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Dentistry/Minimal Impression Material

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Question
Dr. I have a lower cast metal partial that needs relining, because the metal has come through, and irritates the gums. I have had the necessary adjustments, but it has not worked. The dental assistant said if I got a reline it would just be minimal added at best. Should I have this done, or keep getting adjustments? Thanks

Answer
Dear Diane,

the answer really depends on the causes of your sores. Sometimes sores are caused by pressure spots. In this event, the sores tend to go away when an adjustment is made to the internal part of the denture. I use a pressure indicating paste to tell where the denture is pressing or sometimes I mark the sore with ink and it marks the denture where it is pressing on the sore.

Another cause for sores is that the bite is applying too much pressure to the area where the sore develops. In this case a bite adjustment is needed.

In neither of these instances is a reline indicated. Most often relines are indicated when a denture is no resting on the gums properly. In this case when the patient bites on the denture it visibly moves towards the gums. Often when once a reline is added the denture ceases to move when the patient bite down.

dentures can be temporarily relined with a product such as Softone. This is a temporary resilient reline material that can be used to trouble shoot a problem denture. It shows both areas where the denture might be able to use an addition as well as "pressure spots"

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Lawrence Spindel DDS, www.lspindeldds.com

Expertise

Cosmetic Dentistry, Endodontics, General Dentistry, Preventive Dentistry, Comprehensive Dental Care

Experience

Former Clinical Instructor of Comprehensive Dentistry, and Prosthodontic Department New York University School of Dentistry. Also former instructor of Preventive Dentistry Columbia University School of Dentistry.

Publications
Ask Dr Spindel Dental Blog also numerous articles on http://www.lspindeldds.com (over 100 pages of original content)

Education/Credentials
1980 DDS New York University College of Dentistry 1981 GPR Manhattan VA Hospital

Awards and Honors
OKU 1980 Honor Society 1980 Long Island Academy of Odontology award for highest combined Academic and Clinical Achievement.
In 1997 he was elected to Fellowship into the International Academy for Dental Facial Esthetics

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