Immediate Dentures

Immediate Partial Dentures

What are Immediate Dentures?

Immediate dentures are inserted directly after the removal of teeth, during the healing period and made to replace any number of teeth, so you are not without teeth. They are generally used for the front of the mouth, allowing you to eat, smile and socialize without feeling embarrassed.

Often, the immediate denture will be the final denture. In most cases, modifications are required after several months to accommodate shape changes to gums and bone. In other cases, the dental prosthetist may decide that the immediate denture is a temporary denture, and make the permanent denture once bone and gums have fully healed.

Do Immediate Dentures Really Work?

  • There are definite advantages to using immediate dentures:
  • No gap in your smile
  • Promotes better healing by stabilizing the clot underneath
  • Promotes bone strength in that area as it is still used for support
  • Allows chewing and normal eating
  • Allows normal speech
  • Easily relined when the gum shrinks up to cover gaps or improve fit

Full Dentures

Your dental prosthetist takes measurements and an impression of your upper and lower jaw line to make models, prior to extraction, during your first visit and while natural teeth are still in position.

A mold is made from this impression and our in house lab grinds teeth off the mold. The denture is based on this modified mold. The lab predicts the shape of the mouth after gums and bone have healed.

After a tooth extraction, especially during the first 3-6 months and during this healing period, bone and gum can shrink, as they are no longer needed to support your tooth in that area. If this happens your immediate dentures may require one or more denture relines to fit properly.

Sometimes, after a period of 6-12 months, new dentures may be necessary. Your immediate dentures are used as a spare or emergency denture. This is also helpful if your dentures break and need repair. If you neglect to reline an immediate denture, this will cause discomfort, allowing tissue to grow against the denture between the space created by the shrinkage of the bone and gums. The amount of shrinkage and healing time will vary slightly from one person to another. Your full denture can be made once the tissues have totally healed. This can take up to 8 weeks. However, bone can often take months to completely heal.

Once your gums and bone are stable, your temporary relines can be replaced either with a more permanent acrylic reline, a new denture, dental bridge or implant as your situation requires.

Immediate Complete and Partial Dentures

If you suffer with sever gum disease you may find you need ‘immediate complete denture’ or dentures (top and bottom). An ‘immediate partial denture’ is more likely as a temporary solution to allow your gums to heal

Are there any Alternatives to an Immediate Denture?

  • Single tooth – leave the space
  • Temporary bridge – these cannot be added to and often need replacing when the gum shrinks. They are also less easy to clean, collect plaque and not ideal for good gum health.
What is the Process for an Immediate Denture?

Basic procedure:

  • An impression of your teeth is taken and the bite recorded.
  • The dental technician grinds the teeth to be extracted off the model of your teeth, to reproduce the extraction and makes your dentures.
  • The dental prosthetist confirms the right tooth has been added before the tooth extraction, the tooth is removed and the denture is put in.
  • A review appointment is needed to make adjustments.
Special Aftercare for Immediate Dentures Instructions

Your dental prosthetist will provide after care instructions and follow up of your immediate dentures.

  • Don’t remove your dentures for 24 hours; removing them may cause bleeding and inflammation, preventing the denture from fitting in your mouth.
  • Leaving dentures in will stabilise any clot, reduce bleeding and control swelling and inflammation.

The first night is not always comfortable; the fit and bite may be slightly off and chewing may be difficult but this is often a phase due to inflammation and swelling.

Your follow up appointment is usually the following day; assessing the socket and making adjustments to the denture. Pain and soreness reduce with time as further adjustments are done. A temporary reline is generally needed to compensate for the bone and gum shrinkage, before a permanent reline replacement denture or other solution is made.

During the settling process the denture may cause small pressure sores to develop. Your dental prosthetist will make sure areas where the denture is rubbing excessively are trimmed and smoothed. While these sores will heal, and the denture may continue to settle, new sore spots may develop. This is normal. Talk to your prosthetist for more after denture care.

Denture Professionals will take care of you every step of the way.

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