So how do we go from the top photo to the bottom photo? *Warning* Loads of pictures of my favourite surgical procedure coming up. Don’t swipe if you don’t like blood! ⚠️ 💉💉💉💉💉⚠️ .
My lovely 62 y/o female pt presented to the clinic with multiple missing teeth and a partial upper denture.
Unfortunately, the remaining teeth were not in a condition to be used as abutments for bridges (her teeth were mobile due to periodontal disease and many of the teeth had extensive decay under the crowns). After an in-depth consultation, we decided to do a full upper arch removal of remaining teeth, and fit her with an immediate denture.
What is an immediate denture? It is a denture which is placed on the SAME day as the extraction of the teeth. With a conventional denture, teeth are removed and we wait approximately 3 months for the gums and bone to heal before we place the denture. The issue with that is:
A) loss of function; eating and talking is really, really difficult without teeth
B) Aesthetics; most, if not all, people do not want to be without teeth!
I won’t go through ALL the steps on how we we fit and fabricate an immediate denture, but immediate dentures do require a “reline“ (it’s like a second fitting) a few months out after bone healing is complete.
The photo series show pre-extraction, after extraction and strategic placement of sutures over larger socket sites, and the final fit.
All of the extractions were classified as simple extractions; no bone removal.
I saw my patient for a 24 hour follow up, and I am SO glad she is feeling great! She is taking normally and told me her 7 year old granddaughter was flabbergasted and said “Grandma got teeth! How did that happen so fast?!”. Cases like this make me smile, because I can literally give a smile back to a patient ❤️
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