Yes, in many cases, a temporary solution can be provided between extraction and implant placement or until the final crown is ready. The choice depends on the location of the tooth, the healing process, and the implant treatment plan. One removable option is the Kemeny denture, which is listed by SmileCity among its prosthetic services.
Why is an interim step sometimes necessary?
Implant treatment can take months, and patients do not want to be left with a visible gap, especially when an incisor is missing. The temporary solution serves an aesthetic purpose and, to a certain extent, a functional one until the final restoration is in place.
However, the temporary restoration is not merely a cosmetic issue. It must be designed so as not to damage the area or compromise the healing of the implant or graft.
What is the Kemeny prosthesis?
It is a small, removable denture used to replace one or a small number of teeth. The patient can remove it for cleaning, and the cost is generally lower than that of a permanent fixed restoration.
SmileCity lists Kemeny dentures in the prosthetics section. View the current price and other prosthetic options.
Is the Kemeny prosthesis a permanent solution?
In many cases, it is used as a temporary solution, for example, after an extraction or during implant osseointegration. In certain situations, it can be worn for a longer period of time, but its limitations compared to a fixed restoration must be understood.
It does not provide the same stability and feel as a fixed implant-supported tooth or a bridge.
Are there other types of temporary teeth?
Yes. Depending on the case, options may include fixed temporary restorations, adhesive restorations, or implant-supported solutions. The choice depends on the tooth’s position, the bite, the bone, and the extent to which the surgical site needs to be protected.
For a front incisor, aesthetics are the top priority. For a molar, it is sometimes acceptable to go without a tooth for a period of time if this protects the treatment.
Can I get a temporary tooth on the same day as the extraction?
In some cases, yes, if the treatment was planned in advance or can be completed quickly. In other situations, the gum needs time to begin healing, or the lab needs time to finish the work.
If you know in advance that you're having a tooth extracted in a visible area, tell your dentist that you'd like to discuss a temporary solution before the procedure.
If I get an implant right away, do I still need a temporary one?
Sometimes the implant can support a temporary restoration, but only if stability and occlusion allow it. Other times, the implant is allowed to heal without loading, and the temporary restoration is separate from it.
„Same-day implant” and „same-day fixed tooth” are not synonymous in every case.
Can a temporary crown affect the implant?
Yes, if it exerts unwanted pressure on the area that needs to heal. That is why it is important to check the occlusion and how the denture or restoration fits.
If you feel that the temporary crown is too tight, moves around too much, or is irritating your gums, do not try to adjust it at home. Come back for a follow-up appointment.
How do you maintain it?
Oral hygiene depends on the type of dental work. A removable denture should be taken out and cleaned as directed. The area around an extraction site or implant should be cleaned carefully, without damaging the tissues.
The doctor will explain when you can wear it, when you need to take it off, and how to clean it during the first few days after surgery.
How long do you wear them until the final implant is placed?
The duration can range from a few weeks to a few months. If bone grafting, a sinus lift, or delayed healing is involved, the temporary period may be longer.
It is helpful to have the temporary restoration checked periodically, especially if the shape of the gum changes as the area heals.
When should I choose a temporary solution, and when should I choose a permanent one?
If the final treatment cannot be performed immediately, the temporary restoration temporarily restores the appearance and, in some cases, the function. Once the bone and gum are stable, the planned permanent restoration is placed.
Don't base your decision solely on cost. A cheap temporary solution used for too long can become uncomfortable or functionally inadequate.
What do you need to know about the appearance of your gums during the temporary phase?
After an extraction, the gum changes shape as it heals. That is why a temporary tooth that looks great on the first day may need adjustments after a few weeks.
In the anterior region, the dentist can also use the temporary restoration to guide the shape of the tissues prior to the final restoration.
Why shouldn't it be glued or adjusted at home?
A prosthesis or dental restoration that puts pressure on the surgical site can interfere with healing. Household adhesives can irritate the tissues and make professional repair more difficult.
If the temporary restoration breaks, falls out, or becomes uncomfortable, keep the pieces and contact the clinic for an adjustment.
How do you prepare for your appointment, and what information should you bring?
Make a note of when the problem started, what symptoms you’re experiencing, what dental treatments you’ve had in that area, and what medications you’re currently taking. If you have X-rays, CBCTs, medical reports, or documents regarding implants and previous dental work, bring them to your appointment. Tell your dentist if you smoke, have any allergies or chronic conditions, or are undergoing treatments that could affect healing. It’s also helpful to specify what concerns you most: pain, duration, aesthetics, cost, or the number of procedures. An effective consultation isn’t just about receiving a diagnosis—it’s about understanding your options, the sequence of steps, and the reasons why a particular approach is recommended. Ask for clarification if a term is unclear, and ask what happens if you choose to postpone treatment or opt for an alternative. This way, you can make an informed decision and accurately compare your options, rather than relying solely on the price of a single procedure.
Frequently Asked Questions
Is the Kemeny prosthesis visible?
It is designed to aesthetically replace the missing tooth, but because it is removable, it does not function exactly like a fixed restoration.
Can I eat normally with it on?
It depends on the design and placement. Your doctor will tell you which foods and activities to avoid.
Does it need to be taken out at night?
The recommendation depends on the type of prosthesis and the surgical situation. Follow your doctor’s advice.
Can I apply Kemeny to a fresh implant?
It may be possible if it is adjusted so that it does not put pressure on the area. It requires clinical monitoring.
Is it included in the price of the implant?
This is usually a separate service. Check the plan and the price list.