Mandy Robbins

Call Now 800-395-1152
“There are but a handful of dentists who have the expertise to perform complex full-mouth rehabilitation under general anesthesia. [Mandy] had one of the most severe cases of anomalous dentition that I have observed in my twenty-five years of special care practice. Because there was no one in my area who could treat her, I felt fortunate to be able to refer this patient to Dr. Blende." Ray A. Lyons, DDS, FADPD Chief of Dental Services, LLCP Special Needs Dental Clinic

“There are but a handful of dentists who have the expertise to perform complex full-mouth rehabilitation under general anesthesia. [Mandy] had one of the most severe cases of anomalous dentition that I have observed in my twenty-five years of special care practice. Because there was no one in my area who could treat her, I felt fortunate to be able to refer this patient to Dr. Blende.”
Ray A. Lyons, DDS, FADPD
Chief of Dental Services, LLCP Special Needs Dental Clinic

TYPE: Asleep/Hospital & Asleep/In-Office/Sedation

GENDER: Female

AGE: 30

SPECIAL NEED: Profound Autism and a history of seizures.

MEDICAL HISTORY: As Mandy’s permanent teeth came in, she developed hypoplastic dominate Amelogenesis Imperfecta. This condition impeded the formation of enamel on her teeth, leaving them brittle, full of caries and very sensitive. She also suffered from a severe overbite that prevented her teeth from closing properly and chronic parafunctional bruxism that left her without adequate chewing surfaces.

CHIEF COMPLAINT: Highly sensitive mouth and difficulty chewing

MAINTENANCE CARE:  Routine maintenance by her local dentist in Albuquerque, New Mexico.

BACKGROUND: In 2004, at age 21, Mandy was referred by her dentist, Dr. Ray Lyons, past president of the Special Needs Dentistry Association. We worked with Dr. Lyons to sketch out a treatment plan for Mandy’s full-mouth rehabilitation— to be completed in less than a week. After 27 crowns, 5 extractions, root canal therapy on 3 teeth, and 4 quadrants SC/RP, she went home with functional chewing surfaces and a big happy smile!

In 2015, at age 30, we welcomed Mandy and her parents back for a quick a one-day visit to our office where she received treatment under general anesthesia for bridge prep #6-8, decoronation #7, and 4 quadrants SC/RP. She returned home that evening and her custom bridge, created by our on-site lab, was sent to Dr. Lyons for cementation in his office without sedation.

CLINICAL FINDINGS:
Hypoplastic dominate Amelogenesis Imperfecta
Chronic paracfunctional bruxism
DENTAL/MEDICAL TEAM:
David Blende, DDS
Michael Lam, Physician Anesthesiologist
Endodontist

TREATMENT SUMMARY:
Twenty Seven porcelain crowns
5 Extractions
Root canal therapy on three teeth by Endodontist
Four quadrants of scaling and root planing

TREATMENT DETAILS: The first phase of treatment (extractions and crown preparations) was accomplished at California Pacific Medical Center (asleep), and the second phase (bridge prep) was completed at our office (asleep).

Read more Case Studies