Immediate Dentures vs. Permanent Dentures: What’s the Difference?
Choosing between immediate dentures and permanent dentures can feel confusing. This guide explains how they differ in timing, fit, cost, comfort, and care—so you can pick the option that fits your goals, timeline, and budget.
What Are Immediate Dentures?
Immediate dentures are placed the same day your teeth are extracted. You never leave the office without teeth, which is a major confidence boost. Because gums and bone change shape during healing, immediate dentures typically need relines and adjustments to stay comfortable.
What Are Permanent Dentures?
Permanent (definitive) dentures are crafted after healing. Your provider takes fresh impressions once swelling has reduced, allowing a more precise fit, better bite, and more natural aesthetics. Many people find these more comfortable long-term.
Immediate vs. Permanent: Side-by-Side Comparison
| Feature | Immediate Dentures | Permanent Dentures |
|---|---|---|
| Timing | Placed the day of extractions | Made after healing (often 8–12+ weeks) |
| Fit During Healing | Fit changes as gums shrink; needs relines | Fit is more stable after tissues settle |
| Comfort | Good short-term, may loosen without relines | Typically more comfortable long-term |
| Aesthetics | Immediate improvement; may need tweaks | Optimized tooth setup and gingival contour |
| Visits/Adjustments | More adjustments early on | Fewer visits after delivery |
| Typical Use | Temporary solution during healing | Long-term solution after healing |
Pros & Cons at a Glance
Immediate Dentures — Pros
- Same-day smile leave with teeth after extractions
- Protect surgical sites during early healing
- Confidence boost for work/social events
Immediate Dentures — Cons
- Requires relines/adjustments as gums shrink
- Short-term fit can vary day-to-day
- May add interim costs
Permanent Dentures — Pros
- More precise fit and bite after healing
- Refined aesthetics (tooth shade/shape, gum contour)
- Fewer adjustments long-term
Permanent Dentures — Cons
- Requires waiting for tissues to stabilize
- Higher upfront cost in some cases
- Temporary period with immediate or no teeth if not planned
Timeline & Healing
Most patients heal enough to start a definitive denture in about 8–12 weeks, but complex cases can take longer. Your provider may recommend soft liners, tissue conditioners, or temporary relines to keep your immediate denture comfortable during this period.
Costs & Budget Tips
Total cost varies by provider, materials, and location. Immediate dentures can add short-term expenses (extra adjustments/relines). If you’re cost-conscious, consider mail-order impression kits and online dentures from reputable providers for potential savings—while still consulting with a dental professional when needed.
- Ask about bundled plans (immediate → permanent).
- Request a written treatment timeline and fee breakdown.
- Check insurance and HSA/FSA eligibility.
- Compare in-office vs. online providers for your case complexity.
FAQs
Will I need to go without teeth?
Not with immediate dentures—these are placed the day of extraction. For permanent dentures, your provider can plan a seamless transition.
Do immediate dentures hurt?
You may feel pressure or soreness after extractions. Proper adjustments and follow-ups help improve comfort during healing.
Can I eat normally with immediate dentures?
Start with soft foods and follow your provider’s guidance. Chewing usually improves as healing progresses and fit is refined.
Still undecided? Get guidance and compare options at YourDentureStore.com.
