FINAL CCC PRESENETATION

1. Comprehensive
care clinic
presentation
BY: Layla Halawani

2. OUTLINES
- Patient Demographic
- Chief Complaint and History
- Medical And Dental History
- Extra And Intra Oral Examination
- Radiographic Examination
- Mounted Cast
- Diagnosis
- Treatment Plan.

3. Personal Information
Age:
20yrs old
Sex:
Female
Nationality:
Palestinian
Marital Status:
Single

4. CHIEF COMPLAINT:
She said “ I want fix all of my teeth before I get
married plus I don’t like my teeth when I smile”
HISTORY OF CHIEF COMPLAINT:
4 Months ago.

5. HISTORY
FIT AND WELLMEDICAL HISTORY
NONEMEDICATIONS
#36 EXTRACTED
#14 #25 ENDODOTICALLY TREATED
DENTAL HISTORY
4 MONTHS AGOLAST DENTAL VISIT
COOPERATIVEDENTAL ATTITUDE
IRREGULAR BRUSHING
HORIZONTAL TECHNIQUE
ORAL HYGIENE
NONEHABITS

6. EXTRA ORAL EXAMINATION
Facial symmetry
General Appearance
Skin
Lips
Glands
TMJ
Lymph nodes palpation
NO ABNORMALITIA DETECTED

7. Frontal View

8. Lateral Left

9. Lateral right

10. INTRA ORAL EXAMINATION
Labial mucosa
Buccal mucosa
Floor of mouth
Vestibule
Tongue
Palate
All Normal

11. PRE-OPERATIVE
PHOTOGRAPHS

17. DIAGNOSTIC
CAST

18. FRONTAL VIEW

19. LATERAL RIGHT

20. LATERAL VIEW

21. RADIOGRAPHIC
EXAMINATION

22. OPG

24. DIAGNOSIS

25. GINGIVAL DIAGNOSIS
Generalized reddish pinkColor
Enlargement margins and IDPGeneralizedSize
Generalized rounded and rolled margins, and blunted papillae in Upper
and lower anteriors
Shape
Generalized soft and edematous margins and IDPConsistency
Glazed and shinny with Absent of stipplingTexture

26. DENTAL CHARTING (MAX.)
Caries
Missing

27. DENTAL CHARTING (MAND.)
Missing
Caries

28. TREATMENT
PLAN

29. PRELIMNARY PHASE:
Extraction of #14 & #25

30. PHASE 1:
1.Diet consulting
2.Pt education and oral hygiene instructions
3.Scaling and root planning
4.Determination of bone loss and pocket therapy
5. Re-evaluation after 3-4 weeks

31. WITH PLAQUE

32. SCALING

33. Plaque index score: 50%
bleeding score: 13%
Bleeding score
Plaque index
Plaque index and bleeding scores

34. Periodontal Chart

36. 1.Class I Cavity preparation And final restoration placed
(#26 #27

37. 2.Class II Cavity preparation And final
restoration placed #25 #26
Class II Cavity preparation And final restoration placed #47

38. 3.Class III Cavity preparation #12 #11 #21
#22

39. 4.Class V Cavity preparation And final restoration
placed #33
Class V Cavity preparation And final restoration placed #43
#44

40. Reevaluation after phase 1:
Plaque index
17%
Bleeding index
16%
‫المبيعات‬

41. PHASE 2:
1.Endodontic therapy #37 #45 #46
2.Retreatment #45
3.Crown lengthening #45 & #46

42. Mishap occurred then tooth was
extracted (Perforation from lingual
side and in furcation area)
*it wasn’t my mistake i swear*
MOBPROBPALPPERCCOLDTOOTH#
NNN+037
NNNNN47

43. RE-TREATMENT #45
MOBPROBPALPPERCCOLDTOOTH
NNN+045
NNNNN35
MAC SIZEMAF
SIZE
REFRENCE
POINT
WL
(mm)
INITIAL
FILE SIZE
3535Buccal cusp16.515

44. Mesiobuccal and mesiolingual canal
are calcified…
#46
MOBPROBPALPPERCCOLDTOOTH
NNN0046
NNNNN47
MCSMAF
SIZE
REFRENCE
POINT
WL(mm)INITIAL
APICAL
FILE SIZE
CANAL
4040distobuccal18.510Distal
root

45. PERIO SURGERY

46. BEFORE

47. DURING

48. Reevaluation after phase II:
Plaque index
19%
Bleeding index
10%
‫المبيعات‬

49. PHASE 3:
1. POST FOR #45
*Red fiber post size 2

50. 2.Crown for #45
#46
#45 As a survey crown for RPD

51. 3.Bridge (missing #14)

52. 4.Metal RPD for #36 #37 “ kennedy class III “

55. Before AFTER

56. Before AFTER

57. BEFORE AFTER

58. Reevaluation after phase III:
Plaque index
17%
Bleeding index
3%
‫المبيعات‬

59. PHASE 4:
Maintenance and Recall after 3-6 months for
evaluation.

60. THANK YOU