Tujuan perawatan kasus ini untuk mengetahui hasil perawatan saluran akar disertai restorasi jaket porselin pasak fiber pada dua gigi anterior maksila nekrosis dalam mengembalikan fungsi estetik dan memonitor tekanan darah penderita selama perawatan. Penderita perempuan (41 tahun) gigi-gigi 11, 12 nekrosis pulpa, gigi 22 nekrosis pulpa disertai polip gingiva. Gigi-gigi 17, 27, dan 34 tinggal sisa akar. Pasien mengeluh setelah giginya banyak yang rusak, tekanan darahnya menjadi tinggi. Ketika datang tekanan darah 170/100 mmHg dan dalam perawatan dokter spesialis penyakit dalam. Prosedur perawatan pada kasus ini diawali dengan skeling dan pencabutan gigi-gigi 17, 27, dan 34 setelah konsul dokter yang merawat hipertensi. Kunjungan berikutnya pengambilan polip gingiva gigi 22 dan perawatan saluran akar gigi 11 dan 12. Satu minggu berikutnya gigi 22 dilakukan perawatan saluran akar, gigi 12 direstorasi resin komposit dengan pasak fiber, gigi 11 dan 22 direstorasi mahkota porselin dengan pasak fiber. Setiap kunjungan dilakukan pengukuran tekanan darah penderita. Kontrol setelah restorasi hasilnya warna mahkota gigi serasi dengan warna gigi tetangganya, kerapatan tepi bagus, tidak ada inflamasi gingiva, posisi gigi pada lengkung rahang normal, tidak ada traumatik oklusi. Selama perawatan dan saat kontrol, tekanan darah penderita normal (130/80 mmHg). Pasien merasa puas.

The aim of this case report was to evaluate the result of root canal treatment followed by porcelain jacket crown restoration on two necrotic maxillary anterior teeth in restoring esthetic function and also to evaluate patient’s blood pressure during treatment. A 41 years old female patient complained her broken anterior teeth. Clinical examination showed those teeth #11, #12, and #22 suffered from pulp necrosis and revealed a gingival polyp at cavity of tooth #22. Teeth #17, #27, and #34 were radices which needed tooth extraction. She had medical history of having suffered a hypertension since her teeth were broken. On the patient first visit, the blood pressure was 170/100 mmHg and she was under treatment from an internist. The treatment sequence was scaling and tooth extraction of 17, 27 and 34 with consent from her internist. The next visit was removal of gingival polyp and root canal treatment of teeth #11 and #12. A week later, root canal treatment of tooth #12 and restored using composite resin with additional support of fiber post. Teeth #11 and #22 were restored with porcelain jacket crown supported with fiber post. Blood pressure was measured during each appointment. Follow-up examination demonstrated the crown shade similar to adjacent natural teeth, normal tooth position, crown marginal fit was good, no gingival inflammation, no traumatic occlusion. After treatment the patient’s blood pressure was normal 130/80 mmHg. Patient was satisfied.

Kata Kunci : Gigi Anterior Maksila Nekrosis,Perawatan Saluran Akar,Pasak Fiber, pulp necrosis, gingival polyp, root canal treatment, fiber post, porcelain jacket