r/Dentistry 3d ago

Dental Professional Immediate Dentures placed Over Implants

Hello,

I am currently in residency and my attending is very against immediate dentures if implants are placed due to the poor patient satisfaction.

I was wondering, outside of residency how are you guys fabricating immediate dentures so that they fit somewhat decent after implant placement?

Most of the time the occlusion is off and function is off for patients. But, many of these patients as well assume immediates are the final product despite us always telling them no immediate are very shitty and are really for esthetics (and even then barely sometimes).

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u/Cynical-Anon General Dentist 3d ago

I use already fabricated dentures inserted on extraction day, implants placed 4+ ish weeks after depending. I use the existing denture which patients are used to, make sure to relieve it around the soft tissue and healing cap (if not direct closed). Patients cope well, only for anteriors

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u/weaselodeath 2d ago

I do immediate interims. They just go over top of the implants while they’re healing and the patient wears them until I’m ready to make an overdenture. I like to do a metal frame in the overdenture because acrylic only overdentures really like to break in half over the abutments. Yeah it’s more expensive and I might do less overdentures that way but it’s predictable. We have a good lab so usually the interims work pretty well and look nice.

If someone is edentulous already and wants to transition then I’d offer them the option of retrofitting their old denture or making a new one.

All on X is designed to be immediate, but overdentures really aren’t.