We unfortunately see this more often than we would like to. The case I would like to illustrate is of a young gentleman in early 20's that we treated in a phased fashion. The patient had trauma to the maxillary front teeth as a kid, resulting in missing maxillary lateral incisors x many years, and multiple other broken down teeth and failing root canals as a result of trauma, followed by poor dental care and poor dental hygiene. He came in initially looking for an All-on-4, but because of his young age, I recommended to go the traditional route of saving the salvagable teeth and removing the non restorable teeth/bone grafting and placing dental implants. We were able to remove the infected teeth, using Puros Bone graft and PRF (Platelet Rich Fibrin), we reconstructed all the bony defects at the extraction sites and ultimately place multiple dental implants in ideal positions. We were able to provide immediate temporization using the remaining healthy teeth (Pt had fixed teeth at all times-was never in a denture). Ultimately the had a great and stable result with a mix of crowns on natural teeth and dental implant supported restorations. The other options in such cases are (depending on Age and individual case) All on 4 or partial/complete Dentures. Every patient deserves a comprehensive Exam and treatment planning to come up with the plan that best suits their individual needs! We do free consults and second opinions at Ridge Oral Surgery & Dental Implants in Basking Ridge, NJ. Call 908-395-0111 for an appointment today!
Anytime a patient presents with multiple decayed teeth. I try to get to the bottom of how the patient got in this place. Recently, I treated one of my patients who was highly Dental phobic and had multiple decay teeth that needed coming out and others that needed saving with root canals. The first thing I try to do is what I like to call putting out the fires, and that includes all extractions done at the same time, sometimes under sedation, sometimes not, and also doing the root canals all in one visit, having to calm the patient down with an early morning appointment and adequate anesthesia. A detailed, informative discussion without getting into too much technicality is what phobic patients appreciate, and to follow up with every appointment, we always make an appointment to ask the patient if all their questions have been answered. All their concerns were addressed on that day.