Oral Health and Dental Management

Comprehensive strategy for a compromised Esthetic case: Multidisciplinary approach

2^nd International Conference and Exhibition on Dental & Oral Health

April 21-23, 2014 Crown Plaza Dubai, UAE

Majdah Al-Khadhari

Posters: Oral Health Dent Manag

Abstract:

Introduction: Esthetic outcome can be achieved, even in challenging clinical situations. The three pillars of such a successful outcome are knowledgeable and skillful dentist, properly selected materials and patient-dentist communication. Severely fluorosed teeth in a high caries risk patient with a compromised medical and psychological background would be an example of such a challenge. Clinical Report: A 28 years old female with uncontrolled diabetes came to dental clinics at King Abdul Aziz University Hospital. Her chief complaint was severe pain related to tooth #11; also dark discolorations of all her teeth, which was diagnosed as severe fluorosis. The discolored teeth were found to be the reason behind unhappy masked facial expressions on her face. Multiple decayed teeth and oral hygiene neglect were evident.A comprehensive treatment plan was implemented including extraction of badly decayed teeth, multiple root canal treatments, gingival recontouring, implants, multiple restorations, and combination of bleaching and porcelain laminates. Treatment Objectives: ? The multidisciplinary approach was oriented toward achieving functional and esthetic rehabilitation of the affected teeth. ? Restore the patient?s smile, hence her self-esteem. Treatment Outcome: The patient appreciated the result and she is happy with her new smile. The long-term prognosis of the treatment outcome required controlled blood sugar and meticulous maintenance of oral hygiene. Conclusion: With proper strategic planning, an outstanding estheticoutcome can be achieved. The patient has to be treated as a whole, taking into account mental and social factors, rather than just the physical symptoms.