Oral and Maxillofacial Surgery

Case of the Month


April, 1998

Subjective:

The patient is a 68 y.o. white female seen on recall for 1990 maxillary and mandibular alveolar ridge reconstruction.

Objective:

Medical history revealed multiple drug allergies including PCN, Codeine, Sulfa, Darvon, and Robafaxin. Operations included an appendectomy, tonsillectomy, cholecystectomy, and hysterectomy. A maxillary full mouth extraction was performed in 1950 and the mandibular teeth were extracted in 1980. Medications were Diazide and Potassium supplement.

Oral examination in 1990 revealed an edentulous maxilla and mandible with serve anterior maxillary alveolar and mandibular alveolar ridge atrophy. Two sharp "knife edge" mandibular ridges were palpable in the premolar and canine regions bilaterally.




Assessment:

Plan:

  1. Two Stage Maxillary and Mandibular Reconstruction
  2. Anterior Maxillary Alveolar Ridge Bone Graft (iliac cortico-cancellous marrow and hydroxyapatite)
  3. Cancellous Marrow and Hydroxyapatite Mandibular Ridge Augmentation
  4. Mandibular Staple Fixed Orthopedic Bone Plate
  5. Maxillary Vestibuloplasty
  6. Fabrication of a Maxillary Complete Denture and Complete Mandibular Retained Overdenture

Result:






Patient treated by:
  • Dr. Steven R. Tucker Oral and Maxillofacial Surgery
  • Dr. Fred Meister Family Dentistry 


 Steven R. Tucker DMD, PSC
 Oral and Maxillofacial Surgery
 909 Scherm Road
 Owensboro, KY 42301
 phone: 1-502-926-4107
 fax: 1-502-926-4166
 url: http://www.srt-psc.com

steven@occ-uky.campus.mci.net

Last Modified: March 31, 1998

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