Now this picture, unlike that maggot-incisors picture from last week (I still feel like I'm gonna puke) doesn't bother me. I mean this mouth is horrific looking, but after having the patient swish with some Listerine, I'd bust out the anesthetic and get to work getting those decay infested stumps out
How would you treatment plan this guy? Do you have to attempt to take diagnostic casts since it does look like he has some contact between the upper canine and lower premolars on the right so he still has some evidence of VDO? Or are the teeth going to self extract with the alginate? My gut reaction is to get those teeth out (after we go through his medical history and get that figured out), let him heal for a week and then take some alginates and make him some interims. It doesn't seem like esthetics is a big concern for the patient. Would he really miss not having the teeth-like structures in his mouth anymore for a few days till he gets the shiny new interims?