Impression/Fitting
Surface
Polished
Surface Occlusal Surface
To improve fit of the denture:
1.Replace the denture with new
2.Lining applied on fitting surface.
Denture Trauma
Epulis
Pt. who are
unable to
tolerate ‘hard’
denture base.
A soft material providing
cushioning effect, enabling
traumatized soft tissues to
recover before recording
new impression.
Chairside reline materials.
Hard Reline Materials
Closed mouth technique
Bench cured
Trimming and polishing
Hard Reline Materials
Type I contains MMA- direct contact with soft
tissue. (type II BMA- less irritant).
Low Tg (due to plasticizers).
Porous due to manual mixing- affecting
esthetics & inc. Candidal growth.
Little control over thickness, occlusal errors
can not be corrected.
Temporary or semi-permanent.
Powder No initiator
Poly Ethyl Methylmethacrylate (PEM)
Pigments
Liquid
10% Ethyl Alcohol
90% Pthalate ester - Plasticizer
No
monomer
Types
Pthalate Esters
Di Butyl Pthalate
Butyl Phthalyl Butyl Glycolate
Problem
3-6000 PPM leach from liner in 14 days
Replaced with fresh material every 2 to 3 days
Gel formation not polymerization
Physical process= GELATION
Solvent dissolves small polymer beads
Large beads become swollen with solvent which
acts as carrier for plasticizers.
SET MATERIAL= gel like swollen plasticized
spheres cemented together with matrix
(polymer+ matrix)
Temporary cushion
They should undergo degree of plastic flow for
24-36 hours after mixing to allow for soft tissue
changes and capture shape of the supporting
tissues in function.
1. Trauma to soft tissue- allowing time for
recovery.
2. Pt. undergone surgery (immediate denture)
3. Functional impression materials (over a
period of few days)
Should remain soft during use (cushion) but
be resilient to absorb masticatory loads
without deformation.
However a degree of permanent deformation
is required in functional impression.
Initially very soft and viscoelastic.
When loaded slowly undergo permanent
deformation.
Alcohol + plasticizers leach= dec cushioning.
Non irritant.
65 Year old Woman
13 Year old Denture
Powder
Liquid
Plastic cup
Steel
Spatula
Mix 45-60 seconds
Wait
Even Pressure by closing in CR
Border Mould
Hold in light contact for 15 mins
Even 2mm thick
No bare spots
Peripheral Roll
Maintain OVD
No Heavy Pressure
Wrap in moist towel
Clean carefully
Stain
1 TSB bleach(Javex)/1 cup H2O
20 minute soak, wash/rinse well
Loss of resiliency – 2 weeks
Taste
Peel
Allergy
Temporary (1 – 2 months)
Permanent (max 6 months)
Powder and liquid
Liquid has monomer alongwith activator
Applied to an existing denture in a chairside
technique.
APPLICATTIONS:
Where it is not practical to replace tissue
conditioner every 2-3 days
Temporarily improving the fit of denture until
a new denture is constructed
As a diagnostic aid to ascertain whether
patient would benefit from permanent liner.
Silicon elastomer (autopolymerized or heat
polymerized).
Soft acrylic (heat polymerized).
Improve the comfort or fit of old denture until
the new denture is made for a period of several
weeks.
Provide comfort for patients who cannot
tolerate occlusal pressure such as in case of
(alveolar ridge resorption, knife edge ridge, and
sharp lingual mylohyoid ridge when surgery is
contraindicated), chronic soreness because of
(heavy bruxism, poor health, vitamin deficiency,
with oral cancer).
Treatment of congenital or acquired defects of
palate.
provided in the form of a cartridge
containing two pastes which are mixed when
the pastes are extruded through the nozzle.
The other items shown are those which are
required to achieve bonding of the silicone
to the acrylic denture base.
Paste : (Hydroxyl terminated polydimethyl
siloxane).
Liquid: (Tetraethyl silicate and dibutyl
tindilurate).
used for applying a permanent soft lining to
the fitting surface of an acrylic denture.
consists of a powder and a liquid which are
mixed and applied to the fitting surface of
the denture.
The two other items of equipment shown are
used for proportioning the powder and
liquid.
Powder: (Polymethyl or polyethyl
methacrylate and peroxide initiator).
Liquid:(Ester such as dibutyl phthalate and
methyl methacrylate and tertiary amine
activator).
Processed in the laboratory
Applied to a denture at the time of
production
Powder and liquid mixed to form a dough
which is heat processed simultaneously with
the hard acrylic base.
Denture hygiene dilute sol. Of
hypochlorite Denture induced stomatitis.
None of the soft liners truly permanent
regular reviews essential.
