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