1. Tissue Conditioner Dr.Najeeb Saad

2. Denture Patients Patient with some teeth Patient with no prosthesis Patient with existing prosthesis Abuse

3. Continuous denture wear Poor hygiene Excessive denture movement Poor denture fit Parafunction

4. Denture Trauma Epulis

5. Inflammatory Papillary Hyperplasia

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

7. Abused Tissue Tissue Conditioners Soft Materials Surgery

8. Tissue Conditioners Soft Reline Tempo Visco-Gel Coe-soft

9. Tissue Conditioners-Composition Powder Poly Ethyl Methylmethacrylate (PEM) Pigments Liquid 10% Ethyl Alcohol 90% Pthalate ester - Plasticizer

10. 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

11. 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

12. Case 65 Year old Woman 13 Year old Dentures

16. Case

19. Trimming

22. Tempo Kit Powder Liquid Plastic cup Steel Spatula

23. Mixing Mix 45-60 seconds Wait

24. Doughy

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

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

30. Excess

31. Deliver

32. 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

33. Problems Taste Peel Allergy