Dentaltown June 2019 - 44

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Immediate Dentures Help
A Townie is looking for information about immediates, and this thread includes good feedback and ideas

am22dds
Member Since: 07/02/18
Post: 1 of 35

Hey, guys-new grad here. Never made an immediate denture. Can someone go over the
process step by step? I'm having a tough time understanding when to do the impressions, when
to extract the teeth, and if a final impression is necessary using a custom tray. I would appreciate
if someone really dumbed down the process! Please and thank you. ■
3/29/2019

Richy
Member Since: 03/30/10
Post: 2 of 35

I am no denture god, but do a fair amount of these. There are a couple of ways to do this.
I prefer this way:
Visit 1: Extract posterior teeth, top and bottom.
Visit 2: Take impressions.
Visit 3: Bite rim in posterior area for VDO.
Visit 4: Teeth try-in in posterior area only. (If anterior teeth can give you good vertical and
bite, you can skip the wax-rim visit and go straight to a posterior wax teeth try-in.) Have lab set
remaining teeth, process and finish.
Visit 5: Extract anterior teeth and deliver.
Reline 6-8 weeks later.
Another way to do it, which is kind of rough:
Visit 1: Take impressions and a bite. Have lab fabricate denture, process and finish.
Visit 2: Extract all teeth and deliver doing a chairside reline that day.
Hard reline 6-8 weeks later. ■
3/29/2019

am22dds
Member Since: 07/02/18
Post: 3 of 35

So, extract posterior fi rst and then wait like three weeks or so to take the impression
with alginate and stock tray? Then, send to lab for custom tray, take fi nal impression and
bite using wax rim? Am I understanding properly? I don't know why I can't wrap my head
about ID. ■
3/29/2019

nareg
Member Since: 04/20/07
Post: 4 of 35

I do like Richy, but after the posterior exo, I use an individual tray + compound to border
mold and take impression with light body. ■
3/29/2019

drtommymurph
Member Since: 04/05/02
Post: 5 of 35

1.
2.
3.
4.
5.
6.
7.

I don't do 1/10th of the above.
Collect money in full.
Alginates in stock tray.
Bite.
Send to lab.
Back from lab, pull everything and insert.
Adjust as needed.
Four months later, hard reline chairside. ■
3/30/2019

44

JUNE 2019 // dentaltown.com


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Dentaltown June 2019

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