Tissue Conditioner Dr.Najeeb Saad

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

Tempo Kit Powder Liquid Plastic cup Steel Spatula

Mixing Mix 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 H 2 O 20 minute soak, wash/rinse well Loss of resiliency – 2 weeks

Problems Taste Peel Allergy