September 2013, Volume 9, Issue 9
Published by AEGIS Communications
A 29-year-old woman who lost her anterior teeth in a traumatic accident and is currently wearing a removable partial denture to replace them. In addition, she has undergone extensive restorative dentistry to manage caries on her existing dentition; temporary crowns are present that have worn through to the underlying preparations on the maxillary right 2nd premolar and 1st molar, as well as the mandibular right 1st premolar, 2nd premolar, 1st molar, and 2nd molar.
Her treatment goals are to eliminate the removable partial denture, have a pleasing smile, and restore the posterior teeth that she knows are a problem. She stated that she has been to several dentists, but no one has offered a solution to all of these concerns, and several haven’t wanted to perform any treatment. The challenge in treating this patient is identifying all the problems that currently exist, determining which need treatment, weighing the different treatment options, presenting them to her, and then sequencing a treatment plan.
The Question: What would be your treatment plan for this patient?
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Mark Parete, DDS
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