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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
PERSONAL HISTORY:
•Name:hiteshbhai patel
•Age: 58yrs.
• Sex: Male
•Occupation: Retired
•Address:Kirtidham
society, adalaj
•O.P.D. No: 28404/21
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.
• 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
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.
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
Inference: fair
•Oral hygiene index simplified
•OHI-S = D.I + C.I
•OHI-S = 1.49
Inference: Moderate GINGIVITIS
•Gingival Index:-
•(Loe & Sillness)
•1.3
Inference: established destructive
periodontal disease
Russel’s Periodontal Index
•Score: 3.28
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:
HARD TISSUE EXAMINATION:
Number of teeth present : 27
Number of teeth missing: -05
Restored tooth: -2
Type of occlusion: Angle’s Class I malocclusion
PROVISIONAL DIAGNOSIS:
Chronic Generalized periodontitis
• LAB DIAGNOSIS:
WBC count- 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
FINAL DIAGNOSIS:
Chronic Generalised periodontitis
Generalised periodontits Stage 1 grade A
TREATMENT PLAN:
Phase I
Maintenance
phase
Phase II
Maintenance
phase
Phase III
Maintenance
phase
Surgical
phase
Thank you

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ppp.pptx

  • 1.
  • 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
  • 3. PERSONAL HISTORY: •Name:hiteshbhai patel •Age: 58yrs. • Sex: Male •Occupation: Retired •Address:Kirtidham society, adalaj •O.P.D. No: 28404/21
  • 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
  • 9. Inference: fair •Oral hygiene index simplified •OHI-S = D.I + C.I •OHI-S = 1.49 Inference: Moderate GINGIVITIS •Gingival Index:- •(Loe & Sillness) •1.3 Inference: established destructive periodontal disease Russel’s Periodontal Index •Score: 3.28
  • 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
  • 13. • LAB DIAGNOSIS: WBC count- 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
  • 14. FINAL DIAGNOSIS: Chronic Generalised periodontitis Generalised periodontits Stage 1 grade A
  • 15. TREATMENT PLAN: Phase I Maintenance phase Phase II Maintenance phase Phase III Maintenance phase
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
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Editor's Notes

  1. A 17yr old male patient name nehal Solanki residing in vavol came here with the chief complaint of replace his fractured teeth since 1 year
  2. 16,15,11,21,26,31,32,34,36,37,41,42,44,45,46
  3. Proximal contact: