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Comprehensive case presentation

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

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  1. Comprehensive case presentation Wejdan AL- Marzooq 42920166 L 9 G 2

  2. Personal data

  3. Chief complaint In the patients own words: (I heat how my upper front tooth looks like)

  4. History of Chief complaint

  5. Medical history: She is medically fit and she is not under any medications.

  6. Family medical history: There is no significant family medical history mentioned.

  7. 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 .

  8. 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 .

  9. Clinical examination

  10. Extra Oral Examination

  11. Intra oral examination 1-Floor of the mouth: No abnormality detected. 2-oral mucosa: No abnormality detected.

  12. Intra oral examination 3- tongue: No abnormality detected. 4- palate : No abnormality detected

  13. Pretreatment photographs:

  14. Frontal view

  15. Maxillary occlusal view

  16. Mandibular occlusal view

  17. Right lateral view:

  18. Left lateral view

  19. Diagnostic tools

  20. I-Radiographs: OPG

  21. Bitewings Right side Leftside

  22. Periapicals Upper Anterior

  23. Lower Anterior

  24. Right upper and lower posteior

  25. Left upper and lower posterior

  26. II-Mounted cast (frontal view) Upper midline: Normal. Lower midline: Normal. Overbite: 3mm 2mm.:Overjet

  27. Mounted cast (right side) Right molar relationship: Not applicable. Right canine relationship: Not applicable.

  28. Mounted cast ( left side) Left molar relationship: Not applicable. Left canine relationship: Not pplicable.

  29. Mounted cast (upper and lower) Lower U sha .

  30. Laboratory investigation: Saliva viscosity: Watery. Saliva Buffer capacity: High

  31. 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

  32. FINDINGS AND DIAGNOSIS

  33. 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 .

  34. 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

  35. 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 .

  36. Calculus index BY Procter & Gamble 1987 locklized slight calculus accumulation.

  37. Periodontal charting

  38. Maxillary arch

  39. Mandibular arch 323

  40. 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.

  41. DENTAL CHARTING

  42. Charting (Maxilla): Caries Restoration Missing Substandard RCT

  43. Charting ( mandible ) Restoration Caries Missing

  44. 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 .

  45. Treatment plan

  46. Phase 1

  47. 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.

  48. 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.

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