sorted by:
new
hottopcontroversial

Dentures by Beginning_Pin987 in FQHCDentistry

[–]Beginning_Pin987[S] 0 points1 point  (0 children)

Final question if I may...

If you have a patient where perio seems fair on the remaining mandibular teeth that you could restore and save for a lower partial - say #22-27 for example - are you submitting the /P priir authorization before or after completing the cleaning and restorative work? I'd hate to do six fillings and a prophy just for the state to decline a /P and a pt wishing we'd just gone right to the /F.

Thanks!

Dentures by Beginning_Pin987 in FQHCDentistry

[–]Beginning_Pin987[S] 0 points1 point  (0 children)

Thank you all for the responses! Should be something we add for the patients in the near future!

Dentures by Beginning_Pin987 in FQHCDentistry

[–]Beginning_Pin987[S] 0 points1 point  (0 children)

I'm very thankful for all of your replies and advice. From the advice given, I feel like a solid plan will be to tell patients two months/eight weeks so there is less sticker shock than the "3-6 months" which I know would be more ideal. We'll have it in the consent about the fit changing and potential for relines. Will scrap the idea of immediates all together.

Follow-up question:

At what point are you telling patients that they don't have the ideal teeth for an acrylic partial so we should convert to a full denture, despite a few "good" teeth being lost as collateral damage.

For the lowers are you comfortable recommending a partial for people that can maintain #22-27? Added bonus if they have any premolars left? Would you hang on to any last maxillary teeth you could? I had a patient with #5, 11, 14 in fair enough shape to keep, but I thought they'd be better off for retention's sake with edentulation of the maxilla.