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WELCOME TO CASE

PRESENTATION
RESTORATION OF MANDIBULAR FIRST MOLAR BY
CAST CORE AND CROWN FOLLOWING SURGICAL
CROWN LENTHENING

Dr. Md.Mahbub-Ul-Alam
MS Resident, Phase-B
Department of Prosthodontics
Bangabandhu Sheikh Mujib Medical
University
CHAIRPERSON
PROF. MD.MAHBUBUR RAHMAN
CHAIRMAN
DEPARTMENT OF PROSTHODONTICS
BSMMU, SHAHBAG, DHAKA
MODERATOR

DR. SUVASHIS DAS


BDS, MS.
ASSISTANT PROFESSOR
DEPARTMENT OF PROSTHODONTICS
BSMMU, DHAKA
PARTICULARS OF THE
PATIENT
Name: Mohammad Hasan
Age: 23years
Sex: Male
Occupation: Student
Address: Gazipur
Chief Complaints :
Difficulty in chewing on left lower jaw
According to the statement of the patient, his lower left first
molar was endodontically treated at conservative dentistry &
endodontic department in BSMMU three months back. After
completion of RCT his tooth was gradually broken down. So
he was referred to department of prosthodontics in BSMMU
for better management.
Clinical findings:
Extra oral:
Face form : Tapering symmetrical face
Face profile : Convex
Lip : Competent
TMJ : Normal
Clinical findings:
Intra oral:
Oral hygiene: Average
Mucosa : Normal
Restoration : Right lower 1st & 2nd molar and
left lower 1st molar.
Arch form: U shaped.
Saliva: Normal.
Clinical findings:

Plaque index : Score 1.


calculus index: Score 1.

Occlusion:
Incisor relation: Class 1
Canine Relation: Class 1
Molar relation: Class 1
Lingually placed left lower second premolar.
Dental history:

RCT on left lower first molar followed by miracle mix


restoration three months back .
Old restoration on right lower first & second molar.
Investigation:

X –ray: Periapical view on left first molar.


Periapical view of left mandibular 1st molar
Diagnosis:
Endodontically treated left lower 1st molar tooth with
broken down crown.
Treatment plan:
Dowel core & crown following surgical crown
lengthening of mandibular left first molar.
Procedure: Endodontically treated left mandibular
first molar tooth with broken down crown
Crown lengthening and periopack
dressing
Gingival Margin after crown
lengthening
Removal of restoration
Removal of GP by peeso reamer & widening of
canal
Prefabricated auto cure resin Dowel impression
carrier
Autocure resin dowel & core impression
Finishing and polishing of dowel &core:
Cementation of dowel & core:
Impression:
Double mix single step technique by addition
silicon
Metal Try In
Final prosthesis
Instruction & follow up:

Oral hygiene maintenance


Not to take any food with in one hours
Post cementation recall visit with in 7- 10 days.
THANK YOU