Sometimes all the teeth need to be removed and replaced with dentures at the time they are extracted. This type of denture is called an immediate denture or temporary denture. There are multiple steps the dentist must complete before the immediate dentures can be fabricated by the laboratory and the teeth extracted. Although immediate dentures work well to give a new smile and replace teeth immediately, they have many challenges. For someone receiving complete dentures that has no teeth, denture teeth are tried in the patient’s mouth to verify the smile. This is not always possible with immediate dentures because the natural teeth still remain. The dentist fabricating the immediate dentures makes educated guesses on the stone models of your teeth in order to make the immediate dentures prior to the extractions.
After the extractions have been performed, the immediate denture is inserted into the patient’s mouth and the fit is evaluated. Often the denture requires a temporary soft lining to be placed to improve the fit for the patient. Generally, the dentist will instruct the patient to wear the new denture for 24 hours without removal. This is a crucial period as the denture protects the extraction sites in the gums, and most importantly relatively confines the swelling. If the denture is removed too early during this period, the patient may not be able to put it back into place due the large amount of swelling that can take place. After the 24 hour period has passed, the denture can then be removed and rinsed and worn as much as possible. The first couple of weeks can be quite challenging trying to learn how to use the new dentures, adjust to speaking, and manging the associated pain and healing of the gums. New dentures will always require minor adjustments in order to prevent sore spots in the beginning stages. Please keep in close contact with your dentist so that he/she can help you through this period.