Penatalaksanaan diskolorasi gigi insisivus sentral rahang atas kiri dengan obliterasi saluran pulpa: laporan kasus

Juni Jekti Nugroho; Lestari Hardianti Sugiaman; Wahyuni Suci Dwiandhany; Nurhayaty Natsir; Noor Hikmah; Aries Chandra Trilaksana

doi:10.24198/jkg.v36i4.46848

Penatalaksanaan diskolorasi gigi insisivus sentral rahang atas kiri dengan obliterasi saluran pulpa: laporan kasus

Juni Jekti Nugroho, Lestari Hardianti Sugiaman, Wahyuni Suci Dwiandhany, Nurhayaty Natsir, Noor Hikmah, Aries Chandra Trilaksana

Abstract

ABSTRAK

Pendahuluan: Obliterasi saluran akar sering terjadi akibat respon dari trauma gigi. Trauma gigi dapat berasal dari akibat kecelakaan atau benturan terhadap gigi dan cedera akibat perawatan gigi seperti pada penggunaan ortodontik. Perawatan ortodontik bila tidak dilakukan secara tepat dapat menjadi salah satu pemicu kerusakan pada jaringan pulpa dan pendukung gigi. Peristiwa tersebut dapat mendorong terjadinya perubahan dimensi internal kavitas pulpa yang berdampak pada diskolorasi mahkota. Tujuan dari laporan kasus ini melaporkan keberhasilan penatalaksanaan diskolorasi gigi disertai obliterasi saluran pulpa akibat perawatan ortodontik yaitu perawatan endodontik konvensional dan internal bleaching. Laporan kasus: Seorang perempuan usia 24 tahun dirujuk ke RSGM Pendidikan dengan keluhan perubahan warna gigi insisivus sentral kiri rahang atas akibat cedera traumatik perawatan ortodontik Pemeriksaan radiografi menunjukkan adanya kalsifikasi saluran pulpa dan radiolusen difus di periapikal. Pemeriksaan vitalitas gigi (-), perkusi (+), dan palpasi (-). Rencana perawatan saluran akar yaitu perawatan endodontik konvensional dan internal bleaching dilanjutkan bleaching internal. Prognosis dari kasus ini baik. Simpulan: Perawatan endodontik konvensional dan internal bleaching dapat menangani diskolorasi gigi disertai obliterasi saluran pulpa akibat perawatan ortodontik dengan hasil yang memuaskan.

Kata kunci

obliterasi, diskolorasi gigi, saluran pulpa, bleaching internal, diskolorasi gigi

Management of maxillary left central incisor discoloration with pulp canal obliteration due to orthodontic treatment: a case report

ABSTRACT

Introduction: Pulp canal obliteration often occurs in response to dental trauma. Dental trauma may arise as a result of accidents or bumps [impacts] to the teeth, as well as injuries from dental treatments including some orthodontic appliances. Orthodontic treatment, if not done properly, can be one of the triggers for biological events that affect the pulp tissue and supporting teeth. Such events have the potential to promote changes in the internal dimensions of the pulp cavity and may result in coronal discoloration. The aim of this case report was to describe the management of tooth discoloration with pulp canal obliteration through using the method of internal bleaching. Case report: A 24-year-old female was referred to the dental hospital due to the discoloration of the clinical crown of her maxillary left central incisor. The radiographic examination revealed the calcified canal and diffused periapical radiolucency. Tooth vitality (-), palpation (-), and percussion (+). The root canal treatment was determined followed by internal bleaching. The prognosis of these cases is good. Conclusion: The root canal treatment followed by the internal bleaching can provide satisfying results to manage discoloured tooth with pulp canal obliteration due to orthodontic treatment.

Keywords

pulp canal obliteration, internal bleaching, tooth discoloration, orthodontic trauma

Keywords

obliterasi, diskolorasi gigi, saluran pulpa, bleaching internal, diskolorasi gigi; pulp canal obliteration, internal bleaching, tooth discoloration, orthodontic trauma

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References

DAFTAR PUSTAKA

Vinagre A, Castanheira C, Messias A, Palma PJ, Ramos JC. Management of pulp canal obliteration—systematic review of case reports. Med. 2021; 57(11): 1–18. DOI: 10.3390/medicina57111237

Wu M, Liu M, Cheng Y, Tang W, Yan P, Jiang H. Treatment of Pulp Canal Obliteration Using a Dynamic Navigation System: Two Case Reports. J Endod [Internet]. 2022;48(11):1441–6. DOI: 10.1016/j.joen.2022.07.014

de Toubes KMPS, de Oliveira PAD, Machado SN, Pelosi V, Nunes E, Silveira FF. Clinical approach to pulp canal obliteration: A case series. Iran Endod J. 2017;12(4):527–33. DOI: 10.22037/iej.v12i4.18006

Kokat S, Pachimathla AJ, K S, Singh TV, Kirthi, Vihari K. A Novel Method in Intervening Pulpa Canal Obliteration with 3D-Printing: A Report of Two Cases. 2021; 08(03): 3092-3101.

Vitali FC, Cardoso IV, Mello FW, Flores-Mir C, Andrada AC, Dutra-Horstmann KL, et al. Association between Orthodontic Force and Dental Pulp Changes: A Systematic Review of Clinical and Radiographic Outcomes. J Endod. 2022; 48(3): 298–311. DOI: 10.1016/j.joen.2021.11.018

Jain A, Priya PS, Tejpaul R, Karteek BS. Pulp Canal Obliteration- A Daunting Clinical Challenge. J Dent Med Sci. 2020; 19(3): 56–60. DOI: 10.9790/0853-1903165660

Hargreaves KM, Goodis HE, Tay FR, editor. Seltzer and Bender’s Dental Pulp. 2nd Ed. Hanover Park, IL: Quintessence Publishing Co, Inc; 2012. 1–492 hal.

Karthick A, Bharadwaj B, Mary NBSGP, Malarvizhi D. Physiological and pathological pulp canal obliteration by calcific metamorphosis-A review. Eur J Mol Clin Med. 2020; 7(5): 1270–4.

Cohen. Cohen’s Pathways of the Pulp. 12th Ed. Berman LH, Hargraves KM, editor. Cohen’s Pathway of The Pulp. St. Louis, Missouri: Elsevier Inc; 2021.

Torabinejad M, Fouad AF, Shabahang S, editor. Endodontics Principles and Practice. 6th Ed. California, USA: Elsevier Inc; 2021.

Pujol ML, Vidal C, Mercade M, Munoz M, Ortolani-Seltenerich S. Guided Endodontics for Managing Severely Calciﬁed Canals. J Endod. 2021; 47(2): 315–21. DOI: 10.1016/j.joen.2020.11.026

Javed MQ, Saleh S, Ulfat H. Conservative esthetic management of post orthodontic treatment discolored tooth with calcified canal: A case report. Pan Afr Med J. 2020; 37(254): 1–5. DOI: 10.11604/pamj.2020.37.254.21982

Velmurugan N, Kasabwala KA, Saumya-Rajesh P, Ashritha M. Pulp Canal Obliteration: A Review. J Oper Dent Endod. 2020; 5(1):6–11. DOI: 10.5005/jp-journals-10047-0085

Fonseca Tavares WL, de Oliveira Murta Pedrosa N, Moreira RA, Braga T, de Carvalho Machado V, Ribeiro Sobrinho AP, et al. Limitations and Management of Static-guided Endodontics Failure. J Endod. 2022; 48(2): 273–9. DOI: 10.1016/j.joen.2021.11.004

Premkumar S. Textbook of Orthodontics. New Dehli, India: Reed Elsevier Indiaa Pvt. Ltd; 2015. Tersedia pada: http://journal.um-surabaya.ac.id/index.php/JKM/article/view/2203

Hargreaves KM, Goodis HE, Tay FR, editor. Seltzer and Bender’s Dental Pulp. 2nd Ed. Illinois: Quintessence Publishing; 2012. 1–492 hal.

Pawinru AS. Biomechanics of tooth movement Biomekanika pergerakan gigi. 2021. 2021; 82–7.

Jiandong B, Yunxiao Z, Zuhua W, Yan H, Shuangshuang G, Junke L, et al. Generalized pulp canal obliteration in a patient on long-term glucocorticoids: a case report and literature review. BMC Oral Health. 2022; 22(1): 1–7. DOI: 10.1186/s12903-022-02387-9

Koch GK, Gharib H, Liao P, Liu H. Guided Access Cavity Preparation Using Cost-Effective 3D Printers. J Endod. 2022; 48(7): 909–13. DOI: 10.1016/j.joen.2022.04.005

Torres A, Lerut K, Lambrechts P, Jacobs R. Guided Endodontics: Use of a Sleeveless Guide System on an Upper Premolar with Pulp Canal Obliteration and Apical Periodontitis. J Endod. 2021; 47(1): 133–9. DOI: 10.1016/j.joen.2020.09.016

DOI: https://doi.org/10.24198/jkg.v36i4.46848