SCOTT B., AGE 57

SUMMARY

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CONSULTATION NOTES

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

MEDICAL HISTORY

no known health issues 

SPECIAL CONSIDERATIONS

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PROCEDURE NOTES

  • 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)

FOLLOW UP

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Smile Systems

Phone: 888-877-5790

Email: info@smilesystems.com

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