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Immediate dentures

IMMEDIATE DENTURE

Dr. Inas Aziz M. Jawad
Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
2020-2021
Department of Prosthodontics

Department of:

HERE

020-2021

After the extraction of teeth the edentulous ridges undergo bone resorption and remodelling, as well as soft tissue changes. The greatest changes are observed in the first few months after extraction after which it usually slows down. Denture construction is often delayed to allow for proper healing of the tissues and bone remodelling. However, some patients cannot afford to be seen in public without teeth for the period required for this process. Such patients are provided with immediate replacement of teeth after total extraction. Immediate dentures reduce the psychological trauma and shame associated with the loss of teeth.


Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
INTRODUCTION
Immediate dentures




Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
DEFINITION
Immediate denture: Any removable dental prosthesis fabricated for placement immediately following the removal of a natural tooth/ teeth (GPT-8).
Immediate dentures: are dentures constructed before all the remaining teeth have been removed and inserted immediately after the removal of the remaining teeth (Boucher)



Immediate dentures

Conventional immediate denture (CID):

1- Used as a long term prosthesis after the healing period by relining it.
2- Teeth extracted in two surgical phases - posterior teeth extracted initially, followed by the anteriors.
3- indicated if patient can function without posterior teeth for 3-4 weeks as the posterior ridge heals.
2. Interim (transitional) immediate denture (IID):
1- Replaced by a new definitive prosthesis after the healing period
2- All teeth - anterior and posterior extracted in single visit.
3- Indicated if a patient is unwilling to function without any teeth.


Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
TYPES



Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
Department of:
HERE

1. Any person whose remaining teeth are indicated for extraction is a potential candidate for an immediate denture. However, such a candidate must be physically and mentally prepared to undergo the increased number of visits to the dentist, as well as the greater cost.

INDICATIONS

Immediate dentures




Immediate dentures


Immediate dentures



UNIVERSITY OF MOSUL
COLLEGE OF DENTISTRY
Department of:
HERE
2. Where appearance is critical.
3. Appropriate treatment option for those in the professions who could not do without teeth for any period of time, e.g. doctors, business people, singers.

INDICATIONS

Immediate dentures


Immediate dentures




Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
Department of:
HERE
The immediate denture requires more appointments than a conventional denture. Because of the rapid tissue changes the denture would need frequent adjustment and occasional relining. Soon the changes are so great that an entirely new denture has to be made within a short span of time. All this makes the immediate denture far more expensive than the conventional denture.
Cost and appointments



Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
Department of:
HERE
Basically any patient who is not fit to undergo multiple extraction , or patient with surgical risks like:
Radiation therapy
Blood clotting
Tissue regeneration/ wound healing problems
After surgery drainage required
Previous history of post-extraction
haemorrhage.

CONTRAINDICATIONS

Immediate dentures





Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
Department of:
HERE
2. The presence of gross oral sepsis or infection.

CONTRAINDICATIONS

Immediate dentures


Immediate dentures


Immediate dentures




Immediate dentures



Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
Department of:
HERE
3. In acute periapical or periodontal infection

CONTRAINDICATIONS

Immediate dentures


Immediate dentures


Immediate dentures




Immediate dentures


Immediate dentures



UNIVERSITY OF MOSUL
COLLEGE OF DENTISTRY
Department of:
HERE
4. Patients have debilitating diseases or at risk from a bacteraemia:
History of rheumatic fever with cardiac damage.
Heart valve.
Hip prosthesis.

CONTRAINDICATIONS

Immediate dentures

Rheumatic heart disease (RHD)

Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
Department of:
HERE
5. Patients incapable of showing responsibility towards the treatment like patient in poor general health and uncooperative patient.


CONTRAINDICATIONS
Immediate dentures




Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
Department of:
HERE
6. Extensive bone loss adjacent to remaining teeth. (This would indicate that loss of fit and occlusion expected during the treatment)

CONTRAINDICATIONS

Immediate dentures




Immediate dentures



Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
The primary advantage of the immediate denture is the preservation of esthetics as there is little or no change in facial appearance. There is no edentulous period.
ADVANTAGES
Immediate dentures




Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
2. The patient learns to manipulate the dentures while recovering from the surgery. Thus the patient regains oral functions faster.
3. Serves as a splint.
ADVANTAGES
Immediate dentures





Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
4. Nutrition is maintained.
5. It is more compatible with the oral surroundings as the tongue, lips and cheeks have not yet changed position.
6. The natural teeth aid in vertical relation positioning and selecting artificial teeth.
ADVANTAGES


Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
7. Less TMJ disturbance.
8. It aids in contouring the healing residual ridge.
9. Psychological benefit. The patient is spared the inconvenience and stress of an edentulous period.
10. Easy to refit by relining.
ADVANTAGES



Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
The technique is precise and time consuming.
More appointments are needed.
More costly because of the increased chair time.
DISADVANTAGES


Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
4. There is no opportunity for try-in of anterior teeth.
5. Undercuts can be severe and can interfere with seating and removal.


DISADVANTAGES
Immediate dentures




Immediate dentures


Immediate dentures

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
2020-2021
Immediate dentures

THANK YOU




رفعت المحاضرة من قبل: Sultan Alsaffar
المشاهدات: لقد قام 23 عضواً و 206 زائراً بقراءة هذه المحاضرة








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