Can Immediate Dentures Be Permanent? Understanding the Reality of Immediate Dentures
Immediate dentures, placed immediately after tooth extraction, offer a convenient solution for those needing full or partial dentures. However, the question of their permanence often arises. The simple answer is no, immediate dentures are not permanent. While they provide an immediate solution for aesthetics and function, they require adjustments and eventual replacement. Let's delve deeper into why.
What are Immediate Dentures?
Immediate dentures are custom-made dentures constructed before the extraction of your remaining natural teeth. This allows your dentist to fit them immediately after the extractions, offering a seamless transition with no gap in your smile. This is a major advantage, offering comfort and avoiding the awkward "gap-toothed" period associated with traditional dentures.
Why Aren't Immediate Dentures Permanent?
Several factors contribute to the non-permanent nature of immediate dentures:
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Bone Resorption: After tooth extraction, the jawbone begins to resorb (shrink) naturally. This process alters the shape of your jaw, leading to a loose fit of your immediate dentures over time. The jawbone's resorption can be significant, especially in the first six to twelve months following extraction.
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Gum Tissue Healing: Your gums also undergo changes as they heal post-extraction. The initial swelling subsides, and the gum tissue remodels itself. This can also affect the fit of the dentures.
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Changes in Bite: The initial bite might not be perfectly aligned as your jaw adjusts to the absence of natural teeth and the presence of dentures. Your dentist will likely need to make adjustments to refine the fit and bite as the healing progresses.
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Wear and Tear: Like any prosthetic device, immediate dentures are subject to wear and tear. Over time, the acrylic material may wear down, impacting the fit and function of the dentures.
How Long Do Immediate Dentures Last?
The lifespan of immediate dentures varies from person to person. On average, you can expect immediate dentures to last anywhere from one to three years. After this period, they'll likely require relining, rebasing, or complete replacement due to the factors mentioned above.
How are Adjustments Made?
Regular follow-up appointments with your dentist are crucial. Your dentist will monitor the fit and make necessary adjustments during the healing process. These adjustments might involve:
- Relining: Adding a new layer of material to the inside of the denture to improve its fit.
- Rebasing: Replacing the entire base of the denture to improve its fit and stability.
- Adjusting the bite: Making minor adjustments to the occlusion (how your upper and lower teeth come together) to improve comfort and function.
What Happens After Immediate Dentures?
After the initial healing period (typically 6-12 months), your dentist will likely recommend taking impressions for new, permanent dentures. These permanent dentures will be made to accurately fit your changed jawbone and gum tissue.
Are there Alternatives to Immediate Dentures?
Yes, alternatives exist depending on your oral health and preferences. These include:
- Conventional Dentures: These are fitted after the gums have completely healed, typically several months after extractions.
- Overdentures: These are placed over remaining natural teeth or implants, offering improved stability and jawbone preservation.
- Dental Implants: These are surgically placed in the jawbone to provide permanent anchors for dentures or crowns.
Ultimately, understanding that immediate dentures are a temporary solution, rather than a permanent one, is crucial for managing expectations and ensuring optimal oral health. Regular dental visits and open communication with your dentist are essential to maintaining comfort and function throughout the denture-wearing process.
