Custom Tray Research Articles

Effectiveness of Three Bleaching Techniques for Endodontically Treated Teeth: A Randomized Clinical Trial.

Various techniques, products, and protocols are used for the bleaching of non-vital teeth. The walking bleach technique involves sealing the bleaching agent in the pulp chamber. In the inside/outside technique, a low-concentration bleaching agent is applied at home using a custom tray. In the in-office technique, a high-concentration bleaching agent is applied by a dental professional. Limited research has compared the effectiveness of these techniques. This clinical trial aimed to evaluate the effectiveness of the walking bleach, the inside/outside, and the in-office bleaching techniques. Fifty-four discolored teeth were selected according to eligibility criteria, randomized, and assigned to three treatment groups (n=18): walking bleach (sodium perborate - SP), inside/outside bleaching (7.5% hydrogen peroxide -HP7.5), and in-office bleaching (35% hydrogen peroxide - HP35). A cervical seal was placed in all the teeth, and nonvital bleaching was performed according to each technique. The CIELab color coordinates were measured using a clinical spectrophotometer at baseline, weekly, and at the 1-week follow-up. ΔE00 and ΔWID were calculated between the baseline and each evaluation time point. The ANOVA, Fisher exact, and Kruskal-Wallis tests were used to compare the quantitative variables, and the Fisher exact test, to determine the association among categorical variables. Bleaching effectiveness was interpreted by 50:50% perceptibility and acceptability thresholds. As the treatment progressed, all techniques presented a significant increase in L* and WID (p<0.001), and a significant decrease in a* and b* (p<0.001). HP7.5 and HP35 presented greater increases in WID mean values, in comparison with SP (p=0.006). No significant differences were observed among the techniques for ΔE00 after treatment completion (p=0.383). There were no statistical differences in bleaching effectiveness among the techniques after treatment completion (p=0.098). All techniques presented excellent effectiveness after treatment completion. However, HP7.5 and HP35 techniques provided a more rapid whitening response.

Modified Two-Step Impressions via the Incorporation of Venting Holes: A Technical Report.

This study presents a methodology for obtaining a precise impression of the crown margin of prepared teeth by utilizing a two-step impression technique. The method begins with the fabrication of a custom tray made from heat-cured acrylic resin, followed by the acquisition of an initial impression using putty elastomeric material. Subsequently, the impression is relieved around the prepared teeth, and vent holes are strategically placed through both the impression and the tray. Finally, a light-body consistency impression material is applied. This streamlined technique enhances efficiency and minimizes the errors commonly encountered with traditional two-step impression methods.

Economical Prosthodontic Management of Microstomia Patient with Hinge Denture -

Microstomia is an abnormally reduced oral aperture. In the literature, it is not classified by any particular size criteria, rather defined by its effects on function and esthetics. Prosthodontic management of edentulous patients with microstomia is a challenging task. Use of conventional methods for recording an impression and fabricating prosthesis is not effective in such patients. To fabricate well-fitting prosthesis, accuracy of impression recording important anatomic landmarks is essential. Formation of an exacting custom tray and diagnostic cast is critical for final impression accuracy. Provision of a well-fitting prosthesis in microstomia patient will restore esthetics, comfort, and function with oral and systemic patient wellbeing. This paper presents a case report of managing an edentulous microstomia patient with sectional removable prosthesis.

An Innovative Approach in Complete Denture Design for Oral Submucous Fibrosis Patient: Case Report

ABSTRACT- The field of prosthodontics is not merely a scientific discipline; it is also an art that involves adeptly managing patients facing challenges in undergoing conventional impression procedures. One prevalent limitation arises from difficulties in mouth opening, which can be attributed to various factors such as fractures, trauma, oral submucous fibrosis, temporomandibular joint ankylosis, among others. This case report outlines an inventive approach encompassing primary impression, a sectional custom tray, sectional denture base, and the implementation of a "customized hinge" for a hinge denture. This innovative technique demonstrates the interdisciplinary nature of prosthodontics, where creative solutions are tailored to address the unique circumstances of each patient, ensuring effective and personalized dental care.

In vitro evaluation of the impact of intraoral scanner, scanning aids, and the scanned arch on the scan accuracy of edentulous arches.

To assess the accuracy of complete maxillary and mandibular edentulous arch scans obtained using two different intraoral scanners (IOSs), with and without scanning aids, and to compare these results to those obtained using conventional impression methods. Two IOSs were used (TRIOS 4 [TRI] and Emerald S [EMR]) to scan maxillary and mandibular typodonts. The typodonts were scanned without scanning aids [TRI_WSA and EMR_WSA groups] (n = 10). The typodonts were then scanned under four scanning aid conditions (n = 10): composite markers [TRI_MRK and EMR_MRK groups], scanning spray [TRI_SPR and EMR_SPR groups], pressure indicating paste [TRI_PIP and EMR_PIP groups], and liquid-type scanning aid [TRI_LQD and EMR_LQD groups]. Conventional impressions of both arches were also made using irreversible hydrocolloids in stock trays [IHC] and using polyvinyl siloxane (PVS) impression material in custom trays (n = 10) which were digitized using a laboratory scanner. Using a metrology software program, all scans were compared to a reference scan in order to assess trueness and to each other to assess precision. Trueness and precision were expressed as the root mean square (RMS) of the absolute deviation values and the statistical analysis was modeled on a logarithmic scale using fixed-effects models to meet model assumptions (α = 0.05). The main effect of arch (p = 0.004), scanner (p < 0.001), scanning aid (p = 0.041), and the interaction between scanner and scanning aid (p = 0.027) had a significant effect on mean RMS values of trueness. The arch (p = 0.015) and scanner (p < 0.001) had a significant effect on the mean RMS values of precision. The maxillary arch had better accuracy compared to the mandible. The TRIOS 4 scanner had better accuracy than both the Emerald S scanner and conventional impressions. The Emerald S had better precision than conventional impressions. The scanning spray and liquid-type scanning aids produced the best trueness with the TRIOS 4 scanner, while the liquid-type scanning aid and composite markers produced the best trueness for the Emerald S scanner. The scanned arch and the type of scanner had a significant effect on the accuracy of digital scans of completely edentulous arches. The scanning aid had a significant effect on the trueness of digital scans of completely edentulous arches which varied depending on the scanner used.

Technique for Spacer Adaptation and Custom Tray Fabrication in Impression Making for Fixed Prosthodontics.

The objective is to minimize the inaccuracies in two-step impressions by homogenizing the polymerization shrinkage of elastomeric impression material in fixed prosthesis fabrication. The objective is accomplished by the technique of spacer adaptation and custom tray fabrication for two-step impressions. The technique makes the use of two vacuum-adapted spacers, selected based on the viscosity of elastomeric impression, and a vacuum-adapted custom tray. The procedure of using the specially fabricated custom tray for impression making is also presented. Consistent thickness of the two different viscosities of impression material is maintained due to vacuum adaptation of the spacers. This homogenizes the polymerization shrinkage of the elastomeric material in different regions of impression, as uniform space is occupied by the material in the space created by the spacer. The procedure of vacuum adaption of the tray material also limits the dimensional change of the tray. The technique minimizes the inaccuracies of impression by homogenizing the polymerization shrinkage of the elastomeric impression, thus promising a well-fitting prosthesis.

A Questionnaire-based Study on Impression Materials and Techniques for Complete Denture Construction among Dentists Practicing in Central/Western Regions of Libya

Background: The success of complete dentures mainly depends on impression-making accuracy; thus, dentists need to select the proper impression materials and techniques to achieve optimal outcomes. Objective: To determine the favoured impression materials and techniques used for complete denture construction among dentists practicing in the Central/Western regions of Libya. Materials and Methods: This study was conducted between July 2023 and September 2023. The questionnaire was comprised of 30 questions, which were divided into two parts including; 11 questions for demographic and professional attitude and 19 questions focused on professional steps of complete denture fabrication for edentulous patients. Results: The response rate for this questionnaire was (66%). It was revealed that (96.1%) of respondents used only irreversible hydrocolloid (alginate) as an ideal option for primary impressions. In response to the same question for final impressions, (45.8%) of participants exhibited that polyvinylsiloxane was the favourite choice. Regarding custom trays, (41.7%) of practitioners preferred using light-cured acrylic resin as a custom tray to take definitive impressions. (87.4%) of prosthodontists border molded the custom tray in sections by (81.9%), using modelling plastic impression compound by (92.1%). The most used philosophy for final impression making was the mucostatic impression technique by (50.4%), while (37.0%) used selective pressure and (12.6%) selected muco-compressive. Implant-supported overdenture was discussed as an alternative treatment by (65.4%). The obtained data was statistically analyzed using SPSS 28. Conclusion: This study reflects a diversity of opinion among Libyan dentists during the construction of complete dentures. The most commonly used material for primary impression was irreversible hydrocolloid (alginate) and for final impression was polyvinylsiloxane, which coincides with professional practices worldwide. Modelling plastic impression compound was the most preferred material for border molding. The mucostatic technique was the predominantly used impression philosophy for final impression making.

Digital Evaluation of Trueness and Precision of Modern Impression Materials in Implant- Retained Mandibular Overdentures.

The purpose of this in vitro study was to evaluate the dimensional accuracy, trueness, and precision of vinyl siloxane ether (VSXE) and polyvinylsiloxane (PVS) impression materials using different impression techniques. A three-dimensional (3D) printed mandibular model with implants and metal rods served as the reference model. Impressions were taken in custom trays, resulting in four groups: PVS-closed-tray, VSXE-closed-tray, PVS-open-tray, and VSXE-open-tray. The reference model and impressions were scanned and analyzed using 3D analysis software to assess the trueness and precision within each group. There was significant difference in trueness between the groups, with PVS closed tray showing a higher deviation than VSXE-closed-tray and PVS-open-tray. VSXE-open-tray had the lowest deviation, which was statistically significant. In terms of precision, PVS-closed-tray showed the highest deviation, while no significant differences were found among the other groups. VSXE impression material with an open tray technique consistently demonstrated the highest levels of accuracy and precision. Conversely, PVS impression material with a closed tray technique yielded less favorable results. Better understanding of trueness and precision of new impression materials with new impression techniques will increase their clinical effectiveness.

Split/Dual Tray Impression Technique with a Digital Workflow

Split/Dual Tray Impression Technique with a Digital Workflow

A method of fabricating a stackable CAD-CAM custom record tray for complete dentures

Digital complete denture fabrication has advanced with the integration of computer-aided design and computer-aided manufacturing (CAD-CAM), intraoral scanning, and 3-dimensional printing. A method of fabricating a stackable CAD-CAM custom record tray for complete dentures is introduced. The method combines a custom tray, record base, and occlusion rim in a single piece.

Complete Denture Preclinical Training Program and Digital Tools: A Pilot Study.

To determine whether digital training improves conceptual skills acquisition for custom tray fabrication and tooth arrangement in the preclinical curriculum for complete denture fabrication. A crossover design study compared third-year student grades after conventional (manual) and digital training. Half the students were trained with conventional techniques prior to digital, while the other half were trained with digital techniques prior to conventional. The first part of the study (DP1) focused on custom tray fabrication and involved 154 students. The second part (DP2) focused on tooth arrangement with 204 students. The effect of preliminary digital training on conceptual skills was assessed by comparing the results of the students using a Student's t-test. Results were also analyzed by ranking on the students' Perceptual Ability Test (PAT) score. Finally, students' satisfaction with the training was investigated. Students who completed the initial digital session achieved better custom tray fabrication and tooth arrangement in the subsequent manual sessions. For manual laboratory work, the most dexterous students (PAT1 group) demonstrated the best performance. However, PAT2 students had the best performance during the digital sessions during DP1, and PAT1 and PAT2 students had the best performance during the digital sessions during DP2. Additionally, 40% of DP1 and 12% of DP2 students expressed satisfaction with digital sessions. With complementary manual and digital teaching, digital tools may be useful for enhanced student learning. Digital training has contributed to improve results in manual sessions but did not affect student satisfaction and remained a limited tool to detect learning difficulties.

Evaluation of Implant Impression Accuracy Using Different Trays and Techniques with a 3D Superimposition Method.

To evaluate the dimensional accuracy of implant impressions obtained using five different tray types and two techniques. A partially dentate maxillary Kennedy Class II model was created as a reference model through 3D printing. Then, implant analogs 4.3 mm in diameter were placed at the first premolar, first molar, and second molar sites. Five types of trays were used to create impressions: (1) metal stock trays, (2) plastic stock trays, (3) custom trays fabricated using liquid crystal display (LCD), (4) custom trays fabricated using fused deposition modeling (FDM), and (5) custom trays fabricated using urethane dimethacrylate (UDMA) resin. Open and closed tray techniques were also compared. In total, 150 impressions were obtained. The reference model and impressions were scanned using a laboratory scanner. Additionally, the positional and angular deviations of implants with different tray types and techniques were evaluated using the superimposition method. There was no statistically significant difference (P > .05) between the impression accuracy with the different tray types and impression techniques. The angular deviations with plastic and UDMA trays were greater than those with metal, FDM, and LCD trays. Angular deviation at the second molar was greater when using closed plastic trays compared to open plastic trays. The highest and lowest positional deviations were observed at the first molar implant with an open plastic tray impression (mean ± SD of 62.46 ± 28.54 mm) and a closed LCD tray impression (36.59 ± 29.93 mm). The greatest angular deviation was observed with an open FDM tray impression at the first premolar implant (0.067 ± 0.024 degree), and the lowest angular deviation was observed with a closed metal stock tray impression at the second molar implant (0.039 ± 0.025 degree). Statistical differences were detected using the Mann-Whitney U test for paired groups and the Kruskal-Wallis test for groups with more than three comparisons (P > .05). Plastic and metal stock trays or conventional and 3D-printed custom trays can be used to obtain implant impressions for maxillary partially edentulous arches with similar dimensional accuracy. The five tray types and two techniques may be safely used to obtain impressions of partially edentulous maxillary arches with three implants.

Precision Prosthodontic Rehabilitation of Flabby Ridge with a Modified Window Technique: Case Report

Flabby ridge, also known as a soft (mobile), movable, or displaceable ridge, presents a common clinical challenge in dental practice. It primarily affects the alveolar ridges of the upper (maxillary) or lower (mandibular) arches. The anterior region of the maxilla is especially susceptible in edentulous patients. The flabby ridge lacks the firmness and stability required, leading dentures to become loose and unstable. Consequently, this instability can result in discomfort, speech and eating difficulties, and reduced quality of life for denture wearers. The flabby ridge often does not provide the necessary contour and resilience needed to establish an effective seal and maintain suction between the denture base and the underlying tissues. This compromises denture retention, making them susceptible to dislodgement during typical oral functions. Therefore, rehabilitating a completely edentulous patient with flabby tissue presents a formidable challenge for prosthodontists, as it undermines the retention, stability and support of complete dentures. Methods for managing flabby ridges encompass surgical removal, ridge augmentation, specialized impression techniques, balanced distribution of occlusal loads and implant therapy. Various impression techniques have been proposed to address the complexities of such cases. By carefully applying the principles of complete denture construction, a palliative treatment approach can be achieved. Special impressions often employ the window technique to capture a static impression of the flabby area, which introduces its own set of challenges. This innovative case report introduces a modified window technique that incorporates precise record transfer of the flabby ridge using tissue (blotting) paper. Specifically designed for the anterior mandibular flabby ridge, the technique employs a custom tray with a window positioned over the flabby tissues. A mucostatic impression material is utilized to minimize pressure on the flabby tissue, thereby reducing potential tissue distortion during the impression process. The procedure is executed in two steps: first, stable structures are recorded, followed by capturing the mobile tissues using light-body polyvinyl siloxane (PVS) elastomeric impression material within the window area. This method ensures an accurate record of the denture-supporting structures while maintaining the contour and details of the flabby tissues without displacement. Importantly, the technique is crafted for straightforward implementation by general dental practitioners within a primary dental care setting.

3D-printed custom tray for maxillofacial implant assisted partial denture.

This technique presents a new fabrication workflow for a three-dimensional (3D) printed custom tray, which duplicates the morphology of the treatment denture for maxillofacial prostheses using an intraoral scanner, computer-aideddesign (CAD) software, and a 3D printer. A 70-year-old man underwent reconstruction of segmental mandibulectomy for mandibular osteoblastoma, followed by implant placement and secondary surgery. During the surgical treatment, a treatment denture was fabricated to restore oral function and determine the morphology of the definitive denture. To create the definitive denture with the same morphology as the treatment denture a custom tray was fabricated with the denture morphology after chairside adjustments. The oral cavity was scanned using an intraoral scanner, and the data acquired were imported into general-purpose CAD software, adjusted, and imported into a 3D printer to produce the custom tray. This was fitted into the patient's mouth without any issues, and closed tray impressions were made with impression caps for the locator attachments on the implant body. The morphology of the treatment denture was replicated in the definitive denture by making a silicon impression of the cameo surface at the fabrication of the cast after impression making. In this technique, the morphology of the treatment denture was transferred accurately to the definitive implant partial denture by leveraging existing digital technology. This method represents a practical approach for partial denture fabrication, including maxillofacial defects with complex denture configurations.

Comparative evaluation of the dimensional accuracy of two commercially available extended pour alginates and a conventional alginate impression material at various time intervals – An in vitro study

Because of its acceptable accuracy, affordable price, accessible availability, and simplicity of handling, alginate impression materials continue to be a crucial component of dental practice despite many developments.The purpose of this study was to evaluate and compare the dimensional accuracy of two commercially available extended pour alginates (Cavex ColorChange and Algeniux) and a conventional alginate impression material (Zelgan) at different time intervals. On a maxillary model (Columbia Dentoform, Long Island City, N.Y.) the canines and the first molars were replaced with metal dies. This was selected as the master model. A ‘+’ mark was inscribed on these metal dies to serve as a reference for measurements. A self-cure acrylic resin custom tray was fabricated such that it was positioned over the model in the same spatial relationship with equal amount of space between the tray and model every time an impression was made. A total of 180 impressions were made of the master model, 15 impressions with each material at four different time intervals; immediate, 30 minutes, 48 hours (2 days) and 120 hours (5 days) to obtain gypsum cast. Manufacturer recommended water/powder ratios and storage conditions were followed in the process. Following the designated storage time interval, the casts were poured in minimum expansion Type IV dental stone. Measurements were done with a coordinate measuring machine after 7 days when the casts were completely dry. To evaluate and compare the dimensional accuracy of materials across various time points, for each group, the mean and standard deviation were estimated and subjected to statistical analysis. Two Way Repeated Measure Analysis of Variance (ANOVA) was performed to determine if the dimensions differed significantly across groups with time. The pair wise analysis for materials and time points was performed using Tukey’s post-hoc test. The p value was taken as significant when less than 0.05.Across different time points, a minimum % change was observed at immediate time point, which gradually increased at 30 minutes and at 48 hour, but at 120 hour the % change was maximum for all dimensions. Among three groups, Cavex ColorChange material showed minimum % change across time points, whereas Zelgan group showed maximum % change across all dimensions. All the paired differences were statistically insignificant (p &amp;#62; 0.05) for Algeniux and Cavex ColorChange group. But for Zelgan group, the difference between all the pairs of time points were statistically significant (p &amp;#60; 0.05), except for the pair immediate vs. 30 minutes. These results suggest that Zelgan material showed significant changes after 30 min for all the dimensions.: The results revealed that both the extended pour alginates Cavex ColorChange and Algeniux produced dimensionally accurate casts at all time intervals while the conventional alginate, Zelgan was accurate only at immediate and 30-minute time interval. It was also observed that, among the 4-time intervals investigated, most accurate casts were obtained when the impressions were poured immediately.

Clinical Applications of 3D-Printed Polymers in Dentistry: A Scoping Review.

The aim of this scoping review is to categorize 3D-printing applications of polymeric materials into those where there is evidence to support their clinical application and to list the clinical applications that require a greater evidence base or further development before adoption. An electronic search on PubMed, EMBASE, Scopus (Elsevier), and Cochrane Library databases was conducted, including articles written in English and published between January 2003 and September 2023. The search terms were: ((3D printing) OR (3-dimensional printing) OR (three dimensional printing) OR (additive manufacturing)) AND ((polymer) OR (resin)) AND (dent*). Case reports, in vitro, in situ, ex vivo, or clinical trials focused on applications of 3D printing with polymers in dentistry were included. Review articles, systematic reviews, and articles comparing material properties without investigation on clinical application and performance/accuracy were excluded. The search provided 3,070 titles, and 969 were duplicates and removed. A total of 2,101 records were screened during the screening phase, and 1,628 records were excluded based on title/abstract. In the eligibility phase, of the 473 full-text articles assessed for eligibility, 254 articles were excluded. During the inclusion phase, a total of 219 studies were included in qualitative synthesis. There is lack of clinical evidence for the use of 3D-printing technologies in dentistry. Current evidence, when investigating clinical outcomes only, would indicate non-inferiority of 3D-printed polymeric materials for applications including diagnostic models, temporary prostheses, custom trays, and positioning/surgical guides/stents.

A digital workflow for tooth-supported complete overdentures with a composite resin injection technique to manage the treatment of a child with ectodermal dysplasia

This clinical report describes a digital workflow for the rehabilitation of an 8-year-old patient diagnosed with ectodermal dysplasia. Based on the patient’s digital primary casts, small custom trays and an arch tracer were designed and 3-dimensionally printed. The mandibular custom tray and retention plate with a tracing screw were assembled with tracing plate, forming an individual assembled mini-arch tracer system to record the jaw relationship together with a conventional facebow and a digital articulator. In addition, composite resin injection guides were designed and fabricated to form the predesigned targeted shape of the abutment teeth and provide a buffer. By following this workflow, complete overdentures with good fit, occlusion, and acceptable esthetics were delivered.

An Evaluation of Retention of Complete Denture Bases Made with a “Modified Single-stage Impression” Technique Using a Heat-moldable Tray

Abstract Aim: Although most dental schools teach complete denture definitive impression techniques consisting of secondary impressions in border-molded custom impression trays, it has been found that later, graduates in clinical practice abandon this step because of its complexity and attempts to seek easier alternatives. To simplify two-stage techniques, single-step border molding with elastomeric impression materials and light-cured resin materials has gathered acceptance among clinicians. The study aims to evaluate the retention of record bases made with a modified single-stage impression technique that uses elastomeric impression material in a heat moldable tray with modeling compound as material for border molding. Settings and Design: This was an in vivo preliminary cohort study. Materials and Methods: Thirteen completely edentulous patients requiring complete dentures were included in the study. A traditional two-stage impression was made using custom trays fabricated over diagnostic casts and further border molding done with a modeling compound, and the final impression was made to use zinc oxide–eugenol impression material. Additionally, a modified single-stage impression technique using heat moldable impression trays was made. Master casts from each technique were made, and further record bases were made on each master cast. Wire loops were adapted on the palatal aspect of record bases. The retention of each record base was evaluated using a force gauge. Statistical Analysis: The Kolmogorov–Smirnov test was used to analyze the normality of variables and later Wilcoxon signed-rank test was applied. Results: The double-stage technique exhibited retention values in the range of 0.6–66.7 units, whereas the single-stage technique showed a range of 0.15–78.55. The tests showed no significant difference between double-stage and single-stage techniques (P &gt; 0.05). Conclusions: The single-stage technique using heat moldable trays with elastomeric impression material and modeling compound as a material for border molding can produce denture retention compared to the conventional technique that uses a two-step impression technique. The use of the modified single-stage technique can additionally save an extra appointment for patients, although it is better to use such a technique as an advanced impression technique and not as a training technique for beginners or students, as the material cost is substantially higher than the conventional two-stage technique.

Modified impression technique for flabby ridge using sectional magnet retained custom tray

Modified impression technique for flabby ridge using sectional magnet retained custom tray

PROSTHETIC TREATMENT OF A PATIENT WITH RESECTION OF THE HARD PALATE WITH AN OBTURATOR WITH A SILICONE BASE

The most commonly used treatment method for maxillary resection patients is with an obturator, closing the communication between the oral and nasal cavity. Prosthetic methods and means with different types of materials are used for its fabrication. The purpose of the described clinical case is to track the opportunity for treatment of a patient with resection of the hard palate, with an obturator with a silicon base.The clinical case tracks the treatment of a patient with maxillary carcinoma. Preliminary alginate impressions were taken from the jaws. A custom tray with which a functional impression with a silicone material was taken, was fabricated for the mandible. The height and the central position of the mandible were determined with record bases with wax rims. The dentures were finished with heat cured resin. The upper denture was used as a custom tray for taking a functional impression of the prosthetic field with silicone cream material. After packing in the laboratory, the impression material was replaced with permanent soft relining material Molloplast B (Detax). The finished dentures were adjusted and articulated until bilaterally balanced occlusion was achieved. Treatment results showed good retention and stability of the prosthetic construction. Functional impression shaping and subsequent replacing with silicon material ensured a good and tight hermetic seal in the area of the defect. The use of permanent soft relining material allowed a trauma-free transmission of masticatory pressure and a stable connection with the plastic base of the obturator. The patient’s eating and speech as well as the fluid intake were successfully restored. The achieved results improved the quality of life of the patient and his self-esteem. Prosthetic treatment with an obturator with a silicon base provides good retention and stability of the prosthetic construction which allows successful restoration of the patient`s eating and speech.