Caz clinic

Stoica Nicole
Medic rezident- anul 2 Pedodontie
Pacienta in varsta de 5 ani se prezinta
in clinica de pedodontie ptr ca acuza
dureri in zona mandibulara dreapta.
Pacienta prezinta multiple leziuni
carioase simple si complicate netratate
si tratate incorect.
Examen intraoral
Arcada maxilara
5.5- O.O.d + C.O+C.P
5.4-O.OMDd
5.3-indemn
5.2-C.V.M.D
5.1-C.M.D.V
6.1-C.M.D.V
6.2-C.V.M.D.P
6.3-C.P
6.4-C.V.O.M.D.P
6.5-O.O.d + C.sec
Arcada mandibulara
7.5-C.O.M.D.V.P
7.4- O.O.D.d
7.3+7.2+7.1+8.1+8.2+8.3-indemn
8.4-O.O.d
8.5- rest radicular
PLAN DE TRATAMENT
Cadran 1
5.5-carie simpla ocluzala superficiala;
cavitate clasa 1; obturatie coronara
glassionomer
5.4- carie ocluzo-mezio-distala profunda;
pulpectomie+ restaurare coronara coroana
metalica
Cadran 2
6.4- carie simpla ocluzala profunda;
cavitate clasa 1; restaurare coronara-
coroana metalica
6.5- obturatie ocluzala defectuoasa;
indepartarea obturatiei; exereza dentinei
alterate; deschiderea camerei pulpare;
pulpectomie+ coroana metalica
Zona frontala maxilara
Cadran 3
7.4- carie simpla ocluzalo-mezio-disto-
vestibulo-linguala profunda- coafaj indirect-
baza ZOE+ restaurare coronara- coroana
metalica
Extractia 7.5
Aplicarea unui mentinator de spatiu
Cadran 4
8.4- carie ocluzo-distala profunda-
pulpectomie+ restaurare coronara-coroana
metalica
8.5- extractie
Aplicarea unui mentinator de spatiu
Post-tratament
Bibliografie
http://www.ijpedor.org/article.asp?issn=2468-8932;yea
r=2017;volume=2;issue=1;spage=37;epage=40;aulast=
Doneria
Va multumesc!