Case 118: Endodontic Treatment on heavily destructed Premolar

Assalamualaikum 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.

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Rewall-reshape-reclean-refill-reseal
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A patient came with a periapical lesion of endodontic origin at tooth 15 (upper right second premolar) which had endodontically treated at 2015. She came with a persistent pain, food stuck, and broken tooth structure.
After taking proper informed consent, i started my endodontic treatment by doing access preparation, rewalling with composite resin and greatercurve matrix attached in tofflemire. 

Followed with rubberdam placement (hu friedy rubberdam clamp and sanctuary rubberdam sheet). Removal of gutta percha, reshaping the root canals with mtwo files (VDW), and recleaning with Sodium Hypochlorite 5,24% (generic), EDTA 18% sol (ultradent). Re obturate with guttapercha and endorez (ultradent). Coronally seal with composite resin (filtek bulkfill flowable – 3M). Radiographic examination with Vistaray 7.1 (durr) showed a hermetic obturation, with intact coronal seal.
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Yup, that’s for my 118th 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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Intermezzo: One of My irrigation Protocols

Assalamualaikum 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.

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Let’s Irrigate!

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Irrigation of the root canal space is a fundamental aspect of root canal treatment. Techniques for acoustic and hydrodynamic activation of the irrigant have been developed, because syringe irrigation is not effective in the apical part of the root canal.

It has been shown that acoustic streaming and cavitation contribute to the cleaning efficiency of root canal irrigation. Acoustic streaming can be defined as a rapid movement of fluid in a circular or vortex-like motion around a vibrating file. Cavitation can be defined as the creation of vapor bubbles or the expansion, contraction, and/or distortion of preexisting bubbles (so-called cavitation nuclei) in a liquid; the process is coupled to acoustic energy.
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Jiang Lei Meng, Verhaagen Bram, Versluis Michele, Lucas W M. Evaluation of sonic device to activate Irrigate In the Root Canal. JoE. 2009.
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This case I used two different material, from F files from Engineered Endo (600 RPM) and Endoactivator from dentsply (estimated to 10000 CPM). To activate the irrigant in the root canal as part of Endodontic Treatment.
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Yup, that’s for my Intermezzo 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)

Get Closer With Me Through:

socmed publication

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