West Vancouver Denture Clinic Inc.
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An immediate denture is one that is fabricated before all the remaining teeth
have been removed and inserted immediately after the removal of the teeth.
It can be a complete denture or an overdenture. Because it is not possible to
try in an immediate denture beforehand, the patient (and sometimes the
denturist) may not be prepared to accept the result on the day of insertion. It
is, therefore, important for both parties to fully understand the limitation of
the procedure.
Immediate dentures may be either single immediate dentures or upper and lower
immediate dentures. The latter should be made together to ensure optimal
aesthetics and occlusal relationships.
After healing is completed, the immediate denture can either be refitted or
relined to serve as a long term prosthesis and is referred to as a conventional
immediate denture. (CID). An interim immediate denture (IID), on the other
hand, is one worn by the patient only during the healing period. It is then
replaced with a new prosthesis.
Explanation to the patient for immediate denture treatment
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They do not fit as well as complete dentures. They may need temporary linings
with tissue conditioners and may require the use of denture adhesives.
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They will cause discomfort. The pain of the extractions, in addition to the
sore spots caused by immediate denture, will make the first week or two after
insertion difficult.
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It will be difficult to eat and speak initially, almost like learning to eat
and speak all over again.
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The esthetics may be unpredictable. Without an anterior try-in, the appearance
of the immediate denture may be different from what the patient and denturist
expected.
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Many other denture factors are unpredictable such as the gagging tendency,
increased salivation, different chewing sounds and facial contour.
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It may be difficult or possible to insert the immediate denture on the first
day. Every effort will be made to do so. If it is not possible, it will be
inserted or remade as quickly as possible.
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Immediate dentures must be worn for the first 24 hours without removal by the
patient. If they are removed they may not be able to be reinserted for three to
four days.
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Because supporting tissue changes are unpredictable, immediate dentures may
loosen up during the first one to two years. The patient is responsible for all
fees involved in refitting or relining the dentures.
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