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SHAWN B., AGE 58

SUMMARY

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CONSULTATION NOTES

PROGRESS NOTES: 3 on 6 Consultation Pt on time for appointment Took CT Scan Pt is wanting to get a full mouth restoration done. Has had a lot of dental work growing up and just tired of having his teeth being so bad.Is set on getting the 3on6 done . Dr. Roberts went over tx option Upper and Lower 3 on 6 tx plan NV:Impressions for dentures Assisted by Bree

MEDICAL HISTORY

patient uses tobacco products, currently taking a blood thinner, has high cholesterol and takes medication for it, pt has high blood pressure, pt has had a stroke, pt has skin cancer

SPECIAL CONSIDERATIONS

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PROCEDURE NOTES

  • Upper and Lower 3on6 Surgery #3,6,7,10,11,14,19,22,23,26,27,30 w/ Dr. Roberts 

  • Ext,BG #5,6,7,8,9,10,11,15 Implant placement #3,6,7,10,11,14,19,22,23,26,27,30-

  • pt present for apt.

  • pt signed consent forms

  • Placed topical benzocaine,

  • Dr. Roberts admin 10  carpules 2% lidocaine w/ 1:100,000 epi.

  • extracted tooth number #5,6,7,8,9,10,11,15

  • Debrided/irrigated w/chlorhexidine.

  • pulled back tissue on #3,6,7,10,11,14,19,22,23,26,27,30, expanded holes using Neodent replace tapered

  • system

  • Neodent implants REF: 2x 140.629 (4.3x16mm) 2x 140.691 (5.0x11.5mm) 2x 140.684 (3.5x16mm)

  • used torque wrench to 35.

  • placed bone grafting material mineralized cortical/cancellous cadaver bone (5.0 cc cadavar bone ) REF DCI

  • Donor Services 03-1550152 Donor 45485

  • took CT scan

  • placed silk sutures

  • rinsed w/ chlorhexadine mouth rinse.

  • rx- amoxicillin 500mg

  • ibuprophen 800mg

  • Norco7.5

  • (Took paper Rx)

  • Went over post op instructions with pt. 

  • nv- Post op (one week)

  • Assisted by Bree and Nermina

FOLLOW UP

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