Name of the Procedure:

Reline Complete Mandibular Denture (Laboratory)
Common name(s): Denture Reline, Mandibular Denture Adjustment
Medical term: Reline Complete Mandibular Denture (HCPCS Code: D5751)

Summary

Relining a complete mandibular denture involves reshaping its underside to ensure a more comfortable and secure fit against the lower jaw. This reline procedure is done in a laboratory setting to provide a custom-fitted result.

Purpose

Medical Conditions: Worn or ill-fitting dentures, gum resorption, discomfort while wearing dentures.
Goals: To improve denture stability and comfort, to restore proper mastication and speech function, and to prevent further oral tissue irritation or damage.

Indications

• Poorly fitting lower dentures causing pain or discomfort
• Slippage or instability of the denture when talking or eating
• Changes in the shape of the gums due to resorption or aging
• Sores or irritation caused by denture movement

Preparation

• Pre-Procedure Instructions: Maintain good oral hygiene by cleaning the mouth and dentures thoroughly.
• Assessments: A thorough dental examination and possible impressions of your mouth to plan the reline accurately.

Procedure Description

1. Assessment: The dentist examines the fit of the current denture.
2. Impression: An impression of the lower jaw is taken to create a precise mold.
3. Laboratory Work: The impression and the denture are sent to a dental laboratory.
4. Relining: The lab processes and adds new acrylic material to the underside of the denture.
5. Fitting: The relined denture is fitted and adjusted by the dentist for optimal comfort and function.

Tools and Equipment: Dental impression materials, dental laboratory machinery for reshaping and molding dentures.

Anesthesia: Typically not necessary, but topical numbing agents may be used if discomfort is expected.

Duration

The reline process typically takes one to two days, as the denture is sent to the lab and returned after relining. The actual fitting session in the dentist's office usually takes about 30 minutes.

Setting

This procedure is performed in a dental office. The laboratory work is carried out by a specialized dental lab.

Personnel

• Dentist: For initial assessment, impression, and final fitting.
• Dental Lab Technician: For relining the denture.

Risks and Complications

• Common Risks: Minor adjustments might be needed to ensure comfort.
• Rare Risks: Possible allergic reaction to materials, temporary discomfort as the patient adjusts to the new fit.

Benefits

• Improved comfort and stability of the denture
• Better mastication and speech
• Reduced irritation and sores from a poor-fitting denture
  Timeframe: Benefits are typically realized immediately after the final fitting.

Recovery

• Post-Procedure Care: Follow your dentist’s instructions for denture care and oral hygiene.
• Recovery Time: Immediate usage with possible minor adjustments.
• Restrictions: Avoid very hard or sticky foods initially to allow the new fit to settle.
• Follow-Up: Usually includes a follow-up appointment to check the fit and make any necessary adjustments.

Alternatives

• Denture Adhesives: Temporary measure for minor fitting issues.
• New Denture: If the current denture is excessively worn or damaged.

• Dental Implants: A more permanent solution for tooth loss, offering greater stability.

  Pros and Cons: Relining is less expensive and quicker compared to getting a new denture or implants, but may not be suitable if the denture is significantly worn out or damaged.

Patient Experience

• During Procedure: Minimal discomfort; usually no anesthesia required.
• After Procedure: Some initial tightness or unfamiliar feeling as you adjust to the relined denture.
• Pain Management: Over-the-counter pain relief can be used if there is any minor discomfort after the procedure.

The primary focus is on achieving a more comfortable and functional denture fit without invasive procedures.