– Unfortunately getting fitted with immediate dentures is not an easy task. Immediate dentures are fabricated prior to the extractions of your natural teeth and will be inserted in your mouth immediately following the surgery. It is impossible to predict esthetics, bite, speech, and position of the teeth with 100% accuracy due to inability of the dentist or denturist to try in waxed up models in the mouth prior to extractions, resulting in a room for an error. If such dentures were made with a mid-line which is off, incorrect bite, incorrect vertical dimension resulting in trouble with speech or performance, patient will be financially liable for a denture remake, thus often doubling the cost of denture care to the patient. Furthermore, immediate dentures will always require at least two temporary relines in the first six months following extractions, and a permanent reline in 10 to 14 months after fitting. This will require extra chair time, laboratory time, and materials resulting in an increased cost to the patient. To avoid such unpleasant experience one must consider one of the following two options:
a. Provision of a transitional immediate denture prior to extractions, and a permanent denture after initial healing had taken place (this option may still warrant a denture remake if the transitional immediate denture was done not up to patient’s expectations).
b. To allow several weeks of healing time after full arch extractions prior to the denture fabrication process. This is a most financially affordable option to the patient which will present a predictable and accurate result.