Students Name : ADILIA PRAPTIWI SUPRAPTO

Internship Period : March 12th June 9th 2012

Batch : 4

SCORE BOARD
VITAL ENDODONTIC TREATMENT
Dr Name (Student Doctor) ; ADILIA PRAPTIWI SUPRAPTO
Name : Lee Aee Jung ()
Patients number : 12040136
Age / Gender : 48 / Female
C.C: Hypersensitivity and pain on #37 in mastication
Diagnosis ; Vertical fracture and crack on #37

Treatment Flow Chart

DATE

TREATMENT

2012/04/30 - Block Lidocaine 1 : 100.000

- Molar band - endo ( vertical
fracture )
- Open bur (preparation access)
- Pulp Extirpation
- Depulpin + Cotton + Caviton
2012/05/07 - Canal Enlargement ( Ni-Ti
Files )
- Measure working length
( Root ZX ) :
B : 15,0
P : 14,0
- CaOH2 + Cotton + Caviton
2012/05/16 - Canal Irrigation
- CaOH2 + Cotton + Caviton
2012/05/24 - Canal Filling with Guttap
Percha and ZoE sealer
2012/06/05 - Glass Ionomer Filling and
Crown Preparation

SIGNATURE

GRADE
A

A
A
A

-2012/04/30
Panorama :

Intra Oral Dental Xray ( vertical fracture ) :

- 2012/05/07
Canal enlargement ( B : 15,0 - P : 14,0 ) :

- 2012/05/24
Canal Filling :

Prof. CK LEEs Comments

When you make treatment plans, make sure to know normal anatomy according pupl pathway.
To know about normal anatomy will make you successful dental surgeon.

Evaluation Criteria Grades

A+ ; 95~100
A ; 90~94
B+ ; 85~89
B ; 80~84
C+ ; 75~79
C ; 70~74
F ; Failed

LEE Dental Hospital

Prof. Dr. ChangKyu LEE DDS, MS, PhD, Periodontist

Students Name : ADILIA PRAPTIWI SUPRAPTO

Internship Period : March 12th June 9th 2012
Batch : 4

SCORE BOARD
VITAL ENDODONTIC TREATMENT
Dr Name (Student Doctor) ; ADILIA PRAPTIWI SUPRAPTO
Name : Lee Youn Jae
Patients number : 12040089
Age / Gender : 51 / Male
Tooth : #36
C/C ; hypersensitivity and mastication pain by caries

DATE

TREATMENT

2012/04/19 2012/04/24 2012/04/30 -

2012/05/04 2012/05/23 2012/07/06 -

Block Lidocaine 1 : 100.000

Open bur (preparation access)
Pulp Extirpation
Depulpin + Cotton + Caviton
Canal Enlargement ( Ni-Ti
Files )
Depulpin + Cotton + Caviton
Canal Enlargement ( Ni-Ti
Files )
Measure working length
( Root ZX ) :
M : 19,0
D : 19,0
CaOH2 + Cotton + Caviton
Canal Irigation
CaOH2 + Cotton + Caviton
Canal Filling with Guttap
Percha and ZoE sealer
Intraoral Dental Xray
Occlusal Reduction
Glass Ionomer Filling

SIGNATURE

GRADE
A

A
A

2012/04/19

Panorama :

Canal enlargement ( M : 19,0 D : 19.0 ) :

2012/05/23

Canal Filling :

2012/07/06

Glass Ionomer Filling :

Prof. CK LEEs Comments

When you try to endodontic treatment, make sure to fill all adjacent contact area before treatment
beginning.... to protect from infection of isolated area.

Evaluation Criteria Grades

A+ ; 95~100
A ; 90~94
B+ ; 85~89
B ; 80~84
C+ ; 75~79
C ; 70~74
F ; Failed

LEE Dental Hospital

Prof. Dr. ChangKyu LEE DDS, MS, PhD, Periodontist