Case Presentation: Department of Pediatric Dentistry Ziauddin University

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CASE PRESENTATION

Department of Pediatric Dentistry


Ziauddin University

Saadia Hayee Shaikh


4-6/2016/043

12/08/2020 1
CASE SUMMARY
History
Extra Oral Examination
Intra Oral Examination
Investigations
Diagnosis
Treatment Plan
Procedures
Pictures
Reflection
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HISTORY
BIODATA
NAME
• Master Abdul Hameed
AGE
• 6 years
GENDER
• Male
MARITIAL STATUS
• Unmarried
OCCUPATION
• Student
ADDRESS
• Kemaari Karachi
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HISTORY
PRESENTING COMPLAIN
Patient came with the complaint of pain in the lower back right side since three days.

HISTORY OF PRESENTING COMPLAIN


Patient came with the complain of sharp, severe ,throbbing,spontaneous pain since
three days.The pain was on the lower right side ,posteriorly. Pain continues even after
stimulus is removed .Pain is exuberated with bending or lying down .Pain radiates
towards the forehead. Relieved for a short duration on taking medicine.

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HISTORY
MEDICAL HISTORY
No significant medical history

DENTAL HISTORY
• First dental visit , No prior Experience
• Food Impaction in the lower right side posteriorly
• Patient Complains to sensitivity to cold
• No complains of bleeding.
• Has Excessive Sweets and sugary Beverages through-out the day and
everyday.
• Brushes
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Twice A day ,Morning and Night. 5
HISTORY
EXTRA ORAL EXAMINATION
No significant findings
Class 1
INTRA ORAL EXAMINATION

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Investigations
 Periapical Xray #84
 Diet Diary
 TTP #84- POSITVE

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Photographs
PRE-OP

Maxillary Mandibular
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DIAGNOSIS
 Irreversible Pulpitis #84
 Broken Down Roots (BDR)- #51 ,73,83
 Multiple Carious Leisons

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TREATMENT PLAN
EMERGENCY PHASE
 Pulpectomy in tooth number #84
CONTROL PHASE
 Fissure Sealants #85,55,65,
 Flouride Application
 Filling /Pulpotomy # 52,53,54 ,61,62,63,64,74,75
 Extraction and space maintainers # 73,83
 Stainless steel crown # 52,53,54 ,61,62,63,64,74,75
 Oral Hygiene Instructions
 Scaling and Polishing
MAINTAINENCE PHASE
 Recall after 6 months for follow up .
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