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All Journal Sehat Rakyat: Jurnal Kesehatan Masyarakat
Widi Prasetia
Universitas Sumatera Utara
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Effectiveness of Single-Visit Root Canal Treatment and Adhesive Restoration in Improving Accessibility of Tooth Preservation Services: A Case Report Teuku Agus Surya; Widi Prasetia
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.6640

Abstract

Background: The management of teeth with pulp necrosis and symptomatic apical periodontitis requires effective root canal disinfection and durable restoration. Single-visit root canal therapy with bioceramic sealers and adhesive restorative techniques provides a comprehensive approach to promote periapical healing and tooth preservation. Aim: This case report describes the endodontic treatment and restorative management of a maxillary second premolar with a periapical lesion using single-visit endodontic and DME technique for direct composite restoration. Case Report: A patient presented with pain during chewing on the maxillary left second premolar, previously restored one year earlier. The tooth was initially sensitive but developed pain on mastication after six months. Clinical findings included negative thermal response, positive percussion, negative palpation, and no mobility. Radiographs showed a periapical lesion. The diagnosis was pulp necrosis with symptomatic apical periodontitis. Case Management: Endodontic treatment was performed in a single visit. Root canal preparation was followed by obturation using a single-cone technique with bioceramic sealer. Restorative management involved the DME technique to elevate the cervical margin, followed by direct composite for functional restoration. Discussion: Single-visit root canal therapy provides outcomes comparable to multi-visit protocols. Bioceramic sealer enhances periapical healing due to its bioactivity and sealing properties. The DME technique facilitates restorative access and margin control in deep areas, while direct composite ensures conservative reinforcement and esthetics. Conclusion: This integrated single-visit approach combining bioceramic obturation, DME, and direct composite restoration achieved successful management of a maxillary second premolar with pulp necrosis and.
Manajemen Teknik Klinis terhadap Instrument Patah yang Tertinggal dalam Prosedur Perawatan Saluran Akar: A Literature Review Zovai Hiskia Sianturi; Widi Prasetia
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.6855

Abstract

The management of fractured endodontic instruments during root canal treatment represents a significant challenge in clinical endodontic practice. Instrument fracture can hinder effective cleaning and disinfection of the root canal system, increase the risk of complications, and potentially compromise treatment outcomes. Therefore, the selection of an appropriate management technique is crucial to ensure procedural success and to maintain a favorable prognosis for the treated tooth. This literature review aims to discuss and analyze various clinical techniques used in the management of fractured endodontic instruments. The methods reviewed include non-surgical retrieval techniques, ultrasonic activation, mechanical approaches using specialized auxiliary devices, and electrochemical dissolution methods. The selected articles consist of relevant case reports, retrospective studies, and clinical investigations, with particular emphasis on the effectiveness of each technique, clinical indications, and factors influencing the success of instrument retrieval. The results of this review indicate that non-surgical techniques are the most frequently employed approaches and demonstrate high success rates, especially when combined with ultrasonic devices and magnification aids. Ultrasonic techniques have been shown to be effective in improving accessibility and visualization of fractured instruments, thereby facilitating fragment removal while minimizing dentinal damage. Electrochemical dissolution methods have also been reported to be effective in certain clinical situations; however, their success rates vary depending on the type and material composition of the fractured instrument.
Co-Authors Teuku Agus Surya Zovai Hiskia Sianturi