immediate dentures

Question 1

Advantages of immediate dentures 3

Answer 1

Maintain appearance, OVD, tooth shade, mould

Maintenance of skills and familiarity of wearing dentures

Denture covering extraction socket may protect initial blood clot but wont promote healing

Question 2

disadvantages of immediate dentures 3

Answer 2

may become loose over time requiring replacement - costly

requires multiple visits for review

only for straight forward extractions not surgical

Question 3

what are the 3 flange designs for immediate dentures?

Answer 3

full flange
part flanged
open face

Question 4

what does a full flange do?

Answer 4

engage undercuts and maintain border seal for retention

Question 5

why may a part flange be considered?

Answer 5

if flange undercuts or bulkiness of buccal bone make full flange not possible

Question 6

why may an open faced flange be considered?

Answer 6

undercut in buccal sulcus or bone is particularly bulky - less retentive

Question 7

is part flanged or open face more natural in the first instance?

Answer 7

open faced

Question 8

why is part flanged better than open faced over time?

Answer 8

with absorption and healing a gap can form which is unsightly. in part flanged the small flange covers the gap

Question 9

procedure for immediate denture construction

Answer 9

1. 1st imps
2. design
3. second imps
4. occlusion
5. try-in - check extension, occlusion, shade
6. teeth being extracted are removed from the study cast at gum level and teeth placed there
7. extraction - ensure denture is ready before giving LA
8. insertion
9. review

Question 10

when are review appts made after extraction?

Answer 10

1day, 1week, 1month, 3months, 6months

Question 11

what does a one stage immediate denture not include?

Answer 11

no try in stage

Question 12

what instructions do u give to the lab for immediate denture construction? 5

Answer 12

which teeth to be extracted
arrangement- same as natural teeth or different
shade
flange type
material
date for denture insertion/extraction

Question 13

what post-operative instructions should be given to the pt?

Answer 13

dentures kept in for 24hrs
after 24hrs
- warm saline mouthwash
- remove denture after meal times to rinse mouth and clean denture
- clean denture with soft toothbrush, soap and water
- ensure pt has correct details to contact if issues