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Shaun Whitney DDS Inland Empire Perio Study Club 10/6/2017

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Presentation on theme: "Shaun Whitney DDS Inland Empire Perio Study Club 10/6/2017"— Presentation transcript:

1 Shaun Whitney DDS Inland Empire Perio Study Club 10/6/2017
Treatment Planning Shaun Whitney DDS Inland Empire Perio Study Club 10/6/2017

2 Initial Visit 12/7/07 Chief Complaint: “I have gum disease, and need to have my teeth cleaned”

3 Medical History 34 year old caucasian female Heart murmur
Smoker – 16 pack year history ASA Class II

4 Dental History Gross caries Recent anterior restorations
Endodontic therapy #19 Previous full coverage restorations Orthodontic treatment Previous extractions

5 Initial Clinical Findings
Radiographic Caries (#3M, #4M, #6D #10M, #13D, #14D, #15M) Clinical caries Furcation Involvements #’s 2, 3, 14, 15 Mobility/Fremitus BOP Gingival recession Supragingival/subgingival deposits Class I L/R Mutually Protected Occlusion

6 Clinical Photos 1/7/08

7 Radiographs 12/7/07

8 Clinical Photos 1/7/08

9 Radiographs 12/7/07

10 Clinical Photos 1/7/08

11 Radiographs 12/7/07

12 Clinical Photos 1/7/08 Occlusal View

13 Pano 12/7/07

14 Diagnoses Generalized moderate to severe aggressive periodontitis

15 Etiology and Risk Factors
Bacterial plaque Supra/subgingival calculus Smoking Faulty restorations

16 “Ideal” Treatment Plan Maxillary Right Posterior
Scaling/Root planing Caries control #’s 4,6 RCT #3 Flap/osseous or Flap/Regeneration

17 “Ideal” Treatment Plan Maxillary Anterior
Scaling/Root planing Finish subgingival margins Flap/Bone graft

18 “Ideal” Treatment Plan Maxillary Left Posterior
Scaling/Root Planing Caries control #’s 13,14,15 Flap/osseous or Flap/regeneration

19 “Ideal” Treatment Plan Mandibular Left Posterior
Localized Scaling/Root planing Crown lengthening #19 Implant #18 Flap/osseous or Flap/regeneration mesial # 21

20 “Ideal” Treatment Plan Mandibular Anterior
Scaling/Root planing Flap/osseous CTG #27

21 “Ideal” Treatment Plan Mandibular Right Posterior
Extraction #31 APF w/ or w/o osseous #28/29 Implants #30/31 Restore DF #29

22 “Realistic” Treatment Plan
Scaling/Root planing X 4 Quads Flap/Osseous X 4 Quads Extraction #31 Crown lengthening #19 Mandibular RPD RCT #3

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