Advances In Prosthodontics – Spring 2022
CASE SUMMARY: Ectodermal Dysplasia
Patient “Ryan” was referred to me by another dental professional in the area for a consultation of an All-on-X procedure. Ryan was diagnosed with Ectodermal Dysplasia, and his father had the same condition. Ectodermal dysplasia is a rare group of inherited disorders characterized by aplasia or dysplasia of tissues of ectodermal origin, such as hair, nails, teeth and skin. Dental manifestations include hypodontia, complete anodontia, or malformed teeth. At 26 years old, Ryan had already been wearing partial dentures since he was 18. He was not happy with his smile and was hoping to do dental implants
Advances In Prosthodontics – Winter 2022
CASE SUMMARY: What do you do when your patient hits rock bottom?
Patient “Patricia” was referred to me by a local oral surgeon to evaluate a possible All on-4 dental implant treatment. Patricia already had a long history of dental treatment, including multiple implants and crowns, and she was getting tired of on-going treatment. Previous panoramic radiographs showed bone loss on multiple sites, and that the mandible was at very high risk of fracturing due to severe bone loss. Patient liability became an issue and she was sent to a local university for complete care along with removal of implants and possible mandibular stabilization. Three years passed and Patricia came back to our office to see if I could make any improvement to her condition. A new panoramic was taken, and this became one of the most challenging cases I have ever had to perform.
Advances In Prosthodontics – Fall 2021
CASE SUMMARY: Maxillary and Mandibular Implant Supported Overdentures for a Patient with Cherubism
Patient “Paul” had been treated at the University of Michigan ever since he was 11 years old due to condition called Cherubism, which is a disorder characterized by abnormal bone tissue in the jaw. Beginning in early childhood, both the lower jaw (the mandible) and the upper jaw (the maxilla) become enlarged as bone is replaced with painless, cyst-like growths.
Advances In Prosthodontics – Summer 2021
CASE SUMMARY: All-on-X Implant Treatment
Patient “Angelo” was referred by a local dentist for a comprehensive exam and any possible treatment options. Angelo was seen by others as well. Most doctors had suggested starting with periodontal treatment or possibly sequential extractions prior to any removable prothesis and ultimately doing an implant treatments such as All-on-X. However, Angelo did not want to do any removable prosthesis nor any sequential treatment, so he was referred to us because we are usually able to do an All-on-Six treatment with a same day prosthesis.
Advances In Prosthodontics – Spring 2021
CASE SUMMARY: Full Mouth Rehabilitation
Patient “Paula” was referred to me by another dental professional in the area who was busy with their practice, and Paula’s needs were more complex than they wanted to manage. She had procrastinated for many years and neglected her dental issues until she retired from being a paralegal in a busy law firm. She was a long time smoker, but otherwise healthy. My diagnosis was: advanced chronic generalized periodontitis, partial edentulism in the maxilla and mandible, with a prognosis of hopeless dentition.
Advances In Prosthodontics – Winter 2021
CASE SUMMARY: Implant Supported Restorations
Patient “Cynthia” was referred to me by another dental professional in the area due to her complex needs. Many attempts for removable restorations had been made but all were unsuccessful. Cynthia came to my office frustrated due to many years of treatment without a definitive solution in either arch.
Advances In Prosthodontics – Fall 2020
CASE SUMMARY: Immediate Vs. Delayed Implant Treatment
Patient “Jorge” presented with a loose existing implant on #8, which had a draining fistula. The periapical radiograph shows severe bone loss and possibly a vertical fracture. He saw several dentists and his case was either rejected or the surgeon proposed a conventional method to resolve the issue, such as an extraction, bone graft, and implant placement at a later time after healing. Jorge didn’t want to wear an interim partial for 6-8 months until it was complete.
Advances In Prosthodontics – Summer 2020
When restoring a complete arch with an implant-retained full arch prosthesis, the choice of material becomes extremely important. Acrylic surfaces on a titanium bar have been utilized for many decades now and have a high incidence of tooth fracture, veneer delamination, and occlusal surface wear. Zirconia frameworks with layering porcelain also have shown to have problems, including porcelain chipping or debonding of the titanium inserts. In this newsletter we’ll look at research comparing zirconia hybrid vs. acrylic hybrid, specifically addressing complications.
Advances In Prosthodontics – Winter 2020
CASE SUMMARY: Full Mouth Rehabilitation
Patient “Michael” was referred to me by another dental professional in the area who stated, “I would not choose to do this treatment due to patient’s aggressive bruxism.” Michael did have severe bruxism but his prognosis was excellent to good.
Advances In Prosthodontics – Fall 2019
CASE SUMMARY: All-on-4® Implant with Zygoma Implants
Patient “Marie” comes to me on a yearly basis for emergency treatment only. During one visit I advised that her maxillary dentition would not last for another year due to caries and periodontal disease. I suggested a Maxillary Implant supported fixed denture for a long-term prognosis.
Advances In Prosthodontics – Summer 2019
CASE SUMMARY: Full Mouth Rehab using All-on-4
Patient “Janet” was referred due to her complex needs. Janet previously had several teeth extracted due to decay and was interested in dental implants (Fig. 1). My diagnosis included: more teeth that were nonrestorable, xerostomia caused by medications, and high caries risk.
Advances In Prosthodontics – Spring 2019
CASE SUMMARY: Full Mouth Rehabilitation
Patient “Paula” was referred to me by another dental professional in the area who was busy with their practice, and Paula’s needs were more complex than they wanted to manage. She had procrastinated for many years and neglected her dental issues until she retired from being a paralegal in a busy law firm. She was a long time smoker, but otherwise healthy. My diagnosis was: advanced chronic generalized periodontitis, partial edentulism in the maxilla and mandible, with a prognosis of hopeless dentition.
