SUMMARY​

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CONSULTATION NOTES

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3 on 6 Consult w/ Dr. Roberts Pt on time for apt w/Dr.. Pt unhappy w/smile, pt interested in poss restoring U & L arch w/ 3 on 6. Took pano, & CT Scan Dr. Roberts examined/ went over tx w/pt. Pt a great candidate for U & L 3 on 6. Tx- U & L immediate dentures, U & L 3 on 6 Nv; Impressions for U & L immediate dentures. (Take B pics) Assisted by :Nermina

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MEDICAL HISTORY

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no known health issues ​

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SPECIAL CONSIDERATIONS

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PROCEDURE NOTES

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• U &L 3 on 6 Ext, Implant, Bg # w/ Dr.  Roberts 

• Ext,Imp,BG #, Implant placement #-3,6,7,10,11,

• 22,23,26,27,30

• Pt didnt have enough bone for the procedure 3 on 6

• Did 5 implants on top and lower arch instead 

• pt present for apt. rmh- nsf. ioe/eoe-wnl.

• pt signed consent forms

• Offered pt 1 tab ibuprofen 800mg-

• had pt rinse w/ chlorhexidine mouth rinse,

• Placed topical benzocaine,

• Dr.  Roberts admin 12  carpules 2% lidocaine w/ 1:100,000 epi.

• extracted tooth number #

• Debrided/irrigated w/chlorhexidine.

• pulled back tissue on #

• Neodent implants

• REF:140.683 Size:3.5x13mm (4) REF;140.627 Size:4.3x11.5mm(1)  REF: 140.629 Size: 4.3x16mm(2) 

• REF:140.628 Size:4.3x13mm (1) REF:140.685 Size:5.0x10mm (2)

• used torque wrench to 35.

• placed bone grafting material mineralized cortical/cancellous cadaver bone (2.0.cc cadavar bone ) BG-012200

• PTT-17-0053-0168

• took pa's,implants placed nicely

• placed silk sutures

• rinsed w/ chlorhexadine mouth rinse.

• rx- amoxicillin 500mg 21 tabs take 1 qh8 until finished

• ibuprophen800mg

• Norco7.5

• (Took paper Rx)

• Took final pano (Pt passed out and had to be given ibuprofen) 

• Dr Roberts took blood pressure and it was normal

• pt sat down for a while and when he left pt said he felt better.

• Upper and Lower dentures were delivered.

• Went over post op instructions with pt. 

• nv- Post op (one week)

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FOLLOW UP

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