peadodontic case by najma alamami
TRANSCRIPT
Pediatric dentistry
(08612(
Patient name : Salma Abd Alsalam Mohamed Age : 5years .Sex : femaleBirth date :20 / 8 / 2008Phone : 01284298886Address : Abohomes Order among sibling : 1st Father occupation : own s workerMother occupation : housewife
Personal history
chief complain
multiple missing teeth cause difficulty in eating . (mother’s own words).
Previous dental history ((Mother’s own words(Mother’s own words((
medical history
Does child have : Yes noRheumatic fever √
Diabetes √
Kidney disorder √
Heart disorders √
Seizures √
Hepatitis or AIDS √
Bleeding problem √
Breathing problems √
Examination of head and neck and
extremities
normal abnormalFacial swelling or asymmetry √
TMJ √
Eyes √
Nose √
Lymph nodes √
Fingers and nails √
bilateral submandibular lymph node , palpable and tender
Swelling in lower right side
Intra oral examinatio
n
normal abnormalLips √
Labial & buccal mucosa √
gingiva √
tongue √
palate √
NO abnormality mentioned
Assessment of oral hygiene ( plaque index - Silness and Loe index(
Tooth Surface score
55 Labial 3
72 Lingual 2
75 Lingual 2
Plaque index score : ) 3+ 2+2 ( I 3= 2.33
poor
Extra oral examination :
normal abnormalgait √
Hair √
Weight √
Stature √
Hands & finger nails √
NO abnormality mentioned
Frontal facial profile (( Asymmetrical
((
Right
Lateral facial profile
( straight
(
occlusion
no midline deviation unrecordable Over jet unrecordable Overbite
Behavioral assessment
cooperative ..according to Frankl’s
scale and Wright’s modifications
Rating 3 >>> (+ve)
Left
Left
right
right
occlusionocclusion
Class I
Class I
Flush terminal
Flush terminal
Dental examinationMultiple surfaces caries
Class V
Badly decayed
Class I caries with DAA Multiple
surfaces caries
Class I caries Multiple surfaces caries
Class III caries
Dental examinationDental Charting
47 46 45 44 43 42 41 31 32 33 34 35 36 37
55
54 53 52 51
61
62 63 64
65
85
84 83 82 81
71
72 73 74
75
17 16 15 14 13 12 11 21 22 23 24 25 26 27
class I
class I with DAA
Multiple surfaces
caries
Multiple surfaces caries
Badly Decayed with DAA
InvestigationBite wing x-ray
Investigation
Study cast
Diagnosis
Salma Abd Alsalam Mohamed 5years old girl is suffering from ( sever early childhood caries and multiple extracted teeth ) .
Problem List
Poor oral hygiene(2.33)
1st Visit:
1) Medical and dental history.2) Extra oral and Intra oral Examination.3) Preoperative Radiographs ,Photographs
and study cast.4) Bite wing x ray .5) Diagnosis .6) Oral hygiene instruction. 7) Topical fluoride .
2)Restorative Phase
Composite restoration Composite
restoration
Composite restoration
SSC ON deep caries
NANCE SM with anterior
teeth
Pulpectomy & SSC
Pulpectomy & SSC
composite restoration ( slot mesially and distally
AND CLASS v (
3)Maintenance Phase
Recall after one week to check the appliances .
Periodic follow up every 2weeks for Reinforcement of OHI.
Topical fluoride application every 3 months Follow up of restorations .Detection & restoration of any carious lesions.Band and loop SM post pounded until check the
integrity of pulpectomy and SSC >> BECAUSE #75 ,#85 was very mobile due to infection .
Anticipatory guidance
Nance space maintainer was inserted to maintain space for eruption of incisors ,canine and premolar.
Check integrity of all restorations.Insert band and loop SM .Check any new lesions or any defect in restoration.Check space maintainer appliances.Check occlusion development.
SM will be removed after eruption of permanent first molars, canine and premolars.
Detect any abnormal sequence of eruption of all the permanent dentition..
تعليمات للمحافظة على صحة اسنان الطفل
غسل النسنان كلها مع حافظ المسافة بالفرشة جيدا (1وعدم ترك فضل ت الكل على النسنان
بالنسبة لحافظ المسافة نسيستمر وجوده في الفم إلى ان (2تظهر الضواحك والينياب والنسنان المامية وتاخذ
مكاينها الصحيح وبعد ذلك نسيتم إزالته ..نسوف تكون هناك زيارة دورية كل انسبوع للتأكد من (3
غسل النسنان, وكل ةثلةثة اشهر لتفقد المادة اللقصقة لحافظ المسافا ت و وكذلك للتأكد من تواجد السادا ت اللقصقة على النسنان ووضعها عالنسنان التى ظهر ت
مؤخرا اشهر .3وضع طبقة فلوريد على النسنان وتكرراها كل (4
Before Afte
r
After
Before after 2 weeks
During follow up
Before Before after 2 weeks
During follow up
BeforeDuring follow
up
Before after 2 week
During follow
up
Post op x ray