Aftercare instructions for Immediate Dentures and dentures that have had a tooth added to the denture to replace an extracted tooth

New dentures and dentures with additional teeth added will feel a bit strange at first but you will soon get used to wearing them. Your speech may be initially affected and this is especially noticeable when you are numb. Talking to yourself (alone) will help your ear adjust to the new denture in your mouth. Your mouth may also feel as if there is a lot of water in it. This is due to a reflex your mouth has to secrete saliva when food enters into it. It takes normally 24 hours for your mouth to produce the normal volume of saliva. The following is a guide on what you should and shouldn’t do if you have had a tooth extracted and a new or altered denture fitted.

  • Do not take the denture out until the morning following your extractions. If you remove the appliance before then, you risk the area swelling without the denture in place which will prevent you from reseating the denture properly. You would then have to wait until the swelling has subsided before wearing the denture. Twenty-four hours post extraction, wash your hands and carefully remove the denture using both hands. Stand over the sink counter when you do this, preferably with the sink full of water. Often a denture can slip from your hands and the water will soften the fall preventing damage to the denture.
  • Rinse the denture carefully under cold water. Then scrub both the inside and outside with the denture brush using only cold water. Do not use soap, denture cleaners, or toothpaste.
  • Carefully put the denture on the counter and gently bathe your mouth using a teaspoon of salt in 8 oz. of very warm water. Do not rinse forcefully as this can dislodge the blood clot in the socket.
  • Put the denture back in your mouth. Go ahead and clean any remaining natural teeth as you normally would at this time.
  • Repeat the above procedure for the next two mornings.
  • On the fourth day after your extractions, you should take the denture out at bedtime. Rinse and scrub it as described above. Rinse your mouth again with the warm salt water. Put the denture in a denture cup/container and cover it with clean, cold water. Leave it there while you sleep. After rinsing it again, put it back in your mouth in the morning. Continue with the warm salt water rinses for at least 7-10 days.
  • Continue to follow your dentist’s instructions as well and continue taking your regular medications on schedule, unless directed differently by your dentist or your GP.
  • You will need to have a liquid/soft diet for the first few days following the extractions/immediate denture placement (like soups, yogurt, pasta, eggs, potatoes, bananas, smoothies). Gradually begin to eat more solid foods as the first week progresses. Avoid really hard foods (like nuts, carrots, and pretzels) and really chewy foods (like bagels, dried fruit) during the initial healing period. Good overall healthy eating speeds up the healing process.
  • If you have any sore spots other than the extraction site, please contact the surgery as the denture may require adjustment.
  • If you become aware of a taste or the socket begins to become more painful after 3 days of the extraction, please call the surgery and make us aware of this.
  • Your dentist may want to see you about one week after extractions to check for signs of early healing if the extractions were awkward in some way.
  • After that visit, you may begin to use toothpaste or other denture cleaners on your new denture.
  • In the next few months, as your mouth heals, the denture will become loose. This is because the bone in the area where the tooth/teeth have been extracted will change. The greatest change will occur in the first three months. You may need to use an adhesive during this healing phase. After this phase, depending on the extent of change that has occurred in your mouth, you may require a reline or even a new denture. Your dentist may not be able to accurately predict this at the time of the extraction.