Case 146: Fractures and marginal leakage -as a gate of bacterial invasion-

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.

my restodontic journey: Fractures and marginal leakage
-as a gate of bacterial invasion-
a patient came with a pain on chewing on her lower back tooth (mandibular left first molar), she had her tooth filled by another operator for quite 6 months ago, but the pain still persist. radiographic image showed a slight widening of periodontal ligament. pain on percussion, and the tooth was non vital.
after taking a proper informed consent, i started my dental treatment. then, one visit endodontic treatment was done. and at the second visit i put composite resin as intermediate restoration.
can you see the fracture line on the distal?

First visit

  1. rubberdam placement before endodontic procedure: Hu-Friedy rubberdam clamp and sanctuary rubber dam sheet.
  2. shaping with i3Plus endodontic rotary File (Denjoy) with denjoy IM2C wireless endomotor, cleaning with sodium hypochlorite 5,24%, Citric Acid 40%, and agitated with PowerFlosser (waterpik)
  3. obturation and coronal seal with low shrinkage stress flowable composite: Palfique bulkfill flowable (tokuyama)
  4. xray evaluation at first visit showing a hermetic obturation

Second Visit (16 days later)

  1. rubberdam placement before endodontic procedure: Hu-Friedy rubberdam clamp and sanctuary rubber dam sheet.
  2. tooth preparation with cuspal reduction
  3. matrix placement: Spring clip matrix (TOR VM)
  4. Core build up with low shrinkage stress flowable composite resin: Filtek Bulkfill Flowable (3M)
  5. coronal placement of packable composite resin
  6. tint placement to mimic natural color: paint on color (coltene)
  7. adjusting, finishing, and polishing with Soflex (3M), Enhance (dentsplySirona)
  8. Radiograhic examination with Vistaray 7.1 (Durr) showed a hermetic obturation, intact margin and homogeneous body of restoration. this will provide a predictable longevity of restoration.

hope this dental treatment will be long last 🙂


Yup, that’s for my 146th 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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