Mahkota Porselin Fusi Metal dengan Parallel Self-Threading Dowel Pasca Perawatan Saluran Akar Gigi Premolar Maksila

https://doi.org/10.22146/mkgk.11921

Asri Riany Putri(1*), Diatri Nari Ratih(2)

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

Abstract


Gigi premolar maksila merupakan gigi yang mendapat tekanan pengunyahan besar dan rentan mengalami fraktur terutama setelah dilakukan perawatan saluran akar (PSA). Gigi yang telah dilakukan PSA akan menjadi sangat rapuh dan rentan fraktur karena telah kehilangan kelembaban dan banyak jaringan kerasnya. Gigi premolar juga mendapat tekanan pengunyahan yang besar karena bentuk dan letaknya yang lebih dekat dengan aksis horizontal transversal. Penggunaan parallel self-threading dowel dan mahkota penuh porselen fusi metal akan mendistribusikan beban pengunyahan keseluruh bagian akar dan meningkatkan ketahanannya terhadap fraktur. Tujuan laporan kasus ini adalah untuk menunjukkan keberhasilan penggunaan parallel self-threading dowel dengan mahkota penuh porselen fusi metal sebagai restorasi pasca PSA pada gigi premolar kedua maksila nekrosis pulpa dengan lesi periapikal. Pasien wanita berusia 30 tahun dirujuk untuk PSA pada gigi premolar kedua kanan maksila nekrosis pulpa dengan lesi periapikal. Pasien merasakan sakit saat gigi digunakan untuk makan. Perkusi dan palpasi positif namun mobilitas normal. Pemeriksaan radiografik menunjukkan gambaran radiopak yang telah mengenai ruang pulpa dan radiolusensi pada periapikal gigi. PSA dan restorasi mahkota penuh dilakukan dengan parallel self-threading dowel. Parallel self-threading dowel dan mahkota penuh PFM sebagai restorasi akhir menunjukkan keberhasilan perawatan pada gigi premolar kedua maksila pasca PSA.

 

ABSTRACT: Porcelain Fused to Metal Crown with Parallel Self-Threading Dowel Post Root Canal Treatment On Maxillary Premolar. Maxillary premolar teeth have great chewing forces and prone to fracture, especially after root canal treatment (RCT). Teeth that have RCT done will be very brittle and fracture prone because it has lost moisture and lost most of its hard tissue. Premolars also receive great chewing forces because its shape and location are closer to the horizontal transverse axis. The use of parallel self-threading dowel and full porcelain fused to metal crowns will distribute the load of mastication throughout the roots and improve resistance to fracture. The aim of this case report was to demonstrate the success of the use of parallel self-threading dowel with full porcelain fused to metal crown restoration aftera RCT on maxillary second premolar with pulp necrosis and periapical lesion. A 30-year-old female patient was referred for RCT on the maxillary right second premolar with pulp necrosis and periapical lesion. Patient felt pain when the tooth was used to eat. There was tenderness to percussion and palpation but the mobility was normal. A radiographic examination showed radiopaque image that entered pulp chamber and periapical radiolucency on tooth. RCT and full crown restoration with parallel self-threading dowel had been performed. Parallel self-threading dowel and full porcelain fused to metal crown as the final restoration after RCT on the maxillary second premolar showed a successful treatment outcome.


Keywords


parallel self-threading dowel; radix anchor; perawatan saluran akar; mahkota penuh porse-lin fusi metal; parallel self-threading dowel; radix anchor; root canal treatment; porcelain fused to metal crown

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References

Ruddle CJ. Nonsurgical endodontic retreatment. CDA Journal. 2004. H. 1-14.

Cohen S. Clinical classification of pulpal and periapical disease. Pathways of the Pulp 9th Ed. Missouri. Mosby; 2006. H. 1-18.

Weine FS. Endodontic Therapy 6th Ed. Missouri. Mosby; 2004. H. 2-4.

Zehnder M. Root canal irrigants. J Endod. 2006; 32: 389-398.

Mulyawati E. Peran bahan disinfeksi pada PSA. Majalah Kedokteran Gigi. 2011; 18(2): 205-9.

Rosenstiel SF, Fujimoto L. Contemporary Fixed Prosthodontics 4th Ed. Missouri. Mosby Elsevier; 2006.

Cohen S, Berman LH, Blanco L, Bakland L, Kim JS. A demographic analysis of vertikal root fractures. J Endod. 2006; 32(10): 1160-1163.

Al-Wahadni AH, Hamdan S, Al-Omiri M, Hammad MM, Hatamleh MM. Fracture resistance of teeth restored with different post systems: in Vitro Study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106: e77-e83

Ford TRP, Rhodes JS, Ford HEP. Endodontics problem solving in clinical practice. London. Martin Dunitz; 2002. p: 149-164.

Robertson A, Andreasen F, Bergenholtz G, Andreasen J, Norén J. Incidence of pulp necrosis subsequent to pulp canal obliteration from trauma of permanent incisors. Abstract. J Endod. 1996 Oct; 22(10): 557-60.

Hayashi M, Sugeta A, Takahashi Y, Imazato S, Ebisu S. Static and fatigue fracture resistances of pulpless teeth restored with post-cores. Dental Materials. 2008; 24: 1178-1186.

Standlee, Caputo, Holocomb, Trabert. The retentive and stress-distributing properties of a threaded endodontic dowel. J Pros Dent. 1980; 44(4): 398-404.



DOI: https://doi.org/10.22146/mkgk.11921

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