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The adventures of impossible man in antique dentistry land
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<blockquote data-quote="Toni Toscano" data-source="post: 306642" data-attributes="member: 20070"><p>[USER=20070]Toni Toscano[/USER]:</p><p>We are having an issue. The doctor and the lab both work side by side. For personal reasons for Dr this is a pro bono case. Pt is incoherent and is a poor choice for what the pt family wants. Long story short after relines and just short of securing it with implants (against family wishes) this upper with barely a ridge is not keeping the retention and falls out. As far as we know they have tried glue. The idea of using suction cup bur on the model before process has been talked about but not yet tried. Another idea brought to the table is pretty antique. Spring loaded dentures? I only just learn of theyre existence. I'm wondering about info on the those and if its still possible to use this technique as well as any other ideas you can come up with. Its such a hard situation.. Its one of those you tell the family the square block will not fit in the circle whole and they say well it needs to so make it happen</p><p></p><p>So in the chair btw everything fits. Dr is please in all aspects but once pt is back in the home with a relaxed jaw is when the denture falls. The family is saying he is loosing weight because of this. However I would be amazed if he was able to regain motor skills and eat normally with a full set of natural teeth. I totally get it. They want to save their family member. Its so sad. Dr is frustrated because of wasted man hours and materials. Lab is frustrated because the case becomes priority and average cases are halted. So even if you don't have a suggestion on how to fix the actual problem of getting the denture to stay in I am curious what the appropriate response is to this. Tell the family its just not gonna work? (<img class="smilie smilie--emoji" loading="lazy" alt="😢" title="Crying face :cry:" src="https://cdn.jsdelivr.net/joypixels/assets/6.6/png/unicode/64/1f622.png" data-shortname=":cry:" />) or just keep doing it over and over (with economy teeth at least) to appease them..</p><p></p><p>I'm open to suggestions</p></blockquote><p></p>
[QUOTE="Toni Toscano, post: 306642, member: 20070"] [USER=20070]Toni Toscano[/USER]: We are having an issue. The doctor and the lab both work side by side. For personal reasons for Dr this is a pro bono case. Pt is incoherent and is a poor choice for what the pt family wants. Long story short after relines and just short of securing it with implants (against family wishes) this upper with barely a ridge is not keeping the retention and falls out. As far as we know they have tried glue. The idea of using suction cup bur on the model before process has been talked about but not yet tried. Another idea brought to the table is pretty antique. Spring loaded dentures? I only just learn of theyre existence. I'm wondering about info on the those and if its still possible to use this technique as well as any other ideas you can come up with. Its such a hard situation.. Its one of those you tell the family the square block will not fit in the circle whole and they say well it needs to so make it happen So in the chair btw everything fits. Dr is please in all aspects but once pt is back in the home with a relaxed jaw is when the denture falls. The family is saying he is loosing weight because of this. However I would be amazed if he was able to regain motor skills and eat normally with a full set of natural teeth. I totally get it. They want to save their family member. Its so sad. Dr is frustrated because of wasted man hours and materials. Lab is frustrated because the case becomes priority and average cases are halted. So even if you don't have a suggestion on how to fix the actual problem of getting the denture to stay in I am curious what the appropriate response is to this. Tell the family its just not gonna work? (😢) or just keep doing it over and over (with economy teeth at least) to appease them.. I'm open to suggestions [/QUOTE]
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