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.
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 firstname.lastname@example.org
Until next time!
- Multifocal occurrence of intraoral isolated MS in a patient without leukemic presentation: A case report and literature review
- Myeloid sarcoma of the oral cavity: A case report and review of 89 cases from the literature
Full Video Presentation (15.04″)