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Abses Submandibula Odontogenik pada Penderita Idiopatik Trombositopeni Purpura di RSUP Dr. Sardjito Indah Wulansari; Maria Goreti Widiastuti; Rahardjo Rahardjo
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Idiopatik Trombositopeni Purpura (ITP) adalah kelainan yang berhubungan dengan penurunan jumlah platelet yang beredar dalam plasma darah yang dapat disebabkan oleh peningkatan destruksi platelet karena autoimun. Penurunan jumlah platelet akan menurunkan kemampuan hemostasis tubuh. Prevalensi ITP adalah 4 sampai 5,3 per 100.000 anak, dengan tingkat mortalitas ITP kronis sekitar 4%. Abses submandibula menempati urutan pertama abses leher yang paling sering dijumpai (42,30%) dengan prevalensi causa odontogenik sebesar 34,21%. Tujuan laporan kasus ini adalah untuk mempresentasikan keberhasilan evakuasi pus dan eliminasi gigi kausa pada kasus abses submandibula odontogenik pada seorang anak penderita ITP. Seorang anak perempuan berusia14 tahun penderita ITP dengan riwayat sakit gigi geraham kanan bawah dan pembengkakan pada submandibula kanan dengan fistula ekstra oral yang mengeluarkan darah dan pus datang ke IGD RSUP Dr. Sardjito dengan kondisi lemah. Kasus ini dirawat bersama dengan bagian hematologi onkologi anak untuk penanganan kondisi trombositopenia sehingga memungkinkan untuk dilakukan tindakan incisi drainase dan pencabutan gigi kausa. Tindakan perawatan gigi dan pembedahan dapat dilakukan pada penderita ITP dengan memperhatikan angka trombosit. Untuk mencapai angka trombosit yang cukup, diperlukan kerja sama dengan dokter bagian hematologi, sehingga resiko perdarahan durante dan pasca tindakan dapat di minimalisirABSTRACT: Odontogenic submandibular abscess in patient with Idiopathic Trombocytophenia Purpura at General Hospital Centre Dr. Sardjito. Idiopathic Thrombocytopenia Purpura (ITP) is a disorder associated with a number decreasing of platelets circulating in the blood which can be caused by platelet destruction increasing due to autoimmune. Low platelet count will decrease the body's ability to hemostasis. The prevalence of ITP is 4 to 5.3 per 100,000 children, with a mortality rate of approximately 4% of chronic ITP. Submandibular abscess is the first ranks of neck abscesses which are the most common (42.30%) with a prevalence of 34.21% odontogenic cause. The purpose of this case report is to present the early success of the evacuation of pus and elimination of causative tooth in the case of odontogenic submandibular abscess in a child with ITP. A 14 year old girl diagnosed with ITP and a history of right lower molar tooth pain and swelling in the right submandibular with extra-oral fistula that blood and pus came to the ER department of DR.Sardjito feebly. This case was treated together with pediatric department of hematology oncology for thrombocytopenia conditions allowing for incision drainage and extraction of causes tooth. Dental treatment and surgery can be performed on patients with ITP with regard platelet numbers. To achieve a sufficient number of platelets, it is neccessary to cooperate with hematologist, so the risk of bleeding during and following the surgery can be minimized.

Restorasi pasca one visit endodontik dengan perbaikan malposisi dan selective Contouring Eldina Febrianifa; Wignyo Hadriyanto
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Karies yang meluas ke pulpa dapat mengakibatkan inflamasi pulpa. Pulpitis irreversibel merupakan inflamasi pulpa yang dapat diatasi dengan perawatan saluran akar satu kunjungan. Restorasi pasca perawatan endodontik pada gigi depan harus mempertimbangkan estetik. Estetik tidak hanya dilihat dari warna gigi, tetapi juga bentuk gigi, ukuran gigi, oklusi dan penggunaan ruang agar tampak selaras. Permasalahan yang terjadi pada kasus ini adalah karies yang luas hingga menyisakan 1/3 mahkota serta sisa ruang gigi yang sempit. Makalah ini bertujuan untuk melaporkan restorasi mahkota porcelain fused to metal (PFM) pada gigi insisivus sentralis kiri rahang atas (gigi 21) pasca perawatan saluran akar dengan perubahan inklinasi dan selective contouring. Seorang pasien pria berusia 23 tahun dirujuk untuk perawatan endodontik pada gigi 21. Pasien merasakan sakit spontan pada giginya. Gigi labioversi dengan sisa mahkota 1/3 dan sisa ruang sempit. Radiografi menunjukkan karies telah mengenai pulpa. Perawatan endodontik dilakukan dalam satu kunjungan bertujuan menghemat waktu perawatan tanpa mengurangi kualitas perawatan. Evaluasi dilakukan satu minggu setelahnya dan dilanjutkan dengan perhitungan estetik, pembuatan pasak custom dowel dengan perbaikan inklinasi, dan selective conturing gigi untuk mendapatkan ruang ideal. Setelah pemasangan pasak, dilakukan restorasi mahkota PFM. Restorasi pasca endodontik pada gigi anterior dengan malposisi gigi dan ruang gigi sempit dapat berhasil baik dengan pertimbangan estetik, perbaikan inklinasi dengan pasak custom dowel dan selective conturing.ABSTRACT: Restoration post endodontic treatment with malposition correction and selective contouring. Extensive caries can lead to inflammation of the pulp. Irreversible pulpitis is an inflammation of the pulp that can be done by one visit endodontic treatment. Aesthetic aspect should be considered for post endodontic treatment restoration of anterior teeth. Aesthetic is not only seen from the color of the teeth, but also the shape, size, occlusion, and harmonized space. This case is about restoring the remain of 1/3 tooth crown due to extensive caries with narrow tooth space. To report a porcelain fused metal crown restoration in the left maxillary central incisor with inclination correction and selective contouring to obtain space. Twenty three year-old male patient was referred for endodontic treatment on the left maxillary central incisor. Spontaneous pain was also reported. The tooth is labioversy with remaining 1/3 tooth crown due to extensive caries with narrow tooth space. Radiographs showed extensive caries has reached the pulp. Endodontic treatment had done in one visit to save time without compromising the quality treatment. Evaluation was done a week after that and then aesthetic calculation, then custom dowel core with inclination correction for left maxillary central incisor and selective contouring adjacent teeth. After custom dowel insertion, then carried porcelain fuced metal crown restoration. Post endodontic restoration on anterior teeth with dental malposition and narrow tooth space can be managed by aesthetic considerations, inclination correction with custom dowel core and selective contouring.

Penatalaksanaan fraktur mandibula pada anak dengan cedera kepala sedang Hadira Hadira; Endang Syamsudin; Bilzardy Ferry Zulkifli
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Management of mandibular fracture in child with moderate head injury. Mandibular fractures in child with moderate head injuries were relatively rare, the management of child patient need special considerations regarding their age and growth. Management of mandibular fractures in child with moderate head injuries need cooperation with specialists Neurosurgery. This case report aims to explain the management of mandibular fracture in child with moderate head injury. A 7 years old boy ushered to Hasan Sadikin Hospital, with bleeding at head and fracture of the lower jaw. The patient was hit by a motorcycle high speed while crossing the street with unknown mechanism there was history of unconsciousness about 20 minutes, there was bleeding from mouth. GCS 9, asymmetrical face, post suturing in the head and fracture of the lower jaw. Then, examination support, and then diagnosed Moderate Head Injury with Open fractures more than one tabula at right parietal and right mandibular angle fracture, left mandibular parasimphysis fracture. Management according ATLS, with the primary survey, secondary survey and stabilization, then craniectomy debridement. Once a patient is stabilized performed ORIF with regard mandibular growth and development of teeth. craniectomy debridement to prevent the occurrence of intracranial infection because of their open fractures in the bones of the head. Open Reduction and Internal Fixation by installing miniplat with a screw for fixation of mandibular fractures managed to restore the aesthetic and masticatory functions. Open wounds can cause intracranial infections that can develop into meningitis and brain abscess. Management of mandibular fractures in children with head injuries being successful if there is cooperation between specialists Neurosurgery and Oral and Maxillofacial Surgery.

Pertimbangan penggunaan plat ekspansi pada perawatan ortodontik cekat kasus borderline Endhira Lentik Rousstia; Cendrawasih Andusyana Farmasyanti; Kuswahyuning Kuswahyuning
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Kasus gigi berjejal di regio anterior kadang membuat keraguan dalam merencanakan perawatan bagi operator dalam melakukan pencabutan, atau disebut sebagai kasus borderline. Tujuan dari pemaparan studi kasus ini adalah untuk mengevaluasi pemilihan pemecahan masalah ruang dengan ekspansi pada kasus borderline. Seorang pasien perempuan usia 22 tahun datang ke klinik ortodonti RSGM Prof. Soedomo dengan keluhan gigi depan atas bawah yang berjejal dan terdapat gigi depan kiri atas yang tumbuh lebih ke belakang. Pasien memiliki maloklusi Angle Klas I dengan hubungan skeletal Klas I bimaksiler retrusif malrelasi deepbite pada gigi 12 11 22 dengan 32 41 42, crossbite 21 dan 31, overjet 1,4 mm, overbite 4 mm serta malposisi gigi individual, berdasarkan diagnosis dan perancangan ketersediaan ruang diputuskan kasus ini termasuk kasus borderline. Pertimbangan perhitungan pont, bukal koridor yang sempit, profil wajah pasien yang baik maka dipilih perawatan ekspansi untuk kebutuhan ruang. Pasien dirawat dengan alat ortodontik cekat teknik straightwire kombinasi alat ekspansi lepasan yang dimulai Desember 2014. Kontrol dilakukan 3 minggu sekali untuk alat ortodontik cekat dan seminggu sekali untuk alat ekspansi, setelah 25x putaran (2x1/4 putaran) alat ekspansi lepasan dilepas dan dilanjutkan hanya dengan alat ortodontik cekat. Setelah sekitar 6 – 7 bulan perawatan ortodontik cekat ini mendapatkan kontak interdigitasi yang baik, overjet overbite normal, dan profil muka cembung normal. Kesimpulan dari studi kasus ini bahwa penggunaan plat ekspansi pada perawatan ortodontik cekat kasus borderline mempunyai hasil yang memuaskan. ABSTRACT: Considerations of the use of expansion plate on fixed orthodontic appliance in borderline case. Cases of anterior crowding often makes a hesitation to make a treatment plan for the operator to preform extraction or referred to as a borderline case. The purpose of this case study is to evaluate the selection of this problem solving the case of perimeter arch in borderline case is expansion. A 22 years old patient came to the RSGM Prof. Soedomo orthodontic clinic complained anterior crowding of the upper and lower teeth and left upper front teeth is in a crossbite position. Patient had Angle Class I malocclusion with Class I skeletal relationship bimaxiller retrusive malrelation, deepbite 12 11 22 to 32 41 42, crossbite 21 and 31, overjet of 1.4 mm, overbite 4 mm and malposition of individual teeth. based on diagnosis and upon space availability decided this case including borderline cases. Consideration of the Pont calculation, narrow buccal corridors, good facial profile then selected that expansion for space requirements. Patient was treated with straightwire fixed orthodontic appliance combination removable expansion from December 2014. Control carried out every 3 weeks for fixed orthodontic appliance and once a week to expansion plate, after 25 time activation (2x1/4 turns) removable expansion plate was removed and continued by fixed orthodontic appliance. After 6 – 7 months fixed orthodontic appliance treatment has a good interdigitation contact, normal overbite overjet, and normal convex face profil. Conclusion for this case study is that the use of plate expansion on fixed orthodontic treatment in borderline cases presents a satisfactory result.

Osteomyelitis kronis supuratif mandibula sebagai komplikasi sekunder impaksi gigi molar tiga Heinz Frick Simanjuntak; Melita Sylvyana; Fathurachman Fathurachman
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Chronic osteomyelitis suppurative the mandible as a complication secondary impaction of the mandibular third molars. Impacted third molars is a common thing and become a common reason patients seek dental treatment. Complications of impacted teeth is the most frequently occurring infection oromaksilofasial particularly acute infection. Suppurative osteomyelitis of the mandible due to secondary complications of impacted molars wisdom is rare. The aim of this case report describe treatment of chronic suppurative osteomyelitis is caused secondary complications of impacted third molars. A female patient reported a history of recurrent toothache previous six months in the region of the right mandible and develop into extra-oral fistula since the last three months. Swelling that does not improve to make the patient come to the oral surgeon poly rs Hasan Sadikin. Preoperative panoramic radiographs showed mesioangular impacted third molars right mandible with deep caries and periapical radiolucent area of the mesial root of the tooth. From the results of clinical examination and radiographic findings made the diagnosis of chronic osteomyelitis of the mandible. Sequesterectomy and extraction of mandibular right second molar and all third molars upper and lower jaw. Sinus passages excised and closure. Histopathological examination conducted on tissues resected. Sekuesterektomi, fistulektomi and causa tooth extraction is a definitive method for treating chronic osteomyelitis with a satisfactory clinical outcome after surgery

Efek pemakaian bisphosphonate pada pergerakan gigi ortodonti Dini Anggraini; Haru Setyo Anggani
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Pergerakan gigi penjangkaran yang tidak diinginkan atau relaps gigi-geligi paska perawatan ortodonti, merupakan salah satu efek samping yang tidak diharapkan. Berbagai alat mekanik ortodonti telah digunakan guna mencegah hilangnya penjangkaran, baik alat ekstra oral dan intra oral. Namun, pada penggunaan alat-alat ini masih dijumpai kehilangan penjangkaran dan menimbulkan efek-efek samping seperti resorpsi akar, lesi white spot, karies, gingivitis dan sebagainya.Selain alat mekanik, agen farmakologi juga potensial untuk menyediakan penjangkaran. Agen farmakologi terbaru yang dapat menghambat pergerakan gigi ortodonti adalah Bisphosphonate. Penulis melakukan studi literatur ini guna mengetahui lebih jauh tentang senyawa Bisphosphonate dan efek farmakodinamik serta farmakokinetiknya sehingga mungkin dapat dijadikan sebagai agen farmakologi guna menghambat pergerakan gigi ortodonti. Hasil penelusuran pada berbagai pustaka menunjukkan bahwa Bisphosphosphonate dapat menghambat pergerakan gigi ortodonti. Temuan ini membuka peluang penggunaan Bisphosphonate guna menambah sifat penjangkaran pada perawatan ortodonsi. Namun perlu penelitian lebih lanjut, agar senyawa ini dapat digunakan secara klinik untuk menghambat pergerakan gigi ortodonti. ABSTRACT: Effect of bisphosphonate administrations on orthodontic tooth movement. Undesirable movement of anchorage tooth or dental relapse of the moved tooth to its initial position after orthodontic treatment are the some unexpected side effects. Various mechanical appliances have been used to prevent anchorage loss, both extra oral and intra oral appliance. However, even with the use of all of these appliances, anchorage loss and other unexpected side effects such as root resorption, white spot lesion, caries, gingivitis, etc were still can be found. Besides mechanical appliances, pharmacological agent also has potential to provide anchorage. The most recent pharmacological agent that can prevent orthodontic tooth movement is Bisphosphonate. The author conduct this literature study in order to have further understanding about bisphosphonate and its pharmacodynamics and pharmacokinetics effects as pharmacological agent to hamper orthodontic tooth movements. Literature studies from numerous references show that Bisphosphonate can prevent orthodontic tooth movement.This finding opens the opportunity of Bisphosphonate administration in order to increase anchorage properties during orthodontic treatment. However, the use of Bisphosphonate clinically to prevent orthodontic tooth movement still require further research.

Eksisi Mucocele Rekuren pada Ventral Lidah dengan Anestesi Lokal Dody Setiawan; Bambang Dwirahardjo; Elizabeth Titi Riyati Astuti
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Mucocele adalah lesi yang umum ditemukan pada mukosa oral dan merupakan lesi jinak kelenjar saliva yang paling sering ditemukan di rongga mulut. Insiden mucocele sering ditemukan karena adanya trauma kelenjar saliva minor. Mucocele dapat terjadi laki-laki maupun perempuan pada segala usia dengan insiden tertinggi pada dekade kedua. Mucocele dapat terjadi pada daerah manapun di dalam rongga mulut yang mengandung kelenjar saliva minor, tetapi bibir bawah merupakan lokasi paling umum karena paling mudah mengalami trauma. Mucocele Blandin Nuhn adalah mucocele yang paling sering terjadi pada lidah, meskipun jarang terjadi. Dilaporkan kasus mucocele Blandin Nuhn pada ventral lidah yang terjadi pada anak laki-laki 17 tahun, datang ke poli Bedah Mulut dan Maksilofasial RSUP Dr Sardjito, dengan riwayat rekurensi dimana sebelumnya 3 bulan yang lalu telah dilakukan eksisi lesi yang sama pada tempat yang sama. Penatalaksanaan pada kasus ini adalah insisi sekitar lesi bentuk ellip, lalu dilakukan deseksi hingga eksisi kelenjar saliva yang terlibat dengan anestesi lokal disertai motivasi terhadap pasien agar tidak menggangu bekas luka. Setelah dilakukan kontrol 6 bulan dengan hasil baik dan tidak ditemukan keluhan yang samaAbstract: Excision of recurent mucoceles at ventral of tongue under local anesthesia. Mucoceles are one of the most common of the benign soft tissue masses that occur in the oral cavity. Trauma to the minor salivary gland assosiated with insidens of mucocele. It belived to arise equally in both sexes and affect patients of all ages, with higher incidence in the second decade. Mucoceles could be happen anywhere in of oral cavity with minor salivary gland but the most common site is lower lip. Mucocele Blandin Nuhn is most common mucocele of tongue, even it rare case. We reported a 17 years old boy who came to Oral and Maxillofacial Surgery departement of RSUP Dr Sardjito hospital with mucocele Blandin Nuhn of ventral tongue, and recurent have been happen that 3 mouth before the lesion at same site had excisied. Treatment consists of reexcision with ellip incision, desection and excision of the assosiated salivary gland tissue beneath the mucocele with local anasthesia, and patient motivations do not disturb the lesion. Evaluation 6 mounths post surgery show good result and no sign of recurency.

Crown lengthening disertai retreatment insisivus sentralis kiri maksila dengan restorasi mahkota pasak Erna Dyah Kusumawati; Ema Mulyawati
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Keberhasilan perawatan gigi ditentukan oleh perawatan saluran akar dan restorasinya. Keberhasilan perawatan saluran akar ditentukan oleh preparasi saluran akar dan obturasinya. Kegagalan perawatan saluran akar akan menimbulkan keluhan di masa mendatang dan membutuhkan retreatment. Tepi permukaan fraktur servikal gigi yang tajam dengan ketinggian hampir sama atau di bawah gingival crest dapat menimbulkan gesekan antara gingiva dengan gigi yang berlangsung lama dan terusmenerussehingga terjadi proliferasi pembuluh darah dan terbentuk hiperplasi gingiva. Hiperplasi gingiva menghalangi terciptanya seal tumpatan sementara selama retreatment, oleh karena itu dilakukan crown lengthening terlebih dulu pada awal retreatment. Crown lengthening juga akan memberikan tampilan yang lebih estetis dan membantu terciptanya ferrule effect untuk resistensi mahkota pasak. Makalah ini bertujuan untuk melaporkan perawatan crown lengthening disertai retreatment pada insisivus sentralis kiri maksila dengan restorasi mahkota pasak. Pasien mengeluhkan gigi depan kiri atasnya yang sakit selama seminggu. Dua tahun yang lalu gigi tersebut dirawat saluran akarnya kemudian dipasang mahkota jaket tetapi kemudian gigi tersebut patah. Pasien merasa terganggu penampilannya karena gigi tersebut. Perawatan diawali dengan mengeluarkan bahan obturasi dari saluran akar dan pemberian medikasi ekstra oral. Perawatan dilanjutkan dengan prosedur crown lengthening. Kontrol pasca pembedahan 1 minggu setelah operasi menunjukkan luka bekas operasi baik dan tidak ada tanda inflamasi. Luka bekas operasi dipantau selama proses retreatment hingga sebelum dilakukan pembuatan restorasi gigi permanen untuk memastikan hiperplasi gingiva tidak terbentuk kembali. Hasil crown lengthening akan mempengaruhi hasil retreatment dan restorasi. Keberhasilan crown lengthening dipengaruhi oleh prosedur dan tekniknya, ditandai dengan tidak adanya keluhan serta tidak terjadi hiperplasi gingiva kembaliABSTRACT: Crown Lengthening and Retreatment on the Left Maxillary Central Incisor with Post Crown Restoration. Good dental care is determined by its root canal treatment and restoration. Good root canal treatment is determined by its root canal preparation and obturation. Failure of root canal treatment will cause complaints in the future and require retreatment. Sharp edge surface on cervical fractured teeth with almost the same height or below the gingival crest could cause prolonged and continuous friction between the teeth and the gingiva so that a proliferation of blood vessels occurs and forms gingival hyperplasia. Gingival hyperplasia would disturb the creation of temporary restoration seal during retreatment, therefore it is necessary to have crown lengthening first at the start of retreatment. Crown lengthening will also provide a more aesthetic appearance and help create ferrule effect in post crown resistance This paper will report the crown lengthening treatment with retreatment in the left maxillary central incisor with post crown restoration. The patient complained of left upper front painful tooth. About two years ago the patient received an endodontic treatment and a jacket crown restoration on that tooth but it was fractured and the gingiva became larger. Patient feels disturbed because of the appearance of the teeth. Treatment began by removing material from the root canal obturation and administration of oral medication. Treatment continued with crown lengthening procedure. Post-surgical controls at 1 week after surgery showed good incision and no signs of inflammation. Incision monitored during retreatment process until prior to the manufacture of dental restorations to ensure permanent gingi val hyperplasia is not reformed. The results of crown lengthening would affect the results of retreatment and final restoration. Crown lengthening is influenced by the success of the procedure and the correct technique, characterized by the absence of complaints and permanent disappearance of gingival hyperplasia.

Restorasi mahkota jaket porselen fusi metal dan customed dowel pasca perawatan saluran akar satu kunjunga Teleseptiserngi Dian Arisanti; Ema Mulyawati
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Estetika memegang peranan penting untuk meningkatkan kepercayaan diri, terutama gigi anterior. Masalah estetika pada gigi anterior yang sering dijumpai adalah lesi karies yang dapat menyebabkan hilangnya mahkota gigi dan perubahan warna gigi. Makalah ini bertujuan untuk melaporkan restorasi mahkota porselen fusi metal pada gigi insisivus sentralis kiri rahang atas pasca perawatan saluran akar (PSA). Seorang pasien laki-laki berusia 25 tahun ingin merestorasi gigi insisivus lateralis maksila yang berubah warna. Diagnosis dalam kasus ini adalah gigi nekrosis disertai diskolorasi. Perawatan untuk kasus ini adalah PSA satu kunjungan dilanjutkan restorasi mahkota jaket porselen fusi metal dengan custom dowel. Tiga bulan kemudian pada saat kontrol tidak terdapat keluhan saat mengunyah, tidak terdapat traumatik oklusi, dan keadaan jaringan pendukung gigi baik. Kesimpulan dari laporan kasus ini adalah restorasi gigi anterior dan PSA dapat mengembalikan fungsi gigi terutama fungsi estetik yang berpengaruh pada tingkat kepercayaan diri. ABSTRACT: Porcelain fuse to metal restoration and customed dowel post one visit endodontic treatment. Esthetic of anterior teeth has an important role to build self-confidence. Common esthetic problem on anterior teeth is caries, causing damage to the crown and discoloration. The aim of the case report is to report a porcelain fuse to metal restoration and custom dowel post one visit endodontic treatment in the left central maxillary incisor. A 25-years-old male patient came to seek care of his discolorized left central maxillary incisor. The diagnosis has been established as followed, pulp necrosis with discoloration on left central maxillary incisor. Method : In this case, we have undergone the one visit endodontics treatment followed by porcelain-fused-to-metal crown restoration and custom dowel of the left central maxillary incisor. Result: Three months evaluation post treatment, the patient had no pain during chewing, traumatic occlusion, nor periodontal tissue issue. Conclusion: The restoration on anterior teeth and endodontic treatment can reestablished the function of the teeth moreover esthetic, increasing self-confidence

Restorasi mahkota jaket porselen fusi metal dan customed dowel pasca perawatan saluran akar satu kunjungan Arisanti, Teleseptiserngi Dian; Mulyawati, Ema
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 1 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Porcelain fuse to metal restoration and customed dowel post one visit endodontic treatment. Esthetic of anterior teeth has an important role to build self-confidence. Common esthetic problem on anterior teeth is caries, causing damage to the crown and discoloration. The aim of the case report is to report a porcelain fuse to metal restoration and custom dowel post one visit endodontic treatment in the left central maxillary incisor. A 25-years-old male patient came to seek care of his discolorized left central maxillary incisor. The diagnosis has been established as followed, pulp necrosis with discoloration on left central maxillary incisor. Method : In this case, we have undergone the one visit endodontics treatment followed by porcelain-fused-to-metal crown restoration and custom dowel of the left central maxillary incisor. Result: Three months evaluation post treatment, the patient had no pain during chewing, traumatic occlusion, nor periodontal tissue issue. Conclusion: The restoration on anterior teeth and endodontic treatment can reestablished the function of the teeth moreover esthetic, increasing self-confidence

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