Thursday, April 22, 2010

Immediate Denture Care: First 24 Hours

Summarized From:
Patient Instructions For Immediate dentures
Randy F. Huffines, D.D.S.  2008


The first 24 hours

1. Do not remove your immediate denture during the first 24 hours. If you do, your gums may swell and you will have a hard time refitting your denture.
2. Take your pain medication as directed.
3. Do not take other medications or herbal supplements unless directed by your dentist or physician.
4. It helps to apply an ice pack over the area during the first few hours: on for 20 minutes, off for 20 minutes.
5. If you follow these directions, usually after the first 36 hours all you will need is mild pain medication.
6. Some bleeding during the first 2-3 days is normal.
7. When you notice bleeding, close your teeth together tightly for 10 minutes and the pressure from the immediate denture will slow down the bleeding.
8. Do not rapidly clench and release your teeth. This only agitates the site and can increase the bleeding.
9. Contact your dentist immediately if you bleed too much.
10. Do not spit forcefully during this time, or the immediate denture could become dislodged.
11. If you must remove liquid from your mouth, let it drool out gently over a sink.
12. Avoid using any kind of mouthwash for the first 24 hours unless so directed by your dentist.


At the end of 24 hours remove the denture

1. Mix ½ teaspoon of salt with a cup of warm water and place some in your mouth.
2. With your lips tightly closed, force the water under the denture to loosen it.
3. The lower denture is easier to remove, and lifts straight up.
4. The upper may be harder to remove, especially the first time. It comes out bets in a downward and forward direction.
5. If it is stubborn, take your index finger and place it between your denture and cheek moving up and back until you feel the back upper corner of the denture.
6. Move your finger onto the top of the denture border in this area and pull down gently, increasing the force until the denture is dislodged.
7. The way our denture comes out most easily depends our mouth’s unique shape.
8. After a couple of times, you will know just what to do. There may be very dark blood inside your immediate denture. This is normal.
9. You may also develop ecchymosis, or dark spots, either in your mouth or on your face over the area of the surgery. It goes away in a couple of days. Brush your denture inside and out with dishwashing liquid and rinse well with warm water.
10. Do not spit; let the salt-water drool out of your mouth into the sink.
11. Put your immediate denture back in place and press it on to your gums for 10 seconds.
12. Close together, swallow, and hold together an additional 10 seconds to correctly seat the denture.

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Saturday, May 9, 2009

Immediate Dentures

People loose teeth for many reasons, including tooth decay, periodontal disease, and accidents. Bone loss can occur from periodontal disease can even cause bone that will further loosen teeth in their sockets. When they become this loose, or too severely damaged to cap, many dentists will decide that extracting them is the only option. In these instances, immediate dentures can then be used as teeth replacements.

Immediate dentures are made and placed in the mouth within 24 hours of tooth extraction. This is why they are called immediate dentures, and the rapid placement of them offers a very good chance of speedy recovery and minimized infection.

Immediate dentures are made from impressions of the mouth that the dentist makes before teeth are extracted. A mold is made from natural a tooth that mimics their size, shape, and texture. Dentists then pinpoint the exact shape and color of natural and use this to color your dentures. Your immediate dentures are then made and unhealthy and loose teeth pulled. This will be done under anesthetic to prevent you from feeling pain.

As each tooth is extracted, it is replaced with an immediate denture. After the procedure, there are some side effects that will linger for the first 24 hours. Your gums will probably swell and make your denture(s) feel tight. You may also have problems associated immediately after your dentures are placed. Some may tip when you chew, and you may notice an increase in salivation.

Your dentures may feel bulky at first no matter how closely we match them to your natural teeth. If you have a strong gag reflex, it may be triggered at first, but not for very long. Some people report a slight difficulty speaking at first. Overall, though, all of these effects diminish as your mouth eventually adjusts.

Your jawbone will also heal over the six to nine months, and your gums will shrink slightly. We will correct this by using a temporary lining material to fill the small gaps between the denture(s) and the gum. After about 9 months, when the healing process is complete, your mouth will assume a final shape that we can then use to reline each denture for a final fit.

No one wants to have a tooth pulled, but sometimes it is necessary. One way to prevent further tooth and bone loss is to get immediate dentures that will not only help maintain your health, but will also work to restore and improve your smile.

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