Nanik Zubaidah, Nanik
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Aesthetic treatment on anterior teeth crown fracture caused by dental trauma Zubaidah, Nanik
Dental Journal (Majalah Kedokteran Gigi) Vol 45, No 4 (2012): (December 2012)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v45.i4.p187-191

Abstract

Background: Complicated crown fracture is a tooth fracture that involve enamel, dentine and pulp. The incidence of complicated crown fracture ranges from 2% to 13% of all dental injuries and the most commonly involved teeth are the maxillary central incisors. Various treatment modalities are available depending on the clinical, physiological and radiographic examination of the involved teeth. Purpose: The aim of this case report is to present the management of crown fractures with pulpal exposure caused by traumatic injury, through endorestoration approach to reconstruct the shape and function of the teeth. Case: A 17 years old male with complicated crown fractures of anterior teeth #11 #21 and #22. The patient wish for aesthetic dental treatment in both of its form and function. Case management: Crown fractures of anterior teeth with exposed pulp caused by traumatic injury were reconstructed by endorestoration approach. The endodontic treatment with post and core insertion in the root canal which will increase its retention and porcelain fused to metal crown which will aesthetically recover its original form and function. After restoration the patient feel very glad and confident with the result. Conclusion: Endorestoration treatment on anterior teeth with complicated crown fractures and exposed pulp is able to recover the normal form, function and dental aesthetic in accordance with stomatognatic system and self confidence.Latar belakang: Fraktur mahkota kompleks (complicated) adalah fraktur pada mahkota gigi yang melibatkan enamel, dentin dan pulpa. Kejadian dari fraktur mahkota kompleks bervariasi antara 2-13% dari semua trauma gigi dan sebagian besar gigi yang terkena adalah gigi insisif pertama rahang atas. Berbagai macam cara perawatan yang dilakukan tergantung pada hasil pemeriksaan klinis, psikologis dan radiografis dari gigi yang terkena. Tujuan: Laporan kasus ini menjelaskan penatalaksanaan fraktur mahkota gigi dengan pulpa terbuka akibat trauma dengan perawatan endorestorasi untuk mengembalikan bentuk dan fungsi gigi. Kasus: Penderita pria umur 17 tahun dengan fraktur mahkota pada gigi anterior #11, #21 dan #22. Penderita tersebut menginginkan perawatan estetik untuk mengembalikan estetik baik bentuk maupun fungsi giginya. Tatalaksana kasus: Fraktur mahkota gigi anterior dengan pulpa terbuka akibat trauma gigi dikembalikan melalui pendekatan perawatan endorestorasi. Perawatan endodontik dengan pasak tuang dan inti yang dimasukkan ke dalam saluran akar akan meningkatkan retensi dan kemudian ditutup dengan mahkota porselen fused to metal dapat mengembalikan bentuk maupun fungsinya. Selesai perawatan, pasien merasa senang dengan hasil perawatan tersebut dan hal ini menunjukkan peningkatan kepercayaan diri pasien. Kesimpulan: Perawatan endorestorasi gigi anterior dengan fraktur mahkota kompleks gigi anterior dengan pulpa terbuka dapat mengembalikan bentuk, fungsi dan estetik yang normal sesuai dengan sistem stomatognatik dan meningkatkan kepercayaan diri.
Management of horizontal crown fracture caused by traumatic injury with endorestoration treatment Zubaidah, Nanik
Dental Journal (Majalah Kedokteran Gigi) Vol 44, No 3 (2011): (September 2011)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v44.i3.p154-158

Abstract

Background: Traumatic injuries of teeth are the main cause of emergency treatment in dental practice. The horizontal crown fracture more frequently observed usually occurs in maxillary anterior region and young male patients. The most common type of coronal fracture is in the middle third, followed by root and apical part. Purpose: The aim of this case report is to present the management of crown fracture of teeth with pulp exposure caused by dental trauma with endorestoration treatment in order to reconstruct the shape and the function of the teeth. Case: A 22 years old male with horizontal crown fracture of anterior teeth. The patient asked for aesthetic dental treatment both for its form and function. Case management: This horizontal crown fracture of anterior teeth with pulp exposure caused by dental trauma still could be reconstructed, mainly by endorestoration treatment. The endodontic treatment with post and core insertion in the root canal then would increase its retention. Later, the porcelain crown would aesthetically recover its original form and function, therefore, it would improve the patient’s confidence and teeth function. Conclusion:  Endorestoration treatment on anterior teeth with harizontal crown fractures and pulp exposure is able to recover the normal function, aesthetic, and self-confidence.Latar belakang: Trauma pada gigi merupakan penyebab utama perawatan darurat dalam praktek dokter gigi. Fraktur mahkota horisontal pada umunya terjadi pada gigi anterior rahang atas dan terjadi pada penderita pria muda. Jenis yang paling sering dari fraktur mahkota adalah pada sepertiga tengah, daerah akar dan apical. Tujuan: Laporan kasus ini menjelaskan penatalaksanaan fraktur mahkota gigi dengan pulpa terbuka akibat trauma dengan perawatan endorestorasi untuk mengembalikan bentuk dan fungsi gigi. Kasus: Penderita pria umur 22 tahun dengan fraktur mahkota horizontal pada gigi anterior. Penderita tersebut menginginkan perawatan estetik untuk mengembalikan bentuk dan fungsi giginya. Tatalaksana kasus: Fraktur akar horisontal gigi anterior dengan pulpa terbuka oleh karena trauma gigi dapat direstorasi dengan perawatan endorestorasi. Perawatan endodontic dengan pasak dan inti dimasukkan ke dalam saluran akar dapat meningkatkan retensi. Kemudian mahkota porselen dapat mengembalikan bentuk dan fungsinya, karena itu dapat meningkatkan percaya diri pasien dan fungsi giginya. Kesimpulan: Perawatan endorestorasi pada gigi anterior dengan fraktur mahkota harizontal dan pulpa terbuka dapat mengembalikan fungsi estetik dan percaya diri pasien.
Antimicrobial effect of calcium hydroxide as endo intracanal dressing on Streptococcus viridans Zubaidah, Nanik
Dental Journal (Majalah Kedokteran Gigi) Vol 41, No 1 (2008): (March 2008)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v41.i1.p39-42

Abstract

Calcium hydroxide had been used as the intra-canal dressing in endodontic treatment due to its high alkaline and antimicrobial capacity. It can also dissolve the necrotic tissue, prevent dental root resorbtion and regenerate a new hard tissue. The aim of this study was to determine the concentration of calcium hydroxide which had the highest antimicrobial effect on Streptococcus viridans. Samples were divided into 5 groups; each group consisted of 8 samples with different concentration of calcium hydroxide. Group I: 50%, group II: 55, Group III: 60%, Group IV: 65%, Group V: 70%. The antimicrobial testing was performed using diffusion method against Streptococcus viridans. The result of susceptibility test was showed by the inhibition zone diameter which measured with caliper (in millimeter). We analyzed the data using One-Way ANOVA test with significant difference 0.05 and subsequently LSD test. The study showed that calcium hydroxide with concentration 60% has the highest antimicrobial effect.
The aesthetic treatment for anterior teeth with lost crown by endorestoration Zubaidah, Nanik
Dental Journal (Majalah Kedokteran Gigi) Vol 42, No 2 (2009): (June 2009)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v42.i2.p99-103

Abstract

Background: The aesthetic has an important role in social life, especially the anterior teeth. The aesthetic abnormality of anterior teeth i.e. discoloration, malpotition or the anterior teeth with crown damage for more than one third or all part of crown is lost due to caries or other causes, will influence its appearance especially during smile. Purpose: The aim of this case report, therefore, is to show how teeth with clinical crown lost or only the root left still can be treated by endorestoration treatment in order to reconstruct the shape and function of the teeth similar to the original ones. Case: Female 52 years old with the lost crown of anterior teeth. The patient did not want her teeth to be extracted. Case Management: The abnormality of these teeth are still able to be reconstructed by endorestoration i.e. endodontic treatment with post and core insertion in the root canal will increase its retention and recovery by the porcelain crown fused to metal to recover the original formation and aesthetic and thus has the normal refunction. The treatment, it improve the confidence of the patient, and also can function normally. The patient did not feel pain. Ronsenography showed the periapical lesion diminished, the neighbor gingival was going better in both function and color. Conclusion: Endorestoration treatment on the anterior teeth with lost crown could recover the normal function, dental aesthetic and self confidence.
The citotoxicity of calcium hydroxide intracanal dressing by MTT assay Zubaidah, Nanik
Dental Journal (Majalah Kedokteran Gigi) Vol 40, No 4 (2007): (December 2007)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v40.i4.p157-160

Abstract

Calcium hydroxide had been used as the intracanal dressing in endodontic treatment due to its high alkaline and high antimicrobial capacity. It also be able to dissolve the necrotic tissue, prevent the root resorbtion and regenerate a new hard tissue. The aim of this study is to identify the concentration of calcium hydroxide that has the lowest citotoxicity. There are 5 groups, each group had 8 samples with different concentration of calcium hydroxide. Group I: 50%, Group II: 55%, Group III: 60%, Group IV: 65% and Group V: 70%. The citotoxicity test by using enzymatic assay of MTT [3-(4.5- dimethylthiazol-2yl) ]-2.5 diphenyl tetrazolium bromide, against fibroblast cell (BHK-21). The result of susceptibility test was showed by the citotoxicity detection of the survive cell of fibroblast that was measured spectrophotometrically using 595 nm beam. The data was analyzed using One-Way ANOVA test with significant difference α = 0.05 and subsequently LSD test. The result showed that in concentration 50%, 55%, 60%, 65%, and 70% calcium hydroxide had low toxicity, but calcium hydroxide 60%, had the lowest toxicity.
Management of anterior teeth damage caused by complex caries through aesthetic endorestoration Zubaidah, Nanik
Dental Journal (Majalah Kedokteran Gigi) Vol 44, No 1 (2011): (March 2011)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v44.i1.p30-34

Abstract

Background: Dental caries is a microbiological disease that result in localized dissolution and destruction of the calcified tissue. It is multifactorial, therefore prevention must be based on a multifactorial approach. The damage of anterior teeth due to complex caries, for certain person may interfere their performance and decrease their self confidence aesthetically. Restoration of tooth form and function, especially on anterior teeth is highly valuable. Purpose: To present a case of maxillary anterior teeth with complex caries, through endorestoration treatment for recovering its original function and aesthetic. Case: The 21 years old male patient with complex carries on maxillary anterior teeth number 12, 11, 21, 22 and 23. The patient felt bad about his performance and affect his self confidence. The patient visited the clinic to repair his teeth and to get its form and function aesthetically. Case management: The endorestoration treatment was performed for carious teeth through pulpectomy followed by insertion of post retention and porcelain fused to metal crowns. Conclusion: Anterior teeth with severed complex caries can be managed through endorestoration treatment to recover its performance and function aesthetically.Latar belakang: Dental karies adalah penyakit infeksi yang berakibat kerusakan jaringan kalsifikasi dan bersifat multifactorial. Oleh karena itu pencegahan dilakukan dengan pendekatan multifactorial. Kerusakan gigi anterior karena karies kompleks untuk orang-orang tertentu mungkin berdampak pada penampilan dan penurunan kepercayaan diri karena factor estetik. Perbaikan gigi anterior dari berbagai kerusakan baik dalam hal bentuk maupun fungsinya sangat besar nilainya. Tujuan: Untuk menunjukkan kasus gigi anterior rahang atas karena karies kompleks melalui perawatan endorestorasi untuk mengembalikan fungsi gigi asli dan estetik. Kasus: Laki-laki usia 21 tahun dengan karies kompleks pada gigi anterior rahang atas 12, 11, 21, 22, dan 23. Penderita dating ke klinik untuk perawatan tentang giginya dan mengembalikan bentuk maupun fungsi estetiknya. Tatalaksana kasus: Perawatan endorestorasi dilakukan untuk gigi karies melalui pulpektomi, insersi pasak dan mahkota porselen fuse to metal. Kesimpulan: Gigi dengan karies kompleks yang berat dapat diperbaiki melalui perawatan endorestorasi untuk mengembalikan penampilan dan fungsi estetiknya.