Name of the Procedure:

Reline Lower Complete Mandibular Denture (Chairside) (HCPCS Code: D5731)

Summary

This procedure involves adjusting and refitting an existing lower denture to better conform to the patient's gum and jaw structures. It is done in the dental office and does not require sending the denture to a lab.

Purpose

The goal of this procedure is to address issues like poor fit, discomfort, or instability of the lower denture. By relining the denture, the fit is improved, easing symptoms like sore spots, difficulty chewing, and speech problems.

Indications

• Ill-fitting lower denture
• Gum irritation or sores from denture
• Difficulty in chewing or speaking due to poor denture fit
• Loose dentures that move while talking or eating

Preparation

• No special fasting or medication adjustments are usually required.
• Patients should clean their dentures and mouth thoroughly before the appointment.
• A preliminary dental exam to assess the condition of the denture and oral tissues.

Procedure Description

1. Initial Assessment: The dentist evaluates the fit and condition of the existing lower denture.
2. Denture Preparation: The dentist cleans the denture and removes a thin layer of the inner lining.
3. Impression Making: A mold or impression material is applied to the inner surface of the denture while the patient bites down. This captures the precise shape of the gums and jaw.
4. Adjustment: The impression material is shaped and smoothed to ensure a proper fit.
5. Curing: Using a special light or chemical process, the new lining material is hardened.
6. Final Fit: The reline is checked for comfort and fit, and final adjustments are made if necessary.

Duration

Typically, the procedure takes about 1 to 2 hours.

Setting

The procedure is performed in a dentist's office or dental clinic.

Personnel

• Dentist: Performs the procedure.
• Dental Assistant: Assists with the setup and steps of the procedure.

Risks and Complications

• Minor discomfort during the procedure
• Temporary gum irritation
• Rarely, an allergic reaction to the reline material

Benefits

• Improved fit and comfort of the lower denture
• Enhanced ability to chew and speak
• Reduced gum irritation and sores
• Immediate results, often noticeable right after the procedure

Recovery

• Mild discomfort is common but typically subsides quickly.
• Patients should follow proper oral hygiene and denture-care routines.
• Soft food diet initially might be recommended.
• Regular follow-up appointments to ensure the fit remains appropriate.

Alternatives

• Soft Reline: A temporary solution using a softer material.
• Lab Reline: Involving sending the denture to a lab for a more durable lining.
• New Denture: Fabrication of an entirely new lower denture.
• Implants: Dental implants can provide a more permanent, stable solution but involve more complex procedures and cost.

Patient Experience

• During the procedure, some pressure and minor discomfort may be felt.
• Post-procedure, patients often experience immediate relief and better denture stability.
• Pain management typically isn't necessary, but over-the-counter pain relievers can be used if discomfort occurs.