FPD Failure 

A 71 year old lady has issue with an upper bridge (#7-11, Fig.5-7).  While one of the abutments (anchor teeth for FPD), #7, is "tender", the other (#11) fractures.  Take Alginate impression (upper and lower) when she returns, pour models (no bubbles, 1 U, 2 L), and keep U Alginate for provisional.  Section FPD at #7 and 9, take 12x9 cm CT with 2 cotton rolls and full arch impression for guide with bite registration. Prepare Endo Ice for #7 (tenderness).  Tell the patient and her daughter that the lower left cantilever FPD is in bad shape, since the tooth #19 has large furca radiolucency (Fig.4 *).  Next appointment should be scheduled for SRP (Fig.1-4). 

No Caries Clindamycin Metronidazole No Antibiotic  Guide
Xin Wei, DDS, PhD, MS 1st edition 11/04/2020, last revision 12/31/2020