Mahmoud Ashraf Ahmed
Khalid Mahmoud Zewail
Patient Name: XXX
o Gender: Male
o Age: 30
o Chief Complain : Bad appearance, difficulty in eating and bad odor.
o Medical History : Free of any systemic disease
o Previous surgeries: 1- Inguinal hernia repair (9 month ago)
2- Shoulder dislocation reduction (12 month ago)
o Dental History: Previous extractions of teeth #3, #7, #8 without any
complication.
o Oral Habits :
Tooth brushing: rarely
Brushing technique: Horizontal scrub.
Flossing: Never.
Smoking: heavy smoker (1-2 packs/day)
o Extra oral examination: no swelling or asymmetry , normal skin and lip
color and non-palpable lymph nodes.
Intra oral examination
Generalized marginal brown pigmentations.
Generalized rolled margins together with generalized diffuse softness
and edema with a glazed surface
The IDP showed generalized bluntness
Negative Fremitus test.
Caries in: #1, #2, #4, #5, #6, #, #9, #10, #12, #13, #14, #15, #16, #17,#18, #19, #20, #21, #22, #25, #26, #27, #28, #29, #30, #31.
Missing: #3, #7 ,#8.
o Radiographic examination: Vertical bone loss, #22 ditally .
Mild Horizontal bone loss in #23, #24, #25, #26, #27.
Furcation radiolucency : #14, #19.
Periapical radiolucencies : #6, #13, #14, #18, #20, #31.
o Diagnostic Cast Study:
Occlusal analysis: 1. Irregular occlusal Table
- Angle Class I with Anterior cross bite.
o Treatment plan :
Phase I :
- Supra-gingival and sub-gingival scaling.
- Excavation of caries and temporization.
- Establishment of control and oral hygiene measurement.
- Extraction of remaining roots #4, #6, #12, #13, #14, #19, #29, #31
- Surgical placement of Implant at site #6, #8
- Occlusal analysis
Phase II:Holding Phase
Phase III: - Endodontic treatment in #2, #5, #9, #10, #11, #20, #21, #22, #18, #28, #30
- Post and core in #5, #9, #10, #20, #21, #22, #30.
- Final composite Restoration in #1, #2, #8, #9, #10, #15, #17, #18, #20, #21, #22, #28, #30.
- Fixed prosthesis
Crowns : #9, #10, #22, #23, #24, #25, #26, #27.
Bridges : #[ 3-5], #[6-8] , #[11-15], #[28-30], #[18-21]
Phase IV:
- Oral hygiene reinforcement.
- Periodic Follow up visits for fixed prosthesis
- Checking the integrity of previous restorations.
- Clinical and radiographic examination.
OPT pre-op
OPT post-op
