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CASE_PRESENTATION_04.pptx
- 1. CASE PRESENTATION: CORTICOTOMY ASSISTEDRAPID MAXILLARY EXPANSION Guided By: Dr. Surabhi joshi Dr Tanvi Hirani Presented By: Dr. Rutu Dabhi M.D.S. Part II
- 2. PERSONAL HISTORY: • Name:Akshya warrior • Age: 18yrs. • Sex: Female • Occupation: Student • Address: Aakashdeep society, Near Chandkheda Bus stand Chandkheda • O.P.D. No: 14921
- 3. CHIEF COMPLAINT: • Patientcame with chief complaint of frequently biting her cheek. HISTORY OF PRESENT ILLNESS: • Pt. was relatively asymptomatic before 3 months. she frequently biting her cheek, she, so she came to the Karnavati school of dentistry for further treatment.
- 4. • No relevantdental history PAST DENTAL HISTORY: • No relevant medical history. MEDICAL HISTORY • No significant family history FAMILY HISTORY
- 5. PERSONAL HISTORY: DIET: Pt. consumesVegetarian 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.
- 6. 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 • Mucosa- No abnormality detected • Palate- No abnormality detected • Floor of mouth- No abnormality detected • Tongue- No abnormality detected • Tonsils- No abnormality detected • Any other- No abnormality detected
- 7. GINGIVAL STATUS EXAMINATION: • Colour •Consistency • Size • Contour & Form • Surface texture • Bleeding on probing • Exudate • Position
- 10. Inference: GOOD • Oralhygiene index simplified • OHI-S = D.I + C.I • DI = 0.5 CI=0.33 • OHI-S = 0.83 Inference: MILD GINGIVITIS •Gingival Index:- •(Loe & Sillness) •0.5 Inference: simple gingivitis • Russel’s Periodontal Index • Score: 0.42
- 11. Frenal attachment: Maxillary: Mucosal Mandibular:Mucosal Width of attached gingiva: Maxillary: adequate Mandibular: adequate Vestibular depth : Maxillary: Adequate Mandibular : Adequate MUCOGINGIVAL STATUS:
- 12. HARD TISSUE EXAMINATION: Numberof teeth present : 28 Number of teeth missing: Decayed tooth: - Restored tooth: - Type of occlusion: Angle’s Class I malocclusion with unilateral crossbite
- 13.
- 14. • LAB DIAGNOSIS: WBCcount- 7800 cc mm Hemoglobin- 12.6 mg% Bleeding time- 1 min 40 seconds Clotting time- 3 min 58 seconds Blood glucose level- 86 mg/dl
- 15.
- 16. • OVERALL: Bone support: adequate Patient compliance: Good Systemic factors: not present Overall prognosis : Good
- 17. TREATMENT PLAN: Phase I Maintenance phase PhaseII Maintenanc e phase Phase III Maintenanc e phase ×
- 18. PHASE I THERAPY( NON SURGICAL PHASE) Scaling and root planning Diet control Occlusal therapy Correction of restorative and prosthetic factors Excavation of caries and restoration (temporary) Antimicrobial therapy Provisional splinting and prosthesis Minor orthodontic treatment
- 19. TOOTH BRUSHING: To usea Soft toothbrush with a minimally abrasive dentifrice twice a day Modified Stillman technique to be taught INTER-DENTAL AID •Inter dental floss and interproximal brush to be prescribed
- 20. PHASE IV (MAINTENANCE PHASE): Re-evaluationof Phase I therapy • Gingival status examination • Plaque, calculus • Bleeding on probing • Tooth Mobility • Pocket depth
- 21. Phase II Surgical phase Corticotomyitw 14-17 & 24-27
- 26. PHASE IV (MAINTENANCE PHASE): Re-evaluationof Phase I therapy • Gingival status examination • Plaque, calculus • Bleeding on probing • Tooth mobility • Pocket depth
- 27.