Immediate Dentures: Benefits and Drawbacks

A surgical technique where the denture is inserted immediately after tooth extraction, providing a more natural-looking and comfortable transition for the patient.

A type of immediate denture where the denture is inserted one or two days after tooth extraction, allowing for initial healing and minimizing postoperative discomfort.

A technique where all posterior teeth are extracted initially, followed by an interim partial denture until healing is complete, allowing the patient to adapt to denture treatment.

A surgical procedure performed in conjunction with immediate denture placement to reshape the alveolar bone, improving the fit and stability of the denture.

A transparent acrylic template used over a cast of the reduced jawbone to identify areas needing further surgical modification before suturing.

A temporary lining material applied to the immediate denture to improve its fit and reduce discomfort during the initial healing period.

A type of suture material used to close the surgical incisions after denture placement.

A surgical instrument used to cut and trim bone, often used in alveoloplasty to reshape the jawbone.

An extended denture flange that goes just beyond the alveolar process, fitting over the soft tissue to avoid undercut issues.

A denture design where the flange extends to the gingival margin and vestibular sulcus, creating a knife-edge termination.

A surgical procedure to reshape the upper alveolar bone, improving both aesthetics and denture function.

A surgical procedure to remove interdental septa (bone between teeth) to reduce labial undercut and create space for a labial flange.

A surgical procedure to remove the labial alveolar plate of bone, creating a more even and flat surface for the denture.

An advantage of interSeptal alveolectomy where less bone is removed, leading to less bone resorption after surgery.

An advantage of interSeptal alveolectomy where less trauma occurs during the procedure.

An advantage of interSeptal alveolectomy where the facial form is minimally affected.

A single impression technique where a custom tray is fabricated using autopolymerizing acrylic resin and border molded. A rubber base impression material is then used to record all areas in one impression. This method is often preferred when the patient has minimal tooth misalignment and good tooth mobility.

This technique involves using a custom tray for the posterior edentulous area and a stock tray for the anterior teeth. The custom tray is border molded and a zinc oxide eugenol paste is used for the posterior impression. An alginate impression is then taken in the stock tray. This approach is suitable for patients with severe ridge undercuts or highly divergent teeth, as it allows for separate impressions of the anterior and posterior areas.

This technique uses a special tray with a labial flange to take the final impression, followed by an overall alginate impression using a stock tray. It provides a more accurate impression of the labial vestibule, offering a more natural lip contour for the denture.

These are used to record the vertical dimension of occlusion and the relationship between the maxillary and mandibular arches. They are fabricated over the edentulous area and may extend onto remaining teeth for support.

The remaining natural teeth serve as a guide for selecting the appropriate artificial teeth. Direct measurements from the natural teeth help duplicate their size and shape for the denture.

The arrangement of the anterior teeth in a denture can be modified to improve aesthetics. For instance, positioning the teeth slightly forward or backward can enhance a patient's smile.

The arrangement of anterior teeth should consider the patient's facial features, smile, and desired aesthetic outcome.

This process involves making modifications to the denture base and teeth to ensure an accurate fit and comfortable occlusion. The denture's fit and occlusion must be checked and adjusted after the initial placement to ensure optimal function and comfort.

A denture with an extended flange that covers the entire extraction site, providing better protection of the clot and reducing post-extraction bleeding.

The consequence of wearing an ill-fitting denture that can lead to a scalloped ridge in the region of the socketed teeth. This occurs when the denture presses against the gum, creating a uneven shape.

The use of partial or full flange dentures in areas with deep undercuts after tooth extraction. This is necessary when surgical reduction of the bone is not possible or contraindicated.

The challenge faced by patients transitioning from an open-face denture to a denture with a labial flange. The increased fullness of the lip can feel uncomfortable and take time to adjust to.

The classification of immediate dentures based on the type of restoration; full dentures after all teeth are extracted, partial dentures after some teeth are extracted, and overdentures placed over remaining teeth.

A technique used when preparing a cast for an immediate denture. The cast is trimmed to anticipate the new ridge shape after gum surgery.

A silicone mold made from the natural teeth before they are extracted. It helps recreate the exact tooth placement and shape in the denture.

A technique used to recreate the tooth arrangement in dentures. One tooth is removed from the cast and replaced with a wax replica, guided by the existing teeth, then this process is repeated.

The first step in preparing the cast for an immediate denture. The teeth are removed at the gum line, simulating the extraction.

Recessing the socket by 1mm, creating a space for the denture base to rest after surgery.

Reducing the labial edge to the incisal third mark on the cast, creating a smooth transition from the denture base to the gum area.

Evaluating the denture's fit and appearance before finalization, ensuring a comfortable and functional result.

Relining is a procedure that adds material to the denture's inner surface to improve its fit. It's done when the denture gets loose or doesn't fit well anymore, often due to changes in the gum tissues.

In immediate dentures, this is delayed for a week or two until swelling subsides and the patient is comfortable. It's done to adjust the biting surfaces and make sure they work together properly.

A denture adhesive is a product used to hold dentures in place, providing better stability and preventing them from shifting while talking or eating.

Open-faced dentures have a narrower base, leaving more of the gum tissues exposed. They can become unstable as the bone resorbs, and the denture may not fit snugly.

Flanged dentures provide a stronger and more stable construction, reducing the risk of midline fracture. This is because the wider base distributes the forces more evenly.

The flanged denture allows for better positioning of the artificial teeth because the denture base has more room. Open-faced dentures require teeth to be placed in the sockets of the missing teeth, limiting the arrangement.