Relining and Rebasing

lect. 19 Prosthodontic Dr.
Osama
Relining and rebasing of RPD
Relining is the resurfacing of the tissue side of a denture base with new material to
make it fit the underlying tissue more accurately. It is occur more often than
rebasing.
Rebasing is the replacement of the entire denture base with new material. The
artificial teeth may need to be replaced in a rebase procedure.
In either situation, a new impression is necessary and uses the existing denture
base with modifications as an impression tray for a closed-mouth or an open-mouth
impression procedure. Several types of impression materials may be used, such as
metallic oxide impression paste, rubber-base or silicone elastomers, tissue
conditioning materials, or mouth-temperature wax.
Before relining or rebasing is undertaken, the oral tissue must be returned to

an acceptable state of health.
The tissue changes that occur beneath tooth-supported denture bases do not
affect the support of the denture; therefore relining or rebasing is usually done for
reasons that include (1) unhygienic conditions and the trapping of debris between
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the denture base and the residual ridge; (2) an unpleasant condition that results from
the space that has developed; or (3) patient discomfort associated with lack of tissue
contact that arises from open spaces between the denture base and the tissue.
Anteriorly, loss of support beneath a denture base may lead to some denture
movement, despite occlusal support and direct retainers located posteriorly.
Rebasing would be the treatment of choice if the artificial teeth are to be replaced or
rearranged, or if the denture base needs to be replaced for esthetic reasons, or
because it has become defective.
The original denture base must have been made of a resin material that can be
relined or replaced. Commonly, tooth-supported removable partial denture bases are
made of metal as part of the cast framework. These generally cannot be satisfactorily
relined, although they sometimes may be altered by drastic grinding to provide
mechanical retention for the attachment of an entirely new resin base, or some of the
new resin bonding agent may be used. Ordinarily, a metal base, with its several
advantages, is not used in a tooth-supported area in which early tissue changes are
anticipated.
A metal base should not be used after recent extractions or other surgery, or
for a long span when relining is anticipated to provide secondary tissue support. A
distal extension metal base ordinarily is used only when a removable partial denture
is made over tissue that has become conditioned to supporting a previous denture
base.
Because the tooth-supported denture base cannot be depressed beyond its

terminal position with the occlusal rests seated and the teeth in occlusion, and
because it cannot rotate about a fulcrum, a closed-mouth impression method is used.
Virtually any impression material may be used, provided sufficient space is allowed
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beneath the denture base to permit the excess material to flow to the borders—where
it may be turned by the bordering tissue, or, as in the palate, may be allowed to
escape through venting holes without undue displacement of the underlying tissue.
An impression material is used that will record the anatomic form of the oral tissue.
When relining in the mouth with a resin reline material is done with an
appropriate technique, the results can be highly satisfactory, with complete bonding
to the existing denture base, good color stability, permanence, and accuracy. The
procedure for applying a direct reline of an existing resin base is as follows:
1. Relieve the tissue side of the denture base with light relieve of the borders.
2. Apply lubricant over the polished surfaces from the relieved border to the
occlusal surfaces of the teeth.
3. Mix the powder and the liquid according to the manufacturer.
4. While the material is reaching the desired consistency, have the patient rinse
the mouth with cold water.
5. When the material has first begun to thicken, but while it is still quite fluid,
apply it to the tissue side of the denture base and over the borders.
Immediately place the removable partial denture in the mouth in its terminal
position, and have the patient lightly close into occlusion.
6. Immediately remove the denture from the mouth and remove excess material
7. Remove the denture, quickly rinse it in water, and dry the relined surface with
compressed air. Allow the material to polymerize in a container of cold water.
This will eliminate any patient discomfort and tissue damage that could have
resulted from exothermic heat or prolonged contact of the tissue with
unreacted monomer. It is preferable for 20 to 30 minutes to elapse before
trimming and polishing.
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Relining Distal Extension Denture Bases:
A distal extension removable partial denture, which derives its major support
from the tissue of the residual ridge, requires relining much more often than does a
tooth-supported denture. Because of this, distal extension bases are usually made of
a resin material that can be relined to compensate for loss of support caused by tissue
changes. The primary reason for relining a distal extension base is to reestablish
tissue support for that base. There are two indications of the need for relining a distal
extension removable partial denture base.
1. Loss of occlusal contact between opposing dentures or between the denture

and the opposing natural dentition.
2. Loss of tissue support that causes rotation and settling of the distal extension
base or bases is obvious when alternate finger pressure is applied on either
side of the fulcrum line.
The best way to ensure framework orientation throughout the impression

procedure for a distal extension removable partial denture is with an open-mouth
procedure done in exactly the same manner as the original secondary impression.
Mandibular reline impression accomplished with an open-mouth impression

technique.
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Rebasing procedure:
1. At the chair side, impression is made using old denture as a tray.
2. Make a stone cast from this impression. Trim the cast, and mount on the
articulator.
3. Make a plaster Register of teeth separately.
4. Remove the denture from the cast.
5. Remove as much as possible of the old denture base.
6. Replace on the plaster register.
7. Place a roll of soft wax on the remaining shallow strip of resin.
8. Close the articulator to the correct relationship.
9. Complete the wax-up.
10.Invest, De-wax, pack the new resin, and cure, finish and polish.

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lect. 19 Prosthodontic Dr.

Relining and rebasing of RPD

Before relining or rebasing is undertaken, the oral tissue must be returned to

Because the tooth-supported denture base cannot be depressed beyond its

1. Loss of occlusal contact between opposing dentures or between the denture

The best way to ensure framework orientation throughout the impression

Mandibular reline impression accomplished with an open-mouth impression

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