Immediate Dentures Flashcards
What is inflammatory papillary hyperplasia?
- A reactive tissue growth usually developing under a denture
- Occurs on hard palate beneath denture base
- asymptomatic red or pink nodules
What are immediate dentures?
dentures that are placed immediately after surgery
What are the two popular protocols for immediate dentures?
conventional
interium/transitional
What are conventional immediate dentures?
- extract all posterior teeth first, leaving the anteriors
- reline the immediate denture after
healing and ridge stable (6 months) - ONE set of dentures
What are interim/transitional immediate dentures?
- pull all teeth at one time
- aim is to use for short period, then it is replaced by the definitive prosthesis when healing is complete
- TWO sets of dentures
- wear for 6-8 weeks
When are immediate dentures fabricated?
prior to extracting natural teeth
What has to be done after a conventional immediate denture?
relining/refitting
What has to be done after interium/transitional immediate denture?
new complete dentures are made
What are the advantages of the immediate complete denture?
- prevent patient embarrassment
- provide guide for optimal esthetics
- provide guide for OVD
- circumorla support, muscle tone, etc.
- less postoperative pain
- easier to duplicate
- speech and mastication are rarely compromised
What are the disadvantages of immediate dentures?
- increased complexity
- lack of clinical evaluation of trial denture
- increased maintenance
- greater # of visits = more expensive
What are the disadvantages of immediate dentures?
- more challenging
- anterior ridge undercut
- the presence of different numbers can lead to incorrect centric relation position
- no denture tooth try-in
- additional appointments so increased cost
How should you explain immediated dentures to the patient?
- do not fit as well as normal dentures
- pain of the extractions in addition to sore sports will make the first couple of weeks difficult
- it will be difficult to eat and speak for awhile
- esthetics may not be predictable
What are the steps to making immediate denture
What step is missing from the immediate denture process?
anterior try in
What needs to be accessed before decided if patient is right for immediate dentures?
tori
tuberosities
frenal attachments
anterior teeth present
What are some secondary impression techniques?
stock tray
custom impression tray
combination
campagna technique
Presence of _______ teeth may make OVD determination easier
anterior
What should you do for a posterior trial placement?
- Confirm correct mounting of casts
- Confirm OVD is correct
- Midline and incisal plane location-mark the cast for reference
Why is a surgical template required?
- Required if any alveoloplasty or bone smoothing is anticipated
- Fabricated at wax elimination stage of processing
Don’t schedule the surgery/insertion on a…
Friday or the day before a holiday or vacation!
What are the steps for making the interim immediate denture?
How long should the immediate denture be worn?
- must be worn for the first 24 hours
- dentist removes them after 24 hours
What are the instructions for the patient after an immediate denture is placed?
- Soft diet
- Some bleeding to be expected
- May have swelling for 3 – 4 days
- Return to clinic the next day; 24-hour post-op.
- Avoid rinsing
- Take analgesic
_______ months after insertion you sould reline and possibly remake the denture
6-9 months
Post-Insertion care at 24-hr appnt
- Remove and rinse denture
- Relieve any obvious pressure areas
- Evaluate retention and occlusion
Post – Insertion Care at 72 hr appnt
- Evaluate extraction sites
- Evaluate tissue, denture retention, oral hygiene
Decision to reline/rebase/remake is made after ____ months
4-6
Occlusal correction – remount – done when patient is comfortable around _______ weeks
2 – 3 weeks
