13 NovPart 2 – Extensive Decay & Failing Dental Bridge
This is the second part of the treatment of our 92-year-old patient with upper teeth/bridges that were heavily decayed. Ultimately, the options for the upper jaw were:
- Do nothing and hope that she never got toothache and infection or the bridge did not fracture. I am sure that you would agree that this is unacceptable to any one especially because the signs that one of these outcomes (toothache, infection, fractured bridge) were ominous.
- Extraction and replacement with any kind of denture. This option is almost guaranteed to fail because it is ridiculous to expect a 92-year-old to tolerate a denture that covers her palate.
- Extraction of all the remaining teeth, placement of 4 dental implants and construction of bridge of 12 upper teeth. This is the All-on-4 treatment concept that leads to same day implant teeth. Although this option was the most invasive of all 3 options here, it was the only way to guarantee that she will not have an infection, tooth fracture etc and to also guarantee that she will have a set of teeth for the rest of her life.
The patient and her family agreed with my recommendation of option 3 and we had great success