Informed Consent Discussion For Denture(S)


Patient Name
Facts for Consideration
Candidates for prosthetic devices (dentures) have lost most or all of their teeth. Dentures are designed to replace
teeth of an upper or lower jaw. The following types of dentures have been discussed:
1. A conventional denture (removable) is placed in the mouth after all of the teeth have been removed and the
extraction sites have healed, usually six to eight weeks after extraction.
2. An immediate denture is placed at the time the teeth are extracted. To make this possible, measurements
and models are taken during the preliminary visit. However, bones and gums can shrink over time,
especially during the healing period in the first six months after extraction of teeth. When gums shrink,
immediate dentures may require rebasing or relining to fit properly.
3. A partial denture is a removable appliance usually composed of framework, artificial teeth, and acrylic
material. It fills in the spaces created by missing teeth and prevents other teeth from shifting.
4. An overdenture is a type of removable denture that is supported by a small number of remaining natural
teeth or implants. Natural teeth must be prepared (reshaped) to fit the overdenture and provide stability and
support for the denture.
Option(s) chosen:
Patient’s initials
I understand the stability and retention of the denture(s) depends on many factors, including the
attachment and fit of the denture(s) to natural teeth, implants if any, the amount and type of bone,
gum tissue, and saliva, as well as my ability in placing and removing the denture(s).
When using natural teeth as support, I understand my dentist will anesthetize (numb) my teeth and
the gum tissue around the teeth. The teeth acting as support will be filed down along the chewing
surface and sides to make room for the denture(s).
I understand that holding my mouth open during treatment may temporarily leave my jaw feeling
stiff and sore and may make it difficult for me to open wide for several days. This can
occasionally be an indication of a further problem. I must notify my dentist if this or other
concerns arise.
I understand there may be gum soreness or discomfort under the denture(s). This can be relieved
by the dentist with adjustments and tissue treatment. It may take several appointments before the
denture(s) fit comfortably.
I understand the new denture(s) may feel awkward for a few weeks until I become accustomed to
them, and the denture(s) may feel loose while my cheek muscles and tongue learn to keep them in
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