What Are Immediates Anyway?

Immediate Dentures are a type of dental procedure or treatment where the denturist fabricates and molds the denture before your teeth are extracted.

As the name implies, immediate dentures are placed right after the teeth are extracted. These dentures may replace one tooth (immediate partial dentures) or all of a patient’s teeth (complete partial dentures).

These type of dentures allow the patient to have teeth while their gums are still in the healing process. It may feel uncomfortable at first, but the patient will get accustomed to it as days come to pass.

Keep in mind that the procedure will require several dental appointments, where the denturist will make necessary adjustments in order to achieve proper fitment of your dentures.

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INDICATION:

These are often used for patients that have poor teeth prognosis and where teeth have no capability to properly support any prosthesis.

Since this procedure requires multiple visits, patients who have the time can opt to undergo this procedure.

Patients with good health, are strong candidates for Immediate Dentures.

CONTRAINDICATION:

Not everyone can undergo this procedure, If you do not or are not able to put in the necessary time to attend multiple visits.

Health wise, if you do not tolerate oral surgery then I would not recommend this procedure.

For example, patients who have a severe gagging reflex may not tolerate this procedure since it involves a lot of time examining the oral cavity which may trigger your Gag Reflex.

What Are the Advantages of Immediates?

Having your original and natural teeth while fabricating the dentures helps the denturist to copy the natural structure of your teeth.

The color, shape, size and arrangement of your teeth can be copied since you still have remaining tooth or teeth before fabricating the denture.

Although your natural teeth could be a great pattern for the artificial teeth, fabrication cannot be 100 percent accurate especially on the first prototype.

This is why multiple visits are needed. Placing an immediate denture can also improve the patient’s appearance, especially if they have to go back to work after.

There’s no need to worry about having no teeth after the extraction. It will be easier for the patient to go outside and mingle being aware that they have new set of dentures.

Therapeutically, Immediate Dentures helps in the process of healing. It helps the healing process by serving as bandage.

Immediate Dentures prevents the gums from swelling and bleeding. It also prevents foreign objects such as food and liquids from entering the wound/s which can cause infection.

The Immediate Denture supports the patient’s tongue, cheeks and lips to maintain its original position which aids in patient’s speech.

The patient can immediately practice how to speak with dentures right after. Also, immediate dentures can help the patient in mastication.

It may be uncomfortable, but the dentures will help the patient in chewing the food better than without the dentures.

Disadvantages Worth Considering?

The most common disadvantage of this procedure is its cost. It costs more than the Conventional Dentures because it needs a lot of adjustments.

Temporary liners, relines are done periodically and multiple visits are required, and these can cost the patient more money.

Immediate dentures do not fit a hundred percent right away, there is no trial stage unlike conventional dentures.

The patient’s smile, bite and fit may be inaccurate. Since it needs plenty of adjustments, it can consume a lot of patient’s time as well.

As the gum tissues heal and the jaw bone shrinks the immediate dentures may not fit the patient’s oral cavity properly, so another series of adjustments will be made to allow the patient to have that natural facial expressions and correct the fit and bite.

Some denturists require the patient to have a new denture after the treatment.

The immediate denture can be used as the patient’s emergency or spare denture.

What Should You Expect...What Then?

Once the patient agrees to undergo the immediate denture treatment, the denturist will take additional records.

After getting all the needed information, including the models and bite record the dentures will be fabricated.

Immediate dentures are usually made of dental polymers. The artificial gums or denture base are colored similarly to the patient’s original gums.

Keep in mind that some of the patients may develop allergy from the dental polymers.

In this case, the patient must contact their denturist and doctor immediately.

The remaining teeth are extracted by the patient’s dentist or oral surgeon. Right after the extractions, the immediate denture will be placed inside the patient’s oral cavity.

After the extractions, the patient will be checked after 24 hours to assess their general condition with the denturist.

The dentist will require the patient to visit throughout the year while the tissues and bones continue to heal. Visits are required because the denture’s position changes as the tissues heal and the bones shrink.

After the bone healing, your denturist will examine if you will be needing a new set of dentures or a permanent reline. This is done after 9 months to a year.

After Care Recommendations?

The denturist will give the patient important instructions for the care of their dentures. Caring for the dentures at home will play a great part in the recovery and healing process. Neglecting it may cause unwanted complications such as swelling, excessive bleeding and infection which can delay the process of healing.

The most important reminder for the patient after the surgery is to not remove the dentures for at least 24 hours after the procedure. Removing the denture may cause bleeding and may aggravate the swelling of the gums. When the gums swell, the patient will not be able to place the dentures back in.

The denturist will be the one to remove the denture during the patient’s first checkup, which is usually 24 hours after the procedure. This is done so they can assess the overall condition of the patient’s oral cavity 24 hours after the surgery.

Except for removing dentures, there are still few more things to avoid after having the immediate denture.

The patient should also avoid spitting and gargling. The dentist will assess and tell the patient if they can already use a safe mouthwash in cleaning their oral cavity. Strenuous activities such as lifting heavy objects or doing heavy workouts are also prohibited.

Your dentist may also advise you to get days off to ensure that you are well rested following the surgery.

In Conclusion:

Immediate dentures will make you feel comfortable appearing in public right after the extraction(s).

Denturist Dao Diep will always present you with your options and recommend the best course of action.

Your comfort and well being is very important to Dao and she is committed to making sure you understand the procedure prior to undergoing the treatment.

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