Dr. Agniv's Study Circle

Subho Noboborsho 🙏.

By - Dr. Agniva Mondal.

Subh Mahavir Jayanti 🙏

Specialities provided in Dr. Agniv's Dental Clinics .

Case of Palatal Petechiae , treated by online consultation .

Balidan Param Dharm .

C/c - patient c/O severe pain in lower right back region of jaw since 6 months. Pain aggrevates on mastication with sensitivity and is continous which gets relieved on taking medications.

PMH - 1. H/O medication for allergy since 3 years.

PDH - 1. H/O RCT 3 years ago .

DIAGNOSIS-
1. CHRONIC IRREVERSIBLE PULPITIS in 47

2. DISLODGED PROSTHESIS IN 26

3. LOWER ANTERIOR STAINS + , CALCULUS ++

ADVICE-
1. XRAY in 47 , 26

2. RCT + ZIRCONIA CROWN in 47

3. RANDOM BLOOD SUGAR LEVEL

BUT, Patient wanted temporary filling in 47 .

T/T -
COMPOSITE RESTORATION DONE in 47

Medications-
1. PAN D
OD-AC-5DAYS
2. ZERODOL P
BD-PC-5DAYS
3. KETEROL DT
[S.O.S ]

🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️

C/c - patient ka boht dard ho raha hain niche k dahine taraf piche mein pichle 6 mahine se .Dard Kuch chabane se baad jata hain aur jhanjhanahatbhi hota hain eaha . Dard hote jata hain aur kuch medicine lene se kam hota hain .

PMH - 1. H/O allergy ka dabai le rahe hain pichle 3 saal se .

PDH - 1. H/O RCT karwaye hain 3 saal pehele .

DIAGNOSIS-
1. CHRONIC IRREVERSIBLE PULPITIS ( daat mein deep cavity ) in 47

2. DISLODGED PROSTHESIS ( Rct kiya huya daat ka crown nikal gaya hain ) IN 26

3. LOWER ANTERIOR STAINS + , CALCULUS ++ ( daat mein daag aur patthar dikh raha hain, niche k samne taraf )

ADVICE-
1. XRAY in 47 , 26

2. RCT + ZIRCONIA CROWN karwana padega in 47

3. RANDOM BLOOD SUGAR LEVEL

LEKIN , Patient KO SIRF daat ko seal karwana hain in 47 .

T/T -
COMPOSITE RESTORATION kiya gaya in 47

Medications-
1. PAN D
OD-AC-5DAYS
2. ZERODOL P
BD-PC-5DAYS
3. KETEROL DT
[S.O.S ]

❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️

C/c - patient er khub betha hocche nicher dan d**e pechone 6 mash dhore . Kichu chebale betha bere jaye . Betha hotei thake r medications niye komate hoye .

PMH - 1. H/O allergy er medications naye 3 bochor dhore .

PDH - 1. H/O RCT korechen 3 bochor age .

DIAGNOSIS-
1. CHRONIC IRREVERSIBLE PULPITIS ( daat e deep cavity ) in 47

2. DISLODGED PROSTHESIS ( Rct Kora daat er crown khule gache ) IN 26

3. LOWER ANTERIOR STAINS + , CALCULUS ++ ( daat e daag ar patthor dakha jacche , nicher samne)

ADVICE-
1. XRAY in 47 , 26

2. RCT + ZIRCONIA CROWN korte hobe in 47

3. RANDOM BLOOD SUGAR LEVEL

KINTU , Patient sudhu daat take sealing korate chaiche in 47 .

T/T -
COMPOSITE RESTORATION kora holo in 47

Medications-
1. PAN D
OD-AC-5DAYS
2. ZERODOL P
BD-PC-5DAYS
3. KETEROL DT
[S.O.S ]









By - Dr. Agniva Mondal.

C/c - patient c/O severe pain in lower left back region of jaw since 1 month . Pain us continous and aggrevates on mastication.

PMH - 1. H/O HYPERTENSION 2 since years.

PDH - 1. H/O EXTRACTION 2 years ago .

DIAGNOSIS-
1. CHRONIC IRREVERSIBLE PULPITIS in 17, 27, 38, 45, 46

ADVICE-
1. XRAY in 17, 27, 38, 45, 46

2. EXTRACTION of 38

Medications-
1. PAN D
OD-AC-5DAYS
2. ZERODOL P
BD-PC-5DAYS
3. AUGMENTIN 625
TD-PC-5DAYS
4. METROGYL 400
TD-PC-5DAYS

🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️🔶️

C/c - patient ka boht dard ho raha hain daat mein niche k ba taraf piche mein pichle 1 mahine se . Dard hotei jata hain aur kuch chabane se baad jata hain .

PMH - 1. H/O HYPERTENSION ( PRESSURE ka problem hain )2 saal se .

PDH - 1. H/O EXTRACTION ( Daat nikale huye hain ) 2 saal pehele .

DIAGNOSIS-
1. CHRONIC IRREVERSIBLE PULPITIS ( Daat mein deep cavity hain ) in 17, 27, 38, 45, 46 mein .

ADVICE-
1. XRAY in 17, 27, 38, 45, 46 karwana padega .

2. EXTRACTION ( Daat nikalwana padega ) of 38 .

Medications-
1. PAN D
OD-AC-5DAYS
2. ZERODOL P
BD-PC-5DAYS
3. AUGMENTIN 625
TD-PC-5DAYS
4. METROGYL 400
TD-PC-5DAYS

❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️

C/c - patient er daat e khub betha hocche ba d**er niche pechone goto 1 mash dhore . Betha hotei thake r kichu chabale Bere jaye .

PMH - 1. H/O HYPERTENSION ( PRESSURE er problem ache )2 bochor dhore .

PDH - 1. H/O EXTRACTION ( Daat uthiyechilen ) 2 bochor age .

DIAGNOSIS-
1. CHRONIC IRREVERSIBLE PULPITIS ( Daat e deep cavity ) in 17, 27, 38, 45, 46

ADVICE-
1. XRAY in 17, 27, 38, 45, 46 korte hobe .

2. EXTRACTION ( Daat tulte hobe ) of 38 .

Medications-
1. PAN D
OD-AC-5DAYS
2. ZERODOL P
BD-PC-5DAYS
3. AUGMENTIN 625
TD-PC-5DAYS
4. METROGYL 400
TD-PC-5DAYS











By - Dr. Agniva Mondal.

C/c - Patient c/O severe pain in lower left back region of jaw since 10days . Pain aggrevates on mastication and gets relieved by itself.

PMH- NRH
PDH - H/O EXTRACTION 3 MONTHS ago.

DIAGNOSIS-
1. PHYSIOLOGIC TOOTH MOVEMENT in 75 ( GRADE || Mobility)

ADVICE-
1. EXTRACTION of 75 .

T/T - EXTRACTION OF 75 done under loacal anesthesia.

MEDICATIONS-
1. RANTAC SYRUP [ 5ML]
OD-AC-5DAYS

2. IBUGESIC PLUS [ 5ML ]
BD-PC-5DAYS

3. AUGMENTIN DUO
TD-PC-5DAYS

4. METROGYL 60ML ORAL SUS
TD-PC-5DAYS

❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️❇️

C/c - ekti baccha Patient er khub betha hocche nicher ba d**e pechone jeta kichu chebale bere jaye ar aka akai betha ta kome jaye goto 10 din dhore.

PMH- NRH
PDH - H/O EXTRACTION ( daat tola ache ) 3 Mash age .

DIAGNOSIS-
1. PHYSIOLOGIC TOOTH MOVEMENT ( boroder daat utche naturally ) 75 er niche ar 75 norche ( GRADE || Mobility)

ADVICE-
1. EXTRACTION ( daat tulte hobe )of 75 .

T/T - EXTRACTION ( daat tola holo )OF 75 jayegata obosh kore.

MEDICATIONS-
1. RANTAC SYRUP [ 5ML]
OD-AC-5DAYS

2. IBUGESIC PLUS [ 5ML ]
BD-PC-5DAYS

3. AUGMENTIN DUO
TD-PC-5DAYS

4. METROGYL 60ML ORAL SUS
TD-PC-5DAYS

❎️❎️❎️❎️❎️❎️❎️❎️❎️❎️❎️❎️

C/c - ek baccha Patient ka daat mein boht dard de raha hain niche k ba taraf piche mein 10 din se . Dard kuch chabane se baad jata hain aur apne ap he kaam ho jata hain .

PMH- NRH
PDH - H/O EXTRACTION ( daat nikala huya hain ) 3 Mahine pehele .

DIAGNOSIS-
1. PHYSIOLOGIC TOOTH MOVEMENT ( permanent wale daat uth rahe hain naturally ) 75 k niche aur 75 bhi hil raha hain ( GRADE || Mobility)

ADVICE-
1. EXTRACTION ( daat nikalwana padega )of 75 .

T/T - EXTRACTION ( daat nikala gaya )OF 75 jagah sun karke .

MEDICATIONS-
1. RANTAC SYRUP [ 5ML]
OD-AC-5DAYS

2. IBUGESIC PLUS [ 5ML ]
BD-PC-5DAYS

3. AUGMENTIN DUO
TD-PC-5DAYS

4. METROGYL 60ML ORAL SUS
TD-PC-5DAYS







By - Dr. Agniva Mondal.