Penatalaksanaan Perawatan Saluran Akar pada Gigi dengan Lesi Abfraksi : Laporan Kasus

  • Reni Nofika
  • Annisa Fajriatul Arafah
Keywords: Abfraction, coronal seal, frc, root canal treatment


Background: Pulp and periapical disease may also result from the presence of a cervical cavity reaching the pulp chamber as an abfraction lesion. Abfraction causes the dentinal tubules to be exposed so that it becomes a pathway for microorganisms to enter the pulp. Root canal treatment in cases with abfraction lesions requires special management, so that contamination does not occur during treatment due to the exposed cervical part. Objective: Discusses the management of root canal treatment in teeth with abfractional lesions that penetrate the pulp chamber. Case Management: A 53-year-old male patient came RSGM Unand because he wanted to be treated for a cavity in his right lower posterior tooth and had a sudden throbbing pain. Based on the results of subjective, objective and preoperative radiographs, tooth 45 was diagnosed with pulp necrosis with chronic apical abscess. Pulp and periapical disease of tooth 45 was probably caused by the entry of microorganisms through the abfraction lesion that reached the pulp chamber. Temporary coronal seal of the abfraction cavity and access occlusal cavity is necessary to prevent the entry of microorganisms during root canal treatment procedures. The final restoration is a direct composite resin using a fiber-reinforced composite (FRC). Conclusion: The management of root canal treatment in this case of abfraction lesion showed success as indicated by the absence of subjective complaints, objective examination showed negative results, and periapical lesions showed healing seen on periapical radiographs.



Sarode GS, Sarode SC. Abfraction: A review. Journal of Oral and Maxillofacial Pathology, 2013:17(2): 68-73.

Bradley T, Piotrowski, William B, Gilllette, Everett B, Hancocok. Examining the prevalence and characteristics of abfraction like cervical lesions in a population of US veterans. J Am Dent Assoc, 2001;132: 1694-1701.

Ritter AV, Boushell LW, Walter R. Sturdevant’s Art and Science of Operative Dentistry. 7th ed. St. Louis, Elsevier; 2019: 106,425.

Garg N, Garg A. Textbook of Endodontics. 2nd ed. New Delhi, Jaypee Brothers Medical Publishers; 2010: 74-75,109,226.

Torabinejad M, Walton R. Endodontics Principles and Practice. 4th ed. St. Louis, Elsevier; 2009: 38-39,84,259,289.

Heling I, Gorfi l C, Slutzky H, et al. Endodontic failure caused by inadequate restorative procedures: review and treatment recommendations. J Prosthet Dent, 2002;87: 674.

Nair PN. On the causes of persistent apical periodontitis: a review. Int Endod J, 2006;39: 249.

16. Hwartz RS, Fransman R. Adhesive dentistry and endodontics: materials, clinical strategies and procedures for restoration of access cavities: a review. J Endod, 2005;31: 151.

McCoy G. The etiology of gingiva erosion. J Oral Implantol, 1982;10: 361-362.

Baba NZ. Contemporary Restoration of Endodontically Treated Teeth. Chicago, Quintessence Publishing Co Inc; 2013: 30,57.

Modh H, Sequeira V, Belur A, Arun N, Dhas S, Fernandes G. Newer trends in endodontic treatment: A review. Journal of Dental and Medical Sciences, 2018:17(1): 14-16.

9. Berman LH, Hargreaves KM. Cohen’s Pathways of the Pulp. 11th ed. St. Louis, Elsevier; 2021: 949-950, 959-960,962-964,976-977.

Nishanthi R, Ravindran V. Role of calcium hydroxide in dentistry: A review. International Journal of Pharmaceutical Research, 2020:12(2): 2822-2827.

Kim D, Kim E. Antimicrobial effect of calcium hydroxide as an intracanal medicament in root canal treatment: a literature review – Part I. In vitro studies. Restor Dent Endod, 2014;39(4): 2411-252.

Niu Y, Ma X, Fan M, Zhu S. Effects of layering techniques on the micro-tensile bond strength to dentin in resin composite restorations. Dent Mater 2009; 25(1): 129-34.

Tanner J, Tolvanen M, Garoushi S, Sailynoja E. Clinical evaluation of fiber-reinforced composite restorations in posterior teeth – results of 2.5 year follow-up. The Open Dentistry Journal, 2018:12: 476-485.

Omran TA, Garoushi S, Abdulmajeed AA, Lassila LV, Vallittu PK. Influence of increment thickness on dentin bond strength and light transmission of composite base materials. Clin Oral Investig 2017; 21(5): 1717-24.

Tsujimoto A, Barkmeier WW, Takamizawa T, Latta MA, Miyazaki M. Mechanical properties, volumetric shrinkage and depth of cure of short fiber-reinforced resin composite. Dent Mater J 2016; 35(3): 418-24.

Garoushi SK, Hatem M, Lassila LVJ, Vallittu PK. The effect of short fiber composite base on microleakage and load-bearing capacity of posterior restorations. Acta Biomater Odontol Scand 2015; 1(1): 6-12.

Garoushi S, Säilynoja E, Vallittu PK, Lassila L. Physical properties and depth of cure of a new short fiber reinforced composite. Dent Mater 2013; 29(8): 835-41.

Schwendicke F, Kern M, Dörfer C, Kleemann-Lüpkes J, Paris S, Blunck U. Influence of using different bonding systems and composites on the margin integrity and the mechanical properties of selectively excavated teeth in vitro. J Dent 2015; 43(3): 327-34.

How to Cite
Nofika, R., & Arafah, A. (2021). Penatalaksanaan Perawatan Saluran Akar pada Gigi dengan Lesi Abfraksi : Laporan Kasus. Andalas Dental Journal, 9(2), 85-92. dent. j.v9i2.163

Most read articles by the same author(s)