case 20: finish the pulpitis on 46

Posted on June 4, 2015 by Rio Suryantoro, drg., Sp.KG

Assalammualaikum Wr Wb.. Good Morning!!

yup, it’s been a looooong time not to post something here. but, i assure you that most of these cases posted here were already uploaded on the instagram, facebook, google+, line, or any social media I had on my smartphone, hehe… and, today, i am gonna give my late case on late april 2015.

first of all, let me re-introduce my website SekilasKonservasiGigi.Com, A mini series case report update on conservative dentistry from my daily dental practice, it should be updated each week per case, and you can also follow me on my instagram of facebook account by clicking those links. 🙂

let the story begin… 

it was on the late april 2015, a patient came to me with a spontaneous pain, throbbing pain, and this pain really disturb his quality of life. “this pain coming from this lower right lower molar…” said the patient. when i checked it, yup! it had been treated by another operator, but the former was not really treated the infection. the infection still persist, and the patient’s pain still exist.

the objective evaluation showed the mandibular first molar with previous unfinished dental treatment with the cavity has progressed deeply, the tooth still vital, the vitality test showed prolonged sensitivity (Sign of pulpal infection). the radiographic examination showed a radiolucencies reaching the pulp chamber.

 

drg. Rio SpKG PSA 46 perawatan sal akar

Picture Information:

  1. first view of mandibular right first molar, take a look at the reddish point at the pulp chamber
  2. the inverted radiographic image from tooth 46 showing a radiolucencies reaching the pulp.
  3. after completion of access cavity preparation
  4. cleaning and shaping procedure showed a copious amount of irrigation of sodium hypochlorite 5,25% inside root canal.
  5. finished cleaning and shaping on mesiolingual and distal canals
  6. keep up cleaning and shaping with copious amount of irrigation.
  7. finished all root canal cleaning and shaping.
  8. finished root canal obturation.
  9. radiographic image after root canal obturation (along with placement of SDR as coronal sealant)

Yup, that’s for my 20th 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 :

socmed publication

 

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Case 19: Sometimes, GIC is (the only) One of the Option

Posted on May 5, 2015 by Rio Suryantoro, drg., Sp.KG

Assalammualaikum Wr Wb.. Good Morning!!

Yup, we meet up again at SekilasKonservasiGigi.Com. A mini series case report update on conservative dentistry from my daily dental practice, it should be updated each week per case, and you can also follow me on my instagram of facebook account by clicking those words. 🙂

and, now, we are back to restorative dentistry.. yup, this is a glass ionomer time!!

Yup! I promote GIC’s usage because GIC can be use in the area in which the dentist might experience high caries risk patients. As we know, glass ionomer cement can promote remineralization to tooth surface adjacent to it. in deep carious lesion, GIC can be used as base/liner, or even an intermediate restoration, or long term temporary filling. but, the consistency of glass ionomer cement makes it difficult to contour, and some operators hate this condition. the question is, what if we can shape GIC?

in this case, I had a patient with a big cavity, he experience pain while eating or drinking a cold/hot foods or beverages, and feeling disturbed while food debris retain in the cavity.

here it is…

glass ionomer cement GIC kelas 2 kavitas spesialis konservasi gigi

Picture Information:

1. first view of lower left first molar showing a deep active caries

2. Tooth after preparation. the deep of the cavity had not involving the pulp chamber. patient still felt sensitive, no prolong pain. in order to make a good diagnosis, I told the patient to put an intermediate restoration until the pulp diagnosis been clear.

3. the placement of sectional matrix. take a look at the tightness in the junction between matrix and gingival wall. and a good contact created by the contoured matrix band.

4. finished glass ionomer cement restoration. take a look at the tooth anatomy, proximal contact, and the polished surface of GIC.

To restore this tooth, I used Ketac Molar (3M ESPE), Palodent plus sectional matrix (DENTSPLY), Enhance (DENTSPLY), Arkansas polishing stone, and regular restoration tools. the time lapse was 30 minutes including a polishing and finishing time.

Yup, that’s for my 19th 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 :

socmed publication

 

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