Mohamed Medhat
Abd El Salam
{8} zirconia crowns
{15} porcelain fused to metal crown
{12} Root canal treatment
Maxillary arch Gingivectomy
o Medical History Free
o Dental History Multiple Extractions
o Oral Habits: None
o Extra oral examination:
– Normal
o Intra oral examination
o ..Generalized marginal redness in the upper arch And localized diffuse redness related to lower anterior
o ..Generalized marginal softness and edema in the upper AND lower anterior
o ..Generalized rolled gingival margin WITH Generalized blunt interdental papillae
o ..Generalized loss of stippling in the lower arch
o
• Caries in: #3, #5, #6, #7, #8, #9, #10, #11, #13, #19. #21, #22, #23, #24, #25. #26, #27, #30
• Missing: #1, #2, #12, #14, #15, #16, #20, #28.
o Radiographic examination: …..PERIAPICAL RADIOLUCENCY IN TEETH 8
o …. HORIZONTAL BONE LOSS IN TEETH NU 23 TO 26
o …. BIFURCATION INVOLVEMENT I N Tooth Number 19
o
o Diagnostic Cast Study:
Occlusal analysis: 1. Irregular occlusal Table
2 Anterior deep bite
3. Anterior overjet
o Treatment plan: ( as in presentation sequence )
Phase I :
– Supra-gingival and sub-gingival scaling.
– Excavation of caries
– Temporary restoration.
– Establishment of control and oral hygiene measurement.
– Extraction of remaining roots #4, #18, #29, #31
– Periodontal surgery
– Gingivectomy
– Occlusal analysis
Phase II:
Phase III:
– Endodontic treatment in #5, #6, #7, #8. #10,#11 #19, #21, #23#24#25, #26,,
– Post and core in #5, #6, #11.
– Final composite Restoration in #3
– Crowns in #5, #6, #7, #8, #9. #10, #22, #23, #24, #25. #26
– Bridge #(11-13) #(27-30) #(19-21)
– Removable Attachment partial denture to replace missing #4, #14#15.
Phase IV:
– Oral hygiene instruction
– Follow up visits for fixed prosthesis
