Perawatan saluran akar pada gigi parulis dengan restorasi resin komposit diperkuat pita fiber

Yunnie Adisetyani; Ema Mulyawati

doi:10.22146/mkgk.33760

Perawatan saluran akar pada gigi parulis dengan restorasi resin komposit diperkuat pita fiber

https://doi.org/10.22146/mkgk.33760

Yunnie Adisetyani^(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

Parulis disebut juga dengan gumboil merupakan lesi oral yang ditandai dengan erythematous papule lunak (red spot), merupakan titik fistula drainase dari abses periapikal ke dalam rongga mulut. Parulis dapat disembuhkan dengan melakukan perawatan saluran akar yang adekuat. Perawatan saluran akar sebisa mungkin dapat menghilangkan bakteri dari saluran akar dengan menciptakan lingkungan di mana organisme tidak dapat berkembang, untuk mencapai kondisi tersebut maka perlu menganut prinsip Triad Endodontik. Untuk menunjang keberhasilan perawatan saluran akar, diperlukan suatu restorasi yang adekuat. Restorasi akhir yang digunakan pada kasus ini adalah tumpatan resin komposit dengan penguat pita fiber (Fiber Reinforced Composite). Tujuan laporan kasus ini untuk melaporkan perawatan saluran akar pada molar satu kanan mandibula nekrosis pulpa disertai parulis dengan restorasi resin komposit kavitas kelas II dengan penguat pita fiber. Seorang pasien perempuan berusia 23 tahun datang dengan keluhan sakit pada gigi geraham belakang kanan bawah disertai pembengkakan pada gusi disekitar gigi tersebut sejak 7 hari yang lalu. Pembengkakan sering hilang timbul sejak 4 bulan terakhir. Pada Kasus ini dilakukan PSA dilanjutkan restorasi resin komposit diperkuat pita fiber, berhasil dilakukan pada kasus karies profunda dengan nekrosis pulpa disertai lesi bifurkasi dan periapikal. Keberhasilan perawatan dipengaruhi oleh prosedur perawatan saluran akar dan restorasi yang benar, ditandai dengan tidak adanya keluhan serta menghilangnya jaringan parulis.

ABSTRACT: Root canal treatment on the tooth with parulis followed by fiber reinforced resin composite restoration. Parulis is also called a gumboil is an oral lesion characterized by a soft erythematous papule (red spot), where a fistula from a periapical abscess is draining into the oral cavity. Parulis can be cured with adequate root canal treatment. Root canal treatment as much as possible can remove bacteria from the root canal to create an environment in which the organisms can not develop, to achieve these conditions it is necessary adhere to the principle Triad Endodontics. To support the success of root canal treatment, required an adequate restoration. Final restoration which used in this case is restoration resin composite with reinforcing fiber ribbon (Fiber Reinforced Composite). The purpose of this case report is to report on the root canal treatment with composite resin restorations direct onlay class II cavities with reinforcing fiber ribbon on the right mandibular molar pulp necrosis accompanied parulis. A 23-year-old female patient came with complaints of pain in the lower right rear molars accompanied by swelling of the gums around the teeth since 7 days ago. Swelling often intermittent since last 4 months. These case do root canal treatment and followed by fiber reinforced resin composite restoration, successfully performed on profunda caries with necrosis pulpa with bifurcation lesion and periapical. The success of dental care is affected by the right procedures of root canal treatment and restoration, marked by the absence of complaints as well as the disappearance of parulis.

Keywords

perawatan saluran akar, parulis, fiber reinforced composite, root canal treatment, parulis, composite resin, fiber ribbon

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References

1. Hui KC, Nah NC, Eng TK, Choon EL, Kian CL, Chee PS. Guidelines for root canal treatment. Singapore Dent J. 2004; 26(1): 60 – 62.

2. Johnson KL. A comparison of the effectiveness of three irrigation methods in the removal of bacteria from root canals following instrumentation. Chapel Hill; 2011. 1 – 34.

3. Tarigan R, Tarigan G. Perawatan pulpa gigi (Endodonti), ed.3. Jakarta: Penerbit Buku Kedokteran, EGC; 2012. 39 – 40.

4. Cohen S, Hargreaves K. Pathways of the Pulp. Mosby: st. Louis; 2011. 12.

5. Grossman LI, Oliet S, Del Rio CE. Ilmu endodontik dalam praktek (terj.), ed.11. Jakarta: Penerbit Buku Kedokteran EGC; 1995. 69, 93 – 96.

6. Walton RE, Torabinejad M. Prinsip dan praktik ilmu endodonsia, ed.3. Jakarta: Penerbit Buku Kedokteran EGC; 2003: 94, 301-302.

7. Ellakwa AE, Shoetall AC, Shehata MK, Marquis PM. Influence of bonding agent composition on flexural properties of an ultra-high molecular weight polyethylene fiber reinforced composite. Oper Dent. 2002; 27:184-91.

8. Harty FJ. Endodontik klinis (terj.), ed. Ke3. Jakarta: Hipokrates;1992. 21–53.

9. Tatsuta CT, Morgan LA, Baumgartner JC, Adey JD. Effect of calcium hydroxide and four irrigation regimens on instrumented and uninstrumented canal wall topography. J Endod.1999; 25(2):93-98.

10. Rodig T, Hirschleb M, Zapf A, Hulsmann M. Comparison of ultrasonic irrigation and rinsendo for the removal of calcium hydroxide and ledermix paste from root canals. Int Endod J. 2011; 44: 1155 – 1161

11. Desai P, Himel V. Comparative safety of various intracanal irrigation system. J Endod. 2009; 35: 545 – 549.

12. Calliskan ML, Turkun M, Turkun Ls. Effect of calcium hydroxide as an intracanal dressing on apical leakage. Int Endod Journal. 1998; 31: 173 – 177.

13. Herrero AA, Yaman P, Dennison JB. Polimerization shrinkage and depth of curve of packable composite. Quintessence Int. 2005; 36(1): 25 – 31.

14. Sajjan RMGS, Kusmaraswamy BN, Mittal N. Effect of different placement techniques on marginal microleakage of deep class-ii cavities restored with two composite resin formulations. J Conserv Dent. 2010; 13(1): 9 – 15.

DOI: https://doi.org/10.22146/mkgk.33760