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CONTENT
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• Introduction
• Indications
• Contraindications
• Pros and Cons
• Types of Immediate Denture
• Technique
• Post Operative Instructions
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INTRODUCTION
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• An immediate denture is a complete denture or partial denture
inserted on the same day, immediately following the removal of
natural teeth.
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INDICATIONS
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• Any patient whose remaining teeth are indicated for extraction is a
potential candidate for an immediate denture.
• However such a candidate must be physically and mentally be
prepared to undergo the increased number of visits to the dentist as
well as greater cost.
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CONTRAINDICATIONS
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• Any patient unable to undergo multiple extractions. Example: blood
dyscrasias and cardiac disease.
• In acute or periodontal infection.
• Patients incapable of showing responsibility towards the treatment
e.g. senile, mentally retarded and indifferent patients.
• Extensive bone loss adjacent to remaining teeth.
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PROS AND CONS
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Advantages:-
• Maintenance of a patient's appearance
• 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.
• Less postoperative pain is likely to be encountered because the
extraction sites are protected.
• Adaptation easier. Speech and mastication are rarely compromised,
and nutrition can be maintained.
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PROS AND CONS
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Disadvantages:-
• Immediate dentures are a more challenging.
• The anterior ridge undercut that is caused by the presence of the
remaining teeth may interfere with the impression procedures.
• No denture tooth try-in in precludes knowing what the denture will
actually look like on the day of insertion.
• More chair time, additional appointments, and therefore increased
costs.
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TYPES OF IMMEDIATE DENTURE
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There are two types of Immediate Denture:-
1. Conventional Immediate Denture
2. Interim Immediate Denture
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TYPES OF IMMEDIATE DENTURE
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1. Conventional Immediate Denture:-
• A complete or removable partial denture fabricated for placement
immediately after removal of natural teeth.
• The posterior teeth would be extracted and allowed to heal before the
anterior teeth extraction.
• Denture is intended to be relined to serve as a long term prosthesis.
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TYPES OF IMMEDIATE DENTURE
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2. Interim Immediate Denture:-
• All remaining teeth are extracted on the same day and the immediate
denture is inserted on the same day.
• After healing a second new complete denture is to be fabricated as
long term prosthesis.
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TECHNIQUE
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1. Preliminary impressions.
2. Final impressions.
3. Jaw relation records.
4. Tooth set up and Trial.
5. Extraction and insertion.
6. Post insertion care.
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POST OPERATIVE INSTRUCTIONS
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1. Dentures should not be removed for 24 hours after insertion.
2. Ice packs may be used to reduce swelling.
3. A liquid or soft diet is prescribed.
4. Smoking should be avoided.
