Am I screwed?
Dentist posting- I have a patient coming in for finals tomorrow that can’t wear her 6 implant overdenture. She gives and shows signs of allergy. Redness where contacts and she says she wants to and has to take it out the second she is out of public eye bc irritating. We first had her in a cold pour denture while she healed and that was irritating so had a printed nanocrystal resin denture made and same result. My questions
Would a crystal ultra type overdenture get me out of this and if I did it-would it last or just be a thing I am repairing and or remaking every year or two?
Is there any other material other than zirconia?because I have some shit angles on 2 implants and probably no where near close to enough bone reduction and I feel sorry for her but we didn’t come close to charging her enough to eat a zirconia prosthesis and she was bucking when I said you are going to prob have to chip in some more money just to get something at lab cost.
I bought open tray impression posts to take impressions but am starting to chicken out w this bc I am 15 years in and haven’t done a fixed since residency and don’t want to do an at cost zirconia and have it break in 4 months and then am on hook for another
I can post X-rays and pics tomorrow but some more info. It’s an upper against natural teeth. She has never wore or tried to wear artificial nails so no confirmation of acrylic allergies. I tried to get her treated for burning mouth syndrome by her primary md and they did listen to me and prescribe klonapin but no relief
She likens wearing these like holding her breath underwater and just can’t wait to surface and get them out for relief.
How many of you long timers have come across true acrylic allergy
I am wanting to try anything other than fixed. I am sort of wanting to even try a milled puck thinking it could be the monomer but low confidence she would be able to stand it bc pmma and we got no where with the nanoceramic printed denture.
Anybody been in this boat and bailed them selves out?
Microleakage. Sulllivan mo
Adding pics and I know temp is prominent but plan is to get it back in finals