Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2017-03-17, 11:21:45 | version 1.38.0
| case report full mouth restoration Replacing a failing dentition with new technology Author: Dr Ara Nazarian, USA Having the ability to take a patient from start to finish in a fewer amount of ap- pointments within your practice allows you to position yourself as a provider that can fulfill your patient's surgical and re- storative needs. With the proper training, a dental provider may provide extraction, grafting and implant placement within one appointment at one location. Not only does this allow you to reduce the amount of visits for the patient, but this type of service also helps maintain the cost to the patient since they are not seeing multiple dental providers. Most importantly, this enables the dental provider full control of the surgical and prosthetic outcome. Depending on the patient's desires, the clinical conditions of the oral environment present and the skills of the provider, a dentist may choose to extract teeth, level bone, and graft with guided dental implant Fig. 1: Preoperative full face view. placement within his/her dental practice. A patient presented to my practice for a consultation wanting to restore her smile (Fig. 1). She complained of generalised discomfort in her entire dentition; probably due to the rampant caries and infection that was already present (Figs. 2–5). Having already visited multiple providers for an evaluation, she was very frustrated with conflicting treatment options of- fered. Either the suggested treatment would require multiple surgical and restorative visits that would extend for a very long time or dental treatment would require a team approach where little coordination by dentist and specialist was communicated to the patient. Since many of these options did not appeal to her, the patient decided to have me provide compre- hensive treatment that would include extractions, bone leveling, grafting, dental implant placement, immediate provisionalisation and prosthetic rehabil- itation within my own practice. When presenting cases like this to my patients, I will always use the Dine Digital Solution camera (Lester A. Dine). Not only is this camera small, light Fig. 1 Fig. 2 Fig. 3 Fig. 2: Preoperative retracted view biting. Fig. 3: Preoperative retracted view. Fig. 4: Preoperative maxillary occlusal view. Fig. 5: Preoperative mandibular occlusal view. Fig. 4 20 CAD/CAM 1 2017 Fig. 5