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Chairside denture relining with VLC resin -
M.K. Assery, BDS, AACP, MPH,*
S.M. Al-Shamrani, BDS, MS**
* Al-Hada Armed Forces Hospital (241), P.O. Box 1347, Taif, Saudi Arabia.
**King Saud University, College of Dentistry, P.O. Box 60169,
Riyadh 11545, Saudi Arabia
The technique for relining complete
denture using Triad visible light-cured (VLC) resin systems is described. When
the material is used per manufacturer's suggested procedures, the Triad VLC
resin appears to be quick, useful and convenient.
Relining a denture is a process of resurfacing the tissue
side of a denture to make it fit more accurately.1 Resurfacing is putting a new or
different surface on the tissue side of the denture.
The need for an acceptable, hard, chairside reline
material has long been evident in removable prosthodontics. Most patients,
unless they own a second set of dentures, are reluctant to remove their
dentures for the time necessary to flask and cure a hard reline. Laboratory
heat cured reline is expensive and time consuming. Chairside hard reliners
compromise the quality of the base because they are porous, lack color
stability, and are initially irritating due to free monomer. Such reliners can
cause long-term sensitivity after curing due to the slow release of free
monomer.
Triad visible light-cured (VLC) resin* has been developed
for many prosthodontic applications, including direct chairside relining of
complete and removable partial dentures and has met the requirements for heat
cured base materials (Amer ican Dental Association specification number 12).
This VLC resin is available from dental suppliers in
sheets of base plate thickness and in rope form in light sealed envelopes. This
VLC is similar to light cured filling materials. The matrix is urethane
dimethacrylate with enough microfine silica to pro vide workable handling
qualities. There is no free methyl (methacrylate) monomer in the uncured or
cured material.
The purpose of this paper is to report on the man
ufacturer's recommended technique for relining complete denture using Triad VLC
resin as a chair side reline materials.
The mandibular denture is relined first if both maxillary
and mandibular dentures are to be relined. The following steps are followed by
the operator.
The denture is ultrasonically cleaned
of all surface debris. The tissue pressurized areas are relieved and the whole
internal surface of the denture is reduced to 2 mm in depth [Fig. 1]. The mouth
is prepared by having the patient rinse with a mouthwash, after which a
gauze pad is used for mechanical debridement. In patient with xeros tomia, a
lubricating mouthwash or artificial saliva is used. Triad bonding agent is
applied to the dry sur face. The bonding agent is cured for two minutes in air
and two minutes in the Triad VLC unit [Fig. 2].
A rope or a sheet of the Triad reline material is adopted with a piece of wet
sponge to the inner surface of the denture. The denture is wetted in warm water
(135°F) for 2-3 minutes [Fig. 3], and placed in the mouth with firm pressure in
order to force a maximum flow of the material. Centric rela tion and proper
closure are verified, and the patient is instructed to assist in muscle
moulding activities for two to three minutes. The reline material is par
tially cured in the mouth with a visible light source [Fig. 4]. The denture is
removed and placed in the Triad curing unit [Fig. 5] for 30 seconds. Excess
material is trimmed and "air barrier" solution is applied and the denture is
cured for ten minutes. The denture is
polished using the traditional method [Fig, 6],
The maxillary denture is relined in a
similar man ner. There is an additional consideration in that a retentive
maxillary denture is prone to distort the uncured material upon removal. Having
the
patient blow while the mouth is closed, is frequently the best method of
initially dislodging the denture.2
Definitive relining of complete
denture requires impression of the jaw and laboratory procedures where the
patient's denture had to be removed for a period of time. Biological testing
indicated that visible light-cured resin is non-toxic, biocompatible and can be
used for several applications in dentistry.3
Tan et al4 used this material for making processed record
bases. Nimmo5 used it for correction of the posterior
palatal seal.
In this paper, the manufacturer's recommended technique
for using this material as a chairside relin ing is tested. Due to its
complete polymerization without a residual compound, ease of fabrication and
manipulation, the whole procedure was achieved and finished in one visit. This
technique has proven to be advantageous, as compared to the intraoral
conventional technique where autopolymerizing acrylic resin used leads to
poten tial irritation of the soft tissues from the free monomer.5,6,7 The manufacturer's recommended technique for
the material works well in true clinical settings.
The authors would like to thank Mrs.
Myrzenor R. Ancheta for her assistance in the preparation of the manuscript.
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Wells JG,
Clancy JM, Ruppel LJ. A chairside complete denture reline technique utilizing
Triad VLC resin. QDT Yearbook, 1988,-155-8.
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Ogle RE,
Sorensen SE, Lewis EA. A new visible light-cured resin system applied to removable
prosthodontics. J Prosthet Dent 1986;54:497-506.
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Tan HK,
Brudvik JS, Nicholls Jl, Smith
DE. Adaptation of a visible
light-cured denture base material. J Prosthet Dent 1989;61:326-31.
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Nimmo A.
Correction of the posterior palatal seal by using a visible light-cured resin:
A clinical report. J Prosthet Dent 1988;59:529-31.
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Hartwell
CM, Rahn AO. Syllabus of complete dentures. 4th ecf. Philadelphia: Lea & Febiger, 1986.
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Orthman
HR. Refitting denture base with a visible light cured denture base resin. New York State Dent J 1986;April:29-32.
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