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Treatment planning for a patient requiring multiple restorative treatment modalities by a recently qualified dentist Noor Al-Helou Ammar Ahmed Zaki Dental Update 2024 49:11, 707-709.
Authors
NoorAl-Helou
BDS (Hons), MFDS RCS Ed
Dental Core Trainee, Liverpool University Dental Hospital
This article presents a case demonstrating the treatment of a patient using multiple restorative modalities, including endodontics, indirect restorations and prosthetics. The patient's oral condition resulted from a high cariogenic diet, particularly a destructive carbonated drink habit. This case discusses the treatment options for each diagnosis and the rationale behind the final treatment plan. There was a considerable focus on prevention and restoration of teeth in order to achieve optimal oral health and function, as this was the patient's expressed priority.
CPD/Clinical Relevance: Patients with high cariogenic diets present with varying restorative needs within general practice, and this report demonstrates the treatment of a simple case.
Article
TC was a 31-year-old male who presented as a new patient to the practice after a recent relocation. His complaints included some broken-down teeth that were sharp, as well as gaps between his teeth, which were affecting his self-esteem. He was a regular attender at his previous practice where he had a wide variety of treatment including direct restorations, extractions, root canal treatment and the placement of crowns on multiple teeth. TC was not experiencing any dental pain and had no anxieties relating to dental treatment.
He reported brushing once daily in the morning with a 1450ppm fluoride toothpaste using a manual toothbrush. He did not use any interdental products, but did report using a fluoride mouthwash regularly. He also reported having a high-sugar diet with more than four sugar attacks daily. His main issue was the regular consumption of carbonated drinks.
TC was a non-smoker and had never smoked and he drank no alcohol. He worked as a civil engineer and enjoyed spending time with his family in his spare time. He was fit and well, had no medical conditions took no regular medication and had no allergies.
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