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Indikasi Exodonsi Dan Endodonsiiii
Indikasi Exodonsi Dan Endodonsiiii
Therefore, before deciding the endodontic treatment, multiple factors should be considered.
In general, following cases are considered poor candidates for endodontic treatment:
1. Non-restorable teeth: Such as teeth with extensive root caries, furcation caries, poor
crown/root ratio and with fractured root are contraindicated for endodontic treatment.
Because in such cases even the best canal filling is futile if it is impossible to place the
restoration.
2. Teeth in which instrumentation is not possible: Such as teeth with sharp curves,
dilacerations, calcifications, dentinal sclerosis are treatment difficulties. Though use of recent
instruments and techniques may help sometimes like NiTi files, anticurvature filing may help
sometimes. Several teeth with previous treatment show canal blockage by broken
instruments, fillings, posts, ledges, and untreatable perforations and canal transportations. So,
careful evaluation is needed before starting treatment in such teeth.
3. Poor accessibility: Occasionally trismus or scarring from surgical procedures or trauma,
systemic problems, etc. May limit the accessibility due to limited mouth opening. These
result in poor prognosis of the endodontic therapy.
4. Untreatable tooth resorption: Resorptions which are extremely large in size make the
endodontic treatment almost impossible for such teeth (Fig. 8.6).
5. Vertical tooth fracture: Teeth with vertical root fractures pose the hopeless prognosis.
6. Non-strategic teeth: There are two major factors which relegate a strategic tooth to the
hopeless status; restorability and periodontal support. The tooth that cannot be restored or that
has inadequate, unmanageable periodontal support is hopeless. Evaluation of the oral cavity
can decide whether tooth is strategic or not, for example, if a person has multiple missing
teeth, root canal of third molar may be needed. But in case of well maintained oral hygiene
with full dentition, an exposed third molar can be considered for extraction.
7. Evaluation of the clinician: Clinician should be honest while dealing with the case. Self
evaluation should be done for his experience, capability to do the case, equipment he has or
not for the completion of the case.
8. Systemic conditions: Most of the medical conditions do not contraindicate the endodontic
treatment but patient should be thoroughly evaluated in order to manage the case optimally
Endodontik merupakan cabang dari kedokteran gigi klinis yang berhubungan dengan
pencegahan, diagnosis dan perawatan penyakit pulpa dan gejalanya. Tujuan perawatan
saluran akar yaitu untuk menghasilkan lingkungan pada sistem saluran akar yang
memungkinkan untuk terjadinya penyembuhan dan melanjutkan pemeliharaan kesehatan
jaringan periradikular. Jika gigi mengalami kerusakan yang parah dan jaringan
pendukungnya terganggu, maka satu-satunya alternatif perawatan yaitu ekstraksi gigi.