PREVIOUS DENTAL TREATMENT Treatment Planning 2003 Cause-related periodontal treatment. Implant-supported full bridge in upper jaw. Cross-arch bridge on lower teeth.

Referral to the Brånemark Clinic 2004 PREVIOUS DENTAL TREATMENT

1-year Post-treatment Radiographs

Initial Examination

Feb 2008 Initial Radiographs

Front Front picture Front Xray

Right Right picture Right Xray

Left Left picture

Diagnosis: Oral lichen planus

Treatment The first 14 days; Clobetasol gel; In the morning and the evening during the first 14 days. 5 ml after tooth-brushing. Risk for Candida; Medication should be combined together with Mycostatin mixture, 5ml, 2 times a day. The following 15 days: Clobetasol gel; once a day every morning, 5 ml after tooth-brushing. And the final 14 days: Clobetasol gel; once every second day, 5 ml after tooth-brushing.

Occlusal Here put occlusal Here occlusal lower

Surgery Upper Jaw

Reshaping of prosthesis at the laboratory

1 month post-surgery

Reexamination 5 months post-surgery

Initial Examination Reexamination

Fracture Removal of the prosthesis and repair at the laboratory

Final Examination 19 months after initial examination

Initial Examination Reexamination Final Examination

Final Examination 19 months after initial examination

The patient will remain in our clinic for supportive periodontal therapy and regular controls for the time being (every 2 nd month).

Implant therapy in the upper jaw and cross-arch bridge in the lower jaw was performed at the Brånemark clinic in The patient was referred to us in 2008 because of peri-implantitis.

The patient is undergoing treatment of oral lichen planus at the department of oral medicine.

Implant therapy in the upper jaw and cross-arch bridge in the lower jaw was performed at the Brånemark clinic in The patient was referred to us in 2008 because of peri-implantitis. The patient is undergoing treatment of oral lichen planus at the department of oral medicine. At the reexamination, it was noted that 12 was fractured. The patient did not mention any subjective concerns until 21 also fractured.

Implant therapy in the upper jaw and cross-arch bridge in the lower jaw was performed at the Brånemark clinic in The patient was referred to us in 2008 because of peri-implantitis. The patient is undergoing treatment of oral lichen planus at the department of oral medicine. At the reexamination, it was noted that 12 was fractured. The patient did not mention any subjective concerns until 21 also fractured. The patient will be kept in our clinic for supportive periodontal therapy, aiming at keeping the plaque control at as high a level as possible and thus maintaining the result of the treatment. We chose short intervalls of 2 months between recall appointments for the first year.

Implant therapy in the upper jaw and cross-arch bridge in the lower jaw was performed at the Brånemark clinic in The patient was referred to us in 2008 because of peri-implantitis. The patient is undergoing treatment of oral lichen planus at the department of oral medicine. At the reexamination, it was noted that 12 was fractured. The patient did not mention any subjective concerns until 21 also fractured. The patient will be kept in our clinic for supportive periodontal therapy, aiming at keeping the plaque control at as high a level as possible and thus maintaining the result of the treatment. We chose short intervalls of 2 months between recall appointments for the first year. The general prognosis might be viewed as good, but it is very much related to the patient’s future compliance. Tooth 35 is still considered questionable.

Front Photo

Front Rx

Right Photo

Right Rx

Left Photo

Left Rx

Front Photo