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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.

First Stage

• 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.

Second Stage

• 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.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Conventional Removable Partial Dentures

A partial denture is useful for a person missing some teeth, but who still has a number of natural teeth.

This device also is called a removable prosthesis, and is a means by which artificial replacement teeth are held in the mouth. The prosthesis commonly is kept in place by means of clasps. These are thin finger-like structures, usually made of a special resilient metal alloy or sometimes plastic, that rest upon and wrap around some remaining natural teeth. Clasps keep the prosthesis securely in place, but still allow a person to easily take it out for regular cleaning and proper brushing of remaining natural teeth.

Some Reasons for Having Partial Dentures Made

• Replace missing teeth
• Improve ability to chew more naturally
• Chew food with confidence
• Make it possible to eat certain favorite foods
• Maintain a healthier and socially acceptable mouth
• Aid in the preservation of remaining natural teeth
• Help prevent or treat problems of the TMJ (the jaw joint)
• Often improve speech
• Help develop a more pleasing and confident smile
• Support the face -- often with a more youthful appearance
• Enhance self esteem
• Replace missing teeth in an economical way
• Add an additional tooth to an existing partial denture if a natural tooth is lost
• In most cases, crowning teeth is not necessary to fit a partial denture
• Partial dentures are usually easy to repair if they are broken

Esthetics and the Conventional Partial Denture

Generally, clasp design is reasonably esthetic, and often it is possible for them not to be seen. However, depending upon partial denture design, which is based on mouth conditions, there may be some show of clasps. Often, this is not an appearance problem. However, if avoiding an unacceptable show of clasps would compromise optimal partial denture design, various special attachments sometimes may be employed to do away with conventional clasps. These attachments are more technically complex and often are referred to as precision or semi-precision attachments.

How Long Will a Partial Denture Last?

Accidents happen, and the mouth is constantly changing. Partial dentures may no longer fit properly, can break or bend, or simply wear out. In fact, there is nothing made for the mouth that is permanent. Fractured clasps and so forth often may be repaired.

On average, a partial denture may be expected to last about five years. Depending upon circumstances, certain removable prostheses can last a shorter or longer time.

How Often Should a Partial Denture Be Checked?

It is best to have a partial denture, as well as the rest of the mouth, checked at six-month intervals. If left uncorrected, small problems can develop into major ones, which could cause disease, loss of teeth, or necessitate premature prosthesis replacement.

Partial Dentures Need to Be Relined

The jaw ridge that a partial denture rests upon is constantly changing. It is normal and necessary to regularly modify how a partial denture contacts the ridge. This maintenance correction is called relining, and on average, needs to be performed annually for optimal function. However, this is dependent upon how an individual's mouth changes. A licensed dentist can best advise when a reline is needed, and when a reline will no longer adequately restore proper function.

by Joseph J. Massad, D.D.S.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.