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All Journal MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Interdental Jurnal Kedokteran Gigi (IJKG) MDJ (Makassar Dental Journal)
Yudistian, Ilma
FKG Universitas Mahasaraswati Denpasar
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Public Health

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Crown lengthening disertai perawatan saluran akar dengan restorasi pasak parallel self threading dan mahkota penuh fusi metal Ilma Yudistian; Tri Endra Untara
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 5, No 2 (2019)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.65724

Abstract

Mahkota klinis pendek menimbulkan permasalahan pembuatan restorasi mahkota kurang adekuat sehingga perlu dilakukan tindakan operatif, disebut fungsional crown lengthening. Tujuan laporan kasus ini untuk menginformasikan hasil perawatan crown lengthening agar didapat ferrule effect untuk restorasi mahkota penuh porselin fusi metal disertai pasak radix anchor. Pasien laki-laki 17 tahun datang ke RSGM UGM Prof. Soedomo untuk menambalkan gigi belakang kanan bawah berlubang dengan riwayat sakit spontan, saat datang tidak sakit. Pemeriksaan klinis, gigi 45 nekrosis, kavitas permukaan distal subgingiva. Radiograf menunjukkan kavitas mencapai pulpa, dasarnya hampir sejajar puncak tulang alveolar disertai lesi periapikal. Awalnya, dilakukan crown lengthening pada daerah distal, seminggu setelahnya dilakukan perawatan satu saluran akar multi kunjungan, kemudian dilakukan preparasi dan insersi radix anchor menggunakan semen resin, sekaligus pembuatan core, dilanjutkan preparasi mahkota penuh, kemudian dicetak dengan tehnik double impression. Mahkota penuh PFM diinsersikan dengan semen resin. Hasil evaluasi enam bulan, tidak ada keluhan dari pasien, dan adaptasi tepi restorasi baik. Dengan pemilihan kasus dan diagnosis yang tepat serta prosedur perawatan dan restorasi adekuat maka perawatan saluran akar dapat berhasil dan tahan lama.
PERAWATAN OBSTRUKSI SALURAN AKAR MENGGUNAKAN EDTA PADA GIGI PASKA RESTORASI AMALGAM Ilma Yudistian
Interdental: Jurnal Kedokteran Gigi Vol. 15 No. 2 (2019): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v15i2.595

Abstract

Root canal calsification can occur due to prolonged trauma, aging, or restorations with pressure on the teeth for a long time, and causes root canal obstructed. The purpose of this case report to evaluate the results of root canal treatment with obstructed root canal post amalgam restoration, continue with unimetrix post and PFM crown. Thirty three years old female patient has come to dental clinic to treat her left mandibular molar tooth that have big amalgam restoration in the occlusal and tooth fracture at lingual side, but there was no pain when he came. Clinical examination on tooth 36 is necrosis pulpa. Radiographs showed radiopaque area from occlusal until pulp chamber floor and no periapical lesions were found. Rewalling lingual wall was done before the procedure of multivisit root canal treatment with EDTA, that consists of three obstructed root canal. Preparation and insertion of tapered self threading dowel (unimetrix, Dentsply) and build up core with cement resin at once. Core preparation were done for PFM jacket crown, and then mold with irreversible hydrocolloid for maxilla and double impression material for the mandible. PFM jacket crown was cemented using resin cement. The evaluation after six months, there were no complaints of pain and good marginal adaptation of restoration has performed. Selection cases and the right diagnosis with treatment procedures and adequate restoration, root canal treatment can be effective and durable.
BULK FILL COMPOSITE RESIN RESTORATION TECHNIQUES REPLACE INCREMENTAL TECHNIQUES : TEKNIK RESTORASI RESIN KOMPOSIT BULK FILL MENGGANTIKAN TEHNIK INKREMENTAL Ilma Yudistian
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 17 No. 1 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i1.2426

Abstract

Introduction: Shrinkage during the polymerization process is the main disadvantage of using composite resins because it creates pressure between the tooth and the restoration which causes failure of the adhesion of the composite resin to the tooth, micro-fissures, and cuspid deflection. Review: To reduce shrinkage that occurs, it is known that conventional composite resins must be inserted into the cavity incrementally or in layers with a maximum thickness of 2 mm per layer. However, the incremental insertion method has several disadvantages, namely that it requires a longer clinical time for restoration. To overcome the shortcomings of these conventional composites, Bulk-fill composite resin was introduced. Composite bulk fill is a sophisticated technology that allows composites to be directly placed on the restoration, has a low polymerization shrinkage to reduce micro-leakage, reduces stress in the presence of elasticity, increases the depth of at least 4 mm translucent at the time of application, is very conducive to light transmission, is more flowable to allow adaptation to the cavity, including cervical margins, it is easy to apply with minimal handling and is resistant to large stresses. Conclusion: With the characteristics possessed by the Bulk-fill composite resin, it is known that the bulk-fill technique in addition to reducing the clinical application time, can also improve the edge adaptation between the restoration and the tooth compared to the incremental technique, without reducing its physical strength.
Root canal and fiber post treatment of maxillary right lateral incisor with pulp necrosis and periapical lesion due to secondary caries: Perawatan saluran akar dan pasak fiber pada gigi incisivus lateral kanan maksila nekrosis pulpa dengan lesi periapikal akibat karies sekunder Ilma Yudistian
Makassar Dental Journal Vol. 11 No. 1 (2022): Volume 11 Issue 1 April 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i1.509

Abstract

Secondary caries can occur due to microleakage at the edge of the restoration followed by invasion of micro-organisms and sa-liva through the dentinal tubules; if left untreated, causes pulp necrosis. The aim of this article is to provide information on root canal treatment with fiber post restorations and composite restorations in pulp necrosis teeth due to secondary caries. A 17-years-old male patient came to dental clinic complaining of a pain in his upper right anterior tooth since 2 weeks ago. The tooth was filled with tooth-colored filling 1 year ago. The clinical examination, tooth 12 necrosis and there was a composite restoration on the mesial to incisal part with a discoloration at the border of the restoration. The radiograph shows a radiolucent area at the apical of the tooth and a radiopaque area in the coronal surrounded by a radiolucent area. Open access was performed on the palatal area for subsequent root canal treatment and continued with fiber post insertion and direct restoration with composite resin. Control was carried out 6 months after the completion of treatment; the adaptation of the restoration edge was good and there were no complaints from the patient.
Co-Authors Tri Endra Untara