Case Study (optimal treatment plan)

Hi everyone ...
any help with this case study

A healthy 36-year-old male patient presents requesting treatment for
"broken back teeth". Examination shows a fully dentate mouth with
extensive amalgams in a number of posterior teeth and composite
restorations in most of anterior teeth.
There is gingival bleeding on gentle probing in all quadrants and PPD
of 3-5mm in posterior segments. There is plaque and supragingival
calculus detected in lower anterior and upper posterior segments.
Tooth 16 has been root filled and extensively restored with amalgam.
Mesio-buccal cusp has fractured. A periapical radiograph shows
well-defined periapical radiolucency apparently associated with the
palatal root.
Tooth 15 has been heavily restored with extensive MODPal pinned amalgam
restoring palatal cusp. The buccal cusp has fractured below the level
of the gingival attachment.
Tooth 14 has minimal mesial and distal proximal composite restorations
with early recurrent caries at the gingival margins.
Discuss the case assessment, possible treatment options with
advantages and disadvantages of every option.
Discuss optimal treatment plan addressing this patient clinical
problems.

.

Relevant Pages

  • Re: Case Study (optimal treatment plan)
    ... Examination shows a fully dentate mouth with extensive amalgams in a number of posterior teeth and composite restorations in most of anterior teeth. ... Tooth 15 has been heavily restored with extensive MODPal pinned amalgam restoring palatal cusp. ...
    (sci.med.dentistry)
  • Re: epidemiology of posterior composites
    ... It was already well-known that class II resin restorations with proximal boxes ending on dentin were likely to fail at the proximo-gingival margin due to weaker bond strengths to dentin relative to enamel. ... clearly that amalgam has higher survival than composite for posterior ... findings should be conveyed to patients who are receiving restorations ...
    (sci.med.dentistry)
  • Re: Other consequences of amalgam removal?
    ... Composite restorations require little attention to how ... Amalgam seals by forming an oxide layer. ... "bonding" to the tooth walls. ...
    (sci.med.dentistry)
  • Re: Pain following composite resin placement
    ... The numerous restorations in the broken ... thinks the lack of teeth around that one may have played a role. ... parafunction (night time clenching of teeth). ... had a root canal and a large filling ...
    (sci.med.dentistry)
  • Re: Case Study (optimal treatment plan)
    ... > A healthy 36-year-old male patient presents requesting treatment for ... >"broken back teeth". ... >restorations in most of anterior teeth. ...
    (sci.med.dentistry)