scholarly journals Perawatan Estetik pada Insisivus Sentral Maksila dengan Perforasi Apikal

2016 ◽  
Vol 1 (1) ◽  
pp. 71
Author(s):  
Sania Dara Afiati ◽  
Pribadi Santosa
Keyword(s):  
Root Canal ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Maxillary Central Incisor ◽  
Reinforced Composite ◽  
Working Length ◽  
Root Canal Retreatment ◽  
Central Tooth

Masalah estetik dapat diatasi dengan pendekatan restorasi, ortodontik maupun kombinasi keduanya. Perawatan restorasi dapat dilakukan jika pasien menolak untuk dilakukan perawatan ortodontik. Perawatan restorasi mencakup pembuatan ilusi perubahan arah gigi tanpa merubah lokasi akar gigi. Kecelakaan iatrogenik yang disebabkan oleh hilangnya panjang kerja dapat menyebabkan perforasi apikal. Salah satu manajemen perawatan perforasi apikal adalah dengan Ca(OH)2. Tujuan dari artikel ini adalah menginformasikan keberhasilan perawatan restorasi untuk perbaikan estetik serta keberhasilan perawatan perforasi apikal menggunakan Ca(OH)2. Laki – laki berusia 20 tahun datang dengan fraktur gigi insisivus akibat kecelakaan 7 tahun yang lalu. Gigi insisivus maksila pertama kanannya telah dilakukan perawatan saluran akar dan direstorasi dengan resin komposit. 6 tahun kemudian, pasien merasakan sakit pada giginya, perkusi dan palpasi positif serta ditemukan mobilitas. Pasien juga merasakan gigi depannya berubah warna dan berjejal. Pada pemeriksaan radiografis ditemukan material obturasi yang overfilling disertai pelebaran ligamen periodontal. Perawatan perforasi apikal untuk gigi insisivus maksila pertama kanan dilakukan menggunakan Ca(OH)2, dilakukan juga perawatan saluran akar pada gigi insisivus maksila pertama kiri. Berjejalnya gigi depan diperbaiki dengan restorasi menggunakan resin komposit direk dengan penguat pasak fiber. Masalah estetik gigi depan dapat diperbaiki menggunakan pendekatan restoratif, serta perawatan saluran akar dengan perforasi apikal dapat dilakukan dengan menggunakan Ca(OH)2. ABSTRACT: Aesthetically Compromized Maxillary Central Incisor with Apical Perforation. Aesthetical problem may be corrected restoratively, orthodontically or with combination of both approaches. Restorative treatment could be done for a patient due to several reasons; one of them is when patients refuse orthodontic treatment. Restorative alternatives create the illusion of movement without altering the location of the tooth root. Iatrogenic accident as a result of the loss of working length could lead to apical perforation. One of the management for apical perforation is Ca(OH)2. The aim of this case report is to present the success of repairing aesthetically compromised tooth with fiber reinforced composite and root canal retreatment with apical perforation using Ca(OH)2 as a repair and sealing material. A 20 year old male patient had a fractured incisor following a traumatic incident 7 years previously. The maxillary right central incisor was endodontically treated and restored with composite resin. 6 years later, the patient felt pain in his two central incisor teeth and tenderness to percussion; palpation was positive and mobility was detected. The patient also felt discoloration and misalignment of his central incisor. The radiographic examination reveals an overfilling of obturation material with enlargement of periodontal ligament. A root canal retreatment for maxillary right central incisor with apical perforation using Ca(OH)2 as repair and seal material and root canal treatment for maxillary left central incisor was conducted. The aesthetically compromised maxillary central tooth was corrected restoratively using fiber reinforced composite. The aesthetically compromised central tooth was proven to be successfully corrected using fiber reinforced composite and the apical perforation successfully sealed using Ca(OH)2.

scholarly journals Introduction to Fiber Reinforced Composite (FRC) Post, A New Era in Reinforcing Esthetics: A Case Report

2013 ◽  
Vol 3 (1) ◽  
pp. 45-48
Author(s):  
CM Jan ◽  
F Rashid ◽  
NA Nomann ◽  
AJ Rashid
Keyword(s):  
Root Canal ◽  
Significant Loss ◽  
Fiber Reinforced ◽  
Endodontically Treated Teeth ◽  
New Era ◽  
Fiber Reinforced Composite ◽  
Maxillary Central Incisor ◽  
Tooth Structure ◽  
Reinforced Composite ◽  
Endodontically Treated Tooth

The restoration of a root canal treated or, endodontically treated teeth, is often can be achieved with post and core because of the significant loss of tooth structure. Until the mid-1980s, the safest way to restore an endodontically treated tooth was considered to be the cast-metal post, made indirectly by a dental technician. Also prefabricated metal posts in combination with different core materials under artificial crowns were used. The development and use of fiber reinforced composite (FRC) root canal posts over metallic posts make possible of the attachment & reinforcement of the crown with maximum esthetics. This paper illustrates a technique for rehabilitation of an endodontically treated maxillary central incisor of both sides (UL1 & UR1) with a fiber reinforced composite post (FRC post) & discusses the advantages, disadvantages of metallic post over fiber reinforced composite (FRC) posts.DOI: http://dx.doi.org/10.3329/bjdre.v3i1.16595 Bangladesh Journal of Dental Research & Education Vol.3(1) 2013: 45-48

Root Canal Retreatment and Intracoronal Bleaching on the Maxillary First Premolar

2020 ◽  
Vol 48 ◽  
pp. 10-14
Author(s):  
Cynthia Carissa ◽  
Tunjung Nugraheni ◽  
Yulita Kristanti
Keyword(s):  
Root Canal ◽  
Good Condition ◽  
Glass Ionomer Cement ◽  
Short Fiber ◽  
Root Canal Treatment ◽  
Glass Ionomer ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Root Canal Retreatment

Introduction. Inadequate root canal preparation and obturation are potential causes of endodontic failure. Failed root canal treatment with intrinsic discoloration requires root canal re-treatment and intracoronal bleaching. Due to the extensive loss of hard tissues on occlusal area, the restoration requires intracanal retention with short fiber-reinforced composite. Case report. A 17-year-old male patient came to the Clinic of Conservative Dentistry Dental Hospital Prof. Soedomo. He reported pain and discomfort on maxillary first premolar while chewing after root canal procedure had been performed few months before. He felt unconvinience with the discoloration happened on those tooth. Patient had endodontic treatment one year ago and the tooth was restored with glass ionomer cement. Objective examination showed glass ionomer restoration was still in good condition, the tooth was sensitive to percussion but not to palpation, and showed no mobility. Periapical radiograph showed incomplete obturation with radioluscent around periapical region. Retreatment followed by intracoronal bleaching was performed under rubber dam isolation. Tooth was restored with short fiber reinforced composite and composite resin. After 3 month, patient was recalled for examine the previous sign and symptomps. Periapical radiograph showed diameter of periapical lesion was smaller and tooth functioned normally. Conclusion. Root canal retreatment and intracoronal bleaching are suitable options for teeth with failed root canal treatment and intrinsic discoloration

scholarly journals Root Canal Retreatment menggunakan Kombinasi Kalsium Hidroksida dan Chlorhexidine sebagai Medikamen Intra Kanal Insisivus Sentral Kiri Maksila

2014 ◽  
Vol 21 (2) ◽  
pp. 165
Author(s):  
Andina Novita Sari ◽  
Tri Endro Untara
Keyword(s):  
Calcium Hydroxide ◽  
Enterococcus Faecalis ◽  
Root Canal ◽  
Antimicrobial Agents ◽  
Radiographic Examination ◽  
Ph Effects ◽  
Central Incisor ◽  
Incisor Tooth ◽  
Maxillary Central Incisor ◽  
Root Canal Retreatment

Enterococcus faecalis adalah bakteri yang paling banyak terdapat pada infeksi saluran akar yang telah dirawat endodontik. Chlorhexidine mempunyai daya anti bakteri spektrum luas dan telah digunakan dalam endodontik sebagai bahan irigasi maupun medikasi intrakanal. Chlorhexidine mempunyai efek bakterisidal dan fungisidal karena chlorhexidine diserap ke dalam permukaan sel bakteri dan menyebabkan rusaknya integritas sel membran. Kalsium hidroksida digunakan karena mempunyai keuntungan seperti biokompatibel, bahan antimikroba dengan efek pH yang tinggi dan stimulasi jaringan keras. Campuran kalsium hidroksida dan chlorhexidine digunakan untuk alternatif melawan bakteri Enterococcus faecalis. Tujuan dari laporan kasus ini adalah untuk melaporkan kesuksesan perawatan saluran akar ulang pada gigi incisivus sentral kiri maksila dengan periodontitis periapikal akut menggunakan kombinasi kalsium hidroksida dan chlorhexidine sebagai medikamen intrakanal. Seorang pasien wanita 24 tahun datang dengan keluhan gigi insisivus sentral kiri atas yang terasa sakit sejak 4 tahun yang lalu. Gigi terasa sakit saat diperkusi, namun palpasi dan mobilitas normal. Gigi tersebut mengalami trauma dan patah 6 tahun yang lalu dan telah dilakukan perawatan endodontik. Pemeriksaan radiografi menunjukkan obturasi gigi 21 yang tidak hermetis dengan radiolusensi di periapikal dengan batas difus, pelebaran ligamen periodontal dan terputusnya lamina dura. Perawatan berupa perawatan saluran akar ulang menggunakan kombinasi kalsium hidroksida dan chlorhexidine sebagai medikamen intrakanal. Root canalretreatment dengan cleaning dan shaping ulang yang baik dengan menggunakan medikasi intrakanal berupa kombinasi kalsium hidroksida dan chlorhexidine 2% diharapkan mempunyai efek antimikroba yang sinergis untuk mencapai kesuksesan root canal retreatment. Root Canal Retreatment Using Calcium Hydroxide as Intra Canal Medicament On The Maxillary Left Incisor. Enterococcus faecalis bacteria is most abundant in the root canal infection treated endodontically. Chlorhexidine has a broad antibacterial spectrum and has been used as an endodontic irrigant and intracanal medication. Chlorhexidine has a bactericidal and fungicidal effect as chlorhexidine absorbed into the bacterial cell surface and cause damage to the integrity of the cell membrane. Calcium hydroxide is a biocompatible, antimicrobial agents with high pH effects and stimulates hard tissue formation. A mixture of calcium hydroxide and chlorhexidine is used to control bacteria Enterococcus faecalis alternative. The purpose of this case report is to report on the success of root canal treatment in the left maxillary central incisor with acute periapical periodontitis using a combination of calcium hydroxide and chlorhexidine as intracanal A 24 years old female patient presents with left upper central incisor tooth ache since 4 years ago. The tooth was hurt to percussion, but normal to pulpation as well as the mobility. The tooth has a history of previous trauma and broken 6 years ago and has performed endodontic treatment. Radiographic examination showed obturation teeth 21 are not hermetic with periapical radiolucency in diffuse boundaries, widening of the periodontal ligament and the dissolution of the lamina dura. Root canal re-treatment using a combination of calcium hydroxide and chlorhexidine as intracanal medicaments were performed. In conclussion, the root canal cleaning and shaping retreatment can be performed using a combination of calcium hydroxide and chlorhexidine as intracanal medication.

scholarly journals Erratum to: Effects of metal- and fiber-reinforced composite root canal posts on flexural properties

2016 ◽  
Vol 35 (2) ◽  
pp. 334-334
Author(s):  
Su-Hyeon KIM ◽  
Tack-Oon OH ◽  
Ju-Young KIM ◽  
Chun-Woong PARK ◽  
Seung-Ho BAEK ◽  
...  
Keyword(s):  
Root Canal ◽  
Flexural Properties ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite

scholarly journals COMPOSITE RESIN RESTORATION WITH FIBER REINFORCED COMPOSITE AFTER ROOT CANAL TREATMENT OF NECROTIC PULP TOOTH WITH GUMBOIL

2021 ◽  
Vol 10 (2) ◽  
pp. 103
Author(s):  
Dessy Natalia ◽  
Yulita Kristanti
Keyword(s):  
Root Canal ◽  
Composite Resin ◽  
Short Fiber ◽  
Root Canal Treatment ◽  
Preparation Technique ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Mandibular Molar ◽  
Composite Resin Restoration

Gumboil is inflammation reaction in the gum caused by pulp infection. Gumboil is seen as an oral lesion characterized by a soft erythematous papule where a periapical abcess is draining into the oral cavity. An adequate root canal treatment can  cure gumboil and remove bacteria from the root canal. To support the success of root canal treatment, final restoration used in this case is composite resin restoration with reinforcing fiber (short fiber reinforced composite). The purpose of this treatment was to restore the functions of tooth in mastication and preserving the supporting tissue. A female patient age 23 years old came with complaints of pain in the lower right mandibular molar accompanied by swelling of the gums around the teeth since a week ago. Swelling is intermittent since last 3 months. The tooth have been restored for about 3 years ago. Clinical examination showed a positive percussion, positive palpation, negative vitality, and negative mobility. Radiographic examination showed bifurcation and periapical lesions. Root canal treatment is performed with crown down preparation technique and followed by direct composite resin restoration with short fiber reiforced composite. The success of root canal treatment followed by composite resin restoration with short fiber reinforced fiber is marked by the absence of complaints as well as the dissappearance of gumboil.

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 Nonsurgical Endodontic Retreatment of Advanced Inflammatory External Root Resorption Using Mineral Trioxide Aggregate Obturation

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Shivani Utneja ◽  
Gaurav Garg ◽  
Shipra Arora ◽  
Sangeeta Talwar
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Apical Region ◽  
Central Incisor ◽  
Root Canal Filling ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Inflammatory external root resorption is one of the major complications after traumatic dental injury. In this case report, we describe treatment of a maxillary central incisor affected by severe, perforating external root resorption. An 18-year-old patient presented with a previously traumatized, root-filled maxillary central incisor associated with pain and sinus tract. Radiographic examination revealed periradicular lesion involving pathologic resorption of the apical region of the root and lateral root surface both mesially and distally. After removal of the root canal filling, the tooth was disinfected with intracanal triple antibiotic paste for 2 weeks. The antibiotic dressing was then removed, and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 18 months, significant osseous healing of the periradicular region and lateral periodontium had occurred with arrest of external root resorption, and no clinical symptoms were apparent.

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