Rehabilitation of a case of midline Diastema and over retained deciduous teeth Presenter: 1 Inter-disciplinary Case Discussion
Name : ABC Age : 21 years Gender : Female Occupation : Student Address : Pune Case History 2
Chief Complaint C/o Gap between upper two front teeth 3 History of Presenting Illness Visible gap seen in between upper front teeth during smile with small sized teeth near corner of the mouth.
Past Medical history Nil contributory Family history Nil contributory Past Dental history Nil Personal history Oral hygiene habits : Brushes once daily with tooth brush and paste in horizontal direction Diet : Mixed diet Habits : No deleterious habit reported 4
General Physical Examination Moderately built & nourished Normal Gait Well oriented to time, place & person Mental Attitude : Philosophical Neuromuscular examination : Speech : No speech impediment Coordination : NAD 5
Extra-Oral Examination Facial Form : Ovoid Facial Profile : Straight Facial Symmetry : No gross asymmetry Mouth Opening : 52mm (Approx) Temporomandibular joint : NAD 6
Extra-Oral Examination 7
Intra-Oral Examination 8
Radiographical Investigation 9
Retained maxillary deciduous lateral incisors Missing maxillary permanent lateral incisors Mid line diastema Reduced space at the region of maxillary lateral incisors Rotated maxillary canine Abnormal maxillary labial frenum attachment - Problem List 10
Treatment Plan Correction of mid line diastema Derotation of maxillary canines 3. Correction of abnormal frenum attachment 4. Prosthodontic rehabilitation- immediate implant placement irt 12, 22 region. 11