When complete extractions of your remaining teeth become unavoidable, an immediate denture is a solution. This process will help you avoid the embarrassment of being without teeth. Your Denturist might recommend the immediate denture technique, before your teeth are extracted. This involves taking impressions of your mouth while your natural teeth are still present. The Denturist is then able to fabricate a transitional denture in the likeness of your natural teeth. An impression is made of your existing teeth and gums prior to the extraction surgery and is used as working models for the construction of your new dentures. From these models the denturist is able to copy and construct a denture, duplicating your original teeth with improvements to your appearance, if you so wish. In this technique, you avoid having to go without any teeth while you go through the healing process. Immediate dentures are constructed before your remaining teeth are extracted and are inserted by your Dentist, after extracting the last natural teeth. The Denturist will do their best to make sure the relationship of your jaw is as close to your natural teeth as possible and the new teeth size, shape, colour are correct. However, because supporting tissue and bone changes are unpredictable at extraction time, the final outcome may vary.

The first 24 hours after tooth extractions and immediate denture placement is critical not to remove the denture, until you see your Denturist. Premature removal of the immediate-denture could make its re-insertion difficult because of the swelling of the oral tissues. Any pain or discomfort caused by the trauma of extractions will not be lessened or eliminated by removal of the dentures. A soft food and liquid diet is encouraged for the first 24 hours.

Regular maintenance for the first year after placement of an immediate denture is critical. During the next few months, bone and gum tissue will continue to shrink to some degree; however, the rate of change decreases with time. This is a natural occurrence, which is to be expected.  It is necessary for your Denturist to make adjustments to your dentures, add temporary liners to refit your dentures while your gums heal and resorb. At approximately twelve months, after the healing process is complete, either a new permanent full denture(s) will be made or your denture(s) will be relined or rebased to ensure the most comfortable fit possible. Your Denturist will recommend the option that best meets your particular needs.

What denture wearers should know about immediate dentures: 

  •  Mostly it is not possible for Denturists to try the denture(s) in before your extractions are completed. In some cases, aesthetic compromises may have to be made in favour of structural integrity or limited space.  
  • During the healing period, postoperative instruction from the Oral Surgeon and Denturist must be followed carefully. Your gums and bone recede to a much smaller size, because of the tooth sockets closing. Regular check-ups and maintenance are required to ensure ideal healing. Temporary linings or tissue conditioners will be required to ensure a positive fit. This procedure may be repeated a number of times, based on your physiological rate of healing. At the completion of the healing period, a permanent reline or a new denture may be constructed to ensure a comfortable and an exact fit.  
  • Temporary liners, tissue conditioner and relines are additional services that follows beyond the service of manufacturing the immediate denture(s). Consult your Denturist concerning the benefits of an immediate denture and the procedure that best meets your specific needs.