Can Immediate Dentures Be Permanent? The Evolution of Prosthetic Dentistry

Can Immediate Dentures Be Permanent?

Immediate dentures, a dental prosthetic appliance specialized to be a quick, one-visit procedure, are placed inside the patient’s mouth right after the extraction of their natural permanent teeth. Prior to this procedure, the dentist and a team of technicians have meticulously designed this immediate prosthetic to fit the proportions of the patient’s mouth. 

The main job of immediate dentures is to make certain patients no longer have to experience edentulism (lacking teeth) any longer than they actually need to; edentulism can significantly impact a patient’s ability to eat, speak, and maintain their dental appearance as it can adversely affect their dental self perception. 

In this blog we will deal with the question: Can immediate dentures be permanent?; We will also discuss how the field of prosthetic dentistry has evolved over the years. 

Immediate Dentures

Immediate dentures are designed for insertion immediately after tooth extraction and are crafted from acrylic resin based on pre-extraction moulds/impressions that the dentist has taken during the preparation phase.

They serve as protective barriers as they shield the wounds from bacteria and food particles, reducing the risk of infection and controlling bleeding; they also aid in healing by applying a consistent amount of pressure to the gums, which minimizes swelling.

Immediate dentures can vastly upgrade the patient’s oral environment by empowering them to speak and eat normally without the inconveniences of edentulism during the healing period.

Prosthetic Dentistry Over The Years

Ancient attempts at using animal teeth, bone, and ivory to act as artificial replacements for damaged or missing teeth were, of course, rudimentary due to the lack of precise fitting techniques. 

During the 19th century, right on the coattails of the industrial revolution, we see humanity rectifying this lack by developing novel manufacturing techniques and material innovations (such as vulcanized rubber).

A century later, the 20th century, the concept of immediate dentures emerges as dentists are searching for a safe way to address the ever-growing need and utility of better and faster post-extraction methods.

The mid-20th century is transformative, with acrylic resins revolutionising denture fabrication. The material offered a more durable, aesthetically pleasing, and precise fitting option. Enhanced pre-extraction impression techniques improve the fit, while advanced materials like polyvinyl siloxane (PVS) and better soft liners in the late 20th-century offer further refinement. Dental adhesives improve stability and make dentures more practical during the healing phase.

In the 21st century, we see the involvement of computer machinery into surgical spaces. CAD/CAM (computer-assisted design and manufacturing) and 3D printing have made possible an unparalleled degree of mathematical accuracy in all aspects of dental prosthetics such as the design and surgery phases. We also have high-impact acrylics and advanced polymers which make our artificial replacements look better and be stronger than ever. 

Ongoing clinical research continues to refine techniques and interdisciplinary approaches that integrate periodontics, oral surgery, and restorative dentistry are ensuring comprehensive treatment plans that prioritize a better oral future for all.

But Can Immediate Dentures Be Permanent?

Immediate dentures are quite beneficial for immediate use but require frequent adjustments over time to become permanent as the gums heal and shrink, often involving soft and hard relining (adding material to the denture base) to ensure a proper fit over time.

It must be kept in mind that immediate dentures are not inherently intended as a permanent long-term solution due to material limitations and the need for frequent adjustments to help patients avoid the discomfort and embarrassment of toothlessness immediately after extraction. There are further factors that should be considered to ensure that the dentures are permanent; we have listed them below.

Material Quality

Immediate dentures are crafted from a flexible, greater quality acrylic resin and soft liners. These materials are practical and do an excellent job for a shorter period but require frequent adjustments as gums and bones change their shape over the months during the healing period. 

Conversely, permanent dentures are made from higher-quality acrylic resin and often porcelain teeth, offering greater durability, stability, and resistance to wear and tear. They are fabricated in precise measurements to fit fully healed gums, ensuring a longer-lasting, comfortable fit with less need for frequent modifications​.

Fit and Comfort

Immediate dentures, crafted to fit immediately after tooth extraction, face significant challenges in maintaining comfort as the gums heal. Frequent adjustments, including relining, are necessary to manage the shifting oral landscape, but these modifications often fall short of achieving the firmness and comfort provided by permanent dentures. Also, patients often find immediate dentures less stable and more prone to causing sore spots due to the constant changes in the fit during the healing period.

In contrast, permanent dentures, with their custom fit and durable materials, offer a precise fit tailored to the settled contours of the mouth which significantly reduces the need for adjustments, and provide a more consistent and comfortable experience that consists of an upgraded level of chewing efficiency and oral health.

Maintenance

Ensuring the longevity of immediate dentures hinges on meticulous care, involving daily cleaning with a soft brush and denture cleanser, avoiding abrasive toothpaste. Soaking them in a denture solution or water prevents drying and deformation. 

Regular dental check-ups are crucial to adjust for gum and bone changes post-extraction, enhancing fit and comfort. High-impact acrylic resins and advanced polymers boost durability, while thorough hygiene practices, such as rinsing after meals and avoiding hot water, mitigate damage. 

Consistent monitoring by dentists helps identify and address potential issues early, ensuring sustained functionality and oral health​.

Conclusion

Immediate dentures continue to evolve with gradual, incremental modifications by dentists and scientists. While inherently, they aren’t meant to be permanent, the technology of today has made them a highly viable option.

At the 3D Implant Clinic, situated in Chicago, Illinois, we utilize the latest technology to provide tailored, high-quality denture solutions. If you or a loved one are considering dentures or want individualised answers from a reputable, experienced staff, schedule a consultation with us today. Let us help make your smile shine again with the best prosthetic dentistry options available. Contact us now to make an appointment!

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