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Implant case study


Cone Beam CT Scan Fig 7


Continued »


for example, All-On-4 bridge work. This is a technique which the author has been carrying out since 2006 but, in the media, many of our colleagues talk about this as a revolutionary new technique. CK had let her dentition deteriorate


considerably to the point where she was totally embarrassed to let any dentist examine her. With careful handling, she was able to have the preliminary treat- ment carried out along with the surgical treatment and construction of the definitive restorations. We should not underestimate


the psychological consequences of tooth loss or neglect. Patients can become depressed about the state of their teeth and do require a very sympathetic approach to their care. The letter which the patient wrote


explains a lot. CK wrote: “I truly believe you understand the emotional side of dental issues. I understand it is not every day someone walks in like I did. Your confidence and professional manner gave me the courage to go through with my treatment and get over the embarrassment of letting someone see my teeth and how awful they were. During my treatment, you and your staff did your best to put me at my ease and I thank you all for this.” There is no doubt that the All-On-4 technique is an excellent treatment


A happy patient Fig 6


“Her dentition had deteriorated to the point where she was totally embarrassed to let any dentist examine her”


protocol for many cases but, as in other treatments, requires comprehensive assessment which, in the author’s view, cannot be completed without a cone beam CT scan (Fig 7). This gives significant additional infor-


mation which assists in the planning and execution of treatment. As with all implant cases, a maintenance schedule should be agreed before treat- ment is carried out and written consent obtained, both for the treatment and for the long-term care.


Scottish Dental magazine 65


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