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Case Conference Oncology Supporting Your Practice

Oasis Critical Moments: What would you have done in this situation?

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In this post, we present an Oasis Critical Moment, a crossroad moment that arise every day in clinical practice and where the decision the practitioner takes, can make the difference between grief for him/her and the patient, or comfort for all concerned. 

We have invited Dr. Bob Wood and Dr. Erin Watson to guide the management of this case. Dr. Bob Wood is an oral radiologist and forensic dentist; and Dr. Erin Watson is a general dentist, and they both practice out of Princess Margaret Cancer Center in Toronto. 

Imagine this scenario

You are performing a fairly routine denture try-in on a 49-year old man with a past medical history of type II diabetes and hepatitis B. He was diagnosed with acute myeloid leukemia in May of 2016 and had all his teeth removed prior to a bone marrow transplant, due to also a history of periodontal disease. He has been in remission for six months and presented to see you to have complete dentures fabricated.

The week before, you took final impressions for the denture, and requested that the lab process the bases for the wax rim and jaw records appointment. 

So, ready to insert the denture, you are unable to seat the processed base. It simply won’t go into the patient’s mouth. You are quite surprised, because the impression was very accurate. You immediately call you lab technician and discuss if it is possible that the denture for another patient was delivered. After some discussion, you both agree there must have been some error at the lab and you retake your final impression.

The following week, the patient presents to re-attempt the jaw records appointment. To your surprise, the denture once again appears too small to fit the jaw.

How would you have managed this situation? What are the steps you would have followed in dealing with this patient? 

Tune in for the video presentation!

Please share your thoughts, suggestions, or questions through oasisdiscussions@cda-adc.ca

Until next time!

Chiraz Guessaier
CDA Oasis Manager

Resources

 

Full Video Presentation (15.04″)

 

 

1 Comments

  1. Vasant Ramlaggan February 8, 2018

    Thanks for a great presentation!

    Reply

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