Immediate prosthesis

An immediate prosthesis ( Latin : immediately "immediately, directly, immediately") is an immediate prosthesis. It is produced by the dental technician on a jaw model before a surgical procedure (e.g. before a tooth extraction ) , with the teeth to be removed being erased (ground away) on the plaster model . It is then incorporated immediately after the surgical procedure.

Differentiation according to indication

Full denture in the upper jaw on the plaster model

The immediate prosthesis refers to a type of temporary denture that is made before the tooth extraction or before a surgical procedure and incorporated immediately after the extraction or the procedure. It is made on a model that was made before the teeth to be replaced were extracted. The teeth are erased on the model and replaced with a simple denture construction. Immediately after the teeth are extracted, this immediate denture is inserted.

Immediate prostheses are intended as wound closure plates and as an aesthetic replacement to bridge the time until the final denture is inserted; they should also maintain the bite height and the speech function and enable chewing. They offer a better adaptation of the alveolar ridge tissue to the load, whereby the atrophy of the alveolar ridge parts is less than in cases without a supply with immediate prostheses. Immediate dentures make it easier to determine the jaw relation for the final denture, especially when producing full dentures .

construction

As a partial prosthesis, an immediate prosthesis is usually simply constructed and consists of a plastic base, the teeth to be replaced and simple holding elements (brackets) bent from steel wire. It is constructed as a full denture just like the final denture.

Difference to the interim prosthesis

The interim prosthesis serves as a provisional restoration in those cases in which an immediate restoration is not possible for anatomical reasons. It will later be replaced by a permanent prosthesis. After the wound has healed, an immediate prosthesis is reworked into a permanent denture by relining (“padding”).

Literature / sources

Walter Hoffmann-Axthelm : Lexicon of Dentistry , Quintessenz-Verlag, Berlin, ISBN 3-87652-609-4
Arnold, Hohmann, Werner Hielscher: Textbook of Zahntechnik , Vol. 1-3, Quintessenz-Verlag, Berlin, ISBN 3-87652-873-9

Individual evidence

↑ Peter Pospiech, The prophylactically oriented supply with partial dentures: 7 tables . Georg Thieme Verlag, 2002, ISBN 978-3-13-126941-6 , pp. 160-161.

[1] Peter Pospiech, The prophylactically oriented supply with partial dentures: 7 tables . Georg Thieme Verlag, 2002, ISBN 978-3-13-126941-6 , pp. 160-161.