Name of the Procedure:

RELINE COMPLETE MAXILLARY DENTURE (LABORATORY) (D5750)
Common names: Maxillary Denture Reline, Denture Relining
Technical terms: Complete Maxillary Denture Reline (Laboratory)

Summary

A reline of a complete maxillary denture involves reshaping the underside of the denture to better fit the patient's gums. This process is essential for improving comfort, efficacy, and the stability of the denture.

Purpose

The procedure addresses issues such as poor fit, discomfort, or sores caused by an ill-fitting complete maxillary denture. The goal is to create a more comfortable and snug-fitting denture, enhancing the patient’s ability to chew, speak, and smile confidently.

Indications

• Discomfort or pain due to loose dentures
• Frequent denture slippage or instability
• Soreness or irritation of the gums
• Significant changes in the shape of the gums and jawbone due to aging or weight loss

Preparation

• Patients may be advised to maintain good oral hygiene before the procedure.
• Remove dentures and clean them thoroughly.
• No special fasting or medication adjustment is generally needed unless specified by the dentist.

Procedure Description

1. Initial Assessment: The dentist will examine the gums and the fit of the current denture.
2. Impression Making: An impression of the upper gums is taken to serve as a mold for the reline.
3. Denture Modification: The denture is sent to a laboratory where the new lining material is added based on the impression.
4. Fitting: Once the reline is completed in the lab, the new denture is fitted to ensure a good fit and comfort.

Tools and Equipment

• Dental impression materials
• Denture relining materials (acrylic resins)
• Dental laboratory equipment

Anesthesia

Typically, no anesthesia is required.

Duration

The entire process, including the time spent at the denture lab, usually takes a few days. The office visits for impressions and fittings typically take about 30-60 minutes each.

Setting

The procedure is performed in a dental clinic with the dental laboratory work done off-site.

Personnel

• Dentist: Conducts the assessments, takes impressions, and fits the denture.
• Dental Lab Technician: Performs the relining of the denture based on the impressions.

Risks and Complications

• Minor soreness or discomfort as the patient adjusts to the relined denture
• Potential allergic reactions to relining materials (rare)
• The need for further adjustments if the fit is not perfect

Benefits

• Improved comfort and fit of the denture
• Reduced gum irritation and soreness
• Enhanced ability to chew and speak
• Increased confidence in daily activities

Recovery

• Follow instructions for caring for the relined denture.
• Minor adjustments may be required after a few days of use.
• Normal activities can typically be resumed immediately.

Alternatives

• Denture replacement: Creating an entirely new denture, which may be more costly.
• Soft relining: A temporary soft layer added to the denture, providing immediate but short-term relief.
  • Pros: Often quicker and more comfortable initially.
  • Cons: Less durable and may need more frequent replacements.

Patient Experience

During the procedure, the patient might feel some pressure while impressions are taken. After the reline, there could be a brief period of adjustment to the new fit. Pain management typically isn’t necessary, but over-the-counter pain relief can be taken if mild soreness occurs. Comfort measures like avoiding hard food and practicing good oral hygiene can accelerate the adjustment period and overall satisfaction.