8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 1/11

Treatment of a partially edentulous

patient with chronic periodontitis

BY: GARCIA, ZARA DENISSE

DDM 6-B

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 2/11

Chief Complaint & HPI

A 53 year old female patient from Guimaraspresents with a chief complaint of “Mpa.postisoko kay nabudlayan ko mag usang sangpagkaon”.

The patient admits to never having brushed herteeth during her early years and is fond of eatingsweets and hard foods. This lack of oral hygieneand form of diet caused her extensive caries andperiodontitis.

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 3/11

Patient’s Work -Up

Medical history –  no significant findings

Dental history –  multiple extractions dueto caries & periodontal disease;

- patient has never undergoneOral Prophylaxis or any

Restorations Medications and allergies –  no

medications, no drug allergies

Review of systems –  vital signs

BP: 120/80

PR: 74 beats/min

RR: 16 breaths/min

Social history

- patient neither smokes, or d

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 4/11

Extra-Oral Examination

• Symmetrical face• Competent lips• Convex profile• Normal temporomandibular joint

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 5/11

Intra-Oral Examination

• No lesions on the soft tissues

• Generalized redness andswelling of the gingiva

• Heavy Calcular Deposits

• Root Exposure

• Parabolic maxillary arch

• U-shaped mandibular arch

• Normal palatal vault

•

Presence of caries• No restorations

• Mesially tilted tooth # 38

• Root fragments

• Mobile tooth

• Presence of Periodontal Pockets

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 6/11

Dental Charting

EXTR

ROOT

INDICA

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 7/11

Radiographic Examination

• Bone resorption on both maxilla and mandible

• Root Fragments of Tooth #24

• Mesially tilted tooth #38

• Radiolucency at the apex of tooth #44

• Severe bone resorption around tooth #35

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 8/11

Diagnosis and Treatment Plan

DIAGNOSIS TREATMENT PLA

• Poor oral hygiene

• Heavy Calcular Deposits• Oral hygiene instruction

• Oral prophylaxis

• RF of tooth # 24

• Significant Root Exposure and Caries on tooth # 16

• Grade 2 tooth mobility, tooth # 35

• Extraction

• Periapical Abscess, tooth # 45 • Antibiotic Therapy, otherwise;

• Root Canal Therapy

• PFMC Fabrication

• Class 1 caries on tooth #s 44, 38

• Class 2 caries on tooth #s 34, 28, 25

• Class 3 caries on tooth #s 33, 22

• Amalgam Restorations

• VLC Restorations

• Edentulous Areas: MAXILLARY Class 3, Mod 2

MANDIBULAR Class 3, Mod 1

• Acrylic Resin RPD

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 9/11

RPD Framework Design

Major Connector: Anteroposterio

Minor Connector: Ladder

Rests and Occlusal Rest Seats: To

C-Clasps: Tooth # 28

RPI System: Tooth # 15

Lingual Plate: Tooth #s 13,12, 11, 2

Proximal Plate: Tooth #25 

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 10/11

RPD Framework Design

Major Connector: Lingual Bar

Minor Connector: Ladder

Rests and Occlusal Rest Seats: To

C-Clasps: Tooth # 38

RPI System: Tooth # 34, 45

8/11/2019 SS Prostho

http://slidepdf.com/reader/full/ss-prostho 11/11