Immediate Dentures: Treatment, Cost and Side Effects

A denture is said to be a plate or frame consisting of one or more teeth. It is said to be a prosthetic treatment which is used to replace the missing teeth and teeth is called prosthetic teeth. An immediate denture is a kind of denture where the teeth will insert on the same day of removal. This may include both complete denture and partial denture. An immediate denture will be helpful when you need to appear in public immediately. The immediate denture can also be useful in shaping, colouring and arrangement of natural teeth when some are still present. Inserting immediate denture will act a band-aid which protects the tissues and also stop bleeding at the time of removal of original teeth. Establishing of speech factors are also made easy by the use of an immediate denture. This eliminates the problem of learning to speak without denture and time taken to learn to speak with a denture. This will minimize the facial distortion that occurs at the time of no teeth and also helps you to chew better without any teeth. An immediate denture is classified into three types according to the denture’s flanges shape. They are the flanged type, partial flanged type and open face. Based on the timing of teeth extraction and denture purpose It is classified into conventional immediate denture, interim immediate denture, transitional immediate denture.

The treatment is classified into seven stages. The first step is to check whether the patient is suffering from any diseases which affect the entire body such as diabetes and hypertension. Precautions for other diseases should also be done before the surgery. For this, each patient should be checked with these kind of diseases with appropriate dental management. The tooth that is to be planned to be removed should be extracted when the patient appears for the first day of the treatment. In case if multiple posterior teeth have to be extracted means they have to be extracted from the posterior end to the anterior end. This is done because the removal from posterior end does not damage the wound and allow it to heal. It also helps to improve the adaption of denture over the alveolus and tuberosity. The next step is done after the extraction. As the alveolectomy is finished with easy recontouring or by an interseptal. After that irregularity is reduced until the surgical guide is acquired to the alveolar ridge in all areas. The continuous and interrupted suture is used to close the incision which comes under the fourth stage. Depending on the count of removed teeth the suture will be selected. For the retention and quick healing of denture, the tissue conditioner will be used and this forms the fifth stage. The last and final step is to fit the immediate denture. After all, comes the maintenance stage the patient will call for a check up on weekly basis for several months. As because the denture has to be refined and adjusted. After a period of one year, the immediate denture will be re-evaluated by the dentist as the jaw bone will be healed during that period. If the denture seems to be suitable by the patient then that denture will be converted into the permanent denture.

People with damaged teeth or missing teeth who are needed have a healthy bite can appear for this treatment. The patients appearing for this treatment may have a permanent solution for their tooth loss. People who are having severe diabetes problem are not allowed to take up this treatment. They were given medicines to balance their sugar values and then they are allowed to take the treatment. Emotionally disturbed persons are given treatments to make them back to their normal stage and then immediate denture is done to them.

A patient who is emotionally disturbed or with diminished mental capacity is not eligible to take this treatment. Some patient will have severe gagging reflex, these patients are not recommended to take this treatment. Patients with extensive bone loss are also not allowed to take this treatment. Patients who will not be available for continuous visits to the clinic for a check-up during the fabrication process should not undergo this treatment.

The patient should keep the denture in their mouth for a period of one day without removing it. Removal of the denture does not reduce the pain. If the patient removes it due to extraction swelling will happen which may not be able to stop. After the treatment the patient should do the activities like spitting, rinsing, intake of alcohol, smoking and any other strenuous activity. For every hour the patient should keep the ice packs in his outer layer of the mouth for about 20 minutes. This should be repeated for the next 24 hours after the treatment. After that, the patient has been adviced to use the heat compress. After that medicines prescribed by the doctors should be taken. Then the denture inserted will function as a bandage and helps in fixing the bleeding. For some patients, they will have pink coloured saliva after denture this is because of minimal bleeding. For a period of one day patient should intake only liquid as their diet and in some cases, they may take some soft foods. Dentures will be detached after 24 hours for cleaning. This act of removal of denture will allow the small blood vessels to grow large which gives nourishment to tissues which support the denture.

The patient should keep the denture in their mouth for a period of one day without removing it. Removal of the denture does not reduce the pain. If the patient removes it due to extraction swelling will happen which may not be able to stop. After the treatment the patient should do the activities like spitting, rinsing, intake of alcohol, smoking and any other strenuous activity. For every hour the patient should keep the ice packs in his outer layer of the mouth for about 20 minutes. This should be repeated for the next 24 hours after the treatment. After that, the patient has been adviced to use the heat compress. After that medicines prescribed by the doctors should be taken. Then the denture inserted will function as a bandage and helps in fixing the bleeding. For some patients, they will have pink coloured saliva after denture this is because of minimal bleeding. For a period of one day patient should intake only liquid as their diet and in some cases, they may take some soft foods. Dentures will be detached after 24 hours for cleaning. This act of removal of denture will allow the small blood vessels to grow large which gives nourishment to tissues which support the denture.

It is necessary for the patient to visit the hospital from four to five times for the fabrication process of the immediate denture. There may be some preliminary surgery for some patients. Extraction of back teeth should be done six or eight weeks before the fabrication process for the people who needs immediate denture. This is done as because to allow the sites where the teeth are extracted to heal and thus it will help in the better fitting of the immediate denture. Impressions, bite records, tooth selection and try-in are some of the phases in the fabrication process. An oral surgery will be done on the day of delivery followed by immediate denture.

The treatment cost varies indefinitely depending on the type of material used for the treatment. In India, the cost could be varying around twenty-one thousand Indian rupees to about five lakh Indian rupee. Cost variation depends on factors like the materials used for the treatment, fabrication time, and the experience of the dentist. The type of dentures performed done can also decide the cost of the treatment. For performing conventional complete denture, the cost could vary around Ninety-thousand Indian rupee to the one-lakh Indian rupee. The dental specialists are given INR 10,000 - INR 25,000 to perform this specific treatment.

Permanent or not. Immediate dentures are mainly done for the healing process. Immediate dentures do have the benefits like the permanent denture, as they help in the healing process. Immediate dentures are the type of dentures that is completed in a day followed by the removal of the present natural teeth. It is also known as a complete denture or partial denture. Immediate dentures cannot be permanent because these dentures after treatment do not always fit accurately like a conventional denture. It could a slight issue on performing immediate denture. Thus immediate denture could not be permanent and also immediate dentures can be done for only for some specific patients.

There is no other best replacement for this treatment. But the patients can go with alternatives such us using clips and gums which only help them for several days and not as a permanent solution.