Full mouth rehabilitation with basal implants at best mugalivakkam
Comprehensive treatment Full Mouth Rehabilitation case
Transcript of Comprehensive treatment Full Mouth Rehabilitation case
Comprehensive treatment –Full Mouth Rehabilitation case
By: Aisha Abdulla
Roll No: 1001
1
This work was achieved by the student: Aisha Abdullha under the supervision of dental teaching staff at Libyan International Medical University:
Dr: Rafik M AlKowafi Dr: Abdelmonem Abdelnabi. Dr:Ali Bosnina . Dr: Amal Alawamy . Dr:AbdelsalamElhdad Dr:Nuha Elkadik . Dr:Kadiga Elfallah.
2
Personal Data
Name : A.S.B.
Age : 49 years (30/05/1970).
Gender: Female.
Nationally : Egyptian.
Occupation : House wife.
Address : Alwhashy / Benghazi
Material & Society : Married.
3
Chief complaint & History of Chief complaint
Chief complaint :
“ I am not satisfied with my current smile” .
History of Chief complaint :
Bad smile due to poor restoration that carried out 5
years ago, also she note discolored upper anterior
tooth and the other is fractured and she dose not
remember the Couse, patient is not satisfied of her
smile in term of discolored restoration, color of teeth
and last is the fractured tooth.
4
Medical and Drug History:
Medical history : diabetic patient since 2 years on metformin 500mg/day and last reading for HBA1c =11( NON CONTROLLED CASE) , F.B.G.=227mg/dl
Drug history : METFORMIN
Allergic history :N.O.S
Family history : N.O.S
5
O.H.P. : brushing her tooth once /daily ,soft tooth brush
,no specific tooth paste .
Any other interdental cleaning aids: No
Attitude towards dentistry: Fair
Type of dental treatment:
o Previous restorative.
o Endodontic .
o Extractions without complication .
o Prosthodontics .
- Reasons for loss of teeth if any: caries
Dental history
6
Extra-oral examinations
Symmetrical face
Ovoid form
Competence lip , lower lip line .
No Swelling .
No scaring .
TMJ status : Normal with Average Mouth opening
Lymph nodes :Not palpable
7
Intraoral examination:
Soft Tissue :
Halitosis: Present.
Gingiva:
Gingival recession.
Gingival enlargement.
8
D.I=6/6 =1 C.I =2/6=0.3
OHI STATUS: 1.3 FAIR
26
11
16
_
2
_
2
2
_
36
31
46
26
11
16
_
0
_
1
1
0
36
31
46
9
Gingiva and periodontal Status
Pink.
Round gingival margin , blunt IDP.
Bleeding on probing .
Localized gingival recession .
Pocket depth 1-4.
CAL 0-3MM.
No exudate , No Mobility ,No swelling
Normal frenal attachment .
10
Diagnostic Cast Analysis .
11
DMFT :14 12
Frontal view
13
Lateral View
14
Radiographic Examination
15
Panoramic view show Maxillary & Mandibular Generalized Mild
periodontitis .
Endodontic treated upper Rt lateral , Upper Lt Canine & Lower Rt 2nd
Premolar .
Show Large Lesion related to Upper Rt Canine .
16
IOPA X-ray
17
Investigation
18
Final Diagnosis :
Generalized mild chronic periodontitis.
Multiple Caries . 7 8
7 43 1 2 3 4 5 6 7
Recurrent caries 7
Radicular Cyst related to Upper Rt Canine .
Endodontic treated with badly destructive Crown.5
Edentulous areas “Kennedy classification “
o Upper arch : Class III .
o Lower arch : Class II.
19
Phase I : O.H instruction & scaling
phase II: Surgery (cyst enculcation with curettage ) & apicectomy 3 .
Phase III : RCT 5 3 1
Retreatment 5 2 3
restoration : 7
Composite restoration 4 3 1 2 3 4 5 6 7
Amalgam restoration 7 8
Composite Veneer 2 3
Replacement :
Custom made poste & core + PFM Crown 5
Custom made poste & core + E-Max 5 2
Replacement by E-Max Crown 1 1 4
Replacement RPD .
Treatment plan
20
Patient Informed Consent :
21
Phase I therapy :
Patient motivation.
Oral hygiene instructions.
Scaling.
Diet Sheet .
Re-evaluation .
22
Diet sheet
23
Scaling
24
Before after
25
Re – evaluation
26
Phase III RCT : upper Right canine
27
Root Canal Treatment upper left central
28
Retreatment upper right lateral
29
30
Retreatment lower right 2nd premolar
31
32
Retreatment upper left canine
33
Root Canal treatment upper 1st premolar left
34
RCT : Upper right 2nd premolar .
35
Redo
36
Patient Informed Consent :
37
Surgical Procedure
38
39
40
Biopsy
41
42
Histopathology Report
43
Phase III : Filing restoration lower Lt posterior 1st molar & 2nd molar . Class I
44
lower Lt posterior 2nd premolar Class I
45
Upper Rt 2nd Molar Class II
46
Lower Rt 1st premolar Class II
47
Upper Lt 3rd Molar Amalgam Class II
48
Lower Rt 2nd Molar Class II
49
Lower Rt Canine Class VI
50
Lower Rt Canine & 2nd premolar Class V.
51
Lower Lt Canine Class V & IV
52
Lower Rt Central Class V
53
Composite Veneer
54
Custom Made Post , Core And E -Max crown .
55
Temporary Post and Crown
56
Post Placement and Cementation
57
Composite build up
58
Post and core
59
Final Impression
60
Try in
61
Insertion
62
Custom Made Post ,Core And PFM Crown .
63
64
Post Placement and Cementation
65
Tooth preparation and Final impression
66
Temporary Crown
67
Metal Try In
68
Insertion
69
Post Space Preparation & Placement
70
Composite build up
71
72
Post Placement and Cementation
73
Tooth preparation and Final impression
74
Insertion
75
Primary impression
76
Try in
77
Insertion
78
Primary impression
79
Try In
80
81
Before After
82
Before After
83
Before After
84
85