PMC3914341_01
Preoperative status of patient: (a) panoramic view, (b) maxillary arch, (c) mandibular arch, and (d) both arches.
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fig1
The intraoral examination (Figures 1(b), 1(c), and 1(d)) revealed dryness of the mouth, instability of the old denture, generalized gingival hyperplasia, and inflammation. While the panoramic radiograph (Figure 1(a)) and hard tissue examination showed dental caries classes III and IV of teeth 13 and 23 (FDI), class II for teeth 14 and 24 (FDI) and remaining roots of teeth 16, 11, 12, 22, 33 and 34 (FDI-Federation Dentaire Internationale).
Study cast: (a) maxillary cast, (b) mandibular cast, and (c) both arches together.
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fig2
The study casts were prepared (Figures 2(a), 2(b), and 2(c)) from the alginate impressions for construction of special tray.
Extraction sites of the remaining roots: (a) maxillary arch, (b) mandibular arch, and (c) both arches together.
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fig3
In the following appointment which was again scheduled in the morning, extraction of the remaining roots for teeth 16, 11, 21, 22, 33 and 34 (FDI) were done (Figures 3(a), 3(b), 3(c), and 3(d)).
After insertion of maxillary and mandibular immediate dentures.
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fig4
Following extractions, the maxillary and mandibular immediate dentures were inserted (Figure 4).