Prezentare caz clinic parodontologie

8/9/2019 Prezentare caz clinic parodontologie

1/29

GR. T. POPA UNIVERSITY OF MEDICINE ANDPHARMACY

FACULTY OF DENTAL MEDICINE

PERIODONTOLOGY CLINICAL

CLINICAL CASE PRESENTATION!

Student: ALI BAGHDADI

6th Year Englih r"gra#!

Gr"u $""rdinat"r: %ni&' Ait' Critala Nite$u!


2/29

GENERAL DATA!

GENERAL DATA

( Na#e: )ILIP ALE*ANDR%

( Age: +,

( Se-: #a$uline

( Li&e in Iai

( O$$uati"n: tudent


3/29

ANAMNESIS

Rea"n ."r atient reentati"n:

Dental r"/le#: #ultile $a&itie0

i#le and $"#li$ated1

Dental Pain at 2'3 and 4'3

Halit"i: /ad tate in the #"uth1

Bleeding gu# 5hen /ruhing1Diruti"n ". #ati$at"r .un$ti"n and

etheti$ t"#at"gnathi$ te#


4/29

FAMILY HISTORY!

General Hit"r: inigni.i$ant

Dental Hit"r:

#"ther 7 e&ere $hr"ni$ eri"d"ntiti0

dental treat#entDad 7 dental and urgi$al treat#ent

General Per"nal hit"r: The atient

denie'Per"nal hit"r dentitr: dental

treat#ent


5/29

Living and woring

S#"8e 7 +9 $igarette da

C"nu#e 2 $"..ee da

Balan$ed diet0 5ith irregular $hedule

;i$r"$li#ate "$ial and .a#il: &erg""d


6/29

HISTORY ( PERSONAL ;D' HISTORY:

Herteni"n


7/29

Hgi"n":

a&erage

Bruhing untead

i#r"er te$hni@ue

Dental T""th/ruh: #anual0 #ediu#

T""thate: Beaut


8/29

P"riodon#a$ ri%&a'#or%(

Te ". .""d: ri$h in $ar/"hdrate1

Oral hgiene: 7 Inar"riate1 7Nu#/er

". /ruhing: 2 da1 ( D" n"t ue

additi"nal #ean ". "ral hgiene


9/29


10/29

In#raora$ '$ini'a$")a*ina#ion

Te-ture n"r#al li0 li $"nt"ur

a##etri$ dr li0 #"uth "ening

a#litude n"r#al la/ial ugal #u$"a

integrit0 $"l"ring n"r#al arti$ularinterline a/ent0 Sten"n $hannel

er#ea/le0 dee alate0 alatine t"ru

a/ent0 /u$$al &eti/ule 5ith"utath"l"gi$al ."r#ati"n'


11/29

In#raora$ ")a*ina#ion(

mandibular arch

maxillary arch


12/29

In#raora$")a*ina#ion(

;ultile $a&itie: 2'0 2'+0 2'20 +'1

S$ra r""t: ,'60 4'0 4'61

Etheti$ .illing: ,'30 4'31


13/29

Ma)i$$ar ar'+(

Integra $"ntinue'

;ultile .illing: 2'20+'204'6

;arginal gingi&a: red7&i"let0

te-ture ".t and #""th te-ture'

Atta$hed gingi&a: narr"5 ine-tant + lata in e-tant 2 t" ,'

la/ial .renulu# inerted ditan$e'

Bride inerted at an a&erage

ditan$e'

Bleeding in the ur&e

De"it ". la@ue in the e-tant

I0 II and III


14/29

Mandi,-$ar ar'+(

;arginal gingi&a: red7&i"let0

te-ture ".t and #""th te-ture'

Atta$hed gingi&a: narr"5 and

/r"ad in e-tant '6 4'

La/ial and lingual )renulu#inerted at a ditan$e .r"# the

ridge'

Cl"ing hutter ""r #arginal

at 4'6

Bleeding .r"# the ur&e

De"it ". la@ue in the

e-tant I0 and I'


15/29

P"riodon#a$ '$ini'a$ ")a*ina#ion(

;arginal gingi&a:

7C"l"r Pin8 urle1

7 C"nitent Ede#at"u ".t1

7Te-tur S#""th0 gl"1

7 Gu# re$ei"n

Generalied 27, ##0 #a-illar

and #andi/ular1

Atta$hed gingi&a /et5een + and

6 ##1

)renulu# and en&el"e

inerted a5a .r"# .i-ed gu#1


16/29

P"riodon#a$ '$ini'a$")a*ina#ion(

Bleeding: thi /ruhing and /"ring1

27, ## "$8et1

Derei"n generalied 27, ##1

Thi lei"n #il"l"a 2'402',0+',0+'40,'404',

teeth1


17/29

Eva$-a#ion o& ora$ +gi"n"(

Peri"d"nt"gra#a #a-illar age


18/29

Eva$-a#ion o& ora$+gi"n"(

Peri"d"nt"gra#a #andi/ular age:


19/29

C$ini'a$ and ,io$ogi'a$indi'"%(

Gingi&al in.la##ati"n indi$e:

Gingi&al inde- ". L"e and Silne F +

Paillar /leeding inde- F +

Gingi&al /leeding inde- ,0 /leeding0 #ild

ede#a0 $"l"r $hangeIndi$e ". eri"d"ntal in.la##ati"n:

Ra#."rd eri"d"ntal inde- :

Gu# F + Peri"d"ntal F


20/29

Diagno%#i' odon#a$(

Pr"-i#al $ari"u lei"n0 Cla II' Bla$80

at the le&el ". 2' and +'4 '2'+02'21

#i$r"/ial eti"l"g 5ith l"5 e&"luti"n

5ith"ut $"#li$ati"n0 5ith .a&"ra/ler"gn"i 5ith treat#ent


21/29

Diagno%i% o& o''$-%a$in#"gri#(

;al"$$lui"n / interruting "$$lual

area 5ith $hanging ara#eter altered

"$$lui"n tati$ and dna#i$ "$$lui"n0

#ati$at"r di"rder0 .a&"ra/ler"gn"i0 $"ure ". treat#ent


22/29

P"riodon#a$Diagno%i%(

Peri"d"ntal diagn"i i:

7 Suer.i$ial generalied $hr"ni$

eri"d"ntiti eti"l"g luri.a$t"rial

0etheti$ and #ati$at"r di"rder0 l"5

e&"luti"n0 5ith .a&"ra/le r"gn"i0

untreated'


23/29

Tr"a#*"n# P$an

2> Treat#ent eti"l"gi$:

;"ti&ati"n and a5arene ". the atient in "rder t"

a$hie&e r"er "ral hgiene1

)"r el. la@ue0 the atient e-lained #"di.ied Ba

/ruhing te$hni@ue and the need di"rganiati"n

/a$terial /i".il# and indi$ated uing a ".t t""th/ruh

and t""thate ue Elgdiu# anti la@ue0 "ral rine

and re$"##endati"n C"r"dl ue interdentall 5ireOral B )l"0 and e-lanati"n ."r the ue ". it'

Di"rganiati"n la@ue / #e$hani$al de/ride#ent


24/29

E#io$ogi'a$ #r"a#*"n#(

A$hie&e#ent ;"ti&ati"n %ing "ral hgiene

la@ue taining1


25/29



26/29


r".ei"nal /ruhing


27/29

T"'+ni-"% o& %"$&/'on#ro$,oard

Learning Ba /ruhing te$hni@ue1

%ing a ".t t""th/ruh1

%ing Oral B )l"7interdental 5ire

%ing t""thate: Par"d"nta-

Oral rine 5ith antieti$ "luti"n:

7 9'2+ Par"d"nta- +* da ."r 2 #inute at ,9 #inute a.ter

/ruhing


28/29

Tr"a#*"n# o& *ain#"nan'" and 'on#ro$

In$lude $"nultati"n 5ithin

dienar :

6 #"nth

2 ear'


29/29

THANK YOU

Documents

Prezentare caz clinic parodontologie