Referring Doctors

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When to Refer to a Prosthodontist: Some of the most frequent questions that Prosthodontists are asked by general practitioners are, "when should I refer my patient to the Prosthodontist?" and "what kinds of cases does a Prosthodontist treat?"

Typical cases that a Maxillofacial Prosthodontist may treat:

  • Congenitally missing teeth, often involving lateral incisors and premolars
  • Syndromes that may include congenitally missing teeth
  • Ectodermal Dysplasia
  • Cleft Lip and Palate with congenitally missing teeth
  • Oligodontia, or multiple congentially missing teeth
  • Partial Edentulism
  • Complete Edentulism
  • Rampant Dental Caries
  • A patient with a history of poor denture retention or inability to adapt to complete dentures
  • Partial or Complete Edentulism in the setting of moderate to severe residual ridge resorption
  • Failed past dental treatments with poor abutments
  • Amelogensis Imperfecta
  • Dentinogenesis Imperfecta
  • Acid erosion or severe attrition/tooth wear
  • Xerostomia (Sjorgren's syndrome)
  • Polyarthides (Rhuematoid Arthritis)
  • Any dental implant case
  • Any full mouth rehabilitation case especially where the occlusal vertical dimension may be altered
  • Any comprehensive dental treatment needed in the esthetic zone
  • Any comprehensive dental treatment needed in the setting of an Angle's Class II or Class III malocclusion
  • Temporomandibular Dysfunction (TMJ disorders)
  • Acquired defects involving partial or full loss of the maxilla, mandible, soft palate, eyes, ears, or nose, often times due to trauma (gun shot wound or motor vehicle accident) or cancer and other medical conditions
  • If you suspect that your patient has a head and neck and/or an oral tumor, please refer to an Oral Surgeon and your Prosthodontist

The following cases are examples:

Scenario 1:

Referral Sceneario 1 Prosthodontist - West Bloomfield, MI

Acid erosion with a collapse of the occlusal vertical dimension in the setting of a class III malocclusion, ultimately resulting in an anterior crossbite.

Scenario 2:

Referral Sceneario 2 Prosthodontist - West Bloomfield, MI

Implant prosthetics that will replace a quadrant of teeth.

Scenario 3:

Referral Sceneario 3 Prosthodontist - West Bloomfield, MI

Multiple failed fixed bridges in one arch, opposing an irregular occlusal plane.

Scenario 4:

Referral Sceneario 4 Prosthodontist - West Bloomfield, MI

Uncoordinated dental arches with a bilateral cleft lip and palate repair. Orthodontics was completed in this class III scenario with loss of the premaxilla, and bone grafting in addition to an implant restoration replaced teeth #7-11.

Scenario 5:

Referral Sceneario 5 Prosthodontist - West Bloomfield, MI

Class II Div. II malocclusion with hypereruption of the maxillary anterior alveolus, and severe wear of the mandibular anterior teeth. Occlusal plane discrepancy, severe abrasion, and caries add to the complexity of this case.

Scenario 6:

Referral Sceneario 6 Prosthodontist - West Bloomfield, MI

Loss of a tooth in the esthetic zone, where papilla loss and a difficult shade match add to the complexity.

Scenario 7:

Referral Sceneario 7 Prosthodontist - West Bloomfield, MI

Severe residual ridge resorption in the mandible with a prominent genial tubercle and muscle attachments high to the ridge, which adds to the complexity of this case.

Scenario 8:

Referral Sceneario 8 Prosthodontist - West Bloomfield, MI

Implant restorations in the setting of a dental malocclusion, Class II Div I.

Scenario 9:

Referral Sceneario 9 Prosthodontist - West Bloomfield, MI

Rampant caries in the esthetic zone.

Why you should refer your patient to our practice

  • At our office, your patient is our first priority
  • Emergencies are handled same-day, all other inquiries are handled next-day
  • Our in-house dental lab with seasoned laboratory technicians enables patient emergencies to be repaired same-day, and cases can be made even more tailored to individualize patient esthetics
  • Our Prosthodontists stay at the forefront of the latest developments in research, materials, and techniques through frequent attendance at various national academy meetings
  • Our Prosthodontists find ways to incorporate giving to children’s charities into our practice model
  • Please see the Meet the Doctors page for board certification information and curriculum vitas