Full mouth restoration after drug use

Dr. Vladimir Suhanov

Main complaint

• Esthetic issues
• Restoration of chewing function

Medical history

• Liver disease
• Gastrointestinal disorders

Dental history

• Absence of chewing teeth due to drug use
• In this regard, multiple caries and pulpitis
• Bruxism

Habits

• Drinks strong alcoholic beverages
• Was using drugs for 17.5 years, mostly Heroin, and some narcotic drugs and Amphetamine
• 5 years in remission

Extra-oral examination

• By external signs, a decrease in the lower third of the face due to pathological abrasion of the teeth
• Insufficient lips
• Falling lower jaw relative to the upper (senile smile)
• Pronounced mimic wrinkles in the lower third of the face
• Absence of chewing teeth in the upper jaw
• Extensive caries and pulpitis

Diagnosis

• Generalized Advanced Periodontitis
• Angle Class 2 occlusion

Prognosis

• The prognosis was determined to be good because of the patient’s motivation.
• The importance of Dental Hygienist visits and home care was discussed and agreed upon before treatment.

Treatment plan

• Removal of dental plaque.
• Treatment of caries and pulpitis
• Sanitation
• Open Sinus Lift
• Insertion of implants in the areas of ​​missing teeth
• After 4-5 months, prosthetics on implants of metal-ceramic screw-retained crowns and on teeth E-max veneers

Products & materials used

• AB Dental I-5 implants were chosen for the patient
• Grafting materials included PRF