Penatalaksanaan Perforasi Korona pada Pulpektomi Gigi Decidui
DOI:
https://doi.org/10.18196/di.8209Keywords:
Perforasi endodontik, Perforasi korona, Pulpektomi deciduiAbstract
Perforasi iatrogenik merupakan salah satu resiko yang sering terjadi dalam perawatan endodontik yang disebabkan oleh kesalahan operator. Perforasi dapat terjadi pada apeks, lateral atau korona. Perawatan untuk perforasi dapat dilakukan dengan bedah atau non bedah. Prognosis dari perforasi endodonti dipengaruhi oleh beberapa faktor antara lain adalah waktu terjadinya perforasi, lokasi perforasi dan besarnya perforasi. Tujuan laporan kasus ini untuk melaporkan perawatan perforasi korona pada pulpektomi gigi decidui. Kasus seorang anak laki-laki usia 6 tahun datang bersama ibunya dengan keluhan gigi bawah belakang kanan sering sakit tiba-tiba sejak tiga bulan yang lalu. Diagnosis pada gigi molar pertama kanan rahang bawah adalah karies profunda kelas I dengan pulpitis irreversible. Perawatan yang dilakukan adalah pulpektomi. Dalam proses perawatan terjadi perforasi korona di mesial yang disebabkan oleh trauma bur preparasi saat dilakukan pembukaan atap pulpa. Perawatan pulpektomi tetap dilanjutkan dengan menutup daerah perforasi dengan zinc phosphat cement dan diakhiri dengan tumpatan tetap stainless steel crown (SSC). Kesimpulan dari laporan kasus ini yaitu perawatan perforasi korona dengan non bedah pada pulpektomi gigi decidui mempunyai prognosis yang baik. Perawatan dilakukan dengan bahan tumpatan yang memiliki ketahanan terhadap saliva dan tidak mengiritasi pulpa ataupun gingiva.
References
Ree, M., & Schwartz, R. Management of perforations: four cases from two private practices with medium-to long-term recalls. J. Endod. 2012; 38(10): 1422-1427.
American Association of Endodontists. Glossary of Endodontic Terms. 9th ed. Chicago: American Association of Endodontists. 2016; 1-50.
Estrela, C., Decurcio, D. D. A., Rossi-Fedele, G., Silva, J. A., Guedes, O. A., & Borges, Á. H. Root perforations: a review of diagnosis, prognosis and materials. Braz Oral Res. 2018; 32(e73): 133-146.
R, Krishna., SN, Ali., D, Pannu., ME, Peacock., DL, Bercowski. An Orderly Review of Dental Root Resorption. IJMDS. 2015; 4(1): 669-673.
Grossman, Louis I., Abyono, Rafiah., Rio, Carlos E Del., Oliet, Seymour., Ilmu Endodontik dalam Praktek Ed 11. Jakarta: EGC. 1995
Lanker, A., Fathey, W., Samar, S., Imranulla, M., & Pasha, S. Non-surgical management of iatrogenic lateral root perforation: a case report. J Res Med Sci. 2018; 6(5): 1804-1807.
Tsesis, I., & Fuss, Z. V. I. Diagnosis and treatment of accidental root perforations. Endod Topics. 2006; 13(1): 95-107.
Tabassum, S., & Khan, F. R. Failure of endodontic treatment: The usual suspects. Eur J Dent. 2016; 10(01): 144-147.
Hargreaves, Kenneth M., Cohen, Stephen., Berman, Louis H., Cohen’s Pathways of The Pulp 11th ed. St. Louis: Elservier. 2011; 324-86.
Walton, Richad E., Mahmoud, Torabinejad. Prinsip & Praktik Ilmu Endodontia Ed 3. Jakarta: EGC. 2008.
Saed, S. M., Ashley, M. P., & Darcey, J. Root perforations: aetiology, management strategies and outcomes. The hole truth. Br Dent J. 2016; 220(4): 171-180.
Fuss, Z., & Trope, M. Root perforations: classification and treatment choices based on prognostic factors. Dent Traumatol. 1996; 12(6): 255-264.
Fuss, Z., Tsesis, I., & Lin, S. Root resorption–diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol. 2003; 19(4): 175-182.
Mani, A., Shoba, K., Aman, S., & Abhilash, R. Non Surgical Endodontic Management of Calcified Maxillary Central Incisor Complicated By Iatrogenic Root Perforation. IOSR-JDMS. 2019; 18(5): 28-30.
Abella, F., Morales, K., Garrido, I., Pascual, J., Duran-Sindreu, F., & Roig, M. Endodontic applications of cone beam computed tomography: case series and literature review. G Ital Endod. 2015; 29(2): 38-50.
McClammy, T. V. Endodontic applications of cone beam computed tomography. Dent Clin North Am. 2014; 58(3): 545-559.
Kaushik, A., Talwar, S., Yadav, S., Chaudhary, S., & Nawal, R. R. Management of iatrogenic root perforation with pulp canal obliteration. Saudi Endod. J. 2014; 4(3): 141-144.
Ramaprabha Balasubramaniam, D., Krishnan, A., & Jayakumar, S. Restoring the dignity: Case reports of root perforation management. Int. J. Appl. Dent. Sci. 2017; 3(3): 171-174.
Mahesh, R., & Nivedhitha, M. S. Root canal morphology of primary mandibular second molar: A systematic review. Saudi Endod. J. 2020; 10(1): 1-6.
Lavanya, S., & Sujatha, S. Detection of MB2 Canal in Maxillary Primary Second Molar using Cone Beam Computerized Tomography (CBCT)-An In vitro study. Int. J. Pharm. Sci. Res. 2016; 8(4): 220-223.
Tsesis, I., & Fuss, Z. V. I. Diagnosis and treatment of accidental root perforations. Endod Topics. 2006; 13(1): 95-107.
Dotto, R. F., Barbosa, A. N., Dotto, S. R., & Hermes, C. R. Sealing of root perforation with glass ionomer cement: a case report. Stomatos. 2014; 20(38): 35-46.
Senthilkumar, V., & Subbarao, C. Management of root perforation: A review. J. Adv. Pharm. Educ. Res.. 2017; 7(2): 54-57.
Hegde, M., Varghese, L., & Malhotra, S. Tooth root perforation repair–A review. Oral Health Dent Manag. 2017; 16(2): 1-4.
Indurkar, M. S., & Maurya, A. S. Effective seal completes the deal: Periodontal management of an iatrogenic endodontic perforation. . Interdiscip. Dent. 2016; 6(2): 87-90.
Da Silva, G. F., Guerreiro‐Tanomaru, J. M., Sasso‐Cerri, E., Tanomaru‐Filho, M., & Cerri, P. S. Histological and histomorphometrical evaluation of furcation perforations filled with MTA, CPM and ZOE. Int Endod J. 2011; 44(2): 100-110.
Mohammadi, Z., & Dummer, P. M. H. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J. 2011; 44(8): 697-730.
Sharma, S., Kumar, V., & Logani, A. Management of long-standing perforation with mineral trioxide aggregate using metronidazole-containing collagen as an internal matrix. Saudi Endod. J.. 2017; 7(2):123-127.
Aminov, L., Moscalu, M., Melian, A., Salceanu, M., Hamburda, T., & Vataman, M. Clinical-radiological study on the role of biostimulating materials in iatrogenic furcation lesions. Rev. Med. Chir. Soc. Med. Nat. Iasi. 2012; 116(3): 907-913.
Mohan, S. M., Gowda, E. M., & Shashidhar, M. P. Clinical evaluation of the fiber post and direct composite resin restoration for fixed single crowns on endodontically treated teeth. Med J. Armed Forces India. 2015; 71(3): 259-264.
Parveen, S., Hossain, M., Sheikh, M. A. H., & Abdin, M. J. Repair of iatrogenic furcal perforation with glass ionomer cement. Bangabandhu Sheikh Mujib Med. Univ. j.. 2018; 11(1), 70-74.
Wycall, B. T. Root perforations. Gen. Dent. 2003; 51(3): 242-244.
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