Case presentation Treatment plan Osama | Alfarabi college Os_a@dr.com

1. Osama Ahmad Al masry
Level IX
Course Director :
Dr . Nassir Alshraim

3. Ahmad Nasr Aldeen
File Number : 21182
Patient's Mobile 0545244584

4. • Patient’s Personal Data
• Age : 37
• Gender : Male
• Nationality : Egyptian
• Occupation : Worker
• Marital status : Married
• Number of Children : 4
• Patient Attitude : Cooperative
• Patient N . File : 21182

5. Treatmentplan

6. Chief Complaint
I have several blocks from dirt covering most of the teeth
And I feel sensitivity in lower posterior teeth “
The Chief complaint History :
The patient start feel of the sharp edges of the “ calculus “ and he feel sensitivity because the caries

7. History of
Chief Complaint
Onset : 4 months ago
Stimulation : cold water # Relieve by: Stop drink
Radiation of pain : 0
Duration : 1 minute
Mode of onset : periodic
Type of pain : sharp pain

8. NADNothing abnormalities detect
Patient and his family stated
that the patient is free from any
medical condition
NO SIGNIFICANT
Medical history
Family history

9. The Past Medical History :
Respiratory system : 0
GIT : 0
Urinary tract : 0
Kidney : 0
Liver : 0
Nervous system : 0
Endocrine system : 0
Cardiopulmonary : 0
Blood disease :0

10. The Social and Family History :
The Social History :
Smoking : Non smoker
Alcoholism : 0
Drug : 0
The Family History :
Hypertension : 0
D.M : 0
Bad habits : 0

11. history
This is the first time i visit the dentist
Last dental visit ?
Dental history

12. Habits and oral hygiene Activities
# Patient very rare brushes his teeth.
# Technique of brushing: Horizontal Scrub.
# Uses a “ soft ” brush.
# Doesn’t change his toothbrush very often.
# Doesn’t floss.
# Doesn’t visit the dentist nor the hygienist periodically

15. Before Scaling
After scaling
Just lower arch until now

16. After scaling

20. Clinical Ex.

21. Transverse “non - smile”
# | Symmetrical face | .
Extra-oral
Examination

22. Antro- posterior, Vertical
# Slightly convex profile
# Competent Lips
# Normal NLA Nasiolabial
Angle“90⁰”
# normal lower
facial height.
Extra-oral
Examination

23. TMJ Ex . : 0Thyroid gland Ex . : 0

24. Lymph nodes : 0

25. Tongue, floor of the mouth ,Palate and Mucosa are
all with in the normal limit (WNL).
Intra Oral
Examination

26. Tongue, floor of the mouth ,Palate and Mucosa are
all with in the normal limit (WNL).
Intra Oral
Examination

27. Class I Occlusion
Intra Oral
Examination

28. The Gingiva is
# Red
# Swelling
# Recession in
Some teeth
Intra Oral
Examination

29. Generalized moderate chronic periodontitis
Intra Oral
Examination
Generalized Calculus Accumulation, especially in cervical third of the teeth.

30. Carious teeth in 36 # 37 # , 46 # , 47 #
Intra Oral
Examination

31. Intra Oral
Examination
Carious tooth # 31

32. Diagnostic Aids

33. Panoramic Radiograph

34. Panoramic Radiograph

35. Bitewings and periapical

36. Diagnostic Aids
Blood test : No need
Biopsy : No need

37. Diastema
Caries
Missing Caries MissingCaries
With buccal extension
Caries
With buccal extension Caries

38. plaque indexBleeding index

39. Treatment plan
Treatment Objectives :
• Chief Complaint
• Oral Hygiene Motivation
To Restore:
Function.
Structure.
Esthetics.

40. Treatment plan Schedule
RestorationSite
Done----------------------Supra | sup gingival Scaling + Prophylaxis
“ Oral Hygiene instructions
36 #CompositeClass IOcclusal caries
37 #AmalgamClass IOcclusal caries
46 #compositeClass IOcclusal caries
With buccal extension
47 #AmalgamClass IOcclusal caries
31 #CompositeClass IIIMesial caries
after 4 weeksFollow Up

41. Treatment plan
Refer To
Periodontology Section
Operative Section
I will
Help the
patient in all
sections
inshallah

42. Description
For dental care

45. Course Director :
Presented by :
Osama Ahmad Al masry
Level 8
| 200911109 |