UNIVERSITY OF KALAMOON FACULTY OF DENTISTRY Graduation project

PATIENT INFORMATION Name : M D. Age : 36. Sex : male. Phone number : 0966094773 Occupation : laborer. Address : Heli. Status : married

PATIENT PHOTOGRAPHY

بدي ساوي سناني المايلين وساوي باقي الاسنان وفي ألم باللثة CHIEF COMPLAIN بدي ساوي سناني المايلين وساوي باقي الاسنان وفي ألم باللثة

Fit and well, but smoke 1 pocket per day. MEDICAL HISTORY FAMILY HISTORY No genetic or medical conditions are present… Fit and well, but smoke 1 pocket per day.

DENTAL HISTORY Extraction ,restorative and endodontic treatment will explained specifically within intra oral examination.

EXTRAORAL EXAMINATION Face & lips : normal Symmetry of face& smile: symmetric. Lymph nodes : Submental : normal Submandible : normal Cervical : normal Parotid : normal Occepital : normal Preaucrial : normal Postaucrial : normal

Medial pterygoid : normal Lateral pterygoid : normal Salivary glands : Parotid : normal Submandibular : normal Sublingual : normal T.M.J : Condyle : no clicking or gripping Jaw movement : normal Max. opening : 60 mm Mastication muscles : Temporalis : normal Masseter : normal Medial pterygoid : normal Lateral pterygoid : normal

INTRAORAL EXAMINATION

INTRAORAL EXAMINATION

INTRAORAL EXAMINATION

INTRAORAL EXAMINATION Mucosa : normal. Gingiva : chronic periodontitis (hyperplasia in upper anterior teeth). Tongue : normal .

INTRAORAL EXAMINATION EX: extracted R : restored AB : abraded N : non-vital C : caries T:tilted RR: retained root Spacing between anterior teeth in upper & lower arch. Generalized Extrinsic stains . EX R N R T RR N C R N C R N C Ex

INTRAORAL EXAMINATION 5 2 3 3 3 3 2 3 3 4 4 43 4 44 7 6 5 5 4 44 4 5 4 4 5 3 3 2 2 3 x x x x x x x x x x x x x x x 3 3 3 3 3 3 3 44 3 3 3 4 44 43 4 4 4 44 44 5 5 4 34 5 3 2 3 خزام وليد ابوردن

INTRAORAL EXAMINATION 3 3 4 3 3 3 3 3 3 4 44 4 34 444 44 4 4 4 4 44 3 3 3 3 3 3 3 34 3 4 3 4 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 2 3 x x x x x x x x x 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 3 3 3 3 3 3 3 2 3 2 2 2 3 3 3 3 3 3 3 3 2 2 2 2 3 3 44 4 44 3 44 3 4 4 3 3 3 3 3 3 34 3 3 3 3 3 3 3 3 3 7 7 7 6 8 9 6 7 7 7 7

INTRAORAL EXAMINATION Peridontal examination: According to Miller classification : 0 : physiological mobility. No bad habits. According to plaque index of Löe and Silness : 27/24=1.1=> Fair oral hygiene. < 0.2 : Perfect oral hygiene 0.2 – 0.5 : Good oral hygiene 0.5 – 1 : Fair oral hygiene > 1 : Poor oral hygiene

INTRAORAL EXAMINATION STATIC OCCLUSION Left Right Class III Molar relation Canine relation 0.5 mm--- Overjet (HOR) Overbite (VER) Inter-cuspation maximum Rest occlusion dimension (RDO) = 77 mm Vertical occlusion dimension (VDO) = 74 mm

INTRAORAL EXAMINATION Dynamic occlusion : lateral movement : right side ; working side: group guidance. nonworking side: canine interference left side : working side : canine guidance. anterior movement : lower canines

RADIOGRAPHIC EXAMINATION PANORAMA : L R

RADIOGRAPHIC EXAMINATION L R RADIOGRAPHIC EXAMINATION PERIAPICAL :

FINAL DIAGNOSIS Extra oral findings : normal. Chronic periodontitis (hyperplasia). teeth findings . Class III : molars & canines relations./according to angle classification/. Overjet & overbite -0.5 mm. Cross bite.

TREATMENT PLAN Improve oral hygiene & scaling the calculus. Gingivactomy Restorative treatment : Changing bad restoration: Endo-treatment : Endo-retreatment: 1 D O OP B 3 2 1 1 2 3 6 5 4 3 6 7 6 4 5 7 B O O BO 2 3 4 Bo 3 3 4 B 6 1 1 3 5 2 2 4 7 5 5

TREATMENT PLAN Correct occlusion and close spaces by full upper Crowns . Temporary crowns . Fixed prosthesis : Follow up. Post & core bridge 6 5 4 3 2 1 1 2 3 4 6 7 6 4 5 6 7 bridge Post & core

TREATMENT Gingivactomy : AFTER BEFORE

TREATMENT Restoration : Done be crown preparation. Done by composite. 6 5 4 3 2 3 4 6 7 6 4 5 7 3 3 4

TREATMENT Endo-retreatment : Endo-treatment : 5 2 2 4 6 1 1 3 7 5 5

TREATMENT Temporary crowns for upper arch . Fixed prosthesis : 6 5 4 3 2 1 1 2 3 4 6 7 6 4 5 6 7

Quick Review

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