FELLOWSHIP IN OPERATIVE DENTISTRY AND ENDODONTICS: CASE HISTORY TEMPLATE A
PRE-TREATMENT ASSESSMENT
PATIENT AGE:25
PATIENT GENDER: male
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TOOTH # (FDI NUMBERING SYSTEM):22 PROCEDURE CATEGORY:
CHIEF COMPLAINT
Pt presented with chief complaint of sensitivity with sweet
HISTORY OF PRESENTING COMPLAINT
Pt reported with sensitivity to sweets which disappear after few seconds
MEDICAL HISTORY
Pt was classified as ASA class 1
CLINICAL EVALUATION (Preoperative, Operative and post operative
Of the relevant tooth to be attached)
Extraoral examination:
there was no significant finding on extraoral examination
Intraoral examination:
Hard tissue examination revealed proximal carries
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FELLOWSHIP IN OPERATIVE DENTISTRY AND ENDODONTICS: CASE HISTORY TEMPLATE A
PRE-TREATMENT DIAGNOSIS:
Reversible pulpitis
TREATMENT PLAN:
Restoration of carious tooth
CLINICAL PROCEDURES:
Caries was excavated with bur
Cavity was prepared
Bevel margin was created and etched with phosphoric acid
Dentin bonding agent was applied and cured
Cavity was filled with composite and cured
Filling was checked and corrected for over hanging margins and high spot was checked and filling
was finished and polished.
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FELLOWSHIP IN OPERATIVE DENTISTRY AND ENDODONTICS: CASE HISTORY TEMPLATE A