Immediate Dentures – Dental Treatment

Introduction –Immediate Dentures

When most of the teeth are loose or painful, they cannot be saved. Advanced periodontal disease or decay can cause such condition. If not treated in time, the periodontal disease can lead to infection, gingivitis and bone loss. In advanced cases, there is little support left for the teeth for their stability and they need to be removed.

The best way to eliminate these consequences and restore the health of oral tissues is removing the teeth and replacing them with anartificial denture.

Immediate dentures are fabricated so that they can be fitted immediately after extraction of teeth; hence it is called as immediate denture.

Uses of immediate dentures:

  1. Immediate dentures are used in patients whom the teeth are removed and quick replacement is needed.
  2. It can also be used in patients who require dental prosthesis as an intermediate treatment for more complex procedures such as dental implants.

Making of immediate dentures:

For making immediate dentures, the dentist first examines the jaw and takes various measurements related to distance between the jaws, their dimensions and apposition. From these measurements, a model, plastic or wax pattern of exact dimensions is made depending on protocol. From this model, the immediate dentures are fabricated.The best color and shape for the new teeth is selected. The fitting of immediate denture is many times not perfect as the impressions are taken before extraction of teeth and it is fitted after extraction.

Dental extraction:

When the denture is ready, the remaining teeth are extracted. Prior to removing the teeth, the patient is sedated and given relaxing medication. The medication for the sedation is taken orally one hour prior to the removal of teeth. No pain is felt usually during teeth removal.

Denture placement and use:

Immediate dentures are fabricated so that they can be fitted immediately after extraction of teeth; hence it is called as immediate denture.
As soon as the teeth are out, the denture is immediately placed in the mouth. For the first 72 hours, the Denture should be kept in mouth under any and all circumstances. The denture acts as replacement bandages and aid in the healing process of soft tissues. Most of the times, stitches are not required as the denture holds everything in place. This is known as controlled healing. When the denture are not in place, uncontrolled healing occurs in which the gums swell and do not heal properly. This is prevented by dentures. As the oral cavity heals, the gums begin to shrink and the denture will feel loose, especially the lower since there is less supporting bone in the lower jaw. This process takesabout 4 to 6 months. After this, the patient is advised to use any type of denture adhesive and dentures should be worn for longer periods during this healing process. In some cases, the lower denture gets very loose during healing. For this purpose, a temporary “reline kit” is available at the drug storeswhich fills in the spaces resulting from the healing process. The amount of denture adhesive used goes on decreasing when thepatient starts wearing temporary liner.

Second visit for reline:

After this period of healing, the shape of the bones and soft tissues becomes stabilized. Then the patient should visit the dentist for a reline appointment. Patient should not use denture adhesive in this appointment. Then again, impressions of mouth are taken and final fitting are done on the same day usually.

Denture adjustment:

  1. Some temporary problems do occur which are a normal part of adjusting to the new denture.
  2. First problems are usually feeling of bulkiness or something alien in the mouth. Increased salivary flow also can occur.
  3. The tongue may feel crowded, some gagging and difficulty in speech is normal.
  4. Eating with the denture on may be awkward or difficult in first few days. But with learning and practice, adjustments to the dentures occur. It is like learning a new skill.
  5. Mouth can be sore or uncomfortable in first week.
  6. Nobody likes to lose their teeth. Some emotional problems also can occur with this.

However, after understanding the fact that removal of infected teeth and replacement with dentures improves the health, smile as well as self-confidence, the person eventually adjusts to dentures.

Thus, the immediate dentures allow patients an aesthetic and functional solution after tooth extraction.

- Link of interest: Twitter Immediate Dentures – Dental Treatment.

 

This article is not medical advice nor a substitute to professional health advice. Always consult a doctor.

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