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Group D Presentation Case
4
Presentation Case Of Group "D"
Academic Year 2018-2019
Mentor:
Dr.Maher Walid
Members:
- Saleh Mohammed Alsedrani "Leader"
- Abdulrahman Abdulaziz Alduhiman
- Mohammed Abdulaziz Almushity
- Abdulmajeed jazzaa alharbi
- Rayan Suliman Alyahya
- Saad Dhefallah almutairi
- Ahmad sulaiman alresaini
- Omar Fahad Aladel
- Asem Ibrahim Alkhodairi
- Asem abdulaziz alkhlifah
Patient's personal data
File No.:2615
Age:54
Gender: Male
Occupation: Construction worker
Status: Married
Nationality : Pakistani
Chief Complaint
“I want to restore my teeth ”
Medical History
Medically Fit
Medical History
Family History
No familial conditions .
Family History
Past dental history
Multiple extractions 20 years ago
Past dental history
Oral Hygiene
Doesn't brush nor floss
Oral Hygiene
Motivation and Habits
- Self-motivated and family.
- Smoker and bruxism
Motivation and Habits
Extra-Oral Examination
Extra -Oral Examination
Face: Symmetric
Skin: Normal
Ears: Normal
Nails: Normal
Lips: Normal
Cheek: Normal
Eyes: Normal
Lymph nodes: Normal
Nose: Normal
Intra-Oral Examination
Intra-Oral
Examination
Floor of the mouth: Normal
Hard palate: Normal
Soft palate: Normal
Tonsils: Normal
Buccal Mucosa: Normal
Mucobuccal Fold: Normal
Frenum: Normal
Tongue: Normal
Teeth alteration: Attrition
Abfraction
Periodontal Status
Generalized stage III Periodontitis
Pre-operative Intraoral Photographs
Frontal View
Frontal View
Right Buccal View
Right Buccal View
Left Buccal View
Left Buccal View
Maxillary
Occlusal View
Maxillary Occlusal View
Mandibular Occlusal View
Mandibular Occlusal View
Radiographic examination
Panorama
Panorama
Periapical
Periapical
#24
#11
#15 - #17
#48
Existing Records:
• Missing Teeth :
- #16, #36, #37, #46 and #47.
• Remaining Roots :
- #18, #21,#24 and #38.
Class V caries:
#13, #23
Class III caries:
#22
Class II caries:
#25,#26,#27
TREATMENT PLAN
Phase 1
Phase 1
• Full mouth Scaling & root planning and oral hygiene instructions.
• Surgery:
- extraction #15#17 #18 #21#24#35 #38#48
Phase 2
Phase 2:
- Endodontic treatment:
- Root canal treatment on #11
- Operative:
- class v #13 #23 class III #22
Phase 3
Phase 3:
Fixed:
• Post and core on #11 .
• 3 units PFM Bridge on [#11-#22] .
Removable:
• Removable partial denture:
-Kennedy class II modification 1 UPPER RPD.
-Kennedy class I LOWER RPD.
Phase 4
Phase 4:
• Recall and follow up
Operative Records and Procedures
Scaling and polishing (full mouth)
Scaling and polishing (full mouth):
[Phase 1]
Before After
Surgery
Surgery
[Phase 1]
- Extraction of teeth #15,17,18,21,24,35,38,48
#48
#21 #24
#35
#15 #17
#24:
Before After
Root canal treatment
&
Post and core
Root Canal Treatment
[Phase 2]
Root canal treatment on #11
Diagnosis: Necrotic pulp with asymptomatic apical peridontitis
Before
Working Length
Master Cone
Obturation
After
Post and core
[Phase 3]
- Post and core on #11
Operative
Operative
Class III
Class III on #22
[Phase 2]
Before
During
After
Class V
Class V on #13 and #23
[Phase 2]
#13:
Before
During
After
#23:
Before
During
After
Fixed
Fixed
[Phase 3]
- 3 units PFM Bridge on #11-22
Preparation
Impression
Metal Try-in
Delivery
Removable
Removable
[Phase 3]
- Upper and lower removable partial denture
Primary impression
Border molding on special tray.
jaw relation
Try-in
Post-operative :
Clinical Photograph
Frontal View
Frontal View
Right Buccal View
Right Buccal View
Left Buccal View
Left Buccal View
Maxillary
Occlusal View
Maxillary Occlusal View
Mandibular Occlusal View
Mandibular Occlusal View
Radiographic Image
Post-Panoramic view
Before After