Immediate Dentures
Immediate dentures at Grafton Smiles, 82 Worcester St Unit C, North Grafton, MA 01536, are made before extraction day and fitted the moment teeth are removed, so you are never toothless, with the reline arc as gums heal explained honestly upfront. Open Mon to Wed 8:30 to 5:00, Thu by appointment, Fri 9:00 to 2:00. Call (508) 839-6464.
The promise
The gap between extraction day and denture day. On the conventional path, teeth come out, gums heal for weeks to months, and only then is a denture made, which means weeks to months without teeth, a sentence many patients simply will not accept, for work, for family, for themselves. An immediate denture deletes that gap: it is designed and fabricated before extraction day, from impressions and records taken while your teeth are still in place, and it is fitted the same visit the teeth come out. You arrive with failing teeth and leave with a full smile, having never once been toothless.
The honest price of that promise is a healing arc, and this page states it plainly because managed expectations are the difference between a satisfied immediate-denture patient and a disappointed one: gums and bone remodel substantially as extraction sites heal over the following months, which means the denture that fit snugly on day one will loosen as its foundation changes, temporary liners will bridge the interim, and a proper reline, or in some plans a new definitive denture, restores the fit once healing settles. None of that is failure; all of it is the plan, told to you before extraction day rather than discovered after.
The arc
| Stage | What happens |
|---|---|
| Before extraction day | Impressions, shade and bite records taken with teeth still present; the denture is fabricated in advance |
| Extraction day | Teeth removed, denture fitted immediately; it also protects the sites like a bandage. You leave with teeth |
| First days | Denture typically stays in per instructions at first; follow-ups for adjustments as swelling settles |
| Weeks to months | Gums and bone remodel; temporary liners keep the fit serviceable as the foundation changes |
| After healing settles | A definitive reline restores lasting fit, or the planned transition to a new denture or implant retention |
Choosing it well
Immediate dentures suit anyone for whom visible teeth are non-negotiable through treatment, which is most people, and the trade-offs are honestly manageable: the fit journey above, and the fact that the denture is designed from records rather than refined against healed gums, which the eventual reline or definitive denture corrects. The strategic decision worth making before extraction day is the endgame: whether this immediate denture is itself the long-term appliance, relined into lasting service, or the honest interim before a definitive denture or implant retention, and whether posts placed along the way should be part of the plan while surgery is already happening. Each path can be priced in writing before anything is scheduled, so extraction day arrives with no open questions.
Insurance commonly contributes toward clinically necessary immediate dentures and their extractions under most plans, including Delta Dental, Blue Cross Blue Shield, Cigna Dental, Altus, Dominion National and MetLife, checked against your plan first when you share it, and the reline chapter is priced into the conversation upfront rather than arriving as a surprise, because a plan you saw whole is a plan you can trust.

Common questions
That is the entire design: the denture is fabricated before extraction day from records taken while your teeth are still present, and it is fitted in the same visit the teeth come out, so there is no toothless gap at any point, not a day. It also shields the healing sites in the first days like a bandage, which is a quiet second benefit of the same appointment. Call Grafton Smiles at (508) 839-6464.
Because its foundation is healing: gums and bone remodel substantially as extraction sites close over the following months, so the denture that fit snugly on day one gradually loosens as the ridge beneath it changes shape, which is biology rather than bad workmanship. Temporary liners keep the fit serviceable through the interim, and the definitive reline once healing settles restores lasting fit, all told to you before extraction day. Call Grafton Smiles at (508) 839-6464.
Gently and deliberately: cool soft foods early while extraction sites heal, smaller pieces and both-sides chewing as comfort returns, and reading aloud at home to accelerate the speech adaptation, which settles for most patients within weeks. Sore spots are adjustment appointments, not endurance tests, and several are normal in the first weeks as swelling changes beneath the denture. Call Grafton Smiles at (508) 839-6464.
It can honestly be either, and deciding upfront is the well-managed version of this treatment: many immediate dentures are relined into years of good service, while other plans use the immediate as the interim before a definitive denture made against fully healed gums, or before implant retention. Each endgame carries its own arithmetic, priced in writing for the asking before extraction day so the whole journey is chosen, not drifted into. Call Grafton Smiles at (508) 839-6464.
Often sensibly, and the conversation belongs before extraction day: posts placed as part of the surgical plan can be waiting, healed and ready to retain the denture once the ridge settles, converting the same appliance from resting on gums to snapping onto implants. Whether your bone and plan suit that path is a cone beam scan question, answered here with all options priced side by side. Call Grafton Smiles at (508) 839-6464.