A 54-year-old man is 5 years post liver cancer surgery.  After his platelet count returns normal, he wants to take care of his teeth.  Most of his molars (#14, 19, 30,31) need extraction and implant placement (Fig.1).  Although the 2nd premolars on the right are missing, it seems appropriate to establish 2 molar occlusion on the right (2 in the upper and 2 in the lower).

If the patient agrees to have orthodontic treatment, molar implants should be placed distal so that there is space for the anterior teeth to be aligned.

4 Quadrant Molar Occlusion

Xin Wei, DDS, PhD, MS 1st edition 11/12/2017, last revision 11/12/2017