Assalammualaikum Wr Wb.. Good Morning!!
welcome back to SekilasKonservasiGigi.Com, a full story of my mini series updated from my social media such as instagram, facebook, google plus, and also twitter. Sometimes, I also updated my cases at Line or Linkedin. 🙂 this topic will focus only on conservative dentistry cases such as restorative dentistry and endodontic or root canal treatment.
Replacement of Old-Overhanged GIC Restoration
I got this referral case from my friend, a dentist, to do an endodontic treatment on lower rigth second premolar due to extensive secondary caries seen from xray image. When i saw the tooth, i found an old and overhanged GIC restoration on both tooth 45 and 46. This patient never had assymptomatic pain before, and the patient’s main complain was about food retention.
After taking proper informed consent, i started check the tooth. Surprisingly, the filling had loss its retention, so that i can remove it with ultrasonic scaler before placing rubberdam. And, yes, the cavity was so deep, but the dentin still there. So, i decide to do a restoration than endo.
As the matrix, i chose GreaterCurve attached to Tofflemire matrix, place low_shrinkage_stress flowable composite (Filtek_Bulkfill flowable from 3M shade A3), and capped it with packable composite (Ceram_X_mono shade A3/D3 from DentsplySirona), followed with polishing. Xray evaluation with VistaRay 7.1 (Durr) at 60kV, 3mA, 0,03seconds showed intact margin and homogeneous restoration.
Then i sent back the patient to my friend to continue the treatment, hope this dental treatment will be long last..
Yup, that’s for my 83rd story in SekilasKonservasiGigi.Com, For more stories please visit CeritaPasienRio.Com or browse my fb at facebook.com/RioSuryantoro and instagram.com/Riosuryantoro don’t forget to click the follow botton on your rigth side to get the latest updates from my site.. see you on my next dental story..
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with love from Jakarta, Indonesia
Wassalammualaikum Wr Wb..
-drg. Rio Suryantoro, Sp.KG-