One thing I would have done differently is have the patient close to make sure the patients occlusion is spot on. I’ve seen some colleagues do relines like you, and after the material gets hard, the dentures are not occluding anymore. Reason being that the denture shifted some while the reline was getting hard. ALWAYS! I mean ALWAYS, have the patient close, and see if they are occluding, then remove when it hardens.
I've also had issues earlier in my career, where the patient either doesn't bite down hard enough or bites off, and then the hard reline is too thick or wrong, so I would respectfully say I would almost never trust the patient to bite down, because it has a chance of being wrong. Thanks for the comment. - Dr. Stott
I'm with you on this. I am a denturist. Patient should always bite into occlusion, after you seat it, squeezing material out, but don't seat completely. Make sure you watch to see the mandible is retruded snd relaxed. Verify CR a few times and you are good.
@@SnakeDoctor5104 I would agree, occasionally, and I mean one in 50 times Ill have the pt bite down. The issue is that many times Im trying to remove excess hard reline material from back of mouth and throat. This material used to get extremely hot, so it was imperative to remove excess. They changed their formula and it doesnt get as hot as it used to.
I just completed one right now, and the bigger chance of error is the pt not biting hard enough and them feeling its too thick vs a bite issue. Im voting for doc seating it and holding it in place every time.
Thank you for this very good explanation of what a hard reline is and how it is preformed, I've had my dentures for 1 year now and they are very big on my gums now but I'm still able to get them to fit using Prosoft denture reliner but I think within the next 6 months to a year I'll be needing a hard reline and this video shows me everything that I need to know. THANK YOU.😁😁
Thanks for the demo on Muco hard reline. You are one of only 2 chair side hard reline demo's anywhere online. Can't find the other one any more. I used DSI hard reline. Perfect for bottoms. Got it right first try. DSI is terrible for top dentures. DSI mixes in to a paste/putty. It does not smash out well. You end up with more material inside the denture then you want. Even after hollowing it out to nearly paper thin base. 4 trys and I have something usable, but not great. About 1/8 inch of material on top of pallet didn't smash out. I know because when I smile I see about 1/8 extra gums above the teeth. If I smile big it's an ugly gummy smile. Out of the 4 time, I did try to do better each time. If you wait the full 2 min to place in mouth you have a real problem. You have 20 sec to 1 min to mix, then you have about 30 sec to get it in to the denture and start placing in mouth. You might think it's plenty of time, but it does NOT spread easily. Or evenly. You end up "doin the best you can" and keeping one eye on a timer, you realize you better get to shoving it in mouth or you'll be redoing it again. I pressed it in as hard as I could till it hurt. Still didn't smash out as much as I wanted. I had the denture honed out perfectly so the roof pressed in place would govern the line up of the denture. Occlusion worked out nicely. The back corners never work out right. Losing suction no matter what I do. So... I am going to order some Muco Hard reline and do this again with something that will definitely smash out like it should and not bulk up my denture. Thanks to YOU!! DSI is good if you need to rebuild or extend sides. But if you need minimal material left behind in denture, Muco looks to be the choice. I will pop back in and post update to this comment when done.
Yes, I never quite understood why dentists felt they needed to shell out that gingival anatomy they worked so hard to capture on the 2ndary impression. Also it makes no sense to reduce their VDO by shelling it out. Thanks for the response. Dr Stott
I had to redo mine a few times to get it right. Ended up doing it in stages. There was a lot of extra space to fill in. But it worked out. Their just immediates, but i got them pretty comfortable and good suction.
