Single Visit Endodontic in the Management of Symptomatic Irreversible Pulpitis and Pulp Necrosis with Apical Periodontitis: Report of Two Cases

Dennis, Saya; Nurliza, Cut

doi:10.19070/2377-8075-1700083

Cited by 2 publications

(4 citation statements)

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“…8,9 Meskipun masih menjadi dilema, dengan kemajuan teknologi dan instrumen membuat perawatan endodontik sekali kunjungan dapat memberikan hasil yang baik. [10][11][12] Tujuan laporan kasus ini adalah menjelaskan penatalaksanaan endodontik sekali kunjungan kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik.…”

Section: Pendahuluanunclassified

“…Seperti dalam kasus Dennis dan Nurhaliza yang melakukan perawatan endodontic sekali-kunjugan pada gigi dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik gigi posterior. 12 Kasus ini, pasien tidak memiliki keluhan rasa sakit pasca perawatan setelah dievaluasi 2 minggu pasca perawatan. Hasil laporan kasus ini sesuai dengan penelitian sebelumnya yang mengatakan bahwa rasa sakit pasca tindakan perawatan sekali maupun multi-kunjungan sama.…”

Section: Pembahasanunclassified

“…Studi juga menunjukan perawatan sekali kunjungan sedikit lebih efektif dibandingkan multi-kunjungan pada kasus gigi non vital dengan periodontitis apikalis. 1,3,6,[9][10][11][12] Penelitian menunjukan komplikasi pasca tindakan lebih rendah dan lebih efektif dengan dilakukan perawatan sekali kunjungan. 9 Penggunaan sistem single-file rotary dikembangkan untuk mempersingkat protokol instrumentasi.…”

Section: Pembahasanunclassified

“…20,21 Seperti pada kasus Dennis dan Nurhaliza yang menggunakan restorasi onlay pasca perawatan endodontic sekali-kunjungan. 12 Kasus ini, kontrol dilakukan 2 minggu pasca sementasi restorasi onlay indirek. Pasien merasa puas dengan perawatan yang diberikan dalam durasi kunjungan yang minimal, tanpa ada rasa sakit dan nyaman digunakan untuk makan dan mastikasi.…”

Section: Pembahasanunclassified

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Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik: laporan kasus

Jesslyn,

Iskandar,

Suwartini

2024

J Ked Gi Unpad

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Pendahuluan: Perawatan endodontik sekali kunjungan adalah perawatan saluran akar dari tahapan preparasi, disinfeksi serta obturasi dilakukan pada kunjungan yang sama. Beberapa faktor seperti jumlah saluran akar, ketersediaan waktu, kemampuan operator, keadaan pasien serta gejala dari gigi perlu dipertimbangkan dalam pemilihan kasus serta rencana perawatan. Disinfeksi dan hasil obturasi ditentukan oleh proses preparasi mekanis serta larutan irigasi. Tujuan laporan kasus ini adalah menjelaskan penatalaksanaan endodontik sekali kunjungan kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik. Laporan kasus: Pasien laki-laki berusia 25 tahun datang untuk memperbaiki gigi molar pertama kiri mandibula tanpa ada keluhan rasa sakit maupun rasa tidak nyaman. Pemeriksaan klinis dan radiografis menunjukan nekrosis pulpa disertai periodontitis apikalis asimptomatik pasien dilakukan perawatan endodontik sekali kunjungan. Preparasi biomekanis dilakukan dengan single file NiTi rotary hingga #25,06, dan irigasi dilakukan dengan NaOCl 5,25, EDTA 17% serta CHX 2% dengan aktivasi sonic. Obturasi dilakukan dengan teknik warm vertical compaction menggunakan siler bioceramic dan guta-percha single cone. Setelah itu direstorasi dengan indirek onlay komposit. Terdapat beberapa keuntungan dan kerugian dalam melakukan perawatan endodontik sekali kunjungan. Studi menunjukan penyembuhan dari perawatan sekali maupun multi kunjungan sama. Keberhasilan perawatan didukung dari reduksi bakteri, obturasi yang hermetis, serta restorasi koronal yang adekuat. Disinfeksi saluran akar lebih penting dalam perawatan saluran akar dibandingkan jumlah kunjungan perawatan. Simpulan: Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikal asimptomatik mengurangi durasi perawatan dan dapat mengembalikan fungsional gigi dengan tingkat keberhasilan yang sama dengan perawatan multi kunjungan. kata kuncisekali kunjungan, endodonti, perawatan, desinfeksi saluran akar, nekrosis pulpa, periodontitis apikalis asimptomatikSingle-visit endodontic treatment on first mandibular left molar with necrotic pulp and asymptomatic apical periodontitis: a case reportABSTRACTIntroduction: Single-visit endodontics implies an endodontic treatment from cleaning, shaping, and disinfection until obturation at the same appointment. Several factors including the number of rots, time availability, clinician’s skill, patient’s acceptance, and symptoms need to be considered in case selection. The process of cleaning and shaping determines both the degree of disinfection and ability to obturate the canals. This case resort aimed to describe management of a single-visit endodontic treatment on first lower mandible left molar with necrotic pulp and asymptomatic apical periodontitis. Case report: A 25-year-old male came to restore his mandible left molar without any pain or discomfort. Clinical and radiographic examination showed a necrotic pulp with asymptomatic apical periodontitis. Single-visit endodontic treatment was conducted. The Preparation was done using a #25.06 single-file NiTi rotary, in combination with 5,25% NaOCl, 17% EDTA, and 2% CHX Irrigation steps was done with sonic activation. The canals were obturated with single-cone gutta-percha and bioceramic sealer by warm vertical compaction technique. The tooth then undergone restored with an indirect composite overlay restoration. There are advantages and disadvantages to a single-visit treatment. Studies showed that the healing rate of single and multiple-visit root canal treatment is similar. Reduction of bacteria, hermetic obturation, and satisfactory coronal restoration can result in a successful outcome. Regardless of the number of appointments, effective disinfection of the root canal is critical. Conclusion: Single-visit treatment reduces the number of appointments and restored tooth function with a similar success rate compared to multi-visit treatment. Keywordsingle-visit, endodontic, treatment, root canal irrigants, dental pulp necrosis, apical periodontitis

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Section: Pendahuluanunclassified

Section: Pembahasanunclassified

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Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik: laporan kasus

Jesslyn,

Iskandar,

Suwartini

2024

J Ked Gi Unpad

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One visit endodontic on asymtomatic mummificated mandibular molar

Ardjanggi

Wahjuningrum

Yuanita

et al. 2020

CDJ

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Background. The main goal of root canal treatment is the prevention or treatment of apical periodontitis, which leads to the preservation of natural teeth. Traditionally, root canal treatment is carried out in a number of visits, using extra disinfecting agents in addition to irrigant used during cleaning and shaping procedures that primarily aim to reduce or eliminate microorganisms and their byproducts. from the root canal system before it is obtained. Recent advances in Endodontic technology, attracting dental experts and endodontists to perform root canal treatment in one visit. Numerous studies evaluate the effectiveness of single-versus multiple-appointment root canal treatment have been published, which reported no significant differences in effectiveness (healing rates) between these two treatment regimens.Purpose : preservation of the integrity of the molar teeth that have symptomatic complaints by taking proper care with a short visit time. Caset: A 21-year-old woman presents with concern in her lower left tooth, the patient tells that the tooth had been treated before at the dentist when she was a child. On clinical examination there is a composite restoration in occlusal tooth # 36, non vital teeth. On periapical radiology there are radiopaque on pulp chamber and a diffuse radiolucent area in the apical area of tooth # 36, then the diagnosis then determined Previously initiated therapy with asymptomatic apical periodontitis. Case Management : Tooth # 36 treated with one visit root canal treatment, Treatment is continued with fiber post installation and crown, patients no longer complain of pain after treatment. Teeth function normally again. Conclusion: One visit root canal treatment can successfully eliminate patient complaints and restore tooth function.

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Single Visit Endodontic in the Management of Symptomatic Irreversible Pulpitis and Pulp Necrosis with Apical Periodontitis: Report of Two Cases

Cited by 2 publications

References 10 publications

Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik: laporan kasus

Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik: laporan kasus

One visit endodontic on asymtomatic mummificated mandibular molar

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