Case 178: Endo Resto (restodontic) treatment on maxillary left first molar (4 canals with MB2) with previous overhanged and improper glass ionomer filling leads to pulpal and periapical infection (spesialis konservasi gigi)

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 Linkedin. 🙂 this topic will focus only on conservative dentistry cases such as restorative dentistry and endodontic or root canal treatment.


Endo Resto Story on maxillary left first molar (4 canals with MB2) with previous overhanged and improper glass ionomer filling leads to pulpal and periapical infection


a patient came with a spontaneous pain on his upper left first molar which had been filled by another operator for more than 2 years ago. pain on percussion, slight radiolucency at the periapex, and tooth still vital. after taking a proper infomed consent, i started my dental treatment.

the diagnosis was asymptomatic apical periodontitis with pulp necrosis. in order to create a 4-walled cavity access, i did build up the mesial wall with composite resin. i thought, at first, that the orifices were only three, but then i knew i got bonuses that i found four! hehe

shaping the root canals was done with i3Gold files (Denjoy) flooded with sodium hypochlorite 5,24% (very great to kill all the microbes). agitation of irrigants inside root canal with ultrasonic approach (irrisafe from satelec).

final restoration was composite resin, and i used fiber-reinforced composite resin (EverX from GC) as core build up material.

hope this dental treatment will be long last 🙂


Yup, that’s for my 178th story in SekilasKonservasiGigi.Com, For more stories please visit CeritaPasienRio.Com or browse my fb at facebook.com/RioSuryantoro and instagram.com/Riosuryantoro 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 http://ceritapasienrio.com and http://sekilaskonservasigigi.com|trainer of conservative dentistry | live in Jakarta.
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