Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.TRAUMA CASE PRESENTATION

1. CASE PRESENTATION
TRAUMA
PRESENTED BY
Dr. D. GOPAL KRISHNA
2ND YEAR MDS - PG Student
DEPT. OF ORAL & MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCES
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2. PRELIMNARY DATA
 Patient name –
 Date –
 Age / sex –
 O.P.No. –
 Occupation –
 Religion –
 Marital status –
 Blood group –
 Date of birth –
 Socioeconomic status –
 Address –
 Contact no. –
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3. PATIENT CHIEF COMPLAINT
HISTORY OF PRESENT ILLNESS
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4. HISTORY
 Past Medical History –
 Past Dental History –
 Family History –
 Personal History –
 Drug History -
 Pre-natal History Birth History –
 Post Natal History –
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5. GENERAL PHYSICAL EXAMINATION
 Height – Weight –
 Gait – Built –
 Nourishment – Signs of Clubbing –
 Pulse – Resp. Rate –
 Blood Pressure- Temperature –
 Body Mass Index – P.I.C.K.L.E. -
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6. EXTRA ORAL EXAMINATION 6

7. PROFILE 7

8. INTRA ORAL EXAMINATION
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9. OCCLUSION 9

10. PROVISIONAL DIAGNOSIS
 MAXILLARY FRACTURE
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11. OPG
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12. PNS 12

13. INVESTIGATIONS- RADIOLOGICAL
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14. INVESTIGATIONS- RADIOLOGICAL
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15. INVESTIGATIONS- HEAMATOLOGICAL
 1. CBP
 2. GRBS
 3. VIRAL MARKERS
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16. FINAL DIAGNOSIS
 LE FORT I # OF MAXILLA
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17. TREATEMENT PLAN
 1. ORAL PROPHYLAXIS
 2. ORIF UNDER LA
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18. THANK YOU
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