Dentaltown August 2019 - 49
message board
Denture for Resorbed Mandible
This Townie inherited a case involving a patient with no ridge, and looks for advice on treatment
This 69-year-old female patient had her teeth extracted at a young age and now has a very
resorbed mandible. Current set of dentures is 20 years old, zero-degree teeth, and patient states it
moves around a lot. I referred to the owner doctor who works at another location for mini-implants
to retain a denture and he doesn't think there is enough bone to support even mini-implants. He
informed her that I could make her a brand-new denture that will fit better. The thing is, I'm
not confident that I can make a denture that fits any better.
After digging around here on Dentaltown, my current plan is to fabricate a new set of dentures,
then send her home with those with Hydro-Cast for a functional impression to hopefully improve
fit. I've never used Hydro-Cast before, and I've also never used zero-degree teeth. But she seems to
love her current denture except that it moves around. She doesn't want to be without the denture
at all, so that's why I'm fabricating a new one instead of just relining.
DDS555
Member Since: 10/24/13
Post: 1 of 45
I don't have a ton of photos, but I'd like to hear people's opinions on best way to treat this
patient or any tips. ■
5/21/2019
Put three 8mm implants across the front of the mandible and all will be well. Otherwise,
you'll have a typical floater. ■
almunk
Member Since: 12/17/05
Post: 2 of 45
5/21/2019
Do a scan or a CBCT fi rst just to be sure that you have the room for it, but I agree with
Al. There is no ridge to get any stability. The floor of the mouth is higher than the ridge in
the anterior. ■
eeznogood
Member Since: 02/23/06
Post: 3 of 45
5/21/2019
dentaltown.com \\ AUGUST 2019
49
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Dentaltown August 2019
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