operative : case presentation class II on a patient with bad oral hygiene ... and amalgam restoration.

1. CASE PRESENTATION Operative

2. 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.

3. 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.

4. PRE-OPERATIVE IMAGE:

5. 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.

6. 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.

7. INTRA-OPERATIVE IMAGE
“CAVITY PREPARATION”:

8. INTRA-OPERATIVE IMAGE
“TOOTH PREPARATION AND
ISOLATION”:

9. 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.

10. POST-OPERATIVE IMAGE: