Resin komposit dapat didefiniskan sebagai gabungan dari dua atau lebih
bahan yang berbeda sifat dan struktur namun dapat menghasilkan sifat
bahan yambal yang lebih baik. Resin komposit terdiri dari beberapa
campuran material, yaitu matriks, filler, inisiator, inhibitor, dan modifier optic.
N Kelebihan Kekurangan
karies sekunder
sedikit
dibandingkan amalgam
5 Radiopak
Telaah Kasus
Foto Intra Oral
01 Alat
.
02 Bahan
1. Diagnostic set 10. Ash 49 1. Etsa
2. High speed 11. Articulating 2. Bonding
handpiece Paper 3. Articulating
3. Low speed 12. White stone Paper
handpiece bur 4. Finishing Strip
4. Diamon bur 13. Rubber 5. Cotton roll
5. Bur metal bulat Silicone bur 6. Cotton palet
6. Diamond bur 14. Enhance bur 7. microbrush
metal kuning
7. Matrix
Sectional
8. Matrix Holder
9. Light cure
Prosedur Kerja
A. Preparasi Gigi B. Restorasi
1. Buang jaringan karies dengan bur 1. Isolasi daerah kerja menggunakan
metal bulat. cotton roll yang ditempatkan pada
2. Buka kavitas dengan round bagian bukal dan lingual
diamond bur 2. Pasang matrix sectional pada
3. Hilangkan jaringan email yang tidak bagian proksimal gigi 17 dan 16.
didukung dentin sehat dengan bur 3. Pasang wooden wedge pada
diamond silindris dan bentuk proximal embrassure interproksimal gigi bagian
box pada sisi proksimal. mesial dari arah lingual dan letakkan
4. Buat bevel pada enamel dengan matrix band holder di antara wooden
bur diamond fisur. wedge dan matrix sectional.
5. Haluskan dinding kavitas dengan 4. Aplikasikan bahan etsa dengan
bur diamond pita kuning. micro brush pada dinding kavitas,
6. Cek kavitas dengan menggunakan tunggu selama 15 detik di enamel dan
sonde. 10 detik di detin.
7. Bersihkan kavitas dari sisa-sisa 5. Bersihkan etsa dengan water
preparasi dan keringkan kavitas syringe
dengan three way syringe. 6. Keringkan enamel dengan cotton
pellet kering dan dentin dengan cotton
pellet lembab.
7. Aplikasikan bonding agent dengan
micro brush pada dinding kavitas,
tunggu selama 10 detik kemudian light
cure selama 20 detik.
• Restorasi Gigi
8. Rewalling dinding mesial kavitas
menggunakan komposit layer-by-layer,
kemudian light cure selama 20 detik.
Lepaskan matrix band.
9. Aplikasikan resin komposit layer-by-layer
dengan ash 49 instrument, kemudian light
cure selama 20 detik.
10. Lakukan hingga kavitas terisi sempurna.
11. Bentuk sesuai anatomi gigi.
12. Penyinaran ditempatkan dekat dengan
lapisan tetapi tidak menyentuh
permukaannya.
13. Cek permukaan tambalan dengan
menggunakan sonde dan cek oklusi pasien
dengan articulating paper, jika ada bagian
yang berlebih kurangi dengan finishing strip
pada bagian interproksimal serta
menggunakan white stone bur pada bagian
bukal dan lingual gigi.
14. Lakukan pemolesan dengan rubber
silicone bur dan enhance bur.
Cont…
95%
-Poles dengan enhance bur
-Berikan DHE pasca restorasi kepada
pasien : 80%
- Pasien diinstruksikan untuk tidak
menggunakan gigi yang baru ditambal
untuk mengunyah 75%makanan keras dan
lengket.
- Pasien diinstruksikan untuk mengurangi
60%
makanan dan minuman yang manis.
- Pasien diinstruksikan untuk menjaga oral
hygine. 40%
- Pasien diinstruksikan untuk kontrol
seminggu pasca penambalan.
20%
Kunjungan kedua
Periksa
jaringan
Tanyakan Periksa lunak
keluhan adaptasi pasien
pasien tambalan
Pemeriksaan Periksa
Objektif oklusi
pasien
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