[doctorsorabhjain@gmail.com]

Sanjay Arora wrote:

This is easily curable in 5-15 minutes in 80-90 percent patients with ALPDC Technique.( All complaints)

        

• This reply was modified 7 months ago by Sanjay Arora.

Sir, can you please elaborate more about the technique?

        

Dr. Sorabh Jain | Cranio-facio-Mandibular Prosthodontist | Special Interest in TMJ management| Special Interest in Dental Sleep Medicine | Neuromuscular Principles Based Dentistry | DIgital Occlusion | Complete Dentures

+91-7303302651
www.DrProstho.com

[doctorsorabhjain@gmail.com]

Thank you for your reply.

Great case.

Keep it up…

Few doubts here…

1. When u used nti, how long will u advise to use? Can u share design or picture of Nti, u mentioned in Q2 and in Q8, as i suppose both would be different or same?

2. For Q9, can u please share image as to where the junction lies as “where natural tooth ends” i couldn’t understand, hence requesting to paste an image for this as well? If no image, then can u please show through schematic diagram,if possible?

3. Purpose of asking Q6 and Q10, was when you alter anterior guidance, that means when u said tight anterior contacts, then it would be steep or shallow? Also how much Occlusal clearance did u kept, reason for asking this is as we have veneer debonding or failures related, wanted to know what clearance u kept during static and dynamic movements?

Would love to watch future cases as well as long term follows up of the same case.

Thanks once again for sharing a nice case.

Apologies for so many queries…

        

Dr. Sorabh Jain | Cranio-facio-Mandibular Prosthodontist | Special Interest in TMJ management| Special Interest in Dental Sleep Medicine | Neuromuscular Principles Based Dentistry | DIgital Occlusion | Complete Dentures

+91-7303302651
www.DrProstho.com

[doctorsorabhjain@gmail.com]

Can some diseases be enlisted sir?

        

Dr. Sorabh Jain | Cranio-facio-Mandibular Prosthodontist | Special Interest in TMJ management| Special Interest in Dental Sleep Medicine | Neuromuscular Principles Based Dentistry | DIgital Occlusion | Complete Dentures

+91-7303302651
www.DrProstho.com

[doctorsorabhjain@gmail.com]

Nicely done.

Few queries?

1. Any mock trial was done?

2. Pts canine were attrited, what could be the reason?

3. What material is this veneer?

4. What was the Bonding Protocol?

5. It would have been difficult to hold, so what was used to hold the veneer and what was the sequence used?

6. Was this done on semi adjustable articulator?

7. How have you decided to increase by 20 percent, as wouldn’t it be in accordance to eminence slope, was it taken into consideration and how?

8. What Post Cementation care was Advised to prevent fracture?

9. Where is the location of junction of veneer onto teeth Palatally?

10. What occlusal guidance scheme was followed?

Thank you in advance.

        

Dr. Sorabh Jain | Cranio-facio-Mandibular Prosthodontist | Special Interest in TMJ management| Special Interest in Dental Sleep Medicine | Neuromuscular Principles Based Dentistry | DIgital Occlusion | Complete Dentures

+91-7303302651
www.DrProstho.com

[doctorsorabhjain@gmail.com]

What I understand from the case posted sir, if it’s possible to post some xrays, clinical photographs, working casts etc could help more in understanding the situation.

Coming with the available information, whenever screw is tight but still crown is mobile, according to me, load is transmitted not onto screw but to the implant abutment connection due to OCCLUSAL OVERLOAD (as metal island is there due to less INTEROCCLUSAL space).

This could lead to Implant Fracture…

One more important thing to be noticed is also how tight are the contact areas, as that also may influence this.

Be cautious about this and if possible correct the Occlusion and, if not adjustable, may have to repeat the Prosthetics for long term peaceful sleep and long term success of prosthesis.

All the Best…

        

Dr. Sorabh Jain | Cranio-facio-Mandibular Prosthodontist | Special Interest in TMJ management| Special Interest in Dental Sleep Medicine | Neuromuscular Principles Based Dentistry | DIgital Occlusion | Complete Dentures

+91-7303302651
www.DrProstho.com

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[doctorsorabhjain@gmail.com]

Firstly they can be mentally challenged and physically challanged, but not dumb.

Secondly, for medicolegal conent, firast ask what language does patient understand in reading, writing and learning. identify thos As you  mentioned, for everything to explain you need to write, that means patient is not dumb. so your consent will include that patient is capable of reading, writing and learning in specific or common language including english and hindi. if no other than this language is accepted by patient, then accompanying person will be of great help and support, this person signature and relevant details will help medicolegally. Patient is explained in his understandable language in presence of accompanying person and done.

thirdly, if possible words like dumb affects patients as these days many challenged patients and their accompanying person are very VERY SENSITIVE to the concerned isse. kindly refrain using any words or irrelevant things  by dentist and other suporting staff, we will be as professional as one can be.

fourth, no treatment as an option should also be included in consent form as an alternative.

this would suffice.

thank you.

        

Dr. Sorabh Jain | Cranio-facio-Mandibular Prosthodontist | Special Interest in TMJ management| Special Interest in Dental Sleep Medicine | Neuromuscular Principles Based Dentistry | DIgital Occlusion | Complete Dentures

+91-7303302651
www.DrProstho.com

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