The Complete Denture Reline A SimpMkd Technique
The Complete Denture Reline A SimpMkd Technique
The Complete Denture Reline A SimpMkd Technique
SECTION EDITOR
DANIEL H. GEHL
TECHNIQUE
Clinical procedure
1. Verify the accuracy of the existing posterior
extension of the denture base, and if needed, either
reduce or slightly extend it with green stick modeling
compound? applied to the internal aspect of the
denture base only.
2. Make the necessary occlusal adjustments to
achieve bilateral simultaneous contact of all posteri-
or teeth in centric relation at an acceptable occlud-
ing vertical dimension.
3. Reduce the borders (excluding the posterior
border extension) approximately 2 mm short of the
anticipated denture base extension (Fig. 1). Fig. 1. Denture borders are reduced 2 mm short of the
4. Relieve the entire internal acrylic resin surface anticipated denture extension.
to a depth of approximately 1 mm and eliminate all
undercuts (Fig. 2).
5. Drill retentive holes 1 mm short of the existing silicone impression material* along the entire
denture base borders (Fig. 3). reduced periphery.
6. Mix and place heavy bodied addition reaction 7. Seat the denture. Have the patient gently “tap”
it to place in centric relation. When the dentist has
determined that the patient has closed to the desired
The views or opinions expressed herein are those of the author and
occluding vertical dimension, border molding is
do not necessarily reflect those of the US Army.
*Lieutenant Colonel, DC, USA; Chief, Removable Prosthodon- accomplished (Fig. 4).
tics, Bad Cannstatt, DENTAC.
?‘Kerr Mfg. Co., Romulus, MI. *Uni/Disco inc., Detroit, MI.
Fig. 2. Internal denture base surface is relieved and Fig. 3. Retentive holes are placed 1 mm short of the
undercuts eliminated. adjusted denture base extension.
8. Remove the excess material on the internal and of anterior flange undercuts. This helps to avoid
external surfaces of the denture base (Fig. 5). potential fracture of the cast in the anterior ridge
9. Mix and place a light bodied addition reaction region (Fig. 9).
silicone impression material in the denture. Seat and 3. Apply a separating medium to the plaster.
border mold. Allow the impression material to set. 4. Vacuum mix an improved stone and pour into
10. Remove the denture, trim of excess impression the denture. The remainder of the flask is filled, and
material on the external surface and reinsert the the lid is placed on the flask (Fig. 10).
denture to verify esthetics, retention, stability, and 5. Separate the flask after the stone has set, and
centric occlusion at the acceptable occluding vertical remove the silicone impression material from the
dimension (Fig. 6). denture base along with any modeling plastic used to
extend the posterior border.
Laboratory procedures
6. Scrape the cast to establish the posterior palatal
1. Mix and place plaster in the lower half of the relief along the clinical posterior border extension.
flask. 7. Mix autopolymerizing acrylic resin,* and place
2. Place the denture, with the teeth down, into it inside the denture base.
the investing plaster. Smooth the plaster to elimi- 8. Close the flask and place in a pneumatic press?
nate undercuts, and allow it to set (Fig. 7). The an-
terior section of the denture is submerged deeper
into the plaster than the posterior section (Fig. 8) to *Prosthetic resin repair material, L. D. Caulk Co., Milford, DE.
provide a path of flask separation which is free iPneumatic flask press, Coe Laboratories, Inc., Chicago, IL.
Fig. 4. Border molding is accomplished with heavy bod- Fig. 6. Finalized reline impression, trimmed of excess
ied addition reaction silicone material. impression material, and reinserted to verify esthetics a!%
well as centric occlusion at an acceptable vertical dimen-
sion.
Fig. 5. Excess border molding material is removed from Fig. 7. Denture is invested in the lower half of the
the internal surface of the denture base. flask.
border molding
material
denture base
Fig. 8. Denture is angled, with the anterior portion deeper into the plaster of the lower half of the
flask.
border molding
material
“wash” material
denture base -
Fig. 9. Failure to invest the denture at the proper angulation to the path of flask separation will result in
fracture of the stone cast in the anterior ridge region