Case 143: Restodontic treatment of inflammatory periapical lesion of endodontic origin due to traumatic from occlusion

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.

Restodontic treatment of inflammatory periapical lesion of endodontic origin due to traumatic from occlusion

A patient came with a swollen gum under the tooth 15 (upper right second premolar), referred from my friend (a dentist) due to undefined origin. No caries nor deep cavity exist, no crack either. Xray evaluation showed a periapical inflammatory lesion with size of +/- 5,7 x 6 mm. The tooth is non vital, tender to percussion.

After taking proper informed consent i started my dental treatment. I put rubber dam (hu friedy rubberdam clamp and blossom rubberdam sheet).
Shaping was done with mtwo files (VDW) with clockwise reciprocal motion using Imate2c endomotor (Denjoy). Cleaning with Natrium Hypochlorite 5,24% (generic) and EDTA 18% sol (Ultradent). Obturation with guttapercha and EndoRez (ultradent) then coronally sealed with low shrinkage stress flowable composite resin (filtek bulkfill flowable – 3M). Xray evaluation with Vistaray 7.1 (Durr) showed well filled obturation and intact margin between Composite resin, dentin, and gutta percha.

after 10 days, my patient came to control her tooth and got a restoration. the swollen has healed after one visit endodontic treatment. And i am ready to do my next step: restoration.

After taking a proper informed consent, i started my dental treatment as follows:
1. Rubber dam placement: hu friedy rubberdam clamp and nictone rubberdam sheet.
2. Coronal seal: low shrinkage stress flowable composite (filtek bulkfill flowable – 3M) ~ previously placed after obturation.
3. Core: filtek bulkfill – 3M
4. Dentin layer: filtek Z350XT shade A4
5. Enamel layer: filtek Z350XT shade A2
6. Finishing and polishing: soflex (3M) and Enhance (Dentsply)
7. Xray examination with VistaRay 7.1 (Durr) showed: hermetic filling, maintained marginal integration between composite resin – guttapercha – tooth structure, resorbed sealer (EndoRez – Ultradent) at apices, and homogeneous composite resin at coronal.

hope this dental treatment will be long last 🙂

and don’t forget to go to RunForwaRd Facebook Group to see more various cases from dentists in Indonesia:


Yup, that’s for my 143rd 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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