TOMMY B., AGE 58

SUMMARY

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CONSULTATION NOTES

PROGRESS NOTES: 3 on 6 Consult- Pt. on time for apt. Took Pano Pt interested in 3 on 6 for U&L Dr. Roberts examined- Tx- U&L 3 on 6- Pt. has under bite & Dr. Roberts would like to bring the upper jaw forward & the lower jaw back. Nv: 3 on 6 impressions Assisted by Chelsea

MEDICAL HISTORY

pt had appendix removed 3 years ago, pt uses smokeless cigarettes

SPECIAL CONSIDERATIONS

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PROCEDURE NOTES

  • PROGRESS NOTES: 3 on 6 Surgery pt present for apt. pt signed consent forms Took Before Pictures

  • Dr.Duckworth was here to place pt under anesthesia.

  • Ext # 31, 30, 29, 28, 27, 26, 25, 24, 22, 21, 18, 14, 12, 11, 10, 9, 8, 7, 6, 5, 2 Implant/BG placement - Upper 3, 6, 7, 10, 11, 14 Lower 19, 21, 22, 26, 27, 30

  • admin 1 tab ibuprofen 800mg had pt rinse w/ chlorhexidine mouth rinse, Dr. Roberts admin

  • 10 carpules 2 lidocaine w/ 1:100,000 epi.

  • Admin 2 Carpules of Marcaine

  • extracted tooth number #31, 30, 29, 28, 27, 26, 25, 24, 22, 21, 18, 14, 12, 11, 10, 9, 8, 7, 6, 5, 2

  • Debrided/irrigated w/chlorhexidine.

  • pulled back tissue on #3, 6, 7, 10, 11, 14, 19, 21, 22, 26, 27, 30 expanded holes using Neodent replace tapered system Neodent

  • implants Reference #: 2x 140.629 2x 140.684 2x 140.690 1x 140.683 1x 140.688 1x 140.627 3.5x8mm ref-

  • 140683-lot-8003271541 4.3x10 mm, ref-140-688-lot-8002391211 Healing abutment #: 2 mm

  • used torque wrench to 35.

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

  • Reference number #03-1550221 added bone to facial of #10 placed silk sutures.

  • Went over post op instructions with pt wife Rx- Norco 7.5 amoxicillin 500 mg ibuprophen 800mg Chlorhexidine Mouth Rinse .12 (Took paper Rx)

  • Lab Delivered Denture

  • Took CT Scan Nv- Post op (one week) Assisted by Bree and Nermina

FOLLOW UP

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Smile Systems

Phone: 888-877-5790

Email: info@smilesystems.com

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