This patient presented to my office following general dentist referral. One of the things I have noted from some well intended general dentists is that occasionally they will get in over there head when underestimating the difficulty a case may present. This certainly does not apply to all of the general dentists I work with that perform their own surgery, but it this case it certainly did. This woman's son's friend was a GP in Texas that attempted to place enough implants to consider fixed rehabilitation. In cases where there is already resorption present I will typically recommend that the best option is one the includes a flanged prosthesis for lip support. There is alot to be said for removable prosthesis especially in terms of reduced cost and headaches to the restorative doctor. For those who don't know, porcelain fracture is the elephant in the room when it comes to full arched implant retained prosthesis.
In this case the implants placed by the friend in Texas all failed, three additional implants placed by another GP who wanted to help save the case were failing, but I was able to graft and salvage those screws, I placed an additional two and this bar retained prosthesis was the result. I did restore this case.
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