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In the patient’s Guardian own words: “My daughter suffers from dental caries and since her last visit (which was more than one year back) she got traumatized and refused to be treated by any dentist”.
Patient’s guardian (her mother) stated that the patient is Medically Fit.
One extraction (about 2 years ago).One restoration (about 2 years ago).
File number : 28644. Age : 9 years, 6 months. Gender : Female. Occupation : Student (Elementary School level). Marital Status :.Single. Pt. Attitude : Very cooperative but was very apprehensive during her initial visits.
Tooth # Proposed treatmentPeriodontium OHI, Prophylaxis and Polishing# 16 Direct Pulp Capping or Endo? To be referred to pedo.# 54 Extraction# 24 Fissure Sealant or PRR# 65 Class II GIC Restoration or Pulpotomy-then referred to ortho.# 26 Class I Composite or Amalgam Restoration# 36 Class I Composite or Amalgam Restoration# 75 GIC or Pulpotomy-then referred to ortho.# 74 Extraction# 85 Repeat the GIC Restoration# 44 Fissure Sealant or PRR# 46 Class I Composite or Amalgam Restoration
Phase I : Emergency/ Preventive Treatment.Phase II : Operative Treatment.Phase III : Endodontic Treatment.Phase IV : Pre-Prosthodontic / Surgical Treatment.Phase V : Prosthodontic Treatment.Phase VI : Recall & Maintaince.
Tooth # Proposed treatmentPeriodontium OHI, Prophylaxis and Polishing# 16 Referred to a Pedodontist# 54 Extraction# 14 Fissure Sealant# 24 Fissure Sealant# 65 Class II GIC Restoration# 26 Class I Composite Restoration# 36 Direct Pulp Capping + Class I Amalgam Restoration# 75 GIC# 74 Extraction# 85 Repeated the GIC Restoration# 44 Fissure Sealant# 46 Class I Composite Restoration
After few weeks in the follow-up visit, a fissure sealant was placed on the erupting # 14 as shown in the photo.
Please note that no frontal nor lateral pre-operative photographs were taken for this pediatric patient inorder to avoid scaring her off by stressing her more than she already was, especially that she was already very tensed when she first visited the dental clinic and previously traumatized. The occlusal views were taken after great effort convincing her.