Pedo Lab Case Presentation

5/25/2018 Pedo Lab Case Presentation

1/4

1

Pedo lab

Rakan Khtoum

Case Presentation

A child presenting with a permanent left central and lateral incisors and a primary

right central incisor. It is necessary in this case to take a radiograph.

The radiograph showed a presence of a supernumerary tooth that prevented the

eruption of the permanent incisor.

Writing a treatment plan

the information needed to draw a chart:

7s: unerupted. 16: amalgam restoration occlusally. 55: disto-occlusal cavity. 54: sound. 53: buccal caries. 11: Fractured mesially & incisally (due to trauma).

..

64: disto-occlusal cavity. 65: filling mesio-occlusally.

..

36: cavitated occlusally. 75: remaining root. 74: stainless steel crown (SSC).

..

LR primary 1stmolar: extracted. LR primary 2ndmolar: mesial cavity. 46: recurrent caries. 85: mesial cavity.


2/4

2

The spaces between the teeth are closed.

Bitewings are needed to detect interproximal caries especially when spaces

between teeth are limited.

Periapical are needed for:

Tooth (74) to make sure that the tooth has received good treatment(Pulpotomy + SSC) and it is still successful.

They are also needed for grossly carious teeth (Teeth 55, 64) to detect thepresence of any abscess, pulp necrosis and periapical radiolucency.

In case of extraction (LR primary 1stmolar) to determine the need for spacemaintainer.

Remaining root (tooth 75); to avoid complicated extraction. Restored teeth.

Radiographic images showed the following results:

Tooth (55): interproximal caries in the mesial side extending to more than thickness of enamel, while the distal carious lesion extends to more than

thickness of dentine.

Tooth (54): interproximal caries in the distal side extending to less than thickness of enamel.

Tooth (65): interradicular lesion. Tooth (75): interradicular lesion. Tooth (64): distal carious lesion extending to less than thickness of

dentine.

Tooth (85): mesial carious lesion extending to less than thickness ofdentine.


3/4

3

Treatment plan

The first visit: PreventiveOH instructions, Fluoride application & diet sheet.

Diet Sheet:

1st

day 2nd

day 3rd

day

breakfast In between lunch In between )( dinner Dies sheet analysis:

1st

2nd

3rd

Total

Solution Meal 0 0 1 1

In between 1 1 0 2

Retentive Meal 1 1 0 2

In between 1 0 2 3

We start treating the quadrant with the chief compliant. If there is no chiefcompliant or emergent case, we usually start with the easiest quadrant.

The second visit: you give the patient OH instructions again and you do analysis

for the diet sheet you gave the patient in the first visit.

OH instructions are given in each visit.

Treatment plan for each quadrant

1stquadrant:

(53): Class V filling using glass ionomer or compomer. (11): Class IV composite filling. (55): pulpotomy + SSC.


4/4

4

2ndquadrant:

(64): Class II filling. (65): Extraction. Band selection for space maintainer.

3rdquadrant:

(75): Extraction. Band selection for space maintainer.

4stquadrant

(46): repeat cavity preparation and restoration. (85): class II filling. Band selection on the (85) for band & loop space maintainer.

Patient name: Patient File#: 11816

Documents

Pedo Lab Case Presentation