Seni Dalam Mencocokkan Restorasi Porselen Anterior

7/25/2019 Seni Dalam Mencocokkan Restorasi Porselen Anterior

1/17

BAGIAN KONSERVASI

FAKULTAS KEDOKTERAN GIGI

UNIVERSITAS HASANUDDIN

TERJEMAHAN JURNAL

5 Mei 2014

Seni Untuk Menyesuaikan

Restorasi Porselen Anterior : Laporan Kasus Klinik

The Art of Matching

Anterior Porcelain Restorations: A Clinical Case Report

Emil Hawa!" DDS" FAA#D" FAGD" DI#OI

Ole$%

Nama : A. Akbar Muhrano Sofyan

Stambuk : J 111 ! 11"

#ari$%an&&al : Senin' ( Mei )1"

%empat : Ruan& Seminar RS*MP Kan+eaPembimbin& : +r&. Juni Jekti Nu&roho' Sp. K*

Sumber : j. California dental association

2014;42:31!324

,-A/AKAN S0A*A- %U*AS K0PAN-%0RAAN KL-N-K

A*-AN KNS0R2AS-

3AKUL%AS K0,K%0RAN *-*-

UN-20RS-%AS #ASANU,,-N

MAKASSAR

)1"


2/17

Seni Untuk Menyesuaikan

Restorasi Porselen Anterior : Laporan Kasus Klinik

Abstrak

D&'(e )elal* +i(a,(a,- *,(*' me,!e)*ai'a, )a(* a(a* +*a -i-i )ei

(e$a+a. -i-i alami !a,- (e)i)a 'ae,a )i/a( m*l(i+ime,)i wa,a +a, e,(*',!a

Re)(&a)i single-shade (i+a' a'a, me,!e*.ai )(*'(* -i-i alami +e,-a,

)em.*,a" &le$ 'ae,a i(*" (i+a' +a.a( meme,*$i )ea-ia, e)a $aa.a, .a)ie,A(i'el i,i me,ela)'a, la,-'a$3la,-'a$ !a,- +i-*,a'a, +alam .ee,a,aa,

.e,-&a(a," .eawa(a," '&m*,i'a)i (e$a+a. (e',i'e +a, a$a, !a,- +i-*,a'a,

*,(*' e.li'a)i -i-i polychromicity )e$i,--a +a.a( me,-emali'a, +a,

Me,!e)*ai'a, (i-a -i-i a,(ei& (e$a+a. -i-i alami !a,- (e)i)a

Kema*a, (e',&l&-i +a, ma(eial +ii+a,- 'e+&'(ea, -i-i (ela$

me,i,-'a('a, *.a!a +&'(e -i-i +a, (e',i'e *,(*' meawa( -i-i +a,

me,-emali'a, )e,!*m .a)ie, +e,-a, ea-ai me(&+e !a,- +a$*l* +ia,--a.

)*li( (ea.ai De,-a, a+a,!a 'emam.*a, *,(*' mem.eai'i -i-i (a,.a

me,--*,a'a, l&-am" m*,*l .e,-e,ala, a$a, e)(&a(i/ +a, .ee'a( !a,- '*a(

Sala$ )a(* (a,(a,-a, .ali,- )*li( !a,- +i$a+a.i +&'(e -i-i a+ala$

me,&&'a, -i-i .&)ele, .a+a -i-i a,(ei& alami U,(*' me,a.ai 'e)ime(i)a,

+ai e,(*'" wa,a" *'*a," (e')(* +a, )i/a( translusen+a.a( me,a+i (*-a) !a,-

)*li( K&,(&l ai,-a, l*,a' !a,- (e.a(" .e.aa)i -i-i" .ema$ama, !a,- ai'

(e$a+a. a$a, +a, aa .e,-a.li'a)ia,,!a" )e(a '&m*,i'a)i !a,- ela) (e$a+a.

(e',i'e 'eami' me*.a'a, /a'(& !a,- +i.el*'a, *,(*' me,a.ai $a)il e)(e(i'a

!a,- +i$aa.'a, &)ele, 6e,ee) a+ala$ .e,a,-a,a, '&,)e6a(i/ )ea-ai )&l*)i

*,(*' me,-emali'a, )e,!*m .a)ie," +a, me*.a'a, )ala$ )a(* .eawa(a, !a,-

memili'i (i,-'a( 'ee$a)ila, !a,- (i,--i1

Ke(i'a e)(&a)i 'eami' lei$ a,!a' +i-*,a'a, .a+a -i-i a,(ei& !a,-

(ela$ +iawa( e,+&+&,(i'" .a)a' l&-am 'em*,-'i,a, e)a memili'i e/e' ,e-a(i/


3/17

!a,- +a.a( mem.e,-a*$i e)(e(i'a2 Be'e,aa, +e,-a, ma)ala$ e)(e(i'" a$a, ,&,

l&-am memili'i 'e*,--*la, e)(e(i'a +ia,+i,- .ema)a,-a, l&-am Bea-ai

maam a$a, e)(e(i' (e)e+ia )eaa '&me)ial" )e.e(i '&m.&)i( !a,- +i.e'*a(

+e,-a, )ea( e)i, +a, !((i*m3)(ail" 7i'&,ia ea)i) 'eami' .&)() 839

:i'&,ia )aa( i,i me,a+i ma(eial !a,- a,!a' +i-*,a'a, 'ae,a )i/a(

'imia +a, /i)i',!a !a,- me,-*,(*,-'a," +a, *-a 'e*,(*,-a, +ai )i/a( e)(e(i'a

!ai(* +a.a( me,!e*.ai wa,a alami -i-i; e,--*,aa, .a)a' 'eami' +a.a(

me,-$a)il'a, (a,)mi)i a$a!a !a,- lei$ ai' .a+a a-ia, a.i'al +a, )e,(al +ai

ma$'&(a +ia,+i,-'a, +e,-a, .e,--*,aa, .a)a' l&-am< Nam*," a$a, i,i (i+a'

'*a(

T**a, +ai la.&a, i,i a+ala$ *,(*' me,ela)'a, la,-'a$3la,-'a$ !a,-

+i-*,a'a, +alam me,e,(*'a, .ee,a,aa, .e,-&a(a," .eawa(a," '&m*,i'a)i

(e$a+a. (e',i'e +a, a$a, !a,- +i-*,a'a, *,(*' e.li'a)i -i-ipolychromicity

)e$i,--a +a.a( me,-emali'a, +a, .e,!e)*aia, (i-a -i-i a,(ei& (e$a+a. -i-i

alami !a,- (e)i)a

Ri4ayat Klinik

a)ie, a+ala$ )e&a,- la'i3la'i 44 (a$*, a)al E&.a +e,-a, iwa!a(

'e)e$a(a, ,&mal Saa( +a(a,- .a)ie, me,--*,a'a, ma$'&(a .&)eli,3/*)e3(&3

me(al =FM> .a+a -i-i i,)i)i6*) )e,(ali) 'a,a," !a,- (ela$ +i.a)a,- )e'i(a 20

(a$*, )eel*m,!a" .eawa(a, )al*a, a'a =R#T> +a, *-a (e+a.a( 'a6i(a)

.ema)a,-a, .a)a' a)ie, me,-alami .e*a$a, wa,a +a, a*) .a+a e)(&a)i

'&m.&)i( -i-i 21 a)ie, ea) 'aie)" memili'i ai,-a, -i,-i6a !a,- )e$a("

'ee)i$a, m*l*( ai' +a, (i+a' memili'i (a,+a3(a,+a a(a* -eala .e,!a'i(

(em.&&ma,+i*la a)ie, me,-i,-i,'a, )e,!*m !a,- lei$ ai'" (a.i ia i,-i,

+iawa( )eaa '&,)e6a(i/ +a, mem.e(a$a,'a, wa,a -i-i alami,!a a)ie,

me,-i,-i,'a, .e,-&a(a, !a,- (i+a' me,-*a$ .e,am.ila,,!a )eaa )i-,i/i'a,"

+a, 'ei,-i,a,,!a (e)e*( +i.e(ima,-'a, +alam .e,-&a(a,


4/17

,ia&nosis

Se(ela$ .emei')aa, 'li,i)" 'e)e$a(a, .ei&+&,(al" &(&(" )e,+i" 'aie)"

ai,-a, l*,a'" +a, ai,-a, 'ea) )em*a ea+a +alam a(a) ,&mal Re)e)i

-i,-i6a i,-a, =238 mm> +i+ia-,&)i) .a+a eea.a -i-i +a, .a)ie, (ela$

+iela)'a, a'a, $al i(* Ga/(i,- -i,-i6a +i)aa,'a," (e(a.i .a)ie, memili$ (a,.a

.e,-&a(a, 'ae,a e)e)i (i+a' me,im*l'a, ma)ala$ e)(e(i'a Se,!*m .a)ie,

(i+a' e)(e(i) 'ae,a eea.a /a'(& Gi-i 11 memili'i .eawa(a, )al*a, a'a

a)im(&ma(i' +a, +a)a .a)a' l&-am !a,- e.e,-a*$ )i-,i/i'a, (e$a+a. wa,a

-ela. -i-i FM .a+a -i-i memili'i wa,a !a,- (elal* *am +a, wa,a

m&,&'&ma(i'" !a,- (i+a' me,!e*.ai +e,-a, -i-i alami !a,- e+e'a(a,

e*a$a, wa,a (am.a' ela) +a, l&-am +a.a( (eli$a( .a+a a(a) -i,-i6a

)e$i,--a memili'i ma)ala$ e)e(e(i'a Gi-i 21 memili'i wa,a 'e$i(ama, +a,

+i-&l&,-'a, +alam m&,&'&ma(i' e)(&a)i '&m.&)i( 'ela) IV Ti(i' '&,(a' a,(aa

-i-i 12 +a, 11" *-a a,(aa -i-i 11 +a, 21" (ela$ $ila,- Hal i,i me,-a'ia('a,

.e*a$a, wa,a -ela. +ai -i-i" !a,- e)i/a( .&li'&ma(i' +a, memili'i

eea.a wa,a e')e,(i' =*AMAR 15"> Dalam ma)ala$ i,i" 'e.*(*)a,

.eawa(a, +i*a( 'em*+ia, +ila,*('a, +e,-a, .eawa(a, e)(&a)i e)(e(i' *,(*'

mem.eai'i,!a a+a .emei')aa, a+i&-a/i" (i+a' a+a (em*a, !a,- )i-,i/i'a,

+a, .a)ie, memili'i 'ea+aa, (*la,- !a,- ai'

*ambar ) %ampak +epan &i&i pasien

sebelum pera4atan menun6ukkan

monokromatik P3M yan& buram +i &i&i

11 +an perubahan 4arna yan& besar +ari

komposit +i &i&i )1

*ambar 1. %ampak /a6ah Sebelum

Pera4atan


5/17

Ren7ana Pera4atan

Al(e,a(i/ .eawa(a, lai,,!a +i)am.ai'a, 'e.a+a .a)ie, Kae,a +ai

.eawa(a, i,i mem*(*$'a, .e.aa)i !a,- e)a )e+a,-'a, )i)a +ai )(*'(* -i-i

.a+a -i-i 11 (i+a' mema+ai" .a)ie, +iei(a$* (e,(a,- .&-,&)i) +a,

'em*,-'i,a, /a'(* a'a Se$i,--a .a)ie, +i(awa'a, .ili$a, *,(*' e')(a')i

-i-i 11 +ii'*(i &le$ .e,a,ama, la,-)*,- implan !a,- me,+*'*,- ma$'&(a

7i'&,ia .a+a -i-i .e,!a,--a a)ie, memili$ *,(*' me,a-a -i-i 11 *,(*'

me,--a,(i'a, FM )eel*m,!a a)ie, +i(awai smile makeover melal*i

.ela.i)a, 6e,eei,- -i-i a,(ei&" ,am*, +ia i,-i, me,a-a ,!a (am.a' alami

Ole$ 'ae,a i(*" e,a,a .e,-&a(a, !a,- (e.ili$ !ai(* me,--a,(i FM .a+a -i-i

11" veenir-i-i 21" e)(&a)i '&m.&)i( 'ela) III .a+a a-ia, me)ial +ai -i-i 12 +a,

bleaching a)ie, (ela$ mema$ami 'ea+aa, -i-i,!a )aa( i,i +a, me,-i,-i,'a,

e)(&a)i a* *,(*' me,!e)*ai'a, 'aa'(ei)(i' alami -i-i ,!a" !a,- +ila'*'a,

melal*i .eawa(a, !a,- +i.ili$

U,(*' me,a,-a,i 'el*$a, e)(e(i'a .a)ie," e,a,a .e,-&a(a, !ai(*

)ea-ai ei'*(%

em*a(a, '&m.&)i( mock-up .a+a m&+el -i.) *,(*' me,-e6al*a)i

m&/&l&-i -i-i +a, .a,a,- -i-i !a,- (e.a( *,(*' e)(e(i'a !a,- lei$ ai' +a,

'&,(* -i,-i6a !a,- (e.a( Hal i,i (ela$ +i)am.ai'a, 'e.a+a .a)ie, *,(*'

mema,(* +alam me,e,(*'a, e,a,a .eawa(a,

*ambar ". %ampak Lateral Kiri &i&i

pasien sebelum pera4atan

mbar 8. %ampak Lateral Kanan &i&i

en sebelum pera4atan


6/17

K&m.&)i( mock-up+i-*,a'a, *,(*' mem*a( $al3$al ei'*(%

Tamala, Sil-Tech =I6&la Vi6a+e,( AG" Am$e)(" N?> insisal anterior

template.

e,-*a,-a, .e.aa)ipinhole*,(*' mema,(* +alam .e,-*a,-a, -i-i !a,-

(e.a(

Polyvinyl siloxane=S.la)$@" Di)*) Gi-i LL#" #*l6e #i(!" #ali/&,ia> )ea-ai

a$a, e(a'a, )eme,(aa +ai mock-up

e,--a,(ia, .a)a' l&-am +a, FM .a+a -i-i 11 +e,-a, .ema)a,-a, e)(&a)i

all porcelain=N&i(a'e Gi-i S*..l! #& L(+" Na-&!a" Je.a,->

Porcelain veneer =N&i(a'e Gi-i S*..l! #& L(+> .a+a -i-i 21 *,(*'

me,!e)*ai'a, -i-i 11

Bondinge)i, '&m.&)i( 'ela) III .a+a a-ia, me)ial -i-i 12

em*a(a, la.i)a, a-ia, &'l*)al

In-office bleaching me,--*,a'a, )i)(em .em*(i$a, :&&m 2 =Di)*) Gi-i

LL#>

Pera4atan

Seel*m -i-i +i .e.aa)i" *,(*' me,-a,ali)a +i*a( +ia-,&)(i' wax-up

-i-i 11 +a, 21 a+a m&+el 'ea" -i-i 21 +a, 11 +i*a( e+a)a'a, '&,(* !a,-

+ie,a,a'a," me,--*,a'a, '&m.&)i( light curing D*a )e( (amala, )ili'&,

i,+e')" )a(* *,(*' +i-*,a'a, )ea-ai l*((i,- +a, !a,- )a(*,!a la-i )ea-ai

.e(*,*' .e.aa)i

Preparasi

a)ie, +ia,a)(e)i i,/il(a)i l&'al +e,-a, Se.(&ai,e +e,-a, 1%100000

e.i,e/i, =Se.(&+&,(" New #a)(le" Del> Ma$'&(a FM +a, .a)a' l&-am !a,-

lama (ela$ +i$ila,-'a, +e,-a, diamond +a, karbida bur" +ii'*(i +e,-a,

hristensen crown remover =H*3Fie+!" #$ia-&> +a, automatic crown and

bridge remover=J M&i(a USA I," I6i,e" #ali/&,ia> Ti,-'a( .e*a$a, wa,a


7/17

-i-i me,e,(*'a, )eea.a a,!a' )(*'(* -i-i !a,- +i$ila,-'a, .a+a wa'(*

.e.aa)i Hal i,i lei$ ai' *,(*' .eawa(a, .a+a .e*a$a, wa,a +a, +aea$

.e.aa)i" )e$i,--a $a)il,!a a'a, lei$ m*+a$ +i.e+i')i Hal i,i *,(*' me,e-a$

)*li(,!a mem.e+i')i la.i)a, )(*'(* -i-i +e,-a, +a)a .&)ele, Kae,a wa,a

-ela. !a,- (im*l +ai e,+&+&,(i' .a+a -i-i 11" bleaching +ila'*'a, *,(*'

me,!e)*ai'a, wa,a -i-i FM !a,- lama (ela$ +i$ila,-'a, +a, -i-i !a,- (e)i)a

+i.*(i$'a, eawa(a, +ila'*'a, *,(*' me,*(*. +aea$ '&&,al +ai )al*a, a'a

Te.i +ai .e.aa)i .a+a -i-i 11 +i.e$al*) me,--*,a'a, diamond bur KS1

=Ba))ele USA" Sa6a,,a$" Ga> $i,--a 'e+alama, 1"2 mm )eaa meli,-'a +a,

'em*+ia, me,--*,a'a, fine-gritend-cutting bur =Ba))ele USA> S*+*( (e.i

a-ia, +alam +i*la('a, me,--*,a'a, )e*a$ KS8 fine-grit diamond bur

=Ba))ele USA> e,em.a(a, mai,al ea+a .a+a 2"538 mm +ai **,- (*la,-

!a,- +i(e,(*'a, melal*i osseous sounding !sseous sounding me*.a'a, a*a,

!a,- )(ail *,(*' memi,imal'a, 'em*,-'i,a, i,6a)i i&l&-i) !a,- e)a +a,

+aea$ '&,(a' i,(e.&')imal" )e$i,--a me,i,-'a('a, .e+i'(aili(a) )(aili(a)

+aea$ )*-i,-i6al Ma-i,,!a a+ala$ 0"530";5 mm +ai )*-i,-i6al e,em.a(a,

'&,(a' i,(e.&')imal )ee)a 4"5 mm +ai .*,a' osseus *-a me,-*a,-i

'em*,-'i,a, Cblack triangelsC Ma)i$ (am.a' )e+i'i( .ee+aa, wa,a +i +aea$

-i,-i6a" !a,- +a.a( me,-$a)il'a, wa,a -ela.10 T**a, .eawa(a, a+ala$

me,-$a)il'a, wa,a !a,- ea$" )e.e(i A1 Daea$ /a)ial +ai -i-i +i.e.aa)i 1

mm +ia(a) +aea$ !a,- (ela$ +i.e.aa)i )eel*m,!a +a, la.i)a, (i.i) mea$

m*+a +ia.li'a)i'a, .a+a -i-i *,(*' mema(a)i )(*'(* wa,a -i-i !a,- (ela$

e*a$11314

Post space +i.e.aa)i +e,-a, me,--*,a'a, Peeso reamers =Premier

"ental Product# Plymouth $eeting# Pa> e.aa)i -i-i 21 me,-i'*(i reduction

templates =.i,$&le .e.aa(i&," S$&/* Gi-i" Sa, Ma*)" #ali/&,ia> e.aa)i

'em*+ia, +i.e.a,a,- 0"5 mm melewa(i +aea$ )*-i,-i6a +e,-a, a(a)

'e+alama, 1 mm +ai +aea$ .em*'aa, -i-i" +a, a(a) .e.aa)i +aea$ li,-*al

+i(em.a('a, +i (e.i i,)i)al *,(*' 'e'*a(a, ma')im*m -i-i +a, e)(&a)i,!a Ba(a)

.e.aa)i +aea$ li,-*al (i+a' &le$ me,a.ai fossa li,-*al" !a,- ma,a


8/17

me*.a'a, +aea$ +e,-a, (e'a,a, (e(i,--i +ai )el**$ -i-i15" 19 Gi-i i,i

+i.e)ia.'a, )e+emi'ia, *.a )e$i,--a .a+a )aa( +iei'a, 'e (e',i'e (e)e+ia

*a,- 2 mm .a+a a-ia, i,)i)al +a, 1"5 mm .a+a a-ia, /aial *,(*'

me,-$a)il'a, 'aa'(ei)(i' i,(e,al !a,- $al*) +e,-a, .e,--*,a'a, .&)ele,

Daea$ .&')imal -i,-i6a +i.e.a,a,- 'e +aea$ li,-*al )am.ai +i .*,a'

.a.illa *,(*' memei'a, e,(*' .e.aa)i .&)ele, !a,- a+e'*a( +alam

me,-$ila,-'a, black triangle=*ambar (>

.

Polishing +ai (a$a. .e.aa)i +i)ele)ai'a, +e,-a, me,--*,a'a, rubber

cups+a,poin ceramiste=S$&/* De,(al> Sea-ia, 'eil +ai '&,(* -i,-i6a *-a

+i'ea'a, +e,-a, electrosurge =a'ell I," Fami,-+ale" N?> )eel*m

me,-amil (a$a. a'$i Stump shades +i.ili$ +a, +ila'*'a, .e,-amila, /&(&

.a+a (a$a. .e.aa)i )ea-ai -amaa, +alam .e(*,*' 'ea la&a(&i*m

=*ambar 9>

*ambar (. Mahkota P3M yan& lamatelah +ihilan&kan sehin&&a tampak

perubahan 4arna pa+a akar +an 4arna

&elap pa+a tepi 6arin&an. Preparasi &i&i

)1 +iperpan6an& '( mm se7ara

sub&in&ia pa+a 4a6ah +an +aerah

proksimal &in&ia lalu +iperpan6an&

se7ara lin&ual sampai +i pun7ak papilla.


9/17

*ambar 9. "t#$p shade +ipilih seba&ai petun6uk

ker6a untuk pen&er6aan laboratorium.

Gi-i 12 +i $**,-'a, .a+a a-ia, me)ial +a, .ala(al +e,-a, renamel

komposit =#&)me+e,(" #$ia-&> )e(ela$ me,-$ila,-'a, ai,-a, !a,- *)a' +a,

'e&&a, (e.i e)(&a)i amal-am +ia-ia, .ala(al S$a+e A1 me,--*,a'a,

eea.a wa,a e')e,(i' (ema)*' .*(i$ +il*(e +a, '*,i,- (*a !a,- +i(ama$'a,

'e a$a, *,(*' me,!e)*ai'a, +e,-a, -i-i alami .a)ie,

Ta$a. a'$i +ila'*'a, =Im.e-*m" 8M ESE" S( a*l" Mi,,>" +e,-a,

mema)*''a, a$a, e(a' 'e +alam )*l'*) De,-a, me,--*,a'a, siloksan

polivinil*,(*' (am.ila, +ai -i.) )(*+i mock-up+a, +e,-a, .e,--*,aa, wa,a

L*a(em. A1 =:e,i($ DMG" E,-lew&&+" NJ>" e)(&a)i )eme,(aa +i*a("

+i)e)*ai'a," +i.&le) +a, +i3lutting .a+a -i-i .a)ie, +e,-a, Tem.B&,+ =Ke"

Oa,-e" #ali/&,ia> Ba$a,3a$a, i,i +ie,(*' *,(*' me,+a.a( '&,(* +a, ma-i,

!a,- (e.a( )e$i,--a memei'a, e).&, !a,- ai' *,(*' -i,-i6a +a, .a.illa

Gea'a, 'e aa$ a,(ei&" la(eal +a, .&(*)i/ +i.ei')a *,(*' meli$a( $**,-a,

+a, /*,-)i &)i)i end-to-endi,)i)al *-a +ie6al*a)i *,(*' /*,-)i !a,- ai'

a)ie, +a(a,- 'ee)&'a, $ai,!a *,(*' '&,)*l(a)i .a)a .eawa(a, a)ie,(eli$a( )e,a,- +e,-a, )e,!*m a*,!a +a, $a,!a mem*(*$'a, )e+i'i(

.e,!e)*aia," +&'(e mem.eai'i e)(&a)i )eme,(aa +a, me,a(a( a$wa insisal

edge .el* +i.e.a,a,- Se*a$ al-i,a( +ai .&6i)i&,al) a(a) (ela$ +i*a("

+i(*a,-'a, +alam wa+a$ +a, +i'iim 'e la&a(&i*m F&(&3/&(& *-a +iamil +ai

.&6i)i&,al *,(*' mem/a)ili(a)i '&m*,i'a)i +e,-a, la&a(&i*m


10/17

Gi-i .a)ie, me,-alami .em*(i$a, +e,-a, )i)(em .em*(i$a, %oom &

=Di)*) De,(al LL#> +a, ia +ia+wal'a, +a(a,- *,(*' .emili$a, wa,a" +i ma,a

&,(&$ wa,a +a, /&(&" +i-*,a'a, )ea-ai .a,+*a, *,(*' .emili$a, wa,a

-nstruksi Laboratorium

Se*a$ )*a( .ei,(a$ 'ea 'e la&a(&i*m" (ema)*' -amaa, a(a) +a,

awa$ +ai le,-'*,-a,polivinil siloksan" a(a(a, +ai -i-i(a, )e,(i)" .e,em.a(a,

.a)a' a(a) )eme,(aa" .emili$a, wa,a -i-i" &,(&$ wa,a +a, i,)(*')i

'aa'(ei)a)i +a, )em*a -ama +i-i(al !a,- +i.el*'a, +ima)*''a, +alam

compact disc

Te'$,i'e +imi,(a *,(*' me,i,-'a('a, .a,a,- e)(&a)i a'$i

e+a)a'a, casting )eme,(aa )ea-ai .e(*,*' *,(*' me,-emali'a, -ai)

)e,!*m +a, mem*a( )e,!*m lei$ ai' =*AMAR ;>

*AMAR ; %ampak keseluruhan +ari senyum.

Menun6ukkan ba&ian sementara untuk

men&arahkan laboratorium +alam membuat

pan6an& +an bentuk +ari restorasi akhir.

Tr%!in

Se(ela$ e)(&a)i )ele)ai" +ila'*'a, try-in =*ambar " +ie6al*a)i

'e)e)*aia, mai,al" '&,(* +a, wa,a Beea.a ma)ala$ .e*a$a, wa,a (ela$

+ia,(i)i.a)i &le$ )i/a( wa,a +ai 7i&,ia +a, 'e.a+a(a, +ai a$a, Ke(i'a a$a,

e)(&a)i !a,- +i-*,a'a, ee+a" .e,(i,- *,(*' mela'*'a, la,-'a$3la,-'a$

!a,- )ama )eel*m .e,ama$a, chroma+i*a( K&m*,i'a)i !a,- ai' +e,-a,


11/17

la&a(&i*m" +e,-a, )ali,- .e,-e(ia, (e,(a,- $al 'li,i) +a, (e',i)" a'a,

mem/a)ili(a)i $a)il .eawa(a, !a,- )a,-a( ai'

*AMAR


12/17

silanate =Ul(a+e,(" S&*($ J&+a," U(a$> +a, )e(ela$ )ia." ma$'&(a *(ama +a,

B&,+ NT +ia.li'a)i'a, .a+a .em*'aa, a-ia, +alam a,a Rel!)eme, luting

T =8M ESE> +i-*,a'a, *,(*' mem.e'*a( wa,a -i-i Re)(&a)i i(* 'em*+ia,

+i curing +e,-a, /0 optilux light =Ke> )elama 8 +e(i' Kelei$a, )eme,

+i$ila,-'a, +a,gel "e!x gliserin=Ul(a+e,(> +ia.li'a)i'a, .a+a a(a) !a,- (ela$

+i*a( *,(*' me,-$i,+ai (e$ama(,!a &')i-e, .a+a la.i)a, Kem*+ia, -i-i

'emali +i3light curing+e,-a, wa'(* (ama$a, 40 +e(i' .a+a laial +a, li,-*al

Kelei$a, )eme, +i$ila,-'a, +e,-a, $a(i3$a(i +e,-a, me,--*,a'a, .i)a* e+a$

Bard Parker N&12 =A).e, Me+i)" #ale+&,ia" Mi$> Ma-i, +i.&le) +e,-a,

me,--*,a'a, .a)(a +namelie diamond polishing =#&)me+e,(> +a, cup

profilaksis =*AMAR !> O'l*)i +ie6al*a)i *,(*' mema)(i'a, 'e)ea)ia,

.e,a$a!aa,

e,--*,aa, all porcelain*,(*' -i-i 11 +i try-in+a, 'em*+ia, +i3bonding

me,--*,a'a,'ely( 1nicem semen resin=8M ESE> Tali e(a')i 1ltrapack///

+a, 1ltrapack 0 =Ul(a+e,( &+*() I,> +i-*,a'a, )e(ela$ +i&le)i hemodent

=emie De,(al &+*()> Se*a$ e(a'a, (ela$ +i*a( =Im.ei*m" 8M ESE" S(

a*l" Mi,,>" 'em*+ia, a$a, e(a' +ima)*''a, 'e +alam )*l'*) .a+a -i-i 11

Se*a$ /&(& a* +aistump shade *,(*' wa,a -i-i 11 (ela$ +iamil Re)(&a)i

)eme,(aa +ie'a('a, 'emali me,--*,a'a, Tempbond!a,- e)i$

Beea.a $ai 'em*+ia," all porcelain+ai ma$'&(a -i-i 11 +i try-in F&(&3

/&(& +iamil *,(*' mem&+i/i'a)i +ai -ama &,(&$ -i-i 21 +a, +i)e)*ai'a,

+e,-a, -i-i !a,- e+e'a(a, La,-'a$3la,-'a$ !a,- )ama +ii'*(i +e,-a, try-in

6e,ee .a+a -i-i 21 Kem*+ia, ma$'&(a )eme,(aa +i(em.el *la,- me,--*,a'a,

*AMAR !. Porselen eneer yan&

terikat pa+a &i&i )1. Restorasi sementara

telah +ihilan&kan +ari &i&i 11 untuk tr%!

inall porcelain. >atatan bah4a struktur

&i&i yan& tersisa ti+ak men7ukupi'sehin&&a harus +i6a&a untuk

memperbaiki pro&nosis? Namun

+emikian' telah a+a ferr#le yan&

a+ekuat sebelumnya.


13/17

Temp Bond +a, ma$'&(a all porcelain +i'iim 'emali +e,-a, /&(&3/&(& 'e

la&a(&i*m *,(*' mem.eai'i wa,a Ke(i'a .a)ie, 'emali *,(*' i,)e)i"

ma$'&(a +i try-in*,(*' mema)(i'a, 'e&&''a,,!a Ve,ee (eli$a( )e)*ai .a+a

-i-i 21 (e$a+a. -i-i !a,- e+e'a(a, a)ie, .*a) +e,-a, $a)il,!a +a,

me,!e(**i *,(*' mela'*'a, e)(&a)i a'$i

Gi-i +i3lutting me,--*,a'a, 'ely( 1nicem resin cement Kelei$a,

)eme, +i*a,- +a, ma-i, +i.&le) +e,-a,+namelie+a,prophy cup=*AMAR

1> O'l*)i (ela$ +i)e)*ai'a, e+a)a'a, &'l*)i )e,(i) +a, e')'*)i e')e,(i'

K&,(a' .a+a -i-i 11 +a, 21 +alam -ea'a, .&(*)i6e (ela$ +i )e)*ai'a,

e,!e)*aia, .em*'aa, +i.&le) +e,-a, me,--*,a'a, )i)(em polishing "ialite

=Ba))ele USA> em*a(a, .e,a$a, &'l*)al +i*a( +a, +i)am.ai'a, 'e.a+a

.a)ie,

Rin&kasan +an Kesimpulan

e,-emalia, e)(e(i' )e,!*ma, .a+a .a)ie, i,i +ia.ai +e,-a,

.e,--*,aa, a$a, 7i&,ia =porcelain>" all porcelain.a+a -i-i 11 +a, 6e,ee

.&)ele, .a+a -i-i 21 +e,-a, me,!e)*ai'a, wa,a -i-i 11 Re)(&a)i +i)e)*ai'a,

+e,-a, ai' .a+a -i-i !a,- (e)i)a" )e$i,--a me,-emali'a, ,ilai e)(e(i'a

De,-a, mem.e$a(i'a, +e(ail +a, *.a!a3*.a!a e')(a !a,- +iamil &le$ +&'(e

*,(*' me,+ia-,&)a" mee,a'a, .eawa(a, +a, mela')a,a'a, la,-'a$3la,-'a$

Gambar 10.Radiograf pascaperawatanmenunjukkan kondisiall porcelain padagigi 11.


14/17

!a,- .el* +iamil" $a)il !a,- mem*a)'a, )eaa /*,-)i&,al +a, '&)me(i' +a.a(

+ia.ai =*ambar 1151;> Hal i,i *-a mem*(*$'a, $**,-a, '&la&a(i/ a,(aa

(e',i)i la&a(&i*m -i-i +a, +&'(e a)ie, mea)a .*a) +e,-a, $a)il .eawa(a,

e)(e(i' =*ambar 1

eawa(a, e)(e(i' +a.a( me,a+i (a,(a,-a," (e*(ama 'e(i'a

me,-'&mi,a)i'a, e)(&a)i +e,-a, (i.e !a,- ee+a *,(*' -i-i i,)i)i6*) a$a,-

a(a)" (e(a.i +e,-a, e,a,a .eawa(a, !a,- (e.a(" .&)e) .eawa(a, !a,- ai' +a,

'&la&a)i (im =+&'(e -i-i +a, (e',i'e> +a.a( mema)(i'a, 'ee$a)ila,

.eawa(a, +a, 'e.*a)a, .a)ie,


15/17

R030R0NS-

Gambar 13 Tampak Depan Setelaherawatan

Gambar ! asien Tampak uas danSen"um erca"a D#ri

Gambar 1$ Tampak %lose&upSetelah erawatan

Gambar 1' Tampak (ateral )iriSetelah erawatan

Gambar 1* Tampak (ateral )ananSetelah erawatan

Gambar 1! Sen"um )eseluruhanSetelah erawatan

Gambar 11 Sen"um )eseluruhanSebelum erawatan

Gambar 1 Tampak %lose&upSetelah erawatan


16/17

1 Swi/( EJ J" Fie+ma, MJ #i(ial a..ai)al% &elai, 6e,ee &*(&me)" a( I

2 +sthet 'estor "ent 2009< 1=1>%5435;

2 Me!e,e- KH" L*($! H" S$aee :i&,ia .&)()% a ,ew all3eami &,e.(

/& ,&,6i(al a*(me,( (ee($2 +sthet "ent15< ;% ;830

8 Ka'e$a)$i ?" L*($! H" Nae/ R" &$lwe,+ A" S$ae A ,ew all3eami

.&)(3a,+3&e )!)(em% li,ial" (e$,ial a,+ i, 6i(& e)*l()Int 2 Periodontics

'estorative "ent 1< 1% 59358

4 A$ma+ I ?((i*m.a(iall! )(aili7e+ 7i&,i*m +i&i+e .&)()% a, a..&a$ (&

e)(&i,- &&,all! &m.&mi)e+ ,&,6i(al (ee($Int 2 Periodontics 'estorative

"ent 1< 1% 4543495

5 K&*(a!a) SO" Ke, M All3eami .&)() a,+ &e)% ($e )(a(e &/ ($e a(

3uintessence Int 1< 80% 88382

9 Mi$ala'i) K" Hia!ama H" S/&l'&) J" S/&l'&) K Li-$( (a,)mi))i&, &/ .&)()

a,+ &e) *)e+ /& ($e a,(ei& e)($e(i e-i&,Int 2 Periodontics 'estor "ent

2004< 24% 492349

; Vi$i A" Feai M" Da6i+)&, #L I,/l *e,e &/ eami a,+ eme,( ($i',e))

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412341;

#$i$e GJ" i,a*l( A E)($e(i) &/ a,(ei& /i e+ .&)($&+&,(i) Ha,&6e a'

=Ill>% 3uintessence< 1 . 12138

Ma-,e " Ma-,e M Tea(me,( &/ e(e,+e+ a,(ei& &w, /a(*e *)i,- (!.e

III A &,+e+ .&elai, e)(&a(i&,)2 alif"ent 4ssoc 2005 Ma!< 88=5>%8;3

9

10 H&ll&wa! JA" Mille RB T$e e// e( &/ &e (a,)l*e,! &, ($e ae)($e(i) &/

all3eami e)(&a(i&,)Pract Perio 4esthet "ent1;< =5>%59;35;4

11 E*a,' J" M&le! J" LeSa-e" BU#LA E)($e(i #&,(i,**m" Le6el I L&)

A,-ele)" #A< J*l!Se.(eme 2001

12 E*a,' J" M&le! J A+6a,e+ A,(ei& E)($e(i) $a,+)3&, le(*e) U#LA

E)($e(i #&,(i,**m" Le6el II L&) A,-ele)" #A< Fe*a!A.il 2005


17/17

18 Daw)&, #&mi,i,- Smile De)i-, wi($ F*,(i&, A #&,e.( &/ #&m.le(e

De,(i)(! le(*e 21)( AA#D A,,*al Sie,(i/i Se))i&," Na)$6ille" Te,,%8453855

1; #aia/e)(a V" S/&,+i,i MF" Sia,(e A" De A,-eli) M" e( al E// e() &/

l&&+ &,(ami,a(i&, &, ($e )$ea &,+ )(e,-($) &/ &,6e,(i&,al a,+

$!+&.$ili .ime)4m 2 !rthod "entofacial!rthop 2004< 129=2>%20;312

1 S.ea F E)($e(i &+*() a,+ Te$,i*e) &*)e Ola,+&" Fla< Ma! 2001

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