table clinic/hands on

(1)

ONE VISIT ENDODONTIC

(2)

WHAT IS ENDODONTIC

• _{branch of dentistry concerned with}

the morphology, physiology and

pathology of the human dental pulp and periradicular tissues.

• _{Its study and practice encompass the}

basic and clinical science including the etiology, diagnosis, prevention and treatment of diseases and

injuries of the pulp and associated periradicular conditions. (AAE, 2003)

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(3)

Case selection

• _{Mudah dicapainya foramen}

apikal

• _Restorable

• _{Nilai strategik kasus}

(prognosis)

(4)

Indication

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(5)

Contra indication

• _{Perluasan infeksi melebihi 1/3 akar} • _{Apeks belum menutup sempurna} • _{Perforasi lateral}

• _{Banyak exudat pada gigi}

• _{Re-treatment dengan kondisi}

guttap tertinggal

• _{Infeksi akut pasca obturasi}

(6)

Dasar perawatan endodontik

(triad endodontik)

1. Akses opening

2. Preparasi biomekanis 3. Disinfeksi

4. Obturasi

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(7)

Dasar perawatan endodontik (triad endodontik)

Menurut Patel S (2008)

1. Pre operative assesment and preparation

2. Preparation of pulp space (access and desinfectan)\ 3. Sealing the pulp space

4. Provision of sealing

(8)

Pre operative assesment

endodontik

1. Interpretasi radiograf 2. Diagnosis

3. Prognosis

4. Penghilangan jaringan karies 5. Struktur mahkota

supragingiva

6. Restorasi pasca endodontik

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(9)

Akses opening

1. Anatomic of pulp chamber/ orifice 2. Anatomic of root canal

(10)

Akses opening

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(11)

(12)

X Ray Observation

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12

Tooth Structure

Root Canal Interpretation

(Anatomy, Curvature, Number of canals, Obstruction, Perforation, structure and surrounding Bone )

Lession

(13)

Preparasi biomekanis

1. Eksplorasi 2. Ekstirpasi 3. Irigasi

(14)

Preparasi saluran akar

1. Preparasi corong

2. Mempertahankan bentuk saluran akar semula

3. Convenience form

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(15)

Preparasi Saluran Akar

• _{Untuk menghilangkan MO dan}

jaringan pulpa pada permukaan saluran akar (mekanis)

• _{Untuk menaikkan kapasitas} saluran akar dan debridemen efektif

(16)

• _{Step back} • _{Crown down}

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(17)

Irigasi Saluran Akar

1. Membunuh mikroorganisme 2. Menghilangkan fragmen

jaringan pulpa, dentin dan debris

(18)

Irigasi Saluran Akar

• _{Sodium Hypochlorite (}_chlorcid,

Chlor-Xtra)

• _H2O2

• _{EDTA/CA (}_{glyde, smear clear}₎

• _{Chlorhexidine (}_{Concepsis, Minosep,}

CHX plus)

• _{Garam fisiologis (saline}_NaCl₎ • _{Sterile water}

• _Iodine

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