sam12

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7+ Year Member
Jun 14, 2007
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Hello all,

I have a patient with #8 missing, has a flipper already but wants to get a more stable partial. He says chewing for him is priority. Patient also says that he does not want to do bridge or implant now as finances are a concern, but will think about it in future.

I wanted to know out of cast partial, flexible partial or acrylic partial with clasps, which would be good for this case?

Is it worth it to construct cast partial for one missing tooth and make rest seats on perfectly good teeth. Patient has no cavities and is not missing any other teeth?

Would acrylic partial with clasps be a good choice?? I dislike valplast dentures so I am not really considering that.

Thanks.
 

DaleDoback

Did you touch my drumset?
Sep 17, 2012
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Resident [Any Field]
Hello all,

I have a patient with #8 missing, has a flipper already but wants to get a more stable partial. He says chewing for him is priority. Patient also says that he does not want to do bridge or implant now as finances are a concern, but will think about it in future.

I wanted to know out of cast partial, flexible partial or acrylic partial with clasps, which would be good for this case?

Is it worth it to construct cast partial for one missing tooth and make rest seats on perfectly good teeth. Patient has no cavities and is not missing any other teeth?

Would acrylic partial with clasps be a good choice?? I dislike valplast dentures so I am not really considering that.

Thanks.
So he wants the stability of an implant without paying for the implant? At some point, you have to tell the patient that they are wasting money trying to buy time to "save up money".

Your treatment options are:
1. Implant
2. Fixed
3. Do nothing and let him keep his already crappy partial.

We all forget that sometimes doing nothing is better than something for patients.........and us.
 
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sam12

10+ Year Member
7+ Year Member
Jun 14, 2007
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So he wants the stability of an implant without paying for the implant? At some point, you have to tell the patient that they are wasting money trying to buy time to "save up money".

Your treatment options are:
1. Implant
2. Fixed
3. Do nothing and let him keep his already crappy partial.

We all forget that sometimes doing nothing is better than something for patients.........and us.
Thanks.
He does not have money right now for implant, and says he will be saving up for future. Plus he says he stepped on his flipper and it does not fit as well. Any suggestions regarding the type of partials to make?
 

charlestweed

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Jul 10, 2007
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This is what I use for my orthodontic patient with a missing #8. I took her braces off a few months ago. I still keep the molar bands on her #3 and 14 because they help hold the #8 pontic tooth in place. She is currently wearing the essix retainer to keep her teeth straight. She'll get the implant when she can afford it.
missing tooth.jpg
 
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DaleDoback

Did you touch my drumset?
Sep 17, 2012
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This is what I use for my orthodontic patient with a missing #8. I took her braces off a few months ago. I still keep the molar bands on her #3 and 14 because they help hold the #8 pontic tooth in place. She is currently wearing the essix retainer to keep her teeth straight. She'll get the implant when she can afford it.
View attachment 195574
Or she will never get the implant.
 
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sam12

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Thanks everyone for your replies!
 

Mackchops

Toothy grin
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Dec 9, 2003
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www.uthscsa.edu
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If he wants a partial, by all means make the man a partial! I don't know why you wouldn't...

Without knowing the status of the rest of his dentition, and assuming the adjacent teeth are reasonable and there's enough interocclusal space, I would make him a new "flipper" - probably a flexible one.
 

vellnueve

10+ Year Member
Dec 4, 2006
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Hello all,

I have a patient with #8 missing, has a flipper already but wants to get a more stable partial. He says chewing for him is priority. Patient also says that he does not want to do bridge or implant now as finances are a concern, but will think about it in future.

I wanted to know out of cast partial, flexible partial or acrylic partial with clasps, which would be good for this case?

Is it worth it to construct cast partial for one missing tooth and make rest seats on perfectly good teeth. Patient has no cavities and is not missing any other teeth?

Would acrylic partial with clasps be a good choice?? I dislike valplast dentures so I am not really considering that.

Thanks.
Flipper without clasps.