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Questions and Answers
What is a potential disadvantage of immediate dentures compared to lab-made dentures?
What is a potential disadvantage of immediate dentures compared to lab-made dentures?
Why might patients be hesitant when immediate dentures are recommended?
Why might patients be hesitant when immediate dentures are recommended?
How does the presence of immediate dentures affect a dentist's reputation in the eyes of the patient?
How does the presence of immediate dentures affect a dentist's reputation in the eyes of the patient?
Which of the following is NOT a factor associated with complications of immediate dentures?
Which of the following is NOT a factor associated with complications of immediate dentures?
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What do immediate dentures primarily lack compared to laboratory-created dentures?
What do immediate dentures primarily lack compared to laboratory-created dentures?
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What is required for the tissue modifiers to properly conform to the mucosa?
What is required for the tissue modifiers to properly conform to the mucosa?
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Which among the following substances can be evaluated for use as measuring materials after 24 hours of application?
Which among the following substances can be evaluated for use as measuring materials after 24 hours of application?
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Which property is essential for the application of tissue modifiers in mucosal environments?
Which property is essential for the application of tissue modifiers in mucosal environments?
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Which of the following tissue modifiers has been shown to be suitable as a measuring material after application?
Which of the following tissue modifiers has been shown to be suitable as a measuring material after application?
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What conclusion can be drawn from the evaluation of certain tissue modifiers as measuring materials?
What conclusion can be drawn from the evaluation of certain tissue modifiers as measuring materials?
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What is one treatment option available for patients who have lost all their teeth?
What is one treatment option available for patients who have lost all their teeth?
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Which option involves converting an existing partial denture into a total immediate denture?
Which option involves converting an existing partial denture into a total immediate denture?
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What typically characterizes a conventional removable immediate denture?
What typically characterizes a conventional removable immediate denture?
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Which option is NOT a stated treatment for patients with complete tooth loss?
Which option is NOT a stated treatment for patients with complete tooth loss?
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What is the recommended waiting period for healing after tooth extraction before making permanent dentures?
What is the recommended waiting period for healing after tooth extraction before making permanent dentures?
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What is a consequence of alcohol evaporation in tissue conditioners?
What is a consequence of alcohol evaporation in tissue conditioners?
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Why are porous structures in tissue conditioners problematic?
Why are porous structures in tissue conditioners problematic?
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What triggers hypersensitivity responses in denture materials?
What triggers hypersensitivity responses in denture materials?
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Which change occurs due to the loss of alcohol in tissue conditioners?
Which change occurs due to the loss of alcohol in tissue conditioners?
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What implication does hypersensitivity have for patient care with dentures?
What implication does hypersensitivity have for patient care with dentures?
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Study Notes
Immediate Dentures
- Immediate dentures are prostheses placed immediately after tooth extraction.
- Four treatment options exist for patients who have lost all their teeth.
- Option 1: All teeth are extracted, and the extraction sites heal for 6-8 months before the final dentures are made.
- Option 2: Existing partial dentures are converted into immediate full dentures.
- Option 3: Conventional removable immediate dentures are made.
- Option 4: Implants are placed, allowing for a fixed immediate denture supported by the implants.
Stress-Reducing Materials for Complete Dentures
- Tissue conditioners are used to reduce stress on the oral tissues.
- They are temporary soft lining materials.
- Their maximum use period is typically 1 week to 10 days.
- Prolonged use can lead to a loss of their softness and increase pressure on the tissues.
- They are used to treat damaged oral mucosa.
- If trauma from old dentures isn't treated, it makes it harder to adapt new dentures.
- The contours of the tissues must be in a proper arrangement prior to taking the impression for new complete dentures.
Advantages of Immediate Dentures
- Alveolar bone resorption is reduced.
- Bone resorption slows down, as the dentures maintain the function.
- The gum becomes more stabilized, thus preventing post-operative pain
- It prevents the gum from swelling
- It aids in the healing process by preventing clotting from being disrupted.
- A faster healing process
- Oral function is maintained.
- Speaking and eating remain unaffected.
- Patients find it easier to adapt to the dentures.
- The dentist's prestige is elevated in the patient's perspective.
Disadvantages of Immediate Dentures
- Laboratory-made dentures cannot exactly replicate the shape of natural teeth, gums, or roots
- The dentures might cause tissue irritations, especially at the initial stages.
- These irritations can be manageable with appropriate postoperative care.
- Patients with systemic conditions like anemia, kidney problems, cardiovascular issues, or diabetes may not be suitable candidates for immediate dentures.
- Difficulty in determining the post-extraction centric occlusion becomes a disadvantage in cases with deep centric relation.
- Time and cost factors can be relevant in situations where multiple teeth extraction are needed.
- The lack of a trial denture prior to immediate placement causes possible aesthetic concerns.
- Difficulty with post-extraction care in cases of multiple extractions can be a disadvantage.
Indications for Immediate Dentures
- The dentures are made to prevent dislodgment caused by pathological or traumatic reasons.
- Can be used to preserve the alveolar ridge in young patients after a traumatic tooth loss incident.
- Help achieve appropriate occlusal relationships.
- They can be used for post-surgical soft tissue management
- They can serve as a temporary prosthesis to ease the transition to other types of dentures (like splinting).
Contraindications for Immediate Dentures
- Poor general health conditions
- Inefficient or prolonged healing process
- History of diabetes, immune issues, or osteoperosis
- Severe oral inflammation
- Poor oral hygiene
- Uncooperative patients
- Various medical conditions, such as blood diseases, kidney or cardiovascular problems, etc.
- The patient's emotional condition
- Severe oral lesions or ulcerations in the area where the dentures are to be placed.
- Conditions such as psoriasis and pemfigoid that could cause ulcerations
- Cases involving extreme bone loss and/or severe oral trauma
- Cases where there is a high degree of bone resorption that will negatively influence prosthesis retention/stability.
Classification of Immediate Dentures (Types)
- This section presents various classifications of immediate dentures in a hierarchical structure.
- It highlights the different categories, types, and designs and their characteristics in the respective classifications.
Post-Operative Instructions
- The patient needs to be instructed regarding the postoperative process.
- They should be advised about not removing dentures for the first 24 hours.
- Alcohol and hot drinks are forbidden during this time frame.
- Rinsing the mouth should be avoided.
- Ice packs should be applied for about 20 minutes every 20 minutes.
- The first checkup is scheduled for 24 hours after the surgery.
- Any problematic areas of the dentures need to be corrected.
- Occlusion is checked.
Post-operative Care
- The patient should be advised on not removing dentures for the initial seven days, including at night.
- The patient should rinse their dentures with water three to four times a day.
- They should discontinue use of their dentures during night time from day seven onwards.
- Initial stages of bone reabsorption are noticed typically during the first three months.
- Full bone ossification might take 8–12 months.
- Soft lining materials might be applied during the initial period.
- Definitive dentures are usually placed approximately 3–6 months post-extraction.
Diagnosis and Treatment Planning for Immediate Dentures
- Patients should be informed about their responsibilities during the treatment.
- Any limitations imposed on the treatment process should be explained accurately.
- The possibility of re-lining or replacing the dentures should be discussed with the patient.
Types of Immediate Complete and Partial Dentures
- This section details various subtypes of immediate complete and partial dentures.
- This includes detailed explanations of the Open Vestibule, Closed Vestibule, and other designs.
Methods for Immediate Denture Fabrication
- A description of the procedures for various types of immediate dentures.
- This segment includes step-by-step procedures specific to each category of immediate dentures, such as the controlled/staged procedure for the manufacturing of an immediate upper denture and the procedure steps for a lower denture.
Other Important Aspects
- Different materials used, design features, indications and contraindications are mentioned in the document.
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Description
This quiz explores the various aspects of immediate dentures, including their disadvantages compared to lab-made dentures, patient hesitance, and their impact on a dentist's reputation. Additionally, it evaluates tissue modifiers and their application in mucosal environments, providing a comprehensive overview of immediate denture considerations.
