T3: Resorbed mandible

Question 1

Scenario

Question 2

Should NHS fund this pt?

Answer 2

• Scottish Needs Assessment programme (SNAP) : only scottish
• pt would meet SNAP criteria but very low priority
• depend on health board budget/ suitability as a special study case

Question 3

If NHS do not fund, advise to patient?

Answer 3

• no specialism in implant dentistry, only with special interest
• hence, refer to implant dentist who are trained and competent

Question 4

How would you decide on how many implants to be placed?

Answer 4

• cost
• bone quality
• type of restorations

Question 5

Valid consent for any treatment you propose

Answer 5

• discuss all risks and benefits
• written costed plan with options including no tx, answer pt’s questions, not down discussions, consider written consent

Question 6

What risks and benefits would you discuss?

Answer 6

• mental nerve paraesthesia
• surgical risk
• peri-implantitis
• early & late failure
• need good OH
• need for ongoing maintenance and cost