peadodontic case by najma alamami

Pediatric dentistry

(08612(

alamaminajma@yahoo.com

Benghazi / Libya

Patient name : Salma Abd Alsalam Mohamed Age : 5years .Sex : femaleBirth date :20 / 8 / 2008Phone : 01284298886Address : Abohomes Order among sibling : 1st Father occupation : own s workerMother occupation : housewife

Personal history

chief complain

multiple missing teeth cause difficulty in eating . (mother’s own words).

Previous dental history ((Mother’s own words(Mother’s own words((

medical history

Does child have : Yes noRheumatic fever √

Diabetes √

Kidney disorder √

Heart disorders √

Seizures √

Hepatitis or AIDS √

Bleeding problem √

Breathing problems √

Examination of head and neck and

extremities

normal abnormalFacial swelling or asymmetry √

TMJ √

Eyes √

Nose √

Lymph nodes √

Fingers and nails √

bilateral submandibular lymph node , palpable and tender

Swelling in lower right side

Intra oral examinatio

n

normal abnormalLips √

Labial & buccal mucosa √

gingiva √

tongue √

palate √

NO abnormality mentioned

Assessment of oral hygiene ( plaque index - Silness and Loe index(

Tooth Surface score

55 Labial 3

72 Lingual 2

75 Lingual 2

Plaque index score : ) 3+ 2+2 ( I 3= 2.33

poor

Extra oral examination :

normal abnormalgait √

Hair √

Weight √

Stature √

Hands & finger nails √

NO abnormality mentioned

Frontal facial profile (( Asymmetrical

((

Right

Lateral facial profile

( straight

(

occlusion

no midline deviation unrecordable Over jet unrecordable Overbite

Behavioral assessment

cooperative ..according to Frankl’s

scale and Wright’s modifications

Rating 3 >>> (+ve)

Left

Left

right

right

occlusionocclusion

Class I

Class I

Flush terminal

Flush terminal

Dental examinationMultiple surfaces caries

Class V

Badly decayed

Class I caries with DAA Multiple

surfaces caries

Class I caries Multiple surfaces caries

Class III caries

Dental examinationDental Charting

47 46 45 44 43 42 41 31 32 33 34 35 36 37

55

54 53 52 51

61

62 63 64

65

85

84 83 82 81

71

72 73 74

75

17 16 15 14 13 12 11 21 22 23 24 25 26 27

class I

class I with DAA

Multiple surfaces

caries

Multiple surfaces caries

Badly Decayed with DAA

InvestigationBite wing x-ray

Investigation

Study cast

Diagnosis

Salma Abd Alsalam Mohamed 5years old girl is suffering from ( sever early childhood caries and multiple extracted teeth ) .

Problem List

Poor oral hygiene(2.33)

1st Visit:

1) Medical and dental history.2) Extra oral and Intra oral Examination.3) Preoperative Radiographs ,Photographs

and study cast.4) Bite wing x ray .5) Diagnosis .6) Oral hygiene instruction. 7) Topical fluoride .

2)Restorative Phase

Composite restoration Composite

restoration

Composite restoration

SSC ON deep caries

NANCE SM with anterior

teeth

Pulpectomy & SSC

Pulpectomy & SSC

composite restoration ( slot mesially and distally

AND CLASS v (

3)Maintenance Phase

Recall after one week to check the appliances .

Periodic follow up every 2weeks for Reinforcement of OHI.

Topical fluoride application every 3 months Follow up of restorations .Detection & restoration of any carious lesions.Band and loop SM post pounded until check the

integrity of pulpectomy and SSC >> BECAUSE #75 ,#85 was very mobile due to infection .

Anticipatory guidance

Nance space maintainer was inserted to maintain space for eruption of incisors ,canine and premolar.

Check integrity of all restorations.Insert band and loop SM .Check any new lesions or any defect in restoration.Check space maintainer appliances.Check occlusion development.

SM will be removed after eruption of permanent first molars, canine and premolars.

Detect any abnormal sequence of eruption of all the permanent dentition..

تعليمات للمحافظة على صحة اسنان الطفل

غسل النسنان كلها مع حافظ المسافة بالفرشة جيدا (1وعدم ترك فضل ت الكل على النسنان

بالنسبة لحافظ المسافة نسيستمر وجوده في الفم إلى ان (2تظهر الضواحك والينياب والنسنان المامية وتاخذ

مكاينها الصحيح وبعد ذلك نسيتم إزالته ..نسوف تكون هناك زيارة دورية كل انسبوع للتأكد من (3

غسل النسنان, وكل ةثلةثة اشهر لتفقد المادة اللقصقة لحافظ المسافا ت و وكذلك للتأكد من تواجد السادا ت اللقصقة على النسنان ووضعها عالنسنان التى ظهر ت

مؤخرا اشهر .3وضع طبقة فلوريد على النسنان وتكرراها كل (4

Before Afte

r

After

Before after 2 weeks

During follow up

Before Before after 2 weeks

During follow up

BeforeDuring follow

up

Before after 2 week

During follow

up

Post op x ray