Root Canal Treatment and PFM Crown Restoration of Tooth 21 with Inclination Correction: A Case Report
(1) University of Muhammadiyah Semarang
(2) University of Muhammadiyah Semarang
(*) Corresponding Author
Abstract
Introduction: The permanent maxillary central incisor is an anterior tooth with a high risk of developing cavities. If left untreated, cavities can progress to pulp and periodontal diseases, which are indications for endodontic treatment, specifically root canal treatment (RCT). In cases where extensive damage occurs after RCT, a full crown is needed to ensure restoration durability and aesthetics. This can be achieved using a fiber post and a porcelain-fused-to-metal (PFM) crown.
Case Report: A 48-year-old female patient visited RSGMP UNIMUS, complaining of a cavity in her upper left front tooth. The diagnosis for tooth 21 was Acute Apical Endodontitis (AAE) with pulp necrosis and normal apical tissue. The planned treatment included root canal treatment followed by PFM crown restoration with fiber-reinforced composite (FRC) post support. The treatment results showed that the tooth functioned well and achieved good aesthetics.
Conclusion: Root canal treatment and PFM crown restoration of tooth 21 with inclination correction showed a high success rate. The patient reported no complaints, the PFM crown remained intact without discoloration, adapted well to the surrounding tissues, had a negative palpation test, and showed no signs of traumatic occlusion.
Keywords
References
Talli, R., & Ilmi, A. A. (2022). Prosedur Pembuatan Jacket Crown Berbahan IPS E-Max Press Pada Gigi Incisivus Centralis Regio Maxilla Sinistra. Indonesian Health Journal, 1(1), 35-47.
Obi, A. L., & Variani, R. (2021). Pengaruh gigi anterior atas yang berjejal terhadap status kebersihan gigi dan status karies gigi pada mahasiswa. Jurnal Cakrawala Ilmiah, 1(3), 355-362.
Yulistina., Sultan Amin Yasin., Arsad., Rezki Dirman., & Rahmah. (2023). Hubungan Tingkat Pengetahuan Pasien dengan Minat Perawatan Saluran Akar Gigi di Poli Gigi RS Daerah Beriman Balikpapan 2023. Journal of Pharmaceutical and Health Research, 4(2), 297-302.
Kartinawanti, A. T., & Asy'ari, A. K. (2021). Penyakit pulpa dan perawatan saluran akar satu kali kunjungan. JIKG (Jurnal Ilmu Kedokteran Gigi), 4(2), 64-72.
Wiratama, I. P. (2021). Perawatan Saluran Akar Satu Kali Kunjungan Dengan Restorasi Full Coverage Pada Gigi Premolar Kedua Kiri Rahang Bawah: Laporan Kasus. SONDE (Sound of Dentistry), 6(1), 34–44. DOI: https://doi.org/10.28932/sod.v6i1.3794
Silva G, Castilhos E, Masotti A, Rodrigues S. (2012). Dental Esthetic Self-perception of Brazilian Dental Students. RSBO; 9(4): 375 – 381.
Kalalo, W. W., Johanna, A., & Supit, A. S. (2022). Restoration of post root canal treatment. e-GiGi, 10(1), 75-80. DOI: https://doi.org/10.35790/eg.v10i1.38207
Brahmanta, A. (2021). Potensi Terapi Hiperbarik Oksigen Dalam Ortodonti: Percepatan Pergerakan Gigi. Airlangga University Press.
Febrianifa, E., & Hadriyanto, W. (2016). Restorasi pasca one visit endodontik dengan perbaikan malposisi dan selective Contouring. MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM, 2(1), 32-38.
Fitria, I., Gunawan, G., Al Annuri, Q. F., & Rifani, A. (2022). Fixed Prosthodontic Treatment of Patient with Anterior Deep Bite-A case report. Andalas Dental Journal, 10(2), 92-97. DOI: https://doi.org/10.25077/adj.v10i2.226
Wong, J., Manoil, D., Näsman, P., Belibasakis, G. N., & Neelakantan, P. (2021). Microbiological aspects of root canal infections and disinfection strategies: an update review on the current knowledge and challenges. Frontiers in Oral Health, 2, 672887.
Sidiartha, I. G. A. F. N., & Parama, P. W. (2020). Management Of Ellis Fracture Class III On 11 With Pulpectomy and Core Crown Restoration. Interdental Jurnal Kedokteran Gigi (IJK G), 16(2), 28-35.
Widyastuti, N. H., & Nurhabibah, G. (2021). Nonvital Root Canal Treatment of Necrotic Maxillary Left Lateral Incisor: A Case Report. Proceeding ISETH (International Summit on Science, Technology, and Humanity), 19-24. DOI: https://doi.org/10.23917/iseth.324
Soedjono, P., Mooduto, L., dan Setyowati, L. (2019). Penutupan apeks pada pengisian saluran akar dengan bahan kalsium oksida lebih baik dibanding kalsium hidroksida, Jurnal PDGI, vol. 58, No. 2.
Sidiartha, I. G. A. F. N., & Sutela, I. G. M. Y. (2020). Penatalaksanaan Restorasi Komposit Kelas Iv Dan Pasak Richmond Pasca Perawatan Saluran Akar. Interdental Jurnal Kedokteran Gigi (IJKG), 16(1). DOI: https://doi.org/10.46862/interdental.v16i1.684
Faizarani, M., & Prisinda, D. (2021). Pre endodontic build-up with canal projection technique on maxillary lateral incisors with extensive crown damage. Jurnal Kedokteran Gigi Universitas Padjadjaran, 33(2), 101-111. DOI: https://doi.org/10.24198/jkg.v33i2.29521
Pedrollo Lise D, Van Ende A, De Munck J, Umeda Suzuki TY, Cardoso Vieira LC, Van Meerbeek B. Biomechanical behavior of endodontically treated premolars using different preparation designs and CAD/CAM materials. J Dent. 2017;59:54-61.
Dewi, R. R., Hartomo, B. T., & Ashar, F. (2021). Porcelain fused to metal in vital crown with extensive caries at dentin depth: A case report. Makassar Dental Journal, 10(1), 24-28.
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