Direct Fiber-Reinforced Composite Onlay for Post-Endodontic Restoration of the Maxillary First Pre-molar
DOI:
https://doi.org/10.46862/interdental.v22i1.12668Keywords:
Direct onlay, fiber-reinforced, root canal treatmentAbstract
Introduction: Pulp necrosis is a pathological condition of the dental pulp that requires root canal treatment. Post-endodontic restoration is required to support the success of the root canal treatment, restore dental function, and improve aesthetics. In this case, the final restoration employed was a direct composite onlay with fiber reinforcement.
Case: A 30-year-old female patient presented to the Dental Hospital of Soelastri, Universitas Muhammadiyah Surakarta (UMS), with a chief complaint of a carious tooth on the upper right jaw, which had been present for the past year. The diagnosis was established based on subjective, objective, and supplementary examinations. The diagnosis was pulp necrosis with apical periodontitis in tooth 14.
Case Management: The patient underwent root canal treatment in accordance with the principles of the endodontic triad. Subsequently, the final restoration was placed as a direct composite onlay with fiber reinforcement.
Discussion: A direct composite onlay with fiber reinforcement is a restoration that can be utilized following root canal treatment. The advantages of this restoration include its resistance to masticatory forces, favorable aesthetics, and color resemblance to dentin.
Conclusion and Suggestions: Restoration after root canal treatment is crucial to ensure the success of the endodontic therapy. The use of a direct composite onlay with fiber reinforcement represents one of the options for the final restoration following root canal treatment.
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1. Arvetona AV, Pratama IWAW. Prevalensi pulpitis reversible di poliklinik gigi Puskesmas. JPP (Jurnal Kesehatan Poltekkes Palembang). 2024; 19(2): 154–9. Doi: 10.36086/jpp.v19i2.2416
2. Widyastuti NH. Penyakit Pulpa dan Periapikal beserta Penatalaksanaannya. Surakarta: Muhammadiyah University Press; 2017.p. 270.
3. Widyastuti NH, Ningsih JR, Faza MA. Restorasi Mahkota Jaket Dengan Pasak Fiber Pasca Perawatan Saluran Akar Pada Kasus Nekrosis Pulpa Gigi Insisivus Lateral Maksila. Prosiding Dental Seminar Universitas Muhammadiyah Surakarta Collaborative Dentistry. 2025 Jul 3, Surakarta: Indonesia.
4. Bintang QA, Fatmawati DWA, Rakhmadian RD, Lestari S. Tingkat keberhasilan perawatan saluran akar pada gigi nonvital di RSGM Universitas Jember Tahun 2016. ARTERI: Jurnal Ilmu Kesehatan 2022; 3(3): 95–102. Doi: 10.37148/arteri.v3i3.224
5. Kartinawanti AT, Khoiruza Asy’ari A. Penyakit pulpa dan perawatan saluran akar satu kali kunjungan: Literature review. Jurnal Ilmu Kedokteran Gigi 2021; 4(2): 64-72. Doi: 10.23917/jikg.v4i2.15872
6. Sidiartha IFN, Wiswananta PP. Penatalaksanaan fraktur Ellis kelas III 11 dengan pulpektomi dan restorasi mahkota pasak. Interdental Jurnal Kedokteran Gigi (IJKG) 2020; 16(2): 28–33. Doi: 10.46862/interdental.v16i2.910
7. Wiratama IP, Yolanda Y. Perawatan saluran akar satu kali kunjungan dengan restorasi full coverage pada gigi premolar kedua kiri rahang bawah: Laporan kasus. SONDE (Sound of Dentistry) 2021; 6(1): 34–44. Doi: 10.28932/sod.v6i1.3794
8. Alam MD, Ningsih JR. Restorasi Resin Komposit Pada Gigi-Gigi Anterior Maksila. Prosiding Dental seminar 7 Universitas Muhammadiyah Surakarta Collaborative Dentistry. 2025, July 3.
9. Ranka S, Rao AS, Shah U, Solanki D, Pawar AM, Reda R, et al. Comparative evaluation of two different fiber-reinforced composite materials in class 1 post-endodontic restorations in molars—A randomized clinical study. Materials 2022; 15(21): 7858. Doi: 10.3390/ma15217858
10. Alshabib A, Jurado CA, Tsujimoto A. Short fiber-reinforced resin-based composites (SFRCs); Current status and future perspectives. Dental Materials Journal 2022; 41(5): 647–54. Doi: 10.4012/dmj.2022-080
11. Pasril Y, Rustam A. Endodontic Treatment of pulp necrosis with apical periodontitis: A case report. IMUNITY. 2025; 2(1): 2025. Doi: 10.18196/imunity.v2i1.65
12. Giovanni A, Nahzi MYI, Adhani R. Perbandingan efektivitas penggunaan teknik preparasi saluran akar konvensional dan crown down terhadap ekstrusi debris apikal. Dentin Jurnal Kedokteran Gigi 2022; 2022(2): 71–5. Doi: 10.20527/dentin.v6i2.6389
13. Mohammadi Z, Shalavi S, Kinoshita JI, Giardino L, Gutmann JL, Banihashem Rad S, et al. A review on root canal irrigation solutions in endodontics. Journal of Dental Materials and Techniques 2021; 10(3): 121–32. Doi: 10.22038/jdmt.2021.56003.1431
14. Hafida Widyastuti N, Difa Y. Perawatan saluran akar dan restorasi porcelain fusi metal pada gigi fraktur mahkota nekrosis pulpa. Jurnal Ilmu Kedokteran Gigi 2021; 4(1): 1-5. Doi: 10.23917/jikg.v4i1.15849
15. Adisetyani Y, Mulyawati E. Perawatan saluran akar pada gigi parulis dengan restorasi resin komposit diperkuat pita fiber. MKGK 2016; 3(2): 156–62. Doi: 10.22146/mkgk.33760.
16. Putri Lesmana RA, Fatriadi F. Endodontic treatment on fracture mandibular anterior tooth with crown down. Dentino: Jurnal Kedokteran Gigi 2024; 9(1): 110. Doi: 10.20527/dentino.v9i1.18872
17. Dhamayanti I, Nugraheni T. Restorasi fiber reinforced composite pada gigi premolar pertama kanan mandibula pasca perawatan saluran akar. Majalah Kedokteran Gigi Indonesia 2013; 20(1): 65. Doi: 10.22146/majkedgiind.8382
18. Mahardika C, Hernawatiningsih H, Kristanti Y, Mulyawati E. Restorasi onlay komposit pasca perawatan endodontik pada gigi molar pertama kanan atas : laporan kasus. E-Prodenta Journal of Dentistry 2022; 6(1): 611–6. Doi: 10.21776/ub.eprodenta.2022.006.01.9
19. AlJarboua R, Alshihry R, Alkhaldi H, Al Marar F, Aljaffary M, Almana M, et al. Effect of fiber-reinforced composite placement site on fracture resistance of premolar teeth: an in vitro study. Clin Cosmet Investig Dent 2024; 16: 255–66. Doi: 10.2147/CCIDE.S461134
20. Kınıkoğlu İ, Kayacı ŞT, Arslan H. Short fiber reinforced composite on fracture strength of immature permanent anterior teeth with simulated regenerative endodontic procedures: an in vitro study. Journal of Clinical Pediatric Dentistry. 2023; 47(6): 171-77. Doi: 10.22514/jocpd.2023.074
21. Hazar E, Hazar A. Effect of long glass fiber orientations or a short-fiber-reinforced composite on the fracture resistance of endodontically treated premolars. Polymers (Basel) 2024; 16(9): 1289. Doi: 10.3390/polym16091289
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