Right for the patient

The patient, a 60-year-old male, attended the practice concerned about the condition of his teeth. He was recovering from oesophageal cancer and a combination of poor oral care and post operative acid reflux had caused a significant amount of wear.

The patient had undergone a major operation during his battle with cancer and having been given the all clear was keen to improve the condition of his teeth. He was generally anxious about dental treatment but at the same time also keen to maintain his natural dentition. His oesophageal cancer had affected him emotionally and he felt that loosing his teeth would detract further from his self-image.

Assessing at the patient’s teeth on an individual basis, the upper right canine could certainly be restored, whilst the incisors would need crown lengthening for definitive restorations. The upper left canine and premolar would need significant crown lengthening and were most likely un-restorable. The patient would also need 4-6 implants, and possibly also a sinus lift to provide some form of posterior support.