If a dentist has to pull all his teeth because they are too damaged and no longer worth preserving, the chewing and speaking function must be restored with an immediate prosthesis (Immediatprothese). An immediate prosthesis is a removable prosthesis that is used immediately after tooth extraction (pulling the teeth) or after a surgical procedure. This prosthesis replaces all missing teeth permanently. For this reason, an immediate or Immediatprothese is not provisional in the classical sense, but definitive or definitive dentures.
The advantage of an immediate prosthesis is that it permanently replaces the missing teeth without further delay. The patient can use and strain his new dentures immediately. Immediately after the operation or treatment, the wearer has teeth again in his mouth, can eat, talk and continue his normal everyday life. However, the Immediatprothese must be adjusted later: Once the wound healing is completed, it can finally be set with a relining on the jaw conditions to avoid pressure sores.
Preparation For The Immediate Prosthesis
The Immediate or Immediate Prosthesis must be prepared before the tooth removal or surgery so that it is ready and usable in the treatment. At a preparatory appointment, the dentist takes a bite impression from both patients’ jaws. Then he orders the immediate denture at the dental laboratory, where it is made by dental technicians exactly according to the individual template. Only then will the dentist pull out all the teeth and provide the patient with the Immediatprothese.
The Immediate Prosthesis: Not The Rule, But The Exception
After tooth removal, which is done under local anesthesia and is therefore painless for the patient, the phase of wound healing begins. In this phase, on the one hand, the soft tissue on the gums around the site, where previously the natural tooth had its place, recovers. But also the tooth compartment in the jawbone, the so-called alveolus, regenerates itself. In this process, the structure and shape of the alveolar ridge, on which the immediate prosthesis must later sit exactly, to find a reliable hold.
Therefore, the dentist usually waits until this important process is completed and does not use the denture immediately after extraction. But in some exceptional cases, it may also be useful and necessary to incorporate the denture immediately after pulling the teeth or surgery in the mouth. The precisely fitting immediate denture then ensures the aesthetics and the purchase function without waiting time. It also protects the entire wound area in the mouth from unwanted mechanical stimuli.
The phase of wound healing usually lasts about two months. Only then are all healing and alteration processes in the jaw completed, and the alveolar ridge has taken its final form. When the time comes, the prosthesis can finally be adapted to the jaw. This is usually done by a relining, so by an adaptation of Immediatprothese. The dentist takes again an impression of both jaws and then adjusts the prosthesis accordingly, in order to ensure the best possible fit on the alveolar ridge.
Incidentally, dental implants also take some time to completely heal. Therefore, immediately after implantation, the immediate restoration with dentures can be useful. Often, before the insertion of the implants, measures are still taken to build up the bone, so that the jawbone at the appropriate place is sufficiently stable and stable.
The Cost Of An Immediatprothese
Statutory insured persons receive a statement-related fixed subsidy for the preparation of Immediatprothesen. The legal subsidies cover half of the average cost of the chosen care and are adjusted annually to current developments. Patients who want to use new dentures immediately after removing their own teeth, have to reckon with costs of 350 to 600 euros per jaw. The planned costs are entered by the dentist in the treatment and cost plan. Subsequently, this plan will be presented to the health insurance company for review and approval. If you have a filled bonus booklet, you must submit it together with the treatment and cost plan to the health insurance company so that the individually fixed allowance can be determined there.
For a complete edentulous upper or lower jaw (findings number 5.4 on the treatment and cost plan), patients currently receive a subsidy of approx. € 275.00 per jaw. More money will be given to patients who can prove their dentistry with their bonus book regularly: Anyone who has gone to the free check-up every year for the past five years will receive a bonus of 20 percent and a fixed allowance of approx. And anyone who has been with the dentist regularly for at least 10 years in a row will receive a 30 percent bonus. This corresponds to a statutorily fixed subsidy of about 358.00 euros. Financial hardship cases receive on the application and against proof the double fixed subsidy of approx. 550,00 Euro.
Dentures Immediately: The Benefits At A Glance
- Dentures can be used immediately
- Inexpensive supply
- Protection of the extraction wounds in the mouth
- Restores the chewing and speech function immediately