Majalah Kedokteran Gigi Indonesia
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Kandidias Oral pada Penderita Anemia Defisiensi Besi (Fe) dan Penetalaksanaannya Wongsohardjono, Sri Budiarti
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15690

Abstract

Background: Iron deficiency anemia is a microcytic anemia caused by chronic blood loss dueto such problems as excessive menstrual flow, gastrointestinal bleeding, gasterektomi or malabsorption that reduces the absorption of Fe. Predisposing factors that lead to the disruption of the ecology of oral candidiasis or oral microbiological changes can be due to malnutrition (iron deficiency, folic acid, vitamin B12) and the very old age. Objective: To report a case of iron deficiency anemia with oral candidiasis and its management. Case Report: A 69-year man in the reference by peer demonstrated swollen gums, mouth pain and difficulty in swallowing. A moth ago he was hospitalized and boarded for a week but no change, his body weight loss was 25kg. paleconjunctiva and face, droliing, looked weak. The body temperature was 370 C; the BP measurement was: 125/80mmHg; with body weight was 50kg; right and left submandibular  lymph nodes become enlarging and soreness palpatiom. Symmetrical face. Right and left lip corners are angular kheilitis, cheek mucosa, palate hyperemia, gingival stipling was disappeared, hyperemia, dorsal surface smooth tongue, hyperemia, depapilasi, OHI: bad; thick saliva, hypersalivation. A lot of dental caries and the remaining roots. Management: Examination of the saliva with KOH solution looked a hyphe. Routine blood tests and profile of fe all within normal limits except RBC was 3,37.106 / uL; HGB: 11.0 g / dl; HCT: 32.2%, Fe 29.00 u g / dl (below normal). Treatment with 3% perhidrol mouthwash, Nyistatin solution 3 x daily. Zegase tablet 2x daily. Paracetamol tablets if necessary. Conclusion sixteen days later the patient recovered.
Ulkus Aftosa Kompleks Manifestasi Penyakit Crohn Chrismawaty, Bernadeta Esti; Subagyo, Goeno
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15651

Abstract

Latar Belakang: Ulkus aftosa kompleks mengacu pada ulkus mulut kronis berkaitan dengan gangguan sistemik. Kondisi tersebut, selain menimbulkan rasa sakit dan gangguan fungsi, dapat memperburuk kualitas hidup penderitanya. Tujuan: penulisan ini bertujuan untuk melaporkan keterkaitan antara ulkus aftosa kompleks dengan gangguan gastrointestinal, yaitu penyakit crohn. Kasus dan penanganannya: laki-laki 73 tahun mengeluhkan nyeri mulut sejak 3 bulan lalu, yang disertai dengan perut sebah, kembung dan terkadang nyeri ringan disertai dengan sakit kepala. Saat pemeriksaan, tampak adanya ulkus dengan dasar bergranuler, tepi sedikit meninggi dan tertutup lapisan putih pada mukosa lipatan mukobukal, pipi, dasar mulut dan palatum. Permukaan mukosa bibir dan pipi memberikan gambaran seperti batu bata (cobblestoning). Mengacu pada gejala dan temuan klinis, ditegakkan diagnosis kerja ulkus aftosa kompleks manifestasi gangguan gastrointestinal, susprk penyakit crohn. Terapi awal berupa kombinasi spiramycin-metronidazole, methyl-prednisolone, parasetamol dan larutan kumur perhidrol. Satu minggu kemudian, tampak adanya perbaikan lesi dan aktifitas fungsional. Berdasarkan pemerikasaan dari poli penyakit dalam Rumah Sakit Umum Sardjito (RSS), pasien mendapatkan medikasi lanzoprazole, ulsidex dan enzyplex. Terapi lanjutan berupa methyl-prednisolone dengan dosis tapering, anti jamur topical nistatin untuk mencegah infeksi ikutan dan larutan kumur yeng mengandung Benzydamine HCI untuk mengurangi nyeri. Kesimpulan: Ulkus mulut manifestasi penyakit Chohn mempunyai karakteristik unik dan dapat dibedakan dari ulkus mulut kronis lainnya. Dalam penegakan diagnosis ulkus aftosa kompleks, identifikasi etiologi gangguan sistemik yang tepat akan sangat membantu dalam menetapkan perawatan lesi mulut yang sesuai. Background: complex aphthous refers to chronic oral ulceration, which is related to systemic diseases. This condition can cause oral discomfort, alter the normal oral function anf eventually can decrease the quality of life. Purpose: this paper is intended to report the relationship between complex aphthous with gastrointestinal disorder, in particular crohn’s disease. Case and management: A73 year old man complaint a chronic sore mouth since 3 months ago. Abdominal discomfort, mild indigestion and headache occur accompanied by oral symptoms. Clinically, there were multiple ulcers with granular base, slightindurate border covered with white thick layers at mucobuccal fold, buccal, floor of the mouth and palate mucosa. Labial and buccal mucosa demonstrates a cobblestoning appearance. According to systemic symptoms and oral findings, complex aphthous as manifestation of gastrointestinal diseases, specifically suspected to Crohn’s diseases, is accepted as working diagnosis. Spiramycin combined with Metronidazole, Methyl-prednisolone, Paracetamol and perhidrol mouthwash were given as initial therapy. One week later, it seems some improvement on oral lesion and oral functional activity. From internal Medicine Clinic, Sardjito General Hospital, patient received Lanzoprazole, Ulsidex and Enzyplex. Tapering doses of methyl-prednisolone and oral fungal topical Nystatin for prevention from secondary infection were given as subsequent therapy. Benzydamine mouthwash was given for alleviate sore mouth. Conclusion: Complexs apthous ulcers as manifestation of crohn’s disease have a unique characteristic and quite discriminate to other chronic oral ulceration. In establishing the diagnosis of complex aphthous., the identification of proper etiology would help in determining the appropriate management of the oral lesion.
Penatalaksanaan Ekstirpasi Epulis Fibromatosa Ukuran Besar pada Gingiva Rahang Bawah Kanan dengan Anestesi Lokal Praba, Franciskus W; Rahardjo, Bambang Dwi
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15683

Abstract

Latar Belakang: Epulis merupakan hyperplasia gingival yang menyerupai tumor (tumour like) yang berasal dari jaringan ikat selaput periodontal/ parenkim yang disebabkan karena iritasi kronis. Epulis fibromatosa memiliki penampakan klinis bertangkai (peduncullated), dapat pula tidak, warna agak pucat konsistensi kenyal, batas tegas, padat, kokoh, tidak mudah berdarah dan tidak menimbulkan rasa sakit. Tujuan: mengevaluasi hasil perawatan ekstirpasi epulis fibromatosa ukuran besar dengan anestesi lokal. Kasus: ekstirpasi epulis fibromatosa pada kasus ini dilakukan pada wanita usia 50 tahun yang datang dengan kesulitan makan karena benjolan 5x4x3 cm di dalam mulut pada pipi sebelah kiri. Penatalaksanaan: ekstirpasi epulis fibromatosa dengan anestesi lokal pada kasus ini juga dilakukan penghilangan faktor predisposisinya berupa pembersihan kalkulus sebelum operasi dan penghalusan tulang yang tajam yang merupakan iritasi kronis lokal. Kesimpulan: perawatan ekstirpasi epulis berukuran besar dengan anestesi lokal pada kasus ini bisa dipertimbangkan, karena masi ada akses untuk dilakukan deponir larutan anestesi.  Background: Epulis is a gingival hyperplasia that characteristic likes tumor, devided from the periodontal connective tissue/ parenchyma due to chronic irritation. Epulis fibromatosa has peduncullated clinical appearance, or may not, the color is rather pale than surrounding tissue, elastic consistency, well devined, solid sturdy, no bleeds easily and does not cause pain. Objective to evaluate the extirpation result of large epulis fibromatosa with lokal anesthesia. Case the extirpation on this case treatment is performed on woman  aged 50 years old who came found it difficult to eat because of 5x4x3 cm lump in the mouth on the left cheek. Treatment the extirpation management of epulis fibromatosa with lokal anesthesia in this cases also done by predisposition factors removal, such as calculus removing before surgery and smoothing the sharp bone that make a local chronic irritation. Conclusion a large epulis extirpation treatment with local anesthesia in this case could be considered, because there is access to inject anesthetic solution. 
Pengaruh Minyak Atsiri Kapulaga (Amomum cardamomum) terhadap Kadar Metil Merkaptan yang Dihasilkan Bakteri Porphyromonas gingivalis (Kajian In Vitro) Utami, Nuning Wahyu; Wahyudi, Ivan Arie; Larnani, Sri
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15645

Abstract

Latar Belakang: Helitosis disebabkan pembentukan senyawa-senyawa sulfur atau Volatile Sulfur Compound (VSC) oleh bakteri. Metil merkaptan merupakan komponen VSC yang paling dominan menyebabkan bau pada halitosis. Agen antibakteri digunakan untuk mengatasi halitosis dengan cara menurunkan kadar metil merkaptan yang dihasilkan bakteri. Minyak atsiri kapulaga (Amomum cardamomum) diduga memiliki khasiat anti bakteri. Tujuan penelitian ini adalah untuk mengetahui pengaruh minyak atsiri kapulaga (Amomum cardamomum) terdapat kadar metil merkaptan yang dihasilkan porphyromonas gingivalis. Metode Penelitian: Setiap sumuran pada microplate ditetesi minyak atsiri kapulaga  (Amomum cardamomum) konsentrasi minyak atsiri kapulaga 0% (control negatif), 6,25%, 12,5%, 25%, 50%. Selanjutnya setiap sumuran yang telah ditetesi minyak atsiri kapulaga berfbagai konsentrasi, kemudian ditetesi suspensi bakteri porphyromonas gingivalis pada media TSB dan diinkubasi anaerob selama 48 jam. Tiap perlakuan menggunakan sampel sebanyak 5 sehingga sumuran yang dibutuhkan sebanyak 25. Setelah itu, semua sumuran ditetesi metionin dan DTNB kemudian diinkubasi anaerob selama 12 jam. Hasil inkubasi tersebut kemudian dilihat absorbansi metil merkaptan dengan microplate reader. Hasil Penelitian: Absorbansi kadar metil merkaptan yang dihasilkan pada minyak atsiri kapulaga 0%, 6,25%, 12,5%, 25%, 50% secara berurutan adalah 1,38, 0,217, 0,215, 0,204, 0,196. Minyak atsiri kapulaga (Amomum cardamomum) berpengaruh terhadap kadar metil merkaptan yang dihasilkan porphyromonas gingivalis. Terdapat perbedaan yang bermakna antara kelompok minyak atsiri kapilaga konsentrasi 0% sebagai kontrol negatif dengan minyak atsiri kapulaga 6,25%, 12,5%, 25%, 50% dan tidak ada perbedaan bermakna antara minyak atsiri kapulaga konsentrasi 6,25%, 12,5%, 25%, 50%. Kesimpulan: minyak atsiri kapulaga (Amomum cardamomum) dapat menurunkan kadar metil merkaptan yang dihasilkan bakteri porphyromonas gingivalis.Background: Halitosis is caused by the formation of sulfur compounds or Volatile Sulfur Compound (VSC) by bacteria. Methyl merkaptan is the main compound that causes halitosis. Antibacterial agents are often used to treat halitosis by reducing level of methyl merkaptan produced by bacteria. One of the antibacterial agents derived from natural plant oil is cardamom (Amomum cardamomum). The objective of this study was to determine the effect of essential oil of cardamom (Amomum cardamomum) on methyl mercaptan level produced by porphyromonas gingivalis. Method: Essential oil of cardamom (Amomum cardamomum) was expelled on every well on microplate in concentration of 0% (as negative control) 6,25%, 12,5%, 25%, 50%. All wells that have been expelled with cardamom essential oil in different concentration then etched with porphyromonas gingivalis bacterial suspension in TSB media and were incubated anaerobically for 48 hours. Each treatment group had 5 samples so that 25 wells were needed. After that, all the wells etched with DTNB methionine and were incubated anaerobically for 12 hours. The result of those incubation were observed the absorbance of methyl mercaptan with microplate reader. Result: absorbation level of methyl mercaptan were produced cardamom essential oil in concentration 0%, 6,25%, 12,5%, 25%, 50% in sequence1,38, 0,217, 0,215, 0,204, 0,196. The essential oil of cardamom (Amomum cardamomum) affected the levels of methy mercaptan produced porphyromonas gingivalis. There was significant difference between group of cardamom essential oils in concentration 0% as negative control with group of cardamomum essential oil in concentration of  6,25%, 12,5%, 25%, 50%. Conclusion: the essential oil of cardamom (Amomum cardamomum) couid decrease methyl mercaptan level produced by porphyromonas gingivalis.  
Burning Mouth Syndrome pada wanita Menopause dengan Hiposalivasi, Coated Tongue dan Gangguan Pengecapan serta Penatalaksanaannya Hadiati, Sri
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15920

Abstract

Blackground: Burning mouth syndrome (BMS) is a disorder that is characterized by a burning sensation of the oral cavity in the absence of visible local or systemic abnormalities. Affected patient often present with multiple oral complaints, including burning, dryness and taste alterations. The exact cause of burning mouth syndrome often is difficult to pin point. Conditions that have been reported in association with burning mouth syndrome include menopause, hyposlivation, coated tongue, taste alterations and psychologic condition. Objective: To report a case of burning mouth syndrome in postmenopausal women with hyposalivation, coated tongue, taste alterations and psychologic condition and its management. Case and management: a case of burning mouth syndrome in women with menopause, hyposalivation, coated tongue, and taste alterations, was managed effectively by gabapentin 100mg, probiotic chewing gum, diazepam 2mg and vitamin B1, B6, B12. Conclusion: Oral burning appears to be most prevalent in postmenopausal women often present with multiple oral complaints, including burning, dryness and taste alterations, in this case was managed effectively by gabapentin 100mg, prebiotic chewing gum, diazepam 2mg and vitamin B1, B6, B12.
Pleomorfik Adenoma pada Palatum Hasan, Cahya Yustisia; Rahmat, Muhammad Masykur
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15652

Abstract

Latar Belakang: Pleomorfik adenoma (mixed tumor) adalah tumor kelenjar ludah yang paling sering terjadi (65%) pada kelenjar ludah mayor dan minor. Lokasi intraoral yang paling sering ditemukan adalah palatum. Tujuan: membahas gambaran klinis dan penatalaksanaan pleomorfik adenoma pada platinum. Kasus: dilaporkan 2 buah kasus pleomorfik adenoma pada palatum. Kasus pertama seorang laki-laki usia 29 tahun dengan benjolan pada palatum kanan ukuran 3x2 cm, konsistensi kenyal, berbatas tegas, warna seperti jaringan sekitar dan tidak nyeri. Pasien pernah menjalani operasi pada palatum kanan pada tahun 2005, dan kira-kira 3 tahun setelah operasi benjolan tersebut kambuh di tempat yang sama. Hasil biopsi aspirasi jarum halus adalah mixed tumor. Kasus kedua seorang wanita 22 tahun dengan benjolan pada palatum kiri ukuran 2x1,5 cm, timbul sejak 3 tahu yang lalu, warna seperti jaringan sekitar, konsistensi kenyal, dan tidak nyeri. Riwayat pesien menggunakan kontrasepsi hormonal. Hasil biopsi condong pada adenoma pleomorfik dengan bagian onkositik adenoma dan clear sel adenoma. Penatalaksanaan: dilakukan eksisi luas di bawah anestesi umum pada kedua kasus tersebut, dengan batas 1 cm dari tepi lesi pada jaringan sehat. Kesimpulan : telah dilakukan eksisi luas untuk penanganan kedua kasus pleomorfik adenoma dan palatum. Tidak di temukan rekurensi 1 tahun setelah operasi (kasus 1) dan 2 tahun setelah operasi (kasus 2). Blackground: pleomorphic adenoma (mixed tumor) is the most common tumor of the salivary glands (65%) of the major dan minor salivary glands. Palatum is the most common site in intraoral. Purpose: to elaborate clinical feature and management of pleomophic adenoma of palate. Cases: we reported 2 cases pleomorphic adenoma of palate. The first case was a29 years old male patient with a swelling at the right side of the palate, 3x2 cm sized mass, rubbery in consistency, well demarcated, pinkish in color, and pain less. He had undergone an operation at the right palate in 2005, but 3 years after the operation he got reccurence. The result of fine needle aspiration biopsy was mixed tumor. The second case was fermale 22 years old patient with a swelling at the left side of palate, 2x1,5 cm sized mass, was present 3 years before coming to the clinic, pinkish color, rubbery consistency and painless. She has been using hormonal contraception. The result of incisional biopsy was pleomorphic adenoma with the oncocityc adenoma part and clear cell adenoma. Management: widw exicion was performed under general anesthesia in both cases, with a limit 1 cm clinical margin at its periphery. Conclusion: both patients with pleomorphic adenoma ao palate were treated by wide excision. No recurrence were observed in 1 year (firs case) and 2 years (second case) after the surgery.
Pengaruh Lama Paparan Gelombang Ultrasonik Frekuensi Terapi terhadap Jumlah Koloni Bakteri Streptococcus mutans Fransiska, F.; Nuryanti, Archadian; Puspita, Rini Maya
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15590

Abstract

Latar Belakang. Gelombang Untrasonik telah digunakan untuk terapi dan diagnosis, di klinik kedokteran gigi popular digunakan untuk ultrasonik skaler. Efek termal dan nontermal gelombang ultrasonik dapat mempengaruhi lingkungan tumbuh bakteri, merusak enzim bakteri, dan struktur bakteri. Streptococcus mutans merupakan bakteri penyebab karies gigi. Tujuan penelitian. Penelitian ini bertujuan untuk mengetahui pengaruh lama paparan gelombang ultrasonik frekuensi terapi 3,5 MHz terhadap jumlah koloni bakteri Streptococcus mutans. Cara penelitian. Penelitian ini dilakukan pada 20 buah cawan petri yang berisi koloni bakteri streptococcus mutans dengan media agar darah. Dua puluh buah petri dibagi menjadi 4 kelompok yaitu kelompok kontrol (A) dan kelompok perlakuan (B, C, D). kelompok perlakuan diaplikasi gelombang ultrasonik frekuensi 3,5MHz  selama 5, 10, dan 15 menit, sedangkan kelompok kontrol tidak diberi perlakuan apapun. Perhitungan jumlah koloni bakteri dilakukan dengan pengamatan menggunakan colony counter dengan standart plate count (SPC) method. Hasil penelitian jumlah koloni bakteri Streptococcus mutans dianalisis menggunakan ANAVA satu jalur menunjukkan ada perbedaan yang signifikan (p<0,05) berarti terdapat pengaruh lama paparan gelombang ultrasonik frekuensi terapi 3,5 MHz terhadap jumlah koloni bakteri Streptococcus mutans. Hasil analisis post hoc (LSD) terhadap jumlah koloni bakteri Streptococcus mutans juga menunjukkan ada perbedaan rerata antar kelompok perlawanan yang signifikan (p<0,05). Kesimpulan. Kesimpulan penelitian ini adalah lama paparan gelombang ultrasonik frekuensi terapi 3,5 MHz berpengaruh terhadap jumlah koloni bakteri Streptococcus mutans.  Introduction. Ultrasonic waves have been used for therapy and diagnosis, in dental clinic ultrasonic waves are used popular for ultrasonic scaler. Thermal and non thermal effects from ultrasonic wave influence the environment of bacteria disturb bacteria enzyme and the bacteria structure. Streptococcus mutans is a bacterium that cause caries in teeth. The aim of this study was to observe the effect of duration of ultrasound in therapy frequency 3,5 MHz exposure towards Streptococcus mutans cell colony. Methods. This study was 20 petri dish with blood agar media containing the Streptococcus mutans cell colony. Twenty plates blood agar, were divided into 4 groups. Control group A was unexposed and treated group received ultrasound exposure at frecuency 3,5 MHz which for 5 minutes exposure (B), 10 minutes exposure (C) and 15 minutes exposure (D). Streptococcus mutans cell colony was countusing colony counter with standard plate count methos. Results. The results of one way ANOVA at 95o/o significance showed that duration ultrasonic therapy frecuency 3,5 MHz exposure influenced the amount of Streptococcus mutans cells colony (p<0,0,5). The post hoc test (LSD) showed the significantly mean difference (p,0,05) between groups. Conclusions. The conclusions, of this study is duration exposure ultrasonic therapy frecuency at 3,5 MHz influences on the amount of Streptococcus mutans cells colony. 
Perawatan Maloklusi Kelas 1 Angle dengan Agenese Gigi 12, 14, 34, 44 dan Gangguan Sendi Temporomandibular dengan Alat Ortodontik Cekat Teknik Begg Disertai Pemakaian Trainer For Braces Mahayeni, Komang Sri; Iman, Prihandini
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15684

Abstract

Background: TMJ disorder is define as a condition of acute or chronic inflammation of TMJ in association with mandibular, myofunctional condition, teeth malposition and or malocclusion. TMJ disorder could lead to significant pain and anatomical damage. There are signs and symptoms of TMJ disorder, such as devition of jaw movement, clicking when openingor close the jaw, mastication disorder and decreasing interincisal distance. Purpose: To describe the result of orthodontic treatment with begg technique and trainer for braces on angle’s class I malocclusion with agenese involving 12, 14, 34, and 44 along with TMJ disorder and bad habit which is one side mastication. Case: 19 years old female complaining limited mouth opening, pain on the right side of TMJ when opening the mouth and when chewing hard food and also complaining of multiple diastema on upper and lower teeth. Diagnose : Angle’s class I with  bidental protrusive, 3mm midline midline shifting  to the left side, agenese involving 12,13,34,44, and one side mastication. Treatment : Patient treated witg begg technique and braces which is wear 1 hour at day time distance, and feel comfort when chewing hard  foord  and after 24 months of treatment with fixed begg appliance, malposition and interdigitation are corrected.
Pengaruh Konsentrasi dan Lama Aplikasi Sodium Hipoklorit (NaOCL) sebagai Bahan Irigasi Saluran Akar terhadap Kekuatan Geser Perlekatan Siler Berbahan Dasar Resin Pada Dentin Saluran Akar Nugraheni, Tunjung
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15646

Abstract

Latar belakang. Salah satu tahap penting perawatan saluran akar yaitu preparasi saluran akar. Pada preparasi saluran akar digunakan bahan Irigasi sodium hipoklorit (NaOCI), dengan konsentrasi 0,5%-5.25%. Penggunaan NaOCL berpengaruh pada struktur permukaan dentin saluran akar, yang selanjutnya mempengaruhi perlekatan dentin saluran akar dengan bahan pengisi saluran akar. Penelitian ini bertujuan untuk mengetahui pengaruh konsentrasi dan lama aplikasi NaOCI terhadap kekuatan geser perlekatan siler berbahan dasar resin pada dentin saluran akar. Metode Penelitian. Tiga puluh gigi premolar dipotong arah bukolingual, jaringan pulpa dibersihkan dan permukaan dentin saluran akar diratakan. Gigi difiksasi resin akrilik, sisi dentin saluran akar menghadap ke atas. Sampel dibagi menjadi 2 kelompok masing-masing 15 gigi, kelompok 1 di rendam dalam 6ml NaOCI 2,5%. Kelompok II direndam dalam 6 ml NaOCI 5%. Kelompok I dan II dibagi menjadi 3 sub kelompok lama perendaman, yaitu sub kelompok a direndam selama 5 menit, sub kelompok diremdam selama 10 menit, sub kelompok direndam selama 15 menit. Cetakan siler difiksasi pada akar gigi, dilakukan insersi siler ke dalam cetakan kemudian dimasukkan inkubaror pada suhu 370 C selama 72 jam. Pengujian kekuatan geser perlekatan menggunakan Universal Testing Machine. Hasil penelitian. Hasil uji statistik AVANA dua jalur menunjukkan kekuatan geser perlekatan siler berbahan dasar resin pada dentin saluran akar setelah diirigasi dengan konsentrasi NaOCI dan lama irigasi yang berbeda terdapat perbedaan yang bermakna (p=0,007). Uji LSD menunjukkan bahwa kekuatan geser perlekatan siler berbahan dasar resin berbeda bermakna pada kelompok yang diirigasi NaOCI 2,5% selama 5 menit dengan 15 menit,, pada kelompok yang diirigasi NaOCI 2,5% selama 10 menit dengan 15 menit, pada kelompok yang diirigasi NaOCI 5% selama 15 menit dengan kelompok yang diirigasi NaOCI 2,5% selama 15 menit serta pada kelompok yang diirigasi NaOCI 5% selama 5 menit dengan kelompok yang diirigasi NaOCI 5% selama 10 menit. Kesimpulan. Kekuatan geser perlekatan siler berbahan dasar resin pada dentin saluran akar berbeda setelah diirigasi NaOCI dengan konsentrasi dan waktu irigasi yang berbeda. Background. Biomechanichal preparationin of root canal treatment used 0,5-5,25% sodium Hypochlorite as root canal irrigation, that may effect to physical properties of dentin. The purpose of this study was to find out the effect of concentration and duration application of sodium hypochlorite to shear bond strength of sealer resin based to root canal dentin. Methods. Thirthy premolar were splitted buccolingual then pulp tissue were cleaned out, smoothed and fixed into acrylic resin cast. They were devided into 2 group, group I were soaking into NaOCI 2,5% group II were soaking into NaOCI 5%. Group I and II were devided into 3 subgroup, group a were soaking 5 minutes, group b were soaking 10 minutes. Group c were soaking 15 minutes. Then sealer cast were fixed and filled with sealer resin-based, and incubated for 74 hours. They were tested for shear bond strength with Universal Testing Machine. The data were analyzed with two way Anava and LSD. Result. Two way Avana show that shear bond strength of sealer resin-based to root canal after irrigation with different concentration and duration application of sodium hypochlorite are significant. Conclusion. Shear bond strength of sealer resin-based to root canal dentin after irrigation with different concentration and duration application of sodium hypochlorite are different.
Penggunaan Composit Resin pada Kasus Resisi Gingiva Suryono, S.
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.15921

Abstract

Background: The clinical appearance of gingival tissue play an essential role in aesthetics. Gingival morphology and color effect on the aesthetic concerns for the patient. Gingival recession can cause exposure of the underlying rootsurface and hypersensitive of the tooth. Purpose: this case reports showed the treatment of gingival recession by using gingival-shaded composite. Case and treatment: Exposed root surface is layered by gingival-shaded composite and its also improved aesthetics by replacement of the restoration. Conclusion: The use of gingival-shaded composite in the area of exposed root surface for layering improved the aesthetic and relief the sensitive denting of patient.

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