Thank you for your great informative information. . I am not a big fan of amalgam due to its mercury properties. I am really surprised that dentists still use amalgam. Thank you again .Keep up the amazing videos.
If the caries has gone to pulp and the tooth has irreversible pulpitis or pulp necrosis then definitely RCT + Cuspal coverage. The dentine caries on the image illustration looks very close to pulp but it should have just been in dentine 😅
Every dental plan I have seen do not include a full mouth picture linked to the dental plan. Patients can't visulize or follow the plan with no picture. A picture is worth a thousand words.
Hi , Thank you for your`re videos , they are very informative. If a patient has a provisional diagnosis of Leukoplakia , which phase would this be placed / treated ? Thanks
Hi Deva! Leukoplakia is usually a diagnosis by exclusion of other white patches. It really depends on the white patch. If you think it could be something sinister or lichen planus (for example), you would want to make a referral to the oral medicine department of a hospital or a specialist in the area. If you think it could be something less serious like a lichenoid reaction to an amalgam filling then replacing that filling would be placed in the stabilisation phase. These are just a couple examples but there are loads of things a white patch can be before you specifically diagnose it as leukoplakia and usually this is for the specialist to decide. This whole topic would need it’s own video or even series because there’s just way too many factors to consider and depending on the severity of the white patch, there will also be differing urgencies for the referral.
Just do case after case to iron out the things that you might be forgetting to say. Don't be afraid to say you'd refer! Don't forget gingivitis lol everyone seems to forget to diagnose it when there are so many complex things going on. Practice with friends so that you can fill the gaps in eachothers knowledge. I'm sure you'll smash it!
Can someone help me with this please? Riva, 39/F, came to your clinic complaining of being shy about her smile because of a missing anterior tooth. Upon checking, you see that the patient has no tooth #22, which according to her was extracted about two years ago. Further probing reveals that there were no complications. The patient is currently taking 500mg of Metformin as maintenance medicine for her systemic disease. The patient reveals that while she does smoke cigarette, she occasionally drinks wine during social events. She reports brushing at least twice a day with a soft-bristled toothbrush and a fluoridated dentifrice. Her last dental visit was two years ago for scaling and polishing. Extraoral examination reveals normal findings in the structures except for the mild clicking noted when the patient opens her mouth. Intra-oral exam reveals restorations on teeth #'s 45, 46, and 36 as well as caries lesions on the occlusal surface of teeth #s 17, 25, and 26. There are also large carious lesion on the proximal surfaces of teeth # 11 and 12. There are no significant findings in the periapical radiograph for teeth #'s 47, 21, and 23. However there is radiolucency in the apical area of tooth #11 and 12. Slight occlusal wear facets are also seen on the teeth in quadrant 4 and there is general redness noted in the patient's gingiva. Endodontic evaluation reveals normal findings on the vitality and periapical tissues surrounding the teeth #'s 21 and 23. Based on the given case Chief complaint: Shy about her smile due to missing ant tooth Medical history: Patient has diabetes Dental history: Exo of 22, OP, Resto of 46, 45 & 36 Social history: Smoker and occasional drinker Based on the case presented and the clinical exam findings given, create a comprehensive treatment plan to address all the oral health problems of the patient.
Timestamps:
00:00 - Intro
00:37 - Acute Phase
01:09 - Prevention
05:42 - Stabilisation
10:23 - Definitive Phase
13:43 - Maintenance
Your videos should be studied, not just viewed. Thank you for these very informative and well-organised videos.
Thank you so much for your kind words!
Guys I have been taking notes on this video, it's soo useful honestly! Thanks a bunch brothers!!
No worries at all bro, really glad you found it useful!
Me 🤝 watching these videos just cause it's interesting even tho I have no clue about dentistry 😂😂
Thank you so much 😂😂👍🏼
Thank you for your great informative information. . I am not a big fan of amalgam due to its mercury properties. I am really surprised that dentists still use amalgam. Thank you again .Keep up the amazing videos.
You're correct! The EU is starting to ban the use of amalgam as well! What country are you from?
@@TwoDentiststhank you for the great informative videos. Helping a lot. I am from Canada.
Amazing video! Thanks
🙏🏼
Wouldn’t the tx for Carie’s on LR6 be RCT +\- cuspal coverage??
If the caries has gone to pulp and the tooth has irreversible pulpitis or pulp necrosis then definitely RCT + Cuspal coverage. The dentine caries on the image illustration looks very close to pulp but it should have just been in dentine 😅
Do you guys have a PDF or slides on TX planning?
Yes we do! Check out our free cheat sheets on shop.twodentists.com/
Very informative , thanks for the video , helpful for treatment planing .🙂
Thank you!!
Every dental plan I have seen do not include a full mouth picture linked to the dental plan. Patients can't visulize or follow the plan with no picture. A picture is worth a thousand words.
That's very true! Dental photography is key in explaining things to patients.
Hi , Thank you for your`re videos , they are very informative. If a patient has a provisional diagnosis of Leukoplakia , which phase would this be placed / treated ? Thanks
Hi Deva! Leukoplakia is usually a diagnosis by exclusion of other white patches. It really depends on the white patch. If you think it could be something sinister or lichen planus (for example), you would want to make a referral to the oral medicine department of a hospital or a specialist in the area. If you think it could be something less serious like a lichenoid reaction to an amalgam filling then replacing that filling would be placed in the stabilisation phase. These are just a couple examples but there are loads of things a white patch can be before you specifically diagnose it as leukoplakia and usually this is for the specialist to decide. This whole topic would need it’s own video or even series because there’s just way too many factors to consider and depending on the severity of the white patch, there will also be differing urgencies for the referral.
Super video
Good to see u❤❤👏
Can you please make a video about some tips for study oral medicine?
Oral medicine is a bit of a tricky one to make a video on, we're still trying to figure it out ourselves 😅
Thank you this is really helpful for Vivas. Do you have revision tips to revise for them.
Just do case after case to iron out the things that you might be forgetting to say. Don't be afraid to say you'd refer! Don't forget gingivitis lol everyone seems to forget to diagnose it when there are so many complex things going on. Practice with friends so that you can fill the gaps in eachothers knowledge. I'm sure you'll smash it!
Amazing video ☺️☺️☺️
Thank you for watching!
I love you guys
Thank you for your support!
Love from Pakistan 🇮🇳
Its amazing to see people are watching our videos even in Pakistan!! We really appreciate all the support 🧡
I’m surprised that they use amalgam in the UK still … they’re banned in even a lot of third world countries 😅
Many practices in the UK are amalgam free however the NHS unfortunately still highly relies on amalgam!
❤
Thank you for watching!
What's RSD
Sorry for the jargon, it means root scale debridement (sub-gingival scaling) to remove calculus and plaque
Can someone help me with this please?
Riva, 39/F, came to your clinic complaining of being shy about her smile because of a missing anterior tooth. Upon checking, you see that the patient has no tooth #22, which according to her was extracted about two years ago. Further probing reveals that there were no complications. The patient is currently taking 500mg of Metformin as maintenance medicine for her systemic disease. The patient reveals that while she does smoke cigarette, she occasionally drinks wine during social events. She reports brushing at least twice a day with a soft-bristled toothbrush and a fluoridated dentifrice. Her last dental visit was two years ago for scaling and polishing.
Extraoral examination reveals normal findings in the structures except for the mild clicking noted when the patient opens her mouth. Intra-oral exam reveals restorations on teeth #'s 45, 46, and 36 as well as caries lesions on the occlusal surface of teeth #s 17, 25, and 26. There are also large carious lesion on the proximal surfaces of teeth # 11 and 12. There are no significant findings in the periapical radiograph for teeth #'s 47, 21, and 23. However there is radiolucency in the apical area of tooth #11 and 12. Slight occlusal wear facets are also seen on the teeth in quadrant 4 and there is general redness noted in the patient's gingiva. Endodontic evaluation reveals normal findings on the vitality and periapical tissues surrounding the teeth #'s 21 and 23.
Based on the given case
Chief complaint: Shy about her smile due to missing ant tooth
Medical history: Patient has diabetes
Dental history: Exo of 22, OP, Resto of 46, 45 & 36
Social history: Smoker and occasional drinker
Based on the case presented and the clinical exam findings given, create a comprehensive treatment plan to address all the oral health problems of the patient.