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 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

Bond strength of fiber posts and short fiber-reinforced composite to root canal dentin following cyclic loading

2016 ◽  
Vol 31 (13) ◽  
pp. 1397-1407 ◽  
Author(s):  
Emre Nagas ◽  
Isil Cekic-Nagas ◽  
Ferhan Egilmez ◽  
Gulfem Ergun ◽  
Pekka K. Vallittu ◽  
...  
Keyword(s):  
Cyclic Loading ◽  
Bond Strength ◽  
Root Canal ◽  
Short Fiber ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Fiber Posts ◽  
Reinforced Composite ◽  
Root Canal Dentin

scholarly journals Effect of Fiber-Reinforced Composite and Elastic Post on the Fracture Resistance of Premolars with Root Canal Treatment—An In Vitro Pilot Study

2020 ◽  
Vol 10 (21) ◽  
pp. 7616
Author(s):  
Jesús Mena-Álvarez ◽  
Rubén Agustín-Panadero ◽  
Alvaro Zubizarreta-Macho
Keyword(s):  
Glass Fiber ◽  
Root Canal ◽  
Fracture Resistance ◽  
Root Canal Treatment ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Glass Fiber Reinforced ◽  
Direct Restoration ◽  
Restorative Materials

(1) Background: To analyze the fracture resistance of endodontically upper premolar teeth restored with glass fiber reinforced posts, glass fiber elastic posts, conventional composite resin (CR) and glass fiber reinforced composite (FRC) resins as restorations. (2) Methods: Seventy premolars were submitted to root canal treatment and restored with the following restorative materials (n = 10): A. FRC posts restored with resin; B. Elastic FRC posts restored with resin; C. FRC posts restored with FRC resin; D. Elastic FRC posts restored with FRC resin; E. Direct restoration with resin; F. Direct restoration with FRC resin; G. Untreated teeth. The teeth were embedded in an epoxy resin model, thermal cycling fatigued in distilled water and mechanical cycling fatigued inducing 80 N load. Loading was applied axially on the center of the occlusal surface with a vertical displacement. The fracture was produced by a universal machine at a crosshead speed of 0.5 mm/s with a 5000 N load cell. The results were analyzed by ANOVA and Tukey’s test and Weibull characteristic strength and modulus were calculated. (3) Results: The group that obtained the greatest fracture resistance was D (3620 ± 470 N) and the least resistant was group A (2420 ± 1010 N). Statistically significant differences were observed between the groups restored with Elastic FRC posts-CR versus FRC post-CR and only CR (p = 0.043 and p = 0.008). (4) Conclusions: The glass fiber reinforced restorative materials increase the fracture resistance of endodontically treated teeth.

scholarly journals Perawatan Satu Kunjungan Restorasi Pasak Fiber Reinforced Composite Pada Gigi Insisivus Atas

2013 ◽  
Vol 20 (1) ◽  
pp. 45
Author(s):  
Ria Ariani ◽  
Wignyo Hadriyanto
Keyword(s):  
Root Canal ◽  
Composite Resin ◽  
Resin Composite ◽  
Dental Restoration ◽  
Resin Cement ◽  
Root Canal Treatment ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Resin Core

Perawatan saluran akar satu kali kunjungan memberikan keuntungan antara lain memperkecil resiko kontaminasi mikroorganisme dan menghemat waktu perawatan. Pasak fiber reinforced composite memiliki ikatan yang baik dengan dentin menggunakan semen resin dan inti dari resin. Penggunaan pasak bisa mengurangi risiko fraktur. Tujuan penulisan laporan kasus ini adalah untuk mengevaluasi hasil restorasi gigi 11 nekrosis pulpa pasca perawatan saluran akar disertai restorasi dengan pasak fiber reinforced composite. Pasien wanita, 22 tahun datang ke Klinik Konservasi RSGM FKG UGM untuk merawat gigi depan atas kanan yang berlubang. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis gigi 11 nekrosis pulpa. pasca perawatan saluran akar gigi Gigi direstorasi dengan resin komposit dan pasak fiber reinforced composite. Kesimpula dari hasil evaluasi klinis saat kontrol tidak ada keluhan rasa sakit dan pasien merasa puas.One Visit Treatment of Fiber Reinforced Compositerestoration in Maxillary Right First Incisivus. One visit root canal treatment is advantageous to minimize the risk of microorganism contamination. It saves time and more tolerable for the patients. Fiber reinforced composite post is fabricated, and it has been known to have a good bond with dentinal wall of root space, resin cement and composite resin core. The use of this post could decrease the risk of fracture. The purpose of this paper is to report the results of dental restoration 11 pulp necrosis after root canal treatment with resin composite restorations and post fiber reinforced composite. A 22 year-old female patient who came to Faculty of Dentistry UGM complained about her maxillary right incisor teeth which decayed and needed a treatment. Based on the subjective, objective and radiograph examinations, it was diagnosed that the pulp was necrotic. After one visit root canal treatment and based on clinical evaluation, it is concluded that the right upper incisor that was restored using fiber reinforced composite post and composite resin showed no pain, and patient was satisfied.

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 Pasak Customized Fiber Reinforced Composite Indirect pada Gigi Incisivus Lateralis Kiri Atas dengan Dinding Saluran Akar yang Tipis

2015 ◽  
Vol 1 (1) ◽  
pp. 109
Author(s):  
Monika Prima Dewi Ayuningtyas Subroto ◽  
Ema Mulyawati ◽  
Pribadi Santoso
Keyword(s):  
Root Canal ◽  
Root Canal Treatment ◽  
Thin Wall ◽  
Canal Wall ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Tooth Structure ◽  
Reinforced Composite ◽  
Impression Technique ◽  
Wall Structures

Gigi pasca perawatan saluran akar (PSA) biasanya mengalami kehilangan struktur gigi yang luas oleh karena karies, faktor iatrogenik, restorasi sebelumnya dan fraktur. Pengurangan dentin di dalam saluran akar akan menyebabkan saluran akar menjadi tipis, sehingga restorasi konvensional dengan pasak logam dapat menyebabkan fraktur akar. Untuk meminimalkan fraktur akar tersebut, telah dikenal pasak fiber yang memiliki modulus elastisitas yang sama dengan dentin. Pada saluran akar yang lebar dan ireguler serta struktur mahkota yang minimal, dibutuhkan pasak customized fiber reinforced composite dengan inti yang dapat memperkuat struktur gigi yang sudah lemah. Studi kasus ini melaporkankasus restorasi gigi non vital pasca PSA dengan dinding saluran akar tipis, yang berhasil dirawat dengan customized fiber reinforced composite indirect. Seorang pasien wanita usia 27 tahun dirujuk ke Bagian Konservasi Gigi karena mengalami over instrumentasi saluran pasak pada gigi incisivus lateralis kiri atas. Pada pemeriksaan radiograf, tampakdinding saluran akar sangat tipis. Restorasi ini dilakukan dalam 3 kali kunjungan. Pada kunjungan pertama dilakukan pencetakan saluran pasak dengan teknik double impression. Pasak customized fiber reinforced composit indirect, dibuat dalam cetakan saluran pasak menggunakan resin komposit Premise Indirect (Kerr) yang diperkuat dengan pita fiber (Construct, Kerr). Inti dan pasak yang sudah dibentuk, disinar menggunakan Light Cure selama 20 detik di setiap sisi, lalu polimerisasi disempurnakan dengan oven selama 20 menit. Pada kunjungan kedua dilakukan insersi pasak dan pencetakan mahkota jaket dengan teknik double impression. Pada kunjungan ketiga dilakukan insersi mahkota jaket. Gigi non vital pasca PSA dengan dinding saluran pasak yang tipis dapat direstorasi dengan customized fiber reinforcedcomposite indirect dengan baik. Indirect Customized Fiber Reinforced Composite Post In Upper Left Lateralis Incisivus With Thin-Walled Root. Excessive tooth structure loss after root canal treatment is usually present due to caries lesion, iatrogenic factor, previous restoration, and fracture. Intra-radicular dentin removal during root canal treatment may result in thin root canal wall structures, therefore conventional restoration using metallic post frequently leads to irreparable root fractures. In order to minimize the root fracture risk, fiber post has been known as an ideal choice because of its similar modulus elasticity characteristic to dentin. The wide and irregular root canal accompanied with minimum remaining tooth structure needs a customized fiber reinforced composite post to strengthen the preserved tooth structure. This article reports a succesfulrestoration of a non vital post root canal treatment tooth with thin root canal walls using indirect customized fiber-reinforced composite post. A 27-year-old female patient with over instrumentation in root canal of the upper left lateral incisor was referred to the Department of Conservative Dentistry. The radiograph examination finds that there was a very thin wall of the remaining root canal structure. The restoration was carried out in 3 visits. In the first visit, post canal impression was obtained using double impression technique. Indirect customized fiber reinforced composite post was made in the mold using composite resin Premise Indirect (Kerr) reinforced with fiber band (Construct, Kerr). The formed post and core were light cured for 20 seconds, and then refined by oven polymerization for 20 minutes. In the second visit, the post was inserted and crown impression was obtained using double impression technique. In the third visit, the jacket crown was inserted. The root canal treated tooth with remaining thin post canal wall could be restored with indirect customized fiber reinforced composite.

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

scholarly journals Experimental Validation of an Additively Manufactured Stiffness-Optimized Short-Fiber Reinforced Composite Clevis Joint

2019 ◽  
Vol 59 (6) ◽  
pp. 859-869 ◽  
Author(s):  
Y. Saito ◽  
F. Fernandez ◽  
D.A. Tortorelli ◽  
W.S. Compel ◽  
J.P. Lewicki ◽  
...  
Keyword(s):  
Experimental Validation ◽  
Short Fiber ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite
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