Scribd
Upload
19 views

LOG BOOK Partial Denture

This document is a case report sheet for partially edentulous patients used by the Removable Prosthodontics Department at King Salman International University. It includes sections for patient information, medical and dental history, intraoral examination details, treatment planning, and prosthetic treatment steps. The sheet is designed to guide the documentation and process of providing removable prosthodontic care to patients.

Uploaded by

Khaled Mosad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
19 views

LOG BOOK Partial Denture

This document is a case report sheet for partially edentulous patients used by the Removable Prosthodontics Department at King Salman International University. It includes sections for patient information, medical and dental history, intraoral examination details, treatment planning, and prosthetic treatment steps. The sheet is designed to guide the documentation and process of providing removable prosthodontic care to patients.

Uploaded by

Khaled Mosad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 11

Faculty of Oral & Dental Medicine Removable Prosthodontics Department

King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Case report sheet for partially edentulous patients

Student name:
Student ID:
Supervisors:
Date : Semester:

 Patient information:

Name:
Age: Sex: Male Female Occupation:
Address:
Phone1: Phone 2:

 Patient examination:

Medical history
Chronic Diabetes Kidney disorders Liver diseases Parkinsonism
debilitating Hypertension Cardiac diseases Bleeding disorder HCV HBV TB
diseases Others:
Medications:

Previous surgeries:

Comments:
Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Dental history
Causes of tooth
extraction
Experience with
previous prosthesis
Habits

Intra-oral examination
Attachment loss
Recession

Probing depth

Mobility
Retainer/Pontic
DMF
18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
DMF
Retainers/Pontic
Mobility

Probing depth

Recession
Attachment loss

Operator signature Supervisor signature


Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Preoperative photos

Extra oral photo (facial view) Extra oral photo (profile view)

Intraoral photo of the maxilla (occlusal view) Intraoral photo of the mandible (occlusal view)
Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Preoperative record

Maxillary primary impression Mandibular primary impression

Maxillary primary cast Mandibular primary cast


Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Preoperative records

Panoramic radiograph

Periapical radiographs of abutments and questionable teeth


Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Primary surveying worksheet

Tentative design Final design

Components Components
Rests Retainers Connector Rests Retainers Connector

Causes for design change

Tooth preparation list:

Tooth preparation Tooth to be prepared Comment

Guiding plane

Rest seat preparation

Modification of the
buccal and lingual
contours
Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Treatment planning sheet

Patient chief complaint:

Problem list:

Surgical interventions Periodontal interventions

Restorative treatment required

Proposed prosthetic
Alternative plan 1 Alternative plan 2 Alternative plan 3
treatment

Selected plan:
Justify your selection
Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Prosthetic treatment

Maxillary arch after tooth preparation Mandibular arch after tooth preparation

Maxillary secondary impression Mandibular secondary impression


Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Prosthetic treatment

Jaw relation (right side) Jaw relation (left side)

Try in of Artificial setup on articulator Try in of Artificial setup intraoral


Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Denture insertion

Extra-oral photo facial (smiling) Extra-oral photo profile

Occlusion (front) Occlusion (right) Occlusion (left)


Faculty of Oral & Dental Medicine Removable Prosthodontics Department
King Salman international university Dr. Marwa Hassan

Dr: Marwa Hassan


Signature chart
Student name Date

Authorized supervisors

Patient name

Steps:

Date Step Signature Comments

Diagnosis & treatment planning

Mouth prepartaion

Secondary impression

Metal try-in / jaw relationship

Try In of artificial teeth

Denture insertion

Course coordinator signature:

You might also like