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All Journal Interdental Jurnal Kedokteran Gigi (IJKG)
Fajar Fatriadi
Department of Conservative Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Bandung-Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Medicine & Pharmacology Public Health

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Endodontic Treatment Of A Tooth With Change Of Diagnosis From Pulp Necrosis To Irreversible Pulpitis Syifa Byandra; Fajar Fatriadi
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 3 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i3.8260

Abstract

Introduction: Dental caries is the primary cause of pulp disease. As caries progresses, the pulp undergoes morphological and histological changes. To detect pulp conditions, pulp vitality tests can be performed to stimulate myelin nerve fibers in the pulp tissue. Case: A 31-year-old female patient came to RSGM Universitas Padjadjaran with a complaint of a large cavity in the upper right front jaw tooth since a year ago. A few months later, she fell from a motorcycle which caused the cavity to become even larger. The patient had a history of spontaneous throbbing pain, but it is now completely gone.  Case Treatment: A root canal treatment was performed over six visits. The first visit involved initial examination and status recording. The second visit included caries removal, access opening, and pulp extirpation. The third visit encompassed re-walling, working length measurement, and root canal preparation. The fourth visit involved sterilization control and trial obturation. The fifth visit included obturation or filling of the root canal of tooth 11. The sixth visit consisted of obturation verification. Discussion: Accurate pulp diagnosis based on neurovascular changes within the pulp is crucial for the success of endodontic treatment. Pulp vitality tests such as cold pulp test (CPT), hot pulp test (HPT), and electric pulp test (EPT) are common methods for assessing pulp condition. Conclusion and Suggestions: To obtain a more comprehensive understanding of pulp vitality, it is necessary to use a combination of various vitality tests.
Management of Proximal Caries That Are Not Clinically Detectable Muhammad Fachrul Al Ghifari; Fajar Fatriadi
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 1 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i1.11032

Abstract

Introduction: Tooth decay is one of the most common dental diseases. Clinical examination alone is not sufficient to detect carious lesions. Additional diagnostic support, such as radiographic imaging, is necessary to aid in establishing an accurate diagnosis and appropriate treatment plan. Case: A 21-year-old female patient came to the Conservative Dentistry clinic at RSGM Unpad with complaints of a cavity in her lower right molar, and sometimes food gets stuck in it. Additionally, the patient also complained of occasional sensitivity in the tooth when eating or drinking cold items, which quickly subsides. Case Treatment: The treatment for the filling of tooth 46 was completed in four visits. The first visit included taking the patient's history and an initial examination. The second visit involved caries removal, Class I preparation, discovery of a distal-proximal lesion, further Class II preparation, and a trial placement of a sectional matrix. The third visit included the placement of the sectional matrix, Class II composite restoration, and polishing. The fourth visit covered the control of the Class II composite restoration and re-polishing. Discussions: Proximal caries is a type of decay that is difficult to detect clinically. The bitewing radiographic technique is the standard method for detecting proximal caries through the radiolucent image, which indicates the presence of demineralization in the tooth. Conclusion and Suggestions: The importance of clinical examination, along with the supporting examination through bitewing radiography, is to detect proximal caries, thereby preventing errors in determining the treatment plan.
Co-Authors Muhammad Fachrul Al Ghifari Syifa Byandra