1.Ali
Hatem Maray
2.Hadi
Magdi Al-Zahar
-First I would like to thank our patient for her trust to restore her smile
-Case presented to you by:
Egypt
- Patient Name:
—–
- Gender: Female
- Age:
35
- Chief Complain: Pain related to multiple upper
teeth-Bad appearance seeking esthetics
- Medical History: Free
Medical History
- Dental History: Multiple
dental extraction- one root canal treatment
- Oral Habits : She
brushes her teeth rarely in a horizontal scrub motion and she clinches most
often
- Extra oral examination:
– Normal skin colour
-Normal lip colour
-Non-palpable lymph node
- Intra oral examination
- Generalized marginal
redness-soft&edematous
- Generalized rolled gingival margin
- Generalized blunt IDP
- Generalized glazed confined to the
IDP
- Negative Fremitus test
- Caries in all teeth
- Missing: Teeth NO.
#2,3,5,14,29,30,31
- No Old Restorations / Prosthesis
- Previously Endodontic treated
teeth : #12
- Radiographic
examination: badly destructed teeth No.#2,21,22,23,24,25
- Badly destructed tooth
No.#12
indicated for extraction
- Vertical bone loss localized to the tooth No.#11,13
- Diagnostic Cast Study:
Occlusal analysis: 1.ClassI occlusal relationship
2.Deep bite due to
extensive teeth extraction
- Treatment plan : Phase I :
- Supra-gingival and sub-gingival
scaling.
- Establishment of control and oral
hygiene measurement.
- Extraction of remaining root #12
- Occlusal analysis
Phase II:
Phase III:
- Endodontic treatment in #7,13,15,
21,22,23,24,25
- Post and core in #, 21,22,23,24,25
- Final composite Restoration in.
1,4,6,7,8,10,11,13,15,16,17,18,19,20,21,22,23,24,25,32
- Crowns in #7,8,9,10,23,24,25,26
- three separate fixed partial
dentures to replace missing #2,3,5,12,14,27,28,29,30,31
Phase IV:
- Monitoring oral hygiene
- Follow up visits for fixed
prosthesis
- Radiographic examination
BEFORE
AFTER
BEFORE
AFTER
BEFORE
AFTER
