Case Study


Dr Muzzafar Zaman went through a patient’s treatment that he had carried out in the previous week. This patient presented with a 6 monthly check-up and had no issues since the last time. The patient’s personal details and medical history were checked. A dental history was taken which revealed that the patient brushed 1-2 times a day. An extraoral examination, soft tissue check, charting, occlusal examination, periodontal assessment including BPE scores, and oral hygiene assessment were recorded. A separate mouth cancer check had been recorded. Bitewing radiographs were taken. It was noted from the tooth wear examination that there was a buccal tooth wear lesion with caries on UR3. A diagnosis was recorded. And a suitable treatment plan made. This was agreed with the patient and included a discussion of all options including no treatment and advantages and disadvantages of possible solutions. The patient consented for the placement of a GIC on UR3. The treatment was carried out on the same visit and included a detailed description of the filling with the necessary post-operative instructions. The patient opted not to have the treatment carried out to the buccal fillings at LR3, 4 and 5 but wait another six months so that he could save up. A scale and polish were also carried out with additional preventative advice and a suitable recall period was made for the patient. This patient was an ex-smoker and as a result of stopping smoking, he had
resorted to sucking on polo mints as a way to distract the cravings from not smoking. This has resulted in buccal carious lesions and although these were treated, his diet remained unchanged and this caused some secondary caries around the existing buccal glass ionomer fillings. A further appointment was arranged to carry out oral hygiene instruction, further dietary advice and a scale and polish.