Your First Dentures
Immediate dentures are constructed before your remaining teeth are extracted and are inserted by your dentist after your last tooth is extracted. The Denturist will do their best to make sure the relationship of your jaw is as close to your natural teeth as possible and the new teeth size, shape, colour are correct. However, because supporting tissue and bone changes are unpredictable at extraction time there is no guarantee on the final outcome. In rare cases a new denture may be required.
During the first 24 hours after tooth extractions and immediate denture placement, it is critical that that you do not remove the denture until you see your Denturist. Premature removal of the immediate denture could make its re-insertion difficult because of the swelling of the oral tissues. The pain from the trauma of extractions will not be eliminated by removal of the dentures. A soft food and liquid diet is also encouraged for the first 24 hours. Please follow all dentist recommended care for antibiotics and pain management.
Post immediate dentures are constructed after your teeth are extracted. Post immediate dentures allow the Denturist to construct your dentures with more care, accuracy and attention to detail. The prime advantage of post immediate dentures is your ability to try the new denture in your mouth before completion. The degree of satisfaction with this method is increased two fold as the fit, function and aesthetics can be controlled.
Regular Maintenance, Temporary Liners and Relines
Whether or not you have immediate or post immediate dentures, regular maintenance for the first year is critical. It is necessary for your Denturist to make adjustments to your dentures, add temporary liners to refit your dentures while your gums heal and resorb. At approximately twelve months, the Denturist will remove the temporary liner and replace it with a permanent reline.
Denture Maintenance Schedule
- Adjustments from time to time will be required – there is no charge for adjustments for twelve months from the date of denture insertion.
- Temporary Liners will be required every two to three months. As every patient’s healing period is different, the number of temporary liners varies from person to person. Additional fee required.
- One year permanent reline: the Denturist will determine when your gums have healed and ridge resorption has slowed to have a permanent reline. Additional fee required.
- After your first reline, it is recommended that you Reline your dentures every 2 to 4 years and Replace your dentures every 5 to 9 years, depending on the amount of wear on the teeth and shrinkage of your gums.
When an adult tooth is removed and not replaced, jawbone deterioration may occur. Natural teeth are embedded in the jawbone and stimulate the jawbone through activities such as chewing and biting. When teeth are missing, the alveolar bone, or the portion of the jawbone that anchors the teeth in the mouth, no longer receives the necessary stimulation, and begins to break down, or resorb. The body no longer uses or “needs” the jawbone, so it deteriorates and goes away. The rate the bone deteriorates, as well as the amount of bone loss that occurs, varies greatly among individuals. However, most loss occurs within the first eighteen months following the extraction, and continues throughout life.
Dentures do not provide any direct stimulation to the underlying alveolar bone. Over time, the lack of stimulation causes the bone to resorb and deteriorate. Conventional dentures rely on the bone to hold them in place and over time people often experience loosening of their dentures and problems eating and speaking. Eventually, bone loss may become so severe that dentures cannot be held in place even with strong adhesives. Dental implants will then be necessary to preserve the remaining bone and to hold the denture in place. Proper denture care, repair, and refitting are essential to maintaining oral health and preserving bone.