scholarly journals Perawatan Saluran Akar Satu Kunjungan Pada Pulpa Nekrosis Disertai Restorasi Mahkota Jaket Porselin Fusi Metal dengan Pasak Fiber Reinforced Composit (Kasus Gigi Insisivus Sentralis Kanan Maksila)

2013 ◽  
Vol 20 (1) ◽  
pp. 71
Author(s):  
Surya Triharsa ◽  
Ema Mulyawati
Keyword(s):  
Case Report ◽  
Clinical Evaluation ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Maxillary Incisor ◽  
Fiber Reinforced ◽  
Fiber Post ◽  
Hard Tissue ◽  
Aesthetic Aspect ◽  
The Aesthetic

Perawatan saluran akar satu kunjungan dapat memperkecil resiko adanya kontaminasi bakteri serta mengurangi jumlah kunjungan. Restorasi gigi insisvus sentralis maksila setelah perawatan saluran akar harus mempertimbangkan sisa jaringan keras gigi yang masih ada. Tujuan laporan kasus ini adalah untuk menginformasikan hasil perawatan saluran akar satu kunjungan dengan restorasi mahkota jaket porselin fusi metal dengan pasak Fiber Reinforced Composit (FRC) pada gigi insisivus sentralis kanan maksila. Pasien perempuan 32 tahun datang ke klinik konservasi Gigi RSGM Prof Soedomo FKG UGM ingin merawat gigi depan atas dengan tumpatan yang telah berubah warna. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis pulpa nekrosis. Selanjutnya dilakukan perawatan saluran akar satu kunjungan, dan restorasi mahkota jaket porselin dengan pasak  FRC. Hasil evaluasi klinis saat kontrol tidak ada keluhan rasa sakit gigi dan gigi bisa berfungsi dengan normal. One Visit Root Canal Treatment On Necrosis Pulp Followed by Fused Porcelain Metal Jacket Crown with Fiber Reinforced Composit (A Case on Right Maxillary Central Incisivus Teeth). One visit root canal treatment is more beneficial to reduce the risk of bacteria and also shorten the time during the treatment in restoring maxillary incisor, considering the on rest of hard tissue. The objective of this case report is to inform the result of restoration teeth 11 to necrotic pulp after one visit root canal treatment. A 32 year-old female came to RSGM Prof Soedomo FKG UGM to have a treatment on her maxillary central teeth restoration for tooth whose color has changed. After an objective and radiograph examination, it was diagnosed that she suffered from necrotic pulp. The treatment chosen was a one visit root canal treatment followed by porcelain fused to metal jacket crown with fiber post reinforced composit. Based on the clinical evaluation, there was no more pain after the treatment, and the aesthetic aspect was also achieved. The patient was satisfied.

scholarly journals Restorasi Fiber Reinforced Composite Pada Gigi Premolar Pertama Kanan Mandibula Pasca Perawatan Saluran Akar

2013 ◽  
Vol 20 (1) ◽  
pp. 65
Author(s):  
Intan Dhamayanti ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Single Cone ◽  
Endodontically Treated Tooth ◽  
Mandibular First Premolar ◽  
Composite Restoration

Gigi yang telah dilakukan perawatan saluran akar membutuhkan restorasi yang tepat untuk mencegah terjadinya fraktur. Restorasi menggunakan fiber reinforced composite (FRC) memiliki resistensi yang tinggi terhadap fraktur dan estetiknya memuaskan. Laporan kasus ini bertujuan melaporkan restorasi menggunakan FRC pada gigi premolar pertama kanan mandibula pasca perawatan saluran akar. Pada kasus ini, pasien wanita 35 tahun, gigi premolar pertama kanan mandibula mengalami nekrosis pulpa. Untuk mengatasi kasus ini dilakukan perawatan saluran akar dengan metode crown down dan obturasi dengan single cone. Restorasi menggunakan FRC dibuat sebagai restorasi akhir. Kesimpulan penanganan kasus, restorasi menggunakan FRC dapat menjadi pilihan restorasi pada gigi premolar pertama kanan mandibula pasca perawatan saluran akar.Fiber Reinforced Composite Restoration on Right Mandibular First Premolar Tooth after Root Canal Treatment. Endodontically treated tooth requires precise restoration that can prevent fracture. Restoration using fiber reinforced composite (FRC) has high resistance to the fracture and aesthetical satisfaction. This case report aims to describe the restoration using FRC on right mandibular first premolar tooth after root canal treatment. In this case, the patient was a 35 year-old woman who suffered from pulp necrosis on her right mandibular first premolar tooth. To treat this case, root canal treatment with crown down method and single cone’s obturation was done. Restoration using FRC is made as the final restoration. From treatment, it can be concluded that restoration using FRC can be an option for restoration of right mandibular first premolar tooth after root canal treatment

scholarly journals Mahkota Porselin Fusi Metal dengan Parallel Self-Threading Dowel Pasca Perawatan Saluran Akar Gigi Premolar Maksila

2016 ◽  
Vol 1 (1) ◽  
pp. 46
Author(s):  
Asri Riany Putri ◽  
Diatri Nari Ratih
Keyword(s):  
Treatment Outcome ◽  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Pulp Chamber ◽  
Hard Tissue ◽  
Transverse Axis ◽  
Successful Treatment Outcome

Gigi premolar maksila merupakan gigi yang mendapat tekanan pengunyahan besar dan rentan mengalami fraktur terutama setelah dilakukan perawatan saluran akar (PSA). Gigi yang telah dilakukan PSA akan menjadi sangat rapuh dan rentan fraktur karena telah kehilangan kelembaban dan banyak jaringan kerasnya. Gigi premolar juga mendapat tekanan pengunyahan yang besar karena bentuk dan letaknya yang lebih dekat dengan aksis horizontal transversal. Penggunaan parallel self-threading dowel dan mahkota penuh porselen fusi metal akan mendistribusikan beban pengunyahan keseluruh bagian akar dan meningkatkan ketahanannya terhadap fraktur. Tujuan laporan kasus ini adalah untuk menunjukkan keberhasilan penggunaan parallel self-threading dowel dengan mahkota penuh porselen fusi metal sebagai restorasi pasca PSA pada gigi premolar kedua maksila nekrosis pulpa dengan lesi periapikal. Pasien wanita berusia 30 tahun dirujuk untuk PSA pada gigi premolar kedua kanan maksila nekrosis pulpa dengan lesi periapikal. Pasien merasakan sakit saat gigi digunakan untuk makan. Perkusi dan palpasi positif namun mobilitas normal. Pemeriksaan radiografik menunjukkan gambaran radiopak yang telah mengenai ruang pulpa dan radiolusensi pada periapikal gigi. PSA dan restorasi mahkota penuh dilakukan dengan parallel self-threading dowel. Parallel self-threading dowel dan mahkota penuh PFM sebagai restorasi akhir menunjukkan keberhasilan perawatan pada gigi premolar kedua maksila pasca PSA. ABSTRACT: Porcelain Fused to Metal Crown with Parallel Self-Threading Dowel Post Root Canal Treatment On Maxillary Premolar. Maxillary premolar teeth have great chewing forces and prone to fracture, especially after root canal treatment (RCT). Teeth that have RCT done will be very brittle and fracture prone because it has lost moisture and lost most of its hard tissue. Premolars also receive great chewing forces because its shape and location are closer to the horizontal transverse axis. The use of parallel self-threading dowel and full porcelain fused to metal crowns will distribute the load of mastication throughout the roots and improve resistance to fracture. The aim of this case report was to demonstrate the success of the use of parallel self-threading dowel with full porcelain fused to metal crown restoration aftera RCT on maxillary second premolar with pulp necrosis and periapical lesion. A 30-year-old female patient was referred for RCT on the maxillary right second premolar with pulp necrosis and periapical lesion. Patient felt pain when the tooth was used to eat. There was tenderness to percussion and palpation but the mobility was normal. A radiographic examination showed radiopaque image that entered pulp chamber and periapical radiolucency on tooth. RCT and full crown restoration with parallel self-threading dowel had been performed. Parallel self-threading dowel and full porcelain fused to metal crown as the final restoration after RCT on the maxillary second premolar showed a successful treatment outcome.

scholarly journals NON SURGICAL LATROGENIC PERFORATION REPAIR USING MINERAL TRIOXIDE AGGREGATE AND DIRECT RESTORATION WITH FIBER POST ON CENTRAL MAXILLARY INCISOR

2017 ◽  
Vol 6 (2) ◽  
pp. 72
Author(s):  
Hendargo Agung Pribadi ◽  
Yulita Kristanti
Keyword(s):  
Root Canal ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Root Canal Treatment ◽  
Maxillary Incisor ◽  
Fiber Post ◽  
Iatrogenic Perforation ◽  
Long Run ◽  
Direct Restoration ◽  
Treatment Objective

Perforation can be a problem that leading to root canal treatment failure in the long run. Perforation can be caused by iatrogenic factor. The most common iatrogenic perforation was found at maxillary anterior. Non surgery iatrogenic perforation repair can be done using mineral trioxide aggregate and direct restoration. The purpose of this case report was to describe non surgical iatrogenic perforation repair using mineral trioxide aggregate and direct restoration with fiber post. A 27 years old male patient diagnosed for pulpitis came to  RSGM Prof. Soedomo. Root canal treatment (pulp extirpation) had performed before he was referred for further treatment. Objective test showed both percussion and palpation were negative. From periapical radiograph could be noticed that there was no file left in the root canal. Root canal treatment was performed using step back technique and lateral condensation. Perforation was sealed by mineral trioxide aggregate. The tooth was restored using direct restoration with fiber post. Latrogenic perforation can be treated non surgically using mineral trioxide aggregate and directly restored using composite resin with fiber post.

scholarly journals Pre endodontik build-up dengan teknik canal projection pada gigi insisif lateral rahang atas disertai kerusakan mahkota yang sangat luasPre endodontic build-up with canal projection technique on maxillary lateral incisors with extensive crown damage

2021 ◽  
Vol 33 (2) ◽  
pp. 101
Author(s):  
Maria Faizarani ◽  
Diani Prisinda
Keyword(s):  
Case Report ◽  
Root Canal ◽  
American Association ◽  
Root Canal Treatment ◽  
Maxillary Incisor ◽  
Projection Technique ◽  
Rubber Dam ◽  
Dental Hospital ◽  
Conservative Dentistry ◽  
One Year

Pendahuluan: Gigi dengan kerusakan mahkota yang sangat luas sering menimbulkan masalah dalam perawatan endodontik seperti kesulitan dalam penempatan klem rubber dam sehingga isolasi yang kurang memadai serta kemungkinan terjadinya kebocoran koronal yang mengakibatkan risiko kegagalan perawatan endodontik. Gigi dengan keadaan tersebut  membutuhkan restorasi sementara pre endodontic agar dapat dilakukan isolasi yang memadai, penempatan klem yang efektif selama perawatan dan pemulihan estetik sementara selama perawatan saluran akar. Tujuan laporan kasus ini untuk menjelaskan pembuatan pre endodontic build-up menggunakan alat tip plastik sekali pakai selama perawatan saluran akar pada gigi insisif rahang atas dengan kerusakan mahkota yang sangat luas. Laporan kasus: Pasien perempuan berusia 53 tahun datang ke Klinik Konservasi Gigi RSGM Unpad dengan keluhan gigi seri rahang atas kiri patah saat makan. Gigi tersebut pernah dirawat saluran akar satu tahun yang lalu namun tidak selesai.  Pemeriksaan klinis menunjukkan kehilangan mahkota sampai batas servikal, dan terdapat gambaran radiolusen yang difus di area periapikal. Diagnosis berdasarkan American Association of Endodontics   (AAE) adalah previously initiated therapy disertai periodontitis apikalis asimptomatik. Pembuatan pre endodontic build-up dengan teknik canal projection dilakukan untuk mendapatkan isolasi sekaligus sebagai restorasi sementara dan dilanjutkan dengan perawatan saluran akar dan pembuatan mahkota all porcelain dengan fiber post. Simpulan: Pembuatan pre endodontic build-up menggunakan teknik canal projection  berhasil dilakukan selama perawatan saluran akar gigi insisif lateral kiri atas dengan kerusakan mahkota yang sangat luas. Pre endodontic build-up dengan teknik canal projection pada kasus ini dapat memberikan isolasi yang memadai, memudahkan penempatan klem rubber dam serta memberikan pemulihan estetik yang baik selama periode antar kunjungan. ABSTRACTIntroduction: Extensive crown damage often causes problems in endodontic treatment, such as difficulty placing rubber dam clamps, resulting in inadequate isolation and the possibility of coronal leakage, which results in treatment failure risk. This condition requires pre-endodontic temporary restorations to provide adequate isolation, effective clamping during treatment, and temporary aesthetic restoration during root canal treatment. The purpose of this case report was to describe the fabrication of a pre-endodontic build-up using a disposable plastic tip device during root canal treatment of a maxillary incisor with extensive crown damage. Case report: A 53-year-old female patient came to the Conservative Dentistry Clinic of Universitas Padjadjaran Dental Hospital to complain of a fractured left maxillary incisor that occurred while eating. The tooth had a root canal treatment one year prior but was not completed. Clinical examination revealed crown loss to the cervical margin and a diffuse radiolucent appearance in the periapical area. According to the American Association of Endodontics (AAE), the diagnosis was previously initiated therapy with asymptomatic apical periodontitis. Therefore, the pre-endodontic build-up using the canal projection technique was performed to obtain isolation and temporary restoration, continued with root canal treatment and the manufacture of an all-porcelain crown with fibre post. Conclusions: The pre-endodontic build-up with canal projection technique has been successfully performed during root canal treatment of the maxillary left lateral incisor with extensive crown damage. Pre-endodontic build-up with canal projection technique can provide adequate isolation, facilitate the placement of rubber dam clamps, and provide good aesthetic recovery during the period between visits.

scholarly journals Functional Crown Lengthening: Biological Width Correction

2020 ◽  
Vol 3 (1) ◽  
pp. 43
Author(s):  
Regia Aristiyanto ◽  
Diatri Nari Ratih
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anterior Tooth ◽  
Root Canal Treatment ◽  
Gingival Hyperplasia ◽  
Fiber Post ◽  
Restorative Treatment ◽  
Crown Lengthening ◽  
Composite Restoration

Introduction: Functional crown lengthening is one of the most common surgical procedures that facilitating restorative treatment. It was done on teeth with inadequate clinical crowns in the presence of deep and subgingival pathologies. Inadequate clinical crowns defined as tooth with less than 2 mm cervico-incisal of sound. Case Report: The 32 years old female patient complained on broken restoration on upper left anterior tooth since one week ago. He also complained about upper right anterior tooth that turned brown. The tooth had received root canal treatment with direct composite restoration since 3 years ago, but the restoration on tooth 11 and 21 was broken. The remaining crown on tooth 11 and 21 was less than 2 mm. The periapical radiograph examination showed tooth 11 and 21 was non-hermetic obturation. Functional crown lengthening and root canal treatment was performed on teeth 11 and 21, with porcelain crown restoration and fiber post. Conclusion: Functional crown lengthening result affects the quality of post retreatment restoration. The success of functional crown lengthening is marked by no recurrent gingival hyperplasia after functional crown lengthening.

Root Canal Treatment of A Maxillary Canine With Two Root Canals: a Case Report

2012 ◽  
Vol 2 (8) ◽  
pp. 406-407
Author(s):  
Dr. Ramta Bansal ◽  
◽  
Dr. Aditya Jain ◽  
Dr. Ramta Bansal
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Maxillary Canine ◽  
Root Canals

Retrieval of fractured Endodontic Instrument under dental operating microscope using ultrasonic tips : A Case Report

2020 ◽  
Vol 11 (3) ◽  
pp. 3316-3321
Author(s):  
Samrudhi Khatod ◽  
Anuja Ikhar ◽  
Pradnya Nikhade ◽  
Manoj chandak
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Fracture Resistance ◽  
Root Canal Treatment ◽  
Operating Microscope ◽  
Severe Loss ◽  
Mechanical Procedure ◽  
Root Dentin ◽  
Fracture Level

A Patient came with the complaint of pain in the lower right back region of the jaw. Root canal treatment was planned. While preparing for the bio-mechanical procedure, the Hand pro taper fractured in the apical third. Iatrogenic occurred as a result of the fracture of the endodontic instrument. Retrieval of the fractured instrument was planned to complete the cleaning and shaping of the canal. The removal of the fractured instrument was planned to be done under the Dental Operating Microscope. The use of an operating microscope enhanced the illumination and the magnification of the instrument. This illumination and magnification helped in the precision of removal. The ultrasonic tip enabled to reach of the fractured instrument in the canal and loosen the dentin around the fractured instrument. It allowed easy retrieval of the fractured instrument. During the retrieval procedure, the fractured instrument was bypassed before the use of the ultrasonic tip. After the removal of the fractured instrument, cleaning and shaping were completed, followed by obturation, definitive restoration, and prosthesis. As the removal of the fractured instrument enabled complete cleaning and shaping, it improved the prognosis of the case. When the endodontic instrument gets fractured, it should be analyzed over the radiograph to assess the fracture level, the anatomy of the root canal, size of the fractured instrument, check accessibility, stage of fracture, etc. If all the above criteria are met with the removal of the instrument only then, replacement should be tried. Otherwise, it may lead to a severe loss of root dentin, decreasing fracture resistance of the root.

scholarly journals Intentional Replantation – The novel technique for the management of separated instrument in apical third of tooth: A case report

2022 ◽  
Vol 7 (4) ◽  
pp. 250-253
Author(s):  
Harshal V Basatwar ◽  
Balaji S Kapse ◽  
Pradnya S Nagmode ◽  
Sharmika B Chechare ◽  
Aniruddha G Mundhe ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Tooth Extraction ◽  
Treatment Approach ◽  
Root Canal Treatment ◽  
The Novel ◽  
Second Molar ◽  
Novel Technique ◽  
Mandibular Second Molar

Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth into its own alveolus. In this article, intentional replantation is described and discussed as a treatment approach for failed root canal treatment with broken instrument periapically in mandibular second molar.

scholarly journals Unusual histological presentation of a residual cyst: A case report

2021 ◽  
Vol 6 (2) ◽  
pp. 117-119
Author(s):  
Sanpreet Singh Sachdev ◽  
Amol Dubey ◽  
Parmeet Singh Banga ◽  
Akshat Shetty
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Cystic Lesions ◽  
Present Case Report ◽  
Source Of Infection ◽  
Appropriate Treatment ◽  
Inflammatory Changes

Cystic lesions of jaws are fairly common of which radicular cysts that form as a result of inflammatory changes associated with a non-vital pulp are most frequent. The removal of source of infection by either root canal treatment or extraction of the involved tooth leads to resolution of inflammatory cysts. However, infrequently, certain lesions may persist even after appropriate treatment which are termed as ‘residual cysts’. Although residual cysts are histopathologically indistinguishable from radicular cysts, certain changes may occur owing to removal of the aggravating stimulus which may lead to a varied histopathological picture. The present case report comprises of a residual cyst with a relatively unusual histopathological presentation.

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