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.
Endodontic: From Rebuild the missing wall to Endodontic Treatment
My rule in endodontic treatment on missing one or more lateral/proximal walls is to rebuild the wall. Not only to optimize the irrigation protocol, this will provide a space for temporary filling.
This patient represent the improper placement of temporary filling. Even, i dont know what the black-colored cotton pellet is. Is it arsenic paste? What if it is leaked to the oral environment?
After taking proper informed consent, i started my endodontic treatment. I placed rubber dam (blossom Rubberdam sheet and Sanctuary rubberdam clamp) prior to rebuild up the missing wall as my first treatment. The distal wall was created with bulkfill composite (filtek bulkfill – 3M) with OmniMatrix (ultradent). Cleaning and shaping with ProtaperNext (dentspy), irrigation with Natrium Hypochlorite (NaClO) 5,24%. Obturation with Guttapercha, then sealed with low shrinkage stress flowable composite (Filtek bulkfill flowable – 3M).
Xray evaluation with VistaRay 7.1 (Durr) showed intact margin between composite resin, dentin, and gutta percha.
Then, this tooth ready for coronal restoration. So.. stay tuned!
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thank You Very Much,
keep UP the GOOD WORK!!
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with love from Jakarta, Indonesia
Wassalammualaikum Wr Wb..
-drg. Rio Suryantoro, Sp.KG-
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