Ahmed Samy
Ahmed Mohamed Elsawy
- Patient Name: XXX
- Gender: male
- Age: 57
- Chief Complain: He cannot eat and has a bad smile
- Medical History : Free
- Dental History : Multiple Extractions
- Oral Habits : No
- Extra oral examination:
–
Normal
- Intra oral examination
- Generalized
Diffuse Redness
- Generalized
rolled margins together with generalized soft, edematous with a glazed surface
- The
IDP showed generalized bluntness
- Negative
Fremitus test and no Exudates
- Caries
in: #2, #3, #4, #5, #6, #7, #8 , #10 , #11 , #12 , #13, #14, #16, #18, #21,
#22, #23, #24, #25, #26, #27, #28, #29, #30
- Missing:
#9, #15,#19, #20, #31
- Radiographic examination: Generalized horizontal bone loss in
lower arch
- Diagnostic Cast Study:
Occlusal
analysis:
1. Irregular occlusal Table
2. class 1
relation
- Treatment
plan :
- Phase
I :
- Supra-gingival
and sub-gingival scaling.
- Oral
hygiene Instructions.
- Extraction
of remaining roots #2, #3, #5, #8, #31, #12, #17, #18
- Occlusal analysis
Phase
II:
Phase
III:
- Endodontic
treatment in #14, #11, #7, #10,
#6, #4, #13.
- Post
and core in #13, #10,
#14, #4, #7, #6, #11.
- Final
composite Restoration in #24, #25, # 22, #23, #21, #26, #27,
#31, #16
- Crowns
in #13, #31,
- Three
separate fixed partial dentures to replace missing #5, #8, #9, #15, #31.
- Removable
partial denture to replace missing #1, #12, #18, #19, #20, #28, #29, #30.
Phase IV:
- Follow up visits for fixed prosthesis
