RELINING RESIN DENTURE
BASES
Dr. Ayousha Iqbal
RELINING
REBASING
• Changing of the entire denture base (except for the denture teeth) without changing
the occlusal relationship of the teeth.
INDICATIONS
c
b
Open spaces due to resorption
INTRODUCTION CONT’D
AVAILABLE MATERIALS
HARD RELINE MATERIALS
Availability
Available as P/L
Types-I and Type-II
Composition
Type-I
Polymer beads PMMA
Powder Initiator Benzoyl peroxide
Pigments Inorganic salts
Monomer MMA
Liquid
Plasticizer di-butyl phthalate
(without reactive groups)
Chemical activator Tertiary amine
COMPOSITION TYPE-I CONT’D
Primary difference between a conventional PMMA
and these materials is that the liquid component
contains a large amount of plasticizer.
The plasticizer limit the degree of tangling of
polymer chains.
These materials can change their shape b/c there
is non cross-linking.
Plasticisers may leach out overtime and the liner
may become harder.
There is potential of tissue reaction to the soft
liners.
Composition
Type-II
Polymer beads PMMA
Powder
Initiator Benzoyl peroxide
Pigments Inorganic salts
Monomer Butyl or ethly methacrylate
Liquid
Chemical activator Tertiary amine
COMPOSITION CONT’D
• Both type I and II materials are in common use.
• Major difference b/w the two materials is that the liquid
in type I contains MMA while type II material contains
butylmethacrylate monomer.
• Higher methacrylates such as butylmethacrylate have
lower Tg, and the material is softer (no need of
plasticizers).
• Both types may be classified as auto-polymerizing resins
and readily polymerize at room/mouth temp.
MANIPULATION
MANIPULATION CONT’D
PROPERTIES
PROPERTIES CONT’D
PROPERTIES CONT’D
Tissue Conditioners
APPLICATIONS
Composition
Powder Polymer beads PMMA
Liquid Solvent Ethyl alcohol
Plasticizer Butylphthalyl butylglycolate
No monomer in liquid hence no initiator purely physical
process solvent dissolves smaller polymer bead and
larger beads swollen final set material is gel like.
Amounts of solvent and plasticizers vary from one product
to another.
Pigments are also added.
REQUIREMENTS
MANIPULATION
PROPERTIES
SOFT LINING MATERIALS
TEMPORARY SOFT LINING MATERIALS
TEMPORARY SOFT LINING MATERIALS
CONT’D
TEMPORARY SOFT LINING MATERIALS
CONT’D
• Both tissue conditioners and temp. soft lining materials will hard and rough leading
to trauma.
• Candida albicans will colonize on the rough surface, increasing the risk of denture-
induced stomatitis.
Stomatitis: inflammation of the soft tissues of the mouth
occurring as a result of mechanical, chemical, thermal,
bacterial, viral or by allergic reactions.
TEMPORARY SOFT LINING MATERIALS
CONT’D
• Sock the denture overnight in dilute sodium hypochloride.
• Use of peroxide based denture cleaners are highly damaging.
TEMPORARY SOFT LINING MATERIALS
CONT’D
Uses
• Used where it is not possible to replace the conditioner every 2-3 days.
• May also be used to improve retention of ill-fitting denture until a new
denture is constructed.
PERMANENT SOFT LINING
MATERIALS
Indications
• Used for patient’s who cannot tolerate hard base due to:
1. Irregular alveolar ridge
2. Thin mucosa (compressed
between the underlying bone and
hard denture base material)
3. Non-resilient mucosa
PERMANENT SOFT LINING MATERIALS
CONT’D
Requirements
• Should be permanently soft (life time).
• Elastic to provide cushioning.
• Adhere to the base.
• Non-toxic and non-irritant.
PERMANENT SOFT LINING MATERIALS
CONT’D
• Supplied as P/L.
• Vary from one product to another.
C o m p o s i ti o n :
Powder
1. Beads of polyethyl or polybutyl methacrylate.
2. Peroxide initiator
3. Pigments
Liquid
1. Butyl-methacrylate
2. Plasticizer
Permanent Soft Lining Materials
Cont’d
M a n i p u l a ti o n
• Impression of the tissues using the existing denture as an impression tray.
• Generate a gypsum cast from the imp.
• Resultant assembly is invested in a denture flask.
• Subsequently, the flask is opened and prepared for resin
• Imp material is removed from the surface and cleaned properly.
PERMANENT SOFT LINING MATERIALS
CONT’D
• Resin is packed using a compression moulding
technique.
• For relining a low polymerization temp is desirable to
minimize the distortion of the remaining denture base,
hence a chemically cured materials is usually chosen.
• Several manufacturer’s offer to used their chemically
activated resin intraorally but many of these materials
generate heat to injure oral tissues.
PERMANENT SOFT LINING MATERIALS
CONT’D
• ADA specification 17 places limits on the rate of temp rise.
• Relining can also be accomplish using heat, light and microwave energy.
• In all the cases significant heat can be produced and distortion of the existing
denture can occur.
SILICONE SOFT LINING MATERIALS
• One of the more successful soft lining materials
• No need of addition of plasticizer
• These materials retain their rubbery consistency for a
long period of time
• Base of the denture is relieved to permit sufficient
silicone to be placed
• Adhesive is applied and then silicone liner is placed using
compression moulding technique
SILICONE SOFT LINING MATERIALS CONT’D
Disadvantages
• Do not bond to the denture base and require some
form of adhesive
• The material is also unsuitable for polishing
• Prone to bacterial contamination and growth for
candida albicans
• They occupy space and the thickness of the denture
is reduced leading to reduction in strength
SELF ADMINISTERED RELINING MATERIALS
• Lining materials are available at super markets and
chemist shops.
• Patient may improve the fitting or to provide
cushioning.
Composition
Methacrylate or vinyl polymers: (polymethyl, polyethyl, or
polybutylmethacrylate)
Plastiscizers: (butyl phthalate)
Solvent: (acetone)
SELF ADMINISTERED RELINING
MATERIALS CONT’D
• Short term emergency use.
• Long term use may lead to harmful effects. e.g. irritation and bone loss.
