05/08/2025
Case Summary – Complete Oral Rehabilitation with Dentures
Patient History:
This case was initiated approximately two years ago. The patient presented with severe pain and poor oral health. On initial clinical examination, the gingiva appeared significantly swollen and inflamed. There were multiple mobile teeth, some were grossly decayed, and in a few cases, only root stumps remained. The gingiva bled upon touch, indicating an active periodontal infection.
Initial Management:
The first step was to improve the patient’s oral hygiene. The patient was advised proper oral care instructions and prescribed necessary medications. An Orthopantomogram (OPG) was advised for comprehensive assessment.
Treatment Plan and Ex*****on:
Based on the OPG and clinical findings, it was determined that several teeth were non-restorable. These were scheduled for multiple extractions, performed in phases to allow proper healing and minimize trauma.
Simultaneously, scaling and root planning were performed to reduce periodontal inflammation and promote gingival health. The healing of extraction sockets and improvement of gingival conditions were closely monitored.
Once the patient’s oral condition stabilized and complete healing was achieved, the denture fabrication process was initiated. Every step of the denture-making procedure — from primary impressions to final insertion — was carried out meticulously to ensure optimal function, aesthetics, and comfort for the patient.
After denture insertion, the patient's facial profile improved significantly, and facial features were enhanced. The patient reported feeling more confident, as the prosthesis successfully restored her aesthetic, physical, and functional requirements.
Follow-Up and Outcome:
The patient was followed up regularly. Initially, there were minor issues related to adapting to the new dentures, which were addressed through adjustments and patient counseling.
Now, **two years post-treatment**, the patient is fully satisfied. She reports **no discomfort or complaints*, and she is maintaining her dentures and oral hygiene very well.
Conclusion:
This case demonstrates the importance of a phased, well-planned approach in managing severe periodontal and restorative cases. Through proper diagnosis, patient cooperation, and comprehensive care, full oral rehabilitation was successfully achieved.
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