Apeksifikasi pada Gigi Insisivus Kanan Maksila dengan Mineral Trioxide Aggregate

https://doi.org/10.22146/majkedgiind.7955

Ni Kadek Eka Widiadnyani(1*), Ema Mulyawati(2)

(1) 
(2) Bagian Konservasi Gigi, Fakultas Kedokteran Gigi, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Trauma pada gigi permanen imatur non vital dengan apikal terbuka sering terjadi dan melibatkan kurang lebih 30% populasi anak. Mineral trioxide aggregate (MTA) adalah bahan pilihan terbaik yang dipakai sebagai bahan apeksifikasi untuk pembentukan apikal barrier dan penyembuhan pada gigi imatur. Tujuan laporan kasus adalah untuk melaporkan keberhasilan penutupan apikal dengan menggunakan MTA pada gigi permanen insisivus non vital dengan apikal terbuka yang diakibatkan trauma. Pasien perempuan 18 tahun dengan keluhan gigi depan atas kanan patah dan berubah warna. Kejadian trauma sejak 6 tahun yang lalu karena jatuh dari sepeda. Pemeriksaan klinis, gigi non vital dengan fraktur Ellis klas IV disertai apikal terbuka dan diskolorasi oleh karena trauma. Periapikal radiografis menunjukkan apikal masih terbuka dengan saluran akar yang besar serta terdapat radiolusensi periapikal. Apeksifikasi dilakukan dengan MTA dilanjutkandengan  pemasangan pasak pita fiber, pembuatan inti dan restorasi mahkota jaket porselin fusi metal. Simpulan hasil perawatan menunjukkan bahwa apeksifikasi dengan MTA dapat mempersingkat waktu kunjungan dengan pembentukan barier apikal yang merangsang penyembuhan dan dapat langsung dilanjutkan dengan restorasi akhir.

Apexification With Mineral Trioxide Aggregate In Right Maxillary Incisor. Traumatic injury in non-vital immature permanent teeth with open apex is common, and it comprises approximately 30% of the pediatric population. Mineral trioxide aggregate (MTA) is the best material to be used as an ingredient for apexification procedure for apical calcific barrier formation and healing. The aim of the present case study is to overview the successful closure of root apex in pulpless permanent incisors with wide open apices as a consequence of trauma using MTA. The examination was conducted to an 18 year-old female patient who complained about her broken and discolored right upper front teeth. The traumatic injury of her teeth had happened since 6 years ago after she fell from bike. On clinical examination, she suffered from non-vital teeth with fracture Ellis class IV, apex open and discoloration accompanied by trauma. Periapical radiographic evaluation showed that root formation with wide open apices with root canal was large and indicated a periapical radiolucency. Therefore, apexification with MTA was performed followed by ribbon fiber-reinforced, core making and restoration of full crown porcelain fusion metal. From the treatment, it can be concluded that the time visit for apexification treatment using MTA is shortened, and MTA can heal and stimulate apical barrier formation immediately after final restoration.


Keywords


Fraktur gigi; Imatur; Apeksifikasi; MTA; Apikal terbuka; Dental Fracture; Immature; Apexification; MTA; Open apex

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DOI: https://doi.org/10.22146/majkedgiind.7955

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