Combination Syndrome: ADC OSCE practice station

Mrs Cavalli, a regular patient, presents wanting a new upper complete denture and a new lower denture. She has four remaining lower teeth (32, 31, 41, 42) with grade 2 mobility and gingival recession, which she does not want removed. She has been diagnosed with osteoporosis, and her GP has referred her to you for dental clearance before starting treatment. At a previous visit you recommended removing the four remaining teeth, but she was unwilling to proceed and has said she'd prefer to travel overseas for a second opinion and treatment. Task: explain why tooth removal is important, and address and manage her concerns.