Immediate Complete Denture — ORE Part 1 MCQ
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Correct answer: E — Clinical try-in is limited and post-extraction adjustment is commonly required
Explanation lettering: B = shown as A · D = shown as B · E = shown as D · A = shown as E
A is correct. An immediate denture is constructed while the remaining teeth are still present, so a conventional intraoral wax try-in cannot be completed. Tooth position, occlusion and appearance therefore cannot be fully verified before extraction and insertion. Healing and alveolar ridge remodelling then commonly require review, adjustment and eventual relining. Recent clinical evidence also found more post-insertion appointments and adjustments for immediate than conventional complete dentures. B is too absolute: initial fit is not necessarily poorer, although it changes during healing. C is false because relining is often needed. D is false because immediate dentures are usually acrylic resin. E is false because a posterior palatal seal may be incorporated in an upper immediate denture.
Reference: D'Souza NL, Vasconcelos A, HajHamid B, Somogyi-Ganss E. Comparison of postinsertion adjustments between conventional and immediate complete dentures and their association with denture survival. Journal of Prosthetic Dentistry, 2025. https://pubmed.ncbi.nlm.nih.gov/40628577/