Hi Dr. Resnick,
I apologize for the poor image. This patient, Bob is 74 years old has a complicated medical history. I have an anesthesiologist (MD) available to do sedation per patient’s request. We plan to remove his remaining maxillary teeth in preparation for a full denture. He’s a bruxer and I expect these to be difficult extractions. We had some discussion about leaving the thirds. Bob doesn’t want to have deal with a possible second surgery to remediate a problem, should it occur with the thirds. My first question is how to handle #16. With no adjacent tooth to elevate from, I’m concerned that relying on forceps too much will risk removing more than the tooth (i.e. sinus floor or tuberocity). Any suggestions? If you think the risk is too high to remove the thirds, could you suggest an alternative?
Second question is if I don’t get any movement with initial elevation, should I just do a full thickness flap accross the anteriors to remove buccal bone and do surgical extractions on all of them just to reduce the time of surgery? Or would you just go tooth by tooth to decide if it’s surgical or regular extraction? Should I section the Molars? I’ll be charging the same fee regardless. I so appreciate your input!
You must be logged in to reply to this topic.