This is a case report of our 31 year old female patient who came with a complaint of few missing molars since 10 years and deep dental caries in her lower 1st molars. The reason for her missing teeth is that she underwent extraction of her teeth because of multiple decays and she was not able to chew foods since the molars on both sides were missing. Patients major concern was to have nuts and groundnut cakes which were her favorite foods after 3-4 months of treatment and told that she stopped having her favorite nuts since 10 years. As an end she approached us seeking a permanent solution to improve her chewing both functionally as well as esthetically.
ON CLINICAL EXAMINATION
There was a missing upper molars and deep dental caries in her lower 1st molars which was very painful, generalised calculus was present.
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ON RADIOGRAPHIC EXAMINATION
Bone quality in edentulous site appears to be good for dental implant placement. And there was a deep dental caries in lower 1st molars.
TREATMENT PLAN
After complete clinical and radiographic examination, treatment plan was discussed with the patient to replace the edentulous site with 3 dental implants and root canal treatment for lower decayed 1st molars followed by giving provisional crowns in a couple of days.
TREATMENT PROCEDURE
First, dental implants in the edentulous site and root canal treatment was done on day 1 under local anesthesia, digital scanning for crown fixing was done.
IMMEDIATE POSTOPERATIVE OPG
3D DIGITAL SCANNING
Day 2 - cad cam milled pmma crown was fixed for the implants and root canal treated teeth with perfect shade matching
Patient finally regained her chewing and started enjoying her favorite foods the very next day if implant surgery without any pain throughout the procedure.
Finally the patient was asked to report us after 4-6 months of healing period to change her provisional crowns to permanent zirconium crowns
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