Endodontic ReTreatment on Upper Left First Incisive (With previously cemented PFM Crown and Ledge canal)

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 treatmen

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Endodontic ReTreatment on Upper Left First Incisive
(With previously cemented PFM Crown and Ledge canal)
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Sometimes, we found out a patient with a good-newly-cemented crown but had a persistent pain. And sometimes, the diagnosis is confusing. Thanks to radiographic image on giving the unseen image from our eyes..
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Yes.. i got this case a referral from my friend, a dentist, who found out that a problem of persistent pain was from unfinished root canal treatment.
From my patient explanation, this RCT was done around less than 1 year ago, and the crown was made in 6 to 8 months ago. Xray image showed an under obturation and a radiolucent at the apical.
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dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta dia psa 21 ok

After taking a proper informed consent, i started the dental treatment.. i placed Rubberdam (blossom sheet and sanctuary clamp).
I opened the access through the crown from palatal. Cleaning and shaping was done with protaper next (dentsply) and sodium hypochlorite 5,24% also with EDTA.
I have no idea on the obturation material used by previous operator. It was grey and thick. I assume it was not a guttapercha nor plastic.
Then.. I Agitated with Endoactivator (dentsply). After obturation was completed, i seal the coronal portion with low shrinkage stress flowable composite, Filtek Bulkfill (3M). Xray evaluation with Vistaray 7.1 (Durr) showed an intact margin of guttapercha, composite resin, and dentin. Also a well manage ledge at the root canal.

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This case still on progress, to be continued in SekilasKonservasiGigi.Com

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Hope this dental treatment will be long last.
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Wassalammualaikum Wr Wb..

-drg. Rio Suryantoro, Sp.KG-

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