Case 97: Class II Restoration with Tunnel Preparation

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.

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Class II Restoration with Tunnel Preparation
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Tunnel (ˈtənl)
an artificial underground passage, especially one built through a hill or under a building, road, or river.
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While in here, tunnel preparation means a caries removal on class II cavity without removing a marginal ridge. This will create a tunnel between occlusal and mesial wall.
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Let’s call my patient in this case as Risa. Risa felt discomfort with her upper right first molar due to two things. First, the black appearance of amalgam filling. Second, the food impaction in the proximal area. Risa is 35 years old, and this amalgam had been there since she was 25. Hmm.. i think, amalgam existence should be finished on that day i treat the patient, and replaced with composite resin.

dokter gigi rio suryantoro spesialis konservasi gigi jakarta relax tunnel jun

dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta tambal resin komposit 16 mart jun

After taking a proper informed consent, i placed rubber dam (blossom rubberdam sheet and hu friedy rubber dam clamp). Then, I Removed the amalgam, prepared the cavity with tunnel technique, placed the sectional matrix band (Triodent), followed with the placement of BulkFill composite (Filtek BulkFill – 3M). The restoration was polished with enhance (dentsply) and soflex (3M) at the proximal area. Finally, xray evaluation with VistaRay 7.1 (Durr) showed that there is an intact margin between composite resin and tooth structure, also a homogeneous body of restoration.
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Alhamdulillaah.. Risa loved the new filling, although the color didn’t fully match. But for the long term function, it will give a predictable result.
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Yup, that’s for my 97th 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-

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Case 96: Post endodontic direct restoration inside indirect restoration

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.

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Post endodontic direct restoration inside indirect restoration
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This patient had been endodontically retreated on her upper right first premolar. (Please refer to SekilasKonservasiGigi.Com for more complete story). For 7 weeks, this patient had not received any perment filling. Indeed, I only put temporary filling (cavit – 3M) prior to coronal filling. 🙂
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Let’s say my patient name was Dhea. Dhea is a very busy working woman. Once Dhea done her endodontic treatment, but the pain still persist. Until 7 weeks ago she did endodontic retreatment. Since that day, Dhea never felt any pain, and almost forgot to go to her dentist (me) to finish this case. Dhea already knew that her previous all ceramic onlay should be removed, but I tried to do a conservative treatment by putting composite inside the onlay. Thanks to silane-contained adhesive material (single bond universal – 3M), so that we can make a couple between composite and ceramic. 🙂
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dokter gigi rio spesialis konservasi gigi terbaik jakarta indonesia mei emax onlay failed ok

dokter gigi rio suryantoro spesialis konservasi gigi jakarta fiber jun

dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta

After placing rubber dam (nictone rubberdam sheet and hu friedy rubberdam clamp), I place a fiber reinforced composite (EverX – GC) followed with packable composite (G-aenial – GC) without color modifier. Polishing was done with composite polisher kit (komet).
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Alhamdulillaah.. everything went as expected, Dhea loved it. Not only having a good anatomy than previous appearance, but also good for her savings.
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Yup, that’s for my 96th 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-

Get Closer With Me Through:

socmed publication

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