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Full Mouth Tooth Extractions and Immediate Full Dentures:
Extreme Pictures: In one of these extreme pictures teeth #’s 1-10 have been extracted. In another picture, all remaining upper and lower teeth have been extracted. Immediate full upper and lower dentures are being delivered in the other two pictures.
Full Dentures may be thought of as a type of old fashioned dentistry. I live and work in the Tampa Bay region of Florida. I can say very honestly that full dentures are still a significant part of my Palm Harbor dental practice. Full dentures may the the only choice a patient has when all things are considered. Is this ideal dentistry? It may very well be the ideal choice for some people. Some Americans are Republicans, some us are Democrats, some are Independents and some don’t care.
This series of blog pictures will take the reader through the typical series of procedures we employ in my Palm Harbor, Tampa Bay Fl area dentist office, focusing on dental implants.
The previous picture showed the patient with the flipper in. This picture shows the clinical presentation of tooth #8 broken off BELOW the gum line. A large post has broken, more than half of the post is bonded in this broken tooth/root.
Other treatment options would include using this highly compromised root, non removable tooth supported fixed bridgework, or removable bridge work. The correct choice of treatment is not the same for all patients or all dental offices. All are acceptable treatment options.
This young man lost a front tooth while in Middle School. The initial fix was a tooth supported front bridge. The fixed bridge leaked, causing the abutment teeth to decay and abscess. Tooth #6 was treatable with root canal therapy, but now this young man is missing teeth #’s 7 and 8. More adjacent teeth can be filed down for crowns or dental implants can be considered.
This may be a little confusing to look at initially. We are looking a picture of a mirror. This is a mirror reflection of a mans upper jaw or maxillae. The big arrow is pointing to tooth #4, the little arrow to tooth #6. The rotten teeth shown in this picture are rotten to various levels and degrees. Tooth #4 is mostly subgingival (under the gum). This tooth, although the most highly diseased of the three is the least visible and not the one causing the most pain and swelling, although it is highly infected. The little arrow is pointing to tooth #6, an upper right cupid or canine – some call it an eye tooth (many years ago, before the use of antibiotics “one could loose an eye” due to a severely infected upper cuspid.) The infection from this tooth #6 brought this gentleman to my Palm Harbor, Tampa FL area dentist office. Unfortunately, after a round of antibiotics, this man has not returned for treatment for one year. The infection will return and will require extractions and/or root canal therapy.
This picture illustrates a high level of intra- oral (and systemic?) disease. Rotten teeth and teeth broken below the gum line are evident. Periodontal, gum, disease is present. As a result of this level of disease; red, inflamed, puffy and ugly looking gum tissue is seen at the tip of the arrow. How can this level of disease in the mouth not have some systemic consequences?
Comprehensive treatment here involved the removal of all these rotten teeth, healing, placement of dental implants. The final result, in my opinion, should have been an overdenture. The patient expressed dissatisfaction with the overdenture, and I therefore made cemented acrylic teeth. The patient was very happy with the remade final outcome.
Information about the current cost of dental implants at my Palm Harbor, Tampa FL area dentist office click: www.DentalImplantsCost.us
Information about the current cost of non-surgical periodontal / gum treatment at my Palm Harbor, Tampa FL area dentist office click: www.PeriodontalDisease.us
I am amazed at the number of internet searches for “rotten teeth pictures.” Tooth decay is noted and visible in each of these three rotten teeth that I extracted this morning in my Palm Harbor, Tampa area dentist office. From the left these are teeth #’s 3, 14 & 4.
This patient was not sedated and tolerated the procedure well under local anesthesia.
The next patient I will see will be to extract two more rotten molar teeth, #’s 14 and 15. She presented as an emergency walk-in, was seen quickly and definitively treated. She will return for a complete exam and treatment plan.
In this picture we see the interim phase of a full mouth reconstruction. Comprehensive
Dentistry involves starting with a patient in any stage of dental disease and restoring them to a level of health, comfort, function and esthetic’s appropriate to their overall situation. This reconstruction involves: diagnosis and treatment planning of gum (periodontal) treatment, root canal therapy, extractions, sedation, fixed bridgework, removable partials, immediate dentures and dental implants. All dentistry done in one location, my Palm Harbor, Tampa FL area dentist office. More information including cost and prices for non surgical alternatives for the treatment of gum disease and the current cost of dental implants click: www.PeriodontalDisease.us www.DentalImplantsCost.us
This picture may be too graphic for some people, others want to see what extracted teeth look like. I am a dentist. I treat the human mouth, I do not practice dentistry like a tooth mechanic. Not all teeth can or should be saved. Highly diseased and infected teeth can and do affect a persons overall physical health. Some considerations in making a tooth treatment decision are: overall physical health, long term intra-oral health, function, esthetics and finances. In this particular situation the correct choice for this patient was to extract all the diseased teeth, make fixed/removable upper replacement teeth, place lower dental implants and a lower dental implant supported overdenture. This is a complicated overall treatment plan, and requires every bit of the experience I have accumulated since graduation from Columbia University School of Dental and Oral Surgery in 1985. In subsequent blogs I will show various phases of this treatment. These teeth were extracted on 20June2011. Current pricing information on the cost of dental implants can be found at: www.DentalImplantsCost.us
The first step in restoring these teeth is to clean out the active tooth decay. The pulp or tooth nerve was not exposed, therefore the chance of the need for root canal therapy is small. Once I have accomplished this, a glass ionomer build-up material is placed to fill the voids left behind. Seen in this picture is the final shape, ready for impressioning for crowns.
Teeth #s 18 & 19 are the lower left second molar and first molar, respectively. In this picture, these teeth have broken and tooth decay is present. Options for treatment are crowns or extraction. At this time the dental disease is not to the point where root canal therapy is indicated. This patient choose to keep her teeth with me doing all dentistry in my Palm Harbor FL dental office with the help of my long time dental assistants, Sue and Marti.