Assalammualaikum 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.
Endodontic Time: When (metal) Onlay Failed
A patient came with a spontaneous pain on his upper left tooth, and a gum boil at the gingiva. There were two teeth suspected as the cause of this infection, it could be one of it, or even both. So, i decided to take periapical xray with gutta percha to trace the infection through thr lession. Yet, the main cause was the first premolar.…
After taking proper consent, i started removing the onlay prior to start endodontic treatment.
Caries removal was done thoroughly to save remaining tooth structure as much as possible. Then, i rebuild up the distal wall using composite resin (Filtek Bulkfill from 3M) with Omni Matrix (Ultradent).
Cleaning and shaping was done with ProtaperNext (dentsply), and coronally sealed with low_shrinkage_stress flowable composite (filtek_bulkfill flow from 3M). Xray evaluation using VistsRay 7.1 at 70kV, 2mA, 0,08 seconds.
Hope this treatment will be long last
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with love from Jakarta, Indonesia
Wassalammualaikum Wr Wb..
-drg. Rio Suryantoro, Sp.KG-