. The rebase is used when the base is fractured Replace teeth if worn out, unesthetic, infraocclusion, broken, etc REBASING:
  • 27. Repairs and additions to partial dentures Accidents or careless handling of the denture by the patient might result in a need for repair. The following are some of the repair procedures which might be necessary in these cases.
  • 28. Broken clasp arms  The most common type of repair is the replacement of a broken clasp arm. Breakage may result from repeated flexure into and out of too severe undercut
  • 29. A broken retentive clasp arm  Regardless of its type, may be replaced with a wrought-wire retentive arm embedded in a resin base or attached to a metal base by electric soldering. Broken retentive arm of A circumferential clasp
  • 30. Fractured direct retainer and replaced by wrought wire
  • 31. Repair by electric soldering between minor and major connectors ( Repair is not strong as the original) Electric soldering machine soldering between clasp and base
  • 32. Laser welding to repair broken clasp Laser welding machine
  • 34. Wrought Wire retentive arm attachment Laser weld to framework mesh or bead arm attached to a metal base by electric soldering.
  • 35. Loss of an additional tooth  If for some reasons a tooth is to be extracted, the addition of such a tooth to the partial is usually a simple procedure where the bases are made of resin. When the base is made of metal the procedure is more complex and necessitates either casting a new component or adding it by soldering, or creating retentive elements for the attachment of resin extension carrying the added tooth.
  • 36. A new component or adding it by soldering to replace lost tooth Cast weld
  • 37. Repairs a broken continuous clasp and lingual bar by laser welding
  • 38. Broken Occlusal Rests  Breakage of an occlusal rest almost always occurs at the point where it crosses the marginal ridge, due to weakness at this point. Improperly prepared occlusal rest seats are usually the cause of such weakness.  In case of broken occlusal rest it is always best to replace the whole clasp assembly.
  • 39. BROKEN OCCLUSAL RESTS Breakage of an occlusal rest of a roach clasp Replace the whole clasp assembly.