Tissue Conditioner

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Tissue Conditioner

• Dr.Najeeb Saad

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Denture Patients

• Patient with some teeth
• Patient with no prosthesis
• Patient with existing prosthesis
• Abuse

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Abuse

• Continuous denture wear
• Poor hygiene
• Excessive denture movement
• Poor denture fit
• Parafunction

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Denture Trauma
Epulis
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Inflammatory Papillary Hyperplasia
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Abused Tissue

• Remove
• Address irritant
• Oral Physiotherapy
• Denture Hygiene
• Anti-microbial agents

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Abused Tissue

• Tissue Conditioners
• Soft Materials
• Surgery

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Tissue Conditioners

• Soft Reline
• Tempo
• Visco-Gel
• Coe-soft

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Tissue Conditioners-Composition

• Powder
• Poly Ethyl Methylmethacrylate (PEM)
• Pigments
• Liquid
• 10 Ethyl Alcohol
• 90 Pthalate ester - Plasticizer

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Tissue Conditioners-Plastizer

• Types
• Pthalate Esters
• Di Butyl Pthalate
• Butyl Phthalyl Butyl Glycolate
• Problem
• 3-6000 PPM leach from liner in 14 days
• Allergic response

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Tissue Conditioners-Chemistry

• Gel formation not polymerization
• Alcohol swells polymer beads permitting
  penetration of large plasticizer molecules which
  act as lubricant to increase distance between
  polymer chains of the PEM powder

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Case

• 65 Year old Woman
• 13 Year old Dentures

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Case
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Trimming
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Trimming
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Tempo Kit

• Powder
• Liquid
• Plastic cup
• Steel Spatula

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Mixing

• Mix 45-60 seconds

Wait
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Doughy
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Seating

• Even Pressure by closing in CR/MI
• Border Mould
• Hold in light contact for 15 mins

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Result

• Even 2mm thick
• No bare spots
• Peripheral Roll
• Maintain VDO

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Excess
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Deliver
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Post-Delivery Instructions

• No Heavy Pressure
• Wrap in moist towel
• No seating on liner
• Clean carefully
• Stain
• 1 TSB bleach(Javex)/1 cup H2O
• 20 minute soak, wash/rinse well
• Loss of resiliency 2 weeks

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Problems

• Taste
• Peel
• Allergy