Removing a fixed restoration

Melepaskan sebuah restorasi cekat

Eri Hendra Jubhari
Department of Prosthodontic
Faculty of Dentistry Hasanuddin University
Makassar, Indonesia

ABSTRACT
A fixed restoration should be removed because it has distortions at the restorations or its abutment. It’s
not an easy process, especially when it has been cemented permanently. To do so, it is necessary to
know the restoration, cement, abutment, and restoration history, and the method. Some methods for
removing the fixed restoration intactly are follow: straight chisel and mallet, excavator, reverse mallet,
ATD, peerless crown-a-matic, adhesive method, ligature, and forcep. Altough physical and
psychological traumas during the removing process have been prevented, dentist must give adequate
informed concent, take care the abutment health and prevent the patient from swallowing the
restoration.
Key word: fixed restoration, crown remover, abutment

ABSTRAK
Kadang-kadang suatu restorasi cekat harus dilepaskan karena restorasinya mengalami distorsi pada
restorasinya sendiri ataupun pada gigi penyangganya. Tindakan tersebut bukanlah proses yang mudah,
terutama apabila telah disemen secara permanen. Untuk melepaskannya, perlu diketahui jenis
restorasinya, semen yang digunakan, keadaaan gigi penyangga, riwayat restorasi, dan metode yang
tersedia. Beberapa metode untuk melepaskan restorasi cekat secara utuh seperti straight chisel and
mallet, excavator, reverse mallet, ATD, peerless crown-a-matic, adhesive method, ligature, and forcep.
Meskipun trauma fisik dan psikologik selama proses pelepasan telah dicegah, dokter gigi harus
memberi informed concent yang adekuat, menjaga kesehatan gigi penyangga dan mencegah tertelannya
restorasi oleh pasien.
Kata kunci: restorasi cekat, pelepas mahkota, gigi penyangga