Immediate dentures

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Does anyone know if you can live with the immediate.denture instead of getting a permanent dentures. I realize that the gums shrink but was told that some people do not need the permanent dentures. Donna
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Donna

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Posted 3 months ago

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Positivity

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Hi Donna, yes you can live with an immediate denture.  However, with all of the gum shrinkage that occurs, you will need to get a hard liner inserted, to ensure a snug fit.  I really liked my immediates, but opted to have permanents, so that I could tweak the cosmetic look just a little more, and because they will be lighter in weight.
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Clydene Shipman

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I agree with you, I got my permanents upper and im having trouble in the front its starting to make my gums sore plus im having hard time taking them out, my temp didn't give me this much problems , have you experience this?
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Donnie

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if your gums are sore-go get it taken care of-the dentist might not know how-it needs some taken off where you have the sore spot-the person doing it 'has' to know what they're doing or they'll do a reline so it fits and doesn't hurt.  
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Landon S Johnson

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I have heard people doing that, or becoming so used to the immediate that they keep the perms as a spare set. 

Also, 'immediate' and 'permanent' are not necessarily opposites. My dentist says that not all immediate dentures are temporary; my immediate dentures will become my permanent dentures after a hard reline, or I can order another set.

I think it has to do with the construction of the dentures - 'permanents' are generally more robust, perhaps more realistic and fit your future mouth - immediates are just a guess and a guess is variable - could be right or slightly wrong depending on how the surgery goes.

I do want to have a spare set, so I plan to visit a local school with a denturist program and see what they come up with. That way, if I send in my immediates to be relined, I'll have something to wear in the interim.

I gotta tell you it feels really good to help others with their journey, even though I too am just starting out. But actually having them in my mouth ends some of the speculation - I can see (feel) how this will play out over time; if only I can convey that to others.
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Donnie

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i live in so. cal. and i don't know of any schools with denturist program-way back-went to u.s.c. prosthodnotics dept. i ended up being the first patient of a new student-it was a l o n g nightmare-so many appt's. and he didn't have a clue-if i lived in one of the states where denturists are allowed to practice-i'd go to one.  i still haven't found anyone in so. cal. who 'has a clue'...
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Donna

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Thank you for your responses. I am trying to do all I can to learn about this journey so I don’t have too many surprises. Before I found this site, I never realized the problems that can arise. I have learned a lot on this site in such a short time. The dentist office did not mention that the permanent dentures are an additional cost. Nothing is cheap. I have been to three different dentist to see if I really need dentures and 2 suggested it but one tried to say he can do a bridge where one of my front teeth is loose. Mind you, he only did an X-ray of the loose tooth and made a treatment plan without xraying the other teeth. Two other teeth turned out to be loose where he was planning to sell me a $3,000. Bridge. smh.
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Barbara G

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Hi  Donna
If you can keep some teeth and get a partial denture, or a Bridge or an over denture 
I  certainly would do that/   
Especially for the bottom jaw
Almost every one hates a bottom entire denture
I would also consider a bottom overdenture anchoed with 2 implants
If you opt for all dentures perhaps you could do without the immediate bottom denture and just get the  permanent  bottom denture when the gums have shrunk and healed
Some people skip the immediate dentures all together
Read about all these options on the internet before you do anything

Good luck and let us know what you have decided to do
Barbara
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Kate Thielmann

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I am one of those who kept some teeth...13 to be exact...
And I'm one of those people who had lost a front tooth. Oh how I hated That! Waiting for the teeth to come in was hard, not smiling, and trying to compensate.
I received partials. One upper one lower. They both clip on, and are a great fit. Kind of reminds me of retainers lol.
I struggled BIG time with the impressions. Oh my gosh....talk about drama lol. Then the partials came in and it was gag city. I tried everything to distract myself to not avail. Gag city BIG time...then I looked at them and knew they had to be tweaked. And off to the lab they went and they did a great job. A lot of extra material was clipped away, and now they really do feel like retainers. I'm more than happy.
This was a long time issue that I needed to do and so my gums were in an already mode for partials. I have Auto Immune Disease so implants were off the table.
Yeah, who ever mentioned it is right...the bottom partials I could care less about.
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Donnie

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keep all the teeth you can-just get a partial or bridge-and that cost is too much-i worked at a lab and met many dentists-i know what costs are-and how much 'some' dentists jack them up.  check reviews and get another opinion-some dentist have a free consult.  
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Positivity

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If you can afford to save your real teeth long term, then I would recommend that. If you have exhausted the possibilities of that, with several dentist opinions saying that you will need to get dentures in the future, then make sure you can get your head around that. I knew for years that I would need to get all my upper teeth removed and then one day, I made the decision to just do it. And I have never looked back. I love the way my teeth look like now and I can eat 99% of what ever I like. Once your real teeth are gone, everyday living with dentures becomes another routine for you to get used too.
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Landon S Johnson

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I did that for so long; watched them crumble one by one, then by 2's... for me I think it was the right choice. I've known it would come down to this for years...
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Donnie

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if ANYONE has had a good denture experience-can we share that-i need full upper and lower partial replaced-i'm not worried about the partial but someone who can make my upper look like a natural smile and 'gets' how to do it.  thank you.  
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Landon S Johnson

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There are many variables in the equation; for me not the least of which is my insurance. It's really good - 21 extractions and full plates for under a grand OOP - might not get that chance again.

I was fighting a losing battle; yes I had 21 teeth but none of them overlapped --- when I got the news that I  needed three root canals, crowns, and a dozen fillings to keep teeth I couldn't chew with the writing was on the wall. 

I do a lot of consulting and training (as well as teach college) so there's that. People don't want to pay to look at a guy with bad teeth and I believe I have lost work as a result.

Many cards in the deck to shuffle and look at. Good luck and take your time in deciding. Get a second opinion or ask questions here.

For me, SO FAR it has been less invasive physically than I had imagined. I am, for the most part comfortable with them in - I will not take them out overnight till the sockets have healed but take them out frequently and rinse, rinse, rinse!

The mental part is far more invasive... I think about this night and day, because they are always in my mouth. Desperately, almost dysfunctionally trying to avoid a dry socket, Wondering if I'll have enough bone for implants one day (I was going to get them but decided to see how this plays out first - if I need 'em I'll get 'em later), or even to sustain my dentures for the rest of my life. I keep thinking about the bone loss like tire tread - will it be bald when I am really old or will I win the race to the finishing line LOL. 

Sad thoughts, yes, but then I look in the mirror and see them. There's the other side of the coin right there. And let's not forget no more planings, scrapings, fillings, root canals, bridges, cavities and quarterly trips to the dentist will be pain-free and maybe even tolerable.

Just gotta eat somethin'

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Barbara G

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To  Landon S Johnson
You have insurance so think about implantsAt the very least think about an over denture anchored by implants and at the very least least think about having at least the lower jaw anchored with implants
Implants also preserve your jaw bone
Let us know how and what you are doing  Good Luck
Barbara
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Landon S Johnson

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We are going to discuss that at my follow-up with the oral surgeon tomorrow. He was going to place them with the extractions but apparently the holes my teeth left were too large, so they have to heal over first. I'd go with the overdenture snap-in... the lower I have was designed to be able to be retrofit in that manner. Thanks! :) 
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Barbara G

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To S Johnson
You know if you get an over denture for the top jaw you will not need to have a covered pallet and that will be very comfortable 
Some  people hate that covered pallet

Oh you mentioned  going to a denturist  at you local dental college?? 
what is the name of that college and what state is it in?
Barbara
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Landon S Johnson

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Bates Technical College in Tacoma, WA. I am a prof there.
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Barbara G

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To L Johnson
Denturists
 are licensed specialists who make, fit, and repair .Bates  college    (in Tacoma) seems Like the perfect place to have a denture made especially if you do not have insurance
Do you know what they charge for permanent dentures???
-------------------------------------------------------
  Bates Technical College is the only college in Washington state that offers a nationally accredited denturist   program.
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Landon S Johnson

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I know the person who runs the program and he is great! I do not know what the prices are; we are off till next week but when I see him I will ask, and post. They are also moving into 3D printing and are actually printing these dentures out now. I've seen their operation and it's pretty cool.

I don't think they take any insurance, so... we'll see!
(Edited)
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Barbara G

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It sounds like something many  people on our site could use
It is important information
Thanks
barbara
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Donnie

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they're making digital dentures now-i sure wish denturists could practice in ca
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Landon S Johnson

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Donnie, I will get to see this firsthand next week. Our denturist program has a 3D printer. I'm hoping that the prof (nice guy) will let me film to post a 'documentary' on here as to what the process looks like. 
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Barbara G

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Landon S Johnson and evryone
I think we should all get together and try to make denturist legal in every state
How can the dental society  do this to people???
I wonder if Landon Johnson can speak to the head of his Denturist department at Bates  and ask him how we might make our voices known
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Donnie

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denturists have tried-it's the dentists who don't want them because they know they'll take their business because-MOST don't know that 99% of dentists don't make dentures, they get an impression (which has to be goo) if it's not-everything after that is going to be crap-and they send it to a lab and 'hope for the best'.....there was a guy up in daly city, ca who made dentures-dentists who don't have a clue how to threatened to sue him and he had to close his office-so many people were looking for him on yelp.com and he had to close his office.  there was a newspaper article about it.  it's backwards-in most states 'THEY' say-a denturist can practice as long as a dentist is in the office?  that is BACKWARD-but it's the way it is-i just want someone who can give me a smile-i'm getting sick over it.  
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Donnie

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(edit)  which has to be gooD, not goo
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Josie

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Hi Donna,

Yes you can. As long as the Immediate Denture is not "slapped" together and made well. We make Immediate Dentures and that is their permanent. We've never had issues with them except for maybe 2 people that needed a new Denture with the major extraction surgery they had and their anatomy. It's very cost effective as we are practical and understand it's a long journey and a pricey one. We are a Denture Clinic so I'm not sure how it all works in Dental Offices in the USA. One thing you can make note of is make sure they use Lucitone 99 which is the best Acrylic (the pink stuff) on the market and choose your teeth with them. If you have some missing teeth they may also be able to do a Try in for you before it's finished and your teeth get extracted. They will just start making the denture and put denture teeth in wax only where you have missing teeth and try it in for you! :) You should also be getting at least one Tissue Conditioner at 4 weeks. I think most places in the USA call it a Soft Reline. Your gums may look like they have healed but it takes 6 mths to 1 yr for them to recede. The fastest of the receding is in 6 mths then it slows down and unfortunately our gums will always be receding for the rest of our lives.

Please do NOT get your Hard Reline before 6mths. If you do it will get loose again and you'll have to pay for another one. Just make adhesive your best friend until then. When the 6 mth mark arrives and you book a Reline they will take new impressions of what your gums look like at that moment. They'll remove the Tissue Conditioner and Reline the inside of the denture which is basically reconstructing the whole inside with pink acrylic that looks like the rest of your denture. This takes almost a full day to do. It's a pretty big job. Please keep in mind once you get that done and go home you should eat soft foods and once you build back up to more "regular meals" you may get a sore here and there which is common. Salt water and going in for an adjustment should fix that as your gums get used to your "new" teeth again. Hope this helps. :)
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Donnie

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do you work someplace that makes dentures?  
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Donna

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Thank you for the information. It does clarify what I needed to know.
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Josie

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Yes Donnie. I work in a Denture Clinic for a Denturist.
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Donnie

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where?  my experiences have been horrible as you can tell by my posts
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Josie

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I am in Ontario, Canada. Denturists are able to practice legally in all of Canada.
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Donnie

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do you make house calls?  (  :   
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Josie

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Haha.
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Josie

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Donnie I renewed a post on here that I stumbled on awhile ago. Hope you see it on the top of the home screen. It's pretty sad.
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Josie

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Donnie

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it's VERY sad because we need DENTURISTS-who are trained to make dentures-UNLIKE dentists!  the dentists don't want to lose $ and we, the patients, suffer and it makes me so angry-i'd have to travel to another state to work with one-thanks for sharing that with me.  
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Josie

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You're welcome. I agree with you. There is more that I'd like to say and share my opinion but I will play safe and not put it on here. :)
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Josie

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Is there no way you can make sure the impressions are taken accurately, Example: border molding and have a 2nd impression taken with custom trays made. Bite Reg. And have a Try in?
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Barbara G

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TO Josie
You know so much about dentures

People should just print your response and take it to the dentist and say "I want this done this way"
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Josie

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Lol. Thanks Barbara G. I'm glad to hear that I've learned a thing or two at work. I always hope that people take note of what I'm suggesting and ask their Dental Office if it's an option that can be done as of course I'm only "hearing" the issues on here and not "seeing" inside the mouth.
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Donnie

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i'd say 99% of dentists don't have a clue-i went to a prosthodontist even though my ins. would cover the cost at 'any' dentist who takes it-gave them a down pmt. and was going to make payments and on s.s.-that's not easy but this is 'the' most important thing in my life-trying to smile 'naturally' again-he had his 'very nice' assistant take my impression-she put a tray in and left the room-i felt it, kind of falling and i knew it wasn't going to be right and after 1st try-in-it wasn't even close to staying in my mouth-hard to do changes and even see how it looks when it's falling out and mr. prosth. said 'let me just put some adhesive powder on it'..NO-i can't use GLUE and i've never had to and i added-if the first impression isn't right-it's not going to be  good-2 and 3rd try-in were, both times-my top front were almost 1 tooth off midline and we'd discussed that more than once and finally i said 'this isn't working" and i also told him-i could have gone anywhere and worked with and assistant and had my ins. pay for it-i came HERE because you're a prosth. and i need your expertise-he said 'duly noted' and i asked for my $ back and left there-feeling defeated-fast forward-to now-where do i i go now?  that's how i found this group and sharing what i've learned-WE NEED DENTURISTS IN EVERY STATE.  
(Edited)
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Josie

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Oh man. I'm sorry to hear that you had no success. Maybe there is a State near you that Denturism is legal? "Crossing fingers ".
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Barbara G

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Donnie
Yes w need Dnturist
But the Dental lobby blocks it
This really effects lower income people the most
 it is pretty terrible
I have no idea how we can combat this dental lobby
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Donnie

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the denturists have tried-the 'so called' dentists chase them out by threatening to fine them-i know one this happened to up in daly city, ca
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Amber

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My immediate denture was/is also my permanent denture. I'm a rare case in where, after a year now, have not needed any adjustments or hard reline. I have a very snug fit so I don't want to mess with it since its fine.
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Donnie

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mine was too-it was so long ago-i didn't even know about temporary vs. permanent-i think back to how ignorant i was but in a way-it was better to be ignorant-i know TOO much now (  :
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Barbara G

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To  Amber
I thought all properly fitted dentures were supposed to  fit as yours fit???
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Donnie

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my thinking is-the immediate is right after you've had teeth pulled and the gums will be shrinking so when that's all done-they make you a new one that 'fits'.....i didn't even know this 'back when' in 1990 when i got mine.  i've learned MUCH since then
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Josie

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Your immediate can be a permanent one. The person needs to know what they're doing om fabricating it in order to be able to have your immediate as your permanent.
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Anna

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Hi Donna, I'm a newbie to the world of dentures.  In a couple weeks, I'll get my teeth extracted and will be sent home with immediates, but they'll also be my permanents.  So in my case, the answer to your question is yes.


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Donnie

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do you need ALL your teeth pulled-if i could take back ONE decision-it would be to have kept the top teeth the dentist?  told me to have pulled back in 1990-i can't believe i let him do it and SLAP in a full upper-those were good teeth but he said it would be cheaper-if you have ANY good teeth-top or bottom-KEEP THEM and just get partials-i would give ANYTHING to go back and make that decision.  
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Anna

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Thank you so much for your advice!  I do have 4 teeth up front that haven't broken, but severe decay runs in my family, and the decay is spreading rapidly to the front, it just destroyed my canines, and there are cavities in the front teeth.  I'm so tired of the pain, and the stress and the infection...and if my parents are any indication, my front teeth won't last very long.
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Barbara G

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B. Lynch

I would read Donnie's comment about keeping what few teeth you have
Maybe partials and not full dentures would be  better for you

You can always get teeth pulled in  the future  but you can not get them back once you have them extracted
An over denture is more comfortable then a full denture

Good Luck what ever you do
Barbara
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Donnie

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amen to that!  over the years i've thought-if i could take back ONE thing in my life-it would be to get only a partial instead of a full upper-you might not even think it right away but over the years-those teeth you have with roots and bone-help to fill out your face-my face used to look healthy but it's getting sunken in now-sad-so sad-i HATE IT.  because i'm 65-don't drink or smoke and i eat healthy and i 'did' look like it.  
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Theta

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Anna
How is it for you now, a few months post-extractions, and your immediates-also-permanents dentures?
My immediate full dentures will be my permanents also.
That's what the denturist here does. I hope it all works well & not too bulky/heavy .
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Barbara G

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Theta
I think a denturist is always the best person  to make a denture
I think they know twice as much as a dentist when it comes to making dentures or a bridge
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Barbara G

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B. Lynch
I would suggest that you research this  entire question on the internet
 before  you make your final decision

You only have one chance to do this
Some people have gone to dentists that give them nothing immediatley after the extractions  and wait some time   before fitting the immediate and final dentures

Some people get only the immediate final top dentures  and wait for the bottom denture
What is your right approach for you???

You can go to 2 dentists that give free consultaions and see what thy suggest?
There are people on these blogs that have done different things

See what Josie on this blog thinks?
Good luck
Barbara

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Barbara G

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Josie

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  •  Hi Donna,
Josie wrote:
Yes you can. As long as the Immediate Denture is not "slapped" together and made well. We make Immediate Dentures and that is their permanent. We've never had issues with them except for maybe 2 people that needed a new Denture with the major extraction surgery they had and their anatomy. It's very cost effective as we are practical and understand it's a long journey and a pricey one. We are a Denture Clinic so I'm not sure how it all works in Dental Offices in the USA. One thing you can make note of is make sure they use Lucitone 99 which is the best Acrylic (the pink stuff) on the market and choose your teeth with them. If you have some missing teeth they may also be able to do a Try in for you before it's finished and your teeth get extracted. They will just start making the denture and put denture teeth in wax only where you have missing teeth and try it in for you! :) You should also be getting at least one Tissue Conditioner at 4 weeks. I think most places in the USA call it a Soft Reline. Your gums may look like they have healed but it takes 6 mths to 1 yr for them to recede. The fastest of the receding is in 6 mths then it slows down and unfortunately our gums will always be receding for the rest of our lives. 

Please do NOT get your Hard Reline before 6mths. If you do it will get loose again and you'll have to pay for another one. Just make adhesive your best friend until then. When the 6 mth mark arrives and you book a Reline they will take new impressions of what your gums look like at that moment. They'll remove the Tissue Conditioner and Reline the inside of the denture which is basically reconstructing the whole inside with pink acrylic that looks like the rest of your denture. This takes almost a full day to do. It's a pretty big job. Please keep in mind once you get that done and go home you should eat soft foods and once you build back up to more "regular meals" you may get a sore here and there which is common. Salt water and going in for an adjustment should fix that as your gums get used to your "new" teeth again. Hope this helps. :
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Anna

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Thank you, Barbara.  
After I saw my dentist, I did do some research, and tried to arrange a consultation at another place just to get more information, but they couldn't get started with me till August, and that's too long for me to wait.  I don't live near a major city, so I'm a little more limited here.  I wrote down Josie's suggestions and will call my dentist Monday with more questions.
Thanks so much for your reply!!!
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Barbara G

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B. Lynch
What have you and your dentist decided to do about your 4 front teeth???
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Barbara G

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B. Lynch
If you  are able to go to a Dental College for a consultation that would be a very good thing.
You should discuss the alternatives of partial bridges or  over dentures

Think about an Over over denture secured by 2 or more implants especially for the bottom denture
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Anna

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My dentist told me he could do a partial, but that it will be a temporary fix because my front teeth won't last.  And to make a long story short, I know my front teeth won't last more than a year or two.  I get this from my dad; even after we get fillings, the teeth break apart.    And I don't have insurance.  I don't want to buy a partial, and then a year later buy a full denture.  We can barely afford this as it is, lol.   To be honest, my teeth have caused me so much pain and infection, I can't wait to part ways with them.  
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Donnie

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if i had a lot of money-i'd send you enough to get those front teeth fixed and only a partial-maybe you'll be blessed enough to find someone who knows what they're doing-remember-MOST dentists just take and impression and send your case to a lab who never sees you and then the dentist 'hopes for the best'...imagine getting a nose job that way?  a couple of things-make sure you get to pick size and color of teeth YOU like and don't let him tell you that you can't hate white teeth-not hollywood 'glow in the dark' teeth but white (if you want) and a wax try-in because that's when changes need to be made-do not let them tell you it looks good if it doesn't-o.k.-i hope this helps.  
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Josie

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B.Lynch if you can save some teeth then do it! Your bone is much stronger then denture teeth. Get an Immediate Partial Upper Free End- Cast Connector if you're still having some teeth pulled and if not just remove "Immediate" from the name of it. Please write that down. That type of Denture has a metal frame and the Cast Connector is the type of design that can allow teeth to be added and turned into a full denture when needed. I dont kniw why a lot of Techs or Dentists dont fabricate them. it's cost effective and you don't have to worry abiut getting another denture in a short period of time. Then you get to keep some of your teeth which is great if you/Dentist agree to do so. Hope this helps.
(Edited)
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Anna

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Donnie and Josie, THANK YOU!!!!  :)   I really appreciate your advice!!!!
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Donnie

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i can't 'edit' my post for some reason-should say 'that you can't HAVE white teeth-not hate (  :
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Josie

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Hey Donna. Just checking in to see how you're doing.
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Donna

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Hi Josie, I had 8 extractions and immediate denture on 7/1/2019. I go tomorrow to have stitches removed. I was awake for the procedure and had a local anesthesia. I had pain for two days and used ice pack which resulted in very little swelling. Most of my meals consist of soft food and ensure supplements. Having hard time chewing. Dentures need adjustment which hopefully I will get tomorrow. All in all, everything went well. Thank you for thinking of me. Donna
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Josie

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Good to hear. Make that salt water your best friend. It will help.
(Edited)
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Landon S Johnson

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Awesome! Be sure and keep this in perspective as you heal - the whole denture thing is forefront right now and has been for a while I am sure, throughout the mold process, waiting for E-day, etc. Now all that's over and you have to be open to getting back to your life again. For me it was when the dental office said, 'There are no more appointments. Call us when you need a reline' (they are free for the first year). I've been left on my own now to live my life, and now my dentures are not my constant thought. Mentally they are a part of me now...

You may vacillate like me and wonder if you made the right decision, but that huge negative thought gets nibbled away each day you don't have to deal with root canals, cavities and fillings.  Like putting pennies in a jar; it adds up.

I'm 5 weeks in and am pretty much fearless now. I can't eat everything, but I push myself and celebrate my daily victories by eating ice cream without sensitivity or pain. I'm back to teaching full time and my students say they cannot tell the difference in my talking, except for the occasional whistle.