sidesh0wb0b
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I have had this come up now 3 times in the past year....
patient 1: unknown to us to start, the patients maxillary tissue muscles moved a LOT during impressions. we did multiple tryins for a full denture and finally got what we believed was a proper fit and setup. went to finish and sure enough, no suction at all. didnt fit properly. 4 relines later, we got a "better" result but never got proper vac. further exploration throughout determined the massive shifting of tissue on the palate.
patient 2: similar to above, but we caught it earlier and its less severe. still took 3 tryins and 3 relines after processing. VERY frustrating.
patient 3: in the works now. Dr just called and he can literally see the tissue over the patients (max.) ridge moving while hes taking the impression. alginate, medium body, doesnt matter. the tissue is extremely "flappy and loose" (doctors words) and seems the patient is one of the never-satisfied types.
what options do we have to present to the Dr and patient? is there a chemical that can be applied to stabalize the tissue for impressioning? does it make sense to send the patient (pt #3) for surgery, cut out some extra tissue, suture it back up, and wait for it to heal and see if that helps? both the Dr and I dont want to waste our time or the patients time in moving forward if theres not an appropriate result. i just dont know enough about the removable side to offer great options
patient 1: unknown to us to start, the patients maxillary tissue muscles moved a LOT during impressions. we did multiple tryins for a full denture and finally got what we believed was a proper fit and setup. went to finish and sure enough, no suction at all. didnt fit properly. 4 relines later, we got a "better" result but never got proper vac. further exploration throughout determined the massive shifting of tissue on the palate.
patient 2: similar to above, but we caught it earlier and its less severe. still took 3 tryins and 3 relines after processing. VERY frustrating.
patient 3: in the works now. Dr just called and he can literally see the tissue over the patients (max.) ridge moving while hes taking the impression. alginate, medium body, doesnt matter. the tissue is extremely "flappy and loose" (doctors words) and seems the patient is one of the never-satisfied types.
what options do we have to present to the Dr and patient? is there a chemical that can be applied to stabalize the tissue for impressioning? does it make sense to send the patient (pt #3) for surgery, cut out some extra tissue, suture it back up, and wait for it to heal and see if that helps? both the Dr and I dont want to waste our time or the patients time in moving forward if theres not an appropriate result. i just dont know enough about the removable side to offer great options