DENTIST: Charles R. Fields,DDS,FAGD
Mechanicsburg, PA
Patient: B. Jones
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A 73 year old male presented to this office with ill-fitting maxillary
and mandibular removable parial dentures. The retention he had was
primarily due to large amounts of denture adhesive. There was little
chewing efficiency along with no smile design.
Health history reveals constrictive obstructive pulmonary disorder
along with additional carotid stent. The oral health manifested all
missing teeth. except for teeth numbers 8,9,10 22 and 27.
The periodontal condition was type II with red, swollen, bleeding
gums and generalized bone lost.
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Treatment consisted of caries removal and placement of composite resins for
teeth numbers 8, 9, 10, 22 and 27 along with endodontic treatment for tooth
number 10. Fixed prosthetic treatment consist of splinted precision attachment
crowns for teeth numbers 8, 9, and 10 along with single precision attachments for
teeth numbres 22 and 27. Centric jaw relations were taken with wax rims to arrive
at a corrective vertical dimension. Maxillary and mandibular precision attachment
Equipoise removable partial dentures were constructed replacing teeth numbers 2, 3,
4,5, 6, 7, 11, 12, 13, 14, 15, 18, 19, 20, 21, 28, 29, 30 and 31. The crowns were first
cemented with Opotow Trial Cement (Waterpik Technologies) for two days to allow
for acrylic base and crown seatage. After 2 days, the crowns were cemented with
Temp Bond (Kerr) and Vaseline for 2 weeks in order for any adjustments to be made
prior to permanent cementation with resin reinforced glass ionomer (3-M Rely-X).
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The patient's self esteem has been restored and is now
confident in dating women since he has been widowed for
nine years. As for chewing and function, he has told me
"I haven't been able to eat hot wings for years and now
I can eat them to the bone !" Equipoise has rejuvenated
this man !!!
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