Dwita Budiarti and Ira Widjiastuti (2018) Penatalaksanaan Abses Periapikal yang Besar Pada Gigi Insisiv Sentral Rahang Atas: Laporan Kasus. In: Prosiding Seminar Ilmiah Nasional IKORGI III (SINI III). PP IKORGI, Surabaya, pp. 106-110. ISBN 978-602-19108-7-0

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Abstract

Background: Necrotic teeth with periapical abscess is one of the most common problem in endodontic. Management of necrotic tooth with a large periapical abscess can be done with apical resection procedure. The main goal of apical resection is to prevent bacterial leakage from root canal by placing a hermetic root end filling following apical root resection. Purpose: to provide information about management of necrosis teeth with a large periapical abscess with apical resection procedure. Case: Female pasien, 23 years old, came to Conservative Dentistry Clinic, RSGM Universitas Airlangga. She is reffered from Ortodontic Clinic. Patient feels uncomfortable on her front teeth. Radiographic examination reveal radiolucency in the apical teeth 11 and 21 sized ±10mm.Case Management : Before surgery, root canal treatment on 11 and 21 was done. Preparation of the rooth canal using crown down pressureless technic and orthograde obturation. The next treatment was apical resection. Making semilunar flap then curretage was done. The apical third part of the root was cut and remove guttap percha using ultrasonic tip then followed by obturation using MTA. Aplication bonegraft and membrane followed by suturing. The teeth was restored with composite resin.Conclusion : Management of tooth with large periapical abscess with apical resection can provide satisfactory result

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