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Like most of you; I was sick for years with seemingly random symptoms and had

doctor after doctor tell me it was this or it was that and let's test for

this.... blah blah blah.

2.5 years ago after 5 doctors and 9 " diagnoses " I thought I would get a colonic

to help with my digestion. After one of the most painful experiences of my life

the nurse told me I was like this because of Candida - and then it all made

sense. I went on the diet and started to feel better and after a year

incorporated " normal food " back in my life and of course got sick again.

After a few attempts at the diet with a lack of self control I decided to go see

a medical doctor that treated candida. I did test positive for antibodies in my

blood so they put me on Diflucan and a treatment plan. I know we have all know

the steps to " treat " candida but this one has me doing all the steps at once.

Granted I take 21 pills a day (mostly supplements) but after 3 weeks I am

feeling better. It hasn't been easy but I think 30 days of hell is worth it if

I can feel like a normal person after it.

I'm not pushing any products - just thought I would share the treatment

Northwestern Memorial Hospital gave me to follow.

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  • 8 months later...

dear allcan someone suggest a good treatment plan for this case 78 old widowed n retired

lady , c/o loose lower denture and sensitivity in

upper teeth(no other complaints)

1. upper teeth getting sensitive gradually to hot n cold food only, no h/o

fizzy drinks, no clenching/tmj prob.

2. lower pd was made immediately following 4 teeth removal 8 months ago,

initially it was fine but became loose recently, pt is unable to eat.

3.had upper chrome cobalt pd made in 70's but is absolutely happy with that,

no probs whatsoever.

4.nonsmoker, drinks approx 12 units alcohol per week, cleans teeth twice

daily with manual brush n occasionally uses floss, doesn't visit dentist

regularly, doesn't tk out dentures in night, only takes them out to rinse

with water

5. m/h- had pituitary tumor few years ago coz of which had acromegaly, was

removed n was treated, is taking 1mg/day prednisolon, is on anti

hypertensive drugs, and has hiatus hernia, taking antacids.

o/e.. no erosion, attrision, but gingival recession labially ;no caries, no

teeth mobility, bpe 2 in all quadrants where she had teeth. there was a lot

of calculus on teeth n upper denture..

there was acrylic blobs placed on occlusal surfaces of upper pd n bite was

looking lower on this side than the other one, however pt was unaware n had

no probs regarding this.

no significant dtp observations other than couple of poor rct fillings n pa

radiolucency at a root treated tooth, bit of bone loss, space closure for

missing 35 as 34,36 drifted. but pt was oblivious n asymptomatic to any of

these.my treatment planning willl be1.senistivity prescribe de sensitising agent bpe score 2 hence ohi,scaling polishing , prescribe fl tooth paste 2800 ppm2. restore the receded tooth with gic 3. re Rct for tooth showing radioloucency and explain to the patient that the success rate will come down to 70 % 4. for loose denture ask the patient his opinion either reline or fabricate a new denture but can u reline a co cr denture ?if he wants a new denture then take an impression fill the lab sheet for the lowewr denture as there is some bone loss and drifting placing an overdenture4. restoring the tooth with composite ( definitve phase ) and recallcorrect me if am wrong

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U have missed very important point; she's taking 1mg/day prednisolon. I think

since she's not in pain, tell her that u will contact the GP for advice before

any treatment, explain a little about cortisol function & u dont have

hydrocortisone in ME box. If the pt feel good just take impression in the 1st

visit.

Correct me if I'm wrong,,

Ammar

This case came in Oct 08

>

> dear all

> can someone suggest a good treatment plan for this case

>

> 78 old widowed n retired lady , c/o loose lower denture and sensitivity in

> upper teeth(no other complaints)

>

> 1. upper teeth getting sensitive gradually to hot n cold food only, no h/o

> fizzy drinks, no clenching/tmj prob.

>

> 2. lower pd was made immediately following 4 teeth removal 8 months ago,

> initially it was fine but became loose recently, pt is unable to eat.

>

> 3.had upper chrome cobalt pd made in 70's but is absolutely happy with that,

> no probs whatsoever.

>

> 4.nonsmoker, drinks approx 12 units alcohol per week, cleans teeth twice

> daily with manual brush n occasionally uses floss, doesn't visit dentist

> regularly, doesn't tk out dentures in night, only takes them out to rinse

> with water

>

> 5. m/h- had pituitary tumor few years ago coz of which had acromegaly, was

> removed n was treated, is taking 1mg/day prednisolon, is on anti

> hypertensive drugs, and has hiatus hernia, taking antacids.

>

> o/e.. no erosion, attrision, but gingival recession labially ;no caries, no

> teeth mobility, bpe 2 in all quadrants where she had teeth. there was a lot

> of calculus on teeth n upper denture..

> there was acrylic blobs placed on occlusal surfaces of upper pd n bite was

> looking lower on this side than the other one, however pt was unaware n had

> no probs regarding this.

> no significant dtp observations other than couple of poor rct fillings n pa

> radiolucency at a root treated tooth, bit of bone loss, space closure for

> missing 35 as 34,36 drifted. but pt was oblivious n asymptomatic to any of

> these.

> my treatment planning willl be

>

>

>

> 1.senistivity prescribe de sensitising agent

> bpe score 2 hence ohi,scaling polishing , prescribe fl tooth paste 2800 ppm

> 2. restore the receded tooth with gic

> 3. re Rct for tooth showing radioloucency and explain to the patient that the

> success rate will come down to 70 %

> 4. for loose denture ask the patient his opinion either reline or fabricate a

> new denture but can u reline a co cr denture ?

> if he wants a new denture then take an impression fill the lab sheet

> for the lowewr denture as there is some bone loss and drifting placing an

> overdenture

> 4. restoring the tooth with composite ( definitve phase ) and recall

> correct me if am wrong

>

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