Case 124: Clockwise Rotation and Reciprocation Movement, why not?? Endodontic treatment on upper right second premolar

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.


Clockwise Rotation and Reciprocation Movement, why not??
Endodontic treatment on upper right second premolar.


A patient came with an asymptomatic pain on upper right premolar, the cavity has progressed into the pulp. And irreversible pulpitis occurs.

After taking proper informed consent, i started the dental treatment as follows:
1. Rubber dam: hu friedy rubberdam clamp, blossom rubberdam sheet (restorative procedure), and nictone rubberdam sheet – heavy (endodontic procedure)
2. Rebuild up the distal wall with composite resin (Z350XT – 3M) and OmniMatrix (Ultradent)
3. Shaping root canals: Genius Files 30/04 (ultradent) with reciprocal motion first and rotary motion after, using genius endomotor (ultradent)
4. Irrigation with Sodium Hypochlorite 3% (Chlorcid – Ultradent), EDTA 18% sol (Ultradent) and activate it with F files from Engineered Endo.
5. Obturation with Endorez system CVC (Ultradent)
6. Coronal seal with low shrinkage stress flowable composite (filtek bulkfill flowable – 3M)
7. Radiographic Evaluation with Vistaray 7.1 (Durr) showed a hermetic filling, intact margin of composite resin, dentine, and guttapercha.

The story will be continued for post endodontic restorative procedure..

Yup, that’s for my 124th 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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