Complete Dentures - Immediate Dentures

Question 1

Allowing healing enables

Answer 1

Some remodelling of bone to occur to provide best surface for denture fit

Question 2

Ideal pathway of conversion from dentate to edentulous

Answer 2

Inadequate dentition
Transitional Partial denture
Transitional complete denture
Permanent complete denture

If OHI is good, partial and complete overdenture can be considered

Question 3

Indications for immediate dentures

Answer 3

Remaining teeth are health risk e.g pre-radiotherapy

When fewer visits are preferred (cost/time)

Where teeth are so misaligned or overerupted that transitional dentures are impossible to provide

When status/prognosis for remaining teeth is hopeless

Question 4

Contraindications for immediate dentures

Answer 4

Elderly
Large bony undercuts
Difficult extractions

Question 5

Immediately post extraction

Answer 5

No room for flange - lack of security

Compromise needs to be made in interim

Question 6

Significant factors in assessment

Answer 6

Current RPD - use as transitional - but assess first
History of nausea - test with PD
Undercuts

Question 7

Prior to tx

Answer 7

Warn patient that immediate denture will not be permanent
Will need to be replaced by permanent denture when resorption process has settled
Adequate emergency follow up

Question 8

Immediate complete process

Answer 8

Placed immediately prior to extraction (LA)
Oedematous tissue inflammation helps fitting
Kept on for 24hrs
Return next day to remove and clean extraction site use tissue conditioner if hard to place back on

Question 9

1st day
1st week
1st month 
6/12
12/12

Answer 9

Adjust fitting surface and occlusion 
Correct pain and advise fixative use
Further corrections 
Permanent reline
Replace with permanent dentures