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Hurint, Theresia PL.
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Dentistry Health Professions

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Treatment option in immature permanent teeth with acute apical abscess a case report Hurint, Theresia PL.; Natsir, Nurhayaty; Dwiandhany, Wahyuni S.; Nugroho, Juni J.; Hikmah, Noor; Trilaksana, Aries C.
Journal of Case Reports in Dental Medicine Vol 5, No 2 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i2.221

Abstract

Objective: This case report aims to describe the treatment of open apex on maxillary incisors by performing an apical plug with MTA to induce the formation of a calcified barrier.Method: A 7-year-old female was referred with a fracture on upper right front tooth. Intraoral examination showed fracture on maxillary right central incisor with swollen gums in labial region. Periapical radiograph revealed a wide root canal with open apex and radiolucency. The diagnosis was pulpal necrosis with acute apical abscess.Results: Traumatized immature permanent teeth can cause pulpal necrosis, which can progress to an acute apical abscess. This condition will stop root development and open apex.Conclusion: Treatment of immature
Restoration of endodontically treated mandibular third molar tooth with indirect bonded restoration using morphology-driven preparation technique: A case report Hurint, Theresia PL.; Dwiandhany, Wahyuni S.; Nugroho, Juni J.; Hikmah, Noor; Natsir, Nurhayaty; Trilaksana, Aries C.
Journal of Case Reports in Dental Medicine Vol 5, No 2 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i2.218

Abstract

Objective: The aim of this case report is to describe treatment management restoration after endodontic reintervention treatment with indirect bonded restoration using morphology- driven preparation technique.Methods: The preparation technique that can be used is morphology driven, preparation design, while consider bio emulation criteria such as the height of contour, sigmoid nature of enamel dentin interface, and the direction of enamel rods with respect to axial and proximal surfaces. This preparation technique improves resistance by preserving dentin and enamel, also increases bond strength by improving the quality of bonding substrate, marginal integrity and aesthetics.Results: The tooth was inadequately treated about two months ago which made the clinician decided to do an endodontic reintervention. After that, an indirect restoration with lithium disilicate was planned for the patient. The preparation design is a long-wrap overlay, butt-join preparation in the interproximal box (1 mm – 1.2 mm) and rounded inside angles.Conclusion: Restoration after reintervention endodontic treatment with indirect bonded restoration using morphology-driven preparation techniques shows successful treatment with periapical tissue healing and good tissue response.
Co-Authors Aries C. Trilaksana, Aries C. Juni J. Nugroho, Juni J. Noor Hikmah, Noor Nurhayaty Natsir, Nurhayaty Wahyuni S. Dwiandhany, Wahyuni S.