Retreatment Saluran Akar pada Gigi Anterior Rahang Atas dengan Follow Up Mahkota Komposit Indirek
DOI:
https://doi.org/10.35790/eg.v11i2.46434Abstract
Abstract: Endodontic treatment aims to eliminate infection, pain, and maintain teeth in the oral cavity. This case report discussed the indication, risks, and case management of root canal retreatment of tooth 61 in a five-year-old patient at the Dental and Oral Teaching Hospital, Cimahi, Indonesia. We reported a five-year-old girl with complaint of a large cavity in her upper anterior tooth since a year ago. She had a root canal treatment but the filling fell out. The treatment was root canal retreatment of maxillary anterior teeth followed by an indirect composite crown replacement. After completion of the treatment, there were no complaints in tooth 61 and the indirect composite crown had well adapted. In this case, retreatment was needed to prevent the risk of infection and pain due to marginal leakage that could occur due to the release of the restoration. Therefore, it was expected that due to pulpal treatment, the primary teeth could be maintained in their position. This aimed to prevent growth and development disorders of the jaw arch, so, it could function properly. In conclusion, retreatment of the root canal in this case aimed to prevent the occurrence of infection caused by the release of restoration on the tooth that had previous endodontic treatment. The ultimate goal of retaining the primary teeth in the oral cavity was to maintain the jaw arch’s esthetics and masticatory function.
Keywords: retreatment; root canal; aesthetics; mastication
Abstrak: Perawatan endodontik bertujuan untuk mengeliminasi infeksi, rasa nyeri, dan memper-tahankan gigi dalam ronga mulut. Laporan kasus ini membahas mengenai indikasi, risiko, dan penatalaksanaan kasus dari retreatment saluran akar gigi 61 pada pasien anak di Rumah Sakit Gigi dan Mulut Pendidikan (RSGMP). Kasus seorang anak perempuan, 5 tahun dengan keluhan gigi depan atas berlubang besar sejak 1 tahun lalu, pernah dilakukan perawatan saluran akar namun tambalannya terlepas. Perawatan yang dilakukan ialah retreatment saluran akar pada gigi anterior rahang atas dengan follow up mahkota komposit indirek. Setelah selesai dilakukan perawatan, tidak ada keluhan pada gigi 61 dan mahkota komposit indirek telah beradaptasi dengan baik. Retreatment diperlukan pada kasus ini dengan tujuan untuk mencegah terjadinya risiko infeksi dan nyeri akibat kebocoran marginal yang dapat terjadi akibat terlepasnya restorasi. Dengan perawatan pulpa gigi sulung, gigi dapat dipertahankan pada posisinya. Hal ini bertujuan agar tidak terjadi gangguan tumbuh kembang pada lengkung rahang dan dapat berfungsi sebagaimana mestinya. Simpulan kasus ini ialah retreatment saluran akar bertujuan untuk mencegah terjadinya infeksi akibat terlepasnya restorasi pada gigi yang telah dilakukan perawatan endodontik sebelumnya, dengan tujuan akhir mempertahankan gigi sulung di rongga mulut untuk menjaga lengkung rahang, estetika, dan fungsi mastikasi.
Kata kunci: retreatment; saluran akar; estetik; mastikasi
References
Kazeminia M, Abdi A, Shohaimi S, Jalali R, Raygani A, Salari N, et al. Dental caries in primary and permanent teeth in children’s worldwide, 1995 to 2019: a systematic review and meta-analysis. Head Face Med. 2020;16(22):1-21.
Yusuf T, Jeffrey J. Comprehensive treatment for eight years old child with rampant caries. JMH. 2020;2(5): 89-101. Doi: https://doi.org/10.28932/jmh.v2i5.1843.
Nisha G, Amit G. Textbook of Endodontics (2nd ed). India: Jaypee Brothers Medical Publishers Ltd; 2019. ISBN: 9789352705351.
Songvejkasem M, Auychai P, Chankanka O, Songsiripradubboon S. Survival rate and associated factors affecting pulpectomytreatment outcome in primary teeth. Clin Exp Dent Res.2021;7(6):978–986.
Goerig AC, Camp JH. Root canal treatment in primary- teeth: a review. Pediatric Dentistry. 2015;5(1): 33–7.
Dummett CO, Kopel HM. Pediatric Endodontics (1st ed). Switzerland: Springer; 2016. p. 74-95.
American Academy of Pediatric Dentistry (AAPD). Guideline on pulp therapy for primary and immature permanent teeth. Clinical Practice Guidelines. Clinical Affairs Committee – Pulp Therapy Subcommittee. Reference Manual. 2014;38(6):280-4.
Chen X, Liu X, Zhong J. Clinical and radiographic evaluation of pulpectomy in primary teeth: a 18-months clinical randomized controlled trial. Head Face Med. 2017;13(1):12. Doi: 10.1186/ s13005-017-0145-1.
Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2018;5(5): CD003220. Doi: 10.1002/14651858.
Ahmed HM. Anatomical challenges, electronic working length determination and current developments in root canal preparation of primary molar teeth. Int Endod J. 2013;46(11): 1011–22. Available from: https://doi.org/10.1111/iej.12134.
Zahdan BA, Szabo A, Gonzalez CD, Okunseri EM, Okunseri CE. Survival rates of stainless steel crowns and multi-surface composite restorations placed by dental students in a pediatric clinic. J Clin Pediatr Dent. 2018;42:167e72.
Coll JA, Vargas K, Marghalani AA, Chen CY, Al Shamali S, Dhar V, et al. A systematic review and meta-analysis of nonvital pulp therapy for primary teeth. Pediatr Dent. 2020;42(4):256–461
Coll JA, Dhar V, Vargas K, Chen CY, Crystal YO, AlShamali S, et al. Use of non-vital pulp therapies in primary teeth. Pediatr Dent. 2020;42(5):337-49.
Tabassum S, Khan FR. Failure of endodontic treatment: the usual suspects. Eur J Dent. 2016;10(1):144-7. Doi: 10.4103/1305-7456.175682.
Pediarahma A, Rizal MF. Zinc oxide eugenol–formokresol root canal treatment fails to treat a deciduous tooth with dentoalveolar abses. Journal of Dentistry Indonesia. 2014;21(3):102-6.
Najjar RS, Alamoudi NM, El-Housseiny AA, Al Tuwirqi AA, Sabbagh HJ. A comparison of calcium hydroxide/iodoform paste and zinc oxide eugenol as root filling materials for pulpectomy in primary teeth: a systematic review and meta-analysis. Clin Exp Dent Res. 2019;5(3):294-310. Doi: 10.1002/cre2.173.
Dou G, Wang D, Zhang S, Ma W, Xu M, Xia B. A retrospective study on the long-term outcomes of pulpectomy and influencing factors in primary teeth. J Dent Sci. 2022;17(2):771-9.
Chen Y, Li H, Li M, Yang L, Sun Q, Chen K. Analysis of survival and factors associated with failure of primary tooth pulpectomies performed under general anaesthesia in children from South China. Int J Paediatr Dent. 2020;30(2):225-33.
Cancio V, Carvalho Ferreira DD, Cavalcante FS, Rosado AS, Teixeira LM, Oliveira QB, et al. Can the Enterococcus faecalis identified in the root canals of primary teeth be a cause of failure of endodontic treatment? Acta Odontol Scand. 2017;75(6):423-8. Doi: 10.1080/00016357.2017. 1328742.
Mustafa M, Almuhaiza M, Alamri HM, Abdulwahed A, Alghomlas ZI, Alothman TA, et al. Evaluation of the causes of failure of root canal treatment among patients in the City of Al-Kharj, Saudi Arabia. Niger J Clin Pract. 2021;24(4):621-8.
Aljabri MK, Kensara JA, Mandorah AO, Sunbul MA. Causes of root canal treatment failure: a prospective study in Makkah City, Saudi Arabia. Saudi J Oral Sci. 2020;7(1):40-5.
Moskovitz M, Sammara E, Holan G. Success rate of root canal treatment in primary molars. J Dent 2005;33:41e7. J Dent Sci. 2005;33(1):41-7.
Brustolin JP, Mariath AAS, Ardenghi TM, Casagrande L. Survival and factors associated with failure of pulpectomies performed in primary teeth by dental students. 2017;28(1):121-8. Doi: 10.1590/0103-6440201601009.
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