27/06/2017
Immediate complete denture case with flabby maxillary ridge.
This 70 year old man attended with the following complete denture problems:
“My bottom teeth are in poor condition and won't last much longer. My dentures move around when I eat and I don't like the look of them."
Dental wish list:
1. "Whatever is possible to improve my chewing ability."
2. "Improve the look of my dentures and make them look natural."
Diagnosis:
1. The remaining 5 lower anterior teeth had extensive dental caries and associated severe chronic periodontitis.
2. The maxillary complete denture had poor tissue fit and was under extended in the post dam position, resulting in poor retention, support and stability.
3. The mandibular partial denture had poor tissue fit on the edentulous ridges and on the remaining natural teeth resulting in poor retention, stability and support.
Poor dental aesthetics.
Following consultation and discussion of all the available options, the patient chose to have a replacement upper complete conventional denture and a lower immediate conventional denture fabricated, to be fitted at the extraction visit. The patient wanted the dentures to be made as age appropriate and natural looking as possible. The clinical situation and treatment process is shown in detail below with photographs and videos. The patient was successfully rehabilitated with conventional complete dentures which improved his quality of life considerably. The clinical work was provided by Finlay and the technical work by Rowan.
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