week 7 Flashcards
denture repair
1) common in prosthetic dentistry
2) repair resin i methyl methacrylate with powder liquid components
3) repair gap of 1-2 mm is required for optimal strength and precision
4) repair resin bonds chemically with denture base and artificial tooth materials
5) weaker by 50%
things to consider before attempting a repair
1) can it be performed reasonably
2) will it have predictable service expectancy
3) how long will it take
4) what will the lab need
types of repair
1) replace missing broken tooth
2) repair denture base
3) add post dam
4) modify CD, conversions , etc
before repair
1) always determine cause of failure
2) correct the problem before the repair
- or can fail again
3) arrange with the patient
not to repair
1) prosthesis not worth fixing
2) multiple problems
- teeth or base worn
- poorfit
- poor esthetics
3) cost/benefit analysis
today
1) remove #9 artificial tooth
- smooth everything
- repair gap will be evident
- make a groove in the tooth (diatoric)
2) mix putty to include #9 and two teeth on either side
- trim it so lingual is exposed for access
repair resin
1) powder < 2 g and several drops of monomer
2) apply to tooth and socket
3) or bead brushing
4) cure time 15 mins in warm water
5) polishing points dark blue to light blue then yellow :3
denture relining
1) residual ridge resorption
2) reline
- new intaglio surface in existing denture
- base remains intact
3) rebase
- replaces the entire denture base
denture replining
1) chairside reliners are resin materials and are most convenient for patients
2) lab relining requires and impression and it is a better result
denture adhesive
1) powder, cream, no pads
2) encourage thin denture adhesives
3) retention can be a matter of neuromuscular control which is gained by practice
4) soft or resilient reliners
- lynal ratio of 10cc to 4 ml
deterioration
1) lynal reline is 1- several months
- does not like tablet cleaners
readjustment
1) for every reline!!
problems with relines
1) inaccurate impression
2) denture out of place laterally or anteriorly
4) thicker denture base
5) malocclusion
6) loose denture
chairside hard reliners
1) convenient but technical and time demands for dentist
special burs required for adjustment
1) poor ridge height
2) lack of attached mucosa