Denture Relining

Dr. Nimrah Syed

PG Resident
Prosthodontics

Chapter 14, Prolonging the useful life of Complete Dentures , Book: Prosthodontic
Treatment for Edentulous Patients, 13th Edition, Zarb, Hobkirk, Eckert, Jacob
 Definition

RELINING:
A procedure used to resurface the tissue side
of a denture with a new base material that
provides accurate adaptation to the changed
denture foundation area.
(Zarb edition 13)

REBASING:
The laboratory process of replacing the entire
denture base material in existing prosthesis.

(Zarb edition 13)

 Clinical changes
• Loss of retention and stability
• Loss of vertical dimension of occlusion
• Loss of support for facial tissues
• Horizontal shift of dentures: incorrect occlusal
relationship
• Reorientation of occlusal plane

Minimal - moderate Moderate - severe

RELINING changes
REBASING
changes
DIAGNOSIS

Patients who have had dentures for long period

of times present with looseness, soreness,
chewing inefficiency and aesthetic changes.

Caused by:
1. Incorrect or unbalanced occlusion
2. Changes in structure supporting dentures
 TEST FOR RETENTION

Applying a tipping Apply upward and outward pressure on

force to the the canine to test the seal at tuberosity
anterior incisors area at the opposite side.
to break the seal
If Occlusion Incorrect

Keep Occlusal
dentures out adjustments
of mouth for performed
1-2 days

Re-evaluate
denture Remount on
base with articulator
PIP
Preliminary Treatment

Objectives:

• Re-establish the height, orientation and

aesthetics of occlusal plane.

• Relating the dentures while the correct

occlusal and esthetic positions of
maxillary dentures is being established.
Denture preparation Tissue preparation
Pressure areas relieved Hypertrophic tissues

Selected grinding if Mucosa free of irritation

minor occlusal error
present Removal of dentures
before sleep
Small border inaccuracies
corrected Dentures left out 2-3 days
before final impression
Correct posterior palatal
seal Massage of soft tissues
Impression-
Static Impression Technique
Record centric relation

• Existing correct intercuspation (centric

relation occlusal) used to stabilize
dentures
• Wax interocclusal record made at CR
• Corrected during reestablishment of
new VDO by occlusal adjustment or use
of autopolymerizing resin on occlusal
surfaces of posterior teeth
Denture preparation for the impression
protocol

• Large undercuts relieved

• Hard resin surfaces relieved 1-
2mm
• Tissue conditioner removed or
relieved
• Escape holes drilled
• Denture periphery shortened
An Impression Procedure

• Border molding achieved with preferred

material (low-fusing compound)
• Border molding retained from
polymerized tissue conditioning material
• Posterior palatal seal achieved with low-
fusing compound
• Border molding (e.g., one of the
polyether impression material )
Functional impression technique

If extensive
reduction or loss of Unsupported
Observe OVD has occurred, Liner placed material
three stops may be inside denture
denture required on
should flow require
impression surface
intraorally to re establish evenly border
proper occlusal molding
relationship
 Tissue Conditioners

Sets in 3 stages
Plastic stage: Denture base responds to functional
and para functional stresses, fit is improved
(few hours to few days)
Elastic stage: Stress is cushioned, tissue recovery
takes place
( 1 to 2 weeks)
Firm stage: Surface is similar to polymerized resin
surface, except its vulnerable to deterioration
Chair side technique

Cold-cure acrylic is added to denture and

allowed to polymerize in mouth to produce
instant chair-side reline
Disadvantages:
• Material produces chemical burn on mucosa
• Porous and may produce bad odor
• Color stability is poor
• Material can’t be removed easily
Reline material in department
Lab procedure

JIG Method
Inverse flasking method