SKENARIO 5

Restoration Post RCT

30 years old man came to have a teeth treatment, there are no pain. His teeth were
treated endodontik 2 month ago.
Objective examination:
12 crown has 1/3 cervical and there is a temporary filling.
Sondasi

:-

Percusion

:-

Palpasion

:-

CE

: - (cold)

Radiograf analysis: hernetic obturation and there is no radiolusent area on periapical

47 temporary filling on oclusal, then the dentist open the temporary filling.
Sondasi

:-

Percusion

:-

Palpasion

:-

CE

: - (cold)

Radiograf analysis: hernetic obturation and there is no radiolusent area on periapical

STEP 1
1.

Hermetic obturation
- Filling root canal with impermeable and tightly
- There is no radiolusent space in radiology rontgen
- Something completely sealet or airtight
Filling root canal which show completely impermeable show there is no
radiolusent space in radiology rontgen
2. Endodontik
- Part of dentistry that involved treatment of illness of injury to the pulp tissue and
periapical tissue
- Part of conservative
Part of conservative dentistry that involved treatment of illness of injury to
the pulp tissue and periapical tissue
3. Restoration
- Condition to restore the function of tooth such as fonation, mastication and
esthetic
- Replacement of missing teeth

Condition to restore the function of tooth such as fonation, mastication and

esthetic and than replacement of missing teeth
4. Radiolusent
- Part of dark in radiograf bcause caries, perforation etc
- Appearance of radiograf that show the darkness of the soft tissue, which the tooth
tissue didnt captured the X-rays
STEP 2
a.
1.
2.
3.
4.
5.
6.
7.
b.
8.

Post RCT
What kind type restoration that kind perform post RCT?
What the type of material restoration of endodontik treatment?
What is indication and contraindication in post root canal treatment?
What is material consideration for restoration post RCT?
What is ideal requirement of the post RCT?
What are the failures of restoration?
How to evaluate the successness of RCT?
Question of Scenario
What kind intra and extracoronal support of fondation for post operative endodontic
treatment?
9. What will happened if the obturation is not hermetic?
10. What is restoration for the tooth 12&47 and reason?
STEP 3
c. Post RCT
11. What kind type restoration that kind perform post RCT?
Intracoronal
- Inlay restorasi intracoronal yang melibatkan oklusal gigi, tumpatan dibuat
ekstraoral dengan rigid dan dilakukan sementasi sesuai kavitasnya.
MOD restoration and cups conservative dentistry
- Onlay restoration that contain more than one cups of the tooth
extracoronal
- Pasak
- Bridge
- Onlay
- Overlay
- Crown
12. What the type of material restoration of post endodontik treatment?
- Biocompatible oral cavity. Ex: gingiva, alveolar bone.
Not all of alloy can be choosed as the material restoration. Excp: gold, ceramic
(porcelain)
- Onlay composite, NiCr
- Pasak metal cast (alloy gold and alloy titanium) or fabricated
- Crown and bridge composite, porcelain fused to metal and all ceramic
13. What is indication and contraindication in post root canal treatment?
- Inlay and onlay

Indication: large restoration, big undercute in dentin cups, diastema closure and
occlusal plan correction, for big cavity and just a little left of crown
Contra: high caries rate, px with bad oral hygiene
- Crown and bridge
Indication: high esthetic requeirment, sisa struktur gigi (sisa 1/3 mahkota)
14. What is material consideration for restoration post RCT?
- For the high pressure of mastication can be using metal cast
- Biocompatible for the oral cavity
- Not causing microleacage
- Not causing hypersensitivity
- Esthetic consideration
- Banyak jaringan yang tersisa, can influence resistent and retention of the tooth
- and also morfology or anatomy of the tooth
15. What is ideal requirement of the post RCT?
- Have good retention
- Protect the tooth structure
- Covered the coronal tooth
- Have good resistention
- Able to restore the function tooth
16. What are the failures of restoration?
- Lose of restore
- Not hermetic
- There are microleakages on restoration
- Fracture of restoration
- Fracture of the left of the tooth
17. How to evaluate the successness of RCT?
- There is no abcess or radiolucent area on the periapical
- There is no pain after restoration
- There is no stain after restoration
- There is no periapical dissease
- Prevent recolonization in root canal system
- The tooth can be good function
d. Question of Scenario
18. What kind intra and extracoronal support of fondation for post operative endodontic
treatment?
19. What will happened if the obturation is not hermetic?
- It will causing secunder carries
- The microorganism can be recolonizate on the periapical
20. What is restoration for the tooth 12&47 and reason?
- Anterior: crown and brigdecause the left tooth structure 1/3 crown and need
high esthetic
- Posterior: onlay and overlay cause need high strength of mastication pressure
and the cavity is only on the occlusal
STEP 4
STEP 5

1. Clasification direct and indirect posterior teeth

- Indication hanny
- Contraindication aniq
2. Step post endodontic treatment:
- Post
a. Ideal Characteristic liana
b. Indication upeh
c. Contraindication edo
- Core
a. Material used for core build-up
- Direct: RK, amalgam, GIC suaeni
- Indirect: casting ajeng
b. Indication nisma
c. Contraindication ibnu
- Crown
a. Indication dea
b. Contraindication yuyun
c. Types ninda
3. Hadits