comprehensive case presentation sultan alshammery
Post on 13-Jun-2015
4.916 Views
Preview:
TRANSCRIPT
LOGO RIYADH COLLEGE OF DENTISTRY AND PHARMACY
Comprehensive Case Comprehensive Case PresentationPresentation
Prepared By:Prepared By:p yp y
Sultan Sultan RkeebRkeeb alal--ShammeryShammery
LevelLevel
12
1
Age : 25
Gender : Male
Nationality : Yamani
Occupation : receptionist
Marital & Social Status : Single
2
In theتصبغات في •i ’ ي ب
األسنان األمامية
patient’s own
d :wordsاألمامية
•History of Chief Complaint
Long time agog g3
Medical HistoryMedical History
••Within NormalWithin Normal
••Within NormalWithin Normal
Family Medical HistoryFamily Medical History
••Within NormalWithin Normal
Past Dental HistoryPast Dental History
•Just for check up
Past Dental HistoryPast Dental History
p
4
No habits He use tooth brush twice abrush twice a day
5
6
II Extra Extra Oral ExaminationOral ExaminationII. Extra . Extra –– Oral ExaminationOral Examination
SwellingSwellingSwellingSwelling
SkinSkin NADSkinSkin
TMJTMJ
NAD
TMJTMJ
7
IIII Intra Intra Oral ExaminationOral ExaminationIIII. Intra . Intra –– Oral ExaminationOral Examination
NAD
8
IIIIII Oral HygieneOral HygieneIII . III . Oral HygieneOral Hygiene
28272625242322211112131415161718
Gingival Index ► 1 mild inflammation
111101
38373635343332314142434445464748
Plaque Index ► 1
28272625242322211112131415161718
Plaque Index ► 1
101101
38373635343332314142434445464748 38373635343332314142434445464748
9
PRE-TREATMENT PHOTOGRAPHS
10
Frontal viewFrontal view
11
Maxillary Occlusal viewMaxillary Occlusal view
12
Mandibular Occlusal viewMandibular Occlusal view
13
Right lateral viewRight lateral view
14
Left lateral viewLeft lateral view
15
16
Pa o amicPanoramic
17
Bitwing RadiographBitwing Radiograph
18
Diagnostic CastsDiagnostic Casts
19
20
1 2 3
li d Carious teeth Extractiongeneralized sever enamel fluorosis with stains
Carious teeth
16 17 18
Extraction
28 38stainsaffecting all of the permanent teeth
16 , 17 , 18 , 27, 37 , 47 , 48
28 , 38
teeth
21
CariesCaries
22
CariesCaries
23
Diagnosis Diagnosis Diagnosis Diagnosis
G li d ild i i itiG li d ild i i itiGeneralized mild gingivitisGeneralized mild gingivitisPeriodontium:
24
25
26
Ph I Perio treatment Phase I
Condition:Generalized mild gingivitisGeneralized mild gingivitis
Recommendation :Polishing Oral hygiene instructionsPolishing , Oral hygiene instructions
27
28
Op ti t tm ntPhase II Operative treatment Phase II
Condition:# # 18 18 O C ries O C ries # # 18 18 , O. Caries , O. Caries
Recommendation :Class I composite restoration
29
Condition:# # 17 17 O C ries O C ries # # 17 17 , O. Caries , O. Caries
Recommendation :Class I composite restoration
30
Condition:# # 16 16 Dist l P l t l C ries Dist l P l t l C ries # # 16 16 , Distal , Palatal Caries , Distal , Palatal Caries
Recommendation :P.R.R
31
Condition:# # 27 27 , O. Caries , O. Caries
Recommendation :Recommendation :Class I composite restoration
32
Condition:# # 37 37 , O. Caries , O. Caries
Recommendation :Recommendation :P.R.R
33
Condition:# # 4 4 # # 48 48 , O. Caries , O. Caries
Recommendation :Recommendation :Class I composite restoration
34
Condition:# # 4 4 # # 47 47 , O. Caries , O. Caries
Recommendation :Recommendation :P.R.R
35
36
Condition:# # 38 38 , impacted teeth, impacted teeth
Recommendation :Recommendation :Extraction
37
Phase III Surgical TreatmentPhase III Surgical Treatment
Condition:# # 28 28 , traumatize and No , traumatize and No opposing after extraction tooth # 38
Recommendation :Extraction
After discussing the Surgical After discussing the Surgical treatment plan with the patient , The patient said (No need to go surgery at this time , Because No g y ,any symptoms or pain in this time
38
39
U t i t thUpper anterior teeth
Condition:Sever dental fluorosis of TFI = 6-9 with yellow/brown TFI = 6 9 with yellow/brown discoloration, based on the 1978 dental flourosis classification scheme of Thylstrup and FejerskovThylstrup and Fejerskov
Recommendation optionsoptions :- Bleaching ??- Veneer
40
41
preparation ( 0.5 – 0.8 ) mm midfacially ( 0 3 – 0 5 )mm along midfacially , ( 0.3 – 0.5 )mm along
the gingival margin
42
Temporary composite restoration
43
p y p
After veneer cementation
44
45
L t i t thLower anterior teeth
Condition:Sever dental fluorosis of TFI = 6-9 with yellow/brown TFI = 6 9 with yellow/brown discoloration, based on the 1978 dental flourosis classification scheme of Thylstrup and FejerskovThylstrup and Fejerskov
Recommendation optionsoptions :- Bleaching or microabrasion( coast?? Pt need ?? )
- VeneerVeneer
46
MicroabrasionMicroabrasion
Conservative treatmentBleaching
Conservative treatment
Veneer
47
Mi b iMicroabrasion
( No any Effect )
48
Bleaching ( ZOOM2)Bleaching ( ZOOM2)49
Bleaching ( ZOOM2)eac g ( OO )
isolation
50
Bleaching ( ZOOM2)eac g ( OO )
Whitening Gel
51
Bleaching ( ZOOM2)eac g ( OO )
ZOOM light g( 45 – mint )
52
After Bleaching
53
After 1 month
54
VeneerVeneer
After 1 month , patient come back to evaluate the lower anterior shade color . The CC In the patient’s own words anterior shade color . The CC In the patient s own words لون األسنان ما عجبنيوارغب في عمل ترآيبات لألسنان السفلية
55
56
57
58
Temporary composite restoration
59
After veneer cementationReturn
POST-TREATMENT PHOTOGRAPHS
60
Frontal viewFrontal view
61
Maxillary Occlusal viewMaxillary Occlusal view
62
Mandibular Occlusal viewMandibular Occlusal view
63
Right lateral viewRight lateral view
64
Left lateral viewLeft lateral view
65
1 restore esthetic and function
T T
1
improve his OHITreatment Treatment ObjectivesObjectives2
control caries
jj
3
66
LOGO
67
office bleaching with 35% hydrogen peroxide does not significantly affect the color and luminosity of fluorotic teeth
Konsl 2007 , dental digest journal
Return
68
Return
tooth whitening Conservative treatment options such as gpseverely improve can dramatically and microabrasion
discoloured fluorosed teeth. This can provide a satisfactory interim outcome or minimize the removal ofsatisfactory interim outcome or minimize the removal of discoloured enamel and dentine prior to the provision of veneers
Manton DJ , 2007 Australian dental journal
return
69
A chronic endemic form of hypoplasia of the dental enamel caused by drinking water with a high e a e caused by d g ate t a gfluorine content during the time of tooth formation, and characterized by defective , ycalcification that gives a white chalky appearance to the enamel, which gradually pp , g yundergoes brown discoloration.
ReturnJablonski's Dictionary of Dentistry, 1992, p286
Return70
top related