Oral Medicine Case

final Presentations

Rasha Ahmed Badahdah 0931010

DEMOGRAPHIC DATA:

Age : 19 years old. Nationality : Chadian. Gender : female.

CHIEF COMPLAINT: The patient wants to restore her upper

anterior teeth.

 HISTORY OF PRESENT ILLNESS:

The caries started about one year ago.

She did not seek any treatment for her teeth .

DENTAL HISTORY : Not significant

FAMILY HISTORY :

Not significant

MEDICAL HISTORY: Not significant

SOCIAL HISTORY and HABITS:

Marital status : Single . Occupation : student. There are no significant habits The patient brushes her teeth once per

day , and she does not floss her teeth.

CLINICAL EXAMINATIONS:

A-Extra-Oral Examination. B-Intra-Oral Examination.

A-EXTRA-ORAL EXAMINATION:

Normal with Dark Pigmentation on the lip.

B-INTRA-ORAL EXAMINATION:

•*Pigmentation all around in the baccal and labial mucosa , gingiva and tongue.

*Maxillary Lateral retained Deciduous teeth .

*Two lesions near the mucogingival

junction related to upper central incisors

#11 #21.•Badly decayed teeth:

• #11,#21,#36,#46#47 .

RADIOGRAPHIC FINDING:

Periapical radiolucency related to #11,#21,#46,#47

DESCRIPTION OF LESIONS:

Lesion one : Two round raised asymptomatic lesions located at the

upper mucogingival junction, related to the upper central incisors #21,#11, with well demarcated margins, 1-2 mm in size, smooth and resilient on palpation . The lesion related to #21 appeared red in color , containing purulent material (pus).

Teeth Examination:

Vitality test

Thermal examination ( cold and hot and EPT)

was done & showed that teeth #11,#21 did not respond

Checking for periapical lesions:

Done by percussion, showed there no response at teeth #11,#21

Periodontal examination

Done with a graduated periodontal probe for pocket detection , no pockets were revealed

For lesion one : To diagnose the location of the problematic tooth, tracing done with a size #25 Gutta -Percha cone, threaded into the Opening

of the sinus tract.

Lesion two :

Generalized dark (brownish/bluish) pigmentation in the buccal and labial mucosae , upper and lower gingivae and tongue.

DIFFERENTIAL DIAGNOSIS: For lesion one:

1)Fistula 2)Periapical abscess.

3)Periodontal abscess 4)Periapical cyst.

For lesion two: 1)Physiological pigmentation

2)Systemic disease :Addison's disease.

FINAL DIAGNOSIS: For lesion one:

Fistulas

Management

For lesion One : Consultation with the endodontic department

for Root Canal Treatment.

FINAL DIAGNOSIS: For lesion two:

Physiological pigmentation

FOLLOW UP:

THANK YOU FOR YOUR ATTENTION,,,