Immediate dentures offer a seamless transition to dentures, allowing individuals to avoid being seen without their teeth. However, it’s important to recognize that their primary purpose is to prevent having a toothless appearance. While they provide a solution, they are not without their challenges.

Dentists often recommend removing all teeth and allowing the gums to heal for six to eight weeks before fitting dentures. However, not everyone can afford this extended healing period, especially those in the public eye or with demanding schedules. 

Immediate dentures provide an alternative by enabling individuals who have had all their teeth removed to go about their daily lives without the discomfort of being seen without teeth.

Finding out the answer to “Do gums heal faster with dentures in or out?” can be the difference between the choices you make before opting for a preferred denture type. 

Stages of Gum Healing After Tooth Extraction

Initial Healing (0-1 Week) Stages of gum healing after tooth extraction featured 1 300x300

Right after extraction, a blood clot forms in the socket, crucial for protecting the wound and initiating the healing process. The area around the extraction site may be swollen and tender as the body’s inflammatory response takes place.

Early Tissue Repair (1-3 Weeks) 

The gum tissue begins to grow over the extraction site, and the initial inflammation subsides. The wound starts to close, and new tissue starts to form. The bone within the socket begins to undergo bone remodeling, where the body starts to lay down new bone tissue.

Maturation of Tissue (3-6 Weeks) 

The gum tissue continues to mature and strengthen. The socket begins to fill with new bone, but the surface might still be soft and sensitive. The bone gradually becomes denser, and the socket starts to take on its final shape, preparing for the fitting of dentures or other prosthetics.

Complete Healing (6-8 Weeks & Beyond) 

By six to eight weeks, the gum tissue and bone are usually well on their way to full healing. The area should be stable and ready for the fitting of permanent dentures. Even after the initial healing phase, the gums and bone may continue to adjust and settle, which can affect the fit of dentures. 

Do Gums Heal Faster with Dentures In?

Immediate dentures are designed to be placed right after tooth extraction. While they can provide significant benefits in terms of appearance and functionality, they can also present challenges in the healing process. 

Factors Affecting Gum Healing with Dentures In

Fit & Comfort 

If immediate dentures are well-fitted and adjusted properly, they can offer some protection to the extraction sites, which might help reduce irritation and aid in the healing process. However, dentures that are not properly adjusted can cause friction and pressure on the healing gums, potentially leading to discomfort and complications like dislodged blood clots or irritation. This can slow down the healing process.

Protection 

Immediate dentures can act as a barrier, protecting the extraction sites from debris and bacteria. This helps reduce the risk of infection, which could otherwise prolong healing.

Functionality 

Maintaining normal eating and speaking functions can be beneficial for overall well-being, which might indirectly support the healing process by reducing stress and promoting a more normal lifestyle.

Gum Healing Complications 

If the dentures put too much pressure on the extraction sites, they might dislodge the blood clot that is essential for healing. Dislodged blood clots can lead to dry sockets, which can delay healing and cause significant pain.

Gum Irritations 

Continuous contact between dentures and the healing gum tissue can cause irritation, which may lead to increased discomfort and potentially slower healing if not managed properly.

Do Gums Heal Faster with Dentures Out? 

Gums generally heal faster with dentures out, but this can depend on individual circumstances. 

Without dentures, there is no constant pressure or friction on the healing gums, which reduces irritation and allows the gum tissue to heal more effectively. Reduced irritation minimizes the risk of complications such as tissue damage, infections, or dislodged blood clots, all of which can slow down the healing process.

Allowing your gums to heal without dentures can also allow improved blood circulation to the healing area, ensuring that the gums receive adequate nutrients and oxygen. In return, better blood flow can help reduce swelling and inflammation, leading to quicker recovery.

Factors Affecting Gum Healing with Dentures Out 

Impact on Aesthetics 

Without dentures, patients may face visible gaps, which can affect self-esteem and social interactions.

Functionality Issues 

There may be difficulties with eating and speaking, as missing teeth can impact these functions.

Dietary Changes 

Temporary diet modifications, focusing on softer foods or liquids, may be necessary to accommodate the absence of dentures.

Many dental professionals agree that healing without dentures typically allows for better gum recovery due to reduced pressure and irritation. However, the actual speed of healing can still vary based on individual factors such as overall health, the extent of the extraction, and adherence to post-operative care instructions.

Do Gums Heal Faster with Dentures In or Out – Which is the Right Choice? 

Consider the following factors when thinking about do gums heal faster with dentures in or out. 

Consider the Benefits of Each Option 

Benefits of Keeping Dentures In 

  • Maintains appearance and function, allowing you to eat and speak normally.
  • Protects the extraction sites from external debris and bacteria.

Challenges of Keeping Dentures In 

  • Risk of increased discomfort if dentures do not fit properly.
  • Potential for interference with the gum healing process if dentures cause pressure or dislodge blood clots.

Benefits of Keeping Dentures Out 

  • Reduces pressure and irritation on the healing gums, which can promote faster healing.
  • Improves blood circulation to the healing areas.

Challenges  of Keeping Dentures Out 

  • Temporary gaps may affect aesthetics and confidence.
  • Potential difficulties with eating and speaking, requiring adjustments to diet and communication methods.

Public & Professional Appearance 

If maintaining your appearance is crucial for your personal or professional life, immediate dentures might be necessary despite potential discomfort. In this case, regular adjustments are essential.

Comfort & Healing Priority 

Removing dentures may be the best option if your priority is to ensure the best possible healing and you can manage without dentures. This might involve using temporary solutions or adjusting your diet to accommodate the gaps.

Conclusion 

Remember that gum healing with dentures in or out is entirely a personal choice.

Wearing immediate dentures is a temporary solution, not your final set of dentures. Your mouth will change significantly in the first year following extractions, so you’ll likely need replacement dentures. 

Park Meadows Dental offers a wide range of denture styles and long-term tooth replacement options. We provide more comfortable and aesthetically pleasing solutions that can help you achieve the smile you’ve always wanted!

Schedule an appointment today!

FAQs

How long does it take for gums to heal after tooth extraction?

Gums typically take about six to eight weeks to heal after a tooth extraction, though full bone healing can take several months. Healing time can vary based on individual factors such as overall health and oral hygiene.

Can my gums heal with immediate dentures on?

Yes, gums can heal with immediate dentures in place, though the process may be slightly slower due to potential irritation or fit issues. Proper adjustments and regular follow-ups with your dentist can help minimize discomfort and support healing.

Medically reviewed by Dr. Gurshant Grew - D.D.S. on August 27, 2024

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