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Rachmudin, Afniati
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Dentistry Health Professions

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Non-surgical endodontic management of extensive periapical lesion with combination of calcium hydroxide and bioceramic dressing: A case report Hajwan, Ismawan; Rachmudin, Afniati
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.268

Abstract

Introduction:Endodontic management of extensive periapical lesions requires special consideration to achieve optimal clinical outcome. Calcium hydroxide dressing has been widely used in root canal treatment. In some cases of extensive periapical lesions, the use of other materials may be considered. When Calcium hydroxide combined with bioceramic dressings, the effectiveness of endodontic treatment can be improved.Case Report:A 21-year-old female came to RSGM Hasanuddin University with complaints of left maxillary front tooth pain accompanied by palatal swelling since 4 days ago. Intra oral examination of tooth 22 revealed composite filling, vitality test (-), percussion test (+), palpation test (+). Periapical radiographic examination showed radiolucency in the middle third of the root to the apical third with size 10.74 mm x 14.92 mm. Diagnosis was pulp necrosis with acute apical abscess. Differential diagnosis was periapical cyst. The treatment plan was multi-visit root canal treatment with a combination of calcium hydroxide and bioceramic as root canal medicament and obturation using thermoplastic obturation technique with bioceramic sealer. Radiographic findings showed that the periapical lesions were healed following therapy.Discussion:The combination of calcium hydroxide and bioceramic materials in root canal treatment of extensive periapical lesion offers the better disinfection, enhanced tissue healing. Calcium hydroxide provides antimicrobial properties and promotes healing, while bioceramic materials offer bioactivity and biocompatibility.Conclusion:The combined use of calcium hydroxide and bioceramic as dressings in root canal treatment of teeth with extensive periapical lesions showed significant results with enhanced healing of periapical lesions.
Aesthetic correction of anterior teeth disharmony with lithium disilicate veneers: A case report Rifa, Nur; Rachmudin, Afniati
Journal of Case Reports in Dental Medicine Vol 7, No 3 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i3.267

Abstract

Introduction: The esthetic restoration of anterior teeth is designed to offer a healthy and harmonious smile by correcting patients most significant aesthetic concerns regarding the size, shape, and color of the upper anterior teeth. An excellent alternative for anterior teeth with extensive restorations is lithium disilicate glass ceramic. This case report describes the treatment of anterior teeth due to tooth deformation with Lithium Disilicate veneers to restore aesthetics and function.Case Report: A 35-year-old female patient complained that her maxillary front teeth were unaesthetic and the teeth size was disharmonious. The patient felt that her appearance was disturbed. Intraoral examination of teeth #11, #21 and #22 revealed composite fillings, Teeth #11 and #22 vitality test (+), Teeth #12 and #21 vitality test (-), percussion and palpation tests (-). Diagnosis of teeth #11 and #22 reversible pulpitis, teeth #12 and #21 Previously Treated Teeth. The restoration plan for teeth #11, #12, #21, and #22 was lithium disilicate indirect veneer. The patient was satisfied with the results.Discussion: Lithium disilicate-based veneers have long been used as a strong and durable material for correcting deformities in the anterior teeth. In this case, marginal adaptation was well achieved the colour matched the natural teeth, and the anterior shape appeared symmetrical.Conclusion: Lithium disilicate veneers are indicated for teeth that have faced significant deformation and restoration. This material is employed due to its minimally invasive nature and its transparency and color, which resemble those of natural teeth, resulting in an aesthetically appealing and natural finish.
Co-Authors Hajwan, Ismawan Rifa, Nur