Conservative site management of a medically compromised patient
First time posting here (have to self isolate myself for 2 weeks due to overseas travel, so trying to keep myself sane!).
Medically compromised 84 Y.O patient on wheelchair. Taking Xarelto amongst many other meds. Failed 3 units 11-22 bridge due to fracture of the abutments. She is not a periodontally compromised patient. Dentition is not in great shape but still functional. Due to polipharmacy and logistics issues offered removable partial denture but she declined. This case is not documented properly as I was not expecting for a favourable outcome.
11 was badly affected and in other circumstances I would have opted for a different approach but not for this patient. Tunnelled the site 11 (or 8 as per American colleagues) tucked a biogide membrane and grafted the site with bioss-collagene. The photos of final restoration were sent to me by my prosthodontist friend. Not a great aesthetic outcome but is what we could achieve in this case. I Welcome and appreciate comments and thoughts.