Immediate Denture vs. Permanent Denture: Understanding the Differences

When it comes to tooth replacement options, dentures are a popular and effective choice for many individuals. Within the realm of dentures, there are two main types: immediate dentures and permanent dentures. Understanding the differences between these two types can help you make an informed decision about which option is best for your needs.

What Are Immediate Dentures?

Immediate dentures are prosthetic devices designed to replace missing teeth and are placed in the mouth immediately after tooth extraction. This type of denture allows patients to avoid the embarrassment of being without teeth during the healing period after extraction. Immediate dentures are made in advance, so they can be placed on the same day the teeth are extracted.

Benefits of Immediate Dentures

Immediate Aesthetics: One of the primary benefits of immediate dentures is that they provide instant aesthetics. Patients do not have to go without teeth while their gums and jawbone heal after extractions.
Protection of Extraction Sites: Immediate dentures act as a protective barrier for the extraction sites, which can aid in the healing process and reduce bleeding.
Maintaining Functionality: With immediate dentures, patients can maintain normal functions such as speaking and eating right after tooth extraction.
Smoother Transition: Immediate dentures help patients transition to dentures more smoothly, avoiding a period of being without teeth.

Downsides of Immediate Dentures

Frequent Adjustments: As the gums and jawbone heal and change shape after extractions, immediate dentures often require multiple adjustments to ensure a proper fit.
Potential Discomfort: Some patients may experience discomfort or difficulty adapting to immediate dentures initially.
Temporary Solution: Immediate dentures are not meant to be a permanent solution. They are usually worn for a period of 6-12 months before being replaced with permanent dentures.

What Are Permanent Dentures?

Permanent dentures, also known as conventional dentures, are custom-made prosthetic devices designed to replace missing teeth and are fitted after the gums and jawbone have fully healed from extractions. These dentures are crafted to provide a long-term solution for tooth replacement and are designed for durability, comfort, and functionality.

Benefits of Permanent Dentures

Custom Fit: Permanent dentures are custom-made to fit the patient’s mouth precisely, providing a comfortable and secure fit.
Durability: Made from high-quality materials, permanent dentures are designed to last for many years with proper care.
Natural Appearance: Permanent dentures are crafted to closely resemble natural teeth, providing a more aesthetic and natural look.
Improved Functionality: Because they are custom-fitted, permanent dentures offer better functionality for eating, speaking, and overall oral health.

Downsides of Permanent Dentures

Longer Wait Time: Since permanent dentures are fitted after the gums and jawbone have fully healed, there is a waiting period after extractions, during which the patient may need to wear temporary dentures.
Higher Cost: Permanent dentures can be more expensive than immediate dentures due to the materials used and the customization process.
Adjustment Period: While permanent dentures are designed for a better fit, some patients may still need time to adjust to wearing them.

The Process of Getting Immediate Dentures

The process of getting immediate dentures involves several steps, including:

Initial Consultation: During the initial consultation, your dentist will assess your oral health, discuss your dental history, and determine if immediate dentures are the right option for you.
Impressions and Measurements: Impressions and measurements of your mouth are taken to create a model for the immediate dentures.
Fabrication: The immediate dentures are fabricated in a dental lab based on the impressions and measurements taken.
Extraction and Placement: On the day of your extractions, the immediate dentures are placed in your mouth immediately after the teeth are removed.
Follow-Up Appointments: Follow-up appointments are scheduled to monitor healing and make any necessary adjustments to the dentures.

The Process of Getting Permanent Dentures

The process of getting permanent dentures is more extended and involves:

Initial Consultation: An initial consultation with your dentist will involve a thorough examination and discussion of your dental needs and preferences.
Extractions and Healing: If teeth need to be extracted, this is done first, and a healing period of several months follows to allow the gums and jawbone to heal.
Impressions and Measurements: After the healing period, impressions and measurements of your mouth are taken to create a model for the permanent dentures.
Trial Dentures: Trial dentures may be made to ensure the final fit and appearance are correct. Adjustments are made as needed.
Fabrication: The permanent dentures are then fabricated in a dental lab using high-quality materials.
Fitting and Adjustments: Once the permanent dentures are ready, they are fitted in your mouth, and any necessary adjustments are made to ensure a comfortable and secure fit.

Comparing Immediate Dentures and Permanent Dentures

Aesthetics and Appearance

Immediate Dentures: Provide immediate aesthetics and allow patients to avoid being without teeth. However, they may not look as natural as permanent dentures.
Permanent Dentures: Crafted to resemble natural teeth closely, offering a more aesthetic and natural appearance.

Comfort and Fit

Immediate Dentures: May require multiple adjustments due to changes in the gums and jawbone during healing. Some initial discomfort is possible.
Permanent Dentures: Designed for a custom fit, providing greater comfort and stability. They may still require an adjustment period.

Durability and Longevity

Immediate Dentures: Intended as a temporary solution and may not be as durable as permanent dentures.
Permanent Dentures: Made from high-quality materials, designed to last for many years with proper care.

Cost

Immediate Dentures: Generally less expensive initially, but may incur additional costs for adjustments and eventual replacement with permanent dentures.
Permanent Dentures: Higher upfront cost due to the materials and customization involved, but they are a long-term investment.

Caring for Your Dentures

Proper care of your dentures, whether immediate or permanent, is essential for maintaining their appearance, functionality, and longevity.

Cleaning

Daily Cleaning: Both types of dentures should be cleaned daily using a denture brush and mild soap or denture cleaner. Avoid using regular toothpaste as it can be abrasive.
Soaking: Dentures should be soaked overnight in a denture solution to keep them moist and prevent them from drying out and losing their shape.

Handling

Avoid Dropping: Dentures can break if dropped, so handle them over a soft surface or towel when cleaning.
Avoid Harsh Chemicals: Do not use harsh chemicals or abrasive materials to clean your dentures.

Regular Check-Ups

Dental Visits: Regular dental check-ups are important to monitor the fit and condition of your dentures and to make any necessary adjustments.
Relining and Rebasing: Over time, your dentures may need to be relined or rebased to ensure a proper fit as the shape of your gums and jawbone changes.

Conclusion

Choosing between immediate dentures and permanent dentures depends on your specific needs, preferences, and dental situation. Immediate dentures offer the advantage of providing teeth right after extraction, aiding in aesthetics and functionality during the healing period. However, they require multiple adjustments and are not a permanent solution. Permanent dentures, on the other hand, offer a custom fit, greater comfort, durability, and a more natural appearance, but involve a longer process and higher cost.

Ultimately, consulting with your dentist and discussing your options in detail will help you make the best decision for your oral health and overall well-being. With proper care and maintenance, either type of denture can significantly improve your quality of life by restoring your smile and functionality.

immediate denture vs permanent denture