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Journal : MDJ (Makassar Dental Journal)

Combination of irrigation solutions in root canal treatment: Kombinasi larutan irigasi dalam perawatan saluran akar gigi Destira, Nisya; Nurdin, Denny
Makassar Dental Journal Vol. 13 No. 3 (2024): Volume 13 Issue 3 Desember 2024
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v13i3.1040

Abstract

Irrigation is an important stage to support the success of root canal treatment. Some irrigation solutions commonly used in root canal treatment include NaOCl and EDTA. This article describes the use of a combination of 5.25% concentration NaOCl and 17% EDTA irrigation solution in root canal treatment of tooth 21. A 20-year-old female presented for treatment of a broken left upper front tooth. Clinical examination showed positive vitality and percussion tests while the palpation test was negative; there was a picture of thickening of the lamina dura and periodontal ligament on radiographic examination. The patient was diagnosed with asymptomatic irreversible pulpitis with symptomatic apical periodontitis. At the initial stage, cavitary access preparation, working length measurement, preparation using rotary instruments, irrigation with a combination of NaOCl and EDTA were performed, administration of medicament, and root canal filling was performed followed by composite resin restoration. It was concluded that the combination of NaOCl and EDTA irrigation solutions in the root canal treatment of tooth 21 showed good results.
Administration of lidocaine 2% in endodontic treatment of irreversible pulpitis case of right lower back tooth: Pemberian lidokain 2% pada perawatan endodontik kasus pulpitis irreversibel gigi belakang bawah kanan Hasanah, Nisrina Rufaidah; Nurdin, Denny
Makassar Dental Journal Vol. 14 No. 1 (2025): Volume 14 Issue 1 April 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i1.1201

Abstract

Irreversible pulpitis and root canal treatment (RCT) are conditions that can cause pain. Local anaesthesia is one of the ways to manage pain. However, pulpitis patients often experience anaesthetic failure despite using various types of anaesthetic agents. A 32-year-old woman came to RSGM Unpad with complaints of a large hole in the right lower back tooth. The examination showed that tooth 45 had asymptomatic irreversible pulpitis with normal apical tissue so it was necessary to do RCT. Before treatment, the patient was anaesthetised with buccal and intrapulpal infiltration using lidocaine 2%, epinephrine 1:80,000. It was concluded that the administration of 2% lidocaine epinephrine 1:80,000 before RCT in a patient with AIP performed quickly, efficiently, without any side effects. During treatment, the patient did not complain of pain and comfortably accepted each stage of treatment.