<ul><li>An immediate denture is “a complete denture or removable partial denture fabricated for placement immediately afte...
 
 
 
 
Immediate Complete Denture <ul><li>Conventional immediate denture  -the denture is intended to be  relined to serve as the...
Immediate RPD <ul><li>Normally made of acrylic with “ball clasps” </li></ul><ul><li>No posterior teeth –only acrylic “bite...
Advantages <ul><li>Maintenance of a patient's appearance </li></ul><ul><li>Circumoral support, muscle tone, vertical dimen...
Disadvantages <ul><ul><ul><li>Immediate dentures are a more challenging </li></ul></ul></ul><ul><ul><ul><li>The anterior r...
Explanation to the Patient Concerning Immediate Dentures <ul><li>Do not fit as well as normal complete dentures.  </li></u...
Explanation to the Patient Concerning Immediate Dentures <ul><li>Immediate dentures must be worn for the first 24 hours wi...
Technique <ul><li>Examination/Diagnosis/Treatment Plan </li></ul><ul><li>Informed consent </li></ul><ul><li>Oral hygiene p...
Technique <ul><li>Preliminary impressions </li></ul><ul><li>Final impressions </li></ul><ul><li>Jaw relation records </li>...
Examination/Diagnosis/Treatment Plan <ul><li>Assess tissue undercuts (especially in the anterior maxilla -reduce during ex...
Technique <ul><li>Examination/Diagnosis/Treatment Plan </li></ul><ul><li>Informed consent </li></ul><ul><li>Oral hygiene p...
Preliminary impressions <ul><li>Use dentate or partially edentulous stock trays </li></ul>
Final Impressions <ul><li>Normally need to use 2 piece custom tray </li></ul><ul><li>If no large tissue undercuts may be a...
2 piece tray
 
 
 
1 piece tray
Jaw relation records
 
 
Tooth set up and try in
Extraction and insertion <ul><li>Have lab complete set up and modify cast as directed. </li></ul><ul><li>-use perio probin...
 
 
Extraction and insertion <ul><li>Request a surgical stent (guide) </li></ul>
Extraction and insertion <ul><li>Extract teeth </li></ul><ul><li>Use surgical guide to contour ridge </li></ul><ul><li>Sea...
 
Timeline for insertion appointment <ul><li>0-15 (min) -review med history and LA </li></ul><ul><li>15-60 -extractions </li...
Instructions to patient <ul><li>Do not remove until tomorrow's appointment </li></ul><ul><li>If it comes loose/out put it ...
24 hour appointment <ul><li>Remove and clean denture </li></ul><ul><li>Relieve sore spots </li></ul><ul><li>Do not use PIP...
 
1 week <ul><li>Relieve sore spots </li></ul><ul><li>Use PIP </li></ul><ul><li>Refine occlusion </li></ul>
 
Follow up <ul><li>Use tissue conditioner to refit as needed </li></ul><ul><li>Remove any socket convexities to avoid heali...
 
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immediate denture

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  • Thanks so much for posting this information! I've been researching dentures for quite some time now because I will need to get them pretty soon. Does anyone know of a quality and friendly clinic that does dentures in Calgary? If anyone can help me out I would really appreciate it. Thanks!
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immediate denture

  1. 1. <ul><li>An immediate denture is “a complete denture or removable partial denture fabricated for placement immediately after the removal of natural teeth” dr shabeel pn </li></ul><ul><li>http://hi-dentfinishingschool.blogspot.com/ </li></ul><ul><li>[email_address] </li></ul>Immediate Dentures:
  2. 6. Immediate Complete Denture <ul><li>Conventional immediate denture -the denture is intended to be relined to serve as the long-term prosthesis. </li></ul><ul><li>Interim (or transitional) immediate denture (IID): -after healing is completed, a second, new complete denture is to be fabricated as the long-term prosthesis. (Zarb, George A. Zarb. Prosthodontic Treatment for Edentulous Patients, 12th Edition . Elsevier, 2003. 9.1). </li></ul>
  3. 7. Immediate RPD <ul><li>Normally made of acrylic with “ball clasps” </li></ul><ul><li>No posterior teeth –only acrylic “bite pads” </li></ul><ul><li>Transitional </li></ul><ul><li>Replaced after healing with cast RPD </li></ul>
  4. 8. Advantages <ul><li>Maintenance of a patient's appearance </li></ul><ul><li>Circumoral support, muscle tone, vertical dimension of occlusion, jaw relationship, and face height can be maintained. The tongue will not spread out as a result of tooth loss </li></ul><ul><li>Less postoperative pain is likely to be encountered because the extraction sites are protected </li></ul><ul><li>Easier to duplicate (if desired) the natural tooth shape and position </li></ul><ul><li>Adaptation easier. Speech and mastication are rarely compromised, and nutrition can be maintained </li></ul><ul><li>(Zarb, George A. Zarb. Prosthodontic Treatment for Edentulous Patients, 12th Edition . Elsevier, 2003. 9.2.1). </li></ul>
  5. 9. Disadvantages <ul><ul><ul><li>Immediate dentures are a more challenging </li></ul></ul></ul><ul><ul><ul><li>The anterior ridge undercut that is caused by the presence of the remaining teeth may interfere with the impression procedures </li></ul></ul></ul><ul><ul><ul><li>The presence of different numbers of remaining teeth in various locations frequently leads to recording incorrectly the centric relation position </li></ul></ul></ul><ul><ul><ul><li>No denture tooth try-in in precludes knowing what the denture will actually look like on the day of insertion </li></ul></ul></ul><ul><ul><ul><li>more chair time, additional appointments, and therefore increased costs </li></ul></ul></ul><ul><li>(Zarb, George A. Zarb. Prosthodontic Treatment for Edentulous Patients, 12th Edition . Elsevier, 2003. 9.2.2). </li></ul>
  6. 10. Explanation to the Patient Concerning Immediate Dentures <ul><li>Do not fit as well as normal complete dentures. </li></ul><ul><li>The pain of the extractions, in addition to the sore spots caused by the immediate denture, will make the first week or two after insertion difficult. </li></ul><ul><li>It will be difficult to eat and speak initially </li></ul><ul><li>The esthetics may be unpredictable because an anterior try-in is not possible </li></ul><ul><li>(Zarb, George A. Zarb. Prosthodontic Treatment for Edentulous Patients, 12th Edition . Elsevier, 2003. 9.4.3.1). </li></ul>
  7. 11. Explanation to the Patient Concerning Immediate Dentures <ul><li>Immediate dentures must be worn for the first 24 hours without being removed by the patient. If they are removed, they may not be able to be reinserted for 3 to 4 days. The dentist will remove them at the 24-hour visit </li></ul><ul><li>Immediate dentures will “loosen” during healing, tissue conditioners will be required </li></ul><ul><li>6 to 9 months after insertion at least a reline will need to be done, possibly a remake . The patient is responsible for fees. </li></ul>
  8. 12. Technique <ul><li>Examination/Diagnosis/Treatment Plan </li></ul><ul><li>Informed consent </li></ul><ul><li>Oral hygiene procedures </li></ul><ul><li>Extract (usually all) posterior teeth </li></ul><ul><li>Wait 4 weeks for healing </li></ul>
  9. 13. Technique <ul><li>Preliminary impressions </li></ul><ul><li>Final impressions </li></ul><ul><li>Jaw relation records </li></ul><ul><li>Tooth set up and try in </li></ul><ul><li>Extraction and insertion </li></ul><ul><li>Post insertion care </li></ul>
  10. 14. Examination/Diagnosis/Treatment Plan <ul><li>Assess tissue undercuts (especially in the anterior maxilla -reduce during extractions -use 2 piece tray for impression </li></ul><ul><li>Is VDO correct? </li></ul><ul><li>Imitate or change tooth arrangement for esthetics or denture stability -midlines, occlusal plane, vertical overlap, length of maxillary incisors </li></ul><ul><li>Conventional or transitional </li></ul>
  11. 15. Technique <ul><li>Examination/Diagnosis/Treatment Plan </li></ul><ul><li>Informed consent </li></ul><ul><li>Oral hygiene procedures </li></ul><ul><li>Extract (usually all) posterior teeth </li></ul><ul><li>Wait 4 weeks for healing </li></ul>
  12. 16. Preliminary impressions <ul><li>Use dentate or partially edentulous stock trays </li></ul>
  13. 17. Final Impressions <ul><li>Normally need to use 2 piece custom tray </li></ul><ul><li>If no large tissue undercuts may be able to us 1 piece custom tray </li></ul>
  14. 18. 2 piece tray
  15. 22. 1 piece tray
  16. 23. Jaw relation records
  17. 26. Tooth set up and try in
  18. 27. Extraction and insertion <ul><li>Have lab complete set up and modify cast as directed. </li></ul><ul><li>-use perio probing to guide cast modification </li></ul>
  19. 30. Extraction and insertion <ul><li>Request a surgical stent (guide) </li></ul>
  20. 31. Extraction and insertion <ul><li>Extract teeth </li></ul><ul><li>Use surgical guide to contour ridge </li></ul><ul><li>Seat the denture </li></ul><ul><li>-try not to use of PIP </li></ul><ul><li>-check for over extensions </li></ul><ul><li>THE DENTURE MUST BE FULLY SEATED </li></ul><ul><li>Adjust occlusion </li></ul><ul><li>Give post insertion instructions </li></ul>
  21. 33. Timeline for insertion appointment <ul><li>0-15 (min) -review med history and LA </li></ul><ul><li>15-60 -extractions </li></ul><ul><li>60-75 -move patient to pros cluster </li></ul><ul><li>75-120 -insert and adjust -instructions </li></ul>
  22. 34. Instructions to patient <ul><li>Do not remove until tomorrow's appointment </li></ul><ul><li>If it comes loose/out put it back in place immediately </li></ul><ul><li>Sot/liquid diet for 24 hours </li></ul><ul><li>Avoid rinsing </li></ul><ul><li>Take analgesic </li></ul><ul><li>Expect red saliva </li></ul>
  23. 35. 24 hour appointment <ul><li>Remove and clean denture </li></ul><ul><li>Relieve sore spots </li></ul><ul><li>Do not use PIP </li></ul>
  24. 37. 1 week <ul><li>Relieve sore spots </li></ul><ul><li>Use PIP </li></ul><ul><li>Refine occlusion </li></ul>
  25. 39. Follow up <ul><li>Use tissue conditioner to refit as needed </li></ul><ul><li>Remove any socket convexities to avoid healing defects </li></ul><ul><li>Reline or remake in 6 to 9 months </li></ul>
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