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All Journal Medali Jurnal : Media Dental Intelektual Indonesian Journal of Dentistry
Christina Mahardika
Universitas Muhammadiyah Semarang
Dentistry Health Professions Medicine & Pharmacology Public Health

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ROOT CANAL TREATMENT WITH FIBER POST AND JACKET CROWNS RESTORATION POST TRAUMA MAXILLARY CENTRAL INCISOR Christina Mahardika; Maghfira Devega; Muhamat Muhtar S Abdurrohman
Jurnal Medali Vol 5, No 2 (2023): Media Dental Intelektual September 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.5.2.108-115

Abstract

Background: The maxillary permanent central incisors are the anterior teeth most at risk of experiencing tooth fracture injuries due to trauma. Dental trauma is caused by impact resulting from sufficient mechanical energy to involve the exposed pulp. Appropriate therapy for technical ability to restore teeth due to trauma with exposed pulp with root canal treatment accompanied by fiber post restoration and jacket crown. Case report: a 22 year old male patient diagnosed with pulp necrosis accompanied by asymptomatic apical periodontitis and root canal treatment was performed on the upper right central incisor. Objective examination results showed negative vitality and positive percussion. The results of the radiological examination showed a radiolucent area in the apical area and a widened periodontal membrane in the apical 1/3 of the tooth. The tooth undergoes root canal treatment by isolating the working area, then preparing the access cavity. Negotiate the root canal using #10 K-files and measure the working length with an apex locator. The root canal was irrigated using 2.5 % NaOCl followed by 17% EDTA. and 2% chlorhexidine. Preparation is carried out using hand-held instruments. Filling the root canal with endomethasone sealer using the lateral condensation obturation technique and followed by making a fiber post restoration and Porcelain Fused Metal crown at the next visit. Conclusion: Root canal treatment in the case of the upper right central incisor with a fused metal porcelain jacket crown restoration and fiber post which was carried out in this case showed clinical and radiological success
Root Canal Treatment and Esthetic Rehabilitation of Maxillary Central Incisor with Inclination Correction : A Case Report Christina Mahardika; Qonitah Nur Aslamiyah
Indonesian Journal of Dentistry Vol 6, No 1 (2026): February 2026
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/ijd.v6i1.17261

Abstract

Introduction: The permanent maxillary central incisor is an anterior tooth with a high risk of developing cavities. If left untreated, cavities can progress to pulp and periodontal diseases, which are indications for endodontic treatment, specifically root canal treatment (RCT). In cases where extensive damage occurs after RCT, a full crown is needed to ensure restoration durability and aesthetics. This can be achieved using a fiber post and a porcelain-fused-to-metal (PFM) crown.Objective: to describe the root canal treatment and PFM crown restoration of tooth 21 with inclination correction to restore proper tooth function and achieve optimal aestheticsCase: A 48-year-old female patient visited RSGMP UNIMUS, complaining of a cavity in her upper left front tooth. The diagnosis for tooth 21 was Acute Apical Endodontitis (AAE) with pulp necrosis and normal apical tissue. The planned treatment included root canal treatment followed by PFM crown restoration with fiber-reinforced composite (FRC) post support.Outcome: The treatment results showed that the tooth functioned well and achieved good aesthetics.Conclusion: Root canal treatment and PFM crown restoration of tooth 21 with inclination correction showed a high success rate. The patient reported no complaints, the PFM crown remained intact without discoloration, adapted well to the surrounding tissues, had a negative palpation test, and showed no signs of traumatic occlusion.
Co-Authors Maghfira Devega Muhamat Muhtar S Abdurrohman Qonitah Nur Aslamiyah