Before Fabrication of RPDs

A 50-year-old woman (dentophobic, smoker, 1/3 pack per day) has chronic periodontitis with terminal dentition (Fig.1).  Provisional RPDs are 5 years old.  Before fabricating permanent RPDs, nonsalvageable teeth, for example #22, should be extracted  and replaced with an implant with ball abutment (Fig.2).  Because of fear and finance, one implant will be placed each time.

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Xin Wei, DDS, PhD, MS 1st edition 07/16/2018, last revision 08/16/2018