Extractions, Dentures & Overdentures
Dr. Krajekian provides comprehensive solutions for patients needing multiple extractions and tooth replacement, from immediate dentures to implant-supported overdentures that function like natural teeth.
Full-Mouth Extractions
When teeth cannot be saved due to:
- •Severe periodontal disease
- •Extensive decay
- •Failed root canals
- •Trauma
- •Preparation for dentures or implants
Surgical Approach
- •Full anesthesia options (IV sedation or general anesthesia)
- •All extractions in one comfortable appointment
- •Immediate placement of healing prosthesis
- •Bone preservation techniques when appropriate
Denture Options
Immediate Dentures
Fabricated before extractions and inserted the same day. Serves as both a bandage and provides aesthetics during healing. Requires adjustment as tissues remodel.
Conventional Dentures
Made after healing is complete (3–6 months). Offers a better initial fit but requires time without teeth.
Limitations of Traditional Dentures
- •Bone resorption over time
- •Decreasing stability
- •Difficulty chewing
- •Discomfort and sore spots
- •Social embarrassment
Implant-Supported Overdentures
A solution that combines implants with a removable denture for added stability:
- •Snaps securely onto implants, no adhesives needed
- •Improved chewing ability
- •Slows bone resorption
- •Easy to clean
- •More affordable than fixed implant prosthetics
Options include 2-implant overdentures (lower jaw minimum), 4-implant overdentures, bar-retained overdentures, and locator attachment systems.
Fixed vs. Removable Solutions
Implant-Supported Overdenture (Removable)
- •2–4 implants
- •Patient removes for cleaning
- •More affordable with easier maintenance
- •Still covers palate (upper)
All-on-4 / Fixed Hybrid (Permanent)
- •4–6 implants
- •Fixed prosthesis (not removable)
- •Functions like natural teeth
- •No palate coverage
- •Premium solution
The Process
Consultation
Comprehensive examination with 3D imaging, treatment planning discussion, and financial options review.
Extractions and Immediate Denture
Same-day extractions and denture under IV sedation or general anesthesia. You go home with teeth the same day.
Healing Period
Denture adjustments as needed during 3–6 months of bone and gum healing before implants.
Implant Placement
Minimally invasive procedure, usually 2–4 implants, followed by a 3–6 month healing period.
Final Prosthesis
Custom overdenture or fixed hybrid fitted for excellent function and improved quality of life.
Post-Operative Care
Day of Extractions
- •Leave initial gauze in for 30–60 minutes
- •Ice packs 20 min on/off for 24–48 hours
- •Do not remove immediate denture for the first 24 hours
- •Soft, cold foods only
Days 1–7
- •Remove denture only for cleaning and rinsing
- •Salt water rinses 4–6 times daily
- •Soft diet (eggs, yogurt, smoothies)
- •Take medications as prescribed
- •Expect some oozing and minor discomfort
Weeks 1–4
- •Denture adjustments as needed (sore spots are normal)
- •Gradually expand diet as comfort allows
- •Continue excellent oral hygiene
- •Watch for signs of infection
Months 1–6 (Healing Phase)
- •Bone and gum remodeling occurs
- •Denture may become loose. Relining may be needed
- •Prepare for implants if planned
- •Regular follow-up appointments
After Implant Placement
- •Allow 3–6 months for osseointegration
- •Follow implant post-op instructions
- •Final prosthesis fitted after healing
Key Benefits
- •All extractions in one visit
- •Immediate denture placement
- •Full anesthesia options
- •Implant-supported options
- •Improved stability and function
- •Financing available
Recovery Time
1-2 weeks from extractions; 3-6 months for implants
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Have Questions About Extractions, Dentures & Overdentures?
Schedule a consultation to discuss if this procedure is right for you