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Case presentation

Case presentation. Semmelweis University Faculty of Dentistry Department of Conservative Dentistry Head: Dr. Zsuzsanna Tóth associate professor Student : Teacher : Patient : Treatment’s start and finish : . The reason of dental investigation’s need. Medical history.

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Case presentation

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  1. Casepresentation SemmelweisUniversity Faculty of Dentistry Department of ConservativeDentistry Head: Dr. Zsuzsanna Tóth associate professor Student: Teacher: Patient: Treatment’s start and finish:

  2. The reason of dentalinvestigation’sneed

  3. Medicalhistory • Age, gender and occupation of thepatient • Factorsaffectingthedentalteratment • Addiction

  4. Dentalhistory

  5. Inspection of thehead-, neckregion,intraoralinvestigation • Investigation of TMJ • Stomato-oncological monitoring • Dental status, DMF-index • Parodontal status (PSR index)

  6. Op (start) photofromupper and lowerarch start photo and periapicalX-rayfromthetoothwithcomplain

  7. Investigation of thetoothwithcomplain • Inspection • Palpation • Percussion(Reference!) • Sensitivity(Reference!) • Otherfindings • Diagnosis

  8. Treatmentplanning • Treatmentplan: - tooth - fulldentition - oralcavity • Evaluationregardingtherehabilitation of thefulloralcavity : condition and future of theperiodontium, adjacent and antagonisticteethconsideringthealternatives of prostheticsolutions

  9. photofromupper and lowerarch • Opened and closedsituation (intercuspidation) • Anglediagnosticclassification • Incase of missingtooth: Fábián and Fejérdyclassification

  10. Dokumantation of thefulltreatment • Start foto, periapicalX-ray • Endodontictreatment: • Photo fromaccesscavitywithrubberdam • Photo withapexlocator, X-rayforworkinglength • Controlradiograph • Photosfromfillingprocedure: • Aftercavitypreparation • Rubberdam, matrix, wedgein situ • Finished, polishedrestoration • Photosfrominlayprocedure: • Aftercavitypreparation • Impressions, models • Temporization • Readyrestorationinthemodel • Rubberdam, matrix, wedgein situ • Finished, polishedrestorationfromocclusalview and inintercuspidation • X-ray

  11. Photo work-help • Photo afterscaling and oralhygieneteratment • Photo takingfromsalivaless/driedsurfaces • More picturesfromthesamesituation, becauseonlysharpphoto is acceptable • Investigated/treatedtoothshould be inthemiddle of thephotoregardingthequadrant

  12. Photo dokumentation 1.picture: Fullface • Fullface • Frontaldirection • Camera horizontal • Chinatthebottom of thepicture • Loosemuscles, artlesssmile • Noseinthemiddle • Midline of theface and interpupillar line is usedfor camera position • Photo should be takenintheface of thepatientwithoutalteringthedirectionofocclusallevel

  13. Photo dokumentation 2. picture: Smile • Smilewithlipsinartlessposition • Lips, gingiva and teeth • Frontaldirection • Loosemuscles, artlesssmile • Horizontalmidline is theupperincisallevel • Philtrumintheverticalmidline

  14. Photo dokumentation 3. picture : Upper-lowerteeth • Incisal part and occlusalplane is visible • Gingiva is maximalvisiblebyusingretractor • Frontalpicturebyretractedlips • Slightlyopenedarches • Frontaldirection • Midline of theface is theverticalmidline • Occlusallevel of theupperteeth is thehorizontalmidline • Focusonincisors • Tongueset back

  15. Photo dokumentation 4. picture : Intercuspidation • Frontalpicturewithretractedlips • Intercuspidation • Gingiva is fullyvisible • Frontaldirection • Midline of theface is theverticalmidline • Occlusallevel of theupperteeth is thehorizontalmidline • Focusonincisors

  16. Photo dokumentation 5. picture : Upperarch • Upperocclusalview • Mirror and retractor • Buccalsurface of theincisors is visible • Front teethand alsothesecondmolarsarevisible • Incisaledge, buccal and palatalsurface of centralincisorcan be seenaswell • Byupperarchphotowithoutthenose • Sensor-mirror-arch: 45 °

  17. Photo dokumentation 6. picture: Lowerarch • Lowerocclusalview • Buccalsurface of thecentralincisors is visible • Sensor-mirror-arch: 45 ° • Buccalsurface of centralincisor and alsothesecondmolarsarevisible • Tongue is abovethemirror • Focusonbicuspids

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