IMMEDIATE DENTURES: (IDs):

- Removable Partial or Complete Dentures made:- Prior to the extraction of teeth.

- Fitted immediately at the same time / visit at which:- teeth are extracted from patients’ mouth.

INDICATIONS FOR IDs:People who cannot afford to be without

teeth for even the shortest period of time:- Young Ladies & …... All modern ladies.- Politicians / Priests / Maulvies / Teachers.- Lawyers / Bankers / Attorneys.- Executives.- Showbiz peoples.

CONTRAINDICATIONS FOR IDs:Patients with history of:

- Rheumatic Heart Disease / Prosthetic Heart valves (Risk of Bacteremia).- Prosthetic hips / Prosthetic joints.- Abnormal post-extraction bleeding.- Hemophiliacs / Factor IIIV deficiency.- Radiotherapy for Head & Neck cancer.

Patients having gross oral sepsis & neglected mouths.

CONTRAINDICATIONS FOR IDs:…ContdIDs not made for patients:

- with reduced intelligence.- who do not understand the importance

of IDs.- unable to come for regular check-ups.- requiring extensive oral surgical procedures including:

- removal of impacted teeth, cystic lesions & tumours etc.

Types of Immediate Dentures:Complete Flanged IDs:Flange enhance retention & stability of ID.Protects sockets & promotes healing.Incorporated in IDs when undercut is:

Shallow (< 2mm deep & covered by thick mucosa.

Undercut corrected surgically.

Partial Flanged IDs:When surgical correction of u/cut not

possible.Flange extends just beyond maximum

Height of contour (bulbosity) of the alv. process.u/cut engaged & accepted by mucosal compression.

Comfortable for the patient.Desired esthetic also ensured.Later on flange completed.

Flangeless / Socket-Fit / Gum-fit IDs:

Not made for lower jaw (smaller DBA).Artificial teeth fitted in or close to sockets.Provided when prospects for retention &

stability of ID are:- good due to:

- well-extended posterior flanges.

Impressions for IDs:Preliminary impressions;Recorded in Dentate or Partially Dentate Stock

Trays.

Final Impressions for IDs:Normally recorded by using:

- two-piece special tray.In the absence of deep tissue undercuts:

- One-piece special tray may be used.

FINAL IMPRESSION RECORDED IN SPECIAL TRAY

FINAL IMPRESSION RECORDED IN 2-PART TRAY

FITTING IDs:Check for sharp edges / spots & correct.Extract teeth to be replaced by the ID.Insert ID in mouth.Do not attempt more refine corrections at

this stage. Better done at next visit (24 - 48 hours).

Necessary corrections in single attempt.If gross occlusal errors:

- Correct one ID and replace it later.

Timeline for Insertion of ID:Total Duration of Appointment For ID Insertion Visit:

15 + 45 + 15 = 75 minutes

A. 0 – 15 minutes:Review Medical History & Local

Anaesthesia.B. 15 – 60 minutes:

Extractions.C. 60 – 75:

Insert ID & Adjust.Instructions.