Name of the Procedure:

Immediate Denture - Maxillary (D5130)

Summary

An immediate denture is a complete removable prosthetic device for the upper jaw (maxillary) that is placed in the mouth immediately after the removal of natural teeth. This can help maintain the structure and shape of the face and gums immediately after tooth extraction.

Purpose

Immediate dentures are designed to serve as a temporary solution for patients who have had their upper teeth removed. Their primary goals are to:

• Preserve facial aesthetics and structures
• Allow patients to speak and eat more comfortably
• Provide protection to gums during the healing process
• Serve as a prototype for the final dentures

Indications

Immediate dentures are indicated for patients who have:

• Multiple failing or decayed teeth that require extraction
• Periodontal disease with significant bone loss
• A desire to avoid being without teeth during the healing period after extractions
• Adequate bone structure to support an immediate denture

Preparation

Patients should:

• Arrange a comprehensive dental examination and x-rays
• Follow any specific instructions given by the dentist regarding eating or drinking before the appointment
• Discuss any medications they are taking with the dentist to see if adjustments are needed
• Plan for someone to drive them home after the procedure if sedation is used

Procedure Description

1. Preliminary Impressions: Impressions of the upper jaw are taken before tooth extractions.
2. Immediate Denture Fabrication: The lab uses these impressions to create the immediate dentures.
3. Tooth Extractions: The dentist extracts the teeth from the patient's upper jaw.
4. Denture Placement: The immediate dentures are placed directly into the mouth, ensuring a snug fit.
5. Adjustments: Initial adjustments may be made to ensure comfort and function.

Tools/Equipment: Dental instruments for extraction, denture materials, impression trays

Anesthesia: Local anesthesia for extractions, with options for sedation as needed.

Duration

The entire procedure, including extractions and fitting the dentures, can take several hours, depending on the complexity.

Setting

The procedure is typically performed in a dental office or outpatient dental clinic.

Personnel

• Dentist/Oral Surgeon: Performs extractions and fits the dentures
• Dental Assistant: Assists the dentist during the procedure
• Lab Technician: Creates the dentures (off-site in a dental lab)

Risks and Complications

• Common: Initial discomfort, swelling, and soreness
• Rare: Infection, prolonged bleeding, improper fit needing adjustments
• Management: Proper oral hygiene, follow-up visits for adjustments, prescribed antibiotics or pain relievers if needed

Benefits

• Immediate restoration of dental appearance and function
• Protection of gum tissues during healing
• Maintenance of facial structure and aesthetic

Recovery

• Post-procedure Care: Follow dentist instructions regarding oral hygiene and denture care.
• Recovery Time: Generally, full healing can take several weeks to a few months.
• Restrictions: Avoid hard or sticky foods initially, follow-up appointments for adjustments and check-ups.

Alternatives

• Traditional Dentures: Requires a waiting period after extractions, but may offer a better fit after healing.
• Partial Dentures or Bridges: For patients retaining some natural teeth.
• Dental Implants: A more permanent solution, though it involves a longer process and recovery.

Patient Experience

• During the Procedure: Some discomfort from extractions and pressure from denture fitting, but pain is managed with anesthesia.
• After the Procedure: Initial soreness and discomfort, which can be alleviated with prescribed pain medication. Patients should follow instructions on denture care and oral hygiene to ensure comfort and effective healing.