RELINING AND

REBASING IN
COMPLETE
DENTURES
 CONTENTS
Introduction
General considerations
Indications
Contraindications
Tissue preparation
Denture preparation
Relining materials
Rigid materials
Short term-soft lining materials
Long term-soft lining materials
Relining procedures
Static methods:
open mouth technique
closed mouth technique
Functional methods
Chair side technique
Laboratory procedures
articulator method
jig method
flask method
conclusion
References
 INTRODUCTION

The residual ridges have been described as plastic in

nature, always changing in topography and morphology from
many causes, some known and some unknown.
The clinical efforts that aim at prolonging the
useful life of complete denture involve a refitting of the
impression surface of a denture by means of a reline or a
rebase procedure.
 Definitions

According to GPT 8 :
Relining :
The procedure used to resurface the tissue side of a
denture with new base material, thus producing an accurate
adaptation to the denture foundation area.
Rebase :
Rebasing is a process of replacing all the base material of
a denture. The purpose of which is to fill the space between the
tissue and denture base without changing the position of the teeth
and the relation of the dentures.
 PATTERN OF RESORPTION

 vertical changes in basal seat area

 horizantal changes in basal seat area
 Changes in the maxilla
 Changes in the mandible
 General considerations
A through examination of the patient and of the
existing denture must be accomplished before commencing
therapy.
1. vertical dimension
2. Centric occlusion should coincide with centric relation
3. The size, shape, shade, and arrangement of the artificial teeth
must be satisfactory.
4. The oral tissues should be in optimum health.
5. The posterior limit of the maxillary denture is correct.
6. The denture base extensions
7. Distribution of masticatory forces over as large an area as
possible.
8. The interocclusal distance is correct
9. Speech
10. redundant tissue or severe osseous undercuts.
 
 INDICATIONS

 Immediate dentures at three to six months

 Adaptation of the denture base is compromised
 Cost
 physical or mental stress, such as for geriatric and
chronically ill patients.
 Contraindications
1. Excessive resorption
2. Abused soft tissues are present.
3. Temporomandibular joint problems.
4. Poor esthetics
5. Unsatisfactory jaw relationships.
6. Speech problem
7. Severe osseous undercuts
 Tissue preparation

 Hypertrophic tissues
 Free of areas of irritation.
 Removal of the dentures from the mouth during sleep is a
must for several weeks.
 The dentures should be left out of the mouth at least two to
three days before making final impression.
 Daily massage of the soft tissue
 Denture preparation

 Pressure areas of the tissue surface of the denture

 Minor occlusal disharmony is corrected by selective grinding.
 Small border inadequacies are corrected.
 A correct posterior palatal seal area should be established
before the final impression.
RELINING MATERIALS
 Hard and soft materials for modifying the
impression surface of dentures

• Rigid materials
• Short-term soft lining materials
• Long-term soft lining materials
 Rigid materials

Frequently described as chair side reline

materials, which can be used to modify the impression
surface of an existing denture.
Composition :
Powder – polyethylmethacrylate
Liquid monomer – butylmethacyrlate
Many of the products include a primer to enhance
the adhesion of the material to the existing denture
polymer. The available materials vary in working time,
setting time and viscosity.
Manipulation:
Relieve the fitting surface of the denture.
Mix powder and liquid in 1:2.5 to attain a fluid mix.
Applied to the fitting surface of the denture and seated in
patients mouth while it is still fluid.
The reline soon becomes rubbery and the impression of the
patients soft tissue is recorded.
The denture is allowed to bench cure after removal from the
patients mouth. Warm water will accelerate the curing.
The relined denture is ready within 30 minutes.
 Short term soft relining materials

Composition :
Powder : Polyehtylmethacrylate
Liquid : mixture of
An aromatic ester, such as dibutyl pthalate which acts as a
plasticizer.
Ethyl alcohol
The setting process :
After the powder and liquid have been mixed, the ethyl
alcohol causes swelling of the polymer particles and permits
penetration by the ester so that a gel is formed. This is a
physical change ; there is no chemical reaction.
Clinical applications :

Short-term soft lining materials are placed in the existing

dentures for the following reasons.
 Tissue conditioning
 Temporary soft reline – improve fit of denture
 Functional impression
 Long-term soft lining materials

 Thin atrophic mucosa

 Replacing an existing denture which has a soft lining
 Sharp bony ridges or spicules
 Superficially placed mental nerve
 Types of long-term soft lining

Soft liners are made either of

Silicon rubber - Cold curing
Heat curing
Soft acrylic - Cold curing
Heat curing
 
Relining procedure
 Relining procedure

Clinical procedure Laboratory procedure

1. Static methods 1. Articulator method

closed–mouth Open- mouth 2. Jig method

technique Technique(Bouchers)
3. Flask method
2. Functional method

3. Chair-side technique
Relining procedure
 Open mouth technique ( boucher )
 Relining of both dentures at same time
 New centric relation is recorded
 Selective pressure technique
 Interocclusal record with quick setting plaster
 FUNCTIONAL METHOD (WINKLER)
 Easy to use
 Excellent for refitting of denture
 Good dimensional stability
 Good in bonding to denture base resins
Tissue conditioners
This material undergoes through

Plastic stage - few hrs – few days.

Elastic stage - 1 – 2 weeks.
Firm stage - after 15 days.
 CHAIRSIDE RELINE PROCEDURE

DISADVANTAGES:
 chemical burn
 material is porous and
develops a bad odour
 poor color stability
 material not easy to remove
if not placed correctly
 VISIBLE LIGHT CURE ( VLC )
 Similar to tisssue conditioners
 Select appropriate viscosity and partial intraoral
polymerisation with hand-held curing light
 Taken to laboratory for unpolymerised molecules
LAB PROCEDURES
 Articulator method

Beading Boxed impression

Indexing
Stone pouring separating media applied
 Modeling clay application Stone over lower member

Positioning denture in stone Stone placed on cast base

Modeling clay removed Removing all impression material

Impression surface reduction Border reduction – 2-3 mm

Resin grindings removed with Providing posterior seal
Stream of air

Separating medium application

resin application over the denture
Resin placed on the cast Denture seated in indentations

Cured in pressure container

Relined denture
- 20 psi for 30 minutes
 Jig method

Hooper duplicator Jectron jig

 Procedure

Denture seated on lower Mounting stone smoothened with

Member of jig spatula

Locknuts ,modeling clay

Jig opened
removed
 Denture carefully lifted Blowing air to lift

Preparing basal surface prepared Cleaned prepared denture seated

In stone index
 Application of separating media Moistening with monomer

Resin mixed & placed on cast Resin placed in denture

Jig assembled & locknuts Jig separated & denture
tightened Examined for voids

Polished Relined denture

 Rebasing with jig method

Hooper Duplicator used to rebase the denture

Denture seated in the index in Hooper Duplicator

 Removal of porcelain teeth

Using alcohol torch Using Spatula

Porcelain teeth replaced back A layer of baseplate wax

adapted to the cast
If insufficient space is there wax can be added
Baseplate wax is removed

Completed wax-up on jig

Waxed denture removed & flasked. Rebased denture is replaced on jig
 Flask method

Denture half - flasked Painting silicone mold material

 Porcelain teeth removed &
Flask opened
Replaced in silicone mold

Resin teeth replaced, Cure denture

Rebasing with Articulator method

Mandibular denture with porosities

Border trimmed-2mm Border molding with green
stick compound
Final impression with Zinc-oxide Master cast fabricated
Eugenol
Indentations of the teeth made Cast mounted on upper member
Denture trimmed Wax build-up done
Invested waxed denture
 CONCLUSION

clinical evidence suggest that the rate of osseous change

can be retarted when complete dentures are readapted to the
residual ridges at the first signs and symptoms of loss of
adaptation. The clinical efforts that aim at prolonging the
useful life of complete denture involve a refitting of the
impression surface of a denture by means of a reline or a
rebase procedure.