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All Journal ODONTO Dental Journal Jurnal Kedokteran Gigi Universitas Padjadjaran Odonto dental journal
Asrianti, Dini
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Dentistry Health Professions Medicine & Pharmacology

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Optimization of Post-Endodontic Restoration: Strategies for Handling Deep Subgingival Margin through DME and Crown Lengthening Putra, Hariansyah Buana; Asrianti, Dini
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.231-246

Abstract

Background: Post-endodontic restoration with deep subgingival marginsbeyond the cementoenamel junction (CEJ) is a challenge in itself. Thiscondition can cause difficulties in insulation with rubber dams, molding, andrestoration cementing. The subgingival margin is also at risk of triggeringgingival inflammation and invasion of biological width (BW) due to its proximityto the alveolar bone. Surgical crown lengthening (CL) is often recommended torestore the ideal distance of the BW, but the procedure is invasive. As a moreconservative alternative, Deep Margin Elevation (DME) allows elevation of thesubgingival to supragingiva margin to improve the integrity of the restorationwithout invading the BW.Case report: The first case on the interproximal teeth 24 and 25 (BoneSounding: 1mm) was performed CL by the Periodontics department prior tocrown preparation, after previously undergoing endodontic and post fibertreatment in the Dental Conservation department. The second case was in 36previously treated teeth (Bone Sounding: 2mm) with deep subgingival margins,DME was performed using a high-filler composite resin prior to onlayrestoration. Both procedures were carried out at RSKGM FKG UI.Conclusion: Proper indication for CL and DME at the deep subgingival margincan improve the optimization of periodontal health and the integrity of postendodontic restoration.
Optimization of Post-Endodontic Restoration: Strategies for Handling Deep Subgingival Margin through DME and Crown Lengthening Putra, Hariansyah Buana; Asrianti, Dini
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.231-246

Abstract

Background: Post-endodontic restoration with deep subgingival marginsbeyond the cementoenamel junction (CEJ) is a challenge in itself. Thiscondition can cause difficulties in insulation with rubber dams, molding, andrestoration cementing. The subgingival margin is also at risk of triggeringgingival inflammation and invasion of biological width (BW) due to its proximityto the alveolar bone. Surgical crown lengthening (CL) is often recommended torestore the ideal distance of the BW, but the procedure is invasive. As a moreconservative alternative, Deep Margin Elevation (DME) allows elevation of thesubgingival to supragingiva margin to improve the integrity of the restorationwithout invading the BW.Case report: The first case on the interproximal teeth 24 and 25 (BoneSounding: 1mm) was performed CL by the Periodontics department prior tocrown preparation, after previously undergoing endodontic and post fibertreatment in the Dental Conservation department. The second case was in 36previously treated teeth (Bone Sounding: 2mm) with deep subgingival margins,DME was performed using a high-filler composite resin prior to onlayrestoration. Both procedures were carried out at RSKGM FKG UI.Conclusion: Proper indication for CL and DME at the deep subgingival margincan improve the optimization of periodontal health and the integrity of postendodontic restoration.
Tatalaksana kasus endodontik curved canal dengan pulp stone pada gigi premolar mandibula: laporan kasus Warganegara, Ibramanto; Asrianti, Dini
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 4 (2024): Januari 2024 (Suplemen 4)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i4.49881

Abstract

ABSTRAKPendahuluan: Variasi anatomis bentuk saluran akar yang melengkung atau curved canal merupakan suatu tantangan dalam tatalaksana perawatan endodontik. Faktor yang memperberat lain seperti adanya pulp stone dapat menyebabkan meningkatnya kompleksitas dalam perawatan endodontik serta resiko terjadinya kesalahan iatrogenik pada perawatan endodontik. Laporan kasus ini bertujuan membahas keberhasilan tatalaksana kasus endodontik dengan curved canal dan pulp stone pada gigi premolar mandibular. Laporan Kasus: Seorang pasien perempuan usia 45 tahun dirujuk dengan kasus pulp stone di kamar pulpa dan curved canal pada gigi 44. Prosedur perawatan endodontik dilakukan dengan kombinasi perangkat ultrasonik NEWTRON® Booster (Satelec Acteon, Paris, France) dan file ProTaper Gold (Dentsply Maillefer, Ballaigues, Switzerland). Penatalaksanaan kasus pada kasus ini digunakan tip ET20 (Satelec Acteon, Paris, France) untuk mengatasi kondisi pulp stone pada kamar pulpa yang kemudian dilanjutkan dengan preparasi biomekanik menggunakan file ProTaper Gold (Dentsply Maillefer, Ballaigues, Switzerland). Restorasi akhir dilakukan dengan restorasi onlay dan evaluasi perawatan selama 1 bulan. Simpulan: Tatalaksana kasus endodontik curved canal dengan pulp stone pada gigi premolar mandibula dengan pendekatan manajemen dan strategi perawatan yang tepat menggunakan perangkat ultrasonik NEWTRON® Booster (Satelec Acteon, Paris, France) dan file ProTaper Gold (Dentsply Maillefer, Ballaigues, Switzerland) memberikan keberhasilan untuk tatalaksana kasus endodontik dengan curved canal dan pulp stone pada gigi premolar mandibula.kata kunci :curved canal, pulp stone, perangkat ultrasonik, endodontik, premolarEndodontic management of premolar mandibula with curved canal and pulp stone: a case reportABSTRACTIntroduction: Various curved canal curvatures in the root canals often present challenges in endodontic procedures. Other predisposing factor, such as pulp stone may lead to more complexity of the case and also potential risk of iatrogenic error during endodontic treatment, the aim of this case report was to discuss endodontic management of curved canal case with pulp stone in mandibular first premolar. Case Report: A 45-year-old female patient referred with pulp stones in the pulp chamber and also curved canal configuration in tooth 44. Endodontic treatment procedure was done with a combination of ultrasonic device NEWTRON® Booster (Satelec Acteon, Paris, France )  and ProTaper Gold files (Dentsply Maillefer, Ballaigues, Switzerland). Ultrasonic tip ET20 (Satelec Acteon, Paris, France)  followed with biomechanical preparation using Protaper Gold files (Dentsply Maillefer, Ballaigues, Switzerland) was done in this case. The permanent restoration was done with onlay restoration and follow up for 1 month evaluation. Conclusion: Endodontic management of premolar mandibula with curved canal and pulp stone with appropriate management approach and treatment strategy with combination of ultrasonic device and ProTaper Gold files provide successful endodontic management of curved canal case with pulp stone in mandibular first premolar.Keywordscurved canal, pulp stone, ultrasonic device, endodontic, premolar
Co-Authors Putra, Hariansyah Buana Warganegara, Ibramanto