Research Article : Case Report - Paediatric Dentistry

Paediatric Dentistry Case report :

Main Complaint:

Patient complained about poor function - “I have holes on the lower tooth at the back, I want fillings so I can chew”
Patient also concerned about aesthetic appearance – “I want my front teeth, which were chipped, to be fixed”

History of main complaint:

Pain sensation, not continuous and especially when something cold is applied to the cavity. Patient noticed it for about one week previous to the appointment.
About a year ago patient came in for an extraction and amalgam restorations.

Medical History:

Hereditary – Patients father diagnosed with Diabetes, Hypertension and Gout.

Patient –   Patient has Asthma and Gout.

Medication – Gout : Voltaren
        Puricose
          Asthma : Budaflam pump
  Half a Disprin (every alternate day)

Medical history record dated and signed by the patient.
Patient deemed fit for treatment.

Extra-oral Exam :

External abnormalities – NAD (Nothing Abnormal Detected)
Palpable lymph nodes – No regional lymphadenopathy
Oral mucosa, Oropharynx- NAD
Temporomandibular Joint – NAD

Intra-oral Exam :

Subjective impression of the mouth :
Satisfactory oral hygiene, many amalgam restorations, some gingival recession visible on posteriors, minimal calculus and plaque. No periodontitis.

Diagnostic Procedures & Special Investigations :

Radiographs
Percussion and Palpation
Vitality Testing :
    • Thermal
          - using heated gutta percha and ethyl chloride
    • Electric Pulp Tester
    • “Dentine” Test

Charting :

|                                                                 |                                                                 |
|                                                                 |21 – Class IV                                                     |
|11 – Class IV                                                     |22 – Class IV                                                     |
|18- Missing... [continues]

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