1. UNIVERSITY OF KALAMOON FACULTY OF DENTISTRY
Graduation project

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

3. PATIENT PHOTOGRAPHY

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

5. 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.

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

7. 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

8. 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

9. INTRAORAL EXAMINATION

10. INTRAORAL EXAMINATION

11. INTRAORAL EXAMINATION

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

13. 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

14. INTRAORAL EXAMINATION x x x x x x x x x x x x x x x
خزام وليد ابوردن

15. INTRAORAL EXAMINATION 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 7 7 7 6 8 9 6 7 7 7 7

16. 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

17. 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

18. 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

19. RADIOGRAPHIC EXAMINATION
PANORAMA : L R

20. RADIOGRAPHIC EXAMINATIONL R
RADIOGRAPHIC EXAMINATION
PERIAPICAL :

21. 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.

22. 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 6
5 7 B O O BO
2 3 4 Bo 3
3 4 B
1 3
5 2
2 4
7 5 5

23. TREATMENT PLAN Correct occlusion and close spaces by full upper
Crowns .
Temporary crowns .
Fixed prosthesis :
Follow up.
Post & core
bridge
bridge
Post & core

24. TREATMENT
Gingivactomy :
AFTER
BEFORE

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

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

27. TREATMENT Temporary crowns for upper arch . Fixed prosthesis :

28. Quick Review

29. upper R L

30. upper R L

31. lower R L

33. R R R

39. R L

41. R L

42. L R

43. L R

44. L R

46. L R