Presentation 1. Treatment Planning For The Immediate Denture 2. The Patient With Periodontal Disease

Presentation
1. Treatment Planning For The

Immediate Denture
2. The Patient With Periodontal Disease
By
Group D
e
a
rm
T
te
a
P
n
ltn
T
F
m
o
h
iIremD
g
e
a
d
tie
n
u
e
tr
Definition of Immediate Denture
An immediate denture is a complete denture

or removable partial denture fabricated for
placement immediately after the removal of
natural teeth
An immediate denture can also be an
overdenture.
Immediate dentures may be either single
immediate dentures or upper and lower
immediate dentures in the same patient.
INDICATIONS
1. Educated patient with daily social
activities/doctors, lawyers, teachers

2. Patient with stable health condition
3. Hopless remaining teeth:
Advanced periodontal disease

Advanced carious non vital teeth
Sever tilted teeth
CONTRAINDICATIONSOF IMMEDIATE
DENTURES
1- patients who are in poor general health or who
are poor surgical risks.
2- patients who are identified as uncooperative
because they cannot understand and appreciate
the scope, demands, and limitations to the
course of immediate denture treatment.
3. Patient is not willing to accept the trratment
mentally and pschologically due to cost.
The dentist must explain and the patient
must fully understand the limitations of
the procedure before beginning treatment.
ADVANTAGES
Maintenance of a patient's appearance
Circumoral support, muscle tone, vertical
dimension of occlusion, jaw relationship, and face

height can be maintained. The tongue will not
spread out as a result of tooth loss
Less postoperative pain is likely to be encountered
because the extraction sites are protected
Easier to duplicate (if desired) the natural tooth
shape and position
Adaptation easier. Speech and mastication are
rarely compromised, and nutrition can be

maintained
Disadvantages
Immediate dentures are a more challenging
The anterior ridge undercut that is caused by the
presence of the remaining teeth may interfere with

the impression procedures
The presence of different numbers of remaining
teeth in various locations frequently leads to

recording incorrectly the centric relation position
No denture tooth try-in in precludes knowing what
the denture will actually look like on the day of

insertion
more chair time, additional appointments, and
therefore increased costs
DIAGNOSIS, TREATMENT PLANNING, AND PROGNOSIS
Which Type of Immediate Denture Should Be

Prescribed?
In some cases, the presence of numerous posterior teeth
and the need for other hard and soft tissue related
procedures can complicate treatment.
In some patients, the sequelae of advanced periodontal
disease, including aberrant occlusal relationships, might
require a ''staged" surgical approach to the final objective of
a definitive prosthesis.
Extracting the posterior teeth and performing other
necessary procedures first in these patients can lead to
predictable results for the CID.
However for other patients, the idea of a period without
posterior teeth is impossible to imagine.
Explanation to the Patient Concerning Immediate Dentures
Do not fit as well as normal complete dentures.

The pain of the extractions, in addition to the
sore spots caused by the immediate denture,

will make the first week or two after insertion
difficult.
It will be difficult to eat and speak initially

The esthetics may be unpredictable because an
anterior try-in is not possible
Immediate dentures must be worn for the
first 24 hours without being removed by

the patient. If they are removed, they may
not be able to be reinserted for 3 to 4 days.
The dentist will remove them at the 24hour visit
Immediate dentures will loosen during
healing, tissue conditioners will be required
6 to 9 months after insertion at least a
reline will need to be done, possibly a

remake . The patient is responsible for
fees.
The Patient With Periodontal

Disease
Periodontal diseases range from simple gum
inflammation to serious disease that results in

major damage to the soft tissue and bone that
support the teeth.
Types
Gingivitis
Early stage of disease
Red, swollen, and bleeding gums
Usually reversible through good oral hygiene and preventive care
Not uncommon in young adults and even youth
Periodontitis
Advanced stage of disease
Chronic inflammatory response leading to irreversible destruction
of tissues and bone that support the teeth
Treatment requires more aggressive surgical care
What Causes Periodontal Disease

Our mouths are full of bacteria. These bacteria,
along with mucus and other particles, constantly

form a sticky, colorless plaque on teeth.
Brushing and flossing help get rid of plaque.
Plaque that is not removed can harden and form
tartar that brushing doesnt clean.

Only a professional cleaning by a dentist or
dental hygienist can remove tartar.
Risk Factors
Smoking
Hormonal Changes in
girls/women
Diabetes
Other Illness
Diseases like cancer or AIDS and
their treatments can also

negatively affect the health of
gums.
Genetic Susceptibility
Medications
There are hundreds of
prescription and over the

counter medications that
can reduce the flow of
saliva, which has a
protective effect on the
mouth. Without enough
saliva, the mouth is
vulnerable to infections
such as gum disease.
And some medicines can
cause abnormal overgrowth
of the gum tissue; this can
make it difficult to keep
teeth and gums clean.
Symptoms of Periodontal Disease

Bad breath that wont go away
Red or swollen gums
Tender or bleeding gums
Painful chewing
Loose teeth
Sensitive teeth
Receding gums or longer appearing teeth
Treatment of Periodontal Disease

Deep Cleaning (Scalling and Root Planning)
Medications
Surgical Treatement
Prevent Periodontal
Disease
Practice Good Dental Hygiene
Consistent good dental hygiene can help prevent
gingivitis and periodontitis.

Brush twice daily with a fluoride toothpaste (be sure to replace
toothbrushes every 1 - 3 months).

Clean between the teeth with floss or an interdental cleaner.
Eat a well-balanced diet and limit between meal snacks.
Have regular visits with a dentist for teeth cleaning and oral
examinations.
If you smoke, you should quit. Smoking is a major risk factor for gum
disease.
Thanks
Question
Hesti Rahayu (039)
What is the mechanism of periodontal disease?

Answered by: Elsya Octavianti
Rahmanelti (037)
Can you tell me about the risk factors of smoking
from periodontal disease?
Answered by: Uswatun Nissa
Risky Mentari(027)
What are the contraindication from patients with
periodontal disease when using immediate dentures?
Answered by: Mardiani Putri

Presentation 1. Treatment Planning For The Immediate Denture 2. The Patient With Periodontal Disease

Uploaded by

Copyright:

Available Formats

Presentation 1. Treatment Planning For The Immediate Denture 2. The Patient With Periodontal Disease

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Presentation 1. Treatment Planning For The Immediate Denture 2. The Patient With Periodontal Disease

Uploaded by

Copyright:

Available Formats

Presentation

1. Treatment Planning For The

Definition of Immediate Denture

An immediate denture is a complete denture

activities/doctors, lawyers, teachers

Advanced periodontal disease

dimension of occlusion, jaw relationship, and face

Less postoperative pain is likely to be encountered

because the extraction sites are protected

Easier to duplicate (if desired) the natural tooth

shape and position

Adaptation easier. Speech and mastication are

rarely compromised, and nutrition can be

presence of the remaining teeth may interfere with

The presence of different numbers of remaining

teeth in various locations frequently leads to

No denture tooth try-in in precludes knowing what

the denture will actually look like on the day of

more chair time, additional appointments, and

therefore increased costs

DIAGNOSIS, TREATMENT PLANNING, AND PROGNOSIS

Which Type of Immediate Denture Should Be

posterior teeth is impossible to imagine.

Explanation to the Patient Concerning Immediate Dentures

Do not fit as well as normal complete dentures.

sore spots caused by the immediate denture,

It will be difficult to eat and speak initially

anterior try-in is not possible

Immediate dentures must be worn for the

first 24 hours without being removed by

Immediate dentures will loosen during

healing, tissue conditioners will be required

6 to 9 months after insertion at least a

reline will need to be done, possibly a

The Patient With Periodontal

inflammation to serious disease that results in

of tissues and bone that support the teeth

Treatment requires more aggressive surgical care

What Causes Periodontal Disease

along with mucus and other particles, constantly

tartar that brushing doesnt clean.

dental hygienist can remove tartar.

their treatments can also

There are hundreds of

prescription and over the

Symptoms of Periodontal Disease

Treatment of Periodontal Disease

gingivitis and periodontitis.

toothbrushes every 1 - 3 months).

What is the mechanism of periodontal disease?

You might also like