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Partially Edentulous - Case ID: 4 - Lower
Female Patient, Occupation: Medical Nurse , Age at time of surgery: 67
Female Patient, Occupation: Medical Nurse , Age at time of surgery: 67
Non-smoker and taking hormone replacement therapy. Nothing else relevant.
Patient presented in August 2004 wearing an acrylic partial denture which had recently been issued as an immediate replacement for three lower incisor teeth.
As initial x-rays show, patient has had an extensive complex restorative history, with four non-Brånemark implants placed in the posterior mandible. Patient had been happy with the existing implant outcomes and could not stand wearing a lower denture.
The sole remaining lower incisor tooth presented with an after-crown placement root canal treatment and almost no mesial interproximal bone, rendering this tooth hopeless. Previous extractions in the anterior mandible were described by the patient as surgical extractions and the x-ray shows rendered significant vertical bone damage. Initial visual presentation of the site might reasonably discuss the possibility of augmentation of this surgically damaged site, with an autogenous (own bone), block onlay bone graft.
Both lower canines have VMK restorations and the left one has an after crown-placement root canal treatment, which looks sound periapically.
Also evidence by the patient's full coverage history is the significant concern for her personal appearance.
Patient presented in August 2004 wearing an acrylic partial denture which had recently been issued as an immediate replacement for three lower incisor teeth.
As initial x-rays show, patient has had an extensive complex restorative history, with four non-Brånemark implants placed in the posterior mandible. Patient had been happy with the existing implant outcomes and could not stand wearing a lower denture.
The sole remaining lower incisor tooth presented with an after-crown placement root canal treatment and almost no mesial interproximal bone, rendering this tooth hopeless. Previous extractions in the anterior mandible were described by the patient as surgical extractions and the x-ray shows rendered significant vertical bone damage. Initial visual presentation of the site might reasonably discuss the possibility of augmentation of this surgically damaged site, with an autogenous (own bone), block onlay bone graft.
Both lower canines have VMK restorations and the left one has an after crown-placement root canal treatment, which looks sound periapically.
Also evidence by the patient's full coverage history is the significant concern for her personal appearance.
Images - Click To Enlarge
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