This document discusses immediate complete dentures. It begins by defining immediate dentures and classifying them as either conventional (placed after all teeth are extracted) or interim (placed immediately but replaced later). It describes the ideal requirements, indications, contraindications, advantages, and disadvantages of immediate dentures. The document provides details on the diagnosis and treatment planning process, including patient examination and molding. It explains the clinical technique of making impressions and setting up the jaw relations records. The document concludes with sections on explaining the treatment to patients and providing post-operative instructions.

1. IMMEDIATE
COMPLETE
DENTURES
Dr.Namitha.A.P
I MDS

2. Contents INTRODUCTION
CLASSIFICATION
IDEAL REQUIREMENTS
INDICATIONS
CONTRAINDICATIONS
ADVANTAGES
DISADVANTAGES
DIAGNOSIS AND
TREATMENT PLANNING
CLINICAL
TECHNIQUE/PROTOCOL
EXPLANATION TO THE
PATIENT
SURGERY AND INSERTION
POST OPERATIVE
INSTRUCTIONS
RELATED ARTICLES
REFERENCES

3. Introduction
CONVENTIONAL
COMPLETE
DENTURE
• All remaining
teeth extracted
• Wait 5-8
weeks for
extraction
sites to heal
INTER RIM
DENTURE
• Convert
existing
removable
partial denture
CONVENTIONAL
IMMEDIATE
DENTURE
Patient facing the
loss of all
remaining natural
teeth
!

4. • Immediate denture- a
complete denture or
removable partial denture
fabricated for placement
immediately after
removal of natural teeth.
GPT
Definitions
• “An immediate denture is
a dental prosthesis
constructed to replace
the lost teeth and
associated structure of
the maxilla and/or
mandible and inserted
immediately following
removal of the remaining
teeth.”- Heartwell

5. CLASSIFICATION
Conventional
(classic) immediate
denture(CID)
• After the immediate
denture is placed and
after healing is
completed, the denture is
refitted or relined to
Interim (Transitional/Non-
traditional) Immediate
Denture (IID)
• After this immediate
denture is made and after
healing iscompleted, a
second, new complete
denture is fabricated as
long term prosthesis

6. Compatibili
ty with
surroundin
g oral
environmen
t.
Restoration
of
masticatory
efficiency
within
limits.
Harmony
with the
functions
Esthetic
acceptabilit
y.
Preservatio
n of
remaining
tissues.
Requirements –C M Heartwell & F W
Salisbury JPD 1965

7. Advantages
1. Maintenance of patient’s appearance because there is
no edentulous period.
2. Minimal change in muscle tone.
3. Reduced bleeding and post-extraction pain.
4. Easy to duplicate the natural tooth shape position arch
form and width.
5. Patient adapts more easily to denture while recovery
from surgery is progressing.
6. Uninterrupted digestive function.
7. Overall, the patient’s psychological and social well-
being is preserved.

8. Disadvantages
1. Anterior ridge undercut
2. Difficulty in recording centric relation
3. No anterior try-in
4. Remade in 6 months to a year following insertion
5. Additional appointments
6. Increased cost
7. Does not replace stimulation which was supplied by
tooth to bone

9. • Better initial retention
and stability
• Less over all cost
• two surgical visits
• Easier 2nd surgical
session
• Results in 1 denture
• Esthetics cannot be
changed
• Period of posterior
partial edentulism-
impair mastication
• retention and stability less at insertion
 Less over all time
 One surgical visit
 more involved & lengthier
• Results in 2 dentures
• Second denture allows alteration in
esthetics
• Can use all their teeth/wear their
existing rpd up until the day of
extraction
• Better for less experienced
practitioners and complex treatment
CIM(conventiona
l immediate
denture)
IIM(inter rim
immediate
denture)

10. Contraindications
Uncooperative patients
• Can not appreciate
the scope,demands
and limitations of
immediate denture
treatment
Poor surgical risks/poor
general health
• Systemic conditions
that affects
healing/blood clotting
• Cardiac/endocrine
disturbances
• Psychological
disorders
• Irradiation of head
and neck

11. Indications
Conventional Immediate
denture(CIM)
Intermediate Immediate
Denture(IIM)
• Short term prosthesis
• Multiple anterior & posterior
teeth remaining, full arch
extraction, these teeth support a
RPD that the pt desires to retain
until insertion
• Pt cannot go without posterior
teeth/ existing RPD
• When pt becomes edentulous in
one arch & partially edentulous
in opp arch for first time/
complex procedures are needed
• long term prosthesis
• Only anterior teeth
are present/few
posterior teeth
which does not
support existing
RPD
• Pt can function
without posterior
teeth for approx 3
months
• Not in pt with
complex treatment

12. Diagnosis and treatment planning
Diagnostic procedures
Patient
examination
Local & Systemic factors,
roentgenographic study,
accurately articulated study
cast, visual & digital examination
Consultation
interview
Patients’ mental attitude &
their expectations, wants;
past dental history; systemic
conditions

13. Determining Patients’ mental attitude
• Philosophical
• Exacting
• Indifferent
• Hysterical

14. Systemic status
• Poorly controlled diabetes
• Cardiovascular and cerebrovascular diseases
• Mucosal disorders
• Vitamin A & B deficiency
• Past h/o syphilis
• Dermatologic diseases
• Collagen disorders
• Osteoporosis
• Fibrous dysplasia
• Diseases of nervous system
• Recent irradiation therapy

15. Past dental history
• Hemorrhagic tendencies
• excessive swelling
• excessive post operative pain
• allergic reaction to L.A when teeth were extracted

16. EXPLANATION TO THE PATIENT
1. They may not fit as well as conventional complete dentures.
2. They will cause discomfort during insertion for the first 1-2 weeks.
3. It will be difficult to eat & speak initially.
4. unpredictable esthetics.
5. Other denture factors are unpredictable such as gagging tendency,
increased salivation and facial contour.
6. It may be difficult/impossible to insert the immediate denture on the
first day.
7. Immediate denture must be worn for the first 24 hours without
removal by the patient.
8. Because supporting tissue changes are unpredictable, immediate
denture may loosen up within the first 1 to 2 years. The patient is
responsible for all the fees involved for relining/refitting the denture.

17. Informed consent

18. Patient examination
ORAL EXAMINATION
• Periodontal probing
• Full charting of all the teeth
• Need for frenum release/ tori reduction; bony or tissue
undercut reduction/ elimination if necessary
• When possible, teeth should be selected for retention
for overdenture abutments.
• Careful evaluation and palpation of the denture
supporting tissues and the posterior palatal seal area.
• Patients existing midline

19. • Existing maximum occlusal position coincides with
planned centric relation position
• Lip support
• Position of high lip line,
• Low lip line
• Amount of tooth exposure in function
• Existing vertical dimension at occlusion and inter
occlusal distance

20. Oral prophylaxis
• General scaling-To minimize calculus deposits
• reduce postoperative trauma & chance of infection

21. Tooth modification
• Modification of opposing teeth to correct occlusal
plane/ prematurities in centric relation
• Factors that necessitate tooth extraction are often
associated with tooth discrepancies-can affect correct
registration of centric relation.

22. Diagnostic mounting of pre-extraction
casts
• Analysis of the occlusion & plane of occlusion
• Tooth mold
• Deciding whether to preserve diastema, rotation,
overlapping of teeth
• Present amount of horizontal and vertical overlap
• Angle’s classification of occlusion

23. Photographs
• Shade selection, tint of denture base
Intra oral
view of teeth
in maximum
occlusion
Display of
posterior
teeth in
buccal
corridor
Photographs
with lip
closed and
smiling
Full size
face and
profile
photographs

24. • Shade
• Mold
• Tooth
Position
• Lip Support
• Smile Line
• Examination of
existing prosthesis
• Referrals
• Surgery
• Endodontics
• Periodontics

25. FIRST EXTRACTION OR SURGICAL VISIT
• Extraction of posterior teeth, premolars may be retained to
preserve the VDO
• Hard and soft tissue operation if required for tori
reduction, tuberosity reduction, & frenectomy
• Healing period of 3-4 weeks before preliminary impression
• If any posterior teeth are proposed as overdenture
abutment, endodontic treatment is done and the teeth has
to be reduced before the impression appointment.

27. PRELIMINARY IMPRESSIONS AND DIAGNOSTIC
CASTS
• The objective of the preliminary impression is to record
the basal seat of the denture and adjacent anatomic
landmarks.
• Select slightly oversized perforated tray which can be
contoured more accurately with utility/ carding
wax(distobuccal flanges and across pps)
 Tray may be metal or plastic
 Alginate can be used as an impression material

29. MANAGEMENT OF LOOSE TEETH
• Loose teeth can be blocked-out by adding
periphery wax at the cervical areas
• By generously applying a lubricating medium to
the teeth
• By placing of copper bands over the loose teeth
(Soni , 1999)
• By placing a vacuum formed plastic over the teeth
(Vellis, Wright, Evans et al 2001)
• By placing holes in the tray and using an
amalgam condenser to release the tray over
loose teeth (Goldstein ,1992)

30. placing of copper bands over the
loose teeth

31. Irreversible hydrocolloid on a modified
plastic stock tray that leaves exposed the
labial or buccal surfaces of the mobile
teeth

32. PVS recording material is used to capture
the labial surfaces of the teeth at risk.

33. Custom trays, Final impressions &
casts
two basic ways-depending on the location of remaining
teeth and operator’s preference
Type A
• single full arch custom tray
• closely resembles a routine custom impression tray for
removable partial dentures &/ C.D
• effective when only anterior teeth are remaining (CID) or
both anterior and posterior teeth are remaining (IID).
Type B
• B-two-tray or sectional custom impression
• used only when the posterior teeth have been removed
(CID)

34. THE PROCESS
FOR TRAY
FABRICATION
The areas of the casts with remaining teeth are blocked
out with two sheets of wax.
Undercuts in the edentulous areas are also blocked out
TYPE A :- SINGLE ARCH CUSTOM IMPRESSION
TRAY

35. A Stop effect is established by providing holes through the
wax anteriorly and/or Posteriorly on one / two teeth and
posteriorly in the tuberosity or posterior palatal seal areas

36. Tray is outlined to be
2 to 3 mm short of the
vestibular roll
extend & include the
posterior limit i.e.,
posterior palatal seal
and hamular notch.
Auto polymerizing
acrylic resin or light
cured resin is adapted
over the cast, into the
stops, and to the
planned outline.
handle is added to the
anterior palate or to
mid palate
Tray is allowed to
polymerize
Tray is polished, tried
in and relieved
border molding
final impression is
made with any
preferred elastomeric
material

38. TYPE B : TWO TRAY OR SECTIONAL CUSTOM
IMPRESSION TRAY
 This method is used only when the posterior teeth have been
removed (CID)
 It involves fabricating two trays on the same cast – one in the
posterior, and one in the anterior

39. The process for tray fabrication
• Outline the borders of the tray(s)
again to be 2 to 3 mm short of the
vestibule but covering the posterior
limit and / or the retromolar pads.
• Block out tissue undercuts,
interdental spaces & undercuts
around the teeth
• Adapt auto-polymerizing acrylic
resin or light-cured resin to the
posterior edentulous areas.

40. Posterior tray Anterior tray
• there are varying techniques;
one is to adapt a custom tray,
and another is to use a stock
tray.
• The anterior section must cover
the labial surfaces of the teeth
and the vestibule.
• should cover the lingual
surfaces of the teeth (only)
and extend up beyond the
incisal edges of teeth to
include the handle.

42. posterior sectional tray is tried-in,
relieved, border molded, and
adhesive applied, then the posterior
impression is made in ZOE or
elastomeric impression material
posterior impression is removed
and inspected
Excess material is removed, and it
is replaced in the mouth The
anterior section of the impression is
made

43. careful proper re-
assembly of two
separate components
of the impression.
Care must be taken not
to distort this
assembly during
removal from the
mouth and during
pouring of the
impression.
The final casts are
trimmed.

44. Sectional impression technique
Gardner LK, Parr GR, Rahn AO. Modification of immediate denture sectional
impression technique using vinyl polysiloxane. J Prosthet Dent 1990;64: 182-4.
12/22/2016

45. JAW RELATION RECORDS
• If there are enough anterior and posterior teeth
remaining(IID), there may not be a need for record
base and occlusal rim.
• If not (in some IID and CID), record bases and occlusal
rims are made on the master casts.

46. The record base and occlusal rims are tried in for patient
comfort
Wax rims are fabricated to proper height and width
Fabrication of denture base
Undercut areas around teeth are blocked out with wax

47. The casts are mounted on the articulator
A face bow transfer and record of centric relation are
made
The occlusion rims are trimmed to desired vertical
dimensions of occlusion
An evaluation of patient’s existing vertical dimension is
accomplished

48. Tooth selection, arrangement of posterior
teeth and posterior try in
• Existing dentition is used to select the shade and
mould
• Arrangement of posterior teeth in centric occlusion
• The trial denture bases are tried in the mouth and used
to verify vertical dimension of occlusion and centric
relation record as with complete dentures

49. • Midline or newly selected midline is recorded on the
land area of the master cast, middle of the face should
be considered for reference.
• The anterior plane of occlusion (using the inter-
pupillary line as a guide) is determined and marked on
the base of the cast. In case posterior teeth are present
and are extruded, intraoral landmarks corresponding to
ala-tragus line is marked.

50. Discuss placement of
diastema, rotated teeth,
notches and other
contouring with patient
High lip line
existing anterior vertical and
horizontal overlap
Pocket depths, free gingival
margins, a line marking the
interproximal of each tooth
and drawing of where the
new tooth position should
be marked on the cast.
Tooth selection is confirmed
with the patient

52. The following teeth arrangement technique is
suggested by BOUCHER
• Mark the every other anterior tooth with an “X” (over denture
abutments-marked o)and remove with a saw or cutting disk from
the cast, leaving at least one canine, central incisor and lateral
incisor

53. Trim the extraction site on the
cast with a carbide bur, as if the
tooth had been removed and a
small clot had formed in the
site. The resulting area should
be concave and not convex.
Only facial portion of extraction
site can be further trimmed
conservatively to pocket depth
line. The lingual/ palatal tissues
will not collapse to pocket
depth after extraction.

54. • Over denture abutments are trimmed to a dome shape
and 3 mm above free marginal gingiva.
• If anterior alveolectomy is needed cast should be
trimmed according to esthetic requirements and based
on radiographical and surgical input.
• Set tooth in maxilla first then mandible
• An extra step involving recalling the patient for a look
at final wax up.

56. CAST TRIMMING
LABIAL ASPECT OF TOOTH DIVIDED TO 3
EQUAL BANDS OF SPACE BETWEEN
GINGIVAL LINE AND DEPTH OF VESTIBULAR
SPACE
GINGIVAL MIDDLE VESTIBULAR
Trimming Procedure For Anterior Teeth
J.Prosthet.Dent 16(6): 1048 – 1051, 1966
According to Frank.C JERBI, It is a modification of Kelly’s“Rule of Thirds”
technique

57. Step 1.
cut away those parts of the
crowns of the teeth that are
visible i.e., at free
marginal gingiva
Step 2.
trim the cast so that the
sites of previously removed
crowns are recessed
approximately 1mm.

58. Step.3
make a flat cut across
the facial surface of the
ridge, that extends from
the labial depth of length
of the crown to the
junction of the gingival
and middle third of facial
surface of the ridge
Step 4
another flat cut across
facial portion of the ridge.
This cut begins at crest
of ridge and extends to
the mid width point of cut
made in step three.

59. Step 5.
to trim that part
of the cast which
is lingual to the
teeth.
Step 6.
shape and
smooth the
surface of the
cast that have
been trimmed in
the previous
steps.

60. Cast modification
for immediate
complete dentures:
Traditional and
contemporary
considerations
with an
introduction of
spatial modeling
Rodney D. Phoenix
and Jeffrey D.
Fleigel J Prosthet
Dent 2008;100:399-
405

61. A
• Cross-sectional view of cast in posterior
region
B
• B,Coronal segment is removed using saw or
laboratory engine.
C
• Subsequent cut joins lingual gingival margin
to intermediate line on facial surface of cast.
Intermediate line is parallel and 2 mm apical
to facial gingival margin.

62. D
• Stone contours are gently rounded at facial and
lingual surfaces. On facial surface, rounding
extends to soft tissue height of contour
E.
• Resultant reduction is shown. Dotted line
indicates premodification contours
F
• Cross-sectional view of tooth placement and
denture base contours proposed by Standard.

63. Cast
modification
technique
proposed by
Jerbi

64. A.Cross-
sectional
view of cast
in posterior
region
B.Coronal
segment is
removed
using saw or
laboratory
engine.
C.One-mm-
deep recess
is created in
area
occupied by
root
, Vertical cut
extending
from facial
extent of
prepared
socket to line
denoting
junction of
cervical and
middle thirds
of facial
surface

65. Cut extending
from
faciolingual
center of socket
to midway point
of cut
Floor of
prepared socket
is extended
lingually
Stone contours
are gently
rounded at
facial and
lingual surfaces
Resultant
reduction is
shown. Dotted
line indicates
premodification
contours
Cross-sectional
view of tooth
placement and
denture base
contours
proposed by
Jerbi.

66. Cast modification based upon spatial
modeling.
A, Bone levels superimposed upon cross-section of a
representative posterior segment. B, Coronal segment is
removed using saw or laboratory engine. C, Two lines are
placed on surface of cast. One line arcs from mesiofacial
line angle to distofacial line angle, and is located 2 mm
lingual to midfacial surface. Second line is parallel to and
4 mm from gingival margin. D, Sharp blade or laboratory

67. E, Two lines also guide lingual reduction. One line arcs
from mesiolingual line angle to distolingual line angle, and
is located 2 mm facial to midlingual surface. Second line is
parallel to and 2 mm from gingival margin. F, Sharp blade
is used to connect lines drawn . G, Sharp angles and lines
are eliminated, thereby creating gently rounded
faciolingual contour. H, Foregoing cast modifications
permit natural collapse of soft tissues into extraction site to
minimize likelihood of binding or tissue compression during
placement of prosthesis.

68. I,Resultant reduction shown. Broken line indicates
premodification contours. J, Cross-sectional view of tooth
placement and denture base contours as determined by
spatial modeling. K, Mesiodistal cross-section of cast with
osseous contours superimposed. Papillae are shortened
and rounded to simulate collapse that occurs following
extraction of adjacent teeth. Broken line indicates
premodification contours. L, Papillae may collapse due to
their relationships with underlying interradicular bone.
Papillae also may “roll”

69. Fabricating artificial teeth from acrylic
resin

71. Wax contouring, flasking and boilout
• Done similar to that of complete denture

72. Surgical template
• Surgical template is a thin, transparent form duplicating the tissue
surface of an immediate denture and is used as a guide for
surgically shaping the alveolar process. {Farmer, 1983}
• According to Boucher surgical template should be:
• Transparent
• Two millimeters thick to provide rigidity and uniform
transparency
• Able to be securely seated in the mouth.

73. •Template is fabricated by following procedure:
•An irreversible hydrocolloid impression of the
edentulous ridge is made after the cast has been
trimmed
•The impression is poured in stone
• A clear resin template on this duplicate cast is made by
any of these four methods –
• Vacuum form method
• Sprinkle-on technique
• Heat processing

74. PROCESSING AND FINISHING
• The immediate dentures are processed and finished in the usual
manner as complete dentures.
• Bumps inside immediate denture due to over trimming of cast is
reduced for a convex healing ridge.
• Both the immediate denture and the surgical template should be
placed in chemical sterilizing solution in a bag for delivery.

75. SURGERY AND INSERTION
• extraction of the remaining teeth, labial plate of bone
is preserved
• The surgical template is used as a guide to ensure
that the prescribed bone trimming is done
adequately.
• The template should fit and be in contact with all
tissue surfaces.

76. • Inadequately trimmed areas planned for bone
reduction will blanch from pressure which is seen
through clear acrylic.
• Bone & soft tissues are trimmed until the template
seats uniformly and completely.
• Sutures are placed wherever necessary.
• If the over denture, abutment must be reduced after
the extractions, the extraction sockets can be protected
during preparation by covering them with burlew foil.

77. • Pressure areas inside the denture (indicated by
rocking) can be located with pressure
indicating paste and trimmed.
• When occlusal prematurities are verified, a
quick occlusal correction is done to allow
simultaneous bilateral contacts.
• Frena checked for proper relief.
• In case of inadequate retention-tissue
conditioning liner can be used

78. • the material should not be allowed to get into
the extraction sites. Berlew foil can be used to
cover the extraction sites for this procedure.
• Trim bumps/ projections of tissue conditioning
material with a hot instrument.

79. POST-OPERATIVE CARE AND PATIENT
INSTRUCTIONS
First 24 hrs
• Not to remove the denture from mouth during first 24
hours.
• avoid rinsing, avoid drinking hot liquids or alcohol
• Partial control of inflammation-ice packs
• Analgesic medication
• Liquid or soft diet

80. 24 hour after insertion
• The tissue is examined for sore spots related to the
denture and relived.
• These will appear as strawberry red spots
• Usually these area includes canine eminence, lateral to
tuberosities and retromylohyoid undercuts.
• Adjust gross occlusal discrepancy in centric relation/
excursions.
• The denture is re-evaluated for retention, a tissue
conditioner is placed if retention is unsatisfactory.

81. After 48 hours
• Repeat everything done at 1st appointment
• clean denture several times a day, Rinse with
warm saline
• Wear denture at night for 3-7 days
• Patient can have baby food, chopped meat,
fish & cooked vegetables

82. 1 week following insertion
• Sutures are removed
• Patient can begin removing denture at night
• Occlusion is checked again for prematurities
• Tissue surface of denture evaluated with pressure
indicating paste
• Tissue conditioner should be replaced & at every
succeeding week until replaced with a resilient liner.

83. • Subjective complaints
are addressed
• Clinical remounting can
be performed and the
occlusion is refined on
articulator
After 3-4 weeks
Number of
post insertion
appointments
health
Tissue
sensitivity
Psychological
state
age

84. After 4-5 weeks
• Placement of resilient self-curing liner
• Resilient liners repeated several times at 4-6 week intervals until
sockets are completely filled with bone (6 months).
• Patients with IID can have their 2nd denture started within in 3-6
months.
• Relined/ remade

85. Over denture tooth attachments, implants,
implant attachments
• Done after healing and before definitive prosthesis so that
attachment components can be processed into 2nd denture/ reline
• If pt’s treatment plan includes implants, implants can be placed
and allowed to heal under immediate denture.
• Avoid wearing of prosthesis for 1-2 weeks after implant surgery.
• Immediate denture can be reinserted after reliving & tissue
conditioning procedures.
• After implant uncovering, the immediate denture is relined to
accommodate healing abutments & serve as the prosthesis until
replacement by final prosthesis.

86. Related
articles 1
Immediate
denture
fabrication:
a clinical
report
67 YEAR OLD FEMALE PATIENT

87. Generalized
severe chronic
periodontitis of
the teeth
supporting
fixed prosthesis,
that were
considered
hopeless.

90. RELATED
ARTICLES 2
RESTORING
SMILES WITH
CONVENTION
AL
IMMEDIATE
DENTURE: A
CASE
REPORT
Ishan Kadam.,
Premraj

93. RELATED
ARTICLES 3
Immediate Denture
Service Designed to
Preserve the Oral
Structures – A Case
Report
Dr. Rubina, Dr.
Manjit Kumar, Dr.
Rashim Garg, Dr.
Rishi Saini, Dr.
Shaveta Kaushal
Past dental history revealed a 2 years period of
completely edentulous mandibular arch and partially
edentulous maxillary arch.
Intraoral examination revealed that teeth present
were 11, 12, 13, 21, 22, 23, 24.

96. RELATED
ARTICLES 4
Rehabilitation
of Failing
Dentition with
Interim
Immediate
Denture
Prosthesis
Amit Sharma,
Divia Chugh,
Bhavika
Sachdeva,
Manish Sen

98. RELATED
ARTICLES 5
Immediate
denture- an
important
treatment
modality -
Kalpana
Hasti, Anurag
Hasti, Rahul
Sharma,
A 55 year old male patient was referred to
the department of Prosthodontics for oral
rehabilitation. On intra-oral examination
teeth present were
12,14,15,21,22,23,31,32,33,34,36,3
7,38,42,44,46,47
A 29 years old female patient was referred
to department of Prosthodontics for
replacement of missing teeth. On
examination, the teeth present were
13.14,15,16,23,25,26,34,35,36,37,45,47,48.

99. MAXILLARY ARCH
POST EXTRACTION
CASE 2
MANDIBULAR ARCH
POST EXTRACTION
CASE 2
PRE OPERATIVE CASE
1
PRE OPERATIVE CASE
2
PRE OPERATIVE
PROCESSED
DENTURE
SECONDARY
IMPRESSION

100. MASTER CASTS
POST EXTRACTION
MANDIBULAR ARCH
CASE 1
POST EXTRACTION
MAXILLARY ARCH CASE 1
PRE OPERATIVE
MANDIBULAR CASE 1
AFTER INSERTION POST OPERATIVE

101. RELATED
ARTICLES 6
THE
INFLUENCE
OF
IMMEDIATE
DENTURES
ON TISSUE
HEALING AND
ALVEOLAR
RIDGE FORM
Ellsworth K.
• The immediate denture acts as
a splint for the tissues and
promotes healing. The bone
resorbs less rapidly and tissue
softness is preserved when
stimulation is supplied by a
denture base
• a clinical investigation to
determine if immediate
dentures did exert a beneficial
influence on the resulting
alveolar ridge.

104. RELATED
ARTICLES 7
IMMEDIATE
DENTURES:
A CLINICAL
REVIEW
AND CASE
REPORT
Aathira
Kuruvilla,
Pinky
A 52yr old female patient
completely edentulous mandible
arch and a Class I Kennedy
maxillary edentation, with
remaining incisors and a left first
molar, which were periodontally
compromised (fig. 1).
She wanted immediate
rehabilitation and was particular
that she could not remain
edentulous for an extended
period of time.

106. RELATED
ARTICLES 8
• A line was drawn around the
remaining anterior teeth to
indicate the opening in the tray.
This opening was 3 to 4mm
from the gingival margins of
the remaining teeth so that the
remaining anterior teeth were
not covered by the custom
impression tray. So, basically
for final impression of maxillary
arch with remaining anteriors,
a custom tray with a labial
flange (Figure 3) was
fabricated.
Immediate
Complete
Denture with
Campagna
Impression
Technique
Jain Shailesha,
Kapila
Rishabhb

108. CONCLUSION
• Immediate denture is an important treatment modality as they
provide instant aesthetics & function to the patient after extraction of
all natural teeth. It provides psychological support to the patient at
the time of debilitating loss. Its time consuming and expensive and
patient should also understand the limitation of this service.
• Newer advancements like CAD CAM dentures and implant
supported dentures may replace conventional immediate dentures in
the near future

109. REFERENCES
1. BOUCHER,S –prosthodontic treatment for edentulous patients 9th
edition & 11th edition .
2. CHARLES HEARTWELL & ARTHUR O RAHN –Sylabuss of
complete dentures 4th edition.
3. DENTAL CLINICS OF NORTH AMERICA- Complete dentures,
april 1977, 21;2
4. JOHN J SHARRY- Complete denture prosthodontics 2nd edition.
5. JOHN N ADERSON ,ROY STORER – Immediate dentures &
replacement dentures 3rd edition

110. 6. SHELDON WINKLER- Essentials of complete
dentures 2nd edition
7. RUDD & MURROW – Dental lab procedures ,
complete dentures vol 1
8. ZARB, BOLENDER – Prosthodontic treatment for
edentulous patients 12th edition.
9. FRB FENN- Clinical Dental Prosthesis
10. John J Sharry- Complete Denture Prosthodontics

111. • Journal of prosthetic dentistry 1961 vol 11 –
THE TRASITION FROM NATURAL TO ARTIFICIAL TEETH -MM
Devan
• Journal of prosthetic dentistry 1963 vol 13 no 1
SURGICAL PREPARATION OF MOUTH FOR IMMEDIATE
DENTURES - William B Lineberg
• Journal of prosthetic dentistry 1964 vol 14 no 2 –
A TRANSITIONAL DENTURE - S. Howard payne
• Journal of prosthetic dentistry 1965 vol 15 no 4 -
IMMEDIATE COMPLETE DENTURE; AN EVALUATION –
CM Heartwell
• Journal of prosthetic dentistry 1972 vol 27 no 3-
MINIMIZING PROBLEMS IN PLACEMENT OF IMMEDIATE
DENTURES - Walter J Demer

112. • Campagna Sebestian. An impression technique for
immediate dentures. JPD 1968;20:196-203
• Aathira kuruvila. Immediate Dentures: A Clinical
Review And Case ReportJ Odontol Res 2015;3(1)44-48.
• Sharma Rahul. (2016). Immediate denture- An
important treatment modality. kerala dental journal.
39. 27-29.
• Ishan Kadam.2018, Restoring Smiles With
Conventional Immediate Denture: A Case Report. Int J
Recent Sci Res. 9(6), pp. 27503-27508.
• Sergio Caputi. Immediate denture fabrication: a clinical
report.Annali di Stomatologia 2013; IV (3-4): 273-277
• Sharma A, Chugh D, Sachdeva B, Kinra MS.
Rehabilitation of failing dentition with interim
immediate denture prosthesis. Indian J Dent Sci
2016;8:168-71.

113. Thank
you!