Immediate Dentures

Question 1

What is inflammatory papillary hyperplasia?

Answer 1

• A reactive tissue growth usually developing under a denture
• Occurs on hard palate beneath denture base
• asymptomatic red or pink nodules

Question 2

What are immediate dentures?

Answer 2

dentures that are placed immediately after surgery

Question 3

What are the two popular protocols for immediate dentures?

Answer 3

conventional
interium/transitional

Question 4

What are conventional immediate dentures?

Answer 4

• extract all posterior teeth first, leaving the anteriors
• reline the immediate denture after
  healing and ridge stable (6 months)
• ONE set of dentures

Question 5

What are interim/transitional immediate dentures?

Answer 5

• pull all teeth at one time
• aim is to use for short period, then it is replaced by the definitive prosthesis when healing is complete
• TWO sets of dentures
• wear for 6-8 weeks

Question 6

When are immediate dentures fabricated?

Answer 6

prior to extracting natural teeth

Question 7

What has to be done after a conventional immediate denture?

Answer 7

relining/refitting

Question 8

What has to be done after interium/transitional immediate denture?

Answer 8

new complete dentures are made

Question 9

What are the advantages of the immediate complete denture?

Answer 9

• prevent patient embarrassment
• provide guide for optimal esthetics
• provide guide for OVD
• circumorla support, muscle tone, etc.
• less postoperative pain
• easier to duplicate
• speech and mastication are rarely compromised

Question 10

What are the disadvantages of immediate dentures?

Answer 10

• increased complexity
• lack of clinical evaluation of trial denture
• increased maintenance
• greater # of visits = more expensive

Question 11

What are the disadvantages of immediate dentures?

Answer 11

• more challenging
• anterior ridge undercut
• the presence of different numbers can lead to incorrect centric relation position
• no denture tooth try-in
• additional appointments so increased cost

Question 12

How should you explain immediated dentures to the patient?

Answer 12

• do not fit as well as normal dentures
• pain of the extractions in addition to sore sports will make the first couple of weeks difficult
• it will be difficult to eat and speak for awhile
• esthetics may not be predictable

Question 13

What are the steps to making immediate denture

Answer 13

Question 14

What step is missing from the immediate denture process?

Answer 14

anterior try in

Question 15

What needs to be accessed before decided if patient is right for immediate dentures?

Answer 15

tori
tuberosities
frenal attachments
anterior teeth present

Question 16

What are some secondary impression techniques?

Answer 16

stock tray
custom impression tray
combination
campagna technique

Question 17

Presence of _______ teeth may make OVD determination easier

Answer 17

anterior

Question 18

What should you do for a posterior trial placement?

Answer 18

• Confirm correct mounting of casts
• Confirm OVD is correct
• Midline and incisal plane location-mark the cast for reference

Question 19

Why is a surgical template required?

Answer 19

• Required if any alveoloplasty or bone smoothing is anticipated
• Fabricated at wax elimination stage of processing

Question 20

Don’t schedule the surgery/insertion on a…

Answer 20

Friday or the day before a holiday or vacation!

Question 21

What are the steps for making the interim immediate denture?

Answer 21

Question 22

How long should the immediate denture be worn?

Answer 22

• must be worn for the first 24 hours
• dentist removes them after 24 hours

Question 23

What are the instructions for the patient after an immediate denture is placed?

Answer 23

• Soft diet
• Some bleeding to be expected
• May have swelling for 3 – 4 days
• Return to clinic the next day; 24-hour post-op.
• Avoid rinsing
• Take analgesic

Question 24

_______ months after insertion you sould reline and possibly remake the denture

Answer 24

6-9 months

Question 25

Post-Insertion care at 24-hr appnt

Answer 25

• Remove and rinse denture
• Relieve any obvious pressure areas
• Evaluate retention and occlusion

Question 26

Post – Insertion Care at 72 hr appnt

Answer 26

• Evaluate extraction sites
• Evaluate tissue, denture retention, oral hygiene

Question 27

Decision to reline/rebase/remake is made after ____ months

Answer 27

4-6

Question 28

Occlusal correction – remount – done when patient is comfortable around _______ weeks

Answer 28

2 – 3 weeks