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Addition of Material to the tissue side

of a denture to improve its
adaptation to the supporting

Replacement of the entire denture

base material to improve its
adaptation to the supporting
Reline Indications

 Loss of retention
 Instability
 Food under denture
 Abused mucosa
Reline: General Considerations
 Optimal tissue health
 Reasonable CR/CO
 Adequate vertical dimension
 Adequate peripheral extensions
Evaluate Dentures
Is Reline necessary????
1. Are patient’s expectations realistic?
2. Check and correct peripheral border
3. Check posterior palatal seal depth and
4. Evaluate occlusion in centric and eccentric
excursions and correct major discrepancies
5. Inform patient just because denture is loose
does not indicate RELINE is necessary.
Is Reline necessary????

If after modifications, the “fit and

bite” seem improved, let the patient
try the denture for one week…if
there is no improvement, then
Is reline Necessary?

Irritation of Peripheral Borders

Is reline Necessary?
Overextended borders

Borders corrected
Is reline necessary?
Error in CO on one
side, will break the
seal on the
opposite side
Is reline necessary?

Correct eccentric excursions

Diagnosis-Occlusal disharmony

1. Loss of stability and retention

2. Irritation and inflammation on one
3. Teeth stained on one side
Reline Contraindications

1. Worn out dentures

2. Vertical dimension loss greater
than 7 mm
3. Significant mucosal inflammation
4. Poor denture esthetics
5. Denture related speech problems
•Severe tooth wear
•Severe vertical overlap
with tooth wear (posterior
tooth concept)
•Severe occlusal wear (CD
Patient and denture pre-requisites for
1. Tissues must be in normal healthy state
2. The denture must be able to be
stabilized by border refining
3. There must be reasonable centric
occlusion in harmony with centric
4. There must be at least correctable rest
vertical dimension and occluding vertical
5. Absence of speech defects (possibly
whistling can be corrected)
Pre-requisites for relining

Recognition of abused tissues, with

superimposed candidiasis.
Initiate Tissue Recovery Program

 Intermittent hot and cold rinses

 Massage tissues
 Relieve pressure areas
 Correct faulty occlusions and denture
 Minimize stress by
 Soft diet
 Removal of denture at night
 Use tissue conditioners
Complete Denture Exam
 Healthy Tissues!!
Before selecting method
 Check RVD and
 Check speaking
space, freeway
 Assess lip support
Controlled pressure technique
 Pros:
 One appointment technique and delivery
 Cons:
 No evaluation period
 Remount required

 Limited orientation

 Limited leeway for correction

 Denture more than 2 years old
 Some occlusal errors exist
 Loss of VDO
 Controllable occlusal discrepancies
 Lack of posterior peripheral
extension and correct palatal seal
Functional impression technique
 Pros:
 Permits an evaluation period
 Self adjusting
 Remount procedures may not be required
 Cons:
 Multiple appointments required
 Time sensitive liner (14-21 days)
 Indications:
 Older patient may have lack of coordination
 Fairly new denture (~18 months)
 Immediate dentures
Controlled pressure technique
Technique procedure for CUD
1. Remove denture 24-48 hours prior to
reline appointment.
2. Evaluate occlusal and rest vertical
dimension. If VD is to be increased 3-4
mm, place compound stops in base of CUD
(3-5 mm in diameter).
3. Record horizontal and vertical overlaps of
maxillary anterior teeth.
4. Reduce peripheral borders 2mm if VD is
unaltered; otherwise less reduction is
required. Remove any excessive
 If loss of VDO is
greater than 4 to 5
mm… stops.
CUD Reline

1. Check extensions 2. Indicate amount of

peripheral reduction required

3. Border Reduction 4. Tissue Conditioner preparation:

Peripheral reduction + Tissue
CUD Reline

5. Border Molding 6. Palatal surface vented

Completed after B. M.

7. Seat denture until wash

comes through vents 8. Final Impression
CUD Reline
 Incorrect seating.
Improper plane of
 Not contacting teeth
 Excess material
 No vents
 Place ZnO wash
 Have patient close
in CR.
CUD Reline

excess wax

ZnO wash. Posterior

palatal seal area
using impression Reline final
wax impression
Final Impression with PVS Final Impression with Rubber base
post palatal seal combination
 Identify in
impression, before
pouring it up.

 Identify on
impression so
technician can
scribe the seal
CLD Reline
Denture method-

molding Rubber Base
completed Reline
border to blend
new acrylic with
old. Won’t show
finishing line

Relined cast: Do
Note junction
not separate

Trimmed and polished

Delivery of Reline

•Peripheral extensions
Delivery of Reline
 Pressure Indicator
Paste (PIP)
 Ask the patient to
bite on cotton rolls
for 5 min.
Remount records
 Green stick
 CR record
 Record: short of
tooth to tooth
Reline Delivery

•Remount on articulator
•Check stability of foundation
•Check occlusion
1. Do not carry out CUD and CLD Relines at the
same time, as both horizontal and vertical
relationships cannot be accurately
2. Gross occlusal discrepancies are likely to
occur and will not adequately be
compensated for through normal remount
and selective grinding procedures.
3. It is best to do the CUD first because the
CLD allows more latitude in repositioning the
denture to compensate for changes.
Remount at impression stage
when major occlusal corrections
are anticipated

 Centric relation at impression stage

 Premature contact
Reline-Remount at Impression Stage
What do you do with this?
 Remake denture!!!
We may have to “float” denture
Floating the denture
 Technician does
On occasion, we may have to reset
 Indication to reset
teeth: Premature

 Teeth reset
Indications for Functional
impression technique
 Geriatric patient
 Medically compromised patient
 Lack of retention: New denture
 Reasonably good occlusion
Tissue Recovery Program
1. Removal of the prosthesis at night
2. Initiation of oral hygiene measures:
rinses, brushing, bubble gum
3. Location and removal of acrylic base
pressure areas.
4. Correction of base extensions
5. Correction of occlusal disharmony
6. Use of a resilient tissue conditioner.
Functional impression Procedure

1. Reduce periphery 1-2 mm

2. Relieve undercuts
3. Mix tissue conditioner according to
4. Spread uniform layer over surface
of denture
5. Insert and have patient close in
centric relation
6. With teeth in light contact, carry
out border molding procedures
7. Allow denture to remain in mouth
until material looses its tackiness
(7-10 min)

•Reline material: Pink/white

•Apply Vaseline (very slight
•Mix according to instructions
 Seat reline
 Check on
extensions and
patient border
 Have patient close
teeth in CR
gently!! 7-10 min

1. Remove denture from

2. Trim conditioner
1. Evaluate
peripheral roll
2. Can add on, grind
add on
3. Functional
technique: Tissue
 We must trim
tissue conditioner

 Unacceptable

 Acceptable

•Examine after 1 week

•Place posterior palatal seal
after 1 week
Functional impression technique
CLD Reline
1. Identify pressure area
2. Correct pressure area
3. Relieve pressure spots
4. Re-impress

1 2

3 4
CLD Reline F. I. T.

 After one week:

 Borders corrected
with impression wax
CLD Reline

Finished reline

Centric occlusion,
Reline: Pitfalls
 Improper diagnosis
 Increasing VDO excessively
 Patient does not like appearance of denture
 Relining for loss of minor retention

 Inadequate relief
 Loss of orientation
 Impression thickness
 Occlusal discrepancies

 Inadequate posterior palatal seal

RPD Relines
1. Similar to an altered cast impression
2. Materials of choice are Zinc Oxide wash
or impression wax
3. Shoe extension must be cleaned of
impression material
4. If reline is to be sent to dental lab. some
distance away, then an over impression
must be taken with reline in place in
mouth and cast poured
5. If reline is sent to local lab., then a wax
impression is ideal
Reline RPD’s

ZnO wash

Wax or ZnO wash

Relining with wax

 Altered cast
 Clean shoe extension
Chairside Direct Relines
(From Smith and Bolender)

 There are several materials

available such as:
1. Flexacryl
2. Truliner
3. Triad
Direct relines: Indications

1. Where no longer than 6 weeks is

2. Around overdenture abutments
3. Border additions
4. RPD base areas
Direct Relines: Contraindications
1. For long term service (deteriorate in oral
2. Poor impression materials, which are not accurate
and cause tissue displacement
3. Difficulty of material in adhering to denture base
4. Tissue surface is rough and presents porosity
5. Color stability is of short duration
6. If denture is not properly positioned, correction is
7. Tissue irritation may be caused by lysis of the local