Mustainah, Sakiya
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The Role of Radiography in Detecting Endodontic Treatment Failures Mustainah, Sakiya; Barunawaty, Barunawaty
Jurnal Medali Vol 6, No 1 (2024): Media Dental Intelektual March 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.6.1.65-74

Abstract

Endodontic treatment is part of the conservation of teeth, which is the treatment of the inside of the teeth which aims to maintain the teeth as long as possible in the oral cavity. As long as endodontic treatment is carried out, it cannot be separated from supporting care, namely radiological photos. In addition to clinical assessments, radiological assessments need to be carried out to see the condition around the teeth and at the root tips. In addition, radiological photos were taken when filling the root canals with gutta-percha. At the final evaluation of endodontic treatment, radiological photographs still need to be done to see the final result whether there is an error or not.Radiographs made at the next visit can evaluate the periapical state, detect the healing process of the lesion or identify new diseases that may arise.18 The success of new treatment will be seen several months after treatment. Given that failure often occurs without signs and symptoms, radiographs are very important for evaluating the periapex status.
Manajemen perawatan saluran akar satu kali kunjungan pada gigi molar pertama kanan rahang bawah: laporan kasus Nugroho, Juni Jekti; Mustainah, Sakiya; Natsir, Nurhayaty; Trilaksana, Aries Chandra; Hikmah, Noor; Dwiandhany, Wahyuni Suci
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 1 (2024): April 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i1.46858

Abstract

ABSTRAKPendahuluan: Perawatan saluran akar (PSA) satu kali kunjungan harus memenuhi prinsip triad endodontic. Keuntungan PSA satu kali kunjungan adalah mengurangi resiko kontaminasi mikroorganisme, waktu lebih singkat tanpa mengurangi kualitas hasil perawatan. Tujuan laporan kasus ini adalah membahas PSA satu kali kunjungan pada gigi molar pertama kanan rahang bawah dengan restorasi akhir inlay porselen. Laporan Kasus: Seorang perempuan berusia 20 tahun datang ke RSGM dengan keluhan gigi geraham rahang bawah berlubang dan sering sakit. Tes vitalitas positif, palpasi negatif, perkusi negatif. Pemeriksaan radiografi terlihat karies sampai ruang pulpa, ligamen periodontal dalam batas normal. Dilakukan perawatan saluran akar satu kali kunjungan.  Prosedur awal adalah isolasi menggunakan rubber dam. Pembukaan akses dilakukan menggunakan endo access diamond bur. Panjang saluran kerja ditentukan menggunakan apex locator dan dikonfirmasi dengan radiografi. Cleaning dan shaping dilakukan dengan rotary file Protaper Next. Saluran akar diirgasi dengan larutan NaoCl 5,25%, EDTA 17%, dan Klorheksidin 2% yang diselingi dengan aquades. Ketiga saluran akar di obturasi dengan gutta percha dan sealer berbahan resin dengan metode single cone. Restorasi akhir dengan inlay porcelain. Simpulan: Perawatan saluran akar satu kali kunjungan pada gigi molar pertama kanan rahang bawah memperlihatkan keberhasilan yang memuaskan secara klinis dan radiografis pada kontrol 4 minggu setelah perawatan.Kata kunci: perawatan saluran akar satu kali kunjungan, molar pertama kanan rahang bawahManagement of one visit endodontic treatment of the right lower first molar: Case reportABSTRACTIntroduction: One visit endodontic treatment should comply with triad endodontic principles. The advantages of the treatment are the minimum microorganism contamination risk and time-saving without compromising the treatment outcome quality. The aim of this case is to discuss a one visit endodontic treatment of the right lower first molar with final restoration inlay porcelain. Case report : A 20-year-old female came to RSGM with a chief complaint of a toothache and pain in her right lower first molar. Objective examination showed vitality positive, palpation negative, percussion negative. Radiographic examination showed caries into the pulp chamber and the periodontal ligament was within normal limits. Performed one visit endodontic treatment.The initial procedure was isolating by rubber dam. Access opening using endo access diamond bur. Determining working length using apex locator and confirmed by radiography. Cleaning and shaping was done with rotary file Protape Next. Naocl 5,25, 17% EDTA, and Chlorhexidine 2% being used for irrigation. Obturation with gutta-percha and resin-based sealer by single cone method. Final restoration with inlay porcelain. Conclusion: One-time root canal treatment of the right lower first molar performed showed clinical and radiological success at the period control 4 weeks after treatment.Key words: One visit endodontic treatment, right lower first molar.