Complete attendance of a caries risk patient

Case report

Abstract

An adult caries high risk patient reported to the clinic with acute complaint. After an adequate pain control patient was
motivated to participate in the required periodontal, oral surgical, conservative dental and prosthodontic treatment.
Based on her DMF-index scores, periodontal and plaque indexes, and high rates for Streptococcus mutans (CRT-test),
and also her inappropriate diet deriving from her fi nancial and social standing, the 38-year-old female patient was considered
as a caries high risk patient. After oral hygienic instruction, motivation, supra and subgingival scaling, and extraction
fillings and root canal treatments (including revisions as well) were carried out. Finally complete functional and
esthetic rehabilitation have been fulfi lled by fi xed restorations. Caries is a widespread disease in Hungary, affecting
98,8% of the adult population. According to recent statistics despite an improving tendency, the application of many patients
with the need of an entire dental rehabilitation is expected. Besides the importance of prevention and regular controls
the treatment planning and the execution of a complete dental treatment remain a rather complex task even without
the presence of any systemic diseases. The patients’ co-operation may be obtained after a comprehensive medical history
and by means of different methods (bacterial tests, plaque indexes etc.) which demonstrate the results, to assure
a suffi cient and longterm outcome.