Faculty of dental specialties

Restorative dentistry
Shorsh Dental Teaching Center
Documented case history
Student name: Dashty fariq
(4th year -2022-23)

Patient name/

Case no:
Patient’s name: Age: . Sex: Telephone No.:

Occupation: Date:

Student name: dashty fariq hama raza

Part I: Examination:
A. Clinical Examination:
1. Periodontal Examination:
Oral Hygiene: Good Fair Poor
Gingiva: Normal Localized Gingivitis Generalized Gingivitis
Periodontium: Normal Localized Periodontitis Generalized Periodontitis

2. Abutment Examination:

Abutments
Criteria for Examination Tooth No. Tooth No. Tooth No. Tooth No.

 Periodontal pockets (if ≥ 4 mm)

 Mobility (Grade I, II and III)
 Caries (S, Simple; E, Extensive)
 Restorations
 Pulp status:
 Sensitivity
 Pulp involvement
 RCT

3. Occlusal Examination:
  Type of centric occlusion: Angle class I Angle Class II Angle class III
 Type of working side contact: Canine guidance Group function
Anterior guidance

 Bruxism: Yes No
 Type of opposing dentition: Natural teeth Acrylic Ceramic Metal
Restoration
 TMJ examination:……..………………………………………………………...
……………………………………………………………………………………
4. Evaluation Existing Fixed partial denture (FPD) (if any):
…………………………………………………………………………………………
…………………………………………………………………………………………..
B. Radiographic Examination:

Abutments
Criteria for Examination Tooth No. Tooth No. Tooth No. Tooth No.

-Crown to root ratio (1:2- 2:3- 1:1)

-Caries
-Periapical lesion

 Evaluation of Ante’s Law:

1. The root surface area of the abutment equal or greater than that of the
teeth being replaced with pontics: Yes No
2. The root surface area of the abutment lesser than that of the teeth being
replaced with pontics: Yes No
 RCT quality (if any): Acceptable Not acceptable
 C. Mounted Diagnostic Cast Examination:
1. Edentulous space evaluation:
 Span length: …………mm (missing tooth/teeth ……………#)
 Reduced interarch space: Yes No

 Edentulous ridge deformities: Yes No If yes class I (loss of ridge)

class II (Height)
class III (combination)
2. Abutments:
 Length
 Malposition
 MD drifting (#.............).
 Rotation (#..................).
 Faciolingual displacement (#................).
 Common path of insertion
3. Occlusal Evaluation:
 Supra-eruption of abutment tooth/teeth: Yes (#.......) No
 Supra-eruption of opposing tooth/teeth: Yes (#......) No

Part II: Pre-Prosthetic Preparation:

 Restoration.
 Endodontic treatment/retreatments # ……………………….
 Periodontal therapy.
 Surgical approach.
 Orthodontic treatment.
 Gingivectomy # ………………………
  Crown lengthening procedure # ……………………….
 Occlusal analysis and correction.

Part III: Fixed Partial Denture (FPD) Treatment Plan:

A. Restoration of Abutment Foundation:

 Dental retentive feature retained build-up.
 Pin retained build-up.
 Prefabricated post retained build-up.
 Cast post and core.
B. Fixed Partial Denture design:
 Type of FPD:
1. Fixed/fixed Fixed/movable Cantilever Resin bonded Other
2. Design depending on number of missing tooth/teeth:
Simple: One tooth two teeth
Complex: One tooth
Two teeth
More than two teeth
Pier abutment

 Material: Full metal Metal ceramic Full ceramic

 Retainer/crown type:
 Pontic design: Bullet (Conical) Hygienic Ridge lap Modified ridge lap
 Ceramic material shade……………………………….