PBL Case no.

6
General patient data.

 Name : Medhat Wagdy

 Age: 62

 Sex: Male

 Occupation: Tourist Guide

 Marital status: Married

 Chief complain:
• “ I have severe sensitivity upon drinking
anything hot or cold
• and I can’t eat properly due to missing
posterior teeth”

History of chief complain:

 Onset: With Cold or Hot
 Duration: Until Stimulus is over.
 Extra-oral examination

Lip competence.
 Dental Findings
Front Intra-Oral View
 Dental Findings
Right Intra-Oral View Left Intra-Oral View
 Dental Findings
Maxillary Intra-Oral Mandibular Intra-Oral
occlusal View occlusal View
 Pain assessment
 Location: At lower Anterior Incisors
 Pain duration & history: with stimulus and for 2 weeks.
 Onset: Cold or hot
 Character: Sharp Shooting

Tooth # cold test Percussion Palpatio Periodontal Deferential

n probing diagnosis
31 YES NO NO 3mm Reversible Pulpitis
32 YES NO NO 3mm Reversible Pulpitis

41 YES NO NO 3mm Reversible Pulpitis

42 YES NO NO 3mm Reversible Pulpitis

43 YES NO NO 3mm Reversible Pulpitis

Panoramic view of the case
Emphasis on target areas
With involved teeth # …., ….., …..
 Radiographic Findings
• Broken post 13 with defective endodontic
treatment.
• Pulp Exposure 11 and 21
• Open margin on crowns of 34 and 37
• Impacted 48 and 38
 II. Occlusal view

Maxillary occlusal view Mandibular occlusal view