Oral Tissue Differences Among Conventional And Immediate Dentures

Background: During the lifetime, each person experiences loss of one or more teeth, which is followed by a series of problems, such as difficulty in chewing, speaking and perhaps the biggest problem is disturbed aesthetics and altered appearance. Conventional and immediate complete dentures including implant-supported total dentures, implant-supported fixed prostheses are used to rehabilitate completely toothless patients who are often burdened with feelings of disability, early aging, limited chewing function and reduced mouth space. The main factors for the acceptance of any mobile prosthetic device are the provision of aesthetic, phonetic, psycho-social and functional requirements, followed by the fact that patient`s lost aesthetics, instability and discomfort when wearing dentures are the main factors for dissatisfaction with mobile prosthetic accessories.. Materials and Methods: For realization of the set goals for the research in the Clinic for Removable Prosthodontics at the Faculty of Dentistry in Skopje, Republic of North Macedonia, during a period of 3 years 60 patients, aged 54 to 70 years, were examined and selected, divided into two groups. In 30 of them, we made immediate complete dentures, and in the other 30 conventional complete dentures( made over a period of time from two to six months after tooth extraction). Results: In our study, we fabricated immediate dentures in patients with an average age of 59 years and 46.7% of them were with secondary school and 46,7 had higher education, 50% of them had healthy teeth or fixed prosthetic apliances as antagonists, and conventional dentures were made in patients with an average age of 63.5 years, of which 53.3% had secondary and 23.3% with higher education, and with antagonists predominantly partial (50%) and complete (36.7%) dentures. In 66.7% of the patients in whom we made immediate dentures, we did not find disturbed intermaxillary relations, they the height of the lower third of the face were preserved with the remaining teeth, 73.3% of the subjects in this group had no temporomandibular joint pain. Unlike this, all patients in the group to whom we made conventional complete dentures had disturbed intermaxillary relations and 53.3% had temporomandibular joint pain Conclusion: Patients with immediate dentures have significantly less changes on the orofacial musculature, fewer have intermaxillary disturbances and extraoral appearance changes, and a smaller number of patients have temporomandibular joint pain as well as less speech problems, but in these patients the remaining teeth are usually in very poor periodontal condition. Patients treated with conventional dentures, before the treatment had disturbed extraoral appearance, impaired intermaxillary relations and orofacial musculature with decreased tone, temporomandibular joint pain, and speech difficulties.