Restorasi Resin Komposit Menggunakan Pasak Tapered Self Threading Pada Molar Ketiga Kiri Mandibula

https://doi.org/10.22146/majkedgiind.8381

Ellen Krisanti(1*), Tri Endra Untara(2)

(1) Program Studi Konservasi Gigi, Program Pendidikan Dokter Gigi Spesialis Fakultas kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Bagian Konservasi Gigi, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Morfologi saluran akar gigi molar mandibula ketiga memiliki variasi yang lebih kompleks dibandingkan gigi molar lainnya.   Pada gigi molar ketiga sering dilakukan pencabutan, namun dalam keadaan tertentu gigi molar ketiga dapat dipertahankan. Perawatan saluran akar satu kunjungan merupakan pilihan untuk terapi kasus ini. Tujuan laporan kasus ini untuk memperlihatkan keberhasilan dari perawatan saluran akar satu kunjungan pada gigi molar ketiga nekrosis pulpa disertai restorasi resin komposit dengan pasak tapered self theading. Pasien wanita 20 tahun datang ke RSGM Prof Soedomo FKG UGM dengan keluhan sakit saat pengunyahan pada gigi molar ketiga dan positif pada perkusi. Gambaran radiografis menunjukkan restorasi yang tidak sempurna, terdapat celah antara kavitas dengan restorasi. Rencana perawatan pada kasus ini, perawatan saluran akar satu kunjungan dan resin komposit dengan pasak tapered self threading sebagai restorasi akhir. Kesimpulan dari perawatan saluran akar satu kunjungan memiliki rekontaminasi mikroorganisme yang lebih kecil dibandingkan dengan multi kunjungan sehingga menjamin keberhasilan perawatannya. Restorasi resin komposit secara direkdengan pasak tapered self threadingmerupakan restorasi alternatif pasca perawatan endodontikkarena lebih cepat dan kuat.

Composite Resin Restoration Using Tapered Self Threading Poston Left Mandibular Third Molar. Root canal morphology of mandibular third molar has more complex variation than the other molars. In third molar, the extraction teeth are often executed; however, the third molar can be maintained in other conditions. One visit root canal treatment is a therapy option for this case. The purpose of this case report is to show the success of one visit root canal treatment in third molar with pulp necrosis by restoring the composite resin through tapered self-treading post. A 20 year-old female patient who came to the Prof Soedomo RSGM, FKG UGM complained about the pain when chewing food on her third molar and positive in percussion. The radiographs showed that there was an incomplete restoration. There was a gap between cavities with restoration. The treatment plan for this case was one visit root canal treatment and composite resin with tapered self-threading post as final restoration. From the case, it can concluded that one visit root canal treatment results in a smaller chance for microorganism recontamination than the multi-visit in order to ensure the success of the treatment. Direct composite resin restoration with tapered self-threading dowel is an alternative restoration after endodontic treatment because it works out faster and more retentive.

Keywords


One visit root canal treatment; mandibular third molar; composite resin; tapered self-threading dowel

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References

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DOI: https://doi.org/10.22146/majkedgiind.8381

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