What To Expect From Immediate Dentures
Immediate dentures are placed in the mouth directly after the remaining teeth are extracted. This approach is utilized when a person does not want to be without any teeth for several months while extraction tooth sockets heal and a denture is fabricated.
Immediate Dentures Involve a Two-Step Denture Process
Optimally, immediate dentures are the first denture of a two-denture process and should be considered as a temporary interim prosthesis until a second refined and esthetically enhanced denture may be constructed after healing.
- Usually, most or all of the back teeth are removed and extraction sites are allowed to heal for a minimum of six weeks or more, depending upon an individual's healing rate.
- After adequate healing, the immediate dentures unit is fabricated.
- The remaining teeth are extracted and the immediate dentures are placed in the mouth. Wearing immediate dentures right away over extractions normally is no more uncomfortable than the extractions alone.
- Discomfort is managed with proper anesthesia and pain medication. Immediate dentures act like a Band Aid bandage, holding tissues together and protecting them during healing.
- Generally, the dentist does not remove immediate dentures until the day after surgery. Surgery is checked and denture adjustments are made as necessary.
- Immediate dentures will gradually become loose because of bone shrinkage as the jaw continues to heal. Provisional liners are placed in the loosening denture to help hold it in place during healing.
- Adhesives also maintain the denture in place as it becomes looser. If immediate dentures become too loose during this healing period of several months, it may be necessary to reline multiple times.
- After adequate healing has occurred, a second refined denture is fabricated. This denture allows the dentist to artistically position teeth in an optimal and enhanced esthetic relationship, which was not possible with immediate dentures. It also is now possible to establish better functional relationships of the jaws.
- Approximately six months after the second denture is delivered, it will most likely need to be relined to compensate for continuing jaw shrinkage. After this reline, a patient usually needs annual relines to accommodate a continually shrinking jaw.
- The frequency of relines is an individual matter unique to each patient and is best determined by a licensed dentist after a thorough periodic examination that should occur at six-month intervals.
Modified Approaches to Immediate Dentures
- It is possible to extract all the back and front teeth at one time and insert immediate dentures. However, such an approach is problematic and generally is discouraged unless the patient has no other alternatives.
- All teeth may be extracted with no interim denture while the jaws heal and a denture is fabricated. This is generally a more economical approach, but an individual would be without teeth for several months.
Advantages of Immediate Dentures
- A person is not without teeth for any extended period of time.
- Immediate dentures act as a bandage while bony tooth sockets are healing after tooth extractions.
Disadvantages of Immediate Dentures
- A second refined and esthetically enhanced denture is necessary soon after the immediate dentures.
- While the cost of immediate dentures is generally about the same as a conventional denture, the second denture needs to be fabricated soon after the immediate denture. Therefore, a person would be experiencing the additional cost of the second denture sooner.
by Joseph J. Massad, D.D.S.
The False Teeth Shut-In
Are you a denture wearer who's afraid to be seen in public because your denture is unattractive? Do you find yourself eating alone because you can't eat foods your friends eat? Do you wear your partial dentures in your pocket?
Prosthodontics wearers, without knowing it, can become dental "shut-ins." They begin, subtly, to reorient their lifestyle around loose dentures. When false teeth don't look or function properly, some people withdraw from their social lives and suffer depression and diminished self-esteem. Some even become recluses.
Tale of a shut-in
One prosthodontics patient - a truck driver - couldn't eat properly with his cheap dentures. At truck stops, he would take his food back to his truck and eat alone. He gave up his only social activity on the road - swapping stories with other drivers over a meal. For two years, he was a prisoner in his own truck.
But many people can reverse this situation. When false teeth look and feel right, a denture wearer's whole mental outlook can brighten.
Eating gives pleasure and a feeling of security learned from early feeding experiences. It's an important part of most social occasions. When a person controls the quality and quantity of his food, he's able to achieve this sense of security and a feeling of self-esteem.
So let's start fresh.
There's no need to feel unattractive or live in fear of a denture faux pas in the company of friends and family. Your dentist can help you regain function, comfort, and a natural appearance by replacing or refitting your denture. A well-fitting denture is a small sort of miracle, but one that works wonders for your self-esteem. Don't be a shut-in. Call your prosthodontist, and start smiling again.