08 August 2012
IMMEDIATE DENTURE | Prosthetic Dentistry
An immediate denture is a complete or removable partial denture that is constructed prior to the extraction of teeth which it will replace and is inserted immediately following the removal of natural teeth.
Classification of immediate denture
- Conventional immediate denture
- Delayed immediate denture
- Transitional immediate denture
IMAGES
A) Conventional
Flanged and socketed
1. Socketed
-Removable partial denture
-Complete denture
2. Flanged
1. Without alveolectomy
-partial flange
-complete flange
2.With alveolectomy
-septal
-Radical
ADVANTAGES
- Maintenance of appearance
- Tooth selection and arrangement can be easily duplicated
- Maintaince of the masticatory movement patterns of the mandible
- Maintaince of vertical and maxilla-mandibular relationsip so changes in the facial muscle tone and supporting structure are reduced.
- Superior neuromusculature control.
- Minimum interference with speech.
- Fast adaptation to immediate denture
- Prevention of tongue enlargement
- Possible control on alveolar ridge resorption
- Healing period with teeth
- Improve appearance
- Spilnt to control bleeding
- Prevent patient embarrassment after extraction
DISADVANTAGES
- If poor oral health then it may be infection or edema following extraction of teeth.
- Additional treatment time
- The additional expence of relining immediate dentures three to six months after insertion.
- Less retention is expected.
CONTRAINDICATION
- Patient with acute infections such as periapical abscesses or periodontal abscesses.
- Patient under radiation therapy
- Extensive bone loss
- Patient with severe gag reflex
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