- Anterior/Esthetic (827/23)
- Implants (2267/129)
- Full Arch & Dentures (185/5)
- Failures (218/2)
- CBCT & CAD/CAM (119/8)
- Periodontics (304/12)
- Endodontics (176/6)
- Orthodontics (255/3)
- Practice Management (35/1)
- Other (446/9)
How would you plan this case?
Posted on 12.14.2022 10:39 AM By Gregory Mark In Implants
Patient is 43 year old male with Stage 3-4, GradeB perio. Wants help with restoring his dentition. As you can see according to his X-rays, a lot of bone loss. According to him it happened for the last 10 years. My periodontist wants to extract his teeth placing 5 implants on upper and 6 on lower.
Want to know if you have other ideas?
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Maurice Salama says on 12.14.2022 11:54 AM
I would take a culture and a saliva DNA test to see the patient's profile for perio and which bacteria are present. Then target that bacteria with specific antibiotic therapy and Hygiene deep scaling and root planning. Evaluate his response to perio therapy and antibiotics first. Also, it is important to understand the patient's genetic predisposition and ability to clean. This will at the least improve his tissue quality prior to any surgery.
also, evaluate his teeth overall mobility patterns.
Then make your decisions. Not stating that Full Arch Implants is a bad plan at all but I would do a little work first.
regards Dr. Salama
Gregory Mark says on 12.14.2022 03:46 PM
That is what we are doing now. Thank you!