Case 123: Gingival and localized alveolar bone necrosis related to the leak of arsenic-contained paste in a necrosis tooth

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.


Gingival and localized alveolar bone necrosis related to the leak of arsenic-contained paste in a necrosis tooth.


Got a referral from my friend, a dentist, who found out a leak of arsenic-contained paste to the periodontal tissue (done by previous operator) in a tooth need for endodontic treatment. This patient felt discomfort for this condition. And seek for better dental treatment.




After taking a proper informed consent, i started my dental treatment as follows:
1. Rubberdam: hu friedy rubberdam clamp, blossom rubberdam sheet (pre-endo procedure) and nictone rubberdam sheet (endo procedure)
2. Rewalling with composite resin filtek z350XT, with guidance from greatercurve matrix.
3. Polishing the composite resin with Soflex (3M) and enhance (dentsply)
4. Change the rubber dam fron multiple teeth to single tooth isolation.
5. Shaping with Mtwo files (VDW) with clockwise reciprocal motion and rotary motion with Denjoy Imate2C endomotor.
6. Cleaning with Sodium Hypochlorite 5,24% (generic), EDTA 18% sol (ultradent)
7. Obturation with Guttapercha and endorez system (ultradent)
8. Coronal seal with low shrinkage stress flowable composite: Filtek Bulkfill Flowable (3M)
9. Xray examination with Vistaray 7.1 (Durr) showed proper obturation, intact marginal integrity between composite resin – guttapercha – dentin, and good coronal seal.
10. Curretage done on the marginal gingiva to provide bleeding and healing (picture not shown)

Updates will be ready soon, and hope this dental treatment will be long last.

Yup, that’s for my 123rd 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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