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.
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Restoration of Deep Class II Cavity
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Many problem can occur from an overhanged dental filling, such as food retention which leads to cervical plaque accumulation prior to marginal periodontitis. Also, leaked dental filling may initiate a secondary caries prior to pulpal infection. What happen when those condition appear on one tooth?
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Let’s call my patient name as Sissi. My friend, a dentist, sent her to me to solve a problem on upper right first and second premolar. I already did root canal retreatment on the second premolar, and a few days later i did the case on the first premolar.
The tooth still vital, radiographic image showed a radiolucencies (void) under composite resin. After taking a proper informed consent, i started my dental treatment.
At first, i put rubber dam (nictone rubber dam and hu friedy rubber dam clamp), followed with remove all the old filling, and matrix placement (greatercurve matrix). Then, i place bulkfill composite (filtek bulkfill from 3M) up to 2 mm from the coronal area, then i placed universal/packable composite (ceram-X-one) as coronal layer. Polishing was done with soflex (3M) and enhance (dentsply). Final xray evaluation with Vistaray 7.1 (durr) showed an intact margin between composite resin and tooth structure, plus a homogeneous body of restoration.
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Hope this dental treatment will be long last!
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Yup, that’s for my 98th 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-