Dentaltown April 2013 - (Page 134)

case presentation feature by Ara Nazarian, DDS, DICOI As the Baby Boomer population ages, the numbers of edentulous and partially edentulous patients are increasing, since tooth loss and age are related. Whether it is due to neglect, caries, medications or other systemic reasons, patients are presenting to practices all over the country needing extractions that can eventually lead to full dentures. Once converted to dentures, these patients have concerns of ill-fitting or loose dentures and the inability to eat or function as they once did with teeth. Because of these concerns, it is important to incorporate some type of implants into the plan. Implants, whether small or traditional width, allow patients with dentures to eat and function much more naturally. Fig. 1: Pre-operative retracted occlusal view 18 Fig. 2: Pre-operative panorex SPECIAL SUPPLEMENT » Case Study A patient of record in his early 60s presented to our office wanting implants placed in his upper arch for denture stabilization. A few years prior, I had placed implant-supported fixed bridges on the lower arch from #18-#30 since he was dissatisfied with his previous lower complete denture. Recently, it became financially possible for him to have an implant-supported maxillary overdenture. Palpation and radiographic examination revealed a moderately sized maxillary ridge in the anterior portion (Fig. 1) that would provide sufficient height and width for implants. However, Fig. 3: CT-based surgical guide

Table of Contents for the Digital Edition of Dentaltown April 2013 Highlights
Howard Speaks: What Winners Do and Losers Don’t
Professional Courtesy: Three Cheers for IT
Continuing Education Update
Dentaltown Research: Lasers
“Funny Feeling” on Lower Right Jaw
Missing Laterals, Bonded Maryland Bridges, Ribbond or Something Else?
Corporate Profile: Henry Schein
New Products
Office Visit: A Giant in Dentistry
Do-it-Yourself Finance, Part V: Insurance
Two Techniques to Make a Bite Record for a Full-arch Case
Team Strength: What Drives Your Team to Do More?
Living by the Golden Dozen
Diagnosing Aesthetic Disharmonies
Cosmetic Case Presentation
Using Tetric EvoCeram Bulk Fill to Easily and Predictably Place Direct Posterior Restorations
Continuing Education: Utilizing Laser Procedures for Restorative Access
Product Profile: Imaging Sciences International’s i-CAT FLX
In This Issue: Preparing for the Future
Perio Reports
Ad Index
Profile in Oral Health: The RDH’s Approach to Periodontal Therapy: Past, Present and Future
Perio Maintenance
Dentally Incorrect
Dentaltown Special Supplement
Product Profile: Zimmer Dental
Full Lower – Converted to Immediate Load
Immediate Placement #19 and 20 with BSB
American Academy of Implant Dentistry 62nd Annual Meeting Preview
Raising Your Denture Patient to a Higher Standard
Back to the Future – Extractions and Small Diameter Implants for Overdentures
Continuing Education: Top Implantology Breakthroughs for the GP: Part 2

Dentaltown April 2013