IMMEDIATE PARTIAL DENTURES

It is defined as A complete removable partial denture constructed for insertion

immediately following the removal of natural teeth - GPT. They are given in cases
having teeth with poor prognosis. The denture is inserted on the day of extraction. It
is of two types, namely temporary immediate partial denture and permanent
immediate partial denture.
Advantages
It is more aesthetic (improves patientpsychology).
Prevents supra-eruption, and drifting of the opposing and adjacent teeth
respectively.
Haemorrhage and swelling is controlled because it acts like a splint over the
surgical site (also refer immediate complete dentures).
Temporary Immediate Partial Denture
These are given in cases where the permanent immediate partial denture is likely to
become ill fitting due to more than normal bone resorption etc. The temporary
immediate partial denture is fabricated only in acrylic resin. Permanent Immediate
Partial Denture These are given in cases where the bone resorption is expected to
be less and the denture prognosis is good. It is fabricated using the following design
considerations:
Retainers
Retainers are made using wrought wire and are adjusted at the time of insertion for
adequate retention.
Framework
A framework is constructed and tried-in before extracting the teeth. The teeth to be
extracted are cut in the cast. The denture base minor connector (retentive loop) is
soldered to the framework after try-in.
Guiding Planes
During framework try-in, the teeth to be extracted are sliced proximally to widen the
interdental spaces. This helps to give clearance to prepare guiding planes on the
abutment teeth and also to
provide space for the framework to seat easily during try-in.
Fabrication Technique
An impression is made and the master cast is poured using a two-pour technique.

 Teeth to be replaced are cut in the master cast.

Cutting the Teeth on the Master Cast

The tooth to be extracted is cut up to the level of the gingiva in the cast. This will
leave a rough area in the cast. The center of this rough area is made deeper to
resemble a shallow tooth socket. After cutting the teeth, the cast is scrapped in the
facial surface of the tooth socket. It is scrapped over an area of 4-5 mm to a depth
of 1 mm (Fig. 22.67). This is done so that theprepared denture will compress the site
of extraction and act like a surgical splint.
The prepared master cast is used to fabricate the denture. For permanent
immediate partial dentures, the metal framework is fabricated and tried-in before
extraction. The artificial teeth are arranged and directly acrylized without
completing aesthetic try-in. The dentures are trimmed, finished and polished.
Insertion
Disclosing wax is coated on the tissue surface to detect pressure points. Usually the
prognosis of a permanent immediate partial denture is poor. Hence temporary
immediate partial dentures are preferred.