Laporan Kasus Penatalaksanaan Pulpitis Irreverisble Asimptomatik Gigi 24 Disertai Perforasi Lateral Berbahan MTA (Mineral Trioxide Aggregate)

Authors

  • Ulan Davinci Putri Universitas Muhammadiyah Surakarta
  • Arny Try Kartinawanty Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.57214/jasira.v3i4.245

Keywords:

Endodontic Treatment, Irreversible Pulpitis, Lateral Perforation, MTA, Root Canal Therapy

Abstract

Background: Oral health is an important indicator of overall health, well-being, and quality of life. According to the WHO, oral health is a state of freedom from various diseases and conditions, including dental and oral diseases that limit an individual's ability to bite, chew, smile, speak, and psychosocial well-being. Therefore, it is necessary to maintain oral hygiene as an effort to improve oral health. Case report: A 45-year-old man came to Soelastri General Hospital complaining of a large cavity in his upper left tooth. The tooth had been painful for about a year and had not undergone any treatment.Extraoral examination revealed a symmetrical face. Clinical examination of the maxillary left first premolar revealed a large cavity on the distoocclusal surface with pulpal depth. Discussion: Perforations can be treated through cavity access; the prognosis depends on the elimination and prevention of infection in the perforation area and the choice of material. The success of perforation closure management is influenced by several factors, including the timing of perforation closure, the choice of material used, the location of the perforation, and adequate perforation closure. Conclusion: Case of maxillary left premolar with diagnosis of pulp necrosis which experienced lateral perforation and the area was closed using MTA, then root canal treatment.

References

Abualhasan, H. M., & Alhussain, B. S. (2022). Clinical properties and efficacy of MTA vs Biodentine vs GIC in repairing root perforations. Archives of Pharmacy Practice, 13(1), 53–57. https://doi.org/10.51847/46MIz4Calq

Alshamrani, A. S., Almusharraf, A. Y., Alshammari, K. A., Ali, E. J. B., Almutairi, H. H., Farrash, F. A., et al. (2022). Causes, diagnosis, treatment and prognosis of root perforations. International Journal of Community Medicine and Public Health, 10(1), 351. https://doi.org/10.18203/2394-6040.ijcmph20223276

Alzahrani, O., & Alghamdi, F. (2021). Nonsurgical management of apical root perforation using mineral trioxide aggregate. Case Reports in Dentistry, 2021. https://doi.org/10.1155/2021/5583909

Anisa, P. D. N., & Prisinda, D. (2020). Non-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient. Jurnal Kedokteran Gigi Universitas Padjadjaran, 32(3), 232. https://doi.org/10.24198/jkg.v32i3.29548

Bintang, Q. A., Fatmawati, D. W. A., Rakhmadian, R. D., & Lestari, S. (2022). Tingkat keberhasilan perawatan saluran akar pada gigi non vital di RSGM Universitas Jember tahun 2016. Arteri: Jurnal Ilmu Kesehatan, 3(3), 95–102. https://doi.org/10.37148/arteri.v3i3.224

BPS. (2018). Kota Kediri dalam angka (pp. 1–68).

Cahyani, & Rahmahwati, D. (2022). Perawatan saluran akar multivisit dengan teknik step back pada incisivus lateral: Laporan kasus. JIKG, 5(2), 1–6. https://doi.org/10.23917/jikg.v5i2.19827

Caussin, E., Izart, M., Ceinos, R., Attal, J. P., Beres, F., & François, P. (2024). Advanced material strategy for restoring damaged endodontically treated teeth: A comprehensive review. Materials, 17(15), 1–20. https://doi.org/10.3390/ma17153736

Dastorani, M., Shourvarzi, B., Nojoumi, F., & Ajami, M. (2021). Comparison of bacterial microleakage of Endoseal MTA sealer and Pro-Root MTA in root perforation. Journal of Dentistry (Shiraz), 22(2), 96–101.

Díaz, M., Plascencia, H., Hernández-Guerrero, F. E., Alves, F. R. F., Martínez-Carrillo, K., & Gascón, G. (2022). Successful orthograde treatment of teeth with external inflammatory root resorption and perforation using a tricalcium silicate-based material. Genetics Research, 2022. https://doi.org/10.1155/2022/7119172

Glass, S., Post, F., Glass, D., Post, F., Pasak, S., Akar, S., et al. (2022). Perbedaan kebocoran mikro. 04(01), 52–60.

Kartinawanti, A. T., & Asy'ari, A. K. (2021). Penyakit pulpa dan perawatan saluran akar satu kali kunjungan: Literature review. Jurnal Ilmu Kedokteran Gigi, 4(2), 64–72.

Lanker, A., Fathey, W., Samar, S., M. Z., Imranulla, M., & Pasha, S. (2018). Non-surgical management of iatrogenic lateral root perforation: A case report. International Journal of Research in Medical Sciences, 6(5), 1804. https://doi.org/10.18203/2320-6012.ijrms20181781

Ma, X. L., Xu, H., Chen, X., Zou, Q., Wang, J., Da, Y., et al. (2024). Modern methods and materials used to treat root perforation: Effectiveness comparison. Journal of Materials Science: Materials in Medicine, 35(1). https://doi.org/10.1007/s10856-023-06770-y

Mahardika, C., & Abdurrohman, M. M. S. (2023). Root canal treatment with fiber post and jacket crowns restoration post trauma maxillary central incisor. Jurnal Medali, 5(2), 108. https://doi.org/10.30659/medali.5.2.108-115

Marapita, D. A., Kusuma, A. R. P., & Safangat, M. M. (2020). Perbandingan jumlah sel makrofag pulpa gigi tikus Wistar setelah aplikasi tiga jenis medikamen kaping pulpa. Konferensi Ilmiah Mahasiswa Unisula 3, 21–28.

Mohan, D., Singh, A. K., Kuriakose, F., Malik, R., Joy, J., & John, D. (2021). Evaluation of sealing potential of different repair materials in furcation perforations using dye penetration: An in vitro study. Journal of Contemporary Dental Practice, 22(1), 80–83. https://doi.org/10.5005/jp-journals-10024-2968

Mona, D., & Sukartini, E. (2013). Restorasi pasak fiber dan porcelain fused to metal pada fraktur gigi insisif rahang atas pasca perawatan endodontik. Andalas Dental Journal, 71–77. https://doi.org/10.25077/adj.v1i1.15

Narayana, I. H. (2021). Management of iatrogenic lateral root perforation with mineral trioxide aggregate: A case report. 3(1), 1038–1041. https://doi.org/10.1155/2021/5583909

Putri, A. R. (2021). Crown down preparation technique with large taper endodontic hand instrument. Interdental: Jurnal Kedokteran Gigi, 17(1), 41–48. https://doi.org/10.46862/interdental.v17i1.2075

Riany, A., Isyadestia, B., & Rusmiany, P. (2022). Effectiveness of red rose (Rosa damascena Mill.) extract as a root canal sterilization material. Interdental: Jurnal Kedokteran Gigi, 18(1), 27–32. https://doi.org/10.46862/interdental.v18i1.4311

Rumate, D. E. A., Wicaksono, D. A., & Yuliana, Y. (2023). Kepatuhan pasien menjalani perawatan saluran akar multi kunjungan di Rumah Sakit Gigi dan Mulut Universitas Sam Ratulangi. e-GiGi, 11(2), 176–182. https://doi.org/10.35790/eg.v11i2.45987

Setiawan, J., Amin, M. F., & Ariwibowo, T. (2024). Perawatan non bedah pada perforasi koronal iatrogenik gigi insisivus sentral kanan atas menggunakan mineral trioksida agregat: Laporan kasus. Jurnal Kedokteran Gigi Universitas Padjadjaran, 36(4), 162. https://doi.org/10.24198/jkg.v36i4.49911

Sutela, I. G. M. Y., Yonas, Y., Ramadani, R. R., Ambarwati, V. L., Lestari, V., Mulad, I. A., et al. (2024). Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik: Laporan kasus. Jurnal Kedokteran Gigi Universitas Padjadjaran, 36(4), 169. https://doi.org/10.24198/jkg.v36i4.50162

Yuliati, E., & Nugraheni, T. (2019). Perawatan perforasi bifurkasi dengan mineral trioxide aggregate (MTA) dan restorasi resin komposit desain preparasi onlei. Clinical Dental Journal UGM, 5(2).

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Published

2025-11-20

How to Cite

Ulan Davinci Putri, & Arny Try Kartinawanty. (2025). Laporan Kasus Penatalaksanaan Pulpitis Irreverisble Asimptomatik Gigi 24 Disertai Perforasi Lateral Berbahan MTA (Mineral Trioxide Aggregate). Jurnal Siti Rufaidah, 3(4), 50–61. https://doi.org/10.57214/jasira.v3i4.245

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