Pasta Kalsium Hidroksida Sebagai Bahan Dressing pada Perawatan Trauma Insisif Permanen Imatur

Calcium Hydroxide Paste as a Dressing Material in The Treatment of Trauma to Immature Permanent Incisor

Abstract

Extrusive luxation is an outward  or incisal displacement of teeth  due to trauma with long- term complications, namely pulpal necrosis and periapical inflammation. Endodontic treatment that can be performed on immature permanent incisor is regenerative endodontics or apexification. The aim of this case report  is to evaluate the  effectiveness of calcium hydroxide paste as a dressing material in regenerative endodontic treatment. A 7 year old girl patient was brought  by his mother to the  Children's Dental Polyclinic at  RSGM  UNPAD with complaints that  the  front maxillary teeth touched the ground.  The results of the clinical examination showed that tooth 11 was extruded by 4 mm and had a mobility level of 2 and the gums were swollen and exposed labial to apical third. The treatment carried out was fixation and  orthodontic treatment but after 6 months of treatment tooth 11 returned to extrusion. Radiograph showed radiolucency in periapical region 11,  negative vitality test, grade 1 mobility  test and  4  mm  probe  test in  mid-buccal  region.  The  treatment performed  is  regenerative endodontics. Currently, patients use calcium hydroxide paste as a dressing material to treat periapical abscesses. After 3 months of treatment, from the  patient's periapical X-ray, it can  be  seen that  the radiolucent appearance in the periapical area has begun to decrease. Calcium Hydroxide Paste is an  effective dressing material for regenerative endodontic treatment of immature permanent incisor with dentoalveolar trauma.