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    Denture Repair

    Uploaded by

    Dianne Mamaid
    The document discusses types and causes of denture fractures, as well as methods for repairing fractured dentures and teeth. There are several types of denture fractures including midline, chips, and cracks. Fractures can be caused by accidents, poor handling, design flaws, excessive force, or poor laboratory techniques. Repairing fractures poses risks of poor fit or occlusion changes. Self-curing resin or light-cured resin can be used to repair fractures by assembling pieces, making a cast, preparing the site, and curing the repair under pressure. Strengtheners may also be added for heavy force users. Fractured teeth are removed and replaced using acrylic or light-cured resin.

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    Denture Repair

    Uploaded by

    Dianne Mamaid
    2K views21 pages
    The document discusses types and causes of denture fractures, as well as methods for repairing fractured dentures and teeth. There are several types of denture fractures including midline, chips, and cracks. Fractures can be caused by accidents, poor handling, design flaws, excessive force, or poor laboratory techniques. Repairing fractures poses risks of poor fit or occlusion changes. Self-curing resin or light-cured resin can be used to repair fractures by assembling pieces, making a cast, preparing the site, and curing the repair under pressure. Strengtheners may also be added for heavy force users. Fractured teeth are removed and replaced using acrylic or light-cured resin.

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    The document discusses types and causes of denture fractures, as well as methods for repairing fractured dentures and teeth. There are several types of denture fractures including midline, chips, and cracks. Fractures can be caused by accidents, poor handling, design flaws, excessive force, or poor laboratory techniques. Repairing fractures poses risks of poor fit or occlusion changes. Self-curing resin or light-cured resin can be used to repair fractures by assembling pieces, making a cast, preparing the site, and curing the repair under pressure. Strengtheners may also be added for heavy force users. Fractured teeth are removed and replaced using acrylic or light-cured resin.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    2K views21 pages

    Denture Repair

    Uploaded by

    Dianne Mamaid
    The document discusses types and causes of denture fractures, as well as methods for repairing fractured dentures and teeth. There are several types of denture fractures including midline, chips, and cracks. Fractures can be caused by accidents, poor handling, design flaws, excessive force, or poor laboratory techniques. Repairing fractures poses risks of poor fit or occlusion changes. Self-curing resin or light-cured resin can be used to repair fractures by assembling pieces, making a cast, preparing the site, and curing the repair under pressure. Strengtheners may also be added for heavy force users. Fractured teeth are removed and replaced using acrylic or light-cured resin.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 21

    By: Buhay, Joyce Cruz, Vianca DMD4A

    Contents of the Report


    Types of denture fractures Causes of denture fractures Problems with repairing fractures Contraindications Repair material Procedure Repairing fractured teeth

    Types of Denture Fracture


    Midline fractures Fracture or chipping of a portion of the denture Complex fractures (more than two pieces) Cracks in the denture Fracture or dislodgement of one or more teeth

    Causes of Fracture

    Accidental dropping during removal or cleaning Inability to handle dentures due to poor neuromuscular control Faulty denture design resulting in areas of inadequate thickness Prominent median palatine raphe with inadequate thickness

    Faulty occlusion Excessive amounts of masticatory force applied by some patients Poor laboratory techniques

    Problems with repairing fractures


    May not fit well after repairs Occlusal changes can occur

    Contraindications
    The broken pieces cannot be assembled accurately When the dentures need to be replaced anyway due to poor fit or occlusal wear or any other reason

    Repair Material
    Self- curing or autopolyerizing resin (not as strong as heat cured) Visible light activated resin (VLC Triad)

    y Easy to use, can be carved, cures quickly

    and does not cause any warpage or distortion.

    Procedure
    Assembling the segments Pouring the cast Preparing the fracture site Repairing and curing

    Assembling the segments


    The fracture site is cleaned well of any debris The pieces are assembled accurately and stabilized with an old bur and sticky wax. Quick setting cyanoacrylate glue (super glue) may also be used to hold the pieces together Wax should not be placed over the fracture site The accuracy of the assembly is carefully verified by visual inspection

    Pouring the cast


    Undercuts in the denture are carefully blocked out Plaster is poured into the denture to make a cast

    Preparing the fracture site


    The denture is separated from the cast and 2 to 3 mm acrylic is removed from the fracture site A wide bevel is created on either side of the fracture line After applying separating medium, the denture is replaced back on the cast

    Repairing and Curing

    Autopolymerizing acrylic powder and liquid is applied alternatively in increments till the fracture site is filled to excess Curing is completed by placing it in a pressure pot containing water at 100 degrees F under pressure of around 30 psi for about 30 minutes. Curing under pressure helps to increase the density and strength of the acrylic

    The denture should not be removed from the cast while curing After curing the denture is removed, trimmed and polished

    Metal Strengtheners

    Indicated for patients who exert great amount of force during mastication often leading to fracture. May be made of metals like steel, gold, aluminum etc. Chromium cobalt commonly used due to lightweight, less expensive compared to gold Other includes the use of high impact strength resins or fibre reinforced dentuers.

    A strengthener is placeed entirely within the structure of the acrylic resin base (except in the region of the stops)

    Repairing Fractured Teeth


    Fractured tooth must be carefully removed using burs Removal must be as far as possible the labial ridge-lap area New tooth is selected Small amount of acrylic is placed inside the tooth bed and the tooth carefully position into, there should be no spills on the labial side

    a plaster index may also be used to position teeth The tooth is waxed into position, after which the plaster index is made. The tooth is removed and the wax eliminated with hot water. The index is coated with separating media and the tooth is position with the help of the indes

    Autopolymerizing acrylic is applied to the site using the: Brush technique

    y the powder is picked up using a brush

    moistened with monomer

    sprinkle on technique
    y The powder and monomer is sprinkled

    alternatively

    After setting it is cured in a pressure chamber and followed by trimming and finishing Porcelain teeth are removed by trimming from the lingual side Repair using light cured resin (Triad VLC) is preferable whenever available as it is easy to carve.

    Happy New Year!

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