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This female patient was referred to me for consultation regarding her loose lower front teeth. The patient had a history of gum disease and had lost many of her teeth in the past. Her upper jaw was subsequently restored with multiple implants and porcelain teeth. She was rather unhappy with her partial denture in the lower arch. She was afraid that if she lost the front teeth, she wouldn’t be able to tolerate the partial at all. Her main concern was to have a type of prosthesis that she did not have to remove from her mouth every day. She was extremely shy and sensitive about being seen without her partial denture, even at home by her family members. She also told me, if she was going to have dental implants when she gets older, she might as well enjoy them while she is middle age and can take care of herself better.
I offered her to replace her front teeth with six dental implants. An implant supported hybrid prosthesis was made to connect to six implants in the front of the jaw. A hybrid prosthesis is connected to dental implants by screws and can only be removed by a dentist. Patient was very happy with the outcome and following her up for 5 years, she only had one minor complication in the first year. The complication was when a tooth separated from the prosthesis and it had to be repaired. it was done chair-side and never happened again for 4 years when I was in contact with her.