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References

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Immediate dentures part 1: assessment and treatment planning

From Volume 45, Issue 7, July 2018 | Pages 617-624

Authors

Ursala Jogezai

BDS, BSc, MBA, PGcert(FHEA), Dental Core Trainee (DCT2)

Dental Core Trainee (DCT2), Restorative Dentistry, Birmingham Dental Hospital

Articles by Ursala Jogezai

Dominic Laverty

BDS(Hons), MFDS RCS(Ed)

Academic Clinical Fellow (ACF), Restorative Dentistry, Birmingham Dental Hospital

Articles by Dominic Laverty

A Damien Walmsley

PhD, MSc, BDS, FDS RCPS,

Professor of Restorative Dentistry, School of Dentistry, The University of Birmingham, St Chad's Queensway, Birmingham, B4 6NN, UK

Articles by A Damien Walmsley

Email A Damien Walmsley

Abstract

Abstract: This two part review article aims to provide a comprehensive summary on immediate dentures. In the first part, after a brief introduction, the advantages and disadvantages of immediate dentures are compared. There is a detailed discussion on assessment and treatment planning which includes history-taking, examination of the soft and hard tissues, current prostheses, occlusion, as well as discussion on investigations required and formulating a diagnosis. The first part ends with a summary of types of immediate dentures and denture designs.

CPD/Clinical Relevance: Immediate dentures are commonly used to provide patients with tooth replacement immediately following extractions in order to maintain aesthetics and function. Therefore, they are an integral part of a dentist's armamentarium.

Article

An immediate denture is a complete or partial removable prosthesis that is fitted immediately after extraction or modification of teeth. The prosthesis replaces the missing/modified teeth and, where required, the adjacent hard and soft tissues. It is constructed prior to the extraction of teeth and is used immediately to provide function and aesthetics which are lost as a result of tooth removal and avoid the embarrassment patients may have with living without teeth, while waiting for the tissues to heal prior to definitive tooth replacement1 (Figure 1). Some clinicians take impressions on the day of the extractions and fit the dentures a few days later. These dentures are fraught with challenges as the alveolar ridge begins to resorb soon after extractions, therefore an immediate denture is only truly an immediate denture when fitted on the day of the extractions.

The use of a removable prosthesis within the UK is currently around 19% of adults in the general population2 and, in spite of a decreasing trend, as patients retain their natural dentition into older age,2 there is still a need for prosthodontic replacement as teeth are lost as a result of caries, periodontal disease, tooth wear or trauma.3,4,5 The provision of an immediate denture can be challenging. Close co-operation between patient, technician and clinician is therefore required.

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