PAGD Keystone Explorer Summer 2020

This is a very interesting case from a treatment planning point of view. The patient is a 77-year-old very active female. She is pre-diabetic, but controlled with diet and exercise and is taking a statin. The patient had a full mouth reconstruction to open her bite about ten years ago. She is currently seeing a periodontist and a general dentist for care. All of her anterior teeth have solid bone support with excellent home care. There were no noted mobilities. The patient is a “snow bird” and was in Florida over the winter when tooth #25 fractured at the cervical level. The patient was referred to a well-known dentist in Florida for emergency treatment. The Florida dentist discussed with the patient the treatment options and it was decided that the most predictable path was to bridge #24, 25, and 26 together. A post was cemented into tooth #24 and the three-unit bridge was prepared and temporized. Subsequently, the dentist was unable to remove the temporary bridge, so it was cut off. There was an issue with the all ceramic bridge from the lab, so it was returned for changes and a new temporary bridge was made. What Would You Do? A Treatment Planning Exercise This case was submitted and subsequently treated by Keith Hollander, DDS, FAGD. dentistry issues Q Keystone Explorer |  Summer 2020  7