table clinic/hands on
ONE VISIT ENDODONTIC
Bantul, 9 Januari 2016
PRODI KG UMY
6/5/17
1
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, PRODI
2003)
KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Case selection
• Mudah dicapainya foramen
apikal
• Restorable
• Nilai strategik kasus
(prognosis)
• Imunitas pasien
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Indication
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
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
• Fraktur horisontal lebih dari 2/3
• Keadaan sistemik
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Dasar perawatan endodontik
(triad endodontik)
1.
2.
3.
4.
Akses opening
Preparasi biomekanis
Disinfeksi
Obturasi
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
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
5. Protective coronal restoration
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Pre operative assesment
endodontik
1.
2.
3.
4.
5.
Interpretasi radiograf
Diagnosis
Prognosis
Penghilangan jaringan karies
Struktur mahkota
supragingiva
6. Restorasi pasca endodontik
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Akses opening
1.
2.
3.
4.
Anatomic of pulp chamber/ orifice
Anatomic of root canal
Anatomic of radiograf
instrument
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Akses opening
PRODI KG UMY
6/5/17
10
Akses opening
PRODI KG UMY
6/5/17
11
X Ray Observation
Tooth Structure
Root Canal Interpretation
(Anatomy, Curvature, Number of
canals, Obstruction, Perforation,
structure and surrounding Bone )
Lession
Diagnosis, Treatment Plan,
Prognosis
PRODI KG UMY
6/5/17
12
Preparasi biomekanis
1.
2.
3.
4.
Eksplorasi
Ekstirpasi
Irigasi
Preparasi saluran akar
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Preparasi saluran akar
1. Preparasi corong
2. Mempertahankan bentuk
saluran akar semula
3. Convenience form
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Preparasi Saluran Akar
• Untuk menghilangkan MO dan
jaringan pulpa pada permukaan
saluran akar (mekanis)
• Untuk menaikkan kapasitas
saluran akar dan debridemen
efektif
• Untuk membentuk saluran akar
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Preparasi Saluran Akar
• Step back
• Crown down
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Irigasi Saluran Akar
1. Membunuh mikroorganisme
2. Menghilangkan fragmen
jaringan pulpa, dentin dan
debris
3. Melarutkan jaringan organik
dan organik
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
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
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Bantul, 9 Januari 2016
PRODI KG UMY
6/5/17
1
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, PRODI
2003)
KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Case selection
• Mudah dicapainya foramen
apikal
• Restorable
• Nilai strategik kasus
(prognosis)
• Imunitas pasien
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Indication
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
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
• Fraktur horisontal lebih dari 2/3
• Keadaan sistemik
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Dasar perawatan endodontik
(triad endodontik)
1.
2.
3.
4.
Akses opening
Preparasi biomekanis
Disinfeksi
Obturasi
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
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
5. Protective coronal restoration
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Pre operative assesment
endodontik
1.
2.
3.
4.
5.
Interpretasi radiograf
Diagnosis
Prognosis
Penghilangan jaringan karies
Struktur mahkota
supragingiva
6. Restorasi pasca endodontik
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Akses opening
1.
2.
3.
4.
Anatomic of pulp chamber/ orifice
Anatomic of root canal
Anatomic of radiograf
instrument
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Akses opening
PRODI KG UMY
6/5/17
10
Akses opening
PRODI KG UMY
6/5/17
11
X Ray Observation
Tooth Structure
Root Canal Interpretation
(Anatomy, Curvature, Number of
canals, Obstruction, Perforation,
structure and surrounding Bone )
Lession
Diagnosis, Treatment Plan,
Prognosis
PRODI KG UMY
6/5/17
12
Preparasi biomekanis
1.
2.
3.
4.
Eksplorasi
Ekstirpasi
Irigasi
Preparasi saluran akar
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Preparasi saluran akar
1. Preparasi corong
2. Mempertahankan bentuk
saluran akar semula
3. Convenience form
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Preparasi Saluran Akar
• Untuk menghilangkan MO dan
jaringan pulpa pada permukaan
saluran akar (mekanis)
• Untuk menaikkan kapasitas
saluran akar dan debridemen
efektif
• Untuk membentuk saluran akar
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Preparasi Saluran Akar
• Step back
• Crown down
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
Irigasi Saluran Akar
1. Membunuh mikroorganisme
2. Menghilangkan fragmen
jaringan pulpa, dentin dan
debris
3. Melarutkan jaringan organik
dan organik
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG
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
PRODI KG UMY
6/5/17
Drg. Erma Sofiani, Sp.KG