How to rehabilitate a missing teeth in periodontally compromised

Patient aged 62 came to our centre with mobile lower ant tooth (31) Patients medical history stated she is under medication for hypertension other than that she is not having any diabetic history . Her health records reveal her blood sugar levels are in normal range and she is on a helthy diet when asked for dietary habits . She had grade 2 calculus on her lower ant region and on asking her oral cleansing habits revealed she brushed twice a day but had never been to a dentist in recent times for prophylaxis . She had a mobile 31 and that was solely cause of TFO . Mobility was grade 2 and adjacent teeth had grade 1 , gingival recession of 31 was more compared to rest of the teeth . Adv antibiotics with extn of 31 along with SRP . All these were done prior to lockdown . She was asked to wait to heal the gingival area of the extracted tooth . She came back last day as she had a function to attend wanted to cover up the spacing on her lower ant region as she wasnt confident enough . She wanted a fixed replacement . Implants were ruled out as the space is negligible and bone loss was severe . All treatement opition have been explained . She wanted to have a fixed replacement . I did give her a temporary replacement with a splinted prosthesis which will stebilise her adjacent tooth . TFO was also adressed , with regard to CR AND ANTERIROR GUIDANCE .

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Pls consider the age of patient as well before coming to any diagnosis or treatment plan??? Did u ask for medical history??? Diabetes??? Most common feature in oral cavity???
I had taken her medical history which stated she is under medication for hypertension other than that she is not having any diabetic history . Her health records reveal her blood sugar levels are in normal range and she is on a helthy diet when asked for dietary habits . She had grade 2 calculus on her lower ant region and on asking her oral cleansing habits revealed she brushed twice a day but had never been to a dentist in recent times for prophylaxis . She had a mobile 31 and that was solely cause of TFO . Mobility was grade 2 and adjacent teeth had grade 1 , gingival recession of 31 was more compared to rest of the teeth . Adv antibiotics with extn of 31 along with SRP . All these were done prior to lockdown . She was asked to wait to heal the gingival area of the extracted tooth . She came back last day as she had a function to attend wanted to cover up the spacing on her lower ant region as she wasnt confident enough . She wanted a fixed replacement . Implants were ruled out as the space is negligible and bone loss was severe . All treatement opition have been explained . She wanted to have a fixed replacement . I did give her a temporary replacement with a splinted prosthesis which will stebilise her adjacent tooth . TFO was also adressed , with regard to CR AND ANTERIROR GUIDANCE .
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According to c/o you have done is great !but prognosis is poor in periodontally compromised teeth .Also , Maryland bridge can be given in such cases!
This one was an immediate prosthesis , as the permanet replacement will take time as intentional rct and bridge procedure has to be done .
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Justification for periodontitis generalized ?? Areas involved, mobility, furcation , iopa, OPG ??
It's not about what you don't feel ... It's about what you mentioned in your history sheet...& I haven't done you a favour , so I don't feel your Thank you was required.
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its ok let the lady look beautiful for function ☺ as she dont have time for permanent prosthesis
Thank you doctor
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Doc u didn't mention about grade of mobility
Grade 1 mobility of 32 41 and 42
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Mobility ???
Grade 1 mobility on adjacnet teeth . SRP , antibioitocs with splinting will take care of it. TFO ALSO HAS BEEN ADRESSED
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Case of Chronic Localized Periodontitis. If mobility is still found then given medicine. Treatment,1. Gel Metrogyl-DG forte.apply thrice daily. 2.Mouthwash -Hexidine .3.Cap .Glowfol-Z , OD for 10 days.
Mobility is just Grade 1 on adjacent tooth . As SRP Has been done along with antibiotic prophylaxis too .
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Dr. Please check for trauma from occlusion even after splinting as it may lead to abscess or periopathology if there is TFO after splinting
Had corrected it and finished .
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@Narayana S sir