Dr.dhafer case presentation copy

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Dr.dhafer case presentation copy

  1. 1. Comprehensive Care Case Prepared & Presented by: Dhafer Abdullah Alyami Supervised by: Dr . Mohammed Awadhallh Alsaleh 1
  2. 2. PERSONAL DATA Age Sex: :22 years old Male Nationality  : Saudi Occupation : Student Marital & Social Status : Single Patient attitude : Fairly cooperative 2
  3. 3. Chief Complaint  Patient Said :“My front tooth was fractured, I want to fix it.” History of Chief Complaint Patient had trauma since six months ago. 3
  4. 4. MEDICAL HISTORY  Significant medical problems : Asthma  Medication :ventolin  History of allergic reaction : None Past MEDICAL HISTORY  No significant medical problems but the patient had asthma attack about 2 years ago. FAMILY MEDICAL HISTORY  No significant medical problems. 4
  5. 5. Past Dental History:  Root Canal Treatment # 11 , 21 since 2 years ago. 5
  6. 6. Habits and Oral Hygiene Activity • Tooth brushing None • Flossing None • Mouth wash None • Meswak Sometimes 6
  7. 7. Diet Analysis 1- Patient is taking 3-main meals during the day. 2- Medium sugar consumption. 3- Minimum vegetable & fruit intake. 7
  8. 8. Clinical Examination Extra-oral Examination • Skin NAD • Head NAD • Neck NAD • Lips NAD • Muscles NAD TMJ : •Clicking NAD •Pain NAD •Limitation on opening NAD •Deviation on opening 8 NAD
  9. 9. Intra-oral Examination Soft tissues : •Lips NAD •Labial Mucosa NAD •Buccal Mucosa NAD •Hard/soft Palate NAD •Vestibule NAD •Tongue NAD •Floor of the mouth NAD •Gingiva reddness •Saliva NAD Hard tissues : • Teeth Plaque,calculus & caries 9
  10. 10. Extra-oral photo Frontal View 10
  11. 11. Lateral View 11
  12. 12. PRE-TREATMENT PHOTOGRAPHS Frontal View 12
  13. 13. Upper arch 13
  14. 14. Lower arch 14
  15. 15. Right Side 15
  16. 16. Left Side 16
  17. 17. Periodontal examination 17
  18. 18. Periodontal examination Periodontal scoring 2 2 2 2 2 2 Probing depths: Generalized ( 2-3) mm Mobility: NO significant tooth mobility Furcation: NO furcation involvement 18
  19. 19. Charting II. Intra – Oral Examination Charting (Maxillary) 1 2 3 2 2 3 3 3 3 3 2 2 2 2 2 2 RCT 19
  20. 20. Cont’ II. Intra – Oral Examination Charting (Mandibular) Mobility : 0 Recession : 0 P.D. Initial Existing Rest.: 0 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
  21. 21. Diagnosis Periodontium: Generalized chronic Marginal Gingivitis 21
  22. 22. OPG 22
  23. 23. Mounted Diagnostic Cast 23
  24. 24. FMX 24
  25. 25. PA Posterior Teeth 25
  26. 26. PA Anterior Teeth 26
  27. 27. Bite wing Pre-operative 27
  28. 28. Occlusal radiograph Upper Lower 28
  29. 29. Operational Diagnosis And Treatment Plan 29
  30. 30. Treatment Phases Phase I : Phase II : Phase III : Phase IV : Emergency/ Preventive / surgical Treatment. Operative & Endodontic Treatment. Prosthodontic Treatment. Recall & Maintaince. 30
  31. 31. Treatment Objectives To eliminate pathology. To restore function. To improve esthetics. To motivate the patient to improve his oral hygiene . To educate the patient & enforce knowledge about oral & dental awareness. 31
  32. 32. Risk Factors  Substandard dental care.  Poor oral hygiene.  Habits. 32
  33. 33. Treatment Plan Tooth no. Condition Recommendation 16 Occlusal caries Composite restoration 11 Substandard RCT Retreatment RCT & composite resto. 21 Substandard RCT & fractured crown Retreatment RCT & fiber post & composite build-up & crown 26 Occlusal caries Composite restoration 27 Occlusal caries Composite restoration 36 Occlusal caries Composite restoration 46 Occlusal caries Composite restoration 47 Occlusal caries Composite restoration 33
  34. 34. Upper arch Condition: #16 -occlusal caries Condition: #26,27 -occlusal caries 34
  35. 35. Lower arch Condition: #36 -occlusal caries Condition: #46,47 -occlusal caries 35
  36. 36. Upper arch Recommendation: #16,27,26 -composite restoration 36
  37. 37. Lower arch Recommendation: 36,46,47 -Composite restoration 37
  38. 38. Endodontic Phase Condition: #11,21 -Substandard RCT - Fractured crown #21 Recommendation: Retreatment endodontic 38
  39. 39. Prosthodontic Phase Recommendation: #11,21 - # 11 Composite restoration - #21 (Fractured crown) - Post space preparation & cementation of FP - Biuld-up composite restoration Preparation for full crown. Temporary crown. Final crown cementation (IPS e.max) 39
  40. 40. IPS e.max® System • It is the ultimate in metal-free esthetics and durability offering highstrength materials for both the PRESS and the CAD/CAM technique. • It is a lithium disilicate glass ceramic that has optimized translucency, durability and strength for full anatomical restorations. • IPS e.max lithium disilicate restorations exhibit superior durability featuring 360-400 MPa of flexural strength. • The opalescence, translucency and light diffusion properties of IPS e.max lithium disilicate were all designed to replicate natural tooth structure for beauty and undetectable restorations 40
  41. 41. CEMENTATION The high strength of IPS e.max lithium disilicate offers dentists a choice to adhesively bond or conventionally cement their restorations. Self-Adhesive Resin Cements Adhesive Resin Cements High-strength restorations only Lithium disilicate (e.g. IPS e.max) All types of restorations Including Feldspathic and Leucite Metal & Metal-Ceramic Oxide Ceramic (Zirconia, Alumina) Adequate retention in prep design Less than 8 degree taper Any preparation design Retentive and non-retentive Minimum 4mm height Adequate thickness of restoration Greater than 1.0mm for anterior Any thickness Including “thin” veneer restorations Greater than 1.5 mm for posterior Copyright © 2013 • Ivoclar Vivadent • All Rights Reserved • Terms & Conditions • Contact Us Are you a patient? Visit SmileToTheMax.com to learn more about IPS e.max 41
  42. 42. Before & After Treatment 42
  43. 43. Frontal View BEFORE AFTER 43
  44. 44. Right Side BEFORE AFTER 44
  45. 45. Left Side BEFORE AFTER 45
  46. 46. Upper Arch BEFORE AFTER 46
  47. 47. Lower Arch BEFORE AFTER 47
  48. 48. Bite wing Post operative 48
  49. 49. OPG 49
  50. 50. Prognosis Overall: • Good if the patient maintain good OH & attend to the recall & maintenance visit. 50
  51. 51. Thank you 51

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