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Case presentation
Presented to Ass. Prof. Hala RagabPrepared by Marwa Merheb
Patient’s info
• Name : Youssra Deryan• Age : 55 years old• Family status : married and has 7
children• Occupation : housewife
Medical history
SHE HAS XEROSTOMIA because of her medication
Patient’s info
Dental history : fillings , RCT , extractions, fixed prosthesis
Patient’s info
Fast observation
Old and bad restorations
Plaque retentive area
recession
attrition
Oral examination
Radiographic examination
• Remaining roots : crowned : • missed teeth : • Partially erupted :
Treatment plan
• Oral hygiene instruction • Scaling and root planning • Extraction of remaining roots 17, 16,
27 and of 28, 31 ,41• Class 4 restoration on tooth # 11• Endo retreatment for 27 • Post and core for 25 , 27 and PFM
crown• Lower and upper RPD • maintenance
Scaling and root planning
• As usual we started with sickle scaler and gracey curettes
• Then we worked on removal of stains with the ultrasonic scaler
After scaling and root planning
Class four composite restoration
Preoperative photo
Multiple isolation
Prepared class four
etching
bonding
Light curing
After composite build up
Finishing burs
finishing
finishing
Finishing strips
Interproximal finishing
Rubber cup and polishing paste
polishing
Final restoration
• We are working now on the proposed treatment plan
Thank you