Christopher[1] 1

8/7/2019 Christopher[1] 1

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OBJ #1


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#3 Recurrent Decay MO Amalgam#2 B composite


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#5 Endo TxFractured


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#6 ML, B CompositeRecurrent decay under ML


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#7 M Decay#10 DL Composite, recurrent decay

#10 M decay#11 B Composite, recurrent decay


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OBJ #1

#7 M Decay#10 DL Composite, recurrent decay

#10 M decay#11 MB Composite, recurrent decay


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#12 B composite#12 D decay

#13 RCT, Fill#13 O Composite

#13 D decay, B decay


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#14 M decay#15 B Composite,

recurrent caries


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#17 Mesially tipped#19 DB decay

D decacy


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#20 DO amalgam, recurrent decay#20 M decay#20 B composite


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Sound, Calculus


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#30 DO amalgam,FX filling, recurrent

B Decay


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#31 M decayB decay


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Nick Shuff


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Caries: a progressive destruction of any kind of bonestructure, including the skull, ribs and other bones and teeth.

Dental Caries(cavity/tooth decay): one of many types ofcaries that is usually a result of bacteria such asStreptococcus mutans or Lactobacillus.

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Common Bacteria:

Lactobacillus acidophilus

Actinomyces viscosus Streptococcus mutans

Nocardia spp.

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These bacteria are normal constituentsof the oral environment

Problems arise when the natural balance is tipped. By eating too much sugar

By not removing primary colonizers and

allowing secondary colonizers to thrive

(establishing complex biofilm)

Oral bacteria are contagious sharing drinks / eating utensils / kissing

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Plaque:a biofilmthat develops naturally on teeth.Formed by colonizing bacteria attaching itself to thesmooth tooth surface. failure to remove plaque by regular brushing allows bacterial evolution

to occur

Biofilm:an aggregate of microorganisms in which cellsadhere to each other and/or to a surface.These cells arefrequently embedded within a self-produced matrix. Biofilms

are generally composed of not only bacteria but alsoextracellular DNA, proteins, and sugars.

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1. Oral anaerobic bacteria + glucose/sucrose/fructose lactic acid

1. Lactic acid on tooth structure demineralization of tooth structure

1. Demineralization of tooth structure creates opening for bacteria toinvade and multiply (caries)

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Demineralization Remineralization

Eating sugary foods

Eating foods high in carbohydrates Not brushing/flossing Low saliva (dry mouth)

Dynamic process

brushing/ flossing healthy balanced diet

good salivary flow(salivary adjuncts)

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Patient LastPatient Last Name:Name:Group 5 Case 6Group 5 Case 6

Treatment ModificationsTreatment Modifications: None: None

Recommended Maintenance Care IntervalRecommended Maintenance Care Interval: 6 month: 6 month

Sequenced Treatment PlanSequenced Treatment Plan::

Treatment PlanTreatment Plan

Case#6Case#6

GroupGroup #5#5

StudentNames

1.SamanthaSeys

2. NicholasShuff

3. JennethPowell

4. Josh Jones

5. JasonMiller

1-SRP Quads I,II,III,IV 2- # 4 Extract 3- # 3 MO Composite 4- # 5 Endo 5- # 5 Build Up W/ PFM 6- # 6 ML Composite

7- # 6 B Composite 8- # 7 PFM 9- # 10 Build Up W/ PFM 10- # 11 ML Composite 11- # 11 B Composite 12- #12 DO Composite 13- #12 B Wrap Composite

14- # 13 Build Up W/ PFM

15- # 14 MO Composite 16- # 15 DOB Onlay Composite

17- # 19 Build Up W PFM

18- # 21 B Composite

19- # 30 Build Up W/ PFM 20- #31 PFM

21- # 4 Implant

22- # 4 PFM

23- # 17 Ortho Consultation


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COMPOSITERESTORATIONS

Teeth are prepared by

drilling away diseasedtooth structure.

Depending on Depth ofcaries, a base/liner isindicated to prevent

sensitivity. 6thGeneration Self-Etch

bonding.


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BUILDUPWITHPFM

Porcelain fused to metal

crown preparation.

Removal of all caries. Sufficient tooth structure

that draws, retains andsupports the crown.

Composite Build Up toprovide retention andsupport if tooth structure islacking after removal ofcaries.


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EXTRACTION WITHIMPLANT

We will refer the extraction

and implant placement tothe oral surgeon.

Once the implant has beenplaced and the bone hashealed, we will fit an

abutment and crown.


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ON-LAY BUILDUP

The DB cusp of tooth

number 15 is underminedwith caries, and isunsupported.

Composite build up willprovide immediate

completion of pr0cedureand provide proper supportof tooth.


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Patient LastPatient Last Name:Name:Group 5 Case 6Group 5 Case 6

Treatment ModificationsTreatment Modifications: None: None

Recommended Maintenance Care IntervalRecommended Maintenance Care Interval: 6 month: 6 month

Sequenced Treatment PlanSequenced Treatment Plan::

Treatment PlanTreatment Plan

Case#6Case#6

GroupGroup #5#5

StudentNames

1.SamanthaSeys

2. NicholasShuff

3. JennethPowell

4. Josh Jones

5. JasonMiller

1-SRP Quads I,II,III,IV 2- # 4 Extract 3- # 3 MO Composite 4- # 5 Endo 5- # 5 Build Up W/ PFM 6- # 6 ML Composite

7- # 6 B Composite 8- # 7 PFM 9- # 10 Build Up W/ PFM 10- # 11 ML Composite 11- # 11 B Composite 12- #12 DO Composite 13- #12 B Wrap Composite

14- # 13 Build Up W/ PFM

15- # 14 MO Composite 16- # 15 DOB Onlay Composite

17- # 19 Build Up W PFM

18- # 21 B Composite

19- # 30 Build Up W/ PFM 20- #31 PFM

21- # 4 Implant

22- # 4 PFM

23- # 17 Ortho Consultation

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Christopher[1] 1