tissue conditioner dr.najeeb saad. denture patients patient with some teeth patient with no...
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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