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Treatment Plan for Partially Edentulous Maxilla in Patient with Rheumatoid Athritis?

Last Updated: Nov 01, 2009

Dr. C. asks:
I have an elderly female patient with a history of rheumatoid arthritis who is almost completely edentulous in her maxilla. She has a complete and intact mandibular dentition. She has two teeth remaining — #2 and #12 [maxillary right second molar and maxillary left first premolar]. Both are in good shape. My treatment plan is to place 3 implants in the canine sites and 1 implant in the maxillary central incisor site and to use those 3 implants to support a 6 unit fixed partial denture from canine to canine with 3 pontics. On the posterior right, I plan to place implants in #3 and 5 sites [maxillary right first molar and second premolar sites] and make a 3 unit fixed partial denture with the a second premolar pontic. On the maxillary left posterior, I plan to place implants in #13 and 14 sites [maxillary left first molar and premolar] and to splint the crowns. I would appreciate comments and recommendations on my approach. Thanks

3 Comments on Treatment Plan for Partially Edentulous Maxilla in Patient with Rheumatoid Athritis?

Dr Kimsey

11/03/2009

The very first question: Is she immunosupressed? Steroids or TNF or what?

drfvkdds

11/10/2009

agree, that may contraindicate implant placement

nena

07/25/2011

I have an urgent question so please answer me as soon as possible..i need to know the treatment plan for a patient who has just one remaining tooth in the lower arch (the tooth is molar ,,some decay,no health problem issue..I need to know the scietific and most conservative treatment for this patient..

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