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§ The patient came to our graduate clinic

on December 08 2009 with the
compliant of pain in the upper front
teeth on having hot and cold food
substances.13.
§ The patient was able to point out 13 as
the source of pain. the pain started 3
months prior to consultation.
§ The pain was dull aching pain . The pain
radiated to forehead. The patient took
medicines medicine
mefanamic acid) to
relieve the pain. the duration of pain was
half an hour. the pain was aggravated on
having hot and cold substances. the
patient had pain especially in the morning.
 * c
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§ ?arents had diabetics and are under medication

§ Her brother and sister were hypertensive and is
under medication.
§ Grand parents also had diabetics .
§ There is no history of inherited anomalies and
abnormalities. Such as congenitally missing
lateral incisors, amelogenesis imperfecta,
ectodermal dysplasia and cleft lip and/or palate,
§
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§ 9! social easy going

§ 9 O married
§ :6 O occasionally
§ :6 O occasionally
§ "6"O brushing twice daily
§ She changes her brush once in two months. She
doesn have the habit of using mouth wash and
dental flossing
 
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§ The patient was wearing a removable

partial denture for the past one year
§ The patient was satisfied with the
removable partial denture.
 2c; *



§ mll system are apparently normal

according to the patient. There is no
history of any debilitating diseases No
known allergy
   - c
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§ Healthy looking
§ !9 O slim body
§  O no defect in
walking
§ 9< O no defect in
muscle movement
§ 9 O no parenthesis,
no anaesthesia, no paralysis, no
convulsion, no neuralgias, no arthritis, no
joint pain, no limitation movement, no
tremor
§ 9 O she well
oriented to time and place .she doesnǯt
have any problem in identifying time and
place
§ Speech and muscle movement were
normal
+
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§ ˜lood pressure O 130 / 80 mmHg
§ Heart rate O 70 pulse / min
§ Respiration rate O 20 / min
§ Temperature O 35.4 ǮC
§ Weight O 50 KG
§ Height O 5 feet 5 inch
§ Lymph node O none palpable
 -
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§ * O No facial hemi hypertrophy, no facial
hemi atrophy, no macronathia, no micronathia
§ ! O no swelling near eye area, no pale
and yellow colour no defective vision, no evidence
of ocular defect like squinting, nystagmus,no
haemorrhage spots
§  O No deviated nasal septum, no
discharge, no saddle nose
§  O absence of deafness, no tinnitus, no
vertigo, no discharged
§ + O black in colour, no loss of
hair
§ : O No rashes, no sores, no
itching, no pale in colour, no yellow colour,
no signs of cyanosis, no pigmentation, no
edema
§ : O No scar, no lesion, no
swelling, no tenderness, no pulsation, no
deviation of midline swelling
§ !" O submaxillary, parotid, submental,
sublingual, cervical, superficial, deep facial, pre
and post auriculars, are no abnormal size,
shape, and mobility, no tenderness, no swelling,
no lymphadenopathy
§
= O No gross derangement maximum
interincisal opening
42 mm), no deviation in
opening, no abnormal lateral and vertical
movement, no clicking, no crepitus sound over
joint or masticatory muscle
§ mll view of face looks normal andno abnormality
were detected
 c
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§ 7>
§  O pink in colour, shine texture,
no cleft lip, no pigmentation, no chancre, no diffuse
enlargement, no surface abnormalities as well as
angular or vertical fissures, lip pits, cold sores, ulcers,
scabs, nodules, keratotic plaques, and scars.
§ 9/9 O No changes in
pigmentation and movability of the mucosa, a
pronounced linea alba, leukoedema, hyperkeratotic
patches, intraoral swellings, ulcers, nodules, scars,
other red or white patches, and Fordyceǯs granules.
§
§ 9?"7@ O No discoloration, swellings,
Fistulae, papillary hyperplasia, tori, ulcers, recent burns,
leukoplakia, and asymmetry of structure or function, no
?alpable for swellings and tenderness.

§ "!69 O pink colour, no surface

abnormalities of tonsils and ulcers, no discharge or
tenderness, and no restriction of the oropharyngeal
airway, faucial pillars for bilateral symmetry, no nodules,
no red and white patches, no lymphoid aggregates, and
deformities. No postpharyngeal wall swellings, no nodular
lymphoid hyperplasia, Hyperplastic adenoids, postnasal
discharge, and heavy Mucous secretions
§
6?99@ O No swelling, ulcers,
coating, or variation in size, pink in colour, and
rough texture.
§ Normal distribution of filiform and fungiform
papillae, no depapillated areas, no fissures, no
ulcers, and no keratotic areas. No abnormal
frenal attachment and no deviations as the
patient pushes out the tongue and attempts to
move it to the right and left, no Lateral border of
the tongue ulcers, no keratotic areas,mnd red
patches.
§ *97" O No varicosities, no tight frenal
attachments, no stones in Whartonǯs ducts, no ulcers, no
swellings, and no red or white patches. Gently palpate the
muscles of the tongue no nodules and tumors, extending the
finger onto the base of the tongue and pressing forward
there is no ulcers or masses are suspected. No tongue thrust
on swallowing.
§ 6<99 O coral pink in colour, stippled surface
texture, scalloped contour, and normal frenal attachments,
no pigmentation, firm and resilience consistence, no ulcers,
no marginal inflammation, no resorption, no festooning, no
Stillmanǯs clefts, no hyperplasia, no nodules, no swellings,
and no fistulae
§ ?eriodontal pocket O normal 3 mm
depth
§ Tooth mobility O with in physiological
limit

§ 9 O class 2 type

 2cc c  c

§ crreversible pulpitis





§ 9#03

§ 969"6
§ >776
§ 7"
§ 976"
§ 99":