A more complex treatment plan
Today I had the chance to treatment plan for an elderly gentleman in his 80s.
He presented with a 20-30 year old maxillary full denture. It was stained, worn and had a missing 22 tooth. He saw a public clinic about this and they didn't replace the tooth but built up the opposing canine till it was in function with the denture. His lower teeth had a posterior edentulous segment, bilateral lingual tori and arrested caries on multiple teeth. his 45 exhibited some sort of pain on touch. All lower teeth were severely worn. Upper edentulous ridge was good volume and contour
The patient was functioning fine with lower posterior teeth missing but upper denture was unsatisfactory.
Plan aimed to replace upper denture crown lower canines and 1 first premolar, temporise painful tooth and build up lower incisors in composite. The lower teeth were to be lengthened by increasing the height of the restorations so occlusal/incisal prep was to be minimal if any.
Interim appointment schedule:
1: Primary impressions and temporise painful tooth (No LA, ART)
2. Prep lower teeth for crowns, 2nd upper impression in ZOE, Pack cord and 2nd lower impression in PVS. Aim to build up lower incisors
3. Insert crowns and Jaw reg
4. Tooth try in
5. Insert upper denture
He presented with a 20-30 year old maxillary full denture. It was stained, worn and had a missing 22 tooth. He saw a public clinic about this and they didn't replace the tooth but built up the opposing canine till it was in function with the denture. His lower teeth had a posterior edentulous segment, bilateral lingual tori and arrested caries on multiple teeth. his 45 exhibited some sort of pain on touch. All lower teeth were severely worn. Upper edentulous ridge was good volume and contour
The patient was functioning fine with lower posterior teeth missing but upper denture was unsatisfactory.
Plan aimed to replace upper denture crown lower canines and 1 first premolar, temporise painful tooth and build up lower incisors in composite. The lower teeth were to be lengthened by increasing the height of the restorations so occlusal/incisal prep was to be minimal if any.
Interim appointment schedule:
1: Primary impressions and temporise painful tooth (No LA, ART)
2. Prep lower teeth for crowns, 2nd upper impression in ZOE, Pack cord and 2nd lower impression in PVS. Aim to build up lower incisors
3. Insert crowns and Jaw reg
4. Tooth try in
5. Insert upper denture
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