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Affeci fi cation with mineral trioxide aggregate and care of intracoronal bleaching on the non vital discoloration maxillary left central incisor. Maxillary anterior teeth in children and adults often experience trauma.

This later makes the dental pulp roots that are not completely formed face the necrosis and apical closure stop later causing the apex wide and open. The opened apex can be coped with the care of affecification. Mineral Trioxide Aggregate MTA is the best material of affecification used for the formation of apical barrier.

The purpose of this case report was to report the achievement of the apical sealing using MTA in the non-vital permanent maxillary left central incisor with the opened apical due to the trauma. The complaints of male patients aged 20 years was about the broken and discoloured left upper front teeth and becomes a traumatic event since the age of 10 years due to a fall and hit the cement fl o o r. A clinical examination of non-vital teeth used the fracture Ellis IV class with wide open apex and discoloration.

The radiographic image showed a widely opened apex with large root canal and there was a periapical radiolucency. Before treatment, the teeth were brownish C4 and after treatment it turned into yellowish white B2. A week after the bleaching treatment was completed and the installation of fi bre post was done, followed by giving the composite resin restorations class IV cavity. The 2-week control later showed no abnormalities.

In conclusion, the affeci fi c a t i o n t rea t m e n t wi t h M T A can accelerate treatment with the formation of apical barrier that stimulates the healing and may be followed by obturation with guttap percha followed by doing intracoronal bleaching and fi nal restoration. Gigi anterior rahang atas pada anak-anak maupun dewasa sering mengalami trauma. Akibatnya pulpa gigi yang akarnya belum terbentuk sempurna akan mengalami nekrosis, dan penutupan apeks terhenti yang menyebabkan apeks lebar dan terbuka.

Apeks yang terbuka dapat diatasi dengan perawatan apeksifikasi. Mineral Trioxide Aggregate MTA adalah bahan pilihan terbaik yang dipakai sebagai bahan apeksifikasi untuk pembentukan apical barrier. Tujuan laporan kasus ini adalah untuk melaporkan keberhasilan penutupan apikal dengan menggunakan MTA pada gigi permanen insisivus sentralis kiri maksila non vital dengan apikal yang terbuka karena trauma.

Pasien laki-laki usia 20 tahun dengan keluhan gigi depan atas kiri patah dan berubah warna. Kejadian trauma sejak usia 10 tahun karena jatuh dan terbentur lantai. Pemeriksaan klinis gigi non vital dengan fraktur Ellis kelas IV disertai apeks terbuka lebar dan diskolorasi. Pada gambaran radiografis menunjukkan apeks yang terbuka lebar dengan saluran akar besar serta terdapat radiolusensi periapikal. Perawatan yang dilakukan adalah apeksifikasi dengan MTA dilanjutkan obturasi dengan gutta percha dan sealer AH Sebelum perawatan, gigi berwarna kecoklatan C4 setelah dilakukan perawatan menjadi warna putih kekuningan B2.

Seminggu setelah perawatan bleaching selesai kemudian dilakukan pemasangan pasak fiber, dilanjutkan dengan restorasi resin komposit kavitas kelas IV. Kontrol 2 minggu kemudian tidak menunjukkan adanya kelainan. Kesimpulan hasil perawatan apeksifikasi dengan MTA dapat mempercepat waktu perawatan dengan terbentuknya barier apikal yang merangsang penyembuhan dan dapat dilanjutkan dengan obturasi dengan gutta percha , kemudian dilakukan bleaching intracoronal bleaching dilanjutkan dengan restorasi akhir.

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Aus Endod J. Cyctotoxicity of mineral trioxide aggregate using human periodontal ligament fibroblasts. J Endod. Hard-tissue healing after application of fresh or set MTA as root-end filling material. Comparative study of root end induction using osteogenic protein-1, calcium hydroxide and mineral trioxide aggregate in dogs. Human saliva penetration of root canal obstrurated with two types of mineral trioxide aggregate cement. The antimicrobial effect of calcium hydroxide as a short term intracanal dressing.

Int endod J. Evaluation of ultrasonically placed mta and fracture resistance with intra canal composite in a model of apexification. User Username Password Remember me. Notifications View Subscribe. About The Authors I. Article Tools Print this article.

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Review process article. Keywords Begg technique MTA Streptococcus mutans ameloblastoma elderly fiber reinforced composite flexural strength hemimaxillectomy hollow bulb infrabony pocket macrophage management obturator perawatan saluran akar satu kunjungan periodontitis pregnancy protesa maksilofasial teknik Begg thermoplastic nylon transverse strength xylitol.

Apeksifikasi dengan mineral trioxide aggregate dan perawatan intracoronal bleaching pada gigi insisivus sentralis kiri maksila non vital diskolorasi. Abstract Affeci fi cation with mineral trioxide aggregate and care of intracoronal bleaching on the non vital discoloration maxillary left central incisor. Keywords affecification, discoloration, intracoronal bleaching, MTA. Full Text: PDF. Frindland M, Rasado R. MTA solubility a long term study.

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Journal of Dentomaxillofacial Science. Double blind peer review. Instructions for authors. Abstract Full Text. In modern dentistry, porcelain laminate veneers have become ultimate option of tooth rehabilitation for improved esthetics performance. The demand to have better smile and beautiful face pushed patient to visit dentist by rehabilitating functional and esthetic, especially anterior tooth. Characteristics of porcelain measuring up to optic properties, biocompatibiliy and resistance could give satisfying result on a long term.







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