Sarah Krueckel, DDS INC
Providing Gentle Dental Care

Immediate Dentures

Dentures are teeth substitutes and only have 20-25% of the chewing efficiency of real teeth. They often replace large amounts of lost gum tissue, bone and teeth. Often requiring a period of adjustment.

Do not take your denture out today.

Rinse your mouth with warm salt water before going to bed. (1 teaspoon of salt to 1 cup of warm water)

Medications:

     • Ibuprofen (ie. Advil, Motrin) 400-800 mg every 4-6 hours usually will provide sufficient pain relief. Be sure to take this with food. Additional pain medications will be prescribed if needed by the oral surgeon. Antibiotics may be prescribed for infection. All of these medications should be taken as directed unless an allergic reaction develops(i.e., rash, itching, unusual swelling). If an allergic reaction develops, stop taking the medication and contact your Oral Surgeon. If the reaction is severe (i.e., difficulty breathing), go to the nearest emergency room. NO ALCOHOLIC beverages should be consumed while taking these medications.

Bleeding and Swelling:

 • Slight bleeding can last up to 2-3 day’s. Biting pressure on the denture will promote clotting and decrease bleeding. Do not “chew” the denture as this can create a pumping action which can increase the bleeding.

 • For the first 36 hours, apply an ice pack to the affected side for 20 minutes on, then 20 minutes off. Do this as many times as possible during the waking hours. Avoid heat to the outside of the affected side.

 • For the first week, limit your diet to soft, nurturing foods. Be sure to drink plenty of water.

 • Sleep with the denture in your mouth for 2 weeks unless otherwise instructed. Sleep with your head slightly elevated. After 2 weeks remove the denture while sleeping to allow your gum tissue time to relax.         If stitches have been placed, they will need to be           removed in 7-10 days. Sometimes resorbable sutures are  used-these dissolve in one to two weeks.

 Cleaning:
 
   • Starting tomorrow, carefully remove your denture twice a day and clean with water or denture cleaner. With the denture out, rinse your mouth with warm salt water and gently reinsert your denture. Over time dentures aquire stains and odor just like regular teeth. They can be cleaned daily with a denture brush and water or denture cleaner. Periodic denture soaks are also very useful (ex: Polident). Brush your gums with a regular soft toothbrush once per day to toughen and clean them.

 • No Denture is indestructible! More often than not, dentures are broken when dropped while cleaning. So our first word of advice—as you clean your denture, fill the water or lay a washcloth down on the counter to cushion any accidents.

    • When not wearing your denture, store in a clearly labeled, sealable container in water. This is to increase the life and prevent shrinkage of the appliance. Containers can keep pets from destroying/chewing the appliance and prevent loss or misuse.

 Sore Spots:

It is not unusual for your mouth to have “sore spots” after wearing the denture for 24 hours.
These areas can be relieved easily at follow-up appointments. If a severe sore spot develops which prevents wearing the denture and an appointment is made for adjustment, please wear the denture for 24 hours prior t the appointment. This will greatly aid in pinpointing the exact location of the soreness, making adjustments significantly easier and more predictable.

 Adjustment Period:
    
     • An immediate denture may provide instant satisfaction but it is not the ideal way to go about getting teeth. We are taking impressions of your mouth/gums prior to extractions and making your denture on estimates of how we think your gums will heal. Tooth removal changes the structure and shape of the underlying bone where your new denture will sit. Different people adapt at different rates. It may take months to learn to eat or speak naturally with your new prosthesis. The new bite may feel awkward and bulky for several weeks or months. Dentures cover areas of your mouth that are normally bare. The upper denture is held in primarily by suction and the lower denture has very little to no retention, relying on muscle and tongue control to hold it in place. This might alter your speech and chewing ability and require that your tongue and lips adapt accordingly. For the first few days, you should wear your dentures as long as possible. Removing the dentures for more than several minutes at a time may allow gum tissue around extracted tooth sockets to swell, blocking re-insertion of the dentures. Practice inserting and removing the denture when several days have passed since extractions.

 Home Care and Follow up:
 
    • After the initial 2 weeks of healing, do not wear your dentures to bed. It is important to allow your gum tissues and jaw bones to rest at least 4-8 hours a day in order to prevent further tissue irritation, infection and further bone shrinkage.

    • With immediate dentures/extractions there is a relatively fast loss of the bone that once held the natural teeth in place. By the end of three weeks, enough bone has been lost that there is space between parts of the denture and the healing gums. This leads to rapidly increasing looseness and sore spots which must be adjusted frequently. A temporary liner can be inserted if needed, or denture adhesive may be used. The “hard” reline is a separate procedure and the cost is NOT included in the original price of the immediate denture. The hard reline marks the official transition of the immediate denture into a standard denture.

    • Annual check-ups will allow your dentist to adjust/reline your dentures to restore their fit and inspect the appliance for cracks or damages. Once healing is complete, bone and gums are still lost at a rate of .08cm per year. Wearing ill-fitting dentures for too long without re-fitting can cause bone loss and very serious oral disease.

 

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