Just got back from consult and have questions...

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I just got back from my consult.  The dentist was very nice. We came up with a plan want to run it by people to see what they think. 

7 top teeth removed and he will place my immediate permanent denture.
I also have the option of getting a temporary denture ($375.00) and then my permanent one made later.

He said he is absolutely able to make and place the permanent and that $220 to reline after I have healed is more economical than the $375.00 now and make the perma later.  The choice he said is mine, but he knew I was concerned about costs and that gets me out of there the more economically.  Pro for the temp is that it is more money but I always have back up in case mine break.  Pro for the immediate perm is he swears he will make them right, I will need a $220.00 reline but I save a bit money.

What would you do if given this choice? 
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Zipity

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Posted 3 years ago

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Deb Cartwright-Cronkright

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This sounds like aspen! In my opinion.... i have my temp immediate in now... waiting for my permanent. Soft relines come free with mine. So they have soft relined my temp 2 times now. I dont know if it is worth it or not to wait yet because I have yet to get mine but I have healed soooooo much that I think I made the right choice! And as you said.... i have the second set in case something happens. But this first set is big. Does not fit quite right because of my healing which also makes me happy for my choice. Hope this helps
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Zipity

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Not Aspen.  I try and avoid chains when at all possible just because we are a smaller town and the chains have forced so many local business owners (of all types) to close.  I asked around, was told Aspen because of their packages, warranty.  Two people suggested local established practice (father and son). Father handles the dentures in their own onsite lab.  I was genuinely comfortable there today and I didn't think that possible in a dental office.  He has absolutely assured me I will be happier than I believe possible with the end result and has even put it on the line that by the time I have gotten through this with him I will no longer be afraid and we'll work together so I don't need bottoms (it sounded good to hear I am not convinced as this was appointment number 1).

Just debating on getting that temp one so my perma is molded once gums have settled.  But then I talk myself out of it thinking it may be wiser to get what I have and get it right, because when I get perma that be basically starting over. 

Was curious if anyone has gone the route of getting insta perma instead of their temp and then perma months later.

Thanks too for the reply, Deb, I appreciate anything anyone has for me at this point.  I am so scared.  There just are no words to what losing my teeth has done to me mentally.  It could not be put off any longer.
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Lol

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You dont need a reline at the dentist you can do it at home with my prouduct. Agliatajojo@gmail.com 20 dollars plus shiping i mail it to you
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Lol

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You can save the extra cost by using my reline. Smart flex
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Lol

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Lol

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Renews old dentures that dont fit
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Josie

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The best Reline is when it is left for almost a whole day at the clinic. 2nd best is chair side. I suppose doing it at home is fine....if you know what you're doing. Impressions are so important in this procedure and even that can be done incorrectly. It's not as easy as it looks.
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Deb Cartwright-Cronkright

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oh yes i understand! That is why I am on here still! Teeth all pulled in Jan. Getting my perm june 10th. I must say the soft reline is nice feeling. But I now know..... that my temp is pretty big. I had another dentist look at it ( long story but kinda sorry i went with aspen!) and they said " meaty"! And it is. It gives me monkey lip but I realize they had to try to figure out what my mold would be without 6 teeth!. But it is big and I cant help but think... due to shrinking.... this perm is going to be smaller. Good luck and very happy you like your guy! or girl! 
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Kelly

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My immediates are also my permanents. I got them about 18 months ago. I've had the upper hard relined about 9 months ago and will get the lower hard relined soon. In between, I've had several soft relines. I am very happy with them. They were made by a private dentist. 
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kim

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It all depends....are any adjustments included with the perm? If you get sore spots will they charge you each time you go in? If so that could add up to way more than having a temp then a perm. Your gums will change so much in such a short time I would be Leary of doing a perm right away.
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Zipity

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They said they will try and have everything in writing for me tomorrow (I go in to have my bottoms cleaned) she scheduled it for late day in hopes it would be ready.  It usually takes them a couple days, but she knows I would like to get a handle on finances.  She did tell me not to be alarmed if it wasn't prepared, it would be just as soon as possible and if I am unable to get into the office she will email it to me for review.

It was my understanding all adjustments after initial insert are free, the hard reline though once everything is situated is $220.00.

Jeanne ~ agonizing over the right choice is spot on.  That's where I am at with it. 

Added to that I have insurance through work.  Dentures  the things themselves are covered 50%  all adjustments, relines are covered 80%.  But our company is really struggling right now ~ several have been laid off / let go and I can't say for certain in 6 months I will have the job/ insurance. That was what pushed me through the door to deal with this. 

The dentist was passing through when I was talking with the lady at the desk about all of this.  He heard me questioning her on Aspen Dental having what I have been told is the lightest materials, the guarantee and a solid reputation with folks in our town for doing good work.  He said the light material was a non issue because in the denture world the lightest materials are shared by all of the labs, and they might have a patent name for their material, but it all boils down to the technology is what it is and they all have access to the lightest materials.  He said the materials really isn't the issue in all of this ~ it all comes down to know-how, post procedure, and he has many years experience in making sure his patients have the proper fit and he works with them to make sure they adjust to getting used to having plastic in their mouths. The communication post op, the adjustments and the taking the proper time to adjust to something foreign in your mouth are the biggies in all of this. He said as far as their guarantee; he doesn't put a time limit on when he stops working with his patients.  He has several patients that have had their same denture for 20 and 30 years. Realistically he never expects one to last that long, and I should never expect to get 20+ years out of mine, but he will do everything possible to make sure mine fits perfectly and I have many, many years of confidence with it. 

So because of the insurance issue and what he has said I am leaning towards immediate perma. But if that is a mistake and I would have a better result with the temp and then having the perma made later, I want to go that route. Jeanne and Kelly have given me some confidence though as it relates to just going with the perma, thank you both.

Color: he says he will save my bottoms, that's a priority as a bottom is more difficult to get perfect.  So with that my bottoms are sparkly and I am a bit apprehensive about getting a denture on top that doesn't sparkle. I really don't want a denture in my mouth that shows 47 years of living.  So I am stewing about that as well.  Does anyone with just an upper go with a brighter shade?  We did not speak of color at all yesterday.

Supplies: I need to look on this forum too, but I have no idea what supplies I need to have on hand.  Cups, tablets, brushes, otc meds, etc.

Time Off:  I have 7 teeth to remove.  So I feel as far as that goes I may possibly have an easier go that a person getting all of them pulled.  My gums in the back have been exposed for years, I don't expect much change there.  I do believe I have a root left towards the back of one side.  I am hoping a couple days at home and I could be ready for the office.  In saying that I am in there now with teeth in horrible condition (we don't see the public) and everyone is supportive, I would never have to worry about being uncomfortable in front of them.  But I would like to go back into the office after this looking semi put together and get a couple legit "wow, they look beautiful"  that folks said because they meant, not because they felt obligated and wanted to encourage me.  How many days do folks schedule off post procedure if they have the ability to be able to do so?

So many things running through my head; my nerves, just like my teeth, are shot.  At the same time I want it done and over with and I also am terrified to begin. 

Thanks all for the help.  I am taking everything on-board. 
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Kelly

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Your dentist sounds very similar in his approach as mine. I have not had to pay anything for any adjustments. I did have to pay for the hard reline (it was $250 - no insurance coverage for that). You definitely want someone who will work with you whenever you need assistance. Even if you go the temp and then get a perm later route, there will always be adjustments. Always. 

Time off- I had mine done on a Wednesday evening and I was back to work on Monday. I could have gone back earlier than that. 
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Deb Cartwright-Cronkright

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Gums do change quite a bit in the 6 mo. My temp got looser and looser!  Again.... very active and happy to have a 2nd set in case!  Cant wait. I know its made of the same material but the amount of material and the mold is what concerns me. Trying to fill the gaps from my healing..... I have quite a bit of soft reline in my temp now. Cant help but think my perm would have had the same thing if I had went with that first. I know that when I get my new one.... It will fit waaaaay better.

Having your guy understand fit and bite is great. Mine gave me an overbite with my temp and now i have thrush and angular chilitis from this ill fitting temp! Cant wait for them to make me another.

Even tho this one fits not the greatest.... still will be pleased to have a second set.

As for your procedure..... Eat before you take a pain pill because empty stomach + pain pill = sicky. Not fun with dentures.  i crushed up saltines in my mouth. Stick to the ribs. Trash bag by you. Gauze. Cold compress. Remote control. Dont need the phone. Your not gonna want to talk. Felt way better withing days.  I did it on a saturday morning and was back to work by tues. 

Your smile is going to look soooo nice!  I decided if I was going to pay for teeth they were gonna be white. LOL. I wont choose the whitest but I will def make them white. They wont really match my yellow bottom and I am ok with that. It doesnt matter what it was b4. It will look really nice and you will be able to smile nice again without covering your mouth on a big laugh.
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Elizabeth Thompson

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Deb, maybe you could try the crest white strips's and if you do get the flex fit ones Or another whitening product to whiten your bottom teeth.
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Deb Cartwright-Cronkright

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Yes. Good idea. Same spot that zipity is in. Trying to keep the bottoms with a partial after this top ordeal.
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kim

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Another thing to keep in mind...you said you didn't anticipate problems with back gums because the teeth have been out so long...I thought the same thing. I had no molars upper or lower for 20+ years then all of a sudden I had a full upper and lower inserted and my mouth wasn't used to having teeth in those spots so that actually was a big adjustment for me. My mouth was closing in a way that felt foreign to me. I would give yourself a week off work just to be safe...if you need to go in for adjustments or sore spots it's nice to have that time to be able to run in. Good luck!
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Zipity

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Deb ~ yep  thinking get all the "stuff" worked out with the temp and then perma is such an advantage.  But also second guessing and thinking if the man said it's unnecessary is meant it.  I have that in my head and then my insurance issue. 

I need to speak with him about my concerns of temp vs perma again, we touched on it lightly, but I would like to know if he was fitting for his wife, daughter, mother ~ what he feels is best.  Insurance now but I could lose it because of the difficult time our company is trying to navigate through (been there 20 years) am a bit concerned Insurance along with the job is not something I can count on. Because work is so bad I had to have teeth should I need to look for a job ~ that came into all of this too. If I go with perma first, and find out I am losing my job will they go ahead and put through for my perma prior to losing my insurance, I don't insurance fraud or anything like that, just want to know if it's possible to do that, legally.  Really priority 1 should be getting teeth so I can be proud of myself again, I need to work on getting my head straight.  Bad teeth really does a number on a person.  It at least has done one on me. 

Right now unless someone convinces me differently these new babies are going to sparkle.  I just can't see going through all of this and ending up with 47 years of life visible on new uppers.  He is confident he can save my bottoms.  I expect that he can but not sure he'll ever be able to have them sparkle.  I don't need chicklet white or Hollywood white, but I do want normal woman, non smoker, coffee drinker white and this will be my only opportunity for that with this pair. 

I don't like pain pills, but in this instance I am going to make an exception because I feel like if I need them and don't have them I will be wanting to take that denture out for relief and from everything I am ready it is important to keep it in to help the gum heal, form as they should during the process etc.  So I am going to see how he handles the distribution of pain pills. 

I can't remember what a big smile or open mouth laugh even feels like.  I am looking forward to that and do kind of feel even if this is a total train wreck at some point down the line I will be happier than what I am now. 

Deb were you talking decently at work upon your return Tuesday?  At the office I am on the phone a lot ans we gab all day long amongst ourselves. I'll die if those suckers flop out mid conversation, lol. 

Appreciate folks jumping here ~ right now this forum alone is what is keeping  me encouraged enough to go through with this.  Thank you all.
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Cherryghost

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Yo Zip, My name on dan's is Shay Smiles. would you please ask Pam to accept me? I would love to be a part of this group. Thanks Hun!
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Zipity

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I don't have a friendship but I have sent a message to her and asked that she looks for your names.  I did also explain that ET had a link but it expired, that you requested a second one be sent and it wasn't.  I am not sure if she will read the message so I will look for her online, they have chat as well.  As I don't know her I can't say anything will happen but I will try :)

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Cherryghost

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Thanks for trying Zip! :)
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Zipity

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no problem ~ hope it works
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Elizabeth Thompson

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Yes thank you Zip I do appreciate your efforts.
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Zipity

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Kim after I put that up I wondered about that, because I can tell just with recent changes my jaw is clicking a bit.  It's going to feel like someone said ~ having a hockey puck wedged in there.  Think I will go with a week.  I am about 5 minutes away from the office at home, 40 from work. So I would like to be close.  I can also work from home if the need comes up, so I might as well let them settle in a bit before I take them out and parade them around :)
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kim

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I am also a baby when it comes to pain! They gave me Percocet for pain and quite frankly it knocked me on my ass! Then it made me sick which was AWESOME three hours after having dentures put in! Needless to say I was fine with Tylenol. Truly the only pain I had was that light throbbing feel...like a heartbeat in your mouth, but if you've lived through a toothache that was nothing! Now my dentist billed me for temps and perms all at the same time...I've heard a few people say this as well. I'm not sure if they all do this but if so that would help you as far as insurance goes. My biggest obstacle was talking...it took me about 4 weeks to sound normal. I did practice all the time and I, at 6 weeks out, still trip over words. I have to really slow down and think about everything I'm saying...especially if there are a lot of st words or k words, but I can laugh again and smile which takes some getting used to...not covering your mouth all the time! Good luck again!
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Lol

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Lol

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Smartflex stops pain and rubbing. Miracle
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Lol

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Paypal.me\joanneagliata
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Debbie Jones

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What is startled is that a new adhesive
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Debbie Jones

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What is smart flex is that a new denture glue
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Zipity

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I can handle heartbeat in mouth pain; thank you for that!  I know I don't want sickness on top of everything else.  And it would be absolutely wonderful if they process temp and perma all at once.  I am hoping to have all the details tomorrow, at least next week.  If they process that way ~ I may just go with temp and perma because I would have an extra set, but I have to question him more on the whole process. 
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Deb Cartwright-Cronkright

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I think they will bill at once also. You should ask. Either they want the money or not so i cant see them not doing that. I took pain pill .... puked.... and took no more. Just made it with nothing. I did take one b4 the "deal".
 
I left my temp in for 24 hrs and then I took it out and lightly, LIGHTLY swished warm salt water and cleaned them up. That felt great!

I clean homes. I did only have one house that day, and I had sore spots. 
It was done on sat.  took out sun and cleaned and went to dentist for small adjustment and stuff on mon morn. Tues it hurt from rubbing. It was rubbing in new spots for a couple days.The dentist couldnt get me in and I figured I could do it myself so I went in the bathroom with some sandpaper. Locked the door and fixed my problem. :)

I know a friend who did the same thing I am doing and I chose the 2 sets also because of her advise. She said her temp wasnt great either but when she got her perm it was wonderful and I would be very happy so I am biding my time to be happy!  My temp is ok but like I said... It is made a little big (understandably why.. I had 7 teeth when they had to make it like I had none!) but it gives me biggness in my mouth that I dont think the perm will do.

I do hope the best for everyone on this site! It is a godsend to ease fears and tenseness! 
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Deb Cartwright-Cronkright

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also my friend gave me fixodent powder and that is good. I was scared to use stuff until the holes healed. Powder is the best. Make sure you dont inhale it accidently. The soft polident sucked and hurt me. Got my sores. ouch. I then went with sea bond and that was nice. Cut them like I needed them. Used them until holes healed better then the powder and I will do nothing else but the powder!
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Lol

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smartflex
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Lol

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Beat thing ever
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Jeanne Roushey

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What is this?
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EllenM

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Are you promoting your own product?
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Elizabeth Thompson

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Joanne, I am a bit confused. Are you promoting something you put in your mouth in addition to your denture or are you promoting something like that Japanese stuff which was supposedly similar to cushion grip from what I understand.
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Karen, Employee

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After teeth are extracted, the soft gum tissue often closes over and heals within 10 to 14 days. However, the final healing and changes within the underlying bone may continue for several months. You may notice that the shape of your gum tissues continue to change for weeks after teeth have been extracted—even though your gums appear healed. This could impact how well your dentures fit if you wear dentures or have new dentures fitted too soon after teeth are removed.

The construction of dentures is a joint effort between you, your dentist or prosthodontist, and the laboratory technician. You should return to your dentist or prosthodontist and ask him/her to address your specific concerns. If he/she is unable to resolve the appearance of your new dentures, you should seek a second opinion and may consider the care of a prosthodontist. A prosthodontist is a dentist with three years of training beyond dental school who specializes in the esthetic restoration and replacement of teeth. To locate a prosthodontist near you, visitwww.gotoapro.org.
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Deb Cartwright-Cronkright

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Prosthodontist are kinda hard to find in america. I am in michigan and searched good for one. Would of loved to had someone who knows more about fit,. We are stuck with dentists that do fillings and root canals and are not experts in the denture field. Sure they can make dentures but their specialty is not dentures!
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Zipity

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Spoke direct with Dental Provider this evening. She looked into all the fine print.
The pay date on the perma, even with preauth is the day the mold is sent to the lab.  They don't pay prior to that under any circumstance.

Now she was sure we are given notice when we are going to lose our benefits, she believes its now a legal requirement.  If the plan fully closes before mold is sent to the lab, I am 100% responsible for the payment.

If employee benefits are terminated but the plan remains opens, she said that does happen for small companies because the owners need insurance while they get themselves sorted. IN that instance, if the plan is open even if I don't have benefits, all employees whose benefits have been terminated are given 90 days past the final day of insurance to complete their care. 

I will know if they are terminating our benefits because it's just myself and another lady in the office and we handle all of the paperwork,  Minimally I would know a month in advance and the Dental Concierge said if I notified the practice that is more than enough time to take a mold and send it off to the lab.  

So I am trying to see if they can move my e-date up, it is June 22nd.  If it could get moved up that gives me additional time to heal and additional insurance time.  If they cannot it's still full speed ahead.  I have a bit of gamble in me so I am going to take the risk realizing I could have to pay for the perma.  But I figure even though he is fully confident my Immediate Perma would be perfect when he is done ~ I will be able to work out the bugs with the temp, have a cleaner perma, and a back up pair of teeth, should I need them.  I have a shoe rack, I may invest in a tooth rack.

Now I could flip back and forth 17 more times between now and time of reckoning.  But that's where I am with it tonight. 
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Jeanne Roushey

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Elizabeth, sorry I didn't see your questions to me.
I had immediate permanent denture after my last extractions. I left it in the first 24 hours, went back to dentist then left it out for two days once bleeding was stopped. After 9 months they did a reline.It helped, now it's beens almost a year and feel I need another. Hope they can do it again. I have never been able to eat solid food with out adhesive.
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Elizabeth Thompson

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Jeanne, I don't remember what I put in my question because it was a little bit of a while ago but I had my seven top teeth removed on October 30, 2015 waited three months with no cheese my dentist said I needed to heal, after three months of no teeth on top my bottoms are my own, he made me a denture that fell right out of my mouth so I needed to use adhesive tried several actually I like the secure strips which are really for bottoms but I don't have bottoms I like the way they worked on my top. Since I had the hard reline at the six-month point from extractions which was May 2 this year I have not had to use adhesive and I know I need some adjustments for sore spots but I'm so afraid that if I get the adjustment that my denture will then once again need adhesive so I'm not sure what to do.
(Edited)
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patty L allen

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Do you still not need adhesive?? I'm getting the immediate permanent dentures so just curious if hard reline will last long time without having to use adhesives?? Hope all is well thanks for reading!!!
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Trish Wilson

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I am looking for the cushion tube for the bottom and they have discontinued the cushion grip for some reason, if you happen to find some please let me know on ebay and Amazon they want $1,0]0 for a 2.oz tube, it is ridiculous and crazy for that amount. Any suggestions would be greatly appreciated. Thank you
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Lol

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25 dollars
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Lol

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Softfkex is better than anything out there. Its smart tecnology. Erganomic. Impact resistant strong and soft reusable. Its so smart it forms to you. On its own like memory foam amazing no pain eat what you want
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Jeanne Roushey

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Joanne, for bottom or top? Send info please
jjmcc367@yahoo.com
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EllenM

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What is in it? Has it been tested by the FDA??
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AliciaP

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I would also like to know ALL of the ingredients, is it FDA approved? What type of facility is it produced in? Is it patented? How is it] packagef?

Thano you!