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Immediate Dentures
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Questions in the Dental Health forum are answered by Dr. Jerome Tsang. Topics covered include bridges, cavities, crowns, and x-rays.

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Immediate Dentures

I'm getting immediate dentures and need some information.  I went and got my impressions taken the other day.  The office didn't give me any information after that, so I figured I'd call to make my appt to have my teeth extracted.  The lady on the phone said oh no we are not at that step yet.  She said I had to come in and do a bite block.  I have NO idea why the dentist didn't go over what we would be doing or how many visits before the extractions.  Can someone tell me what happens after the bite block??

Also one other quick question, is it normal when having novacain in the bottom of your mouth to experience an electrical shock sensation running down your tongue?

Thank you
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Avatar_dr_m_tn
First to answer your second question --When the dentist is giving a lower injection he or she passes the lingual nerve that travels parallel to the nerve that we need to anesthesize. When the needle comes close to the nerve you will experience the feeling of an electrical shock. It is surprising and shocking(sorry for the pun).It is as much a surprise for the dentist as it is for you,except you get the shock.Secondly, when I do an immediate denture it minimally takes me four visits from primary impressions to extractions and insertion of the denture or dentures. I like to see the patient 24 hours after insertion. This allows me to remove the dentures and try to prevent any possible sores which more thanl  likely will occur. Depending how many teeth are being extracted will dictate if a new denture will have to be made in 2 to 3 months when full healing takes place. If I wasn't clear the lingual nerve innervates the tongue and the tissue on the inside of your mouth on that side.
15 Comments
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Avatar_f_tn
Ok, I had my bite block done, but my next appt is for my wax try ins...but I still have teeth!!!!  I won't get my permanent teeth for 6 months.  Why would they want to do this now and have me pick my teeth color and how I want my teeth NOW?  Shouldn't they wait for that when I'm ready for my permanent teeth in 6 months???

I'm so confused
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Avatar_n_tn
From what I know is that the dentist wants to try and have as close to the best look as he can. The first impression is to have a model of your mouth. The bite will establish where the teeth need to be placed in the dentures.If they are not in the right place it could cause you jaw pain. So they want to make sure they get it as close as possible to your teeth. They want you to help them pick out the teeth so you will like the final result. They are called immediate dentures because they are put in immediately after your teeth are taken out. The wax try in allows you to see what they will look like before they are set in acrylic-the final denture. That way you can make any changes to them you want to. It is much easier to do it now than later once they are set. They do all of this before they extract your teeth because they want them to be ready the day you have your teeth taken out. Or else you will go home with no teeth and most people are not very happy about this. When you have your teeth extracted they will either put in your dentures there or they will put in a soft liner and put in your dentures. Whether the denture needs a liner depends on how well they fit. You will probably need the liner because if you can imagine your mouth without teeth now it will have a much different shape in there. So the dentures that are put in are basically a shell. You will need to leave your immediate dentures in until they tell you or until they see you agian. You will have some pain, but it will probably be important that you do not take them out because this will allow your mouth to swell and you won't be able to get them back in. Your dentist may have you come back in a few days for a re-check and to possibly do another liner because your swelling will have gone down a good bit by now. The reason you don't get your definative or "real dentures" for 6 months is because your mouth will change a lot during this time and they want your definative dentures to fit as close to perfect as they can. Also if you don't like something about your dentures you can do it differently on your final set!! Good-luck!
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Avatar_f_tn
Thanks for the information!

Well my appt is set for this Thursday at 4:00 pm and they want to see me the next day at 10:00 am!!!!!!  This isn't even 24hours.
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Avatar_n_tn
I hope all of that made sense! Or was helpful. I'm sure they just want to see you and make sure there aren't any problems and that they fit okay! Let us know how everything works out!
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Avatar_n_tn
Hope38! Where are you? Hello! Where are you?! So how did the appointment go? Where you happy? Did everything fall into place for you? I hope you are doing well! Let me know how you did!
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Avatar_f_tn
The actual pulling of the teeth wasn't that bad, the shots were somewhat painful but I lived!!!

My face swelled badly and I'm bruised but I'm healing and learning how to eat.  I go back tomorrow to have my stitches removed and have a soft reline.  I do have a problem with my upper denture, the front two teeth are of to the left side, they are not in the middle under my nose where they should be!  I discussed this with the person who made them and she kept goin on about my BITE, I don't want to hear about my bite any longer my teeth look ridiculous!  I don't mind people knowing I have dentures but I dont want them to see that I have BAD dentures!

Thanks for asking about me, I have been sleeping much of the time and havent been on the computer.
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Avatar_n_tn
Wonderful! I'm glad everything went well. When you go back to the dentist for the reline insist that they remove all of the reline material that is in there now. When they mix the new reline material it will be very soft. So tell them when they put it in to check the mid-line(between the front two teeth) before the material sets. Maybe that will get it back in line. If it doesn't then insist that they fix it b/4 you leave!!! Have you paid your full balance? Maybe you could mention that you will be unable to pay the balance until the mid-line issue is fixed!!
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Avatar_f_tn
No I still owe a balance, I put 60% down.  This is all confusing to me, soft relines and all.  I will be very firm though!
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Avatar_n_tn
I didn't know when you where having the reline. Have you had it already? Did it fix the midline problem?
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Avatar_f_tn
Yes I had my reline, she is "working" on my mid line.  She put more goo in my mouth and with my bottom denture in, told me to bite down.  She got it a little better (not much) but my upper gum was pretty swollen and she said she didn't want to put me in anymore pain.  She told me to take the next appt they have available and she will work more on getting the midline corrected.  How do they make these teeth that they just can't stick the front two teeth in front?????  The new reline is much more comftorable though than the first, and it suctions great I no longer have to use adhesive.
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Avatar_n_tn
Howdy! I think that it may be hard to get the midline perfect b/c the immediate dentures are basically a shell and the lab has never seen your mouth b/4 so it maybe hard to get it perfect. I'm so glad they feel and fit better!!! Do you have to pay for a reline everytime you have one? The reline kind of wears out fast. I hope they don't make you pay every time you get one!!
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Avatar_f_tn
I don't think I have to pay for the reline, the type of dentures I got have a five year warranty and I have five years of relines free.  So I guess that covers my immediates also.  The woman who is working with me "I think" is in the lab.  The place I go to has a Lab on site.

My dentures were feeling great, but now since the swelling is gone on my upper gum they are loose fitting, so I'm going to have to break out the adhesive once again until the next reline on the 13th.
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Avatar_n_tn
I was wondering if anyone can answer a few questions for me.
I too just recieved dentures. they were put in as soon as my teeth were removed. Well, my question is this...can anyone tell me if all the relines and then the permanant set of dentures, are they included in the fees you payed already. Im payed in full but my dentist office never once told me the dentures I recieved wasnt my true set. i had no idea about relines and all that other stuff. any info will help
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Avatar_n_tn
I was wondering if anyone can answer a few questions for me.
I too just recieved dentures. they were put in as soon as my teeth were removed. Well, my question is this...can anyone tell me if all the relines and then the permanant set of dentures, are they included in the fees you payed already. Im payed in full but my dentist office never once told me the dentures I recieved wasnt my true set. i had no idea about relines and all that other stuff. any info will help
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Avatar_n_tn
A related discussion, only 37 and getting full immediate dentures was started.
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Avatar_n_tn
A related discussion, IMMEDIATE DENTURES was started.
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Avatar_f_tn
I've had 17 teeth pulled, an was wondering just how long the swelling will take to go down, love my new teeth hate all the swelling.
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Jerome Tsang, DDSBlank
Irvine Modern Dentistry
Irvine, CA
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