case 147: Restodontic Journey on Premolar from gingivectomy to endodontic and restorative treatment

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 on maxillary right first premolar
“it is my first time using XP Endo Shaper from FKG”

A patient came with a discomfort on his upper right tooth, food debris always stuck there and it is not easy to remove it. from clinical view, there was a cavity on distal of maxillary right first premolar with previous dental filling on occlusal. the proximal gingiva was inflamed, and many food debris stuck in between. the xray showed a deep cavity and apical lesion of endodontic origin. the diagnosis was chronic apical periodontitis
after taking a proper informed consent, i started my dental treatment as follows.

First visit:

  1. Access preparation and gingivectomy
  2. rubberdam placement with Hu-Friedy rubberdam clamp and sanctuary rubberdam sheet prior to restore the distal wall before endodontic treatment
  3. matrix placement: Springclip matrix (TOR VM)
  4. pre endodontic restoration on distal wall with composite resin
  5. change rubberdam placement from multiple tooth to single tooth isolation with hu-friedy rubberdam clamp and sanctuary rubberdam sheet
  6. Shaping with XP Endo Shaper (FKG) Attached on denjoy IM2C wireless endomotor, cleaning with sodium hypochlorite 5,24%, Citric Acid 40%, and agitated with PowerFlosser (waterpik)
  7. obturation and coronal seal with low shrinkage stress flowable composite: Palfique bulkfill flowable (tokuyama)
  8. xray evaluation at first visit showing a hermetic obturation

Second visit (7 days later)

  1. Rubberdam placement: hu-friedy rubberdam clamp and nictone rubberdam sheet
  2. incremental layer of composite resin placement: Palfique LX5 (Tokuyama)
  3. adjusting, finishing, and polishing with Soflex (3M), Enhance (dentsplySirona)
  4. 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 147th 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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