Manuals_files/CD Manual 12.pdf - Removable Prosthodontics
Manuals_files/CD Manual 12.pdf - Removable Prosthodontics
Manuals_files/CD Manual 12.pdf - Removable Prosthodontics
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Tissue Conditioning - 12<br />
- Clinical reports suggest regular finger massage/tooth brushing of mucosa with a warmed,<br />
soft brush may be useful to improve tissue health<br />
3. Occlusal Correction<br />
Lytle showed improper occlusion can cause to poor tissue health<br />
**This is one of the most overlooked causes of tissue irritations**<br />
Methods for correction:<br />
1. Add to occlusal surfaces of acrylic teeth with acrylic resin, - improves vertical dimension,<br />
balances occlusion<br />
2. Soft mouth guard over teeth – reversible procedure, inexpensive<br />
3. Clinical remount and occlusal adjustment<br />
4. Temporary Soft Liners<br />
(Reference: Dent. Clin. N.A. 28(2): 239, 1984)<br />
(Lynal, Viscogel, Coe-Comfort, Tru-Soft, Soft-Tone)<br />
- Can improve comfort, retention, occlusal vertical dimension (minor changes), and<br />
extension of denture bases (minimal).<br />
- Use manufacturers recommendation for mixing, usually 1:1.5-2.0 powder/liquid.<br />
- Typical composition:<br />
Powder - polyethyl methacrylate<br />
Liquid - aromatic ester-ethanol<br />
- These materials are soft and resilient and flow under pressure.<br />
- Material becomes rigid after a week - plasticizer leeches out<br />
- Change the soft liner as necessary (usually lasts no longer than 4-6 weeks)<br />
The length of time required for tissue conditioning depends on the severity of irritation.<br />
A combination of treatment may be necessary.
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