Case 110: Replace Old Amalgam to Composite Resin on Upper Molar

Assalamualaikum 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 treatment.

Compared with resin (4.7%) or porcelain (0.9%), the use of nonbonded inlay restoration materials such as gold (20.5%) or amalgam (18.7%) increased the occurrence of longitudinal tooth fractures (Deog-gyu Seo et al). As seen on this case, in direct restoration, amalgam gave the most effect on causing crack tooth.
Here, an upper right thid molar had been filled with amalgam for almost 5 years. The amalgam still exist but the tooth might be not. Crack lines occur from mesial to distal, adjacent to amalgam filling. The patient experienced hypersensitivity.

dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta RK AF 2 Eki slipi

After taking a proper informed consent, i started treating the patient. Isolation is a must on removing amalgam. I put rubberdam (hy friedy rubberdam clamp and blossomrubberdam sheet) prior to amalgam removal. Then, i put low shrinkage stress packable composite resin, filtek bulkfill (3M) to restore the tooth. Finishing and polishing done with soflex (3M) and enhance (dentsply).
For me, xray evaluation is mandatory, i take it with Vistaray 7.1 (durr) to evaluate my restoration. It was beautifully intact to tooth structure and the body of restoration was homogeneously filled.
Hope this dental treatment will be long last

Yup, that’s for my 109th 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-

(Conservative Dentistry Specialist / Endodontist)

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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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