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All Journal Quantum Wellness : Jurnal Ilmu Kesehatan
Lasmi Dewi Nurnaini
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Evaluasi Perawatan Apeksifikasi Melalui Gambaran Radiografi pada Gigi Permanen Muda Naufal Nurrizka Hibatullah; Lasmi Dewi Nurnaini
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 1 (2026): Maret: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i1.2937

Abstract

Immature permanent teeth with open apices and pulpal necrosis present a significant challenge in endodontic treatment. Apexification procedures have been developed to stimulate the formation of a hard tissue barrier at the apex, thereby allowing adequate obturation. Objective: This case report aims to describe the evaluation of apexification treatment based on radiographic findings. Case Report: An 8-year-old boy accompanied by his mother presented to PKU Muhammadiyah Surakarta Hospital with a history of a fall one week earlier. The affected tooth had previously received a temporary restoration from another dentist. According to the patient’s mother, medication had been placed in tooth to devitalize the pulp prior to temporary filling. Clinical examination revealed that tooth 11 exhibited a fracture involving approximately half of the crown and extending into the pulp chamber. Discussion: Initial radiographic examination in 2018 indicated that immature teeth have lower structural resistance compared with mature teeth; therefore, endodontic intervention such as apexification is required to establish apical barrier and adequate obturation. The material used for apexification in this case was a combining calcium hydroxide and iodoform. In contrast to the initial stage, radiographic evaluation in 2024 demonstrated that root development had progressed to stage V. According to Cvek’s classification of root development, stage V (Cvek stage V) represents a condition in which root development is fully completed. Conclusion: Based on long-term clinical and radiographic evaluation in this case, apexification treatment proved effective in stimulating the formation of an apical barrier and supporting root maturation in immature permanent teeth.
Analisis Etiologi Kegagalan Perawatan Pulpotomi pada Gigi Desidui: Literature Review Maulita Misi Nurilyana; Lasmi Dewi Nurnaini
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 2 (2026): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i2.3303

Abstract

Background: Pulpotomy is one of the vital pulp treatments commonly performed on primary teeth with pulp involvement due to deep caries. However, pulpotomy failure remains a significant clinical problem with varying failure rate reported across studies. Aim: This literature review aims to analyze the causes of pulpotomy treatment failure in primary teeth based on current scientific evidence. Method: This study is a qualitative research using a literature review method with secondary data obtained during May 2026 through database searches of PubMed, Science Direct, MDPI, DOAJ, and Garuda using related keywords. The retrieved articles were then selected using a PRISMA flow diagram to obtain several main articles. Results: Based on PRISMA selection, four main articles meeting the inclusion criteria were obtained for this literature review. The review findings indicate that pulpotomy treatment failure in primary teeth is caused by operator clinical technique errors including incomplete coronal pulp tissue removal and inadequate caries excavation resulting in secondary caries formation; inadequate final restoration due to poor marginal adaptation; and inappropriate pulpotomy material selection. Pulpotomy failure may result in pulp necrosis, internal and external root resorption, periapical infection, abscess or fistula, pathological tooth mobility, and gingival inflammation. Conclusion: Pulpotomy failure in primary teeth is influenced by various interrelated factors. Therefore, treatment success depends on the precision of comprehensive procedural execution, necessitating improved clinical standards to minimize the risk of failure.
Co-Authors Maulita Misi Nurilyana Naufal Nurrizka Hibatullah