Seat your client. Make notes on their concerns about the existing dentures. Find out:
1. How old is the denture
2. How long (if ever) since the last reline
3. How successful have they been with the denture
4. What problems is s/he having now
5. Look at the gums. Ask if they have any sores
When all this is written down, tell your doctor you are ready. If the doctor and client agrees on the reline, prepare the reline.
We use two types of “temporary” liners. Lynal is used as a semi-permanent soft liner for elderly people who either can’t afford more permanent treatment or couldn’t tolerate the change. This is also used following extractions for clients who need 1 2 months of healing.
Your doctor or the AQP will correct the margins with the peripheral plastic. When the flanges are correct
1. Cover lips and cheeks with Vaseline
2. Dry the gum surface side of the denture
3. Coat the edges of the flanges with copalite for a better bond
4. Mix the liner in a blue plastic cup with a spatula
5. Place a thin layer of liner over the entire gum surface of the appliance. Be careful not to put too much material in the denture. The excess will squirt out and be a mess to clean up. It’s easier to add a little than clean up a lot.
Seat the denture and wait five minutes for the Viscogel to set. Don’t throw away any extra Viscogel in the cap. Remove the denture after the five minutes and check for any areas that didn’t coat well. Add more as needed.
When you remove the denture, try to touch mainly the teeth. The Viscogel is so sticky that it will pull away and distort easily if you touch the impression surface.
Run cold water over the denture. This will reduce the stickiness. Use a Bard Parker blade to trim away the excess. Next, use your finger to scrape away little tags that may adhere around the teeth.
Finally, seat the denture for your client and review instructions.
1. This is an impression material. It continues to adjust to the tissue over the next 48 hours. This allows the gums to relax and reach an unstressed state. The old denture held the tissues in the shape they were in when the original impression was made years ago.
2. The material is sticky and will provide a wonderful fit immediately. Unfortunately, the stickiness will leave after two days. Then your client can evaluate the fit and comfort.
3. Don’t soak the denture in any commercial cleaners. They will ruin the material.
4. Don’t brush the inside of the denture. It could loosen and distort the material.
5. If everything feels okay after 2 3 days, call us and we will schedule a final impression and lab reline. (S)he will be without the denture for about 2 hours.
Answer any questions. Help your client clean up. Escort him/her to the reception desk.
This step reviewed by _______________________________ date ____________
In office hard reline
If a single tooth has been extracted, or a relatively small area needs a permanent reline, we can use Bosworth’s original Truliner. Have the client use first with Astringisol to numb the gums slightly. The Truliner gets hot as it sets and will be more comfortable if the gums are slightly numb. Clean the denture. Mix the material. Place in the denture. Use less rather than more. It’s easier to add than to cut back. Let it set 3 5 minutes. Remove and place in warm water for 10 minutes. Finish.
Signature _______________________________________ date ___________