Case 8: What’s beneath this amalgam restoration??

Assalammualaikum wr wb.. Good Morning!!

Yup, today is a good sunday morning to share a story in SekilasKonservasiGigi.Com, conservative dentistry at a glance.. a mini story of CeritaPasienRio.Com, hehe.. 🙂

So, here is the case..

Did you see any fistulae in the buccal of 36?
The previous operator didn’t do any root canal treatment to this tooth, he/she only close the cavity with amalgam, although the cavity has progressed into the pulp. Yup, We know the result, the infection move to periapical, and causing this appearance.

dokter gigi rio spesialis konservasi gigi jakarta indonesia perawatan saluran akar endodontic protaper 3m tambalan estetik kosmetik pulpa dentin email (14)

This time, i did a RCT, squirt out a liltle bit of my obturation, and give a final SDR as my coronal seal (might also use for root anchorage).
but, The story still continues, it needs a final extracoronal restoration.

Picture information:

1. first view of tooth 36, take a look at the fistulae at the buccal area.

2. Access opening, i found 3 orifices.

3. Start root canal preparation (biomechanical preparation using rotary instrument and sodium hypochlorite 5,25%) in mesiobuccal orifice.

4. in this picture, i want to show the effect of sodium hypochlorite when agitated in the root canals while filing the root canal and/or agitating it using endoactivator.

5. Finished root canal cleaning and shaping,

6. Finished root canal obturation,

7. placement of SDR (Smart dentin Replacement) as coronal seal.

 

Yup, that’s for my eighth story in SekilasKonservasiGigi.Com, For more stories please visit CeritaPasienRio.Com or browse my fb atfacebook.com/RioSuryantoro and instagram.com/Riosuryantoro

see you on my next dental story..

thank You Very Much,

keep UP the GOOD WORK!!

keep on Sharing,

Wassalammualaikum Wr Wb..

-drg. Rio Suryantoro, Sp.KG-

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About Rio Suryantoro, drg., Sp.KG

Dentist, conservative dentistry specialist (Restorative Dentisty and Endodontist)|case reports' author on http://ceritapasienrio.com and http://sekilaskonservasigigi.com|trainer of conservative dentistry | live in Jakarta.
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