Patient
Age: 60 Male No medical issues declared

Background Information

Patient attends and his main complaint is the discolouration of his front teeth. He hates his teeth. He has always been a regular attender at the dentist and has had some filling’s but he does not like the appearance. He wanted to improve his smile and keep his teeth

Discussion and Treatment

The teeth on clinical examination his teeth were very dark and heavily restored. A root canal was required on the upper right incisor.

• Ceramic crown ( with no metal ) on the upper anterior teeth
• Whiten the lower teeth
• Treat gums

All risks and benefits were discussed with Patient. Patient understood and after consideration wanted to proceed with the proposed treatment. Explained all work could be completed in 4 visits and this would take a total of 4 weeks

Visit 1

Dental impressions taken for whitening trays, start shade was recorded. We explained that he must wear the trays at home for 2 weeks, then return to the clinic for a 1 hour appointment so we can lock the new colour in. He must remember to bring his trays with him on this visit

Visit 2

Patient attends to collect whitening trays and kit today. Patient was shown how to insert/remove the trays and how to care for the trays. He was given a demonstration of how to place gel on the trays. Advised the patient he must whiten his teeth every night for 2 weeks for the whitening to work to full effectiveness and he had to wear them for a minimum of 2 hours a day.

The patient was also seen by the hygienist today to remove all calculus and plaque that was on and below the gum line

Visit 3

Patient attends clinic for the second part of his whitening treatment the patient is delighted with his whitening results. Shade recorded B1.

Articaine local anaesthetic was placed and 12, 11, 22, 21 and 26 prepped. Discussed different types of crowns and she chose Emax. The prepped area and upper arch was digitally scanned, we then scanned the bite and opposing arch.