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FAQ:  Immediate Dentures


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Immediate Dentures Ask The Dentist Corinne Scalzitti Question:
Tooth Loss, Implants and Immediate Denture: I have maybe 4 permanent teeth left on top (and a bridge attached to two) and maybe 5 teeth left on bottom, all are loose.

Can I still be fitted with dentures or implants if the dentist can not get an impression of the shape of my mouth? ... Visitor from CA

Answer:
Immediate dentures can be started when loose teeth are present.

The dentist will take impressions of the jaw with the teeth in place (if they are really loose, then one or more could come out during the impressions; I call this an inexpensive extraction).

The dentist then puts wax where the teeth are on a "plate" to measure the dimension of the bite and where the denture teeth should be.

After the impressions are made and fittings are done, I have my laboratory keep one side of the patient's own teeth on a model and use wax and denture teeth on the other side to show the patient how the new teeth will look versus the present teeth.

Then, the laboratory takes off the teeth from the model and fits a denture to the underlying bone and tissues. On the day of the extractions I remove the teeth, put in the denture and use a soft reline material to hold it in.

Immediate dentures will need a laboratory reline in 6 months to a year as the tissue and bone heal and shrink.

I don't know how loose your teeth are or how many other teeth you have, but you might want to look at the PerioLase laser portion of my website. I have had wonderful results with tightening of loose teeth with this.

Implants are more complicated and would require x-rays and a look at your situation to offer any real advice.

Corinne Scalzitti, DMD, MAGD

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