When Metal Onlay Failed and Endo Do the Rest

Assalammualaikum Wr Wb.. Good Morning!!

welcome back to SekilasKonservasiGigi.Com, a full story of my mini series updated from my social media such as instagramfacebookgoogle plus, and also twitter. Sometimes, I also updated my cases at Line or Linkedin. :) this topic will focus only on conservative dentistry cases such as restorative dentistry and endodontic or root canal treatment.

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Endodontic Time: When (metal) Onlay Failed
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A patient came with a spontaneous pain on his upper left tooth, and a gum boil at the gingiva. There were two teeth suspected as the cause of this infection, it could be one of it, or even both. So, i decided to take periapical xray with gutta percha to trace the infection through thr lession. Yet, the main cause was the first premolar.
After taking proper consent, i started removing the onlay prior to start endodontic treatment.

dokter gigi rio suryantoro spesialis konservasi jakarta perawatan endo PREMOLAR 1 Syaf mypdmei 16

Caries removal was done thoroughly to save remaining tooth structure as much as possible. Then, i rebuild up the distal wall using composite resin (Filtek Bulkfill from 3M) with Omni Matrix (Ultradent).
Cleaning and shaping was done with ProtaperNext (dentsply), and coronally sealed with low_shrinkage_stress flowable composite (filtek_bulkfill flow from 3M). Xray evaluation using VistsRay 7.1 at 70kV, 2mA, 0,08 seconds.
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Hope this treatment will be long last
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Wassalammualaikum Wr Wb..

-drg. Rio Suryantoro, Sp.KG-

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