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implants UK - the journal of oral implantology

20 I Idental tales_ gus’s tale implants1_2011 _Gus’s Tale Gus (Fig. 1) is an eminent and highly accomplished city architect with a great sense of style, creativ- ity and aesthetics. He also has a phobia of all things dental. We met a few years ago when he turned up on my doorstep with his partial acrylic upper denture in pieces and asked if it could be re- paired? I suggested that he needed to see a dentist but he was adamant that he would not and asked if I would repair it as he had an important meeting to go to. I succumbed, repaired it and he was very grateful and happy. Six months later he was back with charm and a promise that if I repaired it he would go and see a dentist. The following year he was back with three remaining upper teeth blowing in the breeze and yet again his denture in pieces. This time I stood firm and insisted he let me arrange an appoint- ment with one of my clients. With some persua- sion, not least because he was unable to function dentally with resulting weight loss, he reluctantly acquiesced. An alginate impression put paid to one of the remaining teeth and the last two soon followed. _Treatment Stage 1 Preparation and implant placement: An alginate pick up impression was taken of the repaired denture (Fig. 2a). The last three teeth were added. The denture was tidied up as best it could be so as to be used during the initial stages of treatment (Fig. 2b). Seven implants (NobelBiocare - Branemark) were placed (Fig. 3a) and a fixture head impression taken. Healing caps were then screwed on and the denture relined with a soft conditioning liner and fitted (Fig. 3b). DentalTalesBy Anthony Laurie MDT FBIDST FCGI Fig. 1 Fig. 2a