This case report is about our male patient of 29 years from sydney who reported to us with a complaint of missing and few decayed teeth in his lower jaw. This was his first visit to dental treatment, and since childhood he was having fear of dental treatments because of pain and injections. Over years and years he was having difficulty in chewing foods because lower molars on both sides were in trouble and was giving discomfort and pain . Because of difficulty in chewing, he was having restriction in taking his favorite foods and can have only soft diets. He finally decided to undergo dental treatment for his missing and decayed molars, keeping his fear in dental treatments aside. Patients told his main concern was to have a painless dental treatment and particularly stressed that before leaving chennai, he should have his favorite food in chennai that is briyani which is a favorite food of all of us.
ON CLINICAL EXAMINATION
There were missing lower first molar on left side and deep dental decay on both side lower molars which was tender on percussion, calculus and tartar was also present.
RADIOGRAPHIC EXAMINATION
Deep dental decay with pus formation around the apex of left side 2nd molar, right side 2nd molar and wisdom tooth was noticed and the bone quality around the missing teeth was of sufficient height and width for implant placement.
TREATMENT PLAN DISCUSSION
After complete clinical and radiographic examination, treatment plan was discussed with patient to extract the decayed molars and replace it with dental implants of sufficient height and width under local anesthesia (STA- painless anesthesia) followed by giving provisional crowns on the same day of implant surgery
OUR STEPWISE TREATMENT PROCDURE
DAY 1 - under local anesthesia(STA- painless anesthesia) extraction of decayed molars and dental implants of required number and of sufficient height and width was placed, followed by digital scanning(digital impression) was done for crowns
IMMEDIATE POSTOPERATIVE OPG
Immediate postoperative OPG showing accurate placement of dental implants at its appropriate sites
3D DIGITAL SCANNING
DAY 2 - provisional crowns of perfect contour and shade mirroring adjacent teeth was fixed and from day 2 the patient started to have foods
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ON CLINICAL EXAMINATION
There were missing lower first molar on left side and deep dental decay on both side lower molars which was tender on percussion, calculus and tartar was also present.
RADIOGRAPHIC EXAMINATION
Deep dental decay with pus formation around the apex of left side 2nd molar, right side 2nd molar and wisdom tooth was noticed and the bone quality around the missing teeth was of sufficient height and width for implant placement.
TREATMENT PLAN DISCUSSION
After complete clinical and radiographic examination, treatment plan was discussed with patient to extract the decayed molars and replace it with dental implants of sufficient height and width under local anesthesia (STA- painless anesthesia) followed by giving provisional crowns on the same day of implant surgery
OUR STEPWISE TREATMENT PROCDURE
DAY 1 - under local anesthesia(STA- painless anesthesia) extraction of decayed molars and dental implants of required number and of sufficient height and width was placed, followed by digital scanning(digital impression) was done for crowns
IMMEDIATE POSTOPERATIVE OPG
Immediate postoperative OPG showing accurate placement of dental implants at its appropriate sites
3D DIGITAL SCANNING
DAY 2 - provisional crowns of perfect contour and shade mirroring adjacent teeth was fixed and from day 2 the patient started to have foods
Finally the patient was asked to report us after 4-6 months of healing period to change her provisional crowns to permanent zirconium crowns
Before leaving to sydney that is after 2 weeks of our dental treatment, patient reported to us for check up and told his chewing efficiency was very good, that he started to have his favorite food that is briyani because of which he came to Chennai, Tamil nadu.
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