CASE PRESENTATION Operative

SCOPE OF OPERATIVE DENTISTRY:1. Diagnosis & clinical assessment of the patient.

2. Treatment plan.

3. Operative procedures (cavity preparation) (tooth preparation).

4. Restorative phase (construction of the restoration & application of cavity liners/bases).

5. Regular follow up & maintenance of existing restorations & the general health of the dentition.

- Preventive treatment should be done & home care encouraged.

PATIENT EVALUATION:

• A 45 years old female patient came to the clinic with pain on the upper left area.

• Upon examination, we found caries on the proximal and occlusal surfaces of the upper left first molar (6).

• She’s medically free.

• She’s a bad oral hygiene.

• She’s a high caries index.

PRE-OPERATIVE IMAGE:

TREATMENT PLAN:

Stage 1: Cleaning and Oral Health Education.

Stage 2: Stabilization and Referral Stage.

Stage 3: Restorative Work.

Stage 4: Post-Operative information & Recall.

The best treatment plan for a dental patient is one that is directed to enhancing oral health, the prevention of disease and freedom from pain and discomfort. It should also fit the dental patient's needs and prove to be cost-effective. It should not be confused with an idealistic treatment plan which uses the most clinically advanced and expensive procedures.

CLASS II CAVITY PREPARATION“UNIFORM CURVE “:1. Outline form.

2. Resistance and retention forms.

3. Convenience form.

4. Removal of the remaining carious dentin.

5. Finishing of the cavity walls and margins.

6. Toilet of the cavity.

INTRA-OPERATIVE IMAGE“CAVITY PREPARATION”:

INTRA-OPERATIVE IMAGE“TOOTH PREPARATION AND ISOLATION”:

CONSTRUCTION OF THE RESTORATION:Amalgam was the restorative material of choice due to:

1- Extensive cavity preparation.

2- Bad oral hygiene of the patient.

3- It has a high compressive strength which is highly recommended.

4- Superior adaptation to cavity walls.

5- Low cost.

POST-OPERATIVE IMAGE: