Pasak fabricated FRC dan restorasi resin komposit pada insisivus sentral maksila karies sekunder dengan pulpa nekrosis

https://doi.org/10.22146/mkgk.31988

Sartika Putri Utami(1*), Ema Mulyawati(2)

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

Abstract


Karies sekunder dapat mengiritasi pulpa sehingga menyebabkan pulpa nekrosis bahkan hingga menyebabkan kelainan pada jaringan periapikal. Perawatan saluran akar (PSA) merupakan pilihan perawatan untuk menangani hal ini sebelum gigi direstorasi. Gigi anterior maksila pasca PSA membutuhkan restorasi dengan tingkat estetika yang tinggi dan juga membutuhkan retensi intrakanal yang dapat mendukung restorasi estetis. Pasak fabricated fiber-reinforced composite (FRC) adalah pilihan material yang dapat memenuhi kriteria tersebut. Penulisan ini bertujuan untuk melaporkan kasus PSA dengan restorasi resin komposit kavitas kelas IV dengan pasak fabricated FRC pada gigi insisivus sentral kiri maksila karies sekunder dengan nekrosis pulpa disertai lesi periapikal. Pasien perempuan berusia 22 tahun datang dengan keluhan ingin mengganti tumpatan gigi depan kiri atas yang sudah berubah warna. Gigi pernah sakit spontan 1 tahun yang lalu. Pemeriksaan radiograf menunjukkan adanya tumpatan pada permukaan mesial gigi dengan area radiolusen sepanjang margin tumpatan yang terletak dekat pulpa dengan area radiolusen berbatas difus di daerah periapikal. Perawatan saluran akar dan evaluasi satu minggu sesudahnya dilakukan sebelum dilakukan restorasi akhir berupa restorasi resin komposit kelas IV dengan pasak fabricated fiber-reinforced composite. Seleksi kasus yang tepat merupakan kunci keberhasilan suatu perawatan. Pasak fabricated FRC dengan restorasi resin komposit kavitas kelas IV merupakan pilihan yang tepat pada kasus ini untuk menangani gigi insisivus sentral maksila yang memiliki saluran akar lebar dan kehilangan jaringan keras gigi yang lebih sedikit. 

ABSTRACT: Fabricated FRC post with composite resin restoration on secondary caries and underlying necrose pulp of maxillary central incisor. Secondary caries can irritate the pulp, causing the pulp to necrose and even to cause abnormalities in the periapical tissue. Root canal treatment is the treatment of choice to deal with this before the tooth is restored. Maxillary anterior teeth after root canal treatment requires restoration results with a high aesthetic level and al so requires the intracanal retention that can support aesthetically restoration result. Fabricated fiber-reinforced composite (FRC) post is material that suits. To report a case of root canal treatment with class IV cavity composite resin restorations with fabricated FRC post in secondary caries with pulp necrosis with periapical lesion of left maxillary central incisor. Twenty two year-old female patient came to replace the upper left anterior tooth discolored filling. Spontaneous tooth pain 1 year ago was also reported. Radiographs showed the fillings at the mesial surface of the tooth with a radiolucent area along the fillings' margin located near the pulp with a diffuse margin radiolucent area in the periapical region. Root canal treatment and evaluation a week after that performed before cavity class IV composite resin restorations with fabricated FRC post as final restoration had done. Proper case selection is the success key of a treatment. Fabricated FRC post with composite resin restorations class IV cavity are an appropriate management option in this case to deal with maxillary central incisor which has a wide root canals and less of dental hard tissue loss. 


Keywords


FRC, karies sekunder, pasak fabricated fiber-reinforced composite, perawatan saluran akar, restorasi resin komposit , FRC, secondary caries, fiber-reinforced composite post, composite resin restoration, root canal treatment

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References

1. Kidd EM. Diagnosis of secondary caries. J Dent Educ. 2001: 65(10): 997 – 1000.

2. Mjör IA, Toffenetti F. Secondary caries: a literature review with case reports. Quintessence Int. 2000; 31(3): 165 – 179.

3. Ghom AG. Textbook of Oral Radiology. New Delhi: Elsevier; 2008. 486 – 487.

4. Pramod JR. Textbook of Oral Medicine 3rd ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd. 157 – 158.

5. Hoen MM, Frank E. Contemporary endodontic retreatments: An analysis based on clinical treatment findings. J Endod. 2002; 28: 834 – 837.

6. Fuss Z, Lustig J, Katz A, Tamse A. An evaluation of endodontically treated vertical root fractured teeth: impact of operative procedures. J Endod. 2001; 27: 46 – 48.

7. Barutcigil C, Harorli OT, Yildiz M. Restoration of crown fractures with a fiber post, polyethylene fiber and composite resin: a combined restorative technique with two case reports. Rev Clín Pesq Odontol. 2009; 5(1): 73 – 77.

8. Deliperi S, Bardwell DN. Reconstruction of nonvital teeth using direct fiberreinforced composite resin: a pilot clinical study. J Adhes Dent. 2009; 11(1): 71 – 78.

9. Oliveira SHG, Anami LC, Silva TM, Oliveira RS, Sales ALL, Oliveira AA. Intracanal post reinforcement in anterior teeth to prevent fractures. Braz Dent Sci. 2014; 17(3): 98 – 104.

10. Garg N, Garg A. Textbook of Operative Dentistry 2nd ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd. 325 – 326.



DOI: https://doi.org/10.22146/mkgk.31988

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