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Majalah Kedokteran Gigi Indonesia

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Published by Universitas Gadjah Mada

ISSN : 24600164 EISSN : 24422576 DOI : https://doi.org/10.22146/majkedgiind.36959

Core Subject : Health,

Dentistry

Arjuna Subject : -

Articles 21 Documents

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Search results for , issue "Vol 19, No 1 (2012): August" : 21 Documents clear

Keberhasilan Restorasi Komposit untuk Perbaikan Titik Kontak pada Terapi Periodontal Cindy Ariyani Hokardi; Sri Lelyati C Masulili
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Latar Belakang: Pada kondisi fisiologis, gigi geligi berada pada posisi stabil dalam lengkung rahang, mempunyai kontak oklusal dengan gigi lawan, dan kontak proksimal dengan gigi disebelahnya. Adanya sedikit pembukaan kontak proksimal akan menyebabbkan terjadinya impaksi makanan, yang merupakan etiologi kelainan periodontal. Pembuatan restorasi permanen dengan menggunakan bahan komposit yang memperhatikan kontak proksimal, kontur permukaan oklusal, kontur fasial dan lingual dapat melindungi jaringan periodontal. Tujuan: menunjukkan bahwa restorasi komposit untuk perbaikan titik kontak dapat menunjang kesehatan jaringan periodontal. Laporan kusus: pada kasusu pertama ditemukan gigi 2.4 dan 3.5 terdapat karies di sisi distal, dan pada kasus kedua gigi 2.8 terdapat karies di sisi mesial sehingga kehilangan titik kontak yang mengakibatkan terjadi poket periodontal. Penanganan: terapi awal yang dilakukan berupa skeling dan penghalusan akar, serta kuretase. Pembuatan restorasi komposit untuk memperbaiki titi kontak dengan menggunakan matriks dan baji di area proksimal. Maladaptasi pita matriks atau baji menyebabkan kegagalan klinis seperti batas restorasi mengemper, kontur didnding proksimal serta titik kontak yang tidak baik. Pemilihan baji yang benar, harus mempertimbangkan : sudut konvergensi dasar, lebar mesiodistal dasar baji, ketinggian gingivooklusa dari arah transversal, dan kecembungan dinding baji. Kesimpulan: secara klinis terjadi penurunan kedalaman poket setelah perbaikan restorasi, namun gambaran radiografis belum memperlihatkan hasil signifikan dalam waktu tiga bulan. Blackground: under physiological conditions, teeth are stabilized in the dental arch by making occlusal contacts with opposing teeth and proximal contacts with adjacent teeth. A weak or slightly open proximal tooth contact would permit food impaction, one of the etiology of periodontal disease. The common therapy is to make a permanent restoration using composite restoratioan having regard to proximal contacts, occlusal contour, and facial and lingual contaour to protect periodontal tissues. Objective: to show that it is important to restore contacts points in maintaining periodontal tissues using composite restoration. Case: on the first case, we found caries on the distal site of 2.4 and 3.5 and mesial site of 2.8 on the second case, and open contacts, resulting a periodontal pocket. Therapy: the initial treatment are scaling and root planning and curretage. Composite restoration to restore proximal contact points using matrix band and wedge. Maladaptation of either the matrix band or the wedge result in clinical failure such as overhanging margins, faulty contouring of the proximal wall and inadequate contact points. To select a correct wedge, four variables should lie considered the convergence angle of the base, the mesiodistal width of the base, the gingivo-occlusal height of the transverse section and the concavity of the side walls. Conclusion: Clinically, there are reduction in pocket depth after the restoration, but radiograpgically, there are no significant result in three months.

Pengaruh Jumlah Gigi Posterior Rahang Bawah Dua Sisi yang Telah Dicabut dan Pemakaian Gigi Tiruan Sebagian terhadap Bunyi Sendi Haryo Mustiko Dipoyono
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Latar Belakang: sendi temporomandibular didalam fungsinya sangat rumit dan ketika terjadi kelainan memerlukan perawatan yang sangat kompleks. Salah satu dari kelainan sendi tersebut adalah terjadinya bunyi sendi. Bunyi sendi terjadi akibat adanya perubahan pada komponen sendi. Salah satu perubahan ini dapat terjadi akibat adanya perubahan pola oklusi. Gigi yang telah dicabut khususnya gigi posterior dapat memicu perubahan pola oklusi dan berakibat terjadi kelainan pada sendi. Tujuan. Pengukuran pada pasien dengan kasus kehilangan satu gigi atau dua gigi posterior yaitu molar satu atau molar satu dan molar dua, dua sisi rahang bawah, sebelum dan sesudah pemakaian gigi tiruan sebagian (GTS) diukur bunyi sendinya yang terdiri dari amplitude (dB) dan frekuensi (Hz) dengan alat ultra sonography yang telah dimodifikasi. Hasil yang didapat dianalisis dengan uji Avana dan LSD. Hasil yang didapat menunjukkan bahwa terdapat bunyi sendi yang terdiri amplitudo dan frekuensi pada sendi temporomandibular dari pasien kasus kehilangan gigi posterior rahang bawah dua sisi sebelum dan sesudah pemakaian GTS. Kesimpulan: bunyi sendi dalam hal ini amplitudo dan frekuensi berbeda pada kasus kehilangan gigi posterior rahang bawah. Kehilangan dua molar bunyi sendi akan lebih tinggi dibandingkan dengan kehilangan satu gigi molar. Pemakaian gigi tiruan sebagian untuk mengembalikan oklusi, dapat menurunkan bunyi sendi. Background: The temporomandibular joint is very complicated in its function and requires complex treatment when an anomaly accurs. An example of the joints anomaly is clicking sound. Clicking resulted due to the changes at the joints component. One of the changes can be caused by an alteration of occlusal pattern. Extracted tooth especially posterior tooth can trigger the alteration of occlusion pattern which affects the joints anomaly. Purpose: the amplitude and frequency of the clicking sound of the patientwith missing one or two posterior tooth such as the first molar of the first and second molar, on both sides of the mandible, prior to or after wearing removable partial dentures is measured using a modified ultrasonographydevide and were analyzed by Anova and LSD test. The result: shows that the clicking sound on temporomandibular joint which consists of the amplitude and frequency, ha,ppens to patients who lose their posterior molar teeth before and after the use of removable partial denture. Conclusion: the clicking sound temporomandibular joints is defferent from the one on patient with missing posterior tooth. Losing two molar teeth will cause stronger clicking sound than one molar tooth will. The use of partial removable denture to regain the occlusion willreduce the clicking sound.

Terapi Bedah Flep dan Cangkok Tulang pada Periodontitis Agresif di Regio Gigi Anterior Mandibula Levina Mulya; Sri Lelyati C Masulili
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Background: Aggressive periodentitis is a multifactorial disease that usuallyOccurs at a young age with the disease spreading fast and found the bacteria. Commonly aggressive periodontitis associated with hereditary factors and lack of immune system so as to reveal any family history with the same disease, and found savere alveolar bone destruction that may ultimately lead to tooth loss. Aggressive periodontitis and generalized aggressive periodontitis. The development of aggressive periodontitis is difficult to predict, so the mechanical therapy is not sufficient, and required antibiotic therapy or surgical therapy. Aim: the purpose of this case report is to explain the procedures and result of surgical treatment of the flap surgery with bone graft in anterior teeth of the patients with generalized aggressive periodontitis. Case report: Cases one and two with complaints of anterior teeth mobility. On clinical examination teeth mobility two and three degree, absolute pocket depth 4-6 mm. Radiograpic examination bone loss reached one third apical in all region. The diagnosis of both cases in generalized aggressive periodontitis. Treatment: After initial theraphy heve been evaluated, flap surgery with bone graft done in booth cases. Control evaluation after 6 month from surgery, in clinically reduced pocket depth 1-2m and tooth mobility, in radiographically increased bone height and bone fill. Conclusion: Flap surgery with bone graft in generalized aggressive periodontitis can assist periodontal regeneration.

Pengaruh Ozonated Water sebagai Antiseptik dalam Menghambat Pertumbuhan Staphilococcus Aureus (in vitro) Yulita Kristanti; D. Dessy
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Latar Belakang. Penelitian seputar ozonazed water akhir-akhir ini cukup banyak diminati karena bahan ini mempunyai potensi antibakteria yang menjanjikan. Tujuan Penelitian ini adalah untuk mengetahui pengaruh ozonated water pada pertumbuhan bakteri Staphylococcus Aureus. Metode Penelitian. Penelitian ini dilakukan dengan cara mencampurkan 1 ml larutan bakteri 106 CFU/ml dengan 10 ml ozonated water konsentrasi 4 ppm selama 10 detik (kelompok I), 20 detik (kelompok II), 30 detik (kelompok III), dan 40 detik (kelompok IV), akuades (kontrol negatif) kemudian semua diencerkan dengan akuabides 10ml. selanjutnya dari masing-masing kelompok diambil 0,01 ml untuk ditanam pada MHA, inkubasi 24 jam pada suhu 370 C dalam anaerobic jar kemudian dilakikan perhitungan koloni. Data dianalisis dengan Avana satu jalur dilanjutkan dengan uji LSD. Hasil. Avana satu jalur memperlihatkan adanya perbedaan yang bermakna antar kelompok perlakuan. Uji LSD menunjukkan perbedaan rerarta yang bermakna (p<0,05) antar kelompok I, II, III, IV dengan kelompok V (akuedes) terdapat perbedaan rerata yang bermakna antara kelompok I dan kelompok VI (iod). Tidak terdapat perbedaan bermakna antara kelompok II, III, IV terdapat kelompok VI (oid). Uji korelasi Produk Momen Pearson menunjukkan adanya korelasi negatif yang sangat kuat. Kesimpulan. Ozonated Water 4 ppm memiliki daya antibakreri dalam menghambat pertumbuhan Staphylococcus Aureus. Semakin lama waktu kontak, daya anti bakterinya semakain besar. Background. Some previous research show that the antibacterial effect of ozonated water is very promi-sing. The aim of this study was to know the antibacterial effect of ozonated water on staphylococcus aureus. Method. One ml of 106 CFU/ ml S. aureus suspension was mixed with 10 ml ozonated water for 10 second (group I), 20 second (group II), 30 second (group III), 40 second (group IV)As negative control S. aureus was mixed with aquadest (group V), and as positive control S. aureus was mixed with iod (groupVI). Furthermore, 0,01 ml from each group was cultivated on MHA, incubated for 24 hours-37C followed by colony caunting. Data was analyzed using one way anova followed by LSD. Result. One way anova show significant difference among the group and LSD test show significant mean different between group I, II, III, IV, and V. Significant difference can also be seen between group I and V. No significant difference between group II, III, IV and VI. Product momen test show strong negative correlation. Conclusion. Ozonated water 4 ppm has antibacterial effect on S. aureus. The longer the contact time, the stronger the antibacterial effect.

Protesa Maksilo Fasial Kerangka Logam Kombinasi Bahan Termoplastik pada Defek Kelas II Aramany Pasca Hemimaxillectomy Yuyus Mohamad Ilyas Djunaedy
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Background: Hemimaxilectomy surgery may cause facial defects, impaired function of speech, swallowing, mastication, esthetics as well as psychiatric patients and can cause problems I rehabilitation. Objective: This case report aims to determine the effect of maxillofacial prosthesis using ametal frame combination of thermoplastic materials in class II defects aramany to the aesthetic, retention, and stabilization of the prosthesis. Case: a 58- year old woman has done hemimaxilectomy, since ayear ago. Defective class II aramany, most of the maxillary teeth are gone, the teeth are still there 11, 13 and 17. Taking impression using hidrocoloid irreversible material was done following subjective, objective and radiographic examination, then the processs of ametal frame, MMR, teeth arrangement, wax denture try in, then do the lab thermoplastic material, and insertion of the prosthesis. Manufacture of metal framework prosthesis combination of thermoplastic materials of class II defects aramany is the right choice. Conclusion: it can result in the retention, stabilization, good occlusion and esthetics.

Exfoliative Cheilitis dan Penatalaksanaannya Dewi Agustina; Goeno Subagyo
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Latar Belakang: Exfoliative cheilitis adalah suatu keadaan inflamatori kronis superfisisal yang ditandai dengan adanya pengelupasan permukaankeratin bibir sedangkan area yang lain terjadi pembentukan lapisan keratin. Tujuan: untuk melaporkan suatu kasus Exfoliative cheilitis yang diikuti + selama 2 bulan beserta penatalaksanaanya. Laporan kasus: seorang wanita berusia 52 tahun mengeluh bibir bawahnya pecah-pecah, terasa kering dan panas berdasarkan pemeriksaan subyektif dan klinis, Exfoliative cheilitis ditetapkan sebagai diagnosis kerja. Penatalaksanaanya: Komunikasi-Informasi-Edukasi (KIE) diberikan kepada pasien pada awal kunjungan disertai pemberian metil prednisolon, Vitamin B1,6,12 dan anjuran untuk menghentikan kebiasaan menjilat-jilat bibir bawah, menghindari stress dan meningkatkan asupan makanan yang mengandung vitamin A. Pada kunjungna berikutnya pemberian metil prednisolon dihentikan karena terdeteksi adanya peningkatan tekanan darah. Untuk selanjutnya kondisi bibir bawah dievaluasi + selama 2 bulan. Kesimpulan: Progresitas Exfoliative cheilitis dapat dihentikan dengan bantuan KIE serta menghindari faktor pemicu stress, yang pada akhirnya akan dapat meminimalisir aktivitas factitious berupa menjilat-jilat bibir bawah. Background: Exfoliative cheilitis is a chronic superficial inflammatory condition that is characterized by regular peeling of a superficial excessive layer of karatin, on the other hand, keratinization is developed in the other area. Aim: to report an Exfoliative cheilitis case monitored for two months and its management. Case Report: a 52 year female has been suffering from fissured lower lip with dry and burning sensations. According to subjective and clinical examinations, Exfoliative cheilitis was determined as the working diagnosis. Management: Communication-Information-Education (CIE) were given to the patient at the first visit, besides metyl prednisolon and vitamin B1,6,12 administrations. Patient was also suggested to stop licking the lower lip, to avoid any stress and to increase vitamin A containing food. For the next visit, metyl prednisolon administration was stopped since increasing blood pressure detected. Then, evaluation to the lower lip was conducted during around two months. Conclusion: Progression of exfoliative cheilitis can be stopped by CIE and stress avoidance, in turn, factitious activity (licking the lower lip) can be minimalized.

Efek Antimikroba Pasta Gigi Kandungan Ekstrak Daun Teh 2% (Camellia sinensis) terhadap A. Actinomycetemcomitans Juni Handajani
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Latar Belakang: Kandungan polifenol (catechin) dalam daun teh diketahui memiliki efek antimikroba terhadap beberapa bakteri. Derajat fermentasi terhadap daun teh akan mempengaruhi daya antimikrobanya. Pasta gigi dengan kandungan ekstrak daun teh segar 2% (Camellia sinensis) diharapkan memiliki efek antimikroba. Tujuan: pengetahuan ini bertujuan untuk mengetahui daya antimikroba pasta gigi kandungan ekstrak teh segar 2% terhadap bekteri A. actinomycetemcomitans. Metode Penelitian: bakteri A. actinomycetemcomitans diperololeh dari laboratorium MikrobiologiFakultas Kedokteran Hewan Universitas Gadjah Mada Yogyakarta. Pengenceran pasta gigi dengan kandungan teh 2% diencerkan menjadi 0,875%; 1,75%; 2,5%; 5%; 10%; dan 100% (kontrol positif). Metode difusi dilakukan pada 15 petri dengan cara masing-masing konsentrasi diambil 100 ul lalu diteteskan dalam setiap sumuran pada media BHI agar yang telah mengandung A. Actinomycetemcomitans kemudian petri dieramkan dalam inkubator selama 24 jam pada suhu 370 C. Pengukuran diameter zone hambatan disekitar sumuran menggunakan jangka sorong, dibantu dngan mikroskop, selanjutnya data dianalisis menggunakan AVANA dan LSD. Hasil menunjukkan daya anti bakteri pasta gigi kandungan ekstrak teh 2% terhadap bakteri A. Actinomycetemcomitans dimulai pada konsentrasi 5% dan terdapat perbedaan yang bermakna (p<0,01) pengaruh konsentrasi terhadap zone hambatan yang dihasilkan. Disimpulkan peningkatan konsentrasi pasta gigikandungan ekstrak teh akan meningkatkan daya antimikroba terhadap bakteri A. Actinomycetemcomitans. Background: Polyphenols (catechins) in tea leaves are known to have antimicrobial effects against some bacteria. Degree of fermentation tea leaves will affect the antimicrobial. Toothpaste containing 2% tea leaves ectract (Camellia sinensis) is expected to have antimicrobial effects. Aim: this study was aimed to determine the antimicrobial effect of tootthpastes contain 2% tea extract on the bacteria A. Actinomycetemcomitans. Method: Aggregatibacter actinomycetemcomitans bacteria from Microbiology Laboratory, Faculty of Veterinary Medicine, Gadjah Mada University Yogyakarta. Tea extract-containing dentrifice was dilluted into 0,875%; 1,75%; 2,5%; 5%; 10%; dan 100% (as positive control). Diffusion method was used on 15 disks. Every concentration of tea extract-containing dentrifice was placed in bottomless cylinder in BHI agar disks that have been heavily seeded with A. Actinomycetemcomitans , then incubated for 24 hours at 370. The diameter of the clear zone of inhibition was measured using sliding caliper and microscope then data were analyzed using AVANA and LSD. The result showed that the antimicrobial effect of tea extract-containing dentrifice was started at 5% and there were significantly difference (p<0,01) effect concentration of tea extract-containing dentrifice on zone of inhibition. In conclusion, increasing concentration of tea extract-containing dentrifice could increase the antimicrobial effect against A. Actinomycetemcomitans.

Perawatan Periodontal pada Pasien Lupus Eritematosus Sistemik Nur Rahma Prihantini; Sri Lelyati C Masulili
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Background: Systematic disease is a risk factor in periodontal disease. In contrast, severe generalize periodontal disease may also contribute to the development of certain systemic diseases and has and adverse affect in controlling the systemic disease. The majority of systemic diseases manifest in the oral cavity, one of which is systemic Lupus Erythematosus (SLE)., anautoimmune chronic systemic diseases. To date, the etiology of Lupus Erythematosus is still not clear, but the prognosis can become good if the adequate theraphy is given. SLE have a fairly high incidence, but the dangers of this disease is still not widely understood by the public. Purpose: To demonstrate how to manage the oral manifestations of SLE, as it must be done carefully so that patients ca get appropriate treatment to be successful, and the patients with oral manifestations similar to SLE can have a more thorough axamination. Cases: Two patients with SLE and symptoms of easy bleeding gums, frequent stomatitis, dry mouth, and mobile teeth. In both cases, there is gingival hyperemia, edema, pockets of 3-6 mm (case 1) and 3-4 mm (case 2). Prior to dental treatment, both patients are consulted to an internist. Treatment: Periodontal initial treatment such as DHE, scaling, and tooth restorations. Gradual scaling done in multiple visits, followed by gingival curettage. Conclusion: A good periodontal treatment can reduce gingival inflammation, and relatively improve oral hygiene, so it can be expected to increase body immunity.

Protesa Maksilofasial Thermoplastic Nylon (Valplast) dengan Hollow Bulb (Klas III Aramany palate schisis hereditary) A. Azhindra; Haryo Mustiko Dipoyono; Titik Ismiyati
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Latar Belakang: pada penderita palato schisis (celah langit-langit)yang disebkan hereditary atau bawaan lahir terlihat defect yang menyebabkan gangguan bicara (sengau), penelanan, pengunyahan, estetik, dan psikologis. Untuk dapat mencapai fungsi bicara, fungsi mengunyah dan fungsi estetika diperlukan protesa untuk menutup celah tersebut. Tujuan: untuk meninformasikan cara rehabilitas defect atau cacat pada wajah dengan protesa maksilofasial thermoplastic nylon dengan hollow buib yang berguna untuk mengembalikan fungsi bicara, penelanan, pengunyahan, estetik dan psikologis penderita. Kasus dan penanganan: pasien pria berusia 46 tahun dating ke RSGM Prof. Soedomo atas rujukan dari poli RS. Dr. Sardjito. Saat datang pasien terganggu berbicara, menguyah dan menelan disebkan adanya celah langit-langit terbuka dan merupakan kelainan bawaan. Pasien kehilangan banyak gigi terutama pada gigi posterior pada rahang atas dan ingin dibuatkan gigi tiruan. Obturator ini dibuat segera dengan mempertimbangkan penutupan celah langit-langit, menggunakan bahan yang lebih ringan (menggunakan hoolow bulb) agar keluhan pasien dapat diatasi didesain alat yang mempunyai retensi maksimal dan mengembalikan pengunyahan, fungsi bicara, penelanan, estetis dan psikologis sehingga pasien akan akan mempunyai bentuk wajah yang mendekati normal. Hollow bulb adalah rongga yang dibuat pada protesa maksilofasial untuk menutup rongga mulut, rongga hidung dan defect. Pada waktu insersi diperiksa retensi, stabilisasi, oklusi, estetik dan pengucapan. Kontrol dilakukan 1 minggu dan 1 bulan setelah pemakaian. Hasil pemeriksaan dan evaluasi setelah 1 minggu dan 1 bulan setelah pemakaian protesa maksilofasial hollow bulb didapatkan hasil dengan retensi, stabilisasi, olusi dan pengucapan lebih baik. Kesimpulan: setelah menggunakan protesa maksilofasial thermoplastic nylon dengan hollow buib pada penderita palato scisis, pasien dapat berbicara dan mengunyah dengan normal. Protesa maksilofasial hollow bulb thermoplastic nylon juga dapat mengembalikan estetik yang maksimal sehingga pasien dapat menambah kepercayaan dirinya serta mengembalikan keadaan psikologi pasien yang telah lama menurun. Background: patients with palato schisis (clelf palate) due to hereditary or congenital defect will be seen that cause speech disorders (nasal), swallowing, mastication, esthetic and psychological. Purpose: to inform the way rehabilitation defect in the face with a maxillofacial prosthesis thermoplastic nylon with hollow bulb that is useful to restore the fuction of speech, swallowing, mastication, esthetics, and psychiatric patients. Case and handling: 46-yearold male patient came to RSGM Prof. Soedomo referral from Dr. Sardjito hospital. When patient come to feel annoyed talking, chewing ang swallowing due to the precence cleft palate is open and is a congential abnormality accompanied with loss of many teeth. Obturator is made immediately by considering the closure of cleft palate, using a lighter material (using a hollow bulb) with retention, stabilization and occlusion of the right and restore normal nendekati face shape. Hollow bulb is a cavity created in maxillofacial, prosthesis, to close the oral cavity, nasal cavity and the defect.at the time of insetation examined retention, stabilization, occlusion, esthetics and pronunciation. Control was performed 1 week and 1 month after application. The results of the examination and evaluation after 1 week and 1 month after the use of hollow bulb know maxillofacial prostheses retentation, stabilization, occlusion and better pronunciation. Conclusion: maxillofacial prostheses after using thermoplastic nylon with hollow bulb in patients with palate scisis, patients can speak and chew normaly. Maxillofacial prostheses nylon thermoplastic hollow bulb can also restore the maximum aesthetic, especially in the lose of anterior teeth with retention or grip that can mimic the gingival so the patient increase self confidence and restore the patient’s psychological state that has longbeen declined.

Root Canal Retreatment Followed By Root-End Resection and Direct Veneer Restoration Using Resin Composite of Maxillary Right Central Incisor Diatri Nari Ratih
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Latar Belakang: Kegagalan perawatan saluran akar dapat menyebabkan nyeri yang persisten dan perubahan warna pada gigi, oleh karena itu dianjurkan untuk dilakukan perawatan ulang saluran akar, didikuti dengan bedah endodontik dan dilakukan restorasi yang estetis sehingga hasil perawatan dapat optimal. Tujuan penulisan artikel ini adalah untuk melaporkan kasus perawatan ulang saluran akar yang diikuti dengan reseksi apeks dan restorasi veneer direk dengan resin komposit padai insisivus sentralis kanan maksila. Kasus dan penanganannya: seorang pasien laki-laki berumur 17 tahun datang dengan keluhan rasa sakit yang terus-menerus dan perubahan warna pada giginya pada gigi insisivus sentral kanan maksila. Pemeriksaan klinis menunjukkan warn agigi kecoklatan, ada kerusakan pada email dengan garis putih pada permukaan labial, dan sebagian restorasi resin komposit telah hilang. Pada pemeriksaan perkusi gigi terasa sakit, pada pemeriksaan palpasi gigi tidak sakit dan tidak ada mobilitas. Pemeriksaan radiografis memperlihatkan bahwa obturasi saluran akar tidak hermetis dan terlihat adanya area radiolusen yang jelas di sekitar apeks akar. Perawatan yang dilakukan pada pasien tesebut adalah perawatan ulang saluran akar, kemudian diikuti reseksi apeks, dan restorasi secara veneer direk dengan resin komposit. Evaluasi hasil perawatan menunjukkan bahwa pasien tidak merasakan sakit lagi, tidak ada lesi periapikal, dan pasien puas dengan restorasi veneer direk. Kesimpulan: Dapat disimpulkan bahwa apabila perawatan ulang saluran akar tidak berhasil, bedah endodontik adalah pilihan perawatan yang tepat untuk mendapatkan penyembuhan lesi pariapikal yang optimal dan restorasi estetik merupakan pilihan sehingga keberhasilan jangka panjang dapat dicapai. Background: The failure of root canal treatment can cause persistent pain and discolored tooth. Therefore it is recommended to conduct root canal retreatment followed by endodontic surgery and to esthetically restore tooth in order to accomplish satisfactory clinical outcome. The purpose of this case report is to describe the root canal retreatment followed by root-and resection and direct veneer restoration with resin composite of maxillary right central incisor. Case and Treatment: A 17 year-old male patient was referred for endodontic treatment of his maxillary right central incisor. In the clinical examination, it was observed that the color of tooth was brownish, a defect of enamel with white line on the labial aspect, and a partial detach of resin composite restoration. The tooth was tenderness to percussion, but palpation and mobility were whitin normal limits. Radiographic examination revealed a lack of hermetic obturation and an apparent radiolucency around the root apex. Root canal retreatment followed by root-and resection was performed. Afterwards, direct veneering with resin composite was carried out to permanently restore the tooth. Recall evalution was showed that the patient was asymptomatic, periapical lesion disappeared and patient was satisfactory with the restoration. Conclusion: It can be concluded that when root canal retreatment is unsuccessful, endodontic surgery is an important treatment option to improve periapical healing and increase the long term success. The choice of aesthetic permanent restoration is also crucial consideration to overcome the unaesthetic problems, hence the optimal treatment outcome can be achieved.

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Home Page

OAI Link

Editorial Team

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Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

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Contact Name
-

Contact Email
-

Phone
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Journal Mail Official
-

Editorial Address
-

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA