Perawatan Pulpotomi Pada Gigi Desidui: Evaluasi 3 Bulan (Laporan Kasus)

Abstract

ABSTRAK
Latar Belakang : Karies gigi desidui yang tidak dirawat dapat berkembang menjadi inflamasi pulpa. Pulpotomi bertujuan mempertahankan vitalitas pulpa radikular dengan mengangkat pulpa koronal yang terinfeksi. Tujuan: Melaporkan keberhasilan pulpotomi formokresol pada molar sulung dengan pulpitis reversible Kasus: Anak perempuan usia 8 tahun dengan karies luas pada gigi 75 dan 85, disertai nyeri saat makan yang hilang setelah rangsang diangkat. Pemeriksaan radiografis menunjukkan karies mendekati kamar pulpa tanpa radiolusensi furkasi atau resorpsi patologis. Diagnosis: gigi 75 dan 85 pulpitis reversibel. Penatalaksanaan: Prosedur pulpotomi dilakukan menggunakan formokresol sebagai bahan fiksasi, medikamen Zinc Oxide Eugenol (ZOE) dan restorasi akhir dilakukan dengan pemasangan Stainless Steel Crown (SSC) untuk memastikan penutupan koronal yang hermetis. Kesimpulan: Evaluasi 3 bulan menunjukkan pasien asimtomatik, fungsi pengunyahan normal, jaringan gingiva sehat, serta gambaran radiografis tanpa radiolusensi dengan lamina dura utuh. Perawatan pulpotomi formokresol dangan restorasi akhir SSC efektif serta ekonomis dalam mempertahankan gigi desidui dengan prognosis baik.

Kata Kunci : Gigi Desidui; Pulpitis reversibel; Pulpotomi; Formokresol; Stainless Steel Crown; Zinc Oxide Eugenol

ABSTRACT

Background: Untreated caries in primary teeth may progress to pulpal inflammation. Pulpotomy aims to preserve the vitality of the radicular pulp by removing the infected coronal pulp tissue. Purpose: To report the success of formocresol pulpotomy in primary molars diagnosed with reversible pulpitis. Case: An 8-year-old female presented with extensive caries in teeth 75 and 85, accompanied by pain during mastication that subsided upon removal of the stimulus. Radiographic examination revealed deep caries approximating the pulp chamber without furcation radiolucency or pathologic root resorption. The diagnosis of reversible pulpitis was established for teeth 75 and 85. Management: A pulpotomy procedure was performed using formocresol as a fixation agent. Zinc Oxide Eugenol (ZOE) was placed as the medicament material, and final restoration was completed with Stainless Steel Crowns (SSCs) to ensure a hermetic coronal seal. Conclusion: A three-month follow-up demonstrated that the patient was asymptomatic, with normal masticatory function, healthy gingival tissues, and radiographic findings showing no radiolucency and an intact lamina dura. Formocresol treatment with pulpotomy and SSC restoration is effective and cost-efficient in maintaining primary teeth with a favorable prognosis.

Keywords: Primary Teeth; Reversible pulpitis; Pulpotomy; Formocresol; Stainless Steel Crown; Zinc Oxide Eugenol.