Tissue Conditioner

Dr.Najeeb Saad

Denture Patients Patient with some teeth Patient with no prosthesis Patient with existing prosthesis

Abuse

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

Denture Trauma

Epulis

Inflammatory Papillary Hyperplasia

Abused Tissue Remove Address irritant Oral Physiotherapy Denture Hygiene Anti-microbial agents

Abused Tissue Tissue Conditioners

Soft Materials Surgery

Tissue Conditioners Soft Reline

Tempo Visco-Gel Coe-soft

Tissue Conditioners-Composition Powder

Poly Ethyl Methylmethacrylate (PEM) Pigments

Liquid 10% Ethyl Alcohol 90% Pthalate ester - Plasticizer

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

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

Case 65 Year old Woman 13 Year old Dentures

Case

Trimming

Trimming

Tempo Kit

Powder Liquid Plastic

cup Steel

Spatula

Mixing Mix 45-60 seconds

Wait

Doughy

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

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

Excess

Deliver

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

Problems Taste Peel Allergy