BY: GARCIA, ZARA DENISSE DDM 6-B Chief Complaint & HPI A 53 year old female patient from Guimaras presents with a chief complaint of Mpa.postiso ko kay nabudlayan ko mag usang sang pagkaon. The patient admits to never having brushed her teeth during her early years and is fond of eating sweets and hard foods. This lack of oral hygiene and form of diet caused her extensive caries and periodontitis. Patients Work-Up Medical history no significant findings Dental history multiple extractions due to caries & periodontal disease; - patient has never undergone Oral Prophylaxis or any Restorations Medications and allergies no medications, no drug allergies Review of systems vital signs BP: 120/80 PR: 74 beats/min RR: 16 breaths/min
Social history - patient neither smokes, or drinks alcohol Extra-Oral Examination Symmetrical face Competent lips Convex profile Normal temporomandibular joint Intra-Oral Examination No lesions on the soft tissues Generalized redness and swelling of the gingiva Heavy Calcular Deposits Root Exposure Parabolic maxillary arch U-shaped mandibular arch Normal palatal vault Presence of caries No restorations Mesially tilted tooth # 38 Root fragments Mobile tooth Presence of Periodontal Pockets Dental Charting EXTRACTED TEETH CARIES ROOT FRAGMENTS INDICATED FOR EXO Radiographic Examination Bone resorption on both maxilla and mandible Root Fragments of Tooth #24 Mesially tilted tooth #38 Radiolucency at the apex of tooth #44 Severe bone resorption around tooth #35
Diagnosis and Treatment Plan DIAGNOSIS TREATMENT PLAN Poor oral hygiene Heavy Calcular Deposits Oral hygiene instruction Oral prophylaxis RF of tooth # 24 Significant Root Exposure and Caries on tooth # 16 Grade 2 tooth mobility, tooth # 35 Extraction Periapical Abscess, tooth # 45 Antibiotic Therapy, otherwise; Root Canal Therapy PFMC Fabrication Class 1 caries on tooth #s 44, 38 Class 2 caries on tooth #s 34, 28, 25 Class 3 caries on tooth #s 33, 22 Amalgam Restorations
VLC Restorations Edentulous Areas: MAXILLARY Class 3, Mod 2 MANDIBULAR Class 3, Mod 1 Acrylic Resin RPD RPD Framework Design Major Connector: Anteroposterior Palatal Strap Minor Connector: Ladder Rests and Occlusal Rest Seats: Tooth #s 14, 15, 28 C-Clasps: Tooth # 28 RPI System: Tooth # 15 Lingual Plate: Tooth #s 13,12, 11, 21, 22 Proximal Plate: Tooth #25 RPD Framework Design Major Connector: Lingual Bar Minor Connector: Ladder Rests and Occlusal Rest Seats: Tooth #s 34, 45 C-Clasps: Tooth # 38 RPI System: Tooth # 34, 45
Here are the steps1. Pick up your dental issue from the supply room2. Identify and organize instruments needed3. Lubricate handpieces4. Meet back here at 1pm sharp!Have fun learning! See you all later