Immediate dentures 1
Home > Flashcards > Print Preview
The flashcards below were created by user
on FreezingBlue Flashcards
. What would you like to do?
What are the challenging factors of immediate denture treatment?
- limited evaluation of trial
- increased complexity, cost, discomfort, maintenence, visits,
What are the benefits of immediate denture treatment?
- better healing, ridge form
- prevents facial musclulature collapse, pathologic invasion, bone loss, embarassment
- facilitates pt adaptation, health
- guide for individual esthetics and perspective occlusion
Basic understanding of immediate denture treatment sequence
- 1 clinic: Exam & preliminary impressions
- 1 lab: custom trays
- 2 clinic: master
- 2 lab: record base & occlusion rim
- 3 clinic: max-mand relation, tooth selection
- 3 lab: wax trial (if indicated)
- 4 clinic: wax trial tryin, confirm mounting/esthetics
- 4 lab: complete setup festooning, turn in for processing
- * schedule extractions
- 5 clinic: extractions/insertion, adjust tissue surface, flanges, occlusion, give care instructions
- 6 clinic: 24 hr
- 7 clinic: 72 HR
- 8 clinic: one week, clinical remount
Recognize the situations that require pre-prosthetic surgery so the properly-planned surgical procedure will be performed during extraction appt
Preprosthetic surgery (alveoloplasty, tuberosity reduction, tori removal etc.) should be planned together with extraction for a case like this
Oral exam checklist for potential immediate denture patients
- 1. soft tissues
- 2. ridge and alveolar contours (gross undercut or not)
- 3. teeth:
- - look for potential RPD
- - abutments or overdenture
- - support roots
- 4. jaw relation, occlusal plane, and VDO (acceptable or overclosed)
- 5. interarch space ( sufficient for prosthesis or not)
Possible Diagnosis leading toward to immediate denture treatment option
- Severe periodontitis
- Partial edentulism
- Rampant caries
Describe two-stage surgical approach for immediate dentures. What is the indication and what are the advantages for this approach?
- One-stage surgical approach: extract all teeth at the same time
- Two-stage surgical approach: extract posterior teeth/and or problematic teeth first
- 1. Ensure an optimal final impression that conform accurately to the contour of buccal, labial, and lingual vestibules.
- 2. Shorter and simpler surgery at the time of ID delivery.
- 3. After initial extraction some edentulous spaces become available for esthetic try-in and confirmation of jaw record
- 4. Extraction of teeth that require immediate attention (e.g., infected and/or painful teeth)
What are the four key questions that should be addressed to better manage our denture patient’s expectation?
- 1. What are the benefits of having a denture vs. other options?
- 2. How long will the denture last?
- 3. What are the limitations of the denture?
- 4. How much will the denture cost? (ID fee + permanent reline fee/or remake CD fee)
What can immediate denture offer in terms of esthetics, function, and comfort? Should the dental implant option be included for the ID patient and why?
- esthetics: excellent
- function: restore some masticatory not all, pt adaptation
- comfort: hard 1st week, improves after
- Always inform the patients about implant option for the ultimate solution for function and comfort IF their expectation can not be met by the immediate denture phase.
- Immediate denture is a transitional phase in order to remove
- the hopeless teeth and regain the healthy oral environment.
- Definitive replacement options (lab reline of ID, or new CD, or implant option)
- will be revisited based on patient’s adaptation and response to their ID phase
How to prepare our patient prior to the master impression appt
- Place soft liner in the old partial denture, if indicated. Consult with instructor.
- Instruct your patient to remove existing removable partial dentures for 24 hours prior to the final impression appointment.
- Prophylaxis:remove all calculus from the remaining teeth so that the tissues will be in optimum condition during treatment planning, impressions, extraction and denture placement.
What would you like to do?
Home > Flashcards > Print Preview