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RECONSTRUCTION

Why consider reconstruction here?

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The framework fits well but the teeth are heavily worn.

Here are two partial frameworks stripped down andready for a pickup impression with new teeth and acrylic.

8/3/2019 Reality Check #21

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RELINE

How do you know if this Cl I mandibular RPD needs to be relined.

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1. Patient complains of rockingand/or2. You observe movement when force

applied to extensions and framework moves off the teeth.

No gloves date this pictureright!

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If unsure can check with modeling compound. See syllabus

If the open bite is really great with the modeling compound

might want to consider what and why.

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Reconstruction as after the reline the occlusion will be sohigh you will mutilate the teeth adjusting it back down to the proper VDO.

Review the steps in a lab reline.What type of impression is used in both a lab and chairside reline?

What will almost ALWAYS be needed after the reline?

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Occlusal adjustment!