The Keys to Succeed Immediate Dentures: A Case Report

An immediate denture is a complete denture or removable partial denture fabricated for placement immediately after tooth extraction due to esthetic reasons.It is used to enhance esthetics, protect extraction related surgical wound and provide function during healing.It also preserves oral support, bone, muscle tone, vertical dimension of occlusion, jaw relationship, and face height.In this article, we describe the use of indices served to record the current position of the remaining dentition, it can then be decided if this is to be reproduced in the denture or if teeth have drifted, extruded and they are to be restored to the original position.An immediate complete denture is a restoration fabricated prior to the extraction of a tooth, which is placed in the patient's mouth immediately following the removal of the remaining teeth [1].The main advantages of immediate dentures are maintained aesthetics, digestive function stays uninterrupted, masticator and facial muscles do not change, bone support is maintained, it controls hemorrhage, prevents contamination, and psychological benefits [1-2].The success of immediate dentures depends on the correct indication and precise execution of clinical and laboratory fabrication procedures.The description, step by step, of the imperatives to follow to succeed in the prosthetic project has been developed through a clinical case.Mr. H, 45 years old, in good general health, came to consult the partial removable denture department in the Dental clinic in Monastir Tunisia for aesthetic and functional prosthetic restoration. The extraoral clinical examination did not reveal any notorious peculiarity neither on inspection nor on palpationThe history of the oral situation revealed the extraction of several teeth due to caries and periodontal disease.The endobuccal examination illustrated poor oral hygiene, and teeth mobility that disturbs the patient during function and Recessions.(Fig1)