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Case Presentation

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by

Hatem Abo Ria

on 7 December 2014

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Transcript of Case Presentation

Case Presentation
Case
Presentation

34 Yrs old Female patient attending to our Fixed Prosthodontics Clinic complaining an Esthetic Problem regarding to her "
Unpleasant Smile"
due multiple missing of her Anterior Teeth due to an Accident.
Patient History

Name: Salma: Abd El Haliem

Date of Birth: 23 / 8 / 1980 Sex: Female

Address: Shubra-Cairo Tele: 01224147xxx

Occupation:Housewife

Social Status:Married
Medical History

-Chronic Conditions: Free

-Medications: Free

-Previous Operation: None

-Pregnancy & Lactation: None
Dental History


-Multiple Extractions in Upper Jaw & Only one in Lower

-Multiple Metallic Fillings.

-Endodontic Treatment in lower Anterior Teeth

Extra-Oral Examination
Profile & Facial Asymmetry Examination

Extra-Oral Examination
TMJ Examination
-No Clicking or Crepitus
Mouth Opening Examination
Extra-Oral Examination
Vertical Opening = 44 mm
Extra-Oral Examination
Mouth Opening Examination
9.5 mm
19 mm
Lateral Opening = 10.5 mm
Extra-Oral Examination
Lymph Node Examination
No Palpable Lymph Node
Extra-Oral Examination
Facial Scars & Injuries





-Facial Scar at Nasion Region
& below Nose

Extra-Oral Examination
Muscle of Mastications Examination
No Pain or Tenderness
Extra-Oral Examination
Lip & Smile Lines Examination
Lip Line
Smile Line
Intra-Oral Examination
Overview
Intra-Oral Examination
Right Side
Left Side
Intra-Oral Examination
Upper Jaw
Intra-Oral Examination
Lower Jaw
Intra-Oral Examination
Soft Tissue
1-Lips: Normal
2-Cheek & Floor of mouth: Normal
3Tongue & Palate: Normal
4-Gingiva:
-Color: Coral Pink
-Contour: Festooning
-Margins: Knife edge
-Bleeding on Probing: +ve
Intra-Oral Examination
Periodontal Examination
Intra-Oral Examination
Periodontal Examination
Intra-Oral Examination
Basic Periodontal Examination*
Intra-Oral Examination
Hard Tissue Examination
Intra-Oral Examination
Occlusal Examination
Intra-Oral Examination
Occlusal Examination
Right Side
Left Side
Intra-Oral & X-Ray Examination
Upper Posterior Examination
Right Side
Left Side
Intra-Oral Examination
Upper Anterior Examination
Intra-Oral & X-Ray Examination
Upper Right Anterior Examination
Intra-Oral & X-Ray Examination
Upper left Anterior Examination
Intra-Oral & X-Ray Examination
Lower Posterior Examination
L
R
Intra-Oral & X-Ray Examination
Lower Anterior Examination
Study Cast
Alginate Impression
Face Bow Record
For Mounting
Mounting
On Semi-Adjustable
Panoramic View

Esthetic Problem

Expectation:Low "Predict bad results"

Patient Motivation: Highly Motivated
Chief Complain & Patient Expectation
Treatment Plane
Phase I: Diagnosis

-Medical & Dental history
-Clinical Examination & Radiographic films
-Dx Casts & Dx photographs
-Dx Wax-up & Aesthetic evaluation

Phase II: Disease Control

-Periodontal Therapy
-Endodontic Therapy (RCT) to lower 2
-Upper & Lower Bone Graft & Ridge Augmentation
Phase III: Restorative


-Upper Arch
a- 3 Implants
b- Fixed-Fixed on 1 & 3
& Cantilever on 3
c- Fixed-Fixed on 1 & 3
& Fixed-Supported on 3 & 1

Phase III: Restorative


-Lower Arch
Prosthetic Options:
a- Mini-Implant with ridge Augmentation
b- Resin Bonded bridge on 1 & 3
c- Removable Partial Denture
d- Fixed-Fixed bridge on 1 & 3+ 1 & 3

-Fixed-Fixed on 1 & 3
-Cantilever on 3
Thanks
*British Society of Periodontology
Full transcript