Dentistry/rpd

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Question
hi dr. What would be the best treatment plan for a patient who needs to have a removable partial denture (metal framework).
But the patient has periodontal problem. Some of her teeth are mobile and there is bone loss.
For the maxillary the missing is tooth 22, 16, 17
For the mandibular the missing is tooth 46, 47, 32, 36, 37.
Thank you

Answer
Dear Jess:
The proper treatment plan for this patient would be, first and foremost, a proper periodontal evaluation and treatment plan.
It is futile to fabricate a removable denture over teeth that have active periodontal disease.  All that will happen is that the involved teeth will be extracted and added to the denture periodically.  The remaining teeth cannot and will not take the burden of the denture and will fail after a very short period of time.
the best thing to do is to plan for implants which can help take away the burden of the bite from the weaker teeth.  If finances are a problem, then, actually extraction of all compromised teeth is in order.
This is all the information that I can give you.  
To get more specific, you have to go and see a dentist for a proper examination, X-rays and a complete diagnosis.
Best of luck,

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Zev Kaufman, D.D.S.

Expertise

I can answer any question from simple routine dentistry to very complex dentistry with emphasis on reconstructive, cosmetic, and implant dentistry. My expertise is in co-ordination of very complex treatment plans with other dental specialists or as a one-man-team, since I have extensive training in Prosthodontics, Surgical Implantology, and orthodontics.

Experience

Over a decade in private practice of Surgical Implantology and Prosthodontics. Founder and owner of Prosthodontics & Implant Surgery of Manhattan, PC. Clinical Assistant Professor at the Post-Graduate Department of Periodontics & Implant Dentistry at New York University College of Dentistry. Lecture weekly since 1999 on advanced Implant Prosthodontics at New York University College of Dentistry Post-Graduate Program in Periodontics & Implant Dentistry. Former clinical assistant professor of Dental Radiology at the NYU College of Dentistry. Former clinical and lecture faculty at Lincoln Hospital, Dental residency program. Former clinical and lecture faculty at St. Barnabas Hospital (Bronx, NY) dental residency program. Lecture nationally on Prosthodontics and Implant Dentistry.

Organizations
Memeber of the American College of Prosthodontics. Memeber of the Acacdemy of Osseointegration. Member or the Omikron Kappa Upsilon (OKU) Honors Dental Society. Member of the American Dental Education Association.

Education/Credentials
Graduated with Honors from New York University College of Dentistry. Post-Graduate training and certificate in the specialty of Prosthodontics. Post-Graduate training and ceritificate in Surgical and Prosthetic Implant Dentistry. Honors-program in Comprehensive and Applied Practice Management. Honors-program in Orthodontics.

Awards and Honors
NYU Cervice award to the community. OKU honor society. National Dean's List. National Who's Who.

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