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After a new denture has been
inserted, it remains in the mouth quite nicely due to the
fact that the shape of the inside of the denture base
conforms closely to the shape of the gums. Unfortunately, the longer
you wear the denture, the more your gums change underneath
it, and the looser it gets. In order to restore the
retentive qualities of the denture, and to prevent the
production of flabby gum tissue under it, you should have
the denture professionally relined at least every two
years.
There are
actually three types of denture relines: Hard, Soft and
Temporary.
Hard reline
This is the kind of reline
that should be done on all full dentures every two years.
The dentist removes some of the plastic from the inside of
the denture, and then fills the denture with a soft material
(think of soft putty) which, when replaced in the mouth,
conforms to the contours of the tissues, and then hardens to
a rubbery consistency. When the denture is removed,
the denture now contains an accurate impression of the shape
of the gums. The denture is sent to the lab, and the
impression material is replaced with pink, hard acrylic in
exactly the same shape as the original impression material.
When returned, the denture now conforms to the contours of
your mouth and should make maximum contact with the tissues
producing maximum suction.
Soft reline
Occasionally, a patient
finds that he cannot wear the denture because his gums are
too tender, and keeps getting sore spots. In cases
where the patient is unable to wear ordinary dentures
because of tender gums, the denture can be relined with a
material that remains somewhat pliable for a year or two
before it needs replacement.
Temporary relines (Therapeutic relines)
Frequently, by the time
a patient with an old denture finally shows up at the
dentist's office looking for a new denture, the dentures
have not been serviced for such a long time that the gums
are in terrible condition. They may be red, swollen and
quite misshapen. Relining the old denture, or building a
new one using impressions taken while the gums are in such
poor condition would lead to a denture that would simply
perpetuate the problem with the new appliance.
When faced with
situations like this, a dentist will frequently resort to a
temporary, or palliative (medicated) reline material to
allow the inflammation to subside. This reline makes the
denture fit much more tightly, and is usually soft and
pliable. It will not last more than a few months, but the
patient wears it for a few weeks until the gums return to a
more normal state. After this happens, then the patient is
ready for his new denture. |
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