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Clinical Cases in Gerodontology


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view of maxillary teeth showing occlusal contact marked...Figure 1.5.8 Lingual view of mandibular teeth showing occlusal contact marke...Figure 1.5.9 Anterior view after treatment.

      2 Chapter 2Figure 2.6.1 Set of complete replacement dentures which the patient was wear...Figure 2.6.2 Open tray over ‘flabby’ anterior maxillary ridge.Figure 2.6.3 Master impression recorded using selective pressure impression ...Figure 2.6.4 Record blocks with wax rims and permanent bases.Figure 2.6.5 (a) and (b) Incremental build‐up of occlusal surfaces of comple...Figure 2.6.6 Pre‐treatment view of patient with historical dentures in situ....Figure 2.6.7 Post‐treatment view with new dentures in situ.Figure 2.7.1 Patient at initial presentation.Figure 2.7.2 (a) and (b) Putty impression of existing upper denture (Lab‐Put...Figure 2.7.3 Denture try‐in.Figure 2.7.4 Completed full lower denture.Figure 2.8.1 Pre‐treatment view of complete replacement dentures.Figure 2.8.2 (a) Right tuberosity region: note the extensive bulk of soft ti...Figure 2.8.3 Pre‐treatment orthopantomograph (OPG). Note the lack of bone in...Figure 2.8.4 Post‐surgical orthopantomograph (OPG) showing the implants plac...Figure 2.8.5 LocatorTM (Zest Dental Systems, USA) abutments in situ, favoura...Figure 2.8.6 LocatorTM (Zest Dental Systems, USA) abutments in situ. Note th...Figure 2.8.7 (a) Fitting surface of new complete replacement denture prior t...Figure 2.8.8 Lateral views (a) pre treatment; (b) post treatment.Figure 2.9.1 Note the first point of contact (RCP) between 14 and 45. This i...Figure 2.9.2 Bite‐raising appliance (splint) in centric relation.Figure 2.9.3 Anterior view of definitive overlay maxillary removable partial...Figure 2.9.4 Occlusal view of maxillary overlay prosthesis. Note the metal b...Figure 2.9.5 Index of desired anterior tooth position. This is used on the m...Figure 2.9.6 Putty index made on diagnostic wax‐up cast, used to guide posit...Figure 2.10.1 The patient’s appearance at initial presentation.Figure 2.10.2 The patient’s worn lower removable partial denture.Figure 2.10.3 Palatal view of upper teeth.Figure 2.10.4 Residual lower dentition.Figure 2.10.5 The patient’s occlusion.Figure 2.10.6 Root canal treatment completed on the lower second molar.Figure 2.10.7 (a) and (b) Gold crowns fabricated with milled features for re...Figure 2.10.8 Upper arch with crowns fitted to aid denture retention.Figure 2.10.9 Upper denture inserted.Figure 2.10.10 Lower denture inserted.Figure 2.10.11 Final result at review.Figure 2.11.1 The patient at initial presentation, including his upper and l...Figure 2.11.2 Intraoral photographs at initial presentation.Figure 2.11.3 Intraoral periapical radiographs (IOPAs) at initial presentati...Figure 2.11.4 Temporary acrylic upper and lower partial dentures were provid...Figure 2.11.5 Intraoral picture after initial stabilisation treatment.Figure 2.11.6 Use of root cap overdenture abutments, to help retain new pros...Figure 2.11.7 Construction of the final removable prostheses (note the fitti...Figure 2.11.8 Occlusal scheme on final removable prostheses.Figure 2.12.1 The patient at initial presentation demonstrating his missing ...Figure 2.12.2 Missing upper lateral incisor and failing restorations on uppe...Figure 2.12.3 (a) and (b) Removal of failing restorations on upper left cani...Figure 2.12.4 Adhesive bridge after cementation.Figure 2.12.5 Checking dynamic occlusion to ensure that the pontic is not in...Figure 2.12.6 The patient at review.Figure 2.13.1 The patient’s teeth at the initial consultation appointment.Figure 2.13.2 Upper teeth, including unrestorable upper lateral incisors.Figure 2.13.3 Lower teeth, including retained roots.Figure 2.13.4 Upper arch after caries management, removal of unrestorable te...Figure 2.13.5 Adhesive bridges placed in lower arch to provide the patient w...Figure 2.13.6 Final result incorporating upper removable partial denture and...Figure 2.14.1 Lower incisor teeth at initial presentation.Figure 2.14.2 Extracted tooth with portion of root removed and glass fibre r...Figure 2.14.3 Natural pontic seated using composite resin (G‐aenial, GC Corp...Figure 2.14.4 Natural pontic in place after careful consideration of the occ...Figure 2.15.1 Orthopantomogram (OPG) of the patient’s dentition. Note the im...Figure 2.15.2 (a)–(e): Series of intraoral photographs demonstrating a heavi...

      3 Chapter 3Figure 3.16.1 Pre‐operative radiograph of fractured canine.Figure 3.16.2 Post‐obturation radiograph.Figure 3.16.3 Post‐operative clinical scenario with amalgam restoration in s...Figure 3.17.1 Pre‐treatment anterior view.Figure 3.17.2 Pre‐operative maxillary occlusal view.Figure 3.17.3 Pre‐operative mandibular occlusal view.Figure 3.17.4 (a) and (b) Pre‐operative periapical radiographs of 11, 12, 21...Figure 3.17.5 (a) and (b) Extracoronal restorations removed for restorabilit...Figure 3.17.6 Upper anterior teeth prepared for indirect restorations (22 ha...Figure 3.17.7 Final indirect restorations placed on upper anterior teeth.Figure 3.17.8 Tooth 36 prepared for cuspal coverage gold onlay.Figure 3.17.9 Gold onlay cemented onto 36.Figure 3.18.1 Patient at initial presentation.Figure 3.18.2 (a)–(d) Periapical radiographs of upper anterior teeth.Figure 3.18.3 Abutment teeth after bridge removal.Figure 3.18.4 Immediate denture fitted following extractions.Figure 3.18.5 Healing of soft tissues after 12 weeks.Figure 3.18.6 Aesthetics of definitive removable partial denture in situ.Figure 3.19.1 Patient at initial presentation; note the poor aesthetics of t...Figure 3.19.2 Palatal view demonstrating the extensive nature of the existin...Figure 3.19.3 Crowns constructed to facilitate the design for the upper remo...Figure 3.19.4 Fit of upper removable partial denture with components engagin...Figure 3.19.5 Final result 6 months after fit.Figure 3.20.1 Patient at initial presentation; note the poor aesthetics of t...Figure 3.20.2 Working model created after implant‐level impression.Figure 3.20.3 Wax try‐in of new bridge.Figure 3.20.4 Bridge on working model prior to fit.Figure 3.20.5 Final result after bridge fit.

      4 Chapter 4Figure 4.21.1 Patient after surgical resection.Figure 4.21.2 (a) and (b) Construction of the surgical obturator.Figure 4.21.3 Patient wearing surgical obturator two weeks post surgery.Figure 4.21.4 (a) and (b) Silicone impression for definitive prosthesis.Figure 4.21.5 Insertion of definitive acrylic prosthesis.Figure 4.22.1 Patient at initial presentation.Figure 4.22.2 Pre‐operative maxillary view.Figure 4.22.3 Pre‐operative mandibular view.Figure 4.22.4 Roots prior to cementation of root copings.Figure 4.22.5 Post‐operative mandibular view with root canal–treated teeth w...Figure 4.22.6 Post‐operative view with final denture in situ.Figure 4.23.1 Patient’s remaining upper teeth at initial presentation.Figure 4.23.2 Radiographic assessment of patient.Figure 4.23.3 Clinical appearance of the patient’s tongue.Figure 4.24.1a c Gingival overgrowth in the lower arch at initial presentati...Figure 4.25.1 Patient at initial presentation; note the use of shade tabs in...Figure 4.25.2 Patient’s teeth recorded as shade C3 after a course of tooth w...Figure 4.25.3 Final result six months after tooth whitening.

      Guide

      1  Cover

      2 Table of Contents

      3  Begin Reading

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