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 facial muscular collapse

Question 2

Cons of an immediate denture

Answer 2

Expectations must be managed as it is temporary prosthesis due to resorption

It is a guess at how healing will proceed

Poor adaptation to ridge post extraction

Ongoing maintenance needed
- relines to ensure retentive

Increased cost and visits

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

ORN, MRONj

Large cysts / active pathology

Denture not required as no real loss of aesthetics or function

Major fractures in maxilla or mandible

Pre-chemo / radiotherapy

Question 5

What instructions should be given when immediate denture is provided

Answer 5

Denture kept in for 24 hours
- Advise warm saline mouthrinse after 24 hours and patient to remove denture after mealtimes to rinse mouth and clean
- usual post op instructions

Review after 1-2 weeks and then a month
- consider relines
- replace at 6 months to 1 year

Question 6

How can a one stage immediate denture be made? When is it often made?

Answer 6

To replace one / two anterior teeth e.g. trauma / abscess etc

Upper and lower imps with high quality interocclusal record
- shade
- prescription to lab including design and teeth to be extracted

• extraction and insertion next visit