PENATALAKSANAAN NEKROSIS PULPA DISERTAI LESI PERIAPIKAL PADA GIGI 47

R. Kurnia, Deli Mona
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Abstract

Root canal treatment is divided into 3 stages, namely the biomechanical preparation stage of the root canal, the sterilization and disinfection stage of the root canal, and the root canal filling stage. The success of root canal filling depends on the state of asepsis, thorough cleaning of the pulp tissue, biomechanical preparation, and hermetic root canal filling. After root canal treatment, teeth require different treatment than vital teeth, due to reduced moisture in these teeth and a reduction in dentin during the root canal preparation process, which affects the remaining hard tissue structure of the teeth. There are several types of restorations that can be used after root canal treatment. Post-root canal restoration treatment using composite resin materials can be made directly or indirectly, the technique must be able to strengthen the remaining hard tissue structure of the teeth and restore tooth function. If some of the teeth are missing but still have sufficient thickness of the dentin enamel structure and the patient wants a tooth-colored restoration, indirect composite onlay may be an option.
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根管治疗分为3个阶段,分别为根管生物力学准备阶段、根管灭菌消毒阶段和根管充填阶段。根管充填的成功与否取决于无菌状态、牙髓组织的彻底清洁、生物力学准备和根管密封充填。根管治疗后,牙齿需要不同于生命牙齿的处理,因为在根管准备过程中,这些牙齿中的水分减少,牙本质减少,这会影响牙齿剩余的硬组织结构。有几种类型的修复可以在根管治疗后使用。采用复合树脂材料进行根管后修复治疗可直接或间接进行,该技术必须能够强化牙齿剩余硬组织结构,恢复牙齿功能。如果部分牙齿缺失,但牙本质的牙釉质结构仍有足够的厚度,而患者想要牙齿颜色的修复,间接复合嵌体可能是一种选择。
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