Case presentation

Presented to Ass. Prof. Hala

Ragab
Prepared by Marwa Merheb

Patients 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

Patients info
Dental history : fillings , RCT , extractions, fixed
prosthesis

Patients info

Fast observation

Old and bad

restorations

Plaque
retentive area

recession

attritio
n

Oral examination

Radiographic examination

 Remaining roots :
missed teeth :
Partially erupted :

crowned :

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