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I have blogged quite a bit about the dramatic changes I have witnessed as a Palm Harbor Dentist over the past two and a half decades, denture base material, denture tooth material, tooth extraction techniques have changed, but the concept of an immediate denture has not.
Incredible, isn’t it, if a picture is worth a thousand words, these two pictures are worth at least two thousand words.
I was speaking with my friend, Steve, this weekend and he asked a few questions about Immediate dentures and full mouth extractions. He questioned whether it was a drastic choice and why some one would choose that option. Some people are blessed with healthy teeth and gums, some suffer life long problems, just as some of us are born tall, others short.
This woman presented to my dental office in Palm Harbor, FL earlier this year (2013) wanting upper and lower full dentures. Although I advised against lower full dentures (due to the future expense of dental implants), she was quite insistent. Yes I am the dentist, the professional, but it is her body, her mouth and her (dental) journey. The day before the after picture was taken, she was sedated and I delivered these immediate dentures after extracting 20 teeth.
She is absolutely the most happy person I have ever treated, the day after this type of treatment in my Palm Harbor dentist office. I think she made the right choice, what do you think?
Dentures are the end of the dental line for many people.
But for some, it may be a very positive step. In these two pictures we see before and after photos of a woman with an immediate upper denture. Many factors were considered prior to this drastic step, not the least of which was finances. I try, as a Palm Harbor Dentist to keep my fee’s as reasonable as possible, but dentistry, as many things in 2013 can be expensive. Immediate dentures can be the best solution for many people. My website receives many visitors wishing to view before and after pictures of Immediate Dentures.
One of the most common tissue reactions to a chronically ill-fitting denture is the occurrence of hyperplasia of tissue along the denture borders.This proliferation of tissue is usually slow in developing and probably is as much a result of the resorption of the jaw bone as of the trauma of the loose denture.
Treatment and Prognosis:
This excess (hyperplasic) tissue should be surgically excised and either new dentures constructed or the dentures rebased to provide for a proper fit. If the denture is replaced or rebased, the growth should nor recurr. Complete regression, even after construction of a new denture will not occur
When someone has made up their mind that they are ready for Dentures, it is not the end of the world, as a matter of fact, it can be a decision they are very happy with.
Lets follow at this woman’s tooth saga.
This woman who we will call “Mary” presented to my office on January 29, 2013, she chose my dental office because she wanted one stop (comprehensive) dentistry and I am one of few dentists that post fees for my services on my website. Mary had made up her mind that she wanted to buy full dentures with her 2012 tax refund, she had a $3000 budget in mind. She had worn braces from the 5th grade until her parents “forced” the dentist to take them off in 10th grade.
A subsequent dentist mentioned that her tooth enamel had been damaged by the braces being on so long. Mary’s teeth “got real bad 10 – 15 years later.” She reported that she had recently invested 3 years and wasted $5000. in constant dental work, which all failed, at which time she was referred to another dentist to have the teeth extracted.
Mary then stated “now I have 13 rotting teeth remaining and I have made up my mind to have them all removed and get immediate dentures.” She had done very extensive research about immediate dentures, even watching YouTube videos made by others chronicling and describing their own experiences. She wanted her teeth removed under sedation and wanted to wake up with all her teeth gone and a pretty smile.
It is a pleasure to be a Tampa area dentist. Helping people smile is very emotionally rewarding. I believe that I would have enjoyed being a dentist in New York, where I am from, but I believe I make more immediate dentures being a Palm Harbor dentist. Life is very pleasant in the Tampa Bay area.
This immediate full upper denture was delivered to a sedated male patient in my Palm Harbor dentist office in mid-August 2012. All of his upper and lower teeth were extracted. I usually deliver an immediate temporary denture upon full mouth tooth extractions, but on rare occasions a Tampa resident might wait the 2-4 months of healing with no teeth.
Although this may seem extreme, the patient was very happy and pain free two days after the procedure when he presented to my Palm Harbor dentist office. He does have the option of securing a denture with dental implants or using dental implants for non removable crowns.
As a dentist in private practice in Palm Harbor Florida for over 24 years, I have come to realize that some terms that we, dental professionals, use routinely, are not understood by the average patient. The, term, immediate denture is one of these. This is a picture (very bloody and gruesome for some) of an immediate lower denture being tried in after the removal of all teeth in this man’s mouth.
The difference between an immediate denture and a “regular” denture is: an immediate denture or temporary denture, is delivered upon tooth extraction and usually cannot be tried in. All full dentures replace all missing teeth in that jaw or dental arch. A regular denture’s base should fit precisely on the tissue, the base of the immediate denture has more guesswork involved. The model that the immediate denture is fabricated on initially has the teeth to be extracted present. The technician that modifies this model must guess where the tissue will be after the tooth extraction(s). Many times a soft liner, or tissue conditioner is placed to make the fit of the immediate denture better.
Upper and lower dentures are very different. Being a Palm Harbor, Tampa Bay area dentist for over 24 years has shown me that most people get used to upper dentures, while most patients never like their lower denture. The most cost effective way to secure a lower denture is 2 – 3 strategically placed dental implants and relining the existing denture turning it into a dental implant retained lower overdenture.
It is a big decision to have all of ones teeth extracted in one visit. In my Palm Harbor dentist office upon full mouth extractions I almost always deliver an immediate full denture. The pictures in this blog show a young mans mouth before any treatment, after all teeth have been removed, all the freshly extracted teeth and the insertion of an immediate full upper denture. While this may seem extreme, it is still the treatment of choice for many people in the 21st century.
Many factors must be considered by both patient and dentist. Full upper and lower dentures may not be ideal, but is the highly diseased pre-treatment mouth better? Even in the Tampa area of Florida, where dental costs are lower than in New York City or Los Angeles, the cost to fully restore this young mans mouth was out of his reach. Doing nothing leaves this Palm Harbor, FL resident with extensive dental disease and an unacceptable smile.
Therefore, while he was sedated, all of these teeth were removed and immediate full upper and immediate full lower dentures were delivered. Three hours after entering my Palm Harbor dental office he left with a new and healthy mouth.
As reported in the St. Petersburg Times on Tuesday, June 7, 2011:
“Karen Butler has a British sounding accent, but she has never been to Europe. She woke up from dental surgery one talking funny. A year and a half later her ‘foreign’ accent remains. The 56-year old tax consultant from Toledo, Ore., had all her top teeth and front bottom teeth removed in November 2009 because of gingivitis. That left her with dentures and – depending on whom you ask – an Eastern European, Swedish or British accent. Butler has been on the Today show and has told her story to more than a dozen TV shows, newspapers and radio stations from Europe to Australia. ‘There’s nothing wrong with having an accent,’ she said”