What is the first step in the treatment for an immediate denture?

The correct answer focuses on the treatment protocol for immediate dentures, which typically involves planning and ensuring stability during the adjustment to new dentures. When treating a case that requires immediate dentures, the first step usually involves assessing the current condition of the teeth and the oral environment to make informed decisions on extraction.

Extracting posteriors first is a preferred approach because preserving anterior teeth initially can help in creating a more accurate mold for the immediate denture. This method allows the practitioner to maintain the esthetic appearance while preparing for the final result. By extracting posteriors first, the patient can maintain functionality and aesthetics until the denture is ready, thereby increasing comfort and reducing the psychological impact of losing their anterior teeth right away.

Other options do not prioritize patient comfort or treatment efficacy as effectively. Extracting all teeth at once could result in increased trauma and discomfort for the patient. Extracting just the anterior teeth would not facilitate the necessary adjustments and stability for the aforementioned reasons. Taking a full mouth x-ray is an important diagnostic step but does not directly relate to the immediate initiation of denture treatment. Prioritizing extractions based on the position of the teeth supports a smoother transition to an immediate denture solution.