case 24: see the white shades over the reddish yellow

Posted on July 23, 2015 by Rio Suryantoro, drg., Sp.KG

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.

hmm.. my previous case was about restoration of big class II cavity on premolar, and it’s unseen cavity. now, i will deliver my case on molar tooth, specifically on lower right first molar. the unique anatomy of first molar is the sum of the cusp, yup! it has five cusps.

I got this cases in the late of june, when the month of june almost end. Patient came to me to discuss about her old amalgam restoration, she felt sensitive while eating or drinking with several high or low degree temperature, it disturb her quality of life, and it (amalgam restoration) seems fractured already. this restoration has been there for more than 10 years. so, this is the case!

drg. Rio, SpKG resin komposit kelas 2drg fani 46 AF2 spesialis konservasi gigi

Picture Information:

  1. first view of amalgam restoration in lower right first molar, showed a flat surfaced amalgam restoration, a little bit of chipping in distal, and also secondary caries progressed beneath the restoration.
  2. finished caries and old amalgam restoration removal followed with cavity preparation. note the red spot, it is not a pulpal perforation but the base of the cavity. the differences in color and deep among the color of the base of the cavity (dark) make it contrast, and look like a perforation. (common question exist after my colleagues seen this picture).
  3. insertion of sectional matrix, Fendermate (Directa), in distal of molar tooth. this matrix has its separation effect through the wedge, and the band will create the proximal contour.
  4. finished placement of composite resin prior to finishing and polishing procedure. I used z250XT – nanohybrid universal composite resin material (3M ESPE) color A2 combined with bleach shade XW from z350XT – nanofill universal composite resin material (3M ESPE) to create a lifelike white shade over the occlusal layer.
  5. finished restoration on lower right first molar.the polishers i used were white stone/arkansas, enhance (dentsply), and Soflex (3M ESPE).

Yup, that’s for my 24th 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-

M e e t   m e   a t :

All Care Dental Centre, Plaza 5 Pondok Indah, blok B No. 15. Jakarta selatan
Positive dental Team Clinic, JL. Anggrek Garuda DII/1B, slipi, jakarta barat
Mayapada Hospital, Jl. Lebak Bulus I Kav 29, Jakarta Selatan

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case 23: Unseen yet big cavity on Premolar

Posted on July 23, 2015 by Rio Suryantoro, drg., Sp.KG

Assalammualaikum Wr Wb.. Good Morning!!

Hi! back again with me on SekilasKonservasiGigi.Com, yup! In here, I will share my dental cases, not the difficult ones but the simple ones that we commonly seen in our daily dental practice, this topic will focus only on conservative dentistry cases such as restorative dentistry and endodontic or root canal treatment. For more updates of my daily dental practice, You may check my instagram, facebook or google plus account because I always share my cases at least once a week.

hmm.. this week our topic is still about premolar, and still about unseen cavity. have you seen my previous case? yup, it was about the cavity under the proximal contact, and it can be seen from the occlusal and lateral view, and now.. how about a cavity that may not be seen clearly from both occlusal and lateral view?? yes, this is it!

drg. Rio SpKG RK safira resin komposit kelas 2 9 juni 2015

Picture Information:

story of the patient: it happened last month, June 2015, patient came to me with a main complain of hypersensitivity of her upper left tooth.

  1. clinical view from occlusal showed an intact marginal ridge of upper left second premolar. but, a chalky white appearance can be seen on the distal site of this tooth.
  2. clinical lateral view of upper left second premolar showing an extension of the caries progression. this class II has extended deeply to the dentin. the restoration would be resin composite.
  3. caries removal and cavity preparation prior to composite resin restoration showing a deep cavity near the pulp (hyperaemic pulp).
  4. insertion of sectional matrix on the distal side of this premolar.  look at the gingival wall – matrix junction, it should be as tight as possible, and this can be approached by using appropriate wedge. i used triodent sectional matrix system (Ultradent) to restore the tooth with both universal ring available.
  5. placement of low shrinkage stress flowable composite resin material. I used Smart Dentin Replacement (Dentsply). it can adapt to cavity wall irregularities in high c-factor cavity. here i can get the predictable and achievable result in the adaptation of composite resin in the gingival wall.
  6. post final placement of composite resin prior to finishing and polishing.
  7. final result of composite resin restoration on upper left second premolar. i used only body color, and the composite was Z250 (3M ESPE), a microhybrid composite resin material. the polishers i used were white stone/arkansas, enhance (dentsply), and Soflex (3M ESPE).

Yup, that’s for my 23rd 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-

M e e t   m e   a t :

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