An immediate complete denture is a full arch prosthetic inserted immediately following the extraction of all remaining teeth to replace the missing dentition and associated structures. These dentures are made to replace the teeth of patients who have been lost because they have been removed for a long time. A case of a female patient, 74 years old, came to the Prosthodontic Clinic of Universitas Airlangga Dental Hospital to make a new set of denture but did not want the remaining mobile teeth to get extracted before the new denture was ready because it was still needed for her old partial denture retention.
Upon clinical examination, she has a flat maxillary and mandibular ridge, which will make the immediate denture fabrication more elaborate. She had also been taking antiplatelet drugs regularly after a heart valve surgery ten years ago. The treatment of choice was immediate complete denture fabricated using the closed mouth impression method.
This treatment is conscientiously planned to prevent post-extraction hemorrhage complications. It is considered that immediate complete denture will also help controlling post-extraction hemorrhage and promote healing on the extraction socket, as it aids as a surgical splint. This paper aimed to report an immediate complete denture fabrication using the closed mouth impression method on a flat maxillary and mandibular ridge in a medically compromised patient.
An immediate complete denture is a full arch prosthetic inserted immediately following the extraction of all remaining teeth to replace the missing dentition and associated structures. It is able to maintain the patient’s esthetic and masticatory function. As well as a conventional complete denture, immediate complete denture success is determined by the fulfillment of retention, support, and stability of the denture. Particularly, patients with a well-formed maxillary and mandibular ridge often show satisfaction with their denture as it performs pleasantly.
Nevertheless, in severe ridge resorption cases that require immediate denture fabrication for several reasons, it is elaborate and difficult to fulfill the success criteria. The closed mouth impression method, first described by Jiro Abe D.D.S. in 2011, is a dynamic functional impression technique that requires the dentist to insert maxillary tray and mandibular tray altogether, so the impression possibly taken in a closed mouth position and appropriate vertical dimension. It focuses on sealing the entire border of oral mucosa to obtain a tight contact between mucosa and the denture base, establishing a negative pressure during swallowing. With this impression method, it was stated that a suction-effective denture can be delivered even in a case with severe ridge resorption.
In a medically compromised patient that had undergone a heart valve surgery to insert an annuloplasty ring, antithrombotic drugs (both anticoagulants and antiplatelet) is often prescribed as a regular medication to prevent thrombus formation. Patients consuming this type of drug are at risk of bleeding complications after tooth extraction.
Therefore, immediate complete denture fabrication, in this case, must be properly planned to avoid further matters. Atraumatic extraction procedure, hemostatic gelatin absorbable sponge, and resorbable suture material are conscientiously prepared prior tooth extraction. Moreover, it is considered that an immediate complete denture will help controlling post extraction hemorrhage and promote healing on the extraction socket, as it aids as a surgical splint. This paper aimed to report an immediate complete denture fabrication using the closed mouth impression method on a flat maxillary and mandibular ridge in a medically compromised patient.
Author: Utari Kresnoadi and Marcella Theodora
Journal Title: Closed mouth impression method for immediate complete denture fabrication on maxillary and mandibular flat ridges in medically compromised patient: A case report
