Tissue Conditioning- Definition & Limitation
Definition: Non-surgical methods of improving the patients’ denture foundation tissues, including the use of tissue rest, occlusal correction, temporary soft liners and/or improvement of hygiene. Tissue conditioning is usually considered prior to performing a permanent reline and or making final impressions for complete or partial dentures.
Poor tissue health can be the result of:
1. Pathological conditions
– The result of systemic disease – nutrition, hormone imbalance, autoimmune diseases (Lupus)
2. Local factors
– Inaccurate denture bases
– Occlusal disharmony
– Tissue abuse – ill-fitting dentures, poor oral hygiene, no tissue rest.
The dentist has the responsibility for proper diagnosis.
Tissue rehabilitation is limited to reversible tissue changes such as:
– Red inflamed, edematous tissues
– Epulis fissuratum (limited – may require surgery if extensive)
– Papillary hyperplasia (limited – may require surgery if extensive)