Chief Concern: 65-year-old (non-smoker) female came to our practice to request a third opinion regarding the ideal treatment for her failing dentures, re-incurring cavities (resulting from medically-induced dry mouth, and acute chronic periodontitis). Her main priorities were to achieve a permanent solution which would provide better comfort and a more esthetically pleasing smile.
Treatment Received: In one surgically-coordinated visit with Dr. Robert Levine and prosthodontist Dr. Harry Randel, all remaining teeth were extracted. Significant vertical ridge height reduction was then completed to provide the necessary prosthetic room for a hybrid restoration. Five dental implants were placed in the upper jaw, and four implants were placed in the lower jaw. The following day, a screw-retained metal-reinforced fixed provisional prosthesis was put in place. In three months, after full bone healing was confirmed, permanent screw-retained restorations were put in place.
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