Mary Jane

TYPE: Hospital
GENDER: Female
AGE: 52
SPECIAL NEED: Dental phobia
MEDICAL HISTORY: anorexia, bulimia, and alcoholism
CHIEF COMPLAINT: Rotten teeth, wants a nice smile
MAINTENANCE CARE: In-office

BACKGROUND: For years, Mary Jane talked with her sister about going to see a dentist. Like many, her fear kept her away. With a referral from her sister’s dentist, she called our office. She had lost many teeth in the past due to an eating disorder and alcohol abuse. She was thrilled to know the team could help her by finding an alternative to dentures. She was given two options: either implants or fixed bridges, and chose the latter. Mary Jane was seen for surgery at Kaiser in San Francisco. After a good, Asleep dental experience, she trusted The Blende Dental Group team enough to complete her treatment Awake, in the office.

CLINICAL FINDINGS
Generalized moderate horizontal bone loss
Periapical Pathology #2, 10
Caries #2, 3, 4, 5, 6, 10, 11, 21, 28 ,31
Partial edentulism

DENTAL/MEDICAL TEAM:
Oral Surgery: Len Tolstenov, D.D.S. D.M.D.
Endodontics: Vlad V. Shuster, D.D.S.
Primary Care Physician: James Gibboney, M.D.
Prosthetics: David Blende, D.D.S. & Erica Haskett, D.D.S.
Dental lab: Dental Concepts

TREATMENT SUMMARY:
General anesthesia at Kaiser Permanente San Francisco
4 quadrants scaling and root planing
#2 extraction
FPD #6-10, 11-14 (cantilever), 18-21, 28-31
Crowns #3, 4, 5
Root canal therapy #7

TREATMENT DETAILS: Initial treatment completed at Kaiser under general anesthesia with an overnight stay. Her vertical dimension of occlusion was opened by 1 millimeter in the posterior for esthetics due to the collapse of the posterior segment. Mary Jane completed her case in-office under local anesthesia.