IMMEDIATE DENTURE
BY
DHARSHINI.S.V
DEPARTMENT OF PROSTHODONTICS CROWN AND BRIDGES
CONTENT
• INTRODUCTION
• INDICATION
• CONTRAINDICATION
• ADVANTAGE
• DISADVANTAGE
• CLASSIFICATION
• CONSTRUCTION
• PROBLEM AREAS
• CONCLUSION
• REFERENCE
INTRODUCTION
• Tooth replacement is required for a variety of reasons.
• Sometimes replacements may be necessary for shorter
periods of time that serve alternative purposes than
permanent replacement, such as while tissue is healing or
related treatment is being provided
• An interim (provisional or temporary) denture can be defined
as a dental prosthesis to be used for a short interval of time
for reasons of esthetics, mastication, occlusal support, or
convenience.
INDICATION
• Sake of appearance
• Maintenance of a space
• Reestablishment of occlusal relationships
• Conditioning of teeth and residual ridges
• Interim restoration during treatment
• Conditioning the patient for wearing a prosthesis
CONTRAINDICATION
• Patient with Systemic conditions (poor surgical risk)
• Acute infections that require drainage
• Patient with a severe Gagging reflex.
• Patients with extensive bone loss
ADVANTAGE
• The patient doesn’t have to stay without teeth at any point
• Their digestive function stays uninterrupted as the patient is
not without any teeth at any point of time.
• The general appearance of patient is less affected as there is
only a minimal change in muscle tone and VDO is also
maintained.
• The ridges are subjected to early functions, so less resorption
takes place
DISADVANTAGE
• As healing proceeds and resorption occurs, the denture also doesn’t fit as
well. So, it should be relined or remade in 6 months to a year following
insertion. This should be informed to the patient prior to the start of the
treatment.
• Treatment with an immediate denture appears to be costly due to
increased treatment time, postoperative adjustments, need to reline or
remake the denture following healing.
• No anterior try in can be done. So the esthetics of the denture cannot be
evaluated until the insertion.
CLASSIFICATION
According to LaVere and Krol, 1973
COMPLETE FLANGE
INDICATION
• No large anterior bony undercuts are present.
• The lip line and lip activity are normal.
• The teeth are periodontally involved and supporting bone is
lost.
PARTIAL FLANGE
INDICATION
• Undercuts are present on the labial and buccal sections of
the residual ridge.
• The flange should serve as a surgical splint
OPEN FACE
INDICATION
• Deep undercuts are present on the anterior labial and buccal
residual ridge.
• A high lip line and an active lip would expose an unaesthetic
flange.
• Minimal amount of surgery is considered desirable.
ACCORDING TO GOOYA et al
2013
CONVENTION INTERIM
AL TYPE TYPE
CONVENTIONAL TYPE
• The prosthesis is fabricated to immediately place following
the extraction of natural teeth
• It can also be used as the definitive or longterm prosthesis.
INTERIM TYPE
• Interim type, is used for a short time period following tooth
extraction.
• Interim immediate denture shows numerous advantages such
as preservation of facial appearance and height, reduction in
postextraction pain, muscular tone, phonetics.
CONSTRUCTION OF IMMEDIATE DENTURE
If casts are not received mounted in the articulator, they
should be mounted in the laboratory using the centric jaw
relation record furnished by the dentist
Teeth are
arranged for try
in if required It is necessary to
and also to reduce the
determine the baseplate
occlusion ,bucco thickness before
lingual position positioning teeth
and color
accuracy
Pencil line placed on labial surfaces of lower anterior teeth
indicates vertical overlap in natural dentition and; is guide
for setting denture teeth.
With a sharp pencil
indicate the gingival
margin of
the upper anterior teeth
Tooth is removed from
the cast using a.
C,'saw, D, bur,
Shallow socket is
scraped in cast inside
pencil mark, indicating
gingival margin
Scraper can be used to
taper depression from
zero depth lingually to
approximately 2 mm in
depth facially.
Handpiece-mounted No. 6 bur
works well when creating facial
depth.
• Denture tooth
positioned on cast and
sealed with base-plate
wax.
• . Cast tooth adjacent to
denture tooth is guide
for proper positioning.
Denture waxed in usual manner. Posterior
palatal seal may be placed in cast before
waxing palate, but must be placed before
processing denture.
• Flask the immediate denture.
• Eliminate the wax, and allow
the Flask to cool
• Cast trimming
must be
specifically
prescribed by
dentist, or better
yet, completed by
Dentist
• Trim only as
specified because
over trimming
results in ill-fitting
denture
Cast is wet with clear slurry
water to prevent alginate
from sticking.
Alginate placed on cast
with finger to minimize
voids
Filled tray is placed in position,
and impression made of
flasked cast.
Alginate is allowed to set.
Impression is separated by
directing stream of air between
impression and cast
Impression is examined to
determine if it is acceptable.
• Stone is poured in
impression to make cast.
• Cast will be used to
construct transparent
surgical template.
Heated resin sheet
has Borders are trimmed
• Template is stored on
been formed over and smoothed with
cast.
cast. Careful finger lathe-mounted
• used as a guide for
molding at this stage laboratory bur.
surgically shaping the
can improve alveolar process at the
adaptation. time of extraction.
Denture base resin is After processing and
Indentations placed in recovering denture from
ridge laps of resin teeth mixed according to
manufacturer’s mold, it is examined for
improve bonding to resin nodules or sharp
denture base recommendations, and
denture is trial packed to fins.
assure minimum flash.
Sharp projections on • Carefully pumice
denture are smoothed with denture, paying
bur. particular attention to
Remove resin projections borders.
that were formed by • High shine achieved
sockets carved into with soft rag wheel
cast. and slurry of prepared
powdered chalk.
Problem Probable cause Solution
• Esthetics of • Denture teeth not • Place denture
immediate denture placed in position teeth in same
not acceptable of natural teeth position as natural
because of drastic • Position of denture teeth where
change in teeth differs acceptable
appearance of significantly from • Avoid drastic
patient position of natural correction, which
teeth because of may produce poor
overcorrection esthetic results,
when
compensating for
malpositioned
natural teeth
• Immediate denture • Cast overtrimmed • Trim cast only as
and surgical prior to packing prescribed by
template do not immediate denture dentist or dentist
demonstrate good can trim cast
adaptation on
CONCLUSION
• Immediate denture are an important treatment modality as
they provide instant esthetics and function to the patient
after extraction of all the natural teeth.
• More importantly they provide a psychological support to the
patient at the time of this debilitating loss.
• It is time consuming and expensive and patient should also
understand the limitation of this service.
REFERENCE
• Sheldon Winkler, Robert Wood, Kenneth G. Boberick, David Perizzolo, Trevor
Knowles, Greg Heideman, Larry Graham; An Interim Denture Technique and Case
Reports. J Oral Implantol 1 June 2005; 31 (3): 129–133. doi:
https://doi.org/10.1563/1548-1336(2005)31[129:AIDTAC]2.0.CO;2
• DENTAL LABORATORY PROCEDURES COMPLETE DENTURE VOLUME 1, ROBERT M MARROW
• MCCARKEN REMOVABLE PARTIAL PROSTHODONTICS 12TH EDITION
• https://codental.uobaghdad.edu.iq/wp-content/uploads/sites/14/2023/01/%D8%AA%D8%A8%D8
%A7%D8%B1%D9%83-%D8%A7%D8%AD%D9%85%D8%AF-%D8%AC%D9%85%D8%B9%D8%
A9.pdf
• https://ijshr.com/IJSHR_Vol.5_Issue.1_Jan2020/IJSHR0040.pdf
• https://www.researchgate.net/publication/322486481_Open-faced_maxillary_overdenture_A_sim
plified_approach_for_enhanced_esthetics
