Penatalaksanaan Bedah Periapikal Molar Pertama Maksila pada Instrumen Endodontik Patah
DOI:
https://doi.org/10.18196/di.v10i1.8877Keywords:
Instrumen Endodontik Patah, Molar Satu Rahang Atas, Bedah Endodontik, Reseksi AkarAbstract
Instrumen endodontik patah merupakan salah satu komplikasi yang paling sering terjadi pada perawatan saluran akar. Pengambilan intrumen yang patah dari saluran akar merupakan prosedur yang sulit, terutama ketika menembus hingga periapikal. Laporan kasus ini bertujuan menyajikan penatalaksanaan bedah pengambilan instrumen endodontik patah pada periapikal gigi molar pertama maksila. Seorang pria berusia 29 tahun dirujuk ke departemen konservasi gigi karena mengeluhkan sakit yang tumpul dan intermiten pada gigi molar pertama kiri atas dan bertambah sakit ketika menggigit. Pasien menjelaskan telah menjalani perawatan saluran akar yang tidak lengkap sekitar 2 bulan yang lalu. Pemeriksaan klinis menunjukkan terdapat tumpatan sementara pada permukaan oklusal molar pertama kiri atas dan respon positif pada pemeriksaan perkusi. Berdasarkan pemeriksaan radiograf periapikal, terdapat sebuah segmen file patah yang ekstrusi keluar dari akar mesio bukal dengan obturasi saluran akar yang tidak hermetis pada saluran akar. Pengambilan instrumen patah dilakukan dengan bedah periapikal (teknik retrograde), selanjutnya dilakukan reseksi akar mesiobukal. Penatalaksanaan instrumen endodontik patah hingga daerah periapikal dengan bedah periapikal merupakan pilihan perawatan yang menunjukkan hasil dan prognosis yang baik.
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