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Wednesday, April 24, 2013

Re: [ACEsthetics] Treatment plan comments

jeff, you are right on in your thinking... I don't change their vertical too much when placing immediate dentures... too much for them to get used to all at once... so I'll keep the vertical approx the same and then do the vertical changing on the final dentures


Rod Strickland, DDS
rod@nichepracticeseminars.com
mobile: (843) 290-8584




On Apr 24, 2013, at 11:49 AM, Jeff Rodgers wrote:

Sorry to use the Shimbashi as the baseline for the statement.  This guy is severely overclosed and going from that to no teeth and a centimeter wider opening with a mouthful of appliances is a bit much to handle.  I usually will keep them as close to their existing vertical in interim dentures and then put them in FLDs.  And by usually I mean the 2-3 times I have done it since taking Rod's course.  So…again…I am not doing a million of these.

However, it is now just an intellectual exercise.  He is heading to the prosthodontist this afternoon for eval and treatment.  He wants to try and save things so we referred.

Jeff
 
Jeff L. Rodgers, DMD, PC
Atlanta, GA

On Apr 24, 2013, at 10:44 AM, "David R. Boag, DDS" <spikedds@gmail.com> wrote:

I hear what you are saying, but if you are honest, after doing the bone reduction in the anterior, opening the whole mandible will be small as compared with the change in potential shimbashi. IOW, you won't need to open him TOO much to achieve a more-normal shimbashi. It may not be as far a trip as you've got in your head.

Sent from my iPad

On Apr 24, 2013, at 8:10 AM, Jeff Rodgers <drrodgers@drrodgers.com> wrote:

Agreed.  Generally in the process with a patient like this I would not take them from where there are now, remove all the teeth and put in a denture to a full NM position right out of the gate.  Can you imagine him trying to get used to a new denture with a shimbashi of 18?  :]

But I have not done a million of these.

Jeff

Jeff L. Rodgers, DMD, PC
Atlanta, GA

On Apr 23, 2013, at 12:51 PM, safariandmd@aim.com wrote:

Jeff sorry i didn't see the pano.  Establishing occlusion is still crucial prior to any work.


Shahin Safarian DMD, MBA, LVIF | Irresistible Smiles
Carmel Valley/Del Mar 858.755.8993 | Chula Vista/Eastlake 619.656.6785
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-----Original Message-----
From: Jeff Rodgers <drrodgers@drrodgers.com>
To: ACEsthetics group <ACEsthetics@googlegroups.com>
Sent: Tue, Apr 23, 2013 6:08 am
Subject: [ACEsthetics] Treatment plan comments

Here is a new patient we saw last week that is coming back to discuss things this week.  He is a very nice guy.  We have already started some work on his wife.  He had all of this work done in the Czech Republic 10+ years ago.  As you can see there are massive problems restoratively and maybe the biggest step up I have ever seen.  Look at the mandibular shot and you can see that the crest of the gingiva in the anterior is almost on a line with the occlusal of his mandibular posteriors.  It may break his heart but I am thinking dentures, dentures with implants, or all on 6 top and bottom.  I am very interested in any thoughts anyone has. 

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Jeff L. Rodgers, DMD, PC
Atlanta, GA



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