TYPE: In-office ( IV sedation)
GENDER: Female
AGE: 37
SPECIAL NEED: Developmental delays, non-verbal
MEDICAL HISTORY: Preterm birth, heart surgery at 12 months, history of blood transfusion, 3 Daily Medications taken
CHIEF COMPLAINT: Trauma to maxillary anterior teeth
MAINTENANCE CARE: RDHAP (mobile hygienist)

BACKGROUND:
Jill lived in a group home that made outings to a day camp. At the camp, she fell and severely injured her front teeth. Prior to the accident, she had been receiving dental care. Jill’s mother accompanied her to her emergency visit. At first, she was told that the only solution that they could offer was a removable partial denture. She knew that this would not work for her daughter, who would not be able to keep the teeth in her mouth.  Her dentist referred her to The Blende Dental Group for dental work that needed to be performed quickly. We restored her smile using a combination of approaches, including fixed prosthetics. Her mother was pleased to hear we could help her daughter. “For years dentists have been telling me how they can’t help my daughter, but didn’t offer another option. Finally, I found a dentist who had heard of you and referred me. You told me you can help and you did! I will be forever grateful.”

CLINICAL FINDINGS:
Radiographic calculus
Fractured Teeth #7 Ellis Class III
Alveolar fracture #8, 9
Caries #18, 19, 30
Class II Malocclusion, 9 millimeter overjet,
Bilateral posterior crossbite

MEDICAL/DENTAL TEAM:
Prosthetics: David Blende, D.D.S., Caitlin Batchelor, D.D.S.,  Erica Haskett, D.D.S.
Oral Surgery: Len Tolstenov, D.D.S. M.D.
Anesthesia: Michael Lam, M.D.
Dental Lab: Dental Concepts

TREATMENT SUMMARY:
IV Sedation in-office
Full mouth series of X-rays
4 quadrants scaling and root planing
Composites #18, 19, 30
Extraction #7, 8, 9, 10
Bone graft extraction sites LAVA
Bridge #6-11

TREATMENT DETAILS: Initial treatment completed under I.V. sedation.  The bridge was seated in-office without local anesthetics or sedation.