(I) Patient History - Justin Jus$n

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1. Chief complaint text styles
21 has become very mobile and is dislodged.

2. Local symptoms
ý Pain 21 mild pain when bi7ng, he avoids bi7ng on tooth
o Infec<on, Inflamma<on
o Bleeding gums
o Food impac<on
o Bad taste
ý Tooth mobility, Migra<on
ý Impaired chewing func<on
ý Enough teeth ý Yes o No
ý Aesthe<c concerns
(I) Patient History - Justin Jus$n

3. Dental history
ý Last visit to the den<st: 8 months ago (for cleaning)
ý Last tooth cleaning: 8 months ago
o Periodontal therapy
o Pregnancy gingivi<s
o Orthodon<c therapy
o TMJ dysfunc<on
o Pain o Clicking o Crepitus
o Loss of teeth
o Caries o Perio o Accident o Ortho
o Tooth replacement

o Fixed o Removable o Sa<sfied
(I) Patient History - Justin Jus$n

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4. Oral hygiene text styles
ý Toothbrush
oSoT ý Medium o Hard
ý Nylon o Natural o Electric
ý Applica<on: 5 mins / 2 x daily
o Disclosing
ý Addi<onal aids
ý Floss 1 x Daily o Irrigator
o Tooth picks o Interdental brush
ý Fluoride
o Tablets o Gel o Mouth rinse
ý Toothpaste
(I) Patient History - Justin Jus$n

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5. General medical risk assessment
text styles
o Allergies
o Rheuma<c fever
o Cardiovascular diseases
o Blood diseases
o Neoplasms
o Diabetes
o Pregnancy
o Hepa<<s o Hep. A o Hep. B o Hep. C
ý Other Allergic to Penicillin (possibly)
(I) Patient History - Justin Jus$n

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6. Medica<on
o Insulin
text styles
o Cor<costeroids
o Dilan<n
o An<coagulant
o An<bio<cs
o Immunosuppressives
ý Others paracetamol occasionally

7. Smoking history
o Smoke
ý Non-smoker
o Former smoker
(II) Examination - Justin Jus$n

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1. Extraoral examina<on text styles
o Skin
o Head
o Eyes
o Neck
o Hands
o Pigmenta<on
o Halitosis
o Other
(II) Examination - Justin Jus$n

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2. Intraoral examina<on text styles
o Lips
o Labial mucosa
o Buccal mucosa
o Alveolar mucosa
o Hard palate
o SoT palate
o Tonsils
o Floor of the mouth
o Tongue
o Salivary glands o Saliva
(II) Examination - Justin Jus$n

3. Clinical dental examina<on

17 16 15 14 13 12 11 21 22 23 24 25 26 27 28

Restoration

Abr/ Attr / Eros A(r A(r A(r A(r A(r A(r A(r A(r
CO2-Test + + + + + + + - + + + + + + +

Caries

Defective
restoration (overhang)
(II) Examination - Justin Jus$n

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3. Clinical dental examina<on
text styles

Restoration

CO2-Test + + + + + + + + + + + + - +
Abr/ Attr / Eros A(r A(r A(r

Caries
48 45 44 43 42 41 31 32 33 34 35 36 37 38
(III) Radiographic Examination - Justin
Jus$n

06.08.2013
(II) Examination - Justin Jus$n

5. Periodontal screening

(Basic Periodontal Examina<on: BPE)

1 4 1
BPE
1 2 1
(II) Examination - Justin Jus$n

6. Periodontal indices

ý Plaque Index (O‘Leary et al. 1975): 23 %

ý Bleeding on probing (BOP): 61 %

task 1:
What is your Diagnosis for Jus<n?
o Fracture of 21 below the bone level
o Localised Periodon<<s 21
o Unrestorable tooth substance
o All of the above
o None of the above
o Other
task 2:
What is your most likely treatment plan aTer extrac<on?
o Immediate implant, immediate temporary crown
o Early implant placement (6-8 weeks)
o Conven<onal implant placement (3-6 months)
o No implant, 3 unit bridge on anterior teeth
o No implant, etched bridge on 11
o Other
 task 3:
What is your choice of temporary replacement aTer extrac<on of 21?
o Immediate implant, immediate temporary crown
o A removable par<al acrylic denture
o An etched bridge supported by 11
o Other
Summ up Module 2: Justin