comprehensive case presentation
DESCRIPTION
Comprehensive case presentation. Wejdan AL- Marzooq 42920166 L 9 G 2. Personal data. Chief complaint. In the patients own words: (I heat how my upper front tooth looks like). History of Chief complaint. Medical history:. She is medically fit and she is not under any medications. - PowerPoint PPT PresentationTRANSCRIPT
1
Comprehensive case presentation
Wejdan AL- Marzooq
42920166L 9 G 2
2
Personal data 40 Age
Female Gender
sudanese Nationality
House wife Occupation
Married Marital and social status
Cooperative and willing to attend her appointments regularly.
Patient cooperation
3
In the patients own words:(I heat how my upper front tooth
looks like)
Chief complaint
4
History of Chief complaint
5
She is medically fit and she is not under any medications.
Medical history:
6
There is no significant family medical history mentioned.
Family medical history:
7
1-Previous Root Canal Treatment of teeth #11.
2 -GIC restorations on teeth #37.
3-composite restorations on teeth #25,26,37,45,46.
4 -extracted teeth # 14,15,16,27,36,47.
Past dental history
.
8
9
Oral hygiene activity:Patient brushes her teeth 1 time per day
with a Hard brush and horizontal scrub technique
-Doesn’t use floss or mouth wash.
-Doesn’t visit the dentist regularly .
Habits and oral hygiene activity
10
Clinical examination
11
Extra Oral Examination
All within normal
limit
12
Intra oral examination
1-Floor of the mouth:No abnormality detected.
2-oral mucosa:No abnormality detected.
13
Intra oral examination
3 -tongue:No abnormality detected.
4 -palate: No abnormality detected
14
Pretreatment photographs:
15
Frontal view
16
Maxillary occlusal view
17
MANDIBULAR OCCLUSAL VIEW
18
Right lateral view:
19
Left lateral view
20
Diagnostic tools
21
I-Radiographs:OPG
22
BitewingsRight side
Left side
23
PeriapicalsUpper Anterior
24
Lower Anterior
25
Right upper and lower posteior
26
Left upper and lower posterior
27
II-Mounted cast (frontal view)
Upper midline:Normal.
Lower midline:Normal.
Overbite:3mm
2mm.:Overjet
28
Mounted cast (right side)
Right molar relationship:Not applicable.
Right canine relationship:Not applicable.
29
Mounted cast ( left side)
Left molar relationship:Not applicable.
Left canine relationship:Not pplicable.
30
Mounted cast (upper and lower)
.Lower U sha
31
Laboratory investigation:
Saliva viscosity :Watery.
Saliva Buffer capacity:High
32
Caries risk test (CRT)
Results have revealed the following:
S.M = 3 > 100,000 CFU High Risk
L.B = 3 > 100,000 CFU High Risk
Mutans streptococci Lactobacilli
33
FINDINGS AND DIAGNOSIS
34
Oral hygiene:Gingival examination ( Gingival index )
BY SILLNESS & LOE 1967
16 15 14 13 12 11 21 22 23 24 25 26 27 28 18 17
48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
Total : 1.70 Moderate inflammation , redness, edema,
glazing & bleeding on probing.
2 22
2 211
2 22 2
2
222
21 1
1
12 2
2
2
35
Oral hygiene Oral hygiene (plaque index) BY SILLNESS & LOE 1967
16 15 14 13 12 11 21 22 23 24 25 26 27 28 18 17
48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
222
2 2
222
1
1111
22
2
Total 1.79 Moderate accumulation of soft deposits within
the gingival pocket or the tooth & gingival margin which can be seen with naked eye
2 22
2
222
2
36
PSR (periodontal screening and recording)
2
1 1 1
1 2 1
Code1: Pocket depth <3.5 mm bleeding on probing .Code2: Pocket depth <3.5 mm bleeding on probing and calculus .
37
Calculus indexBY Procter & Gamble 1987
locklized slight calculus accumulation.
38
Periodontal charting
39
Maxillary arch
+ + + + + + B
M-CEJ 222 212 222 212 223 323 313 221 212 233 PD
CAL 28 27 26 25 24 23 22 21 11 12 13 14 15 16 17 1
8Tooth#
+ + + + +
+ + + + + B
M-CEJ 32
2223 223 222 222 222 111 222 322 222 PD
CAL 28 27 26 25 24 23 22 21 11 12 13 14 15 16 17 18 Tooth#
40
Mandibular arch+ + + + + + B
M-CEJ 313 222 232 222 322 222 222 222 223 222 223 323 PD
CAL 38 3
736 35 34 33 32 31 41 42 43 44 45 46 47 48 Tooth#
+ + + + + + B
M-CEJ 212 222 312 22
2312 222 21
332
332
3222 33
1323 PD
CAL 38 3
736 35 34 33 32 31 41 42 43 44 45 46 47 48 Tooth#
323
41
Diagnosis and prognosis
Plaque Calculus
Contributing factors: Defective FPD :
Multiple extracted teeth # Multiple defective restorations.
Periodontal diagnosis : generalized moderate plaque induced gingivitisOverall prognosis: good .
42
DENTAL CHARTING
43
Charting (Maxilla):
CariesMissing
Substandard RCT
Restoration
44
Charting ( mandible )
CariesMissing
Restoration
45
1)Plaque and calculus accumulation.2)Caries : 18,21,24,37.
3)Previous Root Canal Treatment of teeth #11.
4)GIC restorations on teeth # 37.
5)composite restorations on teeth #25,26,45,46.
6)Missing teeth # 14,15,16,36,38,47.
Findings and diagnosis
46
TREATMENT PLAN
47
Phase 1
48
49
Oral hygiene activity recommendation:
Tooth brush type: soft ,nylon bristle tooth brush.
Brushing frequency 3 times per a day.
Brushing method: modified bass technique.Interdental aids: fluoridated dental floss.
Phase 1(preventive phase)
50
Phase 1:(periodontal therapy)Condition : generalized moderate plaque induced gingivitis.Proposed treatment:
Oral hygiene instructions and plaque control.Supra and sub gingival scaling .
Re-evaluation: 4-6 weeks.Maintenance phase:6 months.
51
Phase 2 :(operative and endodontic treatment)
52
Proposed treatment: Dental problem Tooth number:
Extraction.Extraction.
Badly decay & no opposing teeth.Remining root .
18
17
53
Proposed treatment: Dental problem Tooth number:
Root canal treatment . Substandard root canal treatment.
11
54
Proposed treatment: Dental problem Tooth number:
Class IV composite restoration .
Distal caries. 21
55
Proposed treatment: Dental problem Tooth number:
Extraction . Remining root. 23
56
Proposed treatment: Dental problem Tooth number:
24
57
Proposed treatment: Dental problem Tooth number:
Finishing and polishing . Old dull occlusomesial composite restoration.
Occlusal composite restoration.
25
26
58
Proposed treatment: Dental problem Tooth number:
Extraction. Remining root. 28
59
Proposed treatment: Dental problem Tooth number:
Composite Re do class IRestoration.
Fissur sealnt . Deep fissur .
37
34
60
Proposed treatment: Dental problem Tooth number:
Fissur sealnt .
Finishing and polishing .
Deep fissur.
Old occlusal compositerestoration
44
4546
61
Proposed treatment: Dental problem Tooth number:
Extraction Remining root. 48
62
Phase V ( prosthetic phase ):
63
64
Maxillary arch.
65
Mandible 1st option
66
2nd option
67
3rd option
68
Phase VI :Recall and maintenance
69
Phase VI :Recall and maintenance
Recall the patient every 3 months to: Emphasize on the oral hygiene.
Do periodontal maintenance.
Recall the patient every 6 months to: Do full mouth X-Ray, check all
restorations and prosthesis.
70
Treatment objective:
Educate the patient about dental problems). Nutrition consultation for the patient. Improve the oral hygiene. Disease control. Restore the function and aesthetic. Maintenance.
71