scholarly journals Penatalaksanaan Perawatan Saluran Akar pada Fraktur Gigi 21 disertai Perforasi

2019 ◽  
Vol 7 (1) ◽  
pp. 27-32
Author(s):  
Zieta Sakinah Emdi ◽  
Reni Nofika

Root canal treatment aims to maintain the condition of the teeth in order to keep them functioning. In practice, the treatment procedure does not always run smoothly, the operator can face undesirable conditions that can affect the prognosis of treatment. A common procedural error during root canal treatment is a lateral root perforation which must be treated immediately to avoid further damage. The success of the perforation treatment is determined by the materials used. One of the bicompatible materials to seal lateral perforations using MTA (mineral trioxide aggregate). Successful root canal treatment affects treatment outcomes, so proper restoration is required to reduce the risk of marginal leakage. The choice of final restoration in post-root canal treatment depends on the amount of remaining tooth structure, horizontal pressure and chewing load. For post-root canal treatment anterior teeth with intact marginal edges, direct restoration can be performed using composite resin

2017 ◽  
Vol 6 (2) ◽  
pp. 72
Author(s):  
Hendargo Agung Pribadi ◽  
Yulita Kristanti

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.


2021 ◽  
Vol 15 (6) ◽  
pp. 1317-1320
Author(s):  
R. Sartaj ◽  
N. Khan ◽  
A. Mahmood ◽  
A. Noor ◽  
M. Sajid ◽  
...  

Background: Teeth in the oral cavity are affected by caries, trauma or fracture which causes pulpal diseases in the teeth. Dentists performed root canal treatment to treat these diseases. Caries fracture or trauma along with root canal treatment can weaken the tooth structure. Tooth structure is lost in root canal treatment. Dehydration after pulpectomy can effect on survival of the tooth. That is why an important intention should be paid to restore endodonticaly treated tooth. Study was performed in Multan Dental College Multan. Methods: Study design was cross sectional survey. The questionnaire was prepared for final year BDS students and house surgeons of Multan Dental College with the three conditions of anterior tooth structure; Condition A= Minimal tooth structure missing(less than 50%), Condition B=50% tooth structure missing, Condition C=maximum tooth structure lost (more than 50%). Data was collected randomly and analyzed and tabulated. Results: In condition A maximum participants (47.5%) preferred tooth colored restoration only. In condition B maximum participants (33%) choose tooth colored crown. In condition C maximum participants (67.5%) choose endopost and tooth colored crown. Conclusion: of study is that choice of material and technique of restoration is important for good results. Different dentists prefer different materials and techniques for restoration. Keywords: Endodonticaly treated tooth (ETT), Composite, Amalgam, Endopost


2021 ◽  
Vol 10 (40) ◽  
pp. 16-22
Author(s):  
Ana Carolina Portes Pasmadjian ◽  
Gabriela Resende Allig ◽  
Patricia Ferronato Araújo ◽  
Fernanda Cristina Pimentel Garcia ◽  
Leonardo Fernandes da Cunha

Objective: The objective of the present study was to present, through two clinical cases, the direct stratification technique and the sequence of finishing and polishing of composite resin restorations on fractured anterior teeth. Case reports: In the first case, an 11-year-old female patient fractured the upper central incisors. In the second, a 6-year-old female patient fractured the left upper central incisor. A detailed description of the layering technique, materials, and instruments available was presented, not only for the restoration itself but also for finishing and polishing. In both cases, the tooth fragment was lost, so it was decided to use the technique of direct restoration with composite resin. Discussion: The composite resin restores the tooth structure with excellent optical results, long-term predictability is obtained, in addition to being a conservative way to restore the aesthetics and function of fractured anterior teeth. Conclusion: The technique performed provided a satisfactory aesthetic and functional result that, consequently, improved the patient’s self-esteem.


2015 ◽  
Vol 1 (2) ◽  
pp. 140
Author(s):  
Dimas Cahya Saputra ◽  
Tunjung Nugraheni

Laporan kasus ini bertujuan untuk melaporkan perawatan kasus fraktur subgingival dua gigi anterior maksila dengan pendekatan konservatif pada sisa jaringan keras gigi yang sehat. Perawatan pada gigi 11 dan 21 didahului perawatan saluran akar kemudian dilanjutkan dengan prosedur crown lenghtening dan restorasi mahkota penuh porselin fusi metal yang diperkuat dengan pasak metal customized. Perawatan ini merupakan alternatif untuk menghindari pencabutan gigi dan mengoptimalkan jaringan keras gigi tersisa untuk membangun sebuah restorasi estetis yang fungsional. ABSTRACT: Restoration Using Jacket Crown of Porcelain Fused-to-Metal and Crown Lengthening on Post-Traumatic Teeth 11 and 21. The aim of this case report was to describe the restoration of subgingival fractured two maxillary anterior teeth conservatively on healthy remaining tooth structure. Teeth #11 and #21 were initially treated by root canal treatment followed by crown lengthening and restored using porcelain fused-to-metal full crown retained by metal customized post. This treatment was an alternative to avoid tooth extraction and designed to optimize the remaining tooth structure in order to obtain a fully functional and esthetic restoration.


Materials ◽  
2021 ◽  
Vol 14 (10) ◽  
pp. 2661
Author(s):  
Kiche Shim ◽  
Young-Eun Jang ◽  
Yemi Kim

Background: This clinical trial aimed to compare the effects of bioceramic sealer and resin-based sealer on the incidence and intensity of postoperative pain. Methods: Patients with anterior teeth or premolars requiring root canal treatment were assigned to group 1 (n = 51). Those with molars requiring treatment were assigned to group 2 (n = 57). In groups 1En and 2En, root canals were obturated with Endoseal MTA using the single-cone technique. In groups 1AH and 2AH, the sealer used was AH Plus with the continuous wave technique. On the day of canal filling, each patient was instructed to indicate their pain intensity over the 7 day postoperative period, at rest and, while biting, using a visual analog scale. Results: There was no significant difference in the incidence or intensity of postoperative pain between the Endoseal MTA and AH Plus groups during the 7 day postoperative period (p > 0.05). Less time was needed to seal the root canals with Endoseal MTA, especially in group 2 (p < 0.05). Conclusions: Endoseal MTA and AH Plus had similar effects on the incidence and intensity of postoperative pain. The obturation time was shorter when using Endoseal MTA compared to AH Plus.


2012 ◽  
Vol 24 (1) ◽  
Author(s):  
Ashley Evans Nicholas ◽  
Milly Armilia Andang ◽  
Opik Taofik Hidayat

An uncomplicated crown fracture is a fracture that involves only the tooth enamel or the dentin and tooth enamel without any damage or exposure to the pulp. Crown fracture of the anterior teeth usually caused by traumatic forces such as falls, accidents, violence, or sports activities. Traumatic injuries of the oral region frequently involve the anterior teeth, especially maxillary incisors due to the anatomic factors which may affect the functional and aesthetical values of the teeth. The objective of this literature study was to know more about uncomplicated crown fracture of the anterior teeth and its restoration. This research was a literature study performed by researching, highlighting various interesting facts and compiling the relevant published journals. The most common and ideal direct restoration of the anterior teeth was the composite resin restoration. The anterior teeth restoration was considered to be a complex and challenging case to solves due to the fact that besides reconstructing the tooth and regaining the function, the aesthetical aspect was also becoming the main objectives. The permanent anterior teeth uncomplicated crown fracture was the most common case of tooth fractures which was mainly caused by traumatic injuries such as falls, accidents, excessive forces, violence, and also sports activities. Dental injuries of the anterior teeth also affected the aesthetical properties and the function of the tooth. Composite resin restoration was able to performed directly on the permanent anterior teeth uncomplicated crown fracture.


2016 ◽  
Vol 6 (3) ◽  
pp. 200-207
Author(s):  
Rashmi V Bolli ◽  
Aanchal M Agrawal

ABSTRACT Overinstrumentation during root canal treatment is one of the causes for iatrogenic enlargement of the root apex. It also leads to unwarranted coronal third widening, which results in thinning of the dentinal walls and makes the tooth susceptible to fracture. Another difficulty arises during control of obturation material within the canal. Such cases can be managed with obturation using mineral trioxide aggregate (MTA) followed by of root reinforcement for the weakened dentinal walls. In the present case, a 5mm MTA plug was placed and root reinforcement was done with the help of Giomer. Postendodontic restoration was done with a cast post and a full coverage porcelain fused to a metal crown was cemented in place. How to cite this article Agrawal AM, Shenoy VU, Sumanthini MV, Bolli RV. Management of a Flared Root Canal with an Iatrogenically Widened Apex. J Contemp Dent 2016;6(3):200-207.


2018 ◽  
Vol 55 (2) ◽  
pp. 238-242 ◽  
Author(s):  
Ionut Taraboanta ◽  
Simona Stoleriu ◽  
Gianina Iovan ◽  
Antonia Moldovanu ◽  
Andrei Georgescu ◽  
...  

The aim of the study was to compare the marginal adaptation of three different resin-based materials used for direct restoration: hybrid composite resin (Gaenial Posterio, GC Corporation), a compomer (Dyract eXtra, Dentsply Sirona), and a giomer (Beautifil II, Shofu Dental) applied at room temperature or after preheated at preheating 50 and 60oC. Class II cavities were prepared on proximal surfaces of extracted teeth and randomly divided in 3 groups according to the material used for restoration. In each group five cavities were restored using the materials at room temperature (subgroup 1), five cavities were restored using preheated materials at 50şC (subgroup 2), and five cavities were restored using preheated materials at 60şC (subgroup 3). The teeth were stored in distilled water for 14 days and then were immersed in 2% methylene blue buffered dye solution (pH = 7) for 4 hours. The teeth were transversally cut and the sections were examined using optical microscope (Carl-Zeiss AXIO Imager A1m) at 50x magnification and the dye penetration was evaluated according to 4 scores. Decreased microleakage and fewer gap formation were recorded for all filling materials after they have been heated at 50 or 60oC. Pre-warming of resin-based materials improves the adaptation of these materials to tooth structures.


2020 ◽  
Vol 10 (2) ◽  
pp. 10-13
Author(s):  
Md Abdul Hannan Sheikh ◽  
Eyad Al Khalifa ◽  
Mozammal Hossain ◽  
Md Faruk Hossain ◽  
Nazneen Karim ◽  
...  

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13


2011 ◽  
Vol 05 (01) ◽  
pp. 117-120 ◽  
Author(s):  
Volkan Arikan ◽  
Saziye Sari

ABSTRACTThis case report describes the repositioning of a laterally luxated primary central incisor with occlusal interference, using a composite inclined plane. The patient was a 4-year-old girl who applied to our clinic three days after the injury. Because of the time delay between injury and presentation, it was not possible to reposition the tooth with pressure. Following a root-canal treatment, an inclined plane was prepared on the lower primary incisors, using composite resin. The tooth was repositioned in two weeks, and the inclined plane was then removed. After 1 year of follow-up, the treatment was found to be successful, both clinically and radiographically. The use of a composite inclined plane, accompanied by careful follow-up, is an effective alternative to extraction for laterally luxated primary incisors with occlusal interference. (Eur J Dent 2011;5:117-120)


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