Endodonti

Drg. Siti Rusdiana Puspa Dewi, M.Kes

 Endodonti adalah..

The knowledge of what is inside the tooth

Endodontics: The branch of dentistry

concerned with the morphology, physiology
and pathology of the human dental pulp and
periradicular tissues
 Tujuan dari perawatan endodonti
Maintain vitality of the pulp.
Preserve and restore the tooth with damaged
and necrotic pulp.
Preserve and restore the teeth which have
failed to the previous endodontic therapy, to
allow the tooth to remain functional in the
dental arch
 Scope of endodontic
a. Vital pulp therapy (pulp capping, pulpotomy)
b Diagnosis and differential diagnosis of oral pain.
c. Root canal treatment of teeth with or without periradicular
pathology of pulpal origin.
d. Surgical management of pathology resulting form pulpal
pathosis.
e. Management of avulsed teeth (replantation)
f. Endodontic implants
g. Root end resections, hemisections and root resections
h. Retreatment of teeth previously treated endodontically
i. Bleaching of discolored teeth.
j. Coronal restorations of teeth using post and cores
 Apakah pulpa gigi itu?
Blood vessel
Nerve
Connective tissue
 Jaringan pulpa berbeda dengan
jaringan lainnya di dalam tubuh
1. Surrounded by rigid walls unable to expand in response to injury
as a part of the inflammatory process.
2. There is minimal collateral blood supply to pulp tissue reduces
its capacity for repair following injury.
3. The pulp is composed almost entirely of simple connective tissue,
yet at its periphery there is a layer of highly specialized cells, the
odontoblasts.
4. The innervation of pulp tissue is both simple and complex.
Simple in that there are only free nerve endings and
consequently the pulp lacks proprioception.
Complex because of innervation of the odontoblast processes
which produces a high level of sensitivity to thermal and chemical
change
Apa yang menyebabkan jaringan pulpa
rusak?

Deep tooth decay (cavity)

A cracked tooth
Traumatic dental injury
Elective (for added retention of a crown)
 Tanda umum terjadi kerusakan pulpa
1.Pain
2.Prolonged sensitivity to heat, cold or biting
3.Discoloration of the tooth
4.Swelling and tenderness in the gums
 DIAGNOSA
The basic steps in diagnosis are:
1.Chief complaint
2.History: medical and dental
3.Oral examination: extra-oral and intra-oral
4.Special tests; ex. vitality test, percussion,
palpation
5.Radiographic examination
6.Data analysis: differential diagnosis
7.Treatment plan
 Considerations Prior to Endodontic
Therapy
1. Is the tooth needed or important? Does it have
an opponent? Could it some day serve as an
abutment for prosthesis?

2. Is the tooth salvageable, or is it so badly

destroyed that it cannot be restored?

3. Is the entire dentition so completely broken

down that it would be virtually impossible to
restore?
 Considerations Prior to Endodontic
Therapy
4. Is the tooth serving esthetically, or would the
patient be better served by its extraction and a
more cosmetic replacement?

5. Is the tooth so severely involved periodontally

that it would be lost soon for this reason?

6. Is the practitioner capable of performing the

needed endodontic procedures?
 Prognosis Perawatan Saluran Akar
Success rate is high, around 90-100 % for vital
teeth
Vital teeth have better prognosis than necrotic
ones.
Teeth without periradicualrradiolucency have
better prognosis than teeth with
periradicularradiolucency