Dian Yosi Arinawati  

Departemen Biologi Mulut, Fakultas Kedokteran Gigi, Universitas Muhammadiyah Yogyakarta, Indonesia
Departemen Oral Diagnostics, Rumah Sakit Gigi dan Mulut, Universitas Muhammadiyah Yogyakarta, Indonesia  

Cynthea Risel 

Program Pendidikan Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Muhammadiyah Yogyakarta, Indonesia

DOI: https://doi.org/10.19184/stoma.v21i2.51986

ABSTRACT 

The diagnostic process begins with collecting information and data about the patient by asking questions, reviewing information, observing and carrying out examinations, and carrying out diagnostic tests. This case report aims to provide a comprehensive overview of the dental treatment plan and include treatment in the case. A 25 year old patient came in complaining of discomfort when eating and that food was easily slipped because there were remaining roots on the lower back teeth. The patient initially felt that his teeth had cavities and had never been treated so the remaining roots remained. The patient also admitted that they had never swollen. The patient checked his teeth and prescribed antibiotics and anti-inflammatories, namely amoxicillin and ibuprofen. The condition of the patient's dentition has remaining roots on teeth 14, 36 and 45, dentin caries on teeth 18, 17, 16, 12, 24, 25, 26, and 27, enamel caries 11, 21, 22, 28, 38, 44, and 48, reversible pulpitis of tooth 15, irreversible pulpitis of tooth 47, and pulp necrosis of teeth 35 and 37 and loss of tooth 46. Oral Hygiene Index (OHI) with a score of 5. The patient also experienced gingivitis in several tooth areas. Based on the results of subjective and objective examinations, the treatment plan for this patient can be determined as follows: IEC, scaling and root planing, extraction of teeth 14, 36, 37, and 45, pulp capping of tooth 15, PSA of teeth 35 and 47, tooth filling 18, 17, 16, 12, 11, 21, 22, 24, 25, 26, 27, 28, 38, 44, and 48, making dentures, and control. An accurate diagnosis and appropriate treatment plan will provide good long-term outcomes for patients. Communication between the dentist and patient is also important to establish a good relationship because treatment is carried out over several visits.