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[A complete denture rebasing method in two appointments].

During rebase of the complete dentures, the denture bases are used as the trays for making border molding and final impression. Both open--mouth and closed-mouth impression methods are certainly expected to change the relationship between acrylic teeth and denture base after impression procedures. The upper denture usually shifts forward and downward, as a result, the occlusal relationship and esthetics are both damaged. The purpose of this article was to introduce an effective method for rebasing complete dentures. Through utilizing (1) the interridge distance, (2) the distance between the upper edentulous ridge and the occlusal surface of the lower acrylic teeth, and (3) the interocclusal records obtained immediately after each impression, the displacement of denture base can be corrected accurately. In addition, the original occlusion and esthetics are able to be preserved.

Denture Rebasing

[Denture rebasing].

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Denture Rebasing

[Studies of dental methacrylic resin. (Part. 6) Adhesive strength of self-curing methacrylic resin to polymethylmetacrylates with various cross-linking density. (author's transl)].

The adhesive property of dental acrylic resin to resin teeth and denture base resins is an important property, in the case of preperating, repairing and rebasing denture. Then, as models of denture base resin and resin tooth, heat-curing methacrylic resins which were cross-linked with three kinds of polyethylene glycol dimethacrylate, i.e., EDMA, tri-EDMA, nona-EDMA, were prepared, and the tensile adhesive strengths of self-curing methacrylic resin to them were examined. The results were as follows. 1) The tensile adhesive strength under the dry condition was dependent on cross-linking density of adherent resin, and decreased according to the increase of concentration of cross-linking agent added in adherent resin. 2) The greater the number of chain members of cross-linking agent used to adherent resin was, the higher the adhesive strength was. In particular, the adhesive strength to adherent resin added with nona-EDMA in concentration from 16.7 to 30 mole%, agreed with the tensile strength of adherent resin itself indicating a favourable adhesion. 3) The adhesive strengths under the wet condition, that is, when specimens were immersed in water at 37 degrees C for 21 days, decreased from 30 to 50%, compared with that under the dry condition.

Acrylic Resins

Use of the remount jig as an aid in relining upper dentures.

A remount jig record is used to reposition the teeth of an upper denture reline in their original position. A face-bow record is used to position the upper edentulous cast in the correct relation to cranial planes. The impression may be developed as is done in any other impression procedure, and the repositioning can be accomplished in the laboratory with reasonable assurance that the upper denture is positioned occlusally as it was when the denture was constructed originally. This procedure relieves the dentist of the monumental task of making a reline impression and adjusting the position of the denture in one three-minute operation.

Dental Equipment

Mylohyoid ridge reductions as an aid to success in complete lower dentures.

A common problem of the mylohyoid ridge in the resorbed edentulous mandible is discussed. A surgical technique that is simple, though efficient, is described for the elimination of the anomaly in the ambulant patient. A prosthetic technique is suggested for maximum advantage to be gained from the operation.

Alveolar Process

Indicator pastes: their behavior and use.

Indicator pastes were subjected to a laboratory investigation and a clinical trail. The tests showed: 1. An increase in temperature increased the rate of flow of the pastes. 2. An increase in applied pressure increased the rate of the flow of the pastes. 3. Pastes containing a small percentage of filler were compressed to a smaller thickness than those containing a greater percentage of filler. 4. The zinc oxide-hydrogenated oil mixture demonstrated a biphasic flow pattern. Pressure Indicator Paste demonstrated a simple flow pattern. 5. Similar tests did not give identical results. However, the characteristics of flow curves for similar tests were consistent. 6. A clinical trial using eight subjects showed no marked differences between three indicator pastes but did show significant differences between the interpretations of paste patterns by four dentists. This evidence suggests that the nature of the suspension medium affects both the type of flow and the rate of flow of an indicator paste. The percentage composition of filler affects both the final film thickness and the rate of flow. Improved criteria for the interpretation of paste patterns must be developed before clinical differences in paste behavior are noted.

Dental Stress Analysis

The effect of relining on the accuracy and stability of maxillary complete dentures--an in vitro and in vivo study.

A technique was developed for evaluating in vitro the accuracy or fit of experimental denture bases using a low-viscosity impression material for determining the space between the master die and the processed denture base. These measurements indicated that relining heat-cured maxillary denture bases with autopolymerizing acrylic resin improved their adaptation to the ridges. Interestingly, if no teeth were present in the heat-cured denture base, markedly less distortion occurred after processing. Limited clinical measurements on the stability of maxillary dentures in function showed no statistically significant change in stability after relining, but the trend was toward increased stability with the relined denture.

Acrylic Resins

Heat-released stress in acrylic dentures.

Dimensional changes in an acrylic resin denture blank that are sufficient to cause changes in fit on a gypsum cast occur primarily when the dentures are heated in water to a temperature of 90 degrees C or more. The poor correlation between observed fit and the intermolar distance change indicates that the dimensional change of dentures is much more complex than suggested previously and may be the product of factors that are not as yet fully understood. Enough heat to cause distortion of the denture can be produced during the process of grinding the denture. It should be recognized by the dentist, the dental assistant, and the dental laboratory technician that denture resins are sensitive to the techniques that are used in finishing. Overheating even small regions may allow localized dimensional changes that result in distortion of the denture.

Acrylic Resins