• Title/Summary/Keyword: Relining

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Clinical considerations for complete denture relining (의치상 첨상재의 종류와 임상적 고려사항)

  • Young-Eun Cho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.2
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    • pp.39-45
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    • 2024
  • The residual alveolar ridge below the denture base undergoes physiologic changes over time, which results in the existing dentures becoming less accurate with the residual alveolar ridge. In addition, changes of the occlusal plane, decreasing in vertical dimension and loss of denture retention and facial support can occur. Consequently, denture relining may be required to accommodate these changes and ensure an ongoing close fit. Relining a denture can be performed directly on the chairside using autopolymerizing relining materials or indirectly in the laboratory using heat-cured relining materials. A direct relining method is not only simple but also time and cost effective. However, irritation or burning sensation of the mucosa can occur, and poor bonding of the relining material to the denture base can be cited as disadvantages. The indirect relining method exhibits relatively high bonding strength between the relining material and the denture base, but the patient might experience discomfort during relining process period. This report will examine the characteristics of relining materials, including those used in the relining of CAD-CAM dentures, and explore the clinical considerations for relining procedures.

Wettability of denture relining materials under water storage over time

  • Jin, Na-Young;Lee, Ho-Rim;Lee, Hee-Su;Pae, Ahran
    • The Journal of Advanced Prosthodontics
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    • v.1 no.1
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    • pp.1-5
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    • 2009
  • STATEMENT OF PROBLEM. Poor wettability of denture relining materials may lead to retention problems and patient discomfort. PURPOSE. Purpose of this study is to compare and evaluate wettability of nine denture relining materials using contact angle measurements under air and water storage over time. MATERIAL AND METHODS. Nine denture relining materials were investigated in this study. Two heat-curing polymethyl-methacrylate(PMMA) denture base materials: Vertex RS, Lang, one self-curing polyethyl-methacrylate(PEMA) chairside reline resin: Rebase II, six silicone relining materials: Mucopren soft, Mucosoft, $Mollosil^{{R}}$ plus, Sofreliner Touch, GC $Reline^{TM}$ Ultrasoft, Silagum automix comfort were used in this experiment. Contact angles were measured using high-resolution drop shape analysis system(DSA 10-MK2, KRUESS, Germany) under three conditions(in air after setting, 1 hour water storage, and 24 hours water storage). Nine materials were classified into three groups according to material composition(Group 1: PMMA, Group 2: PEMA, Group 3: Silicone). Mean values of contact angles were compared using independent samples t-test and one-way ANOVA, followed by a Scheffe's post hoc analysis($\alpha$=0.01). RESULTS. Contact angles of materials tested after air and water storage increased in the following order: Group 1(PMMA), Group 2(PEMA), Group 3(Silicone). Heat-cured acrylic denture base resins had more wettability than silicone relining materials. Lang had the highest wettability after 24 hours of water storage. Silicone relining materials had lower wettability due to their hydrophobicity. Wettability of all denture relining materials, except Rebase II and $Mollosil^{{R}}$ plus, increased after 24 hours of water storage. CONCLUSIONS. Conventional heat-cured resin showed the highest wettability, therefore, it can be suggested that heat-cured acrylic resin is material of choice for denture relining materials.

A STUDY ON DIFFERENT AMOUNT OF DENTURE BASE DISPLACEMENT USING SOFT DENTURE RELINING MATERIAL UNDER MASTICATORY FORCE (국소의치상을 위한 연성 이장재사용시 교합압에 따른 의치상 변위(Displacement)량 비교)

  • Lee, Ho-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.1
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    • pp.18-25
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    • 1998
  • The purpose of this study was to determine how to use soft relining material by observing an amount of denture displacement according to the different base area of residual ridge and thickness of soft relining material under masticatory force. Stone models that simulated residual ridge were made with different amount of denture base area and denture was fabricated by conventional heat curing resin with usual manner on the model and relined by silicone type soft relining material with different thickness. Specimen was examined the amount of denture displacement by Instron within range of normal occlusal force. The results were as following : 1. The increasing rate of denture displacement was higher than that of soft relining material thickness. 2. The amount of denture displacement decreased 1.7 times when base area became double at same thickness of soft relining material 3. The increasing rate of denture displacement was higher than that of occlusal force

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ADHERENCE OF ORAL BACTERIA ON VARIOUS DENTURE RELINING MATERIALS WITH CHITOSAN (키토산을 첨가한 개상용 레진의 세균부착에 관한 연구)

  • Vang Mong-Sook;Kim Young-Yi
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.4
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    • pp.444-451
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    • 2001
  • The purpose of this study was to evaluate the rate of adherence of bacteria on various denture relining materials and to find out the effects of chitosan, when it was added to denture relining materials. Denture relining materials such as Tokuso rebase normal $set^{(R)}$, Mild $rebaron^{(R)}$, $Kooliner^{TM}$, and New $truliner^{TM}$ were used in this study. The adherence of Streptococcus mutans was studied on the surfaces in the denture relining materials with chitosan and in those without chitosan. When chitosan was added to M17 broth and MRS broth, the viable cell count of Streptococcus mutans was reduced. The viable cell count of Streptococcus mutans on the specimens decreased in the following order : Mild rebaron, Tokuso rebase normal set, and Newtruliner and Kooliner. The deture relining materials with chitosan showed a lower rate of adherence of Streptococcus mutans than those without chitosan.

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Comparative evaluation of sodium hypochlorite and microwave disinfection on dimensional stability of denture bases

  • Nirale, Rutuja Madhukarrao;Thombre, Ram;Kubasad, Girish
    • The Journal of Advanced Prosthodontics
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    • v.4 no.1
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    • pp.24-29
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    • 2012
  • PURPOSE. To compare the effect of sodium hypochlorite and microwave disinfection on the dimensional stability of denture bases without and with relining. MATERIALS AND METHODS. A brass die was prepared by simulating an edentulous maxillary arch. It was used to fabricate 1.5 mm and 3 mm of thickness denture bases (n = 40). The 1.5 mm of thickness-specimens (n = 20) were relined with 1.5 mm of autopolymerizing relining resin. Five holes were prepared over crest of ridge of brass die with intimately fitting stainless steel pins which were transferred to the intaglio surface of specimens during fabrication of denture bases. For calculation of dimensional changes in denture bases, differences between the baseline area before and after disinfection of the specimens were used. The denture bases without and with relining were divided into 2 groups (each n =20). Data were analyzed using student paired 't'and unpaired 't'test. RESULTS. Microwave disinfection produces significant shrinkage in both denture bases without relining (t =17.16; P<.001) and with relining (t = 14.9; P<.001). Denture bases without relining showed more shrinkage when compared with relined denture bases after microwave disinfection (t = 6.09; P<.001). The changes in dimensional stability after sodium hypochlorite disinfection were not significant for both denture bases without relining (t = 2.19; P=.056) and denture bases with relining (t = 2.17; P=.058). CONCLUSION. Microwave disinfection leads to increased shrinkage of denture bases without and with relining. Chemical disinfection with sodium hypochlorite seems to be a safer method of disinfection with regards to physical properties such as changes in dimensional stability.

Comparison of Push-out Bond Strengths According to Relining Procedure and Cement Type on Fiber Post (Fiber post의 Relining 방법과 시멘트 유형에 따른 Push-out Bond Strength의 비교)

  • Kang, Hyun-Young;Cho, So-Yeun;Yu, Mi-Kyung;Lee, Kwang-Won;Kim, Kyoung-A
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.3
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    • pp.253-265
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    • 2011
  • When restoring endodontically treated teeth is the mismatch between fiber post size and post space diameter, the resin cement layer is excessively thick in post space and voids are likely to form in it, thus predisposing to de-bonding. The method to overcome this problem is to reline the fiber post with composite resin. This individual anatomic post improves the adaptation of post to root walls and decreases the resin cement thickness. The purpose of this in vivo study was to evaluate the push-out bond strength of fiber post according to relining procedure and luting agents type used for simplicity of clinical procedure. Forty-two extracted teeth were divides into six groups.(n=7) A1: relined fiber post cemented with Luxacore/all-bons 2, A2: non-relined fiber post cemented with Luxacore/all-bond2, B1: relinind fiber post cemented with Calibra/XP-bond, B2: non-relined fiber post cemented with Calibra/XP-bond, C1: relined fiber post cemented with RelyX Unicem, C2: non-relined fiber post cemented with RelyX Unicem Push-out bond strength was affected by interaction between relining procedure and luting agent type. Relined fiber post presented higher push-out bond strength value than non-relined fiber post and statically significant differences(p<0.05) Cementation with RelyX Unicem showed significantly higher bond strength than other luting agents(p<0.05).

A comparison study on shear bond strength of 3D printed resin and conventional heat-cured denture base resin to denture relining materials (3D-프린팅 의치상 레진과 열중합 의치상 레진에서의 의치 첨상 재료 간의 전단결합강도 비교 연구)

  • Cho, Sung-Yoon;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.232-243
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    • 2021
  • Purpose: The purpose of this study was to evaluate the shear bond strength of various 3D printed denture base resins and the conventional denture base resin to various denture relining materials. Materials and Methods: For denture base materials, a heatcured (Vertex RS) and two types of 3D printed DENTCA Denture base II, NextDentTM Base) were used. And 4 types denture relining materials (Tokuyama Rebase II fast, Kooliner, Denture Liner, Denture Liner, Lang Jet Denture Repair Kit) with different components were used. It was classified into 12 groups. Adhesion was performed between the resin base and the relining materials in accordance with ISO/TS 11405 standard. The shear bonding strength was measured, and then the adhesion interface was observed with a stereoscopic microscope and a scanning electron microscope. The fracture pattern was investigated through the analysis of the fragment. Results: In the 3D printed denture resin group, the shear bonding strength with relining materials was significantly lower than that of the heat-cured resin group (P < 0.05). The group of polymethyl methacrylate -based relining materials, high shear bonding strength was shown regardless of the type of denture. As for the fracture pattern, adhesive fracture appeared in most groups, and cohesive, mixed fracture appeared in some groups. Conclusion: The polymethyl methacrylate -based denture relining materials showed high shear bonding strength values compared to other denture relining materials. But, for direct methods, it is considered advantageous in terms of shear bonding strength to use a isobutyl methacrylate-based denture relining materials.

A STUDY ON THE TENSILE STRENGTH BETWEEN METAL DENTURE BASE AND RELINING MATERIALS (의치 재이장 재료와 금속의치상간의 결합력에 관한 연구)

  • Lee, Joon-Seok;Lim, Ju-Hwan;Cho, In-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.1
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    • pp.1-11
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    • 2000
  • Relining and rebasing are essential for long-term success and oral health in removable prosthodontics. Major features of failures between metal base and relining resins are adhesive failure due to lack of chemical bonding. The purpose of this study was to find a better metal primer and metal surface treatment method that enhance the bonding strength with relining resin materials. The surfaces of ticonium alloys were treated with $25{\mu}m$ sandblasting (Group A), stone wheel(Group B), stone wheel and EZ oxisor(Group C), $75{\mu}m$ sandblasting(Group D) and EZ oxisor application after $75{\mu}m$ sandblasting(Group E). They were subdivided into no primer application (Group I), MR bond application(Group II) and Metafast bonding liner (Group III). Then specimens were completed though being bonded with relining resins. The specimens were stored in $38^{\circ}C$ water for 48 hours and tensile strength was measured using the universal testing machine. The results were as follows, 1. Primer application groups showed higher bond strength than no primer application group(p<0.05). 2. In comparison with primer application groups, MR bond group showed higher bond strength than Meta fast bonding liner application group(p<0.05). 3. In comparison with surface treatment methods, Bond strengths of group A and B were significantly different with group C, D, and E, and group C were significantly different with group D, and E in no primer application group()(0.05). In primer application groups, group A, B, C were significantly different with group D and E(p<0.05). According to results of this study, Metal primer application and metal surface roughening were considered to be advantageous for relining of metal base dentures.

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INHIBITORY EFFECT OF ANTIFUNGAL AGENTS INCORPORATED IN DENTURE LINING MATERIALS AGAINST CANDIDA ALBICANS (의치상 이장재 표면의 캔디다 균주에 대한 항균제의 억제 효과)

  • Jang, Kyung-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.3
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    • pp.293-300
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    • 1999
  • The purpose of this study was to evaluate the in vitro antifungal effect of several kinds of denture lining materials containing nystatin and silver-zeolite on Candida albicans. Three commercially available tissue conditioners (Soft-Liner, Coe-Comfort, Coe-Soft) and two direct denture relining materials (Tokuso Rebase, Durabase) were selected. In terms of the zone of inhibition and some basic physical properties, I could find the following results ; 1. Nystatin or silver-zeolite included in those relining materials had definite antifungal activities against the Candida albicans. 2. As times went on, both of the antifungal agents's activities decreased gradually. 3. Antifungal agents did not affect the relining materials' basic physical properties. 4 Direct chairside relining materials showed unfavorable dark discoloration with response to silver-zeolite.

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Maintenance care for removable denture (가철성 의치의 유지관리)

  • Cho, Lee-Ra
    • The Journal of the Korean dental association
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    • v.54 no.12
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    • pp.996-1023
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    • 2016
  • There are many kinds of maintenance care services for removable denture patient. Adjustment of the denture base and occlusion should be performed regularly not only for pain relief but also for maintaining the denture function. Direct and indirect relining are needed frequently in specific cases including mandibular distal extension case or non-symmetric residual teeth situation. Surface treatments for metal and resin are essential in the relining procedure. Clinical process for the denture repair is similar to indirect relining which needs inter-occlusal registration. Especially, the peridontal maintenance care and caries prevention are most important way to preserve the abutment teeth in partial edentulism. Moreover, the caring method for the denture and the tissue should be instructed to the denture patient.

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