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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.

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comprehensive case presentation

Comprehensive case presentation

Wejdan AL- Marzooq

42920166

L 9 G 2

in the patients own words i heat how my upper front tooth looks like

Chief complaint

In the patients own words:

(I heat how my upper front tooth looks like)

she is medically fit and she is not under any medications

Medical history:

She is medically fit and she is not under any medications.

there is no significant family medical history mentioned

Family medical history:

There is no significant family medical history mentioned.

slide7

Past dental history

.

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 .

slide9

Habits and oral hygiene activity

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 .

slide12

Intra oral examination

1-Floor of the mouth:

No abnormality detected.

2-oral mucosa:

No abnormality detected.

slide13

Intra oral examination

3- tongue:

No abnormality detected.

4- palate :

No abnormality detected

slide22

Bitewings

Right side

Leftside

slide23

Periapicals

Upper Anterior

slide27

II-Mounted cast (frontal view)

Upper midline:

Normal.

Lower midline:

Normal.

Overbite:

3mm

2mm.:Overjet

slide28

Mounted cast (right side)

Right molar relationship:

Not applicable.

Right canine relationship:

Not applicable.

slide29

Mounted cast ( left side)

Left molar relationship:

Not applicable.

Left canine relationship:

Not pplicable.

slide31

Laboratory investigation:

Saliva viscosity:

Watery.

Saliva Buffer capacity:

High

slide32

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

Lactobacilli

Mutans streptococci

slide34

Oral hygiene:

Gingival examination ( Gingival index )

BY SILLNESS & LOE 1967

2

2

2

1

1

2

2

2

2

2

2

2

1

2

2

2

2

1

2

1

2

2

1

2

Total : 1.70

Moderate inflammation , redness, edema, glazing & bleeding on probing .

slide35

Oral hygiene

Oral hygiene (plaque index)

BY SILLNESS & LOE 1967

2

2

2

2

2

2

2

2

2

2

2

2

1

1

2

2

1

2

1

2

2

2

1

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

slide36

PSR (periodontal screening and recording)

2

Code1: Pocket depth <3.5 mm bleeding on probing .

Code2: Pocket depth <3.5 mm bleeding on probing and calculus .

slide37

Calculus index

BY Procter & Gamble 1987

locklized slight calculus accumulation.

slide41

Diagnosis and prognosis

Plaque

Calculus

Contributing factors :

Defective FPD :

Multiple extracted teeth #

Multiple defective restorations .

Periodontal diagnosis : generalized moderate plaque induced gingivitis

Overall prognosis: good.

slide43

Charting (Maxilla):

Caries

Restoration

Missing

Substandard RCT

slide44

Charting ( mandible )

Restoration

Caries

Missing

slide45

Findings and diagnosis

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 .

slide49

Phase 1(preventive phase)

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.

slide50

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.

slide69

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.

slide70

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.