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  • Case Presentation: PRESENTED BY: DR - Marwa Mohamed EL-Ameen

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    marwa
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    The patient is a 51-year-old housewife who had her teeth extracted over 15 years ago due to caries. She has tried multiple partial dentures in the past but found them uncomfortable. The treatment plan involves extracting remaining problematic teeth, followed by fabrication of a maxillary complete denture and mandibular chrome cobalt partial denture. The dentures were tried in and adjusted, and the patient was pleased with the aesthetics and function upon insertion. Follow-up visits were scheduled to monitor healing and denture stability.

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    The patient is a 51-year-old housewife who had her teeth extracted over 15 years ago due to caries. She has tried multiple partial dentures in the past but found them uncomfortable. The treatment plan involves extracting remaining problematic teeth, followed by fabrication of a maxillary complete denture and mandibular chrome cobalt partial denture. The dentures were tried in and adjusted, and the patient was pleased with the aesthetics and function upon insertion. Follow-up visits were scheduled to monitor healing and denture stability.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    20 views57 pages

    Case Presentation: PRESENTED BY: DR - Marwa Mohamed EL-Ameen

    Uploaded by

    marwa
    The patient is a 51-year-old housewife who had her teeth extracted over 15 years ago due to caries. She has tried multiple partial dentures in the past but found them uncomfortable. The treatment plan involves extracting remaining problematic teeth, followed by fabrication of a maxillary complete denture and mandibular chrome cobalt partial denture. The dentures were tried in and adjusted, and the patient was pleased with the aesthetics and function upon insertion. Follow-up visits were scheduled to monitor healing and denture stability.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 57

    CASE PRESENTATION

    PRESENTED BY: Dr.Marwa Mohamed EL-Ameen


    Name: Fatima Alnor Ahmed Ali

    Age: 51 yrs

    Occupation: House Wife

    Residence: Ombadda

    Habits: No habit mentioned


    Chief Complaint

    “After I lost my teeth I looked too old “

    Expectations: Realistic, good aesthetics & mastication


    Past Dental History

    Pt. extracted her teeth due to caries, this started more than
    15 years ago .

    Three previous acrylic partial dentures were made but she


    didn’t use them, because they were uncomfortable.

    Restorative treatment .
    Medical History

     Pt. looked well

     10 years ago she was hospitalized for appendicectomy


    Clinical Examination
    Extra
    Click Oral
    icon to Examination
    add picture

    Pt. had an ovoid, relatively symmetrical


    face with a normal profile
    Extra Oral Examination

     TMJ showed no clicking sound, crepitus, pain nor


    tenderness on palpation.

     Lymph nodes were not palpable nor tender on palpation


    Click icon to add picture
    Intra Oral Examination

    Maxillary arch:
     Average size
     Ovoid shaped arch with irregular ridge
     Bilateral bulbous over hanged tuborosities

    Mandibular arch:
     Average size, ovoid shape
     Normal tongue size
    Assessment
    Click icon to addof Teeth
    picture

     13 (carious, over erupted), 21(over erupted)

     36 (mesially tilted, over hanged old amalgam


    filling, secondary carious, tender to percussion,
    exposed carious root),34,32 (carious)

     41,44 (carious),46 (mesially tilted, over hanged


    old amalgam filling, tender to percussion,
    exposed carious root)
    Periodontal Assessment & Mental Attitude

     Poor oral hygiene, inflamed gingivae

     According to House’s classification, she was philosophical


    Investigations Done
    Click icon toDiagnostic Impression
    add picture
    Investigations Done
    Study
    Click icon to add Casts
    picture
    Investigations Done
    Articulated
    Click icon to add pictureStudy Casts
    Diagnosis
    Gingivitis

     Dental caries

    Partially edentulous maxillary arch ClassI mod1, mandibular


    arch Class I

    Bilateral over erupted maxillary tuborosities, obliterated


    inter arch space
    Click icon to add picture

    Treatment Options
    Maxilla
    Maxilla Mandible

     Implant fixed  Implant fixed


    prosthesis. prosthesis.
     Implant supported  Cobalt – Chromium
    complete over denture. RPD.
     Removable maxillary
    complete prosthesis.
    Click icon to add picture

    Risks, benefits & alternatives were discussed with the patient,


    the patient had chosen :

    Upper complete denture opposing lower chrome cobalt partial


    denture.
    Click icon to add picture

    Treatment Plan
    Click icon to add picture

    Phase (1):
    Pt. education & motivation.
    Phase (2):
    Periodontal phase (scaling, OHI)
    Phase (3):
    Surgical phase (surgical reduction for tuberosities,
    alveoplasty for irregular area of ridges, extraction of
    13,21,36,46)
    Phase (4):
    Endodontic & conservative phase (filling for carious
    teeth)

    Phase (5):
    Prosthodontic phase.

    Phase (6):
    Regular follow up visits
    Click icon to add picture

    Treatment Done
    Click icon to add picture

    Phase 1
    Was done.

    Phase 2:
    Patient was referred for periodontic department
    Phase 3:

    Tuborsities were reduced, ridge shaving was done,


    13,21,36,46 were extracted.
    Phase 4:
    Carious teeth were filled with
    composite
    Phase 5:
    Upper complete denture & lower R.P.D were fabricated

    Phase 6:
    Regular follow up visits were done at 1 st,3rd & 6th months
    OPG (Post Operative)
    Primary
    Click icon Impression
    to add picture
    Secondary Impression & Master Cast

    Border molded custom trays


    Final impression
    Master cast
    Framework (waxup)
    Click icon to add picture
    Click icon to add picture

    Metal Try In
    Click icon to add picture

    Corrected Cast Technique


    Click icon to add picture
    Click icon to add picture
    Click icon to add picture
    Click icon to add picture
    Maxillomandibular Relationship
    Face Bow Transfer
    Click icon to add picture
    Click icon to add picture
    Try In
    Click icon to add picture
    Click icon to add picture
    Processed Denture
    Denture Insertion
    Click icon to add picture
    Click icon to add picture

    Occlusion
    Bilateral Balanced Occlusion
    Click icon to add picture
    Centric Position
    Lateral Movement
    Right Lt. Click icon to add picture
    Click icon toLateral Movement
    add picture
    Left Lt.
    Click icon toProtrusion
    add picture
    Click icon to add picture
    Click icon to add picture
    Click icon to add picture
    Click icon to add picture
    Click icon to add picture
    Click icon to add picture

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