case presentation of patient of fixed prosthodontics department

case presentation of patient of fixed prosthodontics department

1. Fixed
Prosthodontics
case presentation
by : ibrahim jamal altayeb

2. patient personal data
name : nigibishaka catixte
age : 35
gender : female
phone number : 0798438451
occupation : house wife
residance : nyanza
cheif complain PmH
history of
cheif complain
i want to replace my upper tooth
i extracted my upper tooth before
4 years ago
No abnormalities mentioned with regard to cardiovascular system,
respiratory system, CNS, gastrointestinal system,
genitourinary, endocrine, dermatological system
and musculoskeletal system.
Drug history: no medication used.
No allergies reactions against any allergens.

3. past dental history
social habits
brushing habits
Scaling and root planning 1 time.
Amalgum filling on UL5.
Extractions without complications.
Not smoker, tobacco user nor alcoholic
Brushing once a day , using soft brush in circular manner
for 1 to 2.5 minutes using signal toothpaste.

4. clinical examination
Extra oral
examination
Face is symmetrical ( no abnormality detected in the face).
•Lips are competent.
•Normal smile line.
•TMJ: not tender, no clicking, crepitation, deviation,
lateral limitation nor difficulty in mouth opening.
•Lymph nodes: not tender, not palpable nor mobile submental,
submandibular, sublingual and deep cervical lymph nodes.
intra oral
examination
Hard tissue:
Normal maxilla, mandible, and zygoma.

Soft tissue:
vestibule, buccal mucosa, tongue, floor of the mouth,
palate, frenum are all normal. Gingiva was inflamed.

Oral hygiene: fair
•Plaque: present. Calculus: not present. No malodour.
dental examination
examination of the occlusion
nn n n
nnnnnnnnnn
n n nn n nn
e
n
e e
fM
e
n : normal - f : filling - c : caries - e : extracted
rct : root canal treatment - m : missing
static occlusion
working teeth no : ul : 3,4,5
angle’s classifaction: class i
normal posterior over bite

5. Examination of
proposed tooth Ul5
Radiographic findings
• Pocket: 0
• Recession: 0
• Mobility: grade 0
• Caries: not detected.
• Percussion: not tender in vertical nor horizontal percussion
• Sensibility: vital.
• Palpation: no masses, swellings no sinus tract.
• Inclination: no inclination.
root configration
and Cr ratio
normal
caries and
restoration
Amalgum
periapical
tissue
normal

6. diagnosis
tratment plan
treatment planAfter the detailed history and examination of
the patient we end up to found that the patient
needs his ul5 to be replced by bridge with tow
abutmunt.
phase 1 phase 2 phase 3
OHI
Patient education
and motivation
Scaling .
Refer to fixed
prosthodontics
department for bridge
restoration.
Follow up and
maintenance

Treatment options : fixed zirconia bridge pontic modified ridge lap
Treatment plan : OHI - Scaling - Filling
photographs
preoperative
frontal view

7. right side viewleft side viewupper occlusal view
study castprimary impression
pouring

8. shade selection
reduction
reduction
silicone index
Shade selection must be done
using Vita classical.
For the temporary crown
And to assess the reduction
tooth preparation
Tooth prepared for full ceramic crown ( zirconia).
Occlusal reduction: on (buccal side ) = 1mm,
and on (lingual side) = 1 mm.

2mm occlusal clearance was done.
Buccal and lingual reduction = 1.5mm with tapered
flat end bur.
Palatal and buccal shoulder finishing line was done
using tapered flat ended bur.
Fine needle bur used in interproximal reduction
(2mm) to avoid damage of adjacent teeth.
Smoothening of the reduction was done using
finishing bur.
Temporary crown was placed after finishing the
reduction.
Secondary impression

9. Temporary crownCementation
follow up
First follow up is done after 2 week
Second follow up after 6 weeks then
6 month then yearly
Radiographs should be done
in every recall.
thank you
ibrahim jamal altayeb
dn-2018-045