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Dentistry/Denture Reline

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Question
Dr. I went to a dentist to ask about a upper denture relineing. He said that my denture fit very tight and good in the ridge area, but was very thin past this area. Have you ever heard of adding extra acrylic underneath where it bow's,  (where I rest my tongue? )He said that it might be possible to just reline it that way, instead of inside the denture. Thanks Dr.

Answer
Dear Samuel:
Denture relining is by nature the addition of acrylic material to the inside of the denture to make it better adapted to the mouth structures under the denture (upper and/or lower).
There are special circumstances in which addition of acrylic material to the outside of the denture (where your tongue rests).  One is obvious:  if your denture is too thin and is prone to fracture.  The other is the effects of the denture on speech.  Sometimes it is necessary to add or remove material in order to help a person pronounce certain sounds in a better fashion.  It is called a palatogram, just type it into google.
I do not know why your dentist recommends to add material to the outside of the denture (where the tongue rests) rather than on the inside, but this is a question that you have to ask him.
The only problem that I see in adding to the place where your tongue rests is that your speech might be affected.  This is easy to test with placing some dental wax in the area and see how you function.  Ask your dentist to do that BEFORE you change the denture.
Best of luck,
Dr. Zev Kaufman

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Zev Kaufman, D.D.S.

Expertise

I can answer any question from simple routine dentistry to very complex dentistry with emphasis on reconstructive, cosmetic, and implant dentistry. My expertise is in co-ordination of very complex treatment plans with other dental specialists or as a one-man-team, since I have extensive training in Prosthodontics, Surgical Implantology, and orthodontics.

Experience

Over a decade in private practice of Surgical Implantology and Prosthodontics. Founder and owner of Prosthodontics & Implant Surgery of Manhattan, PC. Clinical Assistant Professor at the Post-Graduate Department of Periodontics & Implant Dentistry at New York University College of Dentistry. Lecture weekly since 1999 on advanced Implant Prosthodontics at New York University College of Dentistry Post-Graduate Program in Periodontics & Implant Dentistry. Former clinical assistant professor of Dental Radiology at the NYU College of Dentistry. Former clinical and lecture faculty at Lincoln Hospital, Dental residency program. Former clinical and lecture faculty at St. Barnabas Hospital (Bronx, NY) dental residency program. Lecture nationally on Prosthodontics and Implant Dentistry.

Organizations
Memeber of the American College of Prosthodontics. Memeber of the Acacdemy of Osseointegration. Member or the Omikron Kappa Upsilon (OKU) Honors Dental Society. Member of the American Dental Education Association.

Education/Credentials
Graduated with Honors from New York University College of Dentistry. Post-Graduate training and certificate in the specialty of Prosthodontics. Post-Graduate training and ceritificate in Surgical and Prosthetic Implant Dentistry. Honors-program in Comprehensive and Applied Practice Management. Honors-program in Orthodontics.

Awards and Honors
NYU Cervice award to the community. OKU honor society. National Dean's List. National Who's Who.

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