A 40-year-old female patient presented with the chief complaint of wanting teeth replacement and difficulty chewing food. She had all of her teeth extracted one month prior and was currently wearing a lower removable partial denture. Her medical history noted she had diabetes. After clinical and radiographic examination, it was determined she had a well-developed upper arch with no teeth. The proposed treatment plan was to fabricate an upper complete removable denture or implant-supported denture to replace her missing upper teeth.

1. 1
Patient Case Presentation
Prepared by Postgraduate
Prosthodontics Resident
Dr. Meena Kumari
21 MDC
CMH Quetta

2. 2
Patient Evaluation
 Physical Appearance
 Gait: Normal
 Age:40+Yrs
 Gender: Female
 Complexion: Olive Skin

3. 3
Clinical History/PatientInformation
 Name: Mrs. Saeeda
 Age: 40+Yrs
 Gender: female
 Occupation: House wife
 Address: Quetta cantt
 Contact #
03215170166

4. 4
Chief Complaint
 Teeth Replacement ,it
looks bad.
and difficulty in chewing
food

5. 5
Medical History
 Debilitating Disease: pt.
suffering from Diabetes.
 Joint Disease: Nil
 Blood pressure: Normal

6. 6
Dental History
 Past History
All Teeth extracted one
month before
Patient had experience of
dental treatment

7. 7
Current Denture
 Patient having the
lower RPD

8. 8
Patient Expectation
 Teeth must have
natural look

9. 9
Clinical Examination
 Extra Oral Examination
o Face is symmetrical
o Lips are slightly
incompetent
o Nasolabial fold normal
o Facial profile straight
(Frontal View)

10. 10
Intra Oral
Examination
 Teeth present in lower
arch
 No teeth in upper arch
 Mucosa normal pink in
color
 Residual alveolar ridge,
medium size
 Palate ‘U’ shape

11. 11
Investigation
 Plasma glucose level
 Radiograph (OPG)
 Study cast

12. 12
Diagnosis
 Well developed upper
arch
 No bony spacule
 No soft tissue bulk

13. 13
Treatment Planning
Upper complete removable denture
Implant supported denture

14. 14
Treatment Plan
Preprosthetic treatment
Scaling for lower teeth

15. 15
Prosthetic Treatment
 Primary Impression
 Final Impression
 Maxillary Mandibular
Relation (MMR)
 Trial with teeth
 Insertion
 Follow up

16. 16
Post Prosthetic
Treatment
 Follow up after 15
days

17. 17
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