2. Case 1 : Kailash gupta
Patient age 57, male presented with a complaint of restricted mouth opening.
He had a habit of tobacco chewing, since 20 years, which he had stopped 2 years ago.
No other relevant medical history.
On o/e mouth opening was restricted to 35mm (approx.) with palpable fibrous bands wrt both posterior
buccal mucosae, near the regions of 8’s. Generalised attrition and erosions present, with sharp cusps wrt
lower 37 and 47, upper 28 and 17 with traumatic ulcers wrt both areas on the buccal mucosa
3.
4. Diagnosis: Grade 1 OSMF with traumatic ulcer secondary to sharp cusps of 37, 27, 17, 47
Treatment plan: increase mouth opening by teaching the patient ice cream stick exercise, application of
triamcinolone acetate ointment on the palpable bands,
Coronoplast of 17, 27, 37, 47 for treatment of traumatic ulcers.
Treatment done:
1) Coronoplasty of 17, 27, 37, 47
Rx:
1) Caziq ointment QD
2) Lycopene capsules BD
3) Vitamin A capsules OD
4) Dologel for traumatic ulcers SOS
On Follow up of 2 weeks
Mouth opening improved by 5mm, 2 finger width (40mm), no traumatic ulcers seen. Patient to be kept on
follow up.
6. Patient name – Bhurika Chauhan
Age- 33 years/ F
C/c- patient complains of sensitivity wrt lower back left tooth region since 2 weeks
No other relevant medical or oral habit history present.
On O/e :
Buccal pit present wrt 36, 37, 38, 16, 46, 47, Caries class 1 wrt 36
7. Treatment plan :
Class 1 restoration of buccal pit wrt 36,37, 38, 26, 46, 47
Class 1 restoration wrt 36
Treatment done :
1) Buccal pit restoration done wrt 36, 37, 38
2) Class 1 restoration wrt 36
On follow up visit patient complained of intermittent but severe pain on having food or liquids. On r/e no
significant changes were seen. Top was not positive wrt any teeth, no pain on biting on a cotton roll. Cold test was
positive for 38. Patient was advised extraction of 38 and restoration wrt 26, 46, and 47, to rule out other plausible
cause , however patient did not get the restoration done.
10. Patient Jaswinder Kaur
Age- 56/ female
c/c - Patient c/o Pain wrt lower right back tooth region. No other relevant medical or
oral habit history. Patient also complains of having an empty feeling wrt lower left back
tooth
On o/e : Crown wrt 46, TOP is positive, Class 2 caries wrt 36, missing 37
Radiographic examination: Incomplete Rct wrt 46
Treatment plan: Rerct wrt 46, restoration wrt 36
Treatment done: Re rct wrt 46 and class 2 restoration
After 2 months, patient reported to have pain on biting hard foods wrt 36
On o/e, top is present wrt 36,r/e shows no significant changes.
Suspected crack due to improperly done restoration wrt 36 secondary to poor cavity
cutting wrt 36
Patient kept on follow up for 3 days
13. Patient name: Cherry Malhi
Age: 35/ F
C/C: Patient complains of stains wrt all teeth and wants cleaning wrt the same.
No relevant medical history. Patient has a history of use of AMFLOR mouthwas and tooth paste
since 2 years, which was stopped 1 month ago.
On O/e Stains ++ present wrt all teeth
Root stump wrt 36,
Advised supragingival scaling
On scaling, patient complained of sudden pain wrt upper right back tooth. On o/e A defect
approx. 2mm in diameter was discovered on retraction of gingiva wrt 17 on the buccal surface.
Adv endodontic consultation regarding the same.
Suspected Cervical root resorption wrt 17. adv, rct wrt 17
16. Patient name: Disha Sahni
Age/sex; 29/F
Patient Complains of deposits on teeth and wants a general check up
No relevant medical history present
On o/e :
Calculus ++ and stains + present
Class 1 caries present wrt 36 to be checked for involvement of pulp
On R/E – Caries involving dentin and enamel seen wrt 36
A tooth like structure present below the roots/ superimposing the roots of 36 and 37. the
structure is seems to be surrounded by a cystic linig. Advised OPG and CBCT for further
information. On palpation a slight tenderness present on palpation wrt buccal vestibule of 36
and 37
Suspected ODONTOM
