Dr. Ashley Mark will provide comprehensive treatment for Patient S to address his chief complaint of missing and decayed teeth. The treatment plan involves multiple phases including non-surgical periodontal therapy, orthodontic treatment, restorative dentistry with crowns and fixed dental prostheses, and an implant supported removable dental prosthesis. Upon completion of the corrective phase, Patient S will begin a one year maintenance program. The goal is to restore Patient S's dentition and provide good function and esthetics.
This contains an extensive overview of the intra oral examination that should be done for complete denture patients.
any corrections are more than welcome.
please do leave a comment and let me know if the presentation is helpful!!
The presentation is available on request. Mail me at apurvathampi@gmail.com
This contains an extensive overview of the intra oral examination that should be done for complete denture patients.
any corrections are more than welcome.
please do leave a comment and let me know if the presentation is helpful!!
The presentation is available on request. Mail me at apurvathampi@gmail.com
Revision of Complete Denture Occlusion 5th yearAmalKaddah1
Revisions of
Definitions
Differences between natural and artificial dentition
Types of artificial tooth forms
Types of balance
Factors affecting balanced occlusion
Concepts of occlusion
Revision of Complete Denture Occlusion 5th yearAmalKaddah1
Revisions of
Definitions
Differences between natural and artificial dentition
Types of artificial tooth forms
Types of balance
Factors affecting balanced occlusion
Concepts of occlusion
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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Diagnosis-orthodontic /certified fixed orthodontic courses by Indian dental a...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Treatment planning /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in
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in all aspects of dentistry and offering a wide
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formats.
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Bridge,rotary endodontics,fixed orthodontics,
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Diagnostic records /certified fixed orthodontic courses by Indian dental acad...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
classification of Malocclusion /certified fixed orthodontic courses by India...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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Malocclusion /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
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Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...Indian dental academy
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Model analysis in orthodontics /certified fixed orthodontic courses by India...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
by : Najma ALamami
Aya Ahmed Alhwamla accompanied by his mother, she came to dental clinic complained of bad appearance & Difficulty in eating due to missing and carious teeth.
Extra oral as well as intraoral photographs and study casts were obtained. A preoperative 2 posterior bite wing and a panoramic x-ray were obtained. The caries risk assessment that was performed indicated that he was a high-risk patient.
After examining the patient, it was concluded that he is medically free suffering from from developing class II ,increase over jet ,labial eruption of #11due to over retained #51 & early loss of primary teeth. .
The treatment plan preceded through the regular sequence of emergency, preventive, restorative, orthodontic and maintenance phases accompanied by basic behavior management techniques.
The treatment included OHI, dietary counseling, prophylaxis, topical fluoride application, sealants, SSC, extractions ,cementation of lingual arch space maintainer and Insertion of (removable orthodontic appliance).
Periodic recall of the patient every one week for evaluation of (ROA) and every 3 months was planned for reinforcement of OHI, application of topical fluoride, detection of new lesions and follow up of the appliances, the performed restorations and discarding the Hawley appliance after a retaining period of 6 months and removal of lingual arch space maintainer after eruption of lower premolars and canines . Age appropriate anticipatory guidance was to be provided during each recall visit.
2x4 appliance
Treatment of a young female patient wit a combination of Invisalign and distalizing appliance. Well treated by one of our students under my supervision.
Please comment
Clinical orthodontic presentation - orthodontic presentation - Case presenta...King Saud Medical City
Clinical orthodontic presentation - orthodontic presentation - Case presentation of ortho - ortho presentation - clinical case presentation
case ortho - orthodontic case presentation
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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A 46 years old Lebanese Patient presented to my university dental clinic before tow months of COVID-19 pandemic having missing teeth, fracture roots, failed PFM bridge, multiple failed RCT and caries...
Treatment plan and clinical steps are presented in the above presentation, clinical treatment is postponed due to the pandemic.
hope you like it...
stay safe
Bharat /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Fixed prosthodontic treatment can offer exceptional satisfaction for both patient and the dentist. Fixed Prosthodontics can transform an unhealthy, unattractive dentition with poor function into a comfortable, healthy occlusion capable of giving years of further service while greatly enhancing esthetics.
Nothing is more important in the construction of fixed partial dentures than an adequate diagnosis and a well-devised treatment plan. Although these two subjects are usually considered together. Astute dentists must recognize their subtle differences. Diagnosis is an evaluation of the condition of the patient when he presents for treatment. Treatment planning concerns the treatment procedures by which the dentist will restore the patient to an optimum state of dental health.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
2. Treatment Overview Statement
Patient chief complaint: “I’m missing several teeth and have decay in a lot of teeth. I just want
to get that cleared up so I will have a full set of teeth.”
I will address Patient S’s chief complaint through periodontal, restorative, orthodontic, and
prosthodontic treatment. Restoration and preservation of his dentition will provide a mutually
protected occlusion, restoring function and esthetics while addressing his chief complaint.
Following maxillary and mandibular orthodontic treatment, his maxillary arch will be restored
with crowns and two fixed dental prostheses (FDP). The mandibular arch will receive an
implant supported removable dental prosthesis (ISRDP) to facilitate chewing on his left side.
Patient S’s treatment will be completed in several phases.
Preparatory Phase
Patient S is a 34 year old high caries risk patient with generalized slight chronic periodontitis.
He has smoked 1 pack per day (ppd) for 16 years and is currently undergoing smoking
cessation. The preparatory phase of Patient S’s treatment begins with arresting the caries
process through application of the Anderson Medical Model. Teeth #‘s 3,4,5,6,7,8,9,10,14,20,
28,&31 will be restored with glass ionomer provisional restorations. Tooth #9 will be
endodontically retreated due to the presence of a radiolucent apical lesion, and deficient
radiographic obturation. Patient S’s oral hygiene is poor, and he will undergo initial non
surgical periodontal therapy with detailed oral hygiene instructions to treat his generalized
slight chronic periodontitis. Periodontal re-evaluation of initial periodontal therapy and
completion of the Medical Model will provide a treatment decision point. If there is non-
compliance, I will fabricate maxillary and mandibular treatment partial dentures and use direct
restorative materials to restore both arches. If Patient S demonstrates acceptable levels of oral
hygiene and diet compliance at a 3 months re-evaluation, we will continue with the preparatory
phase of treatment and initiate orthodontic treatment. An endosseous 1-stage implant will be
placed approximately 3 months after the initiation of orthodontic treatment. If required, this
implant will be used for orthodontic anchorage, and finally, to act as a supportive and retentive
element for a mandibular Kennedy Class III RDP.
Corrective Phase
Following successful completion of the preparatory phase, I will commence with restoring
Patient S’s dentition. Restoration of his maxillary arch will include PFM crowns fabricated for
teeth #’s 3,6,7,8,9,10 and a PFM FDP from teeth #‘s 11-14. His mandibular arch will be restored
using surveyed PFM crowns fabricated for teeth #‘s 21&28. A Locator abutment will provide
support and retention for a mandibular Kennedy Class III RDP to replace extracted teeth #’s
18,19,20,29,30. A maxillary bruxism splint will be fabricated for him to wear at night.
Maintenance Phase
Upon completion of the corrective phase, Patient S will be placed on a three month trial
maintenance program for one year followed by a 6 month recall after one year.!
All treatment will be completed using universal precautions and personal protective
equipment. All instruments will be autoclave sterilized. Other items and surfaces will be
disinfected with Dispatch for a minimum of two minutes contact time.
3. Patient: S
Patient Identification
xxxxxxxxx
Chief Complaint
“I’m missing several teeth and have decay in a lot of teeth. I just want to get that cleared up so I
will have a full set of teeth”
Treatment Expectations
“I think it would be easier to have dentures. Either a plate or implants and I like the way my
front teeth look. ”
Medical/Systemic Overview
General Appearance
Patient S appears to be a well-nourished male in apparent good health
Family Medical History
Father: 52 years old; smoker 1 ppd
Mother: 52 years old; smoker 1ppd
Siblings: 1 older brother; 36 years old
Children: 3 children (15,13,10) – No medical issues
Family Dental History
Father: Dentate
Mother: Dentate
Brother: Dentate
Children: Dentate
Social History
Marital Status: Married
Alcohol: 6 pack of beer/week
Tobacco: 1 ppd for 16 years. Quit for 3 years and started start smoking again. Has quit
smoking since 30 Aug 10. Patient referred to smoking cessation program.
Physical Fitness: Fit
Nutrition
Breakfast: Coffee – Black
4. Lunch: Sandwich/Chips
Dinner: Spaghetti, Pizza, BBQ
Snacks: Chips
Fluids: Water/Diet Coke
Past Medical History
Allergies: Penicillin (unconfirmed - allergic event was 20 yrs. ago), NK food or latex allergies
Hypertension: Patient was on antihypertensive medications prior to enlisting. He was
! instructed to stop HTN meds by recruiters in order to qualify to enlist.
Overall Health: Good
Current Medical Status
Allergies: Penicillin (unconfirmed - event was 20 yrs. ago), NK food or latex allergies
Medications
! Loratidine - PO 10 mg - seasonal allergies
Social: Non smoker
Hypertension: Patient’s BP is 153/84 (Stage 1 hypertension). Patient has been made aware of
his BP and feels that smoking cessation will assist in decreasing his blood pressure.
Physical Exam
Height: 76”
Pulse: 81 bpm
Weight: 230 lbs
BP: 153/84
Resp rate: 14
BMI: 28
Normal weight = 18.5–24.9
Overweight = 25–29.9
Past Dental History
Overview: Patient S has had intermittent dental care prior to Active Duty (2 yrs ago) and it was
mainly on an emergent basis. All procedures were well tolerated.
Oral Hygiene
Brushing: Electronic Sonicare Toothbrush once per day
Flossing: 3 times per week
4
5. Oral Pathology
Extra Oral Exam
Lymphadenopathy: No tender or enlarged lymph nodes
Thyroid: No swelling or masses detected
Muscle Palpation: No tender muscles detected
TMJ Exam
Noises: None detected
Maximum Opening: 45 mm
Protrusive: 3 mm
Right Lateral Excursion: 10 mm
Left Lateral Excursion: 12 mm
Intra Oral Exam
Lips: WNL
Cheeks: WNL
Buccal Mucosa: WNL
Ridges/Gingiva: WNL
Palate: WNL
Tongue: WNL
Floor of the Mouth: WNL
Oral Cancer Screen: Negative
Restorative:
Caries Risk Assessment: High
≥ 2 Lesions in the past 3 years
Poor oral hygiene
Moderately high CHO diet (Monster soda BID during deployment)
Irregular dental visits
Carious Lesions:
#4 DO
#6 Bu
#7 MDLiBu
#8 MLi
#9 MLiBu
#10 DLi
#31 Bu Pit
5
6. Defective Restorations:
#3 MOBu Amal
#5 O Amal
#8 DLiBu Comp
#9 DLiBu
#10 MLi
#14 MOLi Amal
#21 O Amal
#28 DOLi Comp
Missing Teeth #’s:
3rd molars (1,16,17,32) & #’s
2,12,13,15,18,19,20,29,30
Endodontics
Symptomatic teeth: Nil
Endodontically treated teeth: #9
History:
The initial endodontic treatment of tooth #9 was completed at age 12
and retreated due to discoloration when the patient was 17 y.o. Tooth
#9 is currently asymptomatic.
Radiographic interpretation:
A periapical radiograph of tooth #9 shows a previously
endodontically treated #9 with a non metallic restorative material in
the access opening and in the mesial/distal of the tooth. A carious
lesion was present in mesial and distal of #9 and was restored with a
GI restorative material (Sep 10). The crestal bone appears to be intact
and the PDL space is continuous until the apex, where a radiolucent
lesion is faintly visible. Tooth #9 appears to be a single canal
obturated with a radiographically dense core material surrounded by
a less radiopaque material.
6
7. Periodontics
Gingival Quality:
! Maxilla: Generalized erythematous marginal gingiva, blunted papilla with some
! stippling
! Mandible: Generalized knife-edged papillae, healthy coral pink color with stippling
! present
Oral Hygiene Status: Poor to Moderate oral hygiene
Plaque Assessment Scoring System (PASS) score: 15% Plaque free surfaces
Probing dePatienths ≥4mm: #10 DBu & MBu #11
Bleeding on Probing: Teeth #‘s 3,4,5,6,7,8,9,10,11,14
Calculus: Moderate calculus mandibular incisors
Recession: Miller Class I - Buccal surface of #’s 22, 27, 28
Keratinized Gingiva: : Generally 4-5 mm on both mandibular and maxillary arches
CLINICAL FINDINGS
TOOTH # PERCUSSION PA L PAT I O N PROBING COLD TEST MOBILITY
(MILLER)
3 Negative Negative ≤4mm Normal 0
4 Negative Negative ≤4mm Normal 0
5 Negative Negative ≤4mm Normal 0
6 Negative Negative ≤4mm Normal 0
7 Negative Negative ≤4mm Normal 0
8 Negative Negative ≤4mm Normal 0
9 (RCT’d) Negative Negative ≤4mm No response 0
10 Negative Negative 4mm Normal 0
11 Negative Negative 4mm Normal 0
14 Negative Negative ≤4mm Normal 0
21 Negative Negative ≤4mm Normal 0
22 Negative Negative ≤4mm Normal 0
23 Negative Negative ≤4mm Normal 0
24 Negative Negative ≤4mm Normal 0
25 Negative Negative ≤4mm Normal 0
26 Negative Negative ≤4mm Normal 0
27 Negative Negative ≤4mm Normal 0
7
28 Negative Negative ≤4mm Normal 0
31 Negative Negative ≤4mm Normal 0
10. H O R I Z O N TA L R A D I O G R A P H I C B O N E
LOSS
10% 10% 10%
10% 15% 10%
} 5mm
20mm
10
11. Orthodontics
Angle Classification:
" Molar - Left and Right- Unable to determine
! Canine - Left and Right - Class I
Skeletal: Class I skeletal ANB =3°
Overbite: 0% " " " Overjet: Tooth #8 - 1mm, Tooth #9 - 2mm
Midlines:
" Maxillary: Coincident with facial midline
! Mandibular: 2mm right deviation of maxillary midline
Wear Pattern: Moderate wear Mx/Md anterior teeth, Occlusal wear facets on Mx/Md
! posterior
Parafunctional Habits: Nocturnal bruxism
Analysis of Diagnostic Records
Alignment and Symmetry:
" Maxillary Arch: U-shaped arch, posterior right segment spacing, missing teeth #12/13
! Mandibular Arch: U-shaped arch, missing teeth #’s: 18,19,20,29,30; diastemas between
! ! anterior teeth, #21/28 distally tipped, #31 mesially tipped
! Bolton analysis: 3-3: -0.6 mm discrepancy in the maxillary arch
Facial Esthetics:
! Smile: Shows approximately 5mm max anterior tooth structure
! Profile: Convex profile, Slightly obtuse nasolabial angle
! Lip Competence: Competent
11
12. Occlusion
Angle Classification:
" Molar - Left and Right- Unable to determine
! Canine - Left and Right - Class I
Overbite: 0% " " " Overjet: Tooth #8 - 1mm, Tooth #9 - 3mm
Wear Pattern: Moderate wear Mx/Md Anterior teeth, Occlusal wear facets on Mx/Md
! posterior
Parafunctional Habits: Nocturnal bruxism
Excursive Movements:
" Right lateral md movement:
! ! Working side: #31/3 and incisors
" Left lateral md movement:
" " Working side: Incisors
! ! Non working side interference: #31/3
! Protrusive movement: #31/3
Crossbite: Posterior right side & #6/27
SupraeruPatiention: Tooth #14
Prosthodontics
Non-restorable teeth: None
Missing teeth to be replaced: " Max Arch: #12,13" Md Arch: #18,19,20,29,30
Mutually protected Occlusion: No
Anterior Guidance: No
Residual Ridge defects: " Allen Cl A #12-13" Allen Cl C #20-17 and #29-30
Cross Bite: Posterior right side & #6/27
Short Clinical Crowns:
! Ant mx teeth #‘s 6-11
! Posterior teeth #’s: 14, 20, 28
Vertical Dimension of Occlusion (VDO): No loss of VDO
" VDO was evaluated with three different techniques:
! Freeway Space: 3mm (Points measured from tip of nose to chin at rest and at maximum
! ! ! ! intercuspation)
! Phonetics: (Letter F/S/60-66): WNL
! Corners of the mouth: Not turned downwards and no history of angular cheilitis
12
13. Esthetics (priority based on the patient’s chief complaint)
Edentulous space:
! Lack of dentition (left mx posterior) when the patient smiles
Anterior Mx Teeth
! Shape: Short anterior maxillary clinical crowns
! ! Tooth #8: 6mm (inciso-gingival)/8mm (mesio-distal)
! ! Tooth #9: 8mm (inciso-gingival)/8mm (mesio-distal)
! Shade: Previously endodontically treated tooth #9 has lower value relative to adjacent
! ! teeth
!
! !
19 Years Old
13
14. Problem List by Discipline
Chief complaint:
“I’m missing several teeth and have decay in a lot of teeth. I just want to get that cleared up so I
will have a full set of teeth”
Medical/systemic: Uncontrolled Stage 1 Hypertension
Restorative:
" Carious Lesions:
! ! #4 DO! !
! ! #6 Bu
! ! #7 MDLiBu
! ! #8 MLi
! ! #9 MLiBu
! ! #10 DLi
! ! #31 Bu Pit
" Defective Restorations:
! ! #3 MOBu Amal
! ! #5 O Amal
! ! #8 DLiBu Comp
! ! #9 DLiBu
! ! #10 MLi
! ! #14 MOLi Amal
! ! #21 O Amal
! ! #28 DOLi Comp
Endodontics: Tooth #9 - Previously endodontically treated tooth with asymptomatic apical
! periodontitis
Periodontics: Generalized slight chronic periodontitis
Orthodontics: Supraerupted tooth #14, mandibular diastemas, midline discrepancy
Occlusion: No mutually protected occlusion, no anterior guidance
Prosthodontics: Several edentulous spaces, parafunctional habit (bruxism)
Esthetics: Left mx edentulous ridge; short clinical ant max crowns, discolored tooth #9, md
diastemas
14