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Old 07-24-2011, 10:04 AM
 
8 posts, read 28,073 times
Reputation: 14
Talking Temporary Dentures - Is it Too Late?

Hello, and thanks for reading my post. I'm hoping someone can steer me in the right direction for this topic.

Earlier this week I had most of my teeth extracted due to advanced periodontal disease. Bone grafts were also injected in my mouth to prepare me for future dental implants. While I still have my front teeth, it is obviously difficult to speak and eat at the moment without the back teeth.

I just asked my dentist about getting something temporary to help me with speaking as I will be in meetings all next week, and his response was to practice forming my words around the teeth that are still in my mouth, because he couldn't give me dentures until my gums were healed from the surgery (about a month).

I wasn't too convinced about his answer, so I did some research and found that some dentists will make a mold of your teeth before they're extracted in order to make temporary dentures while your mouth heals.

I'm going to my current dentist next week to have the sutures removed from my gums. Please help me with the following concerns:

1. Should I let this be my last visit to him and look for someone else to complete all my dental needs, and if so, do I let my current dentist know this while I'm visiting him next week?

2. Is it too late to get temporary dentures since I no longer have my original back teeth?

3. Is there anything else I should be aware of prior to making this visit?


I would greatly appreciate anyone's assistance on this. Thank you so much in advance!
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Old 07-27-2011, 09:34 PM
 
420 posts, read 1,255,751 times
Reputation: 448
I'm a dentist so I'll chime in here. So what you're after here is what's called an immediate denture. Here's how it works. Bring the patient in for the exam and if the tx plan calls for extraction of all the upper teeth than fine. If the patient wants teeth immediately after the extractions that's what called an immediate denture, sometimes we call it a transitional denture. Patient is in the chair, take a alginate impression or with other material. Send it to the lab, they pour it up, then take all the existing teeth of the model and smooth it out, as if you already had your teeth taken out. Now they can make the denture. Bring the patient back in for the appt, get the patient numb, take out the teeth and put the denture in. Now, it may feel good at first, and usually the dentist will say to wear the denture for the next 3-4days without taking it out. Believe it or not it actually helps with the healing in a sense because it's covering the extraction sockets. Problem is the bone needs to heal and the gum tissue follows the bone causing the denture to feel loose when the healing is done. Plus there may be a piece of bone sticking out that causing irritation. I don't like making these dentures because patients almost always come back complaining. What I like to do is take out the back teeth first up to the canines and let the patient heal with that. Now I would take the impression and do the immediate denture. This way you're not doing everything at once, it's easier for the patient because depending on how many teeth were taken out the healing would be better. Less chance something going wrong now that you have to only take out 6 teeth (Canine to Canine) versus taking out 12 or 14 teeth all at once. That's how I would've approached this one. Hope this helps!
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Old 07-28-2011, 05:04 PM
 
8 posts, read 28,073 times
Reputation: 14
DrSmiley,

Your procedure is consistent with my dentist's, and now I feel a little more comfortable with his decision.

I just wish there was a way to cover and protect the back teeth after they got extracted; at least I could eat more than just soft foods, and wouldn't have so much difficulty speaking during the month-long healing period.

Nonetheless, thank you for your reply. It was very helpful!
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Old 10-20-2011, 11:13 AM
 
3 posts, read 12,877 times
Reputation: 11
Quote:
Originally Posted by drsmiley06 View Post
I'm a dentist so I'll chime in here. So what you're after here is what's called an immediate denture. Here's how it works. Bring the patient in for the exam and if the tx plan calls for extraction of all the upper teeth than fine. If the patient wants teeth immediately after the extractions that's what called an immediate denture, sometimes we call it a transitional denture. Patient is in the chair, take a alginate impression or with other material. Send it to the lab, they pour it up, then take all the existing teeth of the model and smooth it out, as if you already had your teeth taken out. Now they can make the denture. Bring the patient back in for the appt, get the patient numb, take out the teeth and put the denture in. Now, it may feel good at first, and usually the dentist will say to wear the denture for the next 3-4days without taking it out. Believe it or not it actually helps with the healing in a sense because it's covering the extraction sockets. Problem is the bone needs to heal and the gum tissue follows the bone causing the denture to feel loose when the healing is done. Plus there may be a piece of bone sticking out that causing irritation. I don't like making these dentures because patients almost always come back complaining. What I like to do is take out the back teeth first up to the canines and let the patient heal with that. Now I would take the impression and do the immediate denture. This way you're not doing everything at once, it's easier for the patient because depending on how many teeth were taken out the healing would be better. Less chance something going wrong now that you have to only take out 6 teeth (Canine to Canine) versus taking out 12 or 14 teeth all at once. That's how I would've approached this one. Hope this helps!
Doctor... I am 68 years old, and I have a serious problem. I have had dentures for years, but find that just using my upper denture will get the job done that I need. I am quickly becoming anemic, and sickly because I have worked on my own upper denture for way to many years, and now I can not even chew the soft things right. I desperately need a good fitting upper denture, so I can go on, and not continue to hurt so bad when I chew. I just need either a relign of what I have, or an upper plate similar to this, except that it will fit. This has caused havoc on my health. I am on Medicare, but either way, I am willing to pay for a good fitting upper to chew my soft food with. I need help. I have gone down around 50lbs in past few months because I can't chew without hurting
Thank You............... Robert boblinde@comcast.net
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Old 10-21-2011, 08:24 PM
 
420 posts, read 1,255,751 times
Reputation: 448
Sounds like you would need a relign of the existing denture or a completely new one made. As we get older we all lose bone, but denture wearers lose bone faster, it's called atrophy, which is probably why your denture doesn't fit the same way it did when you first got it. And when you say it hurts when you chew, it sounds like you may need an adjustment on your denture, meaning something is rubbing or irritating your gum tissue. I would either have a new denture made or have the existing one religned, or maybe both. Nothing wrong with having two dentures, some of my patients will do that just in case one breaks they have a backup. I would get the relign done first because that won't take no time at all really, probably less than a week or week and a half. Hope this helps.
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Old 12-10-2012, 11:28 PM
 
1 posts, read 7,383 times
Reputation: 11
I like the idea of getting the back teeth out, and letting the healing process take place before moving forward with temporary dentures. Approximately how long does it take to heal from back teeth extractions?
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