1. This document presents a case study of a 58-year-old male patient who came to the dental department complaining of difficulty chewing for the past 4 months and wanting to replace his missing teeth.
2. On examination, the patient was found to have moderate gingivitis, established destructive periodontal disease, and class 1 and 2 gingival recession. Laboratory tests were normal.
3. The provisional and final diagnoses were chronic generalized periodontitis. The treatment plan involved three phases of nonsurgical periodontal treatment followed by a surgical phase and long-term maintenance.
2. CASE PRESENTATION:
Implant prosthesis irw 12-
22
Guided By:
Dr Surabhi Joshi
Dr. Santosh Kumar
Prof. & H.O.D.
Dr Shreya gajjar
Presented By:
Dr. Rutu Dabhi
M.D.S. Part III
4. CHIEF COMPLAINT:
Patient has a chief complains of difficulty in chewing since last 4
months.
HISTORY OF PRESENT ILLNESS:
Pt. came to the department of peridontics with the complain
of difficulty in chewing and wants to replace his missing
teeth.
5. • Prosthesis irw 15,16
PAST DENTAL
HISTORY:
• No relevant medical history.
MEDICAL HISTORY
• No significant family history
FAMILY HISTORY
• Vaccinated with 1st and 2nd dose
COVID HISTORY
6. PERSONAL HISTORY:
DIET:
Pt. consumes Vegetarian diet
ORAL HABITS: Pt. brushes teeth with soft
toothbrush and non medicated toothpaste in a
horizontal fashion once in a day and tongue
cleaning regularly.
7.
8. ON EXAMINATION:
EXTRA ORAL:
•Facial symmetry:
Bilaterally symmetrical
•Lymph nodes :Non
tender and non palpable
•TMJ : on inspection
normal mouth opening,
no abnormal jaw
movements or deviation
seen
•On palpation no
tenderness or clicking or
crepitus felt
INTRA ORAL
•Lips- Competent, No
abnormality detected
•No abnormality detected
•Mucosa- No abnormality
detected
•Palate- No abnormality
detected
•Floor of mouth- No
abnormality detected
•Tongue-
• Tonsils- No abnormality
detected
•Any other- No
abnormality detected
10. Gingival Recession :
Class 1 gingival recession irw,13,23
Class ii gingival recession irw 31,41
Frenal attachment: Maxillary:
mucosal
Mandibular: Mucosal
Width of attached gingiva:
Maxillary: adequate
Mandibular: adequate
Vestibular depth :
Maxillary: Adequate
Mandibular : Adequate
MUCOGINGIVAL STATUS:
11. HARD TISSUE EXAMINATION:
Number of teeth present : 27
Number of teeth missing: -05
Restored tooth: -2
Type of occlusion: Angle’s Class I malocclusion