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CCC Case presentation

medical
by

Adel Radwan

on 27 April 2013

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Transcript of CCC Case presentation

CCC Case Presentation Personal Information Examination Treatment Plan - Male
- 35 years old
- saudi
- Married ExtraOral Phase I Thank you
Adel Radwan

My Name will be in my next presentation
DR.Adel Radwan ADEL RADWAN Chief Complaint Medical History Dental History Family History IntraOral Soft Tissue Periodontium Dentition -Color : Pale pink with generalized mild red margins
-Shape : Rolled margins and Bulbus IDP
-Consistency : edemetous at the margins
-Texture : stippling
-Suppuration : generalized pus
-BOP
-Heavy Sub and supragingival Calculus Periodontal Charting Radiographic Findings Diagnosis Phase II Phase III He wants to clean and restore his teeth - The patient is controlled diabetic ( type 2 )
- Random suger level
= 190 mg/ld
- The last (HBA1C) test was 4 months ago = 7.8% ( normal 6.5%) Multiple restorations and RCTs and multiple extractions 3 times daily Twise daily Most of his relatives from his mothers side including his mother and his sister are all DIABETIC Insignificant Periodontal Picture Normal Occlusion -Bleeding index : 75%
-Plaque index : 96%
-Cal 5mm or more = 30%
-Furcation involvement ; 37-46
-Diagnosis : generalized Sever chronic periodontitis Quadrant 1 #18 & #17: missing
#16 : O caries
#15 : OD caries Quadrant 2 Quadrant 3 #38 : missing
#37 & #36 & #35 :
defective restorations
with periapical
radiolucencies #28 & #25 : missing
#27 MOD caries and defective restorations
#26 occlusal caries Quadrant 4 #48 & 46 : defective restorations and periapical radiolucencies
#47 & 45 : missing Habits -Brushing ; twice a week
-Flossing : never Attitude -Philosophical patient
( house classification) -Medical Consultation
-scaling and root planing
-OHI
-caries excavation and caries control restoration application for:
#15 #16 #26 #27 #36 #35 Re-evaluation of Phase I -Periodontal charting
-OHI
-After 4 weeks if plaque index was 30% or more then we will remake the scaling and root planing -Extraction of #48
-Retreatment of previously RCT teeth ; #37 #35 #46
-nonsergical root canal treatment for #15 & #36 -Class I composite restoration for : #16 #26 (PRR for 26)
-Class II composite restoration for : #27
-Crown restoration for : #37 #36 #35 #46 #15 Phase IV -maintenance and recall every 3-6 months for evaluation DMFT=17
Salivary flow rate : 1.8 ml/min
LB test : low
MS test : high Treatment Phase I Phase II Phase III -Retreatment of
#35 #36 #37 #46
_RCT of #15 #27
-Extraction of #48 -Regarding Medical consultation
-Reevaluation
-LB and MS test was low Modification of treatment plane
in phase II
Full transcript