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Dentistry/Soft Reline

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Question
Dr. I have a lower cast metal partial with a lot of teeth on it, and, on the right side it has been pushing my gum tissue down, because of bone loss, so much that it has tipped downward. It has formed a callus. My dentist has done adjustments, but still the same so he put a temporary soft reline that has done nothing. He said if you still have pain and cutting of your gums in that area, it won't work. Mt question is if he put a permanent silicone soft liner in that he will send to the lab, do you think he can fill in the void and that I could get some relief? Thanks

Answer
A soft reliner, although an option, is probably not your best alternative. Sometimes partial free end saddles "settle" because they are not extended enough towards the posterior of the mouth. Dentures, if possible should end on the retromolar pad, since this is a "stable" landmark and will not resorb when pressure is placed on it. If a partial doesn't terminate on this pad, bone loss can result from the chewing pressure that it experiences in function.

If your partial needs to be extended than a proper hard reline can accomplish this, if the partial is extended in the impressioning with some border molding.

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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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