Riswana AM, Peter Joby, Krishnakumar R, Methippara John Joseph
Department of Pedodontics, Annoor Dental College and Hospital, Muvattupuzha
Running title – Space maintainer
Received: 02-05-2023
Revised: 07-05-2023
Accepted: 15-05-2023
Address for correspondence: Dr Riswana AM, Snr Lecturer, Dept of pedodontics. Annoor Dental College & Hospital, Muvattupuzha, 686673
Email ID: riswanaam@gmail.com
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How to cite this article: Riswana AM, Peter J, Krishnakumar R, Methippara J J. Full mouth rehabilitation: A Case Report J Oral Biomed Sci 2023; 2(2):99-100
Key words: Distal Shoe space maintainer, Full mouth rehabilitation, Stainless Steel Crown, Pulpectomy
Case report: A 5-year-old male patient reported with pain in the lower right back tooth region since 1 week. Pain was gradual in onset, continuous in nature. There was history of pain during night also. The pain usually aggravated while taking any food items and was relieved under medication.
On oral examination: On clinical examination deep decay noticed on 84 and 85 with tenderness to probing and percussion, grossly decayed 54, 64 and dentinal caries in 74, 75, 63
Final diagnosis:
Chronic irreversible Pulpitis with distal root resorption
84- Chronic irreversible Pulpitis
64- Chronic irreversible Pulpitis with root resorption
54- Acute reversible pulpitis
Treatment plan: Completion of pulpectomy on 84 followed by stainless steel crown placement and extraction of 85 followed by distal shoe space maintainer. Extraction of 64 followed by band and loop space maintainer and pulpotomy of 54 followed by stainless steel crown.
Fig 1: Preoperative photograph showing decay on 84,85,74,75, 54, 55, 63, 64
Fig 2: Preoperative radiograph showing radiolucency involving enamel, dentin and pulp of 84 and radiolucency involving enamel, dentin and pulp of 85 along with distal root resorption.
Fig 3: Post-operative radiograph showing the position of distal shoe space maintainer
Fig 4: Post-Operative photograph showing Full Mouth Rehabilitation
- 84: Pulpectomy followed by SS crown
- 85 : Extraction followed by distal shoe space maintainer
- 74,75, 63: Restoration
- 54 : Pulpotomy followed by SS crown
- 64: Extraction followed by Band and Loop Space maintainer