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All Journal Quantum Wellness : Jurnal Ilmu Kesehatan
Lasmi Dewi Nurnaini
Universitas Muhammadiyah Surakarta
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Analisis Etiologi Kegagalan Perawatan Pulpotomi pada Gigi Desidui: Literature Review Maulita Misi Nurilyana; Lasmi Dewi Nurnaini
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 2 (2026): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i2.3303

Abstract

Background: Pulpotomy is one of the vital pulp treatments commonly performed on primary teeth with pulp involvement due to deep caries. However, pulpotomy failure remains a significant clinical problem with varying failure rate reported across studies. Aim: This literature review aims to analyze the causes of pulpotomy treatment failure in primary teeth based on current scientific evidence. Method: This study is a qualitative research using a literature review method with secondary data obtained during May 2026 through database searches of PubMed, Science Direct, MDPI, DOAJ, and Garuda using related keywords. The retrieved articles were then selected using a PRISMA flow diagram to obtain several main articles. Results: Based on PRISMA selection, four main articles meeting the inclusion criteria were obtained for this literature review. The review findings indicate that pulpotomy treatment failure in primary teeth is caused by operator clinical technique errors including incomplete coronal pulp tissue removal and inadequate caries excavation resulting in secondary caries formation; inadequate final restoration due to poor marginal adaptation; and inappropriate pulpotomy material selection. Pulpotomy failure may result in pulp necrosis, internal and external root resorption, periapical infection, abscess or fistula, pathological tooth mobility, and gingival inflammation. Conclusion: Pulpotomy failure in primary teeth is influenced by various interrelated factors. Therefore, treatment success depends on the precision of comprehensive procedural execution, necessitating improved clinical standards to minimize the risk of failure.
Macrodontia pada Anak: Karakteristik Klinis dan Tatalaksana Literature Review Muhammad Fahliza Noor Ridho; Lasmi Dewi Nurnaini
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 3 (2026): September: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i3.3487

Abstract

Background: Macrodontia is a developmental dental anomaly characterized by a crown and/or root size larger than normal. Although its prevalence is relatively low, this condition may lead to various clinical problems, including crowding, malocclusion, eruption disturbances, and aesthetic concerns that can affect a child's quality of life. Objective: This literature review aimed to evaluate the clinical characteristics and management of macrodontia in children based on current scientific evidence. Methods: This study was conducted using a literature review approach. Articles were retrieved from PubMed, ScienceDirect, Wiley, and Google Scholar databases. The selected studies were international publications from the last five years, available in full text, and relevant to the research topic. Results: The review showed that macrodontia is characterized by teeth that are larger than normal, which may result in crowding, tooth rotation, eruption disturbances, increased overjet, and malocclusion. Several studies also reported associations between macrodontia and other developmental dental anomalies, such as hypodontia, hyperdontia, and taurodontism. The management of macrodontia depends on the severity of the condition and may include observation, odontoplasty, aesthetic restorative treatment, orthodontic therapy, and multidisciplinary approaches. Conclusion: Macrodontia is a dental size anomaly that can affect function, occlusion, and aesthetics. Early diagnosis and appropriate treatment are essential to prevent complications and support optimal dentofacial development in children.
Co-Authors Maulita Misi Nurilyana Muhammad Fahliza Noor Ridho