Treatment Plan and Osteoporosis Concerns
Posted on 08.23.2012 08:04 AM By Tommy McGee In Full Arch & Dentures
This case is a 72 yof with osteoporosis and a history of oral bisphosphonates. She desires a full arch restoration with an implant overdenture. Her finances are limited and she can only afford a maximum of 4 implants and a locator retained IOD. It will oppose a rapidly declining natural dentition, which will probably be restored with a maxillary full denture in the near future. I have several questions:
1.Concerning treatment plan - Would the best option be 4 implants in the mandibular symphisis or 2 implants in the mandibular 1st molar positions and 2 implants near the canine position?
2. On the CT scan the osteoporosis is so severe in the deeper portions of the left mandible that the IA nerve cannot be traced (no matter how I alter the panoramic curve, except in the position of the mental foramen. Can I safely assume that it is in the same position on the left side as on the right? Does the nerve ever migrate in osteoporotic situations?
3. Will the density of the mandible increase in the areas where implants are placed in patients with osteoporosis?
Thank you for any input.