Immediate Dentures Flashcards
_____ immediate denture: reline the immediate denture after healing and ridge is stable (6 months)= 1 denture
Conventional Immediate denture
______ immediate denture: aim is to use for short period, then it is replaced by the definitive prosthesis when healing is complete (6-8 weeks later)= 2 dentures
Interim/ transitional
Immediate dentures are fabricated ______ extracting natural teeth
Before
Which type of immediate denture involves relining?
Conventional
Which type of immediate denture involves making a new CD to replace the temporary one?
Interim / Transitional
______ immediate denture: the denture is intended to be relined to serve as the long-term prosthesis
Conventional immediate denture
______ immediate denture: after healing is completed, a second, new complete denture is to be fabricated as the long-term prosthesis
Interim / Transitional immediate denture
The advantages of _______ include the following:
- Prevent patient embarrassment
- Provide guide for optimal esthetics
- Provide guide for OVD
Immediate Complete Dentures
Advantages of _____ include:
- Maintenance of appearance
- Less postop pain
- Support; tongue won’t spread out as a result of tooth loss
- Easier to duplicate natural tooth shape and position
- Adaptation is easier. Speech and mastication are rarely compromised and nutrition can be maintained
- Availability of tissue-conditioning material
- Patient’s psychological and social well-being is preserved
Immediate complete dentures
Disadvantages of______ include:
- Increased complexity of impressions and centric jaw relation
- Lack of clinical evaluation of trial denture anterior esthetics
- Increased maintenance
- More visits= more cost
Immediate dentures
What is the main disadvantage of immediate dentures?
Lack of clinical evaluation of anterior esthetics
Do immediate dentures fit better or worse than normal complete dentures?
Do not fit as well
T/F: The pain of the extractions in addition to the sore spots caused by the immediate denture will make the first week or 2 after insertion difficult.
True
Removing posterior teeth, alveoloplasty, and tuberosity reduction is which phase of surgery for immediate dentures?
1st phase
Extracting anterior teeth at denture insertion appointment is which phase of surgery for immediate dentures?
2nd phase
If the patient has a removable permanent denture already, should you maintain the abutment teeth or not?
Maintain them
Phase ____ surgery:
Removal of posterior teeth
Surgical correction of tuberosities, etc.
Wait 6-8 weeks, begin fabricating the immediate denture
Phase 1 surgery
Which surgery for immediate dentures involves extracting anterior teeth and a labial frenectomy if needed?
Phase 2 surgery
Phase ___ surgery benefits:
- Simplifies clinical procedure
- Reduces post-placement care
- Improves denture comfort and retention
Phase 2 surgery
Which impression can have the following 4 techniques used to complete?
Stock tray
Custom Impression Tray
Combination
Campagna technique
Presence of anterior teeth may make OVD determination ______
Easier
Malposed, drifted, mobile teeth would make CJR more _____
Difficult
In posterior _______,
- Confirm correct mounting of casts
- Confirm OVD is correct
- Midline and incisal plane location
Posterior trial placement
____ is needed if any alveoloplasty or bone smoothing is anticipated; fabricated at wax elimination stage of processing
Surgical template
Do you reduce abutments and place amalgam before or after extractions?
Before extractions
Immediate dentures must be worn for _____ hours without being removed by the patient. If removed, they may not be able to be reinserted for 3-4 days.
24 hours
Immediate dentures will ____ during healing, tissue conditioners will be required
Loosen
Will there be any bleeding after insertion of immediate dentures?
Yes
How long will swelling likely occur after immediate denture insertion?
3-4 days
If the immediate denture comes loose, what should the patient do?
Put it back in immediately
At the ______ appointment:
Remove and rinse denture
Relieve any obvious pressure areas
Evaluate retention and occlusion
24 hr appt
At the ____ appt:
Evaluate extraction sites
Evaluate tissue, denture retention, and oral hygiene
72 hr appt
As tissue shrinks from denture contact, retention will usually decrease and require ______
Tissue conditioner
At what point can the occlusal correction/remount be done?
2-3 weeks after extraction
The decision to reline/rebase/remake is made after ____ months
4-6 months
The decision to _____/______/_______ is made after 4-6 months
reline/rebase/remake
