immediate dentures/dental courses

INDIAN DENTAL ACADEMYINDIAN DENTAL ACADEMY
Leader in continuing Dental EducationLeader in continuing Dental Education
www.indiandentalacademy.comwww.indiandentalacademy.com

CONTENTSCONTENTS
INTRODUCTIONINTRODUCTION
REASONS FOR IMMEDIATE DENTURE REPLACEMENTREASONS FOR IMMEDIATE DENTURE REPLACEMENT
Physical factorsPhysical factors
Physiological factorsPhysiological factors
Psychological factorsPsychological factors
CONTRAINDICATIONS OF IMMEDIATE DENTURESCONTRAINDICATIONS OF IMMEDIATE DENTURES
ADVANTAGES AND DISADVANTAGES OF IMMEDIATE DENTURESADVANTAGES AND DISADVANTAGES OF IMMEDIATE DENTURES
REVIEW OF LITERATUREREVIEW OF LITERATURE
DIAGNOSIS AND TREATMENT PLANNING FOR IMMEDIATE DENTURESDIAGNOSIS AND TREATMENT PLANNING FOR IMMEDIATE DENTURES
• POSTINSERTION CAREPOSTINSERTION CARE
• SUMMARY AND CONCLUSIONSUMMARY AND CONCLUSION

PHYSICAL FACTORS:PHYSICAL FACTORS:
1) Disuse atrophy of the bony base1) Disuse atrophy of the bony base
2) Unfavourable trabeculation of the2) Unfavourable trabeculation of the
repairing bonerepairing bone
3) Possible damage to the ligaments3) Possible damage to the ligaments
surrounding TMJsurrounding TMJ
PHSYIOLOGICAL REASONSPHSYIOLOGICAL REASONS
Abnormal functioning of the mouth and
mandible
Impaired communication
Abnormal deglutition
PSYCHOLOGICAL REASONS:PSYCHOLOGICAL REASONS:
Humiliation.Humiliation.
Adverse subjective reactionsAdverse subjective reactions

• An immediate denture is "a complete denture or removable partialAn immediate denture is "a complete denture or removable partial
denture inserted immediately after the removal of natural teeth"denture inserted immediately after the removal of natural teeth"
(according to the(according to the Glossary of Prosthodontic Terms,Glossary of Prosthodontic Terms, Academy ofAcademy of
Prosthodontics, 1999).Prosthodontics, 1999).
• An immediate denture can also be an overdenture. One of the firstAn immediate denture can also be an overdenture. One of the first
references to immediate dentures in the literature was that of Richardsonreferences to immediate dentures in the literature was that of Richardson
in 1860 (Seals, 1999).in 1860 (Seals, 1999).

• Immediate dentures areImmediate dentures are moremore challenging to make than routine completechallenging to make than routine complete
denturesdentures forfor both the dentist and the patient, because a try-in is notboth the dentist and the patient, because a try-in is not
possible beforehand, the patient may not be completely comfortable withpossible beforehand, the patient may not be completely comfortable with
the resulting appearance and fit on the day the immediate denture isthe resulting appearance and fit on the day the immediate denture is
inserted.inserted.
• The dentist must explain and the patient must fully understand theThe dentist must explain and the patient must fully understand the
limitations of the procedure before beginning treatment.limitations of the procedure before beginning treatment.

The immediate dentures should be made together to ensure optimalThe immediate dentures should be made together to ensure optimal
esthetics and occlusal relationshipsesthetics and occlusal relationships
DEFINITIONS IN CURRENT PRACTICEDEFINITIONS IN CURRENT PRACTICE

Currently, there are two popular types of immediate dentures:Currently, there are two popular types of immediate dentures:
Interim (or transitional or non traditional )immediate dentureInterim (or transitional or non traditional )immediate denture
(IID):(IID):
This type of immediate denture is made after healing isThis type of immediate denture is made after healing is
complete ,a second new denture is fabricated as long timecomplete ,a second new denture is fabricated as long time
prosthesis.prosthesis.

• Conventional (or classic )immediate denture (CID) :Conventional (or classic )immediate denture (CID) :
This type of immediate denture is placed and the denture is refittedThis type of immediate denture is placed and the denture is refitted
or relined to serve as a long time prosthesisor relined to serve as a long time prosthesis
• CID is usually selected when only anterior teeth remain or if theCID is usually selected when only anterior teeth remain or if the
patient is willing to have the posterior teeth extracted beforepatient is willing to have the posterior teeth extracted before
immediate dentureimmediate denture proceedings begins begin
• A type of immediate denture has been called a “jiffy” dentureA type of immediate denture has been called a “jiffy” denture
(Raczka and Esposito ,1995)(Raczka and Esposito ,1995)

JIFFY DENTURESJIFFY DENTURES;;
• It is similar to interim immediate denture because it is replaced by aIt is similar to interim immediate denture because it is replaced by a
second denture after healing. It differs from interim immediatesecond denture after healing. It differs from interim immediate
denture in that the denture “teeth” are usually made with toothdenture in that the denture “teeth” are usually made with tooth
colored auto-polymerizing acrylic resin. The disadvantage in thesecolored auto-polymerizing acrylic resin. The disadvantage in these
materials are not long lasting (in wear and color stability).materials are not long lasting (in wear and color stability).
• TheThe Glossary of Prosthodontics TermsGlossary of Prosthodontics Terms defines interim prosthesis asdefines interim prosthesis as
a prosthesis designed to enhance esthetics, stabilization and/ora prosthesis designed to enhance esthetics, stabilization and/or
functionfunction forfor a limited period of time, after which it is replaced by aa limited period of time, after which it is replaced by a
definitive prosthesis (Academy of Prosthondontics, 1999).definitive prosthesis (Academy of Prosthondontics, 1999).

ADVANTAGES AND DISADVANTAGES FOR All TYPES OFADVANTAGES AND DISADVANTAGES FOR All TYPES OF
IMMEDIATE DENTURESIMMEDIATE DENTURES
AdvantagesAdvantages
• The primary advantage of an immediate denture is the maintenanceThe primary advantage of an immediate denture is the maintenance
of a patient's appearance because there is no edentulous period.of a patient's appearance because there is no edentulous period.
• Circum-oral support, muscle tone, vertical dimension of occlusion,Circum-oral support, muscle tone, vertical dimension of occlusion,
jaw relationship, and face height can be maintained. The tongue willjaw relationship, and face height can be maintained. The tongue will
not spread out as a result of tooth loss.not spread out as a result of tooth loss.

• Less postoperative pain is likely to be encountered because theLess postoperative pain is likely to be encountered because the
extraction sites are protected.extraction sites are protected.
• Some authors have discussed whether immediate dentures reduceSome authors have discussed whether immediate dentures reduce
residual ridge resorption (Heartwell, 1965; Johnson, 1966; Kelly,residual ridge resorption (Heartwell, 1965; Johnson, 1966; Kelly,
1958; Campbell, 1960; Carlsson, 1967).1958; Campbell, 1960; Carlsson, 1967).
• It is easier to duplicate (if desired) the natural tooth shape andIt is easier to duplicate (if desired) the natural tooth shape and
position, plus arch form and width.position, plus arch form and width.

If desired, the horizontal and vertical positions of the anteriorIf desired, the horizontal and vertical positions of the anterior
teeth can be more accurately replicated.teeth can be more accurately replicated.
• The patient is likely to adapt more easily to dentures at the same timeThe patient is likely to adapt more easily to dentures at the same time
recovery from surgery is progressing. Speech and mastication are rarelyrecovery from surgery is progressing. Speech and mastication are rarely
compromised, and nutrition can be maintained.compromised, and nutrition can be maintained.
• The availability of tissue-conditioning material allows for considerableThe availability of tissue-conditioning material allows for considerable
versatility in the correction and refinement of the denture fitting surface,versatility in the correction and refinement of the denture fitting surface,
both at the insertion stage and at subsequent appointments.both at the insertion stage and at subsequent appointments.

• Overall, the patient's psychological and social well-being is preserved.Overall, the patient's psychological and social well-being is preserved.
• The most compelling reasons for the immediate denture prescription are that aThe most compelling reasons for the immediate denture prescription are that a
patient does not have to go without teeth and that there is no interruption of apatient does not have to go without teeth and that there is no interruption of a
normal lifestyle of smiling, talking, eating, and socializing.normal lifestyle of smiling, talking, eating, and socializing.

Disadvantages
Immediate dentures are a more challenging modality than complete dentures
because the presence of teeth makes impressions and maxillomandibular positions
more difficult to record.

Specific disadvantages include the following:
1. The anterior ridge undercut (often severe) that is caused by the
presence of the remaining teeth may interfere with the impression
procedures and therefore preclude also accurately capturing a
posteriorly located undercut, which is important for retention.
2. The presence of different numbers of remaining teeth in various2. The presence of different numbers of remaining teeth in various
locations (anteriorly, posteriorly, or both) frequently leads tolocations (anteriorly, posteriorly, or both) frequently leads to
recording incorrectly the centric relation position or planningrecording incorrectly the centric relation position or planning
improperly the appropriate vertical dimension of occlusion.improperly the appropriate vertical dimension of occlusion.

3. An occlusal adjustment, or even selective pretreatment extractions, may3. An occlusal adjustment, or even selective pretreatment extractions, may
be needed to make accurate records at the proper vertical dimension ofbe needed to make accurate records at the proper vertical dimension of
occlusion.occlusion.
4. The inability to accomplish a denture tooth try-in in advance on4. The inability to accomplish a denture tooth try-in in advance on
extractions precludes knowing what the denture will actually look likeextractions precludes knowing what the denture will actually look like
on the day of insertion.on the day of insertion.
5. Careful planning, operator experience, attention to details of the5. Careful planning, operator experience, attention to details of the
technique, and explanation to the patient best address this inherenttechnique, and explanation to the patient best address this inherent
problemproblem

6. Because this is a more difficult and demanding procedure,6. Because this is a more difficult and demanding procedure,
more chair time, additional appointments, and thereforemore chair time, additional appointments, and therefore
increased costs are unavoidable.increased costs are unavoidable.
7. Functional activities (e.g., speech and mastication) are likely to7. Functional activities (e.g., speech and mastication) are likely to
be impaired. However, this is a temporary inconvenience.be impaired. However, this is a temporary inconvenience.

• A few patients are not good candidates for immediate dentures.A few patients are not good candidates for immediate dentures.
• They includeThey include
• Patients who are in poor general health or who are at poorPatients who are in poor general health or who are at poor
surgical risks (e.g., post irradiation of the head and neck regions,surgical risks (e.g., post irradiation of the head and neck regions,
systemic conditions that affect healing or blood clotting, cardiacsystemic conditions that affect healing or blood clotting, cardiac
or endocrine gland disturbances, and psychological disorders).or endocrine gland disturbances, and psychological disorders).
• Patients who are identified as uncooperative as they cannotPatients who are identified as uncooperative as they cannot
understand and appreciate the scope, demands, and limitationsunderstand and appreciate the scope, demands, and limitations
to the course of immediate denture treatmentto the course of immediate denture treatment

DDIAGNOSIS, TREATMENT PLANNING, AND PROGNOSISIAGNOSIS, TREATMENT PLANNING, AND PROGNOSIS
• Which Type of Immediate Denture Should Be Prescribed?...Which Type of Immediate Denture Should Be Prescribed?...
• ExplanationExplanation toto the Patient….the Patient….

POINTS TO BE NOTEDPOINTS TO BE NOTED
• 1. The patient's existing midline and need for modification of its1. The patient's existing midline and need for modification of its
position (existing teeth may have drifted, especially if a nearbyposition (existing teeth may have drifted, especially if a nearby
tooth has been lost for some time).tooth has been lost for some time).
• 2. The patient's existing vertical dimension of occlusion and2. The patient's existing vertical dimension of occlusion and
amount ofamount of interocclusalinterocclusal distance (freeway space) and the need fordistance (freeway space) and the need for
conforming to or changing it according to whether the patient'sconforming to or changing it according to whether the patient's
existing maximum inter-occlusal position coincides with theexisting maximum inter-occlusal position coincides with the
planned centric relation position for the immediate dentures andplanned centric relation position for the immediate dentures and
how difficult it is to manipulate or achieve that position forhow difficult it is to manipulate or achieve that position for
recording.recording.

• 3. The present amount of horizontal and vertical overlap of3. The present amount of horizontal and vertical overlap of
anterior teeth.anterior teeth.
• 4. An estimate of the Angle's classification of occlusion for4. An estimate of the Angle's classification of occlusion for
the patient.the patient.
• 5. Display of posterior tooth in the buccal corridor.5. Display of posterior tooth in the buccal corridor.

• The procedures for fabrication of immediate dentures are similarThe procedures for fabrication of immediate dentures are similar
to those for making complete dentures, with someto those for making complete dentures, with some
modifications.modifications.
• If overdenture abutments are planned, endodontic treatment isIf overdenture abutments are planned, endodontic treatment is
preferably completed coincident with the immediate denturepreferably completed coincident with the immediate denture
procedures.procedures.
• The abutments can be morphologically modified when theThe abutments can be morphologically modified when the
denture is ready to be inserted.denture is ready to be inserted.
• Final preparation of overdenture abutments and placement ofFinal preparation of overdenture abutments and placement of
any copings or attachments should be done after the immediateany copings or attachments should be done after the immediate
denture is inserted and the patients ridge healing is complete.denture is inserted and the patients ridge healing is complete.

• Preliminary examination….Preliminary examination….

Preliminary Impressions and Diagnostic Casts
Impressions are made in irreversible hydrocolloid
(alginate) in stock metal or plastic trays..

• OpposingOpposing premolars may be retained to preserve the verticalpremolars may be retained to preserve the vertical
dimension of occlusion, although canines or other anterior teeth maydimension of occlusion, although canines or other anterior teeth may
provide the required so-called centric or vertical stops..provide the required so-called centric or vertical stops..

• There are two basic ways to fabricate the final impression tray,There are two basic ways to fabricate the final impression tray,
depending on the location of the remaining teeth and operatordepending on the location of the remaining teeth and operator
preference. Both are successful as long as they are done properly.preference. Both are successful as long as they are done properly.
• The process for tray fabrication is as follows:The process for tray fabrication is as follows:
• 1. The areas of the casts with remaining teeth are blocked out with1. The areas of the casts with remaining teeth are blocked out with
two sheet wax thicknesses as for a fixed partial denture customtwo sheet wax thicknesses as for a fixed partial denture custom
impression tray; undercuts in the edentulous areas are blocked out asimpression tray; undercuts in the edentulous areas are blocked out as
for a complete denture custom tray. ….for a complete denture custom tray. ….

• Campagna impression Technique:Campagna impression Technique:

Location of Posterior Limit and Jaw Relation RecordsLocation of Posterior Limit and Jaw Relation Records
• The procedures for locating the posterior limit and jaw relationThe procedures for locating the posterior limit and jaw relation
records are identical to those for complete dentures.records are identical to those for complete dentures.
• If there are enough anterior and posterior teeth remaining (in someIf there are enough anterior and posterior teeth remaining (in some
patients with (IIDs), there may not be a need for a record base andpatients with (IIDs), there may not be a need for a record base and
occlusion rim.occlusion rim.

• If not (as in some patients with IIDs and all patients with CIDs),…….If not (as in some patients with IIDs and all patients with CIDs),…….
• The occlusion rims (and teeth if necessary) are trimmed to theThe occlusion rims (and teeth if necessary) are trimmed to the
desired vertical dimension of occlusion. A face-bow transfer and adesired vertical dimension of occlusion. A face-bow transfer and a
recording of centric relation are maderecording of centric relation are made
• The casts are mounted on the articulator.The casts are mounted on the articulator.
• Protrusive relation records are made, if desired, to transfer to theProtrusive relation records are made, if desired, to transfer to the
articulator in order.articulator in order.

• The anterior plane of occlusion (using the inter-pupilary line as aThe anterior plane of occlusion (using the inter-pupilary line as a
guide) is determined and marked on the base of the cast.guide) is determined and marked on the base of the cast.
• The remaining canines may not be coincident with this plane. TwoThe remaining canines may not be coincident with this plane. Two
teeth should be found that are parallel to the desired anterior planeteeth should be found that are parallel to the desired anterior plane
of occlusion.of occlusion.
• If posterior teeth are still present at this stage, they may be extruded,If posterior teeth are still present at this stage, they may be extruded,
which would distort the desired occlusal plane.which would distort the desired occlusal plane.

• Intraoral landmarks that correspond to the ala-tragus plane should beIntraoral landmarks that correspond to the ala-tragus plane should be
located and noted.located and noted.
• These can be used as an aid to draw an ala-tragus line on the base ofThese can be used as an aid to draw an ala-tragus line on the base of
the cast.the cast.
• If posterior teeth are missing at this stage, it is easy to establish andIf posterior teeth are missing at this stage, it is easy to establish and
record the ala-tragus line with the posterior tooth set up.record the ala-tragus line with the posterior tooth set up.

• Setting the Denture Teeth/Verifying Jaw
Relations and the Patient Try-in
Appointment
• The articulated casts are used for setting
any anterior/posterior teeth that are missing
so that a try-in can be accomplished with the
patient.
• A try-in is not always possible (e.g., when
all teeth in the arch are present as in some
patients with (IIDs),

• The midline or newly selected midline is recorded on the baseThe midline or newly selected midline is recorded on the base
area of the master casts.area of the master casts.
• A discussion of placement of diastema, rotated teeth, notches,A discussion of placement of diastema, rotated teeth, notches,
and other natural arrangements should occur so that the patientand other natural arrangements should occur so that the patient
is actively involved in the esthetic decisions.is actively involved in the esthetic decisions.

Walter j DemerWalter j Demer 19721972 1616
““Minimising problems in placement of immediate dentures” …Minimising problems in placement of immediate dentures” …

• Distolingual undercutDistolingual undercut
• Buccal and lingual undercuts in the bicuspid region:Buccal and lingual undercuts in the bicuspid region:
• Sublingual undercutsSublingual undercuts
• Incisive fossae and canine eminencesIncisive fossae and canine eminences
• Distolingual and anterior combinationsDistolingual and anterior combinations
• Labial and lingual undercutsLabial and lingual undercuts

• Extractions without alveoloplastyExtractions without alveoloplasty
• Extraction with alveoloplastyExtraction with alveoloplasty
Septal alveolectomySeptal alveolectomy
Radical alveolectomyRadical alveolectomy

Surgical TemplatesSurgical Templates
• A surgical template is a thin, transparent form duplicatingA surgical template is a thin, transparent form duplicating
the tissue surface of an immediate denture and is used as athe tissue surface of an immediate denture and is used as a
guide for surgically shaping the alveolar process (Farmer,guide for surgically shaping the alveolar process (Farmer,
1983).1983).
• It is a prescription for the surgical procedure and isIt is a prescription for the surgical procedure and is
essential when any amount of bone trimming is necessary.essential when any amount of bone trimming is necessary.

Surgery and Immediate Denture Insertion
1. The patient can see the practitioner first for reduction of any overdenture
abutments or sectioning of any pre existing fixed partial dentures.
2. The dentist performing the operation then extracts the remaining teeth,
taking care to preserve the labial plate of bone. Usually, no bone trimming
is done.
3. The surgical template is used as a guide to ensure that the prescribed
bone trimming is done adequately.
4. The template should fit and be in contact with all tissue surfaces.
Inadequately trimmed areas planned for bone reduction will blanch from
the pressure and be seen through the clear template.

• Arthur Van victor(1963)Arthur Van victor(1963)1212
• ““The Mold guide cast –Its Significance in denture esthetics”The Mold guide cast –Its Significance in denture esthetics”

John P Dahlberg(1965)John P Dahlberg(1965)1414
“Reconstructing the Natural Appearance By Immediate dentures“Reconstructing the Natural Appearance By Immediate dentures

Klien et al (1960)9
“Immediate denture Prosthesis”

Processing and FinishingProcessing and Finishing
• The immediate dentures are processed and finished in the usualThe immediate dentures are processed and finished in the usual
manner of complete dentures.manner of complete dentures.
• If desired, a laboratory remount can be accomplished beforeIf desired, a laboratory remount can be accomplished before
removing the dentures from their casts and finishing.removing the dentures from their casts and finishing.
•
• Keep the undercut areas of the denture slightly thick at this point toKeep the undercut areas of the denture slightly thick at this point to
allow for insertion over undercuts.allow for insertion over undercuts.
• Using an upward/backward path of insertion of the immediateUsing an upward/backward path of insertion of the immediate
denture at placement may allow insertion without trimming;denture at placement may allow insertion without trimming;
regardless, these areas can be thinned later before sending theregardless, these areas can be thinned later before sending the
patient home.patient home.

• It is best to keep all posterior undercuts at this point because oftenIt is best to keep all posterior undercuts at this point because often
they do not need reduction but can be well managed by selecting anthey do not need reduction but can be well managed by selecting an
alternate path of insertion and withdrawal of the denture combinedalternate path of insertion and withdrawal of the denture combined
with judicious trimming of the width of the inside of the resin flangewith judicious trimming of the width of the inside of the resin flange
in these areas at the placement visit.in these areas at the placement visit.
• Any bumps inside the immediate denture resulting from over-Any bumps inside the immediate denture resulting from over-
trimming of the cast should be reduced to allow for a convex ridgetrimming of the cast should be reduced to allow for a convex ridge
healing. These procedures are duplicated on the surgical template.healing. These procedures are duplicated on the surgical template.

• The procedures for fabrication of immediate dentures processing isThe procedures for fabrication of immediate dentures processing is
similar to those for making complete dentures, with somesimilar to those for making complete dentures, with some
modifications.modifications.
• If overdenture abutments are planned, endodontic treatment isIf overdenture abutments are planned, endodontic treatment is
preferably completed coincident with the immediate denturepreferably completed coincident with the immediate denture
procedures.procedures.
• The abutments can be morphologically modified when the denture isThe abutments can be morphologically modified when the denture is
ready to be inserted.ready to be inserted.

• Final preparation of overdenture abutments and placement ofFinal preparation of overdenture abutments and placement of
any copings or attachments should be done after the immediateany copings or attachments should be done after the immediate
denture is inserted and the patients' ridge healing is complete.denture is inserted and the patients' ridge healing is complete.

Antony S Gotlieb(2001)Antony S Gotlieb(2001)1919
““An atypical chairsideAn atypical chairside
immediate denture”immediate denture”

• Yuuji Sato et al (2000)Yuuji Sato et al (2000)1717
• Immediate maxillary denture base extension for posterior sealImmediate maxillary denture base extension for posterior seal
• A procedure for denture base extension for posterior palatalA procedure for denture base extension for posterior palatal
sealseal

• Ashok Soni et al (2000)Ashok Soni et al (2000)1818
• Trial anterior artificial tooth arrangement for an immediate dentureTrial anterior artificial tooth arrangement for an immediate denture
patient :A clinical reportpatient :A clinical report
• A technique is described that allows the esthetics try –in of the maxillaryA technique is described that allows the esthetics try –in of the maxillary
anterior artificial tooth before the extraction and completion of ananterior artificial tooth before the extraction and completion of an
immediate dentureimmediate denture

ExplanationExplanation to the Patient Concerning Immediate Denturesto the Patient Concerning Immediate Dentures
• 1. They do not fit as well as complete dentures. They may need temporary1. They do not fit as well as complete dentures. They may need temporary
linings with tissue conditioners and may require the use of denturelinings with tissue conditioners and may require the use of denture
adhesives.adhesives.
• 2. They will cause discomfort. The pain of the extractions, in addition to2. They will cause discomfort. The pain of the extractions, in addition to
the sore spots caused by the immediate denture, will make the first week orthe sore spots caused by the immediate denture, will make the first week or
two after insertion difficult.two after insertion difficult.
• 3. It will be difficult to eat and speak initially, almost like learning to eat3. It will be difficult to eat and speak initially, almost like learning to eat
and speak all over again.and speak all over again.

• 4. The esthetics may be unpredictable. Without an anterior try-in,4. The esthetics may be unpredictable. Without an anterior try-in,
the appearance of the immediate denture may be different from whatthe appearance of the immediate denture may be different from what
you or the dentist expectedyou or the dentist expected
•
• 5. Many other denture factors are unpredictable such as the gagging5. Many other denture factors are unpredictable such as the gagging
tendency, increased salivatendency, increased saliva
• 6. It may be difficult or impossible to insert the immediate denture6. It may be difficult or impossible to insert the immediate denture
on the first day. Every effort will be made to do so. If it is noton the first day. Every effort will be made to do so. If it is not
possible, it will be inserted or remade as quickly as possible.possible, it will be inserted or remade as quickly as possible.

• 7. Immediate dentures must be worn for the first 24 hours without7. Immediate dentures must be worn for the first 24 hours without
being removed by the patient. If they are removed, they may not bebeing removed by the patient. If they are removed, they may not be
able to be reinserted for 3 to 4 days. The dentist will remove them atable to be reinserted for 3 to 4 days. The dentist will remove them at
the 24-hour visit.the 24-hour visit.
• 8. Because supporting tissue changes are unpredictable, immediate8. Because supporting tissue changes are unpredictable, immediate
dentures may loosen up during the first 1 to 2 years. The patient isdentures may loosen up during the first 1 to 2 years. The patient is
responsible for all fees involved in refitting or relining the dentures.responsible for all fees involved in refitting or relining the dentures.

SUMMARY AND CONCLUSION

1.1. BOUCHERBOUCHER,,
SS –prosthodontic treatment for edentulous patients 9–prosthodontic treatment for edentulous patients 9thth
editionedition
& 11& 11thth
edition .edition .
2.2. CHARLES HEARTWELL & ARTHUR O RAHNCHARLES HEARTWELL & ARTHUR O RAHN –Sylabuss of complete–Sylabuss of complete
dentures 4dentures 4thth
edition.edition.
3.3. DENTAL CLINICS OF NORTH AMERICADENTAL CLINICS OF NORTH AMERICA- Complete dentures, april- Complete dentures, april
1977, 21;21977, 21;2
4.4. JOHN J SHARRY-JOHN J SHARRY- Complete denture prosthodontics 2Complete denture prosthodontics 2ndnd
edition.edition.
5.5. JOHN N ADERSON ,ROY STORERJOHN N ADERSON ,ROY STORER – Immediate dentures &– Immediate dentures &
replacement dentures 3replacement dentures 3rdrd
editionedition

6.6. SHELDON WINKLER-SHELDON WINKLER- Essentials of complete dentures 2Essentials of complete dentures 2ndnd
editionedition
7.7. RUDD & MURROWRUDD & MURROW – Dental lab procedures , complete– Dental lab procedures , complete
dentures vol 1dentures vol 1
8.8. ZARB, BOLENDERZARB, BOLENDER – Prosthodontic treatment for– Prosthodontic treatment for
edentulous patients 12edentulous patients 12thth
edition.edition.

9. Klien:“Immediate denture Prosthesis” ,JPD 1960;14-24,JPD 1960;14-24
10. MM Devan “THE TRASITION FROM NATURAL TO ARTIFICIAL TEETH"10. MM Devan “THE TRASITION FROM NATURAL TO ARTIFICIAL TEETH"
JPD 1960 vol-1JPD 1960 vol-1
11. William B Lineberg “SURGICAL PREPARATION OF MOUTH FOR11. William B Lineberg “SURGICAL PREPARATION OF MOUTH FOR
IMMEDIATE DENTURES “1963 vol 13 no 1IMMEDIATE DENTURES “1963 vol 13 no 1
12. Arthur Van victor“The Mold guide cast –Its Significance in denture esthetics” JPD12. Arthur Van victor“The Mold guide cast –Its Significance in denture esthetics” JPD
1963;13:406-4151963;13:406-415
13.S. Howard payne A TRANSITIONAL DENTURE JPD1964 vol 14 no 213.S. Howard payne A TRANSITIONAL DENTURE JPD1964 vol 14 no 2
14. John P Dahlberg“Reconstructing the Natural Appearance By Immediate14. John P Dahlberg“Reconstructing the Natural Appearance By Immediate
dentures”JPD 1965;205-210dentures”JPD 1965;205-210
15.M Heartwell IMMEDIATE COMPLETE DENTURE; AN EVALUATION 196515.M Heartwell IMMEDIATE COMPLETE DENTURE; AN EVALUATION 1965
vol 15 no 4vol 15 no 4
16. Walter J Demer “MINIMIZING PROBLEMS IN PLACEMENT OF16. Walter J Demer “MINIMIZING PROBLEMS IN PLACEMENT OF
IMMEDIATE DENTURES “JPD1972;27:275-282IMMEDIATE DENTURES “JPD1972;27:275-282

17. Yuuji Sato :”Immediate maxillary denture base extension for posterior17. Yuuji Sato :”Immediate maxillary denture base extension for posterior
palatal seal”, JPD 2000;84:371-373palatal seal”, JPD 2000;84:371-373
18. Asok Soni “Trial anterior artificial tooth arrangement for an immediate18. Asok Soni “Trial anterior artificial tooth arrangement for an immediate
denture patient : A Clinical report ,JPD 2000 ;84 :260-263denture patient : A Clinical report ,JPD 2000 ;84 :260-263
19. Anton S Gotleib “An atypical chairside immediate denture :A clinical19. Anton S Gotleib “An atypical chairside immediate denture :A clinical
reportreport
JPD 2001 :86 :241-243JPD 2001 :86 :241-243
20. Masjid Bissasu “A simple procedure for minimising adjustmentsof20. Masjid Bissasu “A simple procedure for minimising adjustmentsof
immediate complete denture :Aclinical Report :JPD 2004 ;92: 125-127immediate complete denture :Aclinical Report :JPD 2004 ;92: 125-127

immediate dentures/dental courses

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Similar to immediate dentures/dental courses

Similar to immediate dentures/dental courses (20)

More from Indian dental academy

More from Indian dental academy (20)

Recently uploaded

Recently uploaded (20)

immediate dentures/dental courses