Majalah Kedokteran Gigi Indonesia
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Perawatan Saluran Akar Satu Kunjungan Pada Pulpa Nekrosis Disertai Restorasi Mahkota Jaket Porselin Fusi Metal dengan Pasak Fiber Reinforced Composit (Kasus Gigi Insisivus Sentralis Kanan Maksila) Triharsa, Surya; Mulyawati, Ema
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8383

Abstract

Perawatan saluran akar satu kunjungan dapat memperkecil resiko adanya kontaminasi bakteri serta mengurangi jumlah kunjungan. Restorasi gigi insisvus sentralis maksila setelah perawatan saluran akar harus mempertimbangkan sisa jaringan keras gigi yang masih ada. Tujuan laporan kasus ini adalah untuk menginformasikan hasil perawatan saluran akar satu kunjungan dengan restorasi mahkota jaket porselin fusi metal dengan pasak Fiber Reinforced Composit (FRC) pada gigi insisivus sentralis kanan maksila. Pasien perempuan 32 tahun datang ke klinik konservasi Gigi RSGM Prof Soedomo FKG UGM ingin merawat gigi depan atas dengan tumpatan yang telah berubah warna. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis pulpa nekrosis. Selanjutnya dilakukan perawatan saluran akar satu kunjungan, dan restorasi mahkota jaket porselin dengan pasak  FRC. Hasil evaluasi klinis saat kontrol tidak ada keluhan rasa sakit gigi dan gigi bisa berfungsi dengan normal. One Visit Root Canal Treatment On Necrosis Pulp Followed by Fused Porcelain Metal Jacket Crown with Fiber Reinforced Composit (A Case on Right Maxillary Central Incisivus Teeth). One visit root canal treatment is more beneficial to reduce the risk of bacteria and also shorten the time during the treatment in restoring maxillary incisor, considering the on rest of hard tissue. The objective of this case report is to inform the result of restoration teeth 11 to necrotic pulp after one visit root canal treatment. A 32 year-old female came to RSGM Prof Soedomo FKG UGM to have a treatment on her maxillary central teeth restoration for tooth whose color has changed. After an objective and radiograph examination, it was diagnosed that she suffered from necrotic pulp. The treatment chosen was a one visit root canal treatment followed by porcelain fused to metal jacket crown with fiber post reinforced composit. Based on the clinical evaluation, there was no more pain after the treatment, and the aesthetic aspect was also achieved. The patient was satisfied.
Minyak Atsiri Temu Putih (Curcuma Zedoaria Rosc., Zingiberaceae) Menurunkan Ekspresi CD4+ Pada Gingiva Terpapar A. Actinomycetemcomitans Handajani, Juni
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8194

Abstract

Aggregatibacter actinomycetemcomitans (A. actinomycetemcomitans)merupakan bakteri Gram-negatif yang dikaitkan dengan penyakit periodontal. Ekspresi positif CD4+ tampak pada keadaan gingivitis(inflamasi gingiva) maupun periodontitis. Tujuan dari penelitian ini adalah untuk mengetahui efek minyak atsiri temu putih (Curcuma zedoaria Rosc.) terhadap ekspresi CD4+ pada gingiva terpapar A.actinomycetemcomitans. Penelitian dilakukan pada tikus Wistar jantan umur 3 bulan yang diberi paparan bakteri A.actinomycetemcomitanspada gingiva anterior mandibula. Kelompok perlakuan sebanyak 5 ekor tikus diberikan minum minyak atsiri temu putih dosis 30,6μl/ml selama 14 hari dan kontrol diberikan aquades. Bakteri diaplikasikan sebanyak100 μl hari ke-7 sampai ke-14 lalu hari ke-15 dilakukan pengorbanantikus teranestesi. Gingiva anterior mandibula tikus diambil untuk pembuatan preparat histologis selanjutnya dilakukan pewarnaan Hematoxylin-Eosin (HE) dan imunohistokimia. Antibodi CD4+ (Santa Cruz Biotechnology, USA) digunakan pada pewarnaan imunohistokimia.Pengamatan preparat histologis menggunakan mikroskop cahaya. Hasil penelitian menunjukkan ekspresi CD4+ positif kuat di lamina propria dan stratum basale pada kelompok kontrol sedangkan ekspresi positif lemah di area lamina propria tampak pada kelompok perlakuan. Disimpulkanbahwa induksi minyak atsiri temu putih dapat menurunkan inflamasi gingiva ditandai dengan penurunan ekspresi CD4+. Reducing CD4+ Expression at Gingiva Exposed A.Actinomycetemcomitans using Curcuma Zedoaria Rosc., Zingiberaceae. Aggregatibacter actinomycetemcomitans (A. actinomycetemcomitans) is a gram-negative bacteria associated withperiodontal disease. Positive expression of CD4+ is shown in gingivitis and periodontitis. The aim of this study was to determine the effect of curcuma zedoaria Rosc., volatile oil against CD4+ expression on gingiva exposed A. actinomycetemcomitans. The study was conducted on male Wistar rats aged 3 months that were exposed bacteria A. Actinomycetemcomitans. Treatment group as many as 5 rats were administered orally with curcuma zedoaria Rosc. volatile oil at dose of 30.6 μl/ml for 14 days and distilled water in control. A 100 μl bacteria were applied on the 7th to 14th day on the gingiva anterior mandibular. At the 15th day, rat was anesthetized then sacrificed. The mandibular gingiva anterior of the rat was taken as histological preparations for HE and immuno-histo chemical staining. CD4+ antibody (Santa Cruz Biotechnology, USA) was used for immune staining. Histological preparations were observed under a light microscope.The results showed a strong positive CD4+ expression in the lamina propria and stratum basale of control group while a weak positive expression in lamina propria area of treatment group. From the experiment, it is concluded that theinduction of curcuma zedoaria Rosc. volatile oil may reduce gingivitis, indicated by the decrease in CD4+ expression.
Perawatan Teknik Begg Pada Maloklusi Klas I Dengan Kaninus Impaksi dan Insisivus Lateral Agenesis Gunawan, Kristina Wijaya; Ardhana, Wayan; Christnawati, Christnawati
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8388

Abstract

Impaksi kaninus maksila sering dijumpai pada sisi palatal daripada labial. Agenesis adalah anomali pertumbuhan akibat tidak ada satu atau lebih benih gigi. Laporan kasus ini bertujuan memaparkan kemajuan perawatan kasus Maloklusi klas I dengan kaninus impaksi dan insisivus lateral agenesis menggunakan alat cekat teknik Begg. Seorang pasien usia 20 tahun datang mengeluhkan gigi-gigi depan atas dan bawah yang berjejal sehingga mengganggu penampilan. Perawatan bertujuan untuk koreksi Maloklusi Angle klas I tipe dentoskeletal dengan deepbite, crossbite gigi 25 terhadap 35, pergeseran midline dental maksila dan mandibula ke kanan sebesar 2,5 mm dan 3,0 mm, 13 impaksi vertikal pada sisi labial, 42 agenesis, dan edentulous parsial regio 36. Koreksi dilakukan dengan pencabutan 14, 25, pemanfaatan ruang bekas pencabutan 36 dan exposure gigi kaninus yang impaksi. Tahap pertama teknik Begg adalah leveling, unraveling, dan bite opening, diikuti dengan koreksi midline dan penutupan sisa ruang bekas pencabutan. Kesimpulan: perawataan ortodontik menggunakan teknik Begg yang dilakukan simultan dengan exposure kaninus impaksi labial dengan closed eruption technique dapat memberikan hasil yang memuaskan.Treatment for Class I Malocclusion with Impacted Canine and Agenesis Lateral Incisor Using Begg Technique. Maxillary canine impaction occurs commonly on the palatal than labial side. Agenesis is a developmental anomaly condition because of the absence of one or more tooth buds. This case report aims to explain the treatment progress of class I malocclusion with impacted canine and agenesis lateral incisor using fixed appliance through Begg technique. A 20-year-old female patient complained about her upper and lower anterior dental crowding that disturbed her appearance. The treatment aims to correct the Angle class I malocclusion dentoskeletal types with deepbite, crossbite 25 to 35, maxillary and mandibulary dental midline shift to the right by 2.5 mm and 3.0 mm, 13 labially vertical impacted, 42 agenesis, and partial edentulous 36. The correction was obtained through extraction 14 and 25, and the use of former space from extraction 36 and exposure of impacted canine. The first step of treatment using Begg technique is to leveling, unraveling, and bite opening. The second step is midline correction and space closure. Finally, it can be concluded that orthodontic treatment using Begg technique which is done simultaneously and exposure of labial- canine impaction with closed eruption technique can give satisfactory results.
Perawatan Satu Kunjungan Restorasi Pasak Fiber Reinforced Composite Pada Gigi Insisivus Atas Ariani, Ria; Hadriyanto, Wignyo
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8341

Abstract

Perawatan saluran akar satu kali kunjungan memberikan keuntungan antara lain memperkecil resiko kontaminasi mikroorganisme dan menghemat waktu perawatan. Pasak fiber reinforced composite memiliki ikatan yang baik dengan dentin menggunakan semen resin dan inti dari resin. Penggunaan pasak bisa mengurangi risiko fraktur. Tujuan penulisan laporan kasus ini adalah untuk mengevaluasi hasil restorasi gigi 11 nekrosis pulpa pasca perawatan saluran akar disertai restorasi dengan pasak fiber reinforced composite. Pasien wanita, 22 tahun datang ke Klinik Konservasi RSGM FKG UGM untuk merawat gigi depan atas kanan yang berlubang. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis gigi 11 nekrosis pulpa. pasca perawatan saluran akar gigi Gigi direstorasi dengan resin komposit dan pasak fiber reinforced composite. Kesimpula dari hasil evaluasi klinis saat kontrol tidak ada keluhan rasa sakit dan pasien merasa puas.One Visit Treatment of Fiber Reinforced Compositerestoration in Maxillary Right First Incisivus. One visit root canal treatment is advantageous to minimize the risk of microorganism contamination. It saves time and more tolerable for the patients. Fiber reinforced composite post is fabricated, and it has been known to have a good bond with dentinal wall of root space, resin cement and composite resin core. The use of this post could decrease the risk of fracture. The purpose of this paper is to report the results of dental restoration 11 pulp necrosis after root canal treatment with resin composite restorations and post fiber reinforced composite. A 22 year-old female patient who came to Faculty of Dentistry UGM complained about her maxillary right incisor teeth which decayed and needed a treatment. Based on the subjective, objective and radiograph examinations, it was diagnosed that the pulp was necrotic. After one visit root canal treatment and based on clinical evaluation, it is concluded that the right upper incisor that was restored using fiber reinforced composite post and composite resin showed no pain, and patient was satisfied.
Pengambilan Lentulo Patah Pada Perawatan Saluran Akar Gigi Molar Satu Kiri Bawah Nekrosis Pulpa Syafri, Muhammad; Nugraheni, Tunjung
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8384

Abstract

Selama prosedur preparasi saluran akar, kemungkinan patahnya instrumen selalu ada. Saat ini instrumen yang patah dapat dikeluarkan dengan menggunakan alat ultrasonik seperti jarum Miller yang dihubungkan dengan tip ultrasonik endo, selain itu diperlukan juga akses dan visibilitas yang baik sehingga memudahkan operator untuk mengeluarkan instrumen yang patah tersebut. Tujuan laporan kasus ini adalah untuk melaporkan keberhasilan pengambilan  lentulo patah di dalam saluran akar menggunakan jarum miller yang dihubungkan dengan tip ultrasonik endo dikombinasikan dengan hedstroem no 25. Dalam makalah ini dilaporkan satu kasus perawatan saluran akar gigi molar satu kiri bawah pulpitis irreversibel pada pasien wanita 20 tahun, namun terjadi patah lentulo saat pengaplikasian bahan sterilisasi saluran akar. Pengambilan lentulo berhasil dilakukan pada kunjungan kedua dengan menggunakan jarum miller yang dihubungkan dengan tip ultrasonik endo serta hedstroem file no 25. Visibilitas didapatkan dengan melakukan coronal flaring menggunakan heroshaper dari mikro mega yang dihubungkan dengan alat rotary. Setelah 1 minggu, gigi diobturasi dengan teknik single cone pada saluran akar distal dan teknik kondensasi lateral pada saluran akar mesiobukal dan mesiolingual. Pada kunjungan berikutnya, gigi direstorasi dengan resin komposit disertai pasak dentatus screw. Setelah 2 bulan diamati secara radiografis dan klinis, tidak ada keluhan dari pasien.Broken Lentulo Removal During Root Canal Treatment On The First Molar Mandible Sinistra With Pulp Necrosis. During root canal preparation procedure, there is always potential for instrument breakage. Nowadays, broken instruments can be removed using ultrasonic instruments such as a needle miller connected to endo ultrasonic tip, but it needs good access and visibility in order to make it easier for the operator to remove the broken instruments. The aim of this case report is to present the successful removal of a broken lentulo left in a root canal by using smooth broach connected to a ultrasonic endo tip combined with an hedstroem file no 25. This paper reports a case of molar root canal treatment of the lower left irreversible pulpitis in 20 year-old female patient, but the incident of broken lentulo occured while applying root canal medicament. The effort to remove lentulo was successful on the second visits using a needle miller connected to endo ultrasonic tip and headstrom file no 25. Visibility was obtained by using a coronal flaring of micro mega hero shaper associated with the rotary tool. In the following week, the teeth was obturated with single cone technique on the distal root canal applying the lateral condensation technique on mesiolingual and mesiobuccal root canal. In the next visit, the teeth were restored with composite resin with dowel dentatus screw. After 2 months of being observed radiographically and clinically, there is no more complaint from the patient
Pengaruh Ritma Circadian Terhadap Produksi Volatile Sulfur Compounds (VSC) Oral Supriatno, Supriatno
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8302

Abstract

Volatile sulfur compounds (VSCs) oral dihasilkan dari produk putrifikasi mikroba gas hidrogen sulfida (H2S), metil merkaptan (CH3SH) dan dimetil sulfida [(CH3)2S] yang merupakan gas utama penyebab halitosis. Ritma circadian mempunyai pengaruh terhadap fungsi beberapa organ tubuh termasuk sekresi saliva, produksi hormon, fungsi sistem tubuh, dan aktivitas mikroorganisma. Penelitian bertujuan menguji pengaruh ritma circadian terhadap produksi VSC oral yang diukur menggunakan OralChroma portable. Penelitian dilakukan dengan mengukur gas VSC individu yang sama pada pagi, siang dan malam hari di laboratorium riset terpadu FKG UGM. Hasil pengukuran H2S, CH3SH dan (CH3)2S diuji menggunakan analisis statistik Anava dua jalur dilanjutkan uji LSD dan uji korelasi Pearson dengan derajat kemaknaan 95%. Hasil penelitian menunjukkan terdapat perbedaan yang sangat bermakna antara produksi gas H2S, CH3SH dan (CH3)2S dengan waktu pengukuran (efek circadian) (p=0,000). Perbedaan sangat bermakna diketahui pula pada pengukuran gas H2S dan (CH3)2S antara pagi, siang dan malam (p=0,01 dan p= 0,00), serta pengukuran gas CH3SH siang dan malam (p=0,006), tetapi tidak pada CH3SH pagi hari (p=0,061). Produksi gas H2S tertinggi diketahui pada pagi hari (mean 1,198 ng/10 ml, CH3SH pada malam hari (mean 0,099 ng/10 ml), dan (CH3)2S pada siang hari (mean 1,216 ng/10 ml). Kekuatan hubungan pengukuran antara ke tiga gas dengan efek circadian diketahui sebesar r=0,738. Disimpulkan bahwa ritma circadian berpengaruh terhadap produksi VSCs oral. Produksi gas H2S dan (CH3)2S berbeda antara pagi, siang dan malam hari, sedangkan produksi gas CH3SH berbeda hanya pengukuran siang dan malam hari. Produksi gas H2S tertinggi diketahui pada pagi hari, gas CH3SH pada malam hari, dan gas (CH3)2S pada siang hari. Maj Ked Gi. Juni 2013; 20(1): 14 - 20.The Effect Of Circadian Rhythm To Oral Volatile Sulfur Compounds Production. Oral volatile sulfur compound (VSC) is produced from microbial purification of hydrogen sulfide (H2S), methyl mercaptan (CH3SH) and dimethyl sulfide [(CH32S] gases. They are the main gases that cause halitosis. Circadian rhythm influenced the function of several organs of the human body including salivary secretion, hormone production, the body’s systems function, and activity of microorganisms. The purpose of this research is to examine the influence of circadian rhythm to oral VSC production measured by using a portable Oral Chroma. The research was carried-out by measuring the individual VSC gases in the morning, afternoon and evening at the integrated research laboratory, Faculty of Dentistry, UGM. Gases of H2S, CH3SH and (CH3)2S were tested by two-way ANOVA followed by Post-hoc LSD and Pearson correlation test with 95% significance level. The results showed the positive significant differences among the production of H2S, CH3SH and (CH3)2S with circadian time (p=0.000). Highly significant difference was also detected in amount of H2S and (CH3)2S gases in the morning, afternoon and evening (p=0.01 and p=0.00), as well as the amount of CH3SH gas in the afternoon and night (p=0.006), but not in amount of CH3SH gas in the morning (p=0.061). The highest production of H2S gas was known in the morning (mean 1.198 ng/10 ml), CH3SH gas was detected in the night (mean 0.099 ng/10 ml), and (CH3)2S gas was observed in the afternoon (mean 1.216 ng/10 ml). The strength of relationship among amount of three gases with circadian effects was r = 0.738. It is concluded that circadian rhythm markedly influences the production of oral VSCs. H2S and (CH3)2S gases production were significantly different among in the morning, afternoon and evening. However, amount of CH3SH gas production was significantly different only in the afternoon and the night. The highest gas production of H2S, CH3SH, and (CH3)2S was observed in the morning, in the night, and in the afternoon, respectively.
Perawatan Maloklusi Klas III dengan Reverse Overjet Menggunakan Alat Ortodontik Cekat Teknik Begg Purwaningsih, Yohana Retno Wikandari; Ardhana, Wayan; Christnawati, Christnawati
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8389

Abstract

Maloklusi klas III true skeletal merupakan kasus yang sulit dirawat dan  mudah terjadi relaps. Perawatan ideal kasus ini memerlukan tindakan bedah, namun apabila hal tersebut tidak memungkinkan maka dilakukan perawatan kamuflase. Reverse overjet, atau gigitan terbalik, tipikal mempunyai penyimpangan posisi insisivus atas dan bawah akibat malrelasi maksila dan atau mandibula. Tujuan artikel ini adalah menyajikan perawatan ortodontik kamuflase menggunakan teknik Begg pada maloklusi ini. Pasien perempuan umur 24 tahun mengeluhkan gigi depan berjejal dan tidak nyaman untuk mengunyah makanan. Diagnosis kasus adalah maloklusi Angle klas III, hubungan skeletal klas III dengan protrusif bimaksilar, incisivus atas dan bawah retrusif, pergeseran median line rahang atas ke kanan, disertai edge to edge bite anterior, cross bite posterior dan openbite posterior. Pasien dirawat dengan  pencabutan gigi premolar kedua atas,dan premolar pertama  bawah untuk mengatasi kondisi kasus tersebut. Kesimpulan dua tahun setelah perawatan, tampak sudut interinsisal berkurang, reverse overjet terkoreksi, edge to edge bite, cross bite dan openbite terkoreksi.Treatment of Class III malocclusion with Reverse Overjet using Orthodontic Begg Technique. A true skeletal class III malocclusion is a difficult case to be treated as it can get easily relap. The ideal treatment of this skeletal types requires a surgery, but if it is not possible, an orthodontic camouflage can be conducted. Reverse overjet typically has upper and lower incisor position deviation due to the mesial position of the mandible in relation to the maxilla.The purpose of this article is to present camouflage orthodontic treatment using Begg orthodontic technique in Class III malocclusion case with reverse overjet. A 24 year-old female patient complained about her front teeth crowding and uncomfortable mastication. From the diagnosis, there was true dento skeletal class III malocclusion with bimaxilary protrusion, bidental retrusion and edge to edge bite. The lower incisors were shifted to the right. The posterior teeth were crossbite and openbite. The patient were treated with extraction of the right upper second premolars and lower first premolars.After 2 years of treatment, it is concluded that the interinsisal angle decreases and the reverse overjet, the edge to edge bite, the crossbite and the openbite are corrected as well.
Perawatan Ulang Saluran Akar Insisivus Lateralis Kiri Maksila dengan Medikamen Kalsium Hidroksida-Chlorhexidine Ariani, Ni Gusti Ayu; Hadriyanto, Wignyo
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8342

Abstract

Banyak faktor yang menyebabkan kegagalan terapi endodontik antara lain pembersihan dan membentuk saluran akar yang tidak sempurna dan obturasi tidak hermetis sehingga menyebabkan kurangnya kemampuan untuk menghilangkan mikroorganisme yang ada. Saluran akar yang terinfeksi membutuhkan suatu medikamen untuk menunjang keberhasilan dalam perawatan saluran akar.Kalsium hidroksida merupakan salah satu bahan medikamen yang efektif karena memiliki sifat antibakteri dengan spektrum luas, pH tinggi, biokompatibilitas baik, mampu menetralkan endotoksin bakteri, memiliki sifat toksik yang paling rendah, serta menstimulasi pembentukan jaringan keras. Tujuan laporan kasus untuk menunjukan keberhasilan perawatan ulang saluran akar gigi insisivus lateralis kiri maksila dengan lesi periapikal menggunakan medikamen kalsium hidroksida- chlorhexidine. Pasien wanita umur 53 tahun, gigi insisivus lateralis kiri maksila dengan lesi periapikal.Radiografi tampak obturasi kurang hermetis dan radiolusen daerah periapikal. Perawatan ulang saluran akar,diikuti pemasangan pasak fiber frefabricated dan restorasi porselin fuse metal.Keseimpulan setelah evaluasi setelah enam bulan pasca perawatan ulang saluran akar, radiografi menunjukan radiolusen mengecil dan gigi dapat berfungsi dengan normal.Re-Treatment of Root Canal of Maxillary Left Lateral Incisor with Calcium Hydroxide-Chlorhexidine Medicament. There are many factors that cause failure of endodontic therapy. For instances, incomplete cleaning and shaping of root canal and inadequate obturation that results in difficulty to remove the microorganisms. Infected root canal requires a medicament for the success of the root canal treatment. Calcium hydroxide is one of the effective ingredients as medicament because it has broad spectrum antibacterial properties, high pH, good biocompatibility, and it is able to neutralize bacterial endotoxins, decrease tissue toxicity, and stimulate the formation of hard tissue. The purpose of this case report is to show the success of root canal treatment of the left maxillary lateral incisor with periapical lesions using calcium hydroxide-chlorhexidine medicaments. The patient was a woman aged 53, complaining about her left maxillary lateral incisor with periapical lesion. Based on the radiographic evaluation, there was less hermetic obturation and a radiolucent in the periapical. Root canal re-treatment was continued with fiber prefabricated post and porcelain fused to metal crown. After six months of evaluation and endodontic retreatment, it is found that there is a decrease of radiolucency periapical lesion, and her teeth are able to function normally.
Perawatan Satu Kunjungan pada Premolar Pertama Atas Menggunakan Protaper Rotary dan Restorasi Resin Komposit Diana, Sherli; Santosa, Pribadi
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8385

Abstract

Preparasi kemomekanik pada saluran akar meliputi instrumentasi mekanis dan irigasi antibakteri yang secara prinsip dapat langsung mengeliminasi mikroorganisme pada sistem saluran akar. sejak diperkenalkan pada tahun 1988, instrumen rotary nikel-titanium (niti) telah digunakan secara umum dalam perawatan endodontik karena kemampuannya membentuk saluran akar dengan prosedur komplikasi yang minimal. Tujuan dari laporan kasus ini adalah untuk memaparkan perawatan saluran akar satu kunjungan menggunakan protaper rotary dan restorasi resin komposit gigi premolar. Penderita pria 21 tahun datang ke RSGM Prof. Soedomo UGM Yogyakarta mengeluhkan gigi belakang atas kiri yang berlubang tapi tidak sakit dan pasien ingin  dirawat.Gigi  Premolar satu atas  kiri terdapat kavitas disto oklusal dengan pulpa terbuka. Pemeriksan objektif pada gigi 24 sondasi, perkusi, palpasi, dan tes termal menunjukkan hasil negatif.Pemeriksaan radiografis tidak terdapat lesi, lamina dura tidak terputus dan saluran akar jelas dan lurus. Pada kasus ini dilakukan perawatan saluran akar dengan menggunakan ProTaper rotary ( X-Smart, Dentsply). Pasca perawatan saluran akar, gigi premolar satu atas kiri dilakukan tumpatan resin komposit kelas II.Hasil evaluasi klinik saat kontrol tidak ada keluhan rasa sakit, pemeriksaan objektif juga tidak ada rasa sakit, warna gigi serasi dengan warna gigi tetangga.prognosis pada kasus ini baik dan tidak ada keluhan. Kesimpulan paska perawatan saluran akar satu kunjungan dengan instrumenrotary, tidak terdapat keluhan.Penggunaan Instrumen rotary Nikel-Titanium (NiTi) sangat flexible dengan prosedur komplikasi yang minimal, dan hemat waktu.One Visit Treatment of Upper Premolar Tooth Using Rotary Protaper and Composite Resin Restoration. Chemomechanical preparation for root canal including mechanic instrumentation and anti-bacterial irrigation principally could eliminate microorganisms in root canal system. Many instruments and techniques have been described and developed for initial root canal treatment. Since first established in 1988, nikel-titanium (NiTi) rotary instrument has been used for endodontic treatment because of its capability in forming the root canal with minimal complication procedure. Clinically, safe use of NiTi instrument and understanding of the alloy basic metallurgy including fracture mechanism and its correlation with root canal anatomy in order to set the safe use of NiTi instrument are required. This research will explain about biological principal of root canal preparation with correct technique and instrumentation system using NiTi. A 21 year-old patient in RSGM Prof. Soedomo UGM Yogyakarta complained about his left side upper jaw, posterior teeth with cavity, painless and the patient wanted to treat the teeth. The left maxilla first premolar teeth has a distooclussal cavity, open pulp. Based on the radiograph test, there found no lession, lamina dura was fine, and root canal was clear and straight. In this case, the patient was treated with crown down rotary X-Smart (Dentsply) technique for root canal treatment. After the root canal treatment had been conducted, the teeth were restorated with class II composite resin. After the treatment, it is found that there is no pain in the teeth, the colour of teeth match with others, and the prognosis for this case is good.
Deformasi Slot Beberapa Produk Braket Stainless Steel Akibat Gaya Torque Pada Kawat Stainless Steel Zairina, Atika; Siregar, Erwin; Ismaniati, Nia Ayu
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8306

Abstract

Deformasi slot braket dapat mengurangi besar gaya torque  yang akan dihantarkan ke gigi dan jaringan pendukungnya. Beberapa braket stainless steel yang beredar dipasaran belum pernah diteliti kualitasnya dalam perawatan ortodonsi. Tujuan penelitian adalah untuk membandingkan besar gaya torque akibat sudut puntir 30° 45°  kawat stainless steel dan deformasi slot permanen akibat gaya torque tersebut antara kelompok merk braket (3M, Biom, Versadent, Ormco dan Shinye). Penelitian dilakukan pada lima puluh braket stainless steel edgewise dari lima kelompok merk braket (n=10) di lem ke akrilik. Masing-masing braket dilakukan pengukuran tinggi slot dengan mikroskop stereoskopi lalu dipasang ke alat uji torque yang sudah dibuat untuk penelitian ini. Setelah dilakukan uji torque, braket di ukur kembali tinggi slotnya dan dibandingkan dengan pengukuran sebelumnya untuk mengetahui adanya deformasi slot. Hasil analisis statistik menunjukkan perbedaan bermakna besar gaya torque pada sudut puntir 30° dan 45° antara Biom dan Shinye dengan Omrco. Gaya torque paling besar yaitu pada merk braket 3M (30°= 442,12 gmcm dan 45°= 567,99 gmcm), sedangkan yang terkecil adalah Biom (30°= 285,50 gmcm, 45°=361,38 gmcm). Perbedaan deformasi slot braket terjadi hampir pada semua kelompok merk braket. Deformasi slot braket hanya terjadi pada merk braket Biom (2,82 µm) dan Shinye (2,52 µm). Kesimpulan, salah satu faktor yang mempengaruhi besar gaya torque dan terjadinya deformasi slot yaitu komposisi dan proses manufaktur dari braket stainless steel. Proses manufaktur yang tidak sesuai standar dapat menyebabkan kualitas braket yang buruk. Deformasi slot permanen dalam penelitian ini terjadi pada merek braket Biom dan Shinye.Slot Deformation of Various Stainless Steel Bracket Due to Torque Expression On The Wire. Bracket slot deformation can reduce the amount of torque that will be transmitted to teeth and supporting tissues. The quality of some stainless steel brackets in the market is still questionable for orthodontic treatments. This research aims to compare the amount of torque expression due to torsion angle of 30° and 45° at the stainless steel wire and bracket slot permanent deformation caused by the torque in each examined bracket brands (3M, Biom, Versadent, Ormco and Shinye). Fifty Stainless Steel Edgewise brackets from five different brands (n = 10) were attached onto an acrylic. Each bracket slot width was measured with a stereoscopic microscope and then mounted onto a torque apparatus that had been prepared for this study. Once the torque test was done, the width of bracket slot was re-measured to determine if there was a difference from initial bracket slot width at 45°. The results of ANOVA showed significant differences in the amount of torque at torsion angle of 30°and 45° between Biom and Shinye with Omrco. The 3M transmitted the highest load (30°= 442,12 gmcm and 45°= 567,99 gmcm), while the lowest was of Biom (300  = 285,50 gmcm and 450 = 361,38 gmcm). Differences in slot bracket deformation were found virtually in all groups of bracket brands. Deformation of bracket slots occurs only in Biom (2.82 µm) and Shinye (2.52 µm). From the observation, it is concluded that one of the major factors that affect torque and deformation of bracket slot is composition and manufacturing process of the stainless steel brackets. Manufacturing process that does not meet the standard can lead to a poor quality bracket. Permanent slot deformation in this study occurrs with Biom and Shinye bracket brands.

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