Shirish solanki dentist uk

 Hello everyone I was wondering about dentistry in different country

Zerconia crown

CASE REPORT : A 24 years old female patient presented with complain of discolored upper left lateral incisor. On examination patient had trauma 3 years back which has resulted in discoloration of left lateral incisor.

The vitality test was negative and x ray revealed calcified root canal. patient had no pain or any other symptoms.

Patient was explained various options regarding to aesthetics and zerconia crown placement was selected for this case.

After crown cutting zerconia crown was placed with excellent aesthetic with respect to upper left lateral incisor (22).

Three unit white metal bridge

 CASE REPORT : A 54 years old male presented with missing upper left first molar. Patient had lost his tooth due to caries around 1 year back and patient wanted it to be replaced. patient had good oral hygiene and no medical condition. All the options with bridge were explained with costs, advantage and disadvantage and three unit white metal bridge was decided to be placed.

The crown cutting was done with the help of putty index and proper depth and crown margins were maintained.

Putty and wash impression was taken with putty and light body impression material.

Bridge was placed with no improper margins and good centric occlusion was maintained. Since then patient had no problem with the bridge.

Composite build up

CASE REPORT: A 41 year old male patient presented with the complaint of missing upper front teeth on examination upper left second incisor and canine were missing moreover upper left first incisor and first premolar had crown cutting done on it. Patient informed that he had bridge previously which was broken off  around 2 months back. Moreover patient upper left second premolar had class 2 extensive caries and not enough tooth structure was left. Patient had no interest in having any extra crown except upper front convetional bridge. Upper left second premolar had no history of pain or tender on percussion and it was vital. Because of these circumstances composite build up was decided to be done on upper left second premolar followed by which bridge work was completed with missing teeth.

All the caries from upper left second premolar was removed and calcium hydroxide lining was placed around pulp. Followed by which composite build up was done with final polishing. A3 shade was choose on vita shade guide considering the bridge placement and opposite premolar on upper arch.

Image on the left shows upper left second premolar with completed treatment.

Vertical fracture

CASE REPORT: A 68 year old female patient presented with severe pain in her lower right back tooth since one day after biting on any hard object. On examination lower right first molar had vertical  fracture towards lingual side. the fracture line was extending below the gingiva and therefore prognosis of the lower right first molar was poor. Patient was wishing for tooth extraction.













The procedure was started after thorough patients history and radiograph. Area was anesthetized with inter dental nerve block along with buccal and lingual nerve block. small broken lingual fragment was removed followed by total tooth extraction. 

No fragments were left behind and there was no any soft tissue or alveolar bone damage.

Extraction of the patient on anticoagulant

CASE REPORT : A 57 year old male patient presented with grade 1 mobile right upper canine with severe continuous pain since last 4 days, on examination tooth was non vital and periapical radiolucency with respect to right upper canine was present. The tooth was tender on percussion.

On taking the medical history patient was on aspirin ( Disprin) 150 mg since last 4 years due to coronary heart disease. Patient was refereed to medical laboratory for bleeding time and clotting time which was prolonged. Patient's GP was consulted, emergency pulp extirpation was done on upper right canine and analgesics ( Paracetamol 500 mg 2 tab. every 6 hourly) given.

After 6 days BT and CT were measured again and they were normal therefore patient was called with full stomach and GP consultation.

Above images show complete extraction of upper right canine tooth with total control of post operative bleeding by adrenaline( Epinephrine 1:100000) containing 2 % Lidocaine HCL and pressure pack.

Chronic Generalised Periodontitis

CASE REPORT: A 48 years old female patient presented in my clinic with severe pain in her gums since last 2 weeks on examination I had observed large quantity of calculus and poor oral hygiene. Upon taking the case history she revealed that she is diabetec and not taking care of herself for long. She had few grade 3 mobile teeth.

Patient was not regular attendee in dental clinic therefore DPT was taken to set up the base record and future treatment purposes which revealed marginal bone loss and calculus deposition there was no tenderness on percussion anywhere and no periapical pathologies were observed in DPT

First Visit : On first visit I removed all supragingival plaque and calculus under local anesthesia and motivate her to maintain proper oral hygiene, moreover I demonstrated right brushing technique and use of inter dental brushes in between the teeth. 0.2 % Chlorhexidine mouthwash was prescribed to use twice daily for 1 week

Second Visit(after 1 week): On second visit patient had shown sign of improvement, the swelling of marginal gingiva was subsided and I was able to remove subgingival calculus without any interuption by inflamed gums.

Third Visit(after 3 months): On third visit for regular check up patient was happy with appearance there was no pain or swelling on gingiva and she seemed motivated for regular dental check ups and maintaining good oral hygiene.