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Loss of retention
Instability
Food under denture
Abused mucosa
Reline: General Considerations
Optimal tissue health
Reasonable CR/CO
Adequate vertical dimension
Adequate peripheral extensions
Evaluate Dentures
Is Reline necessary????
1. Are patient’s expectations realistic?
2. Check and correct peripheral border
extensions
3. Check posterior palatal seal depth and
extension
4. Evaluate occlusion in centric and eccentric
excursions and correct major discrepancies
5. Inform patient just because denture is loose
does not indicate RELINE is necessary.
Is Reline necessary????
Borders corrected
Is reline necessary?
Error in CO on one
side, will break the
seal on the
opposite side
Is reline necessary?
Limited orientation
Trim
excess wax
beyond
anterior
line
Identify on
impression so
technician can
scribe the seal
CLD Reline
Complete
Denture method-
ZnO
Border
molding Rubber Base
completed Reline
Reline
Roughened
border to blend
new acrylic with
old. Won’t show
finishing line
After
processing:
Relined cast: Do
Note junction
not separate
line
Reline
Examine:
•Peripheral extensions
Delivery of Reline
Pressure Indicator
Paste (PIP)
Ask the patient to
bite on cotton rolls
for 5 min.
Remount records
Green stick
compound
CR record
Record: short of
tooth to tooth
contact
Reline Delivery
•Remount on articulator
•Check stability of foundation
•Check occlusion
Warning
1. Do not carry out CUD and CLD Relines at the
same time, as both horizontal and vertical
relationships cannot be accurately
maintained
2. Gross occlusal discrepancies are likely to
occur and will not adequately be
compensated for through normal remount
and selective grinding procedures.
3. It is best to do the CUD first because the
CLD allows more latitude in repositioning the
denture to compensate for changes.
Remount at impression stage
when major occlusal corrections
are anticipated
Reline
Teeth reset
Indications for Functional
impression technique
Geriatric patient
Medically compromised patient
Lack of retention: New denture
Reasonably good occlusion
Tissue Recovery Program
1. Removal of the prosthesis at night
2. Initiation of oral hygiene measures:
rinses, brushing, bubble gum
3. Location and removal of acrylic base
pressure areas.
4. Correction of base extensions
5. Correction of occlusal disharmony
6. Use of a resilient tissue conditioner.
Functional impression Procedure
Unacceptable
Acceptable
Reline
1 2
3 4
CLD Reline F. I. T.
Finished reline
Centric occlusion,
Delivery
Reline: Pitfalls
Improper diagnosis
Increasing VDO excessively
Patient does not like appearance of denture
Relining for loss of minor retention
Inadequate relief
Loss of orientation
Impression thickness
Occlusal discrepancies
ZnO wash
Altered cast
Clean shoe extension
Chairside Direct Relines
(From Smith and Bolender)