Assalamualaikum 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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Restodontic treatment on lower right second molar
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referral patient from my friend, a dentist, to do endodontic treatment on lower right second molar with apical periodontitis. after proper informed consent, i started my dental treatment as follows:
1. access preparation, gingivectomy (electrosurgery), followed with rewalling with composite resin, guided with sectional matrix (Triodent).
2. rubber dam placement: hu friedy rubberdam clamp, and sanctuary rubberdam sheet.
3. cleaning and shaping with Protaper Next (Dentsply Sirona), sodium hypochlorite, EDTA 18% sol (Ultradent),
4. activation of irrigants with PowerFlosser (waterpik)
5. obturation with guttapercha (VC) and resin based sealer (AH plus)
6. coronally sealed with low shrinkage stress flowable composite: SDR (dentsplysirona)
7. temporary filling: cavit (3M)

—10 days later—
after 10 days, patient came with no pain nor sign and symptoms. the gingiva post electrosurgery has healed.
8. core build up with bulkfill composite: filtek bulkfill (3M)
9. dentin layer with high chroma shade composite: Filtek Z350XT shade A4
10. coronal layer with high value shade composite: Filtek Z350XT shade A2.
11. Xray evaluation with VistaRay 7.1 (Durr) Showed intact margin, homogeneous body of restoration, hermetic from apical to coronal, and notice the resorbed exceed sealer material at the periapical.