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Galih Sampoerno
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Dentistry

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Single visit endodontic treatment and zirconia crown restoration for functional and esthetic rehabilitation Galih Sampoerno; Ratih Mutiara Sani; Hasna Shabrina; Jasmina Putri Azizia; Ramdhan Hanif Nahada; Radixtio Auzan Fepiosandi; Nanik Zubaidah; Widya Saraswati
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.80-86

Abstract

Background: Endodontic treatment followed by full-coverage restoration represents the standard of care for structurally compromised posterior teeth. The integration of contemporary endodontic techniques with high-strength esthetic materials, such as zirconia crowns, facilitates comprehensive functional and esthetic rehabilitation in a single treatment sequence, particularly for younger patients with high esthetic expectations. Purpose: To present a successful case of single-visit endodontic treatment followed by fiber post placement and zirconia crown restoration on a mandibular molar in a young female, resulting in favorable functional and esthetic outcomes. Case: A 20-year-old female presented with persistent spontaneous pain in the lower left posterior region for one week, following two years of untreated dental caries. Initial management was conducted at a primary health center with pain control. Clinical and radiographic examination revealed a deep Class II caries lesion with pulp exposure on tooth 36 and a positive percussion response, indicative of irreversible pulpitis. Case Management: Tooth 36 underwent single-visit root canal therapy using a crown-down pressureless technique and single-cone obturation. This was followed by fiber post placement for coronal reinforcement and definitive restoration with a zirconia crown. At the one-week follow-up after crown cementation, the tooth exhibited excellent functional performance, stable periapical healing, intact crown margins, and high patient satisfaction with the esthetic result. Conclusion: This case demonstrates the clinical efficiency and long-term esthetic advantages of combining single-visit endodontic therapy with zirconia crown restoration in young adult patients.
An aesthetic rehabilitation of fractured anterior maxillary teeth with multiple diastema Galih Sampoerno; Kezia Sepdwiningtyas Santoso; Agustina Restu Nurkhotimah; Karina Awanis Adla; Sri Kunarti; Adioro Soetojo; Nirawati Pribadi; Kun Ismiyatin
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.97-104

Abstract

Background: Aesthetic issues on anterior maxillary teeth often require comprehensive treatment due to both functional and psychological impacts. This case report highlights the clinical approach and management for anterior maxillary teeth with crown fracture and multiple diastemas through restorative aesthetic procedures. Purpose: To describe a clinical approach and restorative aesthetic management for a 37 year-old female patient with a crown fracture and multiple diastemas on the anterior maxillary teeth, aiming to restore aesthetics and function through a carefully planned dental treatment. Case(s): A 37 year-old female patient presented to RSGMP UNAIR with a chief complaint of fractured upper anterior teeth and a history of intermittent pain. The patient also reported concern about the spacing between her upper front teeth. The clinical examination revealed involvement of teeth 13, 12, 11, 21, 22, and 23. The patient had no previous dental treatment and no systemic health issues. Case Management: A detailed clinical and radiographic examination was performed, followed by a comprehensive treatment strategy targeting tooth elements 13, 12, 11, 21, 22, and 23. The management focused on restoring tooth structure, closing the diastema, and improving smile aesthetics. Conclusion: Aesthetic and functional rehabilitation of the anterior maxillary teeth was planned and carried out through an integrative restorative approach. The case emphasizes the importance of proper diagnosis dan treatment planning in managing complex aesthetic cases.
Co-Authors Adioro Soetojo Agustina Restu Nurkhotimah Hasna Shabrina Jasmina Putri Azizia Karina Awanis Adla Kezia Sepdwiningtyas Santoso Kun Ismiyatin Nanik Zubaidah Nirawati Pribadi Radixtio Auzan Fepiosandi Ramdhan Hanif Nahada Ratih Mutiara Sani Sri Kunarti Widya Saraswati