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
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
References: : Monty Rosen; (2001), “A students’ manual of Dental materials”, 2nd Edition. University of the Witwatersrand. David A. Mitchell; (2005), “Oxford Handbook of Clinical Dentistry”, 4th Edition. Churchill Livingstone. www.google.com/images H.M. Pickard et al; (1996), “Pickards Manual of Operative Dentistry”, 7th Edition. Oxford University Press.