Immediate dentures

If you’re considering removing all of your teeth and replacing them with a denture, you never have to spend a day without teeth.

‘Immediate’ dentures can be made ahead of time and, as their name implies, they are placed immediately after the teeth are removed. Such appliances even promote better healing.

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Before you begin…

As with most dental treatment, preplanning is the key. Preplanning can minimize trauma.
You could consider:

  • A ‘Training’ partial denture.
    If you already have teeth missing, you could consider placing a partial denture before transitioning to a full denture.
    The partial denture will help you ‘learn’ to wear an appliance.
    You will begin to develop new eating and speech habits that are required with any appliance. The partial denture however has the ability to be supported and retained by the surrounding remaining teeth, thus providing increased security and stability while learning it.
  • Collecting images to communicate your wishes regarding the appearance of your new teeth.
    • Teeth to be extracted are rarely in good enough condition or position to copy to a new denture
    • Old photographs providing a glimpse of how you used to look. Photographs of children or siblings – often these people can have teeth and facial structure very similar to how yours one were.
    • Magazine and newspaper clippings can help show how you may like to change your appearance.
  • Phasing treatment.
    This process involves two phases of teeth removal.
    Firstly, the back teeth only are removed leaving the front teeth intact to provide aesthetics.
    This back area is allowed to completely heal and stabilize before your front teeth are removed and the immediate denture is placed.
    This will result in an immediate denture that is supported over at least part of its surface area by unchanging bone. Increased stability and function in the first few months after the appliance is placed is the outcome.

What is the process for immediate dentures?

In the service industries of the modern world, speed of service can be valued higher than all else.
Some dental providers proudly advertise that dentures can be made in a few short visits.
Here at Melbourne Dentist, if speed and cost are paramount to you, we have the necessary experience to condense the process to deliver economy appliances fast.
However, a Premium denture can not be made in this fashion.
A Premium denture requires a meticulous adherence to process, where the inclusion of extra steps ensures the absolute best quality appliance. Below is an outline of this process:

  • Visit 1:

    Conventional evaluation.
    Oral tissue health, bite and jaw joint function as well as oral cancer screening are amongst the things we check.

    Aesthetic evaluation.
    This analysis focuses on the your aesthetic wants and needs.
    You are guided by us in this process by using a digital smile guide and smile test questionnaire.
    This process will help us determine your preferences for teeth shape, colour, teeth positioning,
    improved lip and cheek support and numerous other processes used to customise the dentures.

    Video capture
    Captured moments from video recordings allow us to assess how your current denture relates to your
    face during normal speech, smiling and laughter. By studying these we can readily determine what
    will be needed to improve your smile.Read More

Impressions of your mouth are taken.
Plaster study models are fabricated from these impressions.

Before you come back for your next visit:

  • A digital smile blueprint is produced using information we discovered from your aesthetic evaluation and video capture.
  • If many teeth are already missing, ‘Wax rims’ will be fabricated by our laboratory to be used at your next visit.
  • Visit 2:

    Smile design preview and feedback
    The digital smile blueprint is presented to you using computer-generated images simulating your new teeth.
    Adjustments to the design are made if necessary based on feedback from you.

    ‘Wax rim’ Registration
    Horseshoe-shaped rims made of wax are made to fit the plaster study models if more than a few teeth are missing.
    If front teeth are already missing, multiple additions and subtractions are made to these rims after repeatedly trying them in the mouth.
    The final shape of these rims will simulate the position of the teeth, gums and level of lip and cheek support.

    Video capture (if front teeth are missing)
    Captured moments from video recordings allow us to assess whether the proposed dimensions of the wax rims are indeed correct.

    Before you come back for your next visit we direct the lab to place new acrylic teeth in the wax rims to produce a denture mock-up or ‘Try-in’ (this step is only appropriate if front teeth are already missing)

    Visit 3:

    (this visit is only appropriate if front teeth are already missing)

    Denture ‘Test drive’
    Wearing the wax ‘Try-ins’ produced in the lab allows you to preview the proposed dentures in your mouth.
    Adjustments to the ‘Try-ins’ are made if necessary based on feedback from you.

    Video capture
    Captured moments from video recordings allow us to assess whether the proposed ‘Wax try-ins’ are indeed correct.

    Before you come back for your next visit the dentures are processed in hardened acrylic.

    Visit 4:

    Teeth removal and placement of the new denture

    All teeth are carefully removed and the denture is immediately placed over the wounds.
    As well as providing the return of aesthetics and function, this technique greatly helps with healing.
    The denture works to reduce swelling and minimizes debris collection and damage of the healing wounds.

What happens after the immediate dentures are placed?

Click here for Aftercare instructions following immediate denture placement.

Within a few days to a week after teeth removal, adjustment to the denture will be required. Any sore spots will be relieved and the bite further balanced. A balanced bite in dentures allows each denture to stabilize the other so that chewing and speaking are normal.

As the tissues heal and remould themselves, shrinkage will occur.
Spaces will develop between the fitting surface of the denture and the healing gum tissues and the denture will become increasingly unstable.

Small sore spots will develop and return visits to adjust the denture for comfort will be required.

This shrinkage will continue over time, but most will occur within the first 3 months. Therefore, a permanent refit or ‘reline’ of the denture cannot occur within this time frame.

A ‘soft reline’ can be applied to vastly improve the fit and comfort during this period. This will of course add to the overall cost of treatment.
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After complete healing, it could be time to consider remaking the dentures to more accurately adapt to the healed state and better support the lips.
The relined denture you have is not wasted and should be kept as a spare. It would be used if ever your new denture needs to be left at our practice for repair, relining or replacement if it is accidentally lost or destroyed in an accident.

Implants supporting dentures.

After healing and denture relining, you may even be considering whether such an appliance is right for you both physically and emotionally.
For some, a removable denture just isn’t an appropriate solution to replace their teeth. Fortunately, modern technology has come to the rescue as further stabilization of dentures can be achieved with the use of implants, many times as few a two.

When implants are being considered, they are most often requested to help fix a lower denture into place.

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