Terminal upper dentition. Patient requesting full dentures.
Not all patients want implants. This lovely patient has full lower dentures for some time and has coped well. Since the upper teeth are failing the request was made for new dentures.
We have unacceptable aesthetics and function. Its surprising to see how much patients can tolerate with broken down dentition. I guess we all are busy in our lives, looking after the family and finally when everyone is ok, it time for us.
This study will show
Chief concerns: improving the aesthetic apperance of her smile. The concern is to improve the upper arch shape and smile line as teeth are failing. Patient was specifically concerned about the change from upper partial dentition to full dentures. At age 70 years can be dissicult to get accustomed to new teeth. After all this lovely patient wants to smile and chew her food confidently.
Patient was referred by her dentist, seeking specialist’s opinion and treatment in relation to full dentures on both jaws. With time we have lost facial height.
Patient specifically requested removable dentures and this is Ok as an option of restoring missing teeth and failing dentition. The loss of teeth from failing bridgework has left considerable soft and hard tissue defect.
In general, whenever possible we construct new dentures would like to replace, or at least get close to the original teeth and gum colour and optimal tooth position in the arch to create natural aesthetics.
Our Aim: to improve the aesthetics of upper arch: Tooth shape, display, tooth colour, length, symmetry and smile line in general, using provisional partial denture.
This was accomplished with minimal discomfort to the patient and Mrs. L. Never left the practice without missing teeth.
Following with discussion of all risks and treatment modalities with our patient that included
Laboratory: Reconstruction of upper arch: implant supported bridgework and tooth supported crowns
Clinical: Reconstruction of upper arch: implant supported bridgework and tooth supported crowns
Maxillary and mandibulartreatment dentures. Note how we raised the OVD-facial height with new dentures and this allow to improve the facial height giving youthful and fresher look
Provisional phase – 1Upper partial denture with new lower complete denture at a correct facial height
Transition: from upper partial to complete denture, incorporating the changes from the diagnostic upper partial denture
Note improvement in lip thickness & support in combination of correcting protruding maxillary central incisors
As a specialist prosthodontist my aim is helping our patients to achieve their desired aesthetics and functional outcome.
Prosthodontist & Implant Surgeon
B.D.S. (Hons), Dip. Clin. Dent. (Oral Implants) Uni Syd, M. Clin. Dent (Prosth) King’s College, Uni London
D. Clin. Dent (Prosth) Uni Syd, FRACDS, MRACD (Prosth)