Immediate Dentures

Question 1

Give advantages of an immediate denture

Answer 1

Guide for aesthetics, speech, function and OVD

Self esteem of patient directly after extractions and Patient can adapt to dentures faster

Avoid movement of remaining teeth

Ridge form preservation and prevents muscular collapse

Question 2

Cons of an immediate denture

Answer 2

Used due to expected resorption, so must manage expectations with patient

Guesstimate for everything

Poor adaptation to ridge quickly often resulting in denture fixative

Plans can change quickly due to heralding of extraction process

Increased complexity of making denture due to ill positioned or mobile teeth, poor existing occlusion etc

Ongoing maintenance needed for the dentures

Question 3

What is an immediate denture?

Answer 3

Any removable dental prosthesis fabricated for placement immediately following removal of natural teeth

Question 4

When may an immediate denture be contra indicated?

Answer 4

Medical related osteonecrosis of the jaw

Large cysts

Denture not required as no real loss of aesthetics or function

Major fractures in maxilla or mandible

Lack of consent or patient dementia

Question 5

What instructions should be given when immediate denture is provided

Answer 5

Denture kept in for 24 hours

Ideally review denture the next day

Remove and examine for healthy blood clots of extractions

Advise warm saline mouthrinse and patient to remove denture after mealtimes to rinse and clean

Review after 1-2 weeks and then a month, pt may need fixative at this point