Perawatan Satu Kunjungan pada Premolar Pertama Atas Menggunakan Protaper Rotary dan Restorasi Resin Komposit

https://doi.org/10.22146/majkedgiind.8385

Sherli Diana(1*), Pribadi Santosa(2)

(1) Program Studi Ilmu Konservasi Gigi, Program Pendidikan Dokter Gigi Spesialis Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Bagian Konservasi Gigi, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Preparasi kemomekanik pada saluran akar meliputi instrumentasi mekanis dan irigasi antibakteri yang secara prinsip dapat langsung mengeliminasi mikroorganisme pada sistem saluran akar. sejak diperkenalkan pada tahun 1988, instrumen rotary nikel-titanium (niti) telah digunakan secara umum dalam perawatan endodontik karena kemampuannya membentuk saluran akar dengan prosedur komplikasi yang minimal. Tujuan dari laporan kasus ini adalah untuk memaparkan perawatan saluran akar satu kunjungan menggunakan protaper rotary dan restorasi resin komposit gigi premolar. Penderita pria 21 tahun datang ke RSGM Prof. Soedomo UGM Yogyakarta mengeluhkan gigi belakang atas kiri yang berlubang tapi tidak sakit dan pasien ingin  dirawat.Gigi  Premolar satu atas  kiri terdapat kavitas disto oklusal dengan pulpa terbuka. Pemeriksan objektif pada gigi 24 sondasi, perkusi, palpasi, dan tes termal menunjukkan hasil negatif.Pemeriksaan radiografis tidak terdapat lesi, lamina dura tidak terputus dan saluran akar jelas dan lurus. Pada kasus ini dilakukan perawatan saluran akar dengan menggunakan ProTaper rotary ( X-Smart, Dentsply). Pasca perawatan saluran akar, gigi premolar satu atas kiri dilakukan tumpatan resin komposit kelas II.Hasil evaluasi klinik saat kontrol tidak ada keluhan rasa sakit, pemeriksaan objektif juga tidak ada rasa sakit, warna gigi serasi dengan warna gigi tetangga.prognosis pada kasus ini baik dan tidak ada keluhan. Kesimpulan paska perawatan saluran akar satu kunjungan dengan instrumenrotary, tidak terdapat keluhan.Penggunaan Instrumen rotary Nikel-Titanium (NiTi) sangat flexible dengan prosedur komplikasi yang minimal, dan hemat waktu.

One Visit Treatment of Upper Premolar Tooth Using Rotary Protaper and Composite Resin Restoration. Chemomechanical preparation for root canal including mechanic instrumentation and anti-bacterial irrigation principally could eliminate microorganisms in root canal system. Many instruments and techniques have been described and developed for initial root canal treatment. Since first established in 1988, nikel-titanium (NiTi) rotary instrument has been used for endodontic treatment because of its capability in forming the root canal with minimal complication procedure. Clinically, safe use of NiTi instrument and understanding of the alloy basic metallurgy including fracture mechanism and its correlation with root canal anatomy in order to set the safe use of NiTi instrument are required. This research will explain about biological principal of root canal preparation with correct technique and instrumentation system using NiTi. A 21 year-old patient in RSGM Prof. Soedomo UGM Yogyakarta complained about his left side upper jaw, posterior teeth with cavity, painless and the patient wanted to treat the teeth. The left maxilla first premolar teeth has a distooclussal cavity, open pulp. Based on the radiograph test, there found no lession, lamina dura was fine, and root canal was clear and straight. In this case, the patient was treated with crown down rotary X-Smart (Dentsply) technique for root canal treatment. After the root canal treatment had been conducted, the teeth were restorated with class II composite resin. After the treatment, it is found that there is no pain in the teeth, the colour of teeth match with others, and the prognosis for this case is good.


Keywords


satu kunjungan, premolar,nikel-titanium alloy, perawatan saluran akar, protaper rotary; one visit, premolar, nikel-titanium alloy, root canal treatment, protaper rotary

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References

Grossman LI, Oliet S, dan Rio CED: Ilmu Endodontik dalam Praktek. Ed ke-11., EGC; 1995:127-193.

Bence R: Endodontik Klinik. UI-PRESS. Jakarta; 2005. p.15-56

Ruddle CJ.2001.The Protaper Advantage:Shaping The Future of Endodontics. Website:www.endoruddle.com/tc2pdf/12/PTAdvantage_Oct2001. pdf. Diunduh pada 12 Juni 2013.

Messer HH dan Wilson PR: Preparation for Restoration and Temporization. In:Walton RE, Torabinejad M. Principles and Practice of endodontics,3rded, Saunders,Philadelphia,; 2002. p. 268-94.

Daneshkazemi AR:Resistence of Bonded Composite Restorations to Fracture of Endodontically Treated Teeth. J Contemp Dent Prac. 2004. 15 (3) :51-8.

Nagasiri R and Chitmongkulsuk S: Long-term Survival of Endodontically Treated Molars Without Crown Coverage : A Retrospective Cohort Study. J Prosthet Dent. 2005; 164-70.

Turkun LS, Aktener BO and Ates M: Clinical Evaluation of Different Posterior Composite Materials : A 7-Year Report, Quintessence Int. 2003; 34:418-26.

Lasfargues JJ, Bukiet F, Tirlet G and Decup F: Bonded Partial Restorations for Endodontically Treated Teeth. In : Roulet JF, Wilson NHF, Fuzzi M, eds. Advances in Operative Dentistry; Contemporary Clinical Practice, Quintessence Pub: Illnois; 2009. p.191-209.

Sidharta W, Irawati S, Sutrisno S. Tingkat Kebersihan Hasil Irigasi Saluran Akar dengan Sodium Hipoklorit 2,5% secara manual dan Ultrasonik in Vitro. Majalah Ilmiah Kedokteran Gigi Ed.Khusus Forum Ilmiah VII. 2002; 411-15.

Bahrololoomi Z, Tabrizizadeh M,Salmani L. In vitro Comparison of Instrumentation Time and Cleaning Capacity between Rotary and Manual Preparation Techniques in Primary Anterior Teeth Journal of Dentistry, Tehran University of Medical Sciences

; 4.

Vaudt J, Bitter K, Kielbassa. Evaluation of Rotary Root Canal Instrument in vitro: a review. J Endo.2007; 1 (3): 189-203.

Baratto-Filho F, Leonardi DP, Zielak JC,Vanni JR,Sayao-Maia SM, Sousa-Neto MD. Influence of ProTaper finishing file and sodium hypochlorite on cleaning and shaping of mandibular central incisors-a histological analysis. J Appl Oral Sci. 2009;

(3):229-33.



DOI: https://doi.org/10.22146/majkedgiind.8385

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