Dental Work Cases
Case 1 - Endo and crown
CC:
Patient 30 years old, attended as an emergency regarding pain on 36 (deep carious lesion - Irreversible pulpitis). She also had broken tooth (35 - already RCT) and unfinished RCT on 14. She was concerned about aesthetic of her teeth especially 34 (dark shade) and wanted to do tooth whitening.
Treatment:
0- Emergency: 36 extirpation and temporary resto + 35 caries removal and temp resto
1- 36 RCT (4 canals)
2- Retreatment of 35 + referred to Periodontist for crown lengthening
3- RCT of 14 (2 canals)
4- Removing the restoration of already root treated 34 (to assess the remaining tooth structure and remove the old amalgam -core material underneath the old composite). Tooth restored back with luxacore. This, temporarily addressed patient's concern about dark shade until she received definitive restoration later on.
5- Tooth whitening: First whitening tray provided to patient to be used before crown shade selection. Patient was informed new trays will be required after final treatment.
6- Indirect post and core insertion on 34
7- PFM Crowns prep - impression and insertion for 34, 35, 36
8- Referred patient for upper arch tooth alignment to Orthodontist
Before Treatment
PA's Before Treatment
Before Treatment
Case 2 - Endo and Crown
CC:
Patient attended as an emergency with pain on 37. (secondary caries with periapical abscess)
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Treatment:
0- Emergency : extirpation of 37 and temporary resto
1- RCT on 37
2- Gold crown prep + Impression + insertion on 37
3- Referred to implantology for 36 implant assessment and consult
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Case 3 - Endo and Crown
CC:
Patient attended as an emergency with pain on 46. Secondary caries with periapical abscess.
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Treatment:
0- Emergency : extirpation and temporization with Fuji II
1- Root canal treatment of 46
2- Gold crown prep, impression and insertion after healing
Radiograph of 46 before and after root canal treatment
Gold crown inserted on 46
Radiograph of 46 before and after root canal treatment
Case 4 - Endo, direct post and crown
CC:
Fractured teeth 12 and a few months later fractured 22. Lack of posterior occlusion - Periodontitis with mobility grade 2 on 14, 24
Treatment:
1- Upper acrylic denture made for patient to reduce occlusion load on anterior teeth
2- Periodontal therapy
3- Patient couldn't afford indirect post and crown but was really concern about her aesthetic and didn't want to extract her teeth - decided for Elective RCT on 12 and 22 followed by composite buildup.
4- Due to severe Perio, patient was advised to add teeth to the upper acrylic denture in case of another fracture or extraction of her upper teeth
5- Regular recall and Periodontal NST - patient is being treated by me for the past 3 years.
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Patient has moved to Toowoomba in early 2020 but still comes to see me on the Gold coast for her dental treatments.
Patient's feedback
Case 6 - Endo
CC:
36 Irreversible pulpitis due to extensive decay
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Treatment:
36 Root canal treatment , patient referred to another student for crown due to my outplacement.
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Case 7 - Endo
CC:
Referred by a junior student - 45 exposed pulp during caries removal and 17 periapical abscess.
Treatment:
Root canal treatment on both 45, 17. Referred back to junior student for 17 crown and 45 post, core and crown.
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Case 8 - Endodontic treatement on 21 and 37
CC: Symptomatic Irreversible Pulpitis on 21 and 37
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Treatment: Endodontic treatment on 21 and 37
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