Dental Circumstance Presentation Essay

Mrs. SL is 41 years old and shown as an emergency patient at the St . David's Primary Dental hygiene Unit. She complained of severe soreness UL2 that had stored her up the previous night time. She was fit and well though reporting a previous medical history of epileptic seizures 5 years ago. Her soreness was happy by draining the felon through the root canal and prescribing antimicrobials. Therefore the patient reported dissatisfaction of the appearance of edentulous spaces in the maxillary left and right premolar region. An entire history and assessment was performed and the right definitive plan for treatment was made which included the construction of two connections to address the patient's cosmetic concerns.

Learning outcomes:

Background & Evaluation

Reason for attendance: Pain that had disturbed sleep

Complains of: Severe pain. UL2 is sensitive to contact. Edentulous spaces in all quadrants History of present complaint:

Sufferer reports which a filling was replaced inside the UL2 one year ago. The tooth provides felt ‘numb' since yet dental treatment had not been sought. Throbbing pain began two days ago that acquired kept individual awake at night and UL2 is very young to feel. Mild pyrexia reported by patient There was also aesthetic area of issue two edentulous spaces inside the maxillary all over the place quadrants exactly where premolars have been previously recently been extracted because of periradicular pain. Mandibular edentulous spaces were noted Medical history: Fit and well. Previous epileptic seizure 5 years back with a mysterious cause of seizures. Taking zero medication Dental health history: Has become treated in the Primary Dental Care Unit in the last year and look for a Basic Dental Practitioner once treatment has been completed. Tooth brushes twice daily, no utilization of mouthwash. From time to time flosses. Premolars in all quadrants were removed for orthodontic treatments in her early teenagers. Has never donned a dentition Social Record: University lecturer. Never used to smoke. Drinks 15 units of alcohol a week Diet Record: Apparently healthier, no risk factors intended for caries Extra oral exam: Lymphadenopathy of deep cervical nodes. Small swelling of lip in region of UL2. Not any temporomandibular joint problems. Both maxillary premolar places visible during speech. The patient's body's temperature measured 38oC Intra-oral assessment

Oral health: Good

Very soft tissue: Nothing at all abnormal recognized

Caries activity: Low

Gingival condition: Green, firm stippled gingival cells

|0 |2 |0

|1 |0 |1

Basic periodontal examination:

Gum assessment: Zero pocketing, plaques score 10%. bleeding report 10%. 1mm gingival economic depression LL4 & LL5. UL2 grade My spouse and i mobile Restorative condition of tooth: Moderately restored dentition, defective margin of composite UR2, heavily restored UR6 Occlusion: Class I actually incisal romance. Over-erupted UR6, LR4, LL4. Canine direction during still left lateral excursion. Mesial go UR6 lowered space in maxillary right premolar region to 5. your five mm. Zero significant mesial drift of UL6, the area is a solitary premolar sized unit. Simply no occlusal trauma. Mesially tilted LR8, LL7 Restorative work:

[pic]

Essential: Am-amalgam, Co-composite, MCC- metallic ceramic overhead, RF-root stuffed Caries risk: Low

Special Investigations:

|Tooth |Percussion |Ethyl chloride |Electric pulp check | |UL2 |Tender to touch |Negative |Negative | |UR6 |Normal | Great |Positive | |UL6 |Normal | Positive |Positive | |UL3 |Normal | Confident |Positive | |UR3 |Normal | Positive...



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