COLLEGE OF DENTISTRY
CLINICAL FIXED
PROSTHODONTICS
[423 SDS]
CLINICAL MANUAL
Dr. MOHAMMED SHOKRY
Dr. PRAVEEN SRIKANTACHARY
Department Head
Course Director
CERTIFICATE
This is to certify that Mr.______________________________________________
Reg No.____________Has satisfactorily carried out the work in CLINICAL FIXED
PROSTHODONTICS
as Prescribed by College of Dentistry, Majmaah University for the
year_______
Course director
CASE HISTORY PROFORMA-1
DEPARTMENT OF PROSTHODONTICS
I. Vital statistics
Student’s name
Patient case no:
Patient name:
Address:
Date:
Sex:
Age:
Phone no:
Occupation:
II. Chief complaints:
History of present illness:
III. History
Medical History:
Diabetes Mellitus
Cardiovascular
Arthritis
Neurological
Immunological
Allergies
Medications
Transmissible diseases
Treatment of cancer
Any other
Dental History:
Restorative
Endodontics
Orthodontic
TMJ Dysfunctions
Personal History:
1. Dietary habit2. Brushing habits3. Bruxism and other parafunctional habits4. Smoking5. ChewingPan/Tobacco/ Betel nut
6. Hobbies-
Periodontal
Oral Surgical
Prosthetic
Radiographic
Family History-
IV. Examination:
A. General health statusB. Extra oral Examination1. Morphologic examination of facea. Facial Symmetryb. Facial profile-
Yes/No.
Prognathic/Retrognathic/Normognathic
2. Physiologic examination of facea. Facial musculatureb. Upper lipc. Long lip-
Normal/hypertonic/hypotonic
Normal/short/long
Normal/short/long
3. Examination of skin and Hair -
4. Examination of facial Expression and smile-
Normal/Abnormal
Normal/Exaggerated
5. Examination of Temporomandibular (T.M.) Jointa. Clicking
b. Tenderness
6. Examination of Cervical lymph node-
C. Intraoral Examination:
c. Deviation
d. Hypermobility
Normal/Enlarged
1. Examination of teethA. Shade the missing teethCaries: C
Restoration: R
Root canal fillings: Rf
Discoloration: D
Hypoplasia: H
Nonvital: N
Fracture: #
Abrasion: a
Attrition: A
Erosion: e
B. Stains-
Extrusion: E
Gingival recession: G
Furcation Involvement: F
Mobility: M
Pocket: P
Malposition: Mp
Migration: Mg
Abnormal shape: AS
Abnormal size: AS
Intrinsic
Extrinsic
C. CalculusD. Proximal contact relationship-
Bodily / Point / No
2. Examination of soft tissues in oral cavity:
a. Oral mucosa b. Gingiva -
Normal /Inflamed
ColorSurface textureBleedingExudation-
c. TonguePositionSize - Normal /Large /small
Abnormality if anyd. Soft palatee. Hard palate3. Examination of occlusiona. Occlusal wear facets-
Present / Absents
b. Incisal relationshipOver jetOverbiteEdge to edge contactc. Anterior tooth contact in centric occlusion (C. O.)-
Yes /No
d. Occlusal relationshipNeutrococclusion
Mesioocclusion
Distoocclsion
Mutually Protected
Group Function
4. Salivaa. Flowb. Viscosity5. Examination of edentulous spana. Ridge formb. Span lengthc. Configurationd. Abutment alignmente. Soft tissue coverV. Investigations:
A. RadiographsB. Radiographic Interpretation-
C. Vitality test1. Thermal Test 2. Electric pulp test.
Hot
Cold
D. PercussionE. Interpretation of diagnostic mounts.
VI. Treatment Plan:
A. Treatment of symptoms / Emergency treatments
B. Corrective Phase1. Surgical Procedures2. Oral prophylaxis and periodontal therapy if any3. Elective Endodontics therapy4. Restoration of carious teeth5. Orthodontic corrections if any6. Prosthodontic treatment / Occlusal corrections-
C. Treatment1. Shade selection
2. Abutment selection and preparation3. Pontic selection
4. Material for prosthesis
VII. Prognosis:
VIII. Patients consent:
IX. Payment Record:
X. Treatment Record:
XI. Instruction to patient:
XII. Recall Visit:
Good / Fair / Poor
CASE-1 CLINICAL WORK RECORD
No
Steps
1
Primary Impression
Maxillary
Mandibular
2
Primary cast preparation
3
Special tray Fabrication
4
Selection of tooth shade
5
Tooth preparation and Final impression
Maxillary
Mandibular
6
Jaw relation recording
7
Transfer of sealed JR record to the
articulator
Date
Material
Remarks sign
8
Preparation of master cast
9
Die preparation of cast
10
Wax pattern fabrication
11
Metal Try in
12
Ceramic build up
13
Prosthesis insertion
14
Recall for adjustments
Patient remarks:
Patient signature
Staff In-charge signature:
HOD Signature
CASE HISTORY PROFORMA-2
DEPARTMENT OF PROSTHODONTICS
I. Vital statistics
Student’s name
Patient case no:
Patient name:
Address:
Date:
Sex:
Age:
Phone no:
Occupation:
II. Chief complaints:
History of present illness:
III. History
Medical History:
Diabetes Mellitus
Cardiovascular
Arthritis
Neurological
Immunological
Allergies
Medications
Transmissible diseases
Treatment of cancer
Any other
Dental History:
Restorative
Endodontics
Orthodontic
TMJ Dysfunctions
Personal History:
1. Dietary habit2. Brushing habits3. Bruxism and other parafunctional habits4. Smoking5. ChewingPan/Tobacco/ Betel nut
6. Hobbies-
Periodontal
Oral Surgical
Prosthetic
Radiographic
Family History-
IV. Examination:
A. General health statusB. Extra oral Examination1. Morphologic examination of facea. Facial Symmetryb. Facial profile-
Yes/No.
Prognathic/Retrognathic/Normognathic
2. Physiologic examination of facea. Facial musculatureb. Upper lipc. Long lip-
Normal/hypertonic/hypotonic
Normal/short/long
Normal/short/long
3. Examination of skin and Hair -
4. Examination of facial Expression and smile-
Normal/Abnormal
Normal/Exaggerated
5. Examination of Temporomandibular (T.M.) Jointa. Clicking
b. Tenderness
6. Examination of Cervical lymph node-
C. Intraoral Examination:
c. Deviation
d. Hypermobility
Normal/Enlarged
1. Examination of teethE. Shade the missing teethCaries: C
Restoration: R
Root canal fillings: Rf
Discoloration: D
Hypoplasia: H
Nonvital: N
Fracture: #
Abrasion: a
Attrition: A
Erosion: e
F. Stains-
Extrusion: E
Gingival recession: G
Furcation Involvement: F
Mobility: M
Pocket: P
Malposition: Mp
Migration: Mg
Abnormal shape: AS
Abnormal size: AS
Intrinsic
Extrinsic
G. CalculusH. Proximal contact relationship-
Bodily / Point / No
2. Examination of soft tissues in oral cavity:
a. Oral mucosa b. Gingiva -
Normal /Inflamed
ColorSurface textureBleedingExudation-
c. TonguePositionSize - Normal /Large /small
Abnormality if anyd. Soft palatee. Hard palate3. Examination of occlusiona. Occlusal wear facets-
Present / Absents
b. Incisal relationshipOver jetOverbiteEdge to edge contactc. Anterior tooth contact in centric occlusion (C. O.)-
Yes /No
d. Occlusal relationshipNeutrococclusion
Mesioocclusion
Distoocclsion
Mutually Protected
Group Function
4. Salivab. Flowb. Viscosity5. Examination of edentulous spana. Ridge formb. Span lengthc. Configurationd. Abutment alignmente. Soft tissue coverV. Investigations:
A. RadiographsB. Radiographic Interpretation-
C. Vitality test1. Thermal Test 2. Electric pulp test.
Hot
Cold
D. PercussionE. Interpretation of diagnostic mounts.
VI. Treatment Plan:
A. Treatment of symptoms / Emergency treatments
B. Corrective Phase1. Surgical Procedures2. Oral prophylaxis and periodontal therapy if any3. Elective Endodontics therapy4. Restoration of carious teeth5. Orthodontic corrections if any6. Prosthodontic treatment / Occlusal corrections-
C. Treatment1. Shade selection
2. Abutment selection and preparation3. Pontic selection
4. Material for prosthesis
VII. Prognosis:
VIII. Patients consent:
IX. Payment Record:
X. Treatment Record:
XI. Instruction to patient:
XII. Recall Visit:
Good / Fair / Poor
CASE-2 CLINICAL WORK RECORD
No
Steps
1
Primary Impression
Maxillary
Mandibular
2
Primary cast preparation
3
Special tray Fabrication
4
Selection of tooth shade
5
Tooth preparation and Final impression
Maxillary
Mandibular
6
Jaw relation recording
7
Transfer of sealed JR record to the
articulator
Date
Material
Remarks sign
8
Preparation of master cast
9
Die preparation of cast
10
Wax pattern fabrication
11
Metal Try in
12
Ceramic build up
13
Prosthesis insertion
14
Recall for adjustments
Patient remarks:
Patient signature
Staff In-charge signature:
HOD Signature