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All Journal Journal of Dentomaxillofacial Science
Yulita Kristanti
Department of Conservative, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
Dentistry

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Hemisection and porcelain fused to metal crown splinters on the first molar: A case report Yunita Styaningrum; Rebbecca A. Kuncoro; Raphael TE. Untara; Yulita Kristanti
Journal of Dentomaxillofacial Science Vol. 7 No. 3 (2022): (Available online: 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i3.1420

Abstract

Objective: The aim of this treatment was to preserve the remaining tooth structure and to restore the function of the tooth Methods: A 37-year-old female patient with a chief complaint of pain in the lower right molar tooth after root canal treated one week ago. Clinical examination revealed a cavity on the disto-occlusal side achieve half the crown of the tooth with a dentin depth. Percussion: (+), palpation: (-), mobility: (-), vitality: (-). Radiograph examination revealed radiolucent area mesial root and ± 1.5mm radiopaque images that are thought to be file fractures in the apical foramen. Vertical radiolucent lines on dental bifurcation were detected vertical bone loss was evident on mesial root of the lower right molar with furcation involvement. Management of the patient is hemi section and Porcelain fused to metal crown splinter. Results: After one month of hemi section, no pain detected, the gingiva shows good healing, no Intra and extraoral swelling, trismus was absent, and objective examination percussion test was (-) and mobility (-). Conclusion: Hemi section is a conservative and effective treatment of choice overcome vertical radiolucent lines on dental bifurcation and broken file in the apical foramen.
Crown lengthening and direct composite onlay restoration with polyethylene fiber ribbon used as core materials of endodontically treated teeth: A case report Nunik R. Apriliyani; Rebecca A. Kuncoro; Ema Mulyawati; Yulita Kristanti
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Abstract

Objective: To manage endodontically treated teeth with subgingival margin and gingival polyp. Methods: A 22-year-old female came to the Conservative Dentistry Clinic at the University of Gadjah Mada Dental Hospital with the chief complaint of upper left molars felt uncomfortable due to the food impaction and the adjacent gingiva of the cavity was enlarged. Objective examination, showed 26 had a cavity on mesio-occlusal surface of dentin depth accompanied by gingival polyps in the mesial region. Radiographic examination, showed radiolucent area on the mesio-occlusal surface with depth reaching the dental pulp. Based on those examinations, 26 necrosis of pulp with gingival polyp diagnosis was made. The treatment planning of the patient were root canal treatment, crown lengthening, direct composite onlay restoration with polyethylene fiber ribbon used as core materials, and dental health education. Results: After a two-year recall, the clinical appearance of the fiber-reinforced composite, showed no sign of marginal discoloration or alterations of the proximal and occlusal anatomy and the radiograph showed no marginal gap. Conclusion: Crown lengthening procedure was done to prevent biologic width violation and to ensure a good marginal seal with the final restoration. Application of polyethylene fiber ribbons can be used to reinforce tooth structure. Direct composite onlay restoration was chosen by reason of amount of healthy tooth structure remaining and preserving a sound tooth structure.
Co-Authors Ema Mulyawati Nunik R. Apriliyani Raphael TE. Untara Rebbecca A. Kuncoro Rebecca A. Kuncoro Styaningrum, Yunita