Case 88: Endodontic ReTreatment on Upper Left First Incisive (With previously cemented PFM Crown and Ledge canal)

Assalammualaikum Wr Wb.. Good Morning!!

welcome back to SekilasKonservasiGigi.Com, a full story of my mini series updated from my social media such as instagramfacebookgoogle 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 treatmen

Endodontic ReTreatment on Upper Left First Incisive
(With previously cemented PFM Crown and Ledge canal)
Sometimes, we found out a patient with a good-newly-cemented crown but had a persistent pain. And sometimes, the diagnosis is confusing. Thanks to radiographic image on giving the unseen image from our eyes..
Yes.. i got this case a referral from my friend, a dentist, who found out that a problem of persistent pain was from unfinished root canal treatment.
From my patient explanation, this RCT was done around less than 1 year ago, and the crown was made in 6 to 8 months ago. Xray image showed an under obturation and a radiolucent at the apical.

dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta dia psa 21 ok

After taking a proper informed consent, i started the dental treatment.. i placed Rubberdam (blossom sheet and sanctuary clamp).
I opened the access through the crown from palatal. Cleaning and shaping was done with protaper next (dentsply) and sodium hypochlorite 5,24% also with EDTA.
I have no idea on the obturation material used by previous operator. It was grey and thick. I assume it was not a guttapercha nor plastic.
Then.. I Agitated with Endoactivator (dentsply). After obturation was completed, i seal the coronal portion with low shrinkage stress flowable composite, Filtek Bulkfill (3M). Xray evaluation with Vistaray 7.1 (Durr) showed an intact margin of guttapercha, composite resin, and dentin. Also a well manage ledge at the root canal.

This case still on progress, to be continued in SekilasKonservasiGigi.Com

Hope this dental treatment will be long last.

Yup, that’s for my 88th story in SekilasKonservasiGigi.Com, For more stories please visit CeritaPasienRio.Com or browse my fb at and 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..

thank You Very Much,

keep UP the GOOD WORK!!

keep on Sharing,

with love from Jakarta, Indonesia

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 and|trainer of conservative dentistry | live in Jakarta.
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