Case 117: Endodontic treatment on tooth with inflammatory periapical lesion of endodontic origin and no cavity

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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Endodontic treatment on tooth with inflammatory periapical lesion of endodontic origin and no cavity
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A patient came with a swollen gum under the tooth 15 (upper right second premolar), referred from my friend (a dentist) due to undefined origin. No caries nor deep cavity exist, no crack either. Xray evaluation showed a periapical inflammatory lesion with size of +/- 5,7 x 6 mm. The tooth is non vital, tender to percussion.

dokter-gigi-rio-spesialis-konservasi-gigi-terbaik-jakarta-indonesia-endodontist-iva-august-slipi

After taking proper informed consent i started my dental treatment. I put rubber dam (hu friedy rubberdam clamp and blossom rubberdam sheet).
Shaping was done with mtwo files (VDW) with clockwise reciprocal motion using Imate2c endomotor (Denjoy). Cleaning with Natrium Hypochlorite 5,24% (generic) and EDTA 18% sol (Ultradent). Obturation with guttapercha and EndoRez (ultradent) then coronally sealed with low shrinkage stress flowable composite resin (filtek bulkfill flowable – 3M). Xray evaluation with Vistaray 7.1 (Durr) showed well filled obturation and intact margin between Composite resin, dentin, and gutta percha.

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Yup, that’s for my 117th 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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Case 116: Endodontic and Fiber Post placement on upper right canine

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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Endodontic and Fiber Post placement on upper right canine

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Long time no post case with fiber post.
This case will emphasize on the length of fiber post in post endodonticallh treated tooth.
The post should be long enough to meet the aforementioned biomechanical demands without jeopardizing root integrity. The standard parameters for post placement in a tooth with normal periodontal support are:
1. In case of non adhesive cementation (metal post only):
a. 2/3 the length of the canal
b. A radicular extension at least equal to the coronal length of the core
c. One half the bone-supported length of the core
2. In case of adhesive cementation (fiber post)
a. 1/3 to 1/2 the length of the canal, maximum
b. A radicular extension about the coronal length of the core.

Goodacre CJ. Spolnik KJ: the prosthodontic management of endodontically treated teet: a literature review. II. Maintaining the apical seal. J. Prosthodont. 4:51. 1995

Dietschi D. Duc O, Krejci I, Sadan A: Biomechanical consideration for the restoration of endodontically treated teeth: a systematic review of the literature. Part 1. Quintessence int. 38. 733-743. 2007.
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dokter-gigi-rio-spesialis-konservasi-gigi-terbaik-jakarta-indonesia-endodontist-wishnu-juni

This case protocols: Shaping was done with Mtwo files (VDW) with clockwise reciprocal motion (imate2C endomotor from Denjoy). Cleaning with sodium hypochlorite 5,24% (generic), EDTA 18% sol (ultradent), CVC guttapercha with resin based sealer. Fiberpost cemented with resin cement (relyx u200 – 3M), and core build up with bulkfill composite (filtek bulkfill – 3M). Xray evaluation with vistaray 7.1 sensor (durr) showed intact marginal integrity and homogeneous body.
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Yup, that’s for my 116th 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

Posted in Uncategorized | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment