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All Journal Dental Journal (Majalah Kedokteran Gigi) Biomolecular and Health Science Journal Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Conservative Dentistry Journal Indonesian Journal of Dental Medicine
Dian Agustin Wahjuningrum
Faculty Of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Esthetic crown lengthening treatment on the maxillary anterior teeth Wahjuningrum, Dian Agustin; Sampoerno, Galih; Prasetyo, Eric Priyo; Saraswati, Widya; Setyabudi; Saravanan, Pravinna; Riyadi, Tiara Lathifah; Ambarwati, Venny Lusanda
Conservative Dentistry Journal Vol. 14 No. 1 (2024): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i1.2024.34-37

Abstract

Background: Asymmetrical smile design due to uneven gingival margin heights of the anterior upper teeth can lead to aesthetic issues and inadequate crown restorations, necessitating crown lengthening treatment. Purpose: The objective of this case report is to demonstrate the outcomes of crown lengthening to achieve improved aesthetics and symmetric gingival margin heights. Case: A 16-year-old female patient sought treatment for decayed left maxillary anterior teeth. Clinical examination revealed a non-vital tooth (tooth 21) with decay and excessively low gingival margins, along with asymmetrical gingival heights between the incisors and canines. Radiographs indicated radiolucent mass in the pulp chamber. Case Management: Crown lengthening was performed on teeth 12, 11, 21, and 22, and apexification was conducted on tooth 21 using a customized fiber post and lithium disilicate crown. Follow-up evaluations showed no complaints, well-maintained crowns, and healthy gingiva. Conclusion: Crown lengthening is feasible for anterior teeth with low gingival margins, enhancing clinical crown length to support aesthetic and final restorations in maxillary anterior teeth.
Aesthetic surgical crown lengthening on teeth 11 and 21 Saptaningrum, Mardikaning Riasta; Wahjuningrum, Dian Agustin; Sampoerno, Galih; Prasetyo, Eric Priyo; Handoko, Jessica Cristy; Chang, Nicole Ava; Ismiyatin, Kun
Conservative Dentistry Journal Vol. 14 No. 1 (2024): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i1.2024.38-41

Abstract

Background: In dental treatment planning, aesthetic considerations are crucial due to the relationship between a smile and facial beauty. Crown lengthening is a procedure used to achieve aesthetic smiles, particularly in cases of subgingival caries, fractures, and short clinical crowns. Purpose: The purpose of this case report is to achieve aesthetic improvement of the central incisors through crown lengthening procedures. Case: A 31-year-old female patient presented with a complaint of a broken upper left front tooth and easily bleeding gums. Clinical examination revealed Ellis class 1 fracture at the incisal-distal of tooth 21. The patient exhibited poor oral hygiene with visible calculus on upper and lower jaw teeth. There was gingival hyperplasia, redness, bleeding tendency, and the gingival margin height of teeth 11 and 21 appeared lower than teeth 12 and 22. Radiographically, the alveolar crest was distant from the CEJ. Case Management: Treatment plan included crown lengthening on teeth 11 and 21 with composite restoration on tooth 21. Crown lengthening, a surgical procedure designed to increase the extent of supragingival tooth structure for restorative or aesthetic purposes by repositioning the gingival margin apically was performed. This procedure is indicated for teeth with subgingival caries, extensive caries shortening the tooth, fractures, and short clinical crowns. Conclusion: Crown lengthening should consider the biological width to prevent bone resorption, gingival recession, inflammation, or hypertrophy. When performed under ideal clinical conditions, crown lengthening provides satisfactory outcomes both functionally and aesthetically.
Comparison of ratios combination calcium hydroxide Ca(OH)2 with red pine (Pinus densiflora) of viscosity Wahjuningrum, Dian Agustin; Mooduto, Latief; Subiyanto, Ari; Prasita, Shafa; Yuanita, Tamara
Indonesian Journal of Dental Medicine Vol. 4 No. 1 (2021): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v4i1.2021.26-31

Abstract

Background: Calcium hydroxide is a gold standard for root canal sealing material. However, there are many defects in calcium hydroxide that have prompted many researchers to look for alternative materials, including natural origin ingredients. Red pine (Pinus densiflora) is often used in dentistry for its antioxidant and antibacterial properties. The mixture of calcium hydroxide and red pine has never been achieved before. One of the criteria for material sealing is that the channel should be fully sealed with high flow ability and low viscosity. Therefore, this research is performed to analyze the viscosity value of the mixture of calcium hydroxide and red pine (Pinus densiflora). Purpose: Knowing the difference in viscosity of the combination of calcium hydroxide and red pine with a ratio of 1:1, 1:1.5, and 1:2. Methods: This study used four treatment groups, with each group consisting of 8 replications. Group 1 was a combination of calcium hydroxide and red pine with a 1: 1, group 2 the ratio was 1: 1.5, group 3 had the ratio 1: 2, and the positive control group used calcium hydroxide and a sterile aquadest. Calcium hydroxide in powder form and an extract of red pine in liquid form are mixed according to the ratio. The viscosity value is measured using a viscosity tester, namely the Brookfield Viscometer. Results: The control group had a lower viscosity than group 3, group 3, and group 2 than group1. Conclusion: Combination of calcium hydroxide and red pine with a ratio of 1:2, the lowest viscosity was obtained compared to the ratio of 1: 1 and 1: 1.5.
Innovation in Dental Conservation and Their Impact on Forensic Odontology Fauziah, Yessy Andriani; Wahjuningrum, Dian Agustin; Darmadi, Eveline Yulia; Adityatama, Anneke Paramita
Conservative Dentistry Journal Vol. 14 No. 2 (2024): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i2.2024.42-46

Abstract

Background: Innovations in dental conservation are increasingly integral to advancements in forensic odontology. Integrating digital technologies, such as intraoral scanning, CAD/CAM, and 3D printing, has enhanced the precision and efficiency of dental record creation. Purpose: To examine and analyse new technologies and tools in dental conservation which play a crucial role in forensic identification, where accurate dental matching is essential for personal identification. Dental identification systems, including microchips and identification tags on prosthetics, are being implemented to aid in mass disaster victim identification. Reviews: Techniques like virtual dental autopsy offer reliable remote examination capabilities, making them invaluable in emergencies. These technologies facilitate more accurate and durable restorations, enhancing patient outcomes in clinical settings while also providing forensic odontologists with robust tools for human identification, especially under challenging conditions such as mass disasters. This paper explores various innovations in dental conservation and their impact on forensic odontology, emphasizing accuracy, speed, and ethical benefits for human identification processes. Conclusion: The advancements illustrate the transformative impact of digital innovation in dental science, setting new standards in both dental care and forensic applications
Forensic Identification Using Dental Restorations: A Radiographic and Material-Based Perspective Fauziah, Yessy Andriani; Darmadi, Eveline Yulia; Budiharjo, Adrianto; Wahjuningrum, Dian Agustin
Conservative Dentistry Journal Vol. 15 No. 1 (2025): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i1.2025.1-4

Abstract

Background: Forensic identification is a critical aspect of criminal investigations and disaster victim identification (DVI). Dental records, particularly dental restorations, serve as essential forensic markers due to their resistance to decomposition and environmental conditions. The integration of radiographic imaging and material-based analysis enhances the accuracy of forensic identification, allowing experts to match post-mortem findings with ante-mortem records. Purpose: This literature review aims to explore the role of dental restorations in forensic identification, focusing on the radiographic techniques and material-based forensic analysis used in modern forensic odontology. Reviews: This literature discusses the durability and uniqueness of dental restorations in forensic investigations. Various radiographic techniques, including periapical, panoramic, and cone-beam computed tomography (CBCT) imaging, are examined for their effectiveness in detecting and analyzing restorations. Additionally, the forensic relevance of restorative materials—such as amalgam, composite resins, ceramics, and metal-based prosthetics—is evaluated in cases where conventional soft tissue or DNA-based identification is not feasible. The review also explores technological innovations, including machine learning algorithms and digital forensic methods, that enhance forensic odontology. Conclusion: Dental restorations remain one of the most reliable forensic markers, particularly in challenging identification cases where DNA and soft tissues are compromised. The integration of advanced radiographic imaging and material analysis significantly enhances the precision of forensic identification. Future developments in AI-driven forensic imaging and automated restoration detection will further strengthen forensic odontology as a crucial field in legal and disaster investigations.
Effect of Butterfly Pea Flower (Clitoria ternatea L.) Kombucha Against Streptococcus viridans Yuanita, Tamara; Firmansyah, Awang Bagus; Ulfadi , Bakhiitah Thufailah Putri; Prasetyo, Eric Priyo; Wahjuningrum, Dian Agustin
Conservative Dentistry Journal Vol. 15 No. 1 (2025): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i1.2025.14-17

Abstract

Background: Dental caries is a multifactorial disease driven by the formation of bacterial biofilms, particularly Streptococcus viridans, which contribute to root canal infections if not appropriately managed. Sodium hypochlorite (NaOCl) is commonly used as an irrigant in root canal therapy, but its application is limited due to its toxicity and corrosiveness. Consequently, there is a pressing need for safer and more effective natural alternatives. Kombucha derived from butterfly pea flower (Clitoria ternatea L.) has been identified as a promising candidate with antibacterial and antibiofilm properties due to its bioactive secondary metabolites. The fermentation process involving a symbiotic culture of bacteria and yeast (SCOBY) may further enhance the efficacy of these bioactive compounds. Purpose: This study conducted to analyze the effect of kombucha from butterfly pea flower (Clitoria ternatea L.) on the biofilm of Streptococcus viridans in vitro, utilizing a spectrophotometric method to assess the impact across various concentrations. Methods: An experimental laboratory study was conducted in vitro employing a post-test-only control group design. Kombucha prepared from butterfly pea flower was fermented for periods ranging from 12 to 154 days, followed by dilution into several concentrations (100%, 50%, 25%, 12.5%, 6.25%, 3.12%, and 1.56%) using the dilution method. Direct contact between the kombucha and Streptococcus viridans was established, and the resulting biofilm inhibition was assessed by measuring the Optical Density (OD) using a spectrophotometer at a wavelength of 650 nm. Results: The inhibitory percentage of butterfly pea flower kombucha against Streptococcus viridans biofilm decreased progressively with concentrations of 100%, 50%, 25%, 12.5%, 6.25%, 3.125%, and 1.56%. The highest inhibitory percentage was observed at a concentration of 100%. Conclusion: Kombucha of butterfly pea flower (Clitoria ternatea L.) demonstrated potential in inhibiting Streptococcus viridans biofilm formation, with a concentration of 25% determined as the MBIC50. However, an MBEC90 value could not be established, as no biofilm inhibition percentage exceeding 90% was observed in the test results.
Human dental pulp mesenchymal stem cells regenerative potential Fadiyan Amriel, Menza; Priyo Prasetyo, Eric; Auzan Fepiosandi, Radixtio; Agustin Wahjuningrum, Dian; Suardita, Ketut; Zora, Zofia; Natan, Daniel; Bin Zainal Abidin, Imran; Ohara, Masaru
Conservative Dentistry Journal Vol. 15 No. 1 (2025): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i1.2025.27-32

Abstract

Background: Stem cells can be divided into mono-potent, oligopotent, multipotent, pluripotent, and totipotent. Dental and oral stem cells are stem cells found in the teeth and mouth that has the potential to develop into various cell types. The rapid development of regenerative dentistry has resulted in the exploration of stem cells, including dental pulp mesenchymal stem cells. Mesenchymal stem cells, have important regenerative potential in repairing dental and surrounding tissues. One of dental stem cells source that have been discovered is dental pulp mesenchymal stem cells. Purpose: This article aims to review the regenerative potential of human dental pulp mesenchymal stem cells (HDPMSCs). Review: HDPMSCs are potential for regenerative dentistry, including regenerative endodontics due to their multipotency, ease of collection, and ability to support tissue repair, immunomodulation, and regeneration across dental, orthopedic, neurological, and cardiovascular applications. Conclusion: The regenerative potentials of HDPMSCs on various treatments are vastly explored by many studies.
Impact of dental anxiety on quality of life in patients undergoing endodontic and restorative care Darmadi, Eveline Yulia; Fauziah, Yessy Andriani; Yemy Ameliana; Dwi Setianingtyas; Wahjuningrum, , Dian Agustin
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.52-56

Abstract

Background: Dental anxiety is a common psychological condition that affects individuals undergoing conservative dental procedures such as root canal therapy and restorative treatments. It influences not only a patient’s decision to seek care but also their perception of treatment outcomes and overall quality of life related to oral health. Purpose: This literature review aims to evaluate the relationship between dental anxiety and oral health, particularly its impact on the quality of life of patients undergoing endodontic and restorative dental treatments. Reviews: Dental anxiety is closely associated with increased pain perception, reduced cooperation, and decreased trust in dental professionals. Patients with high anxiety often experience greater discomfort and dissatisfaction, reflected in difficulties eating, speaking, and socializing. Studies consistently show that anxiety can impair treatment experiences and outcomes, while proper management leads to improved oral health and well-being. Effective strategies such as clear communication, empathetic interaction, and adequate pre-treatment preparation are proven to reduce fear and enhance patient satisfaction.Conclusion: Dental anxiety has a significant effect on many aspects of a patient's well-being before, during, and after conservative dental procedures. By adopting a caring and personalized approach, dental professionals can help alleviate anxiety and support improved treatment experiences and outcomes.
Effect of kombucha butterfly pea (Clitoria ternatea) solution on Enterococcus faecalis biofilm Yuanita, Tamara; Marpaung, Grace Julieta; Wiratno, Amelia Rahma; Wahjuningrum, Dian Agustin; Juniarti, Devi Eka
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.62-67

Abstract

Background: Enterococcus faecalis is a facultative anaerobic bacterium that is often found in the root canals of teeth with pulp necrosis and is often the cause of endodontic treatment failure. On the other hand, the fermented beverage kombucha is made using a fermentation process by bacteria and yeast, known as SCOBY (Symbiotic Culture of Bacterial and Yeast). The fermentation process in kombucha causes a decrease in the pH of the medium, where the bacteria in the SCOBY convert sugar into ethanol and acetic acid. The butterfly pea flower (Clitoria ternatea) has single petals of purple, blue, pink, or white color and is proven to have antibacterial as well as antibiofilm properties. Purpose: To determine the effect of kombucha butterfly pea (Clitoria ternatea) solution on Enterococcus faecalis biofilm. Methods: Kombucha butterfly pea with concentrations of 100%, 50%, 25%, 12.5%, 6.25%, 3.125%, and 1.56%, as well as NaOCl 2,5% was given Enterococcus faecalis biofilm. To determine biofilm formation, test tubes were washed, adherent cells were stained with 0.1% crystal violet, and light absorbance was measured with a spectrophotometer at a wavelength of 540nm. Results: The percentage of inhibitory power of kombucha butterfly pea against E. faecalis biofilm decreased gradually from concentrations of 100%, 50%, 25%, 12.5%, 6.25%, 3.125%, and 1.56%. The highest percentage of inhibition was in kombucha with butterfly pea with a concentration of 100% which is equivalent to 2,5% NaOCl as an antibiotic for root canal irigation. Conclusion: Kombucha of butterfly pea flower (Clitoria ternatea) can reduce the decrease in Enterococcus faecalis biofilm formation with a concentration of 12.5% designated as MBIC50 and a concentration of 100% designated as MBEC90.
Ethical and legal dimensions of informed consent in aesthetic conservative dentistry: a review under Indonesia’s health law Fauziah, Yessy Andriani; Darmadi, Eveline Yulia; Yemy Ameliana; Wahjuningrum, Dian Agustin; Susanto, Dany Agus
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.68-73

Abstract

Background: Aesthetic treatments in conservative dentistry, such as tooth whitening, veneers, and composite restorations, have become increasingly popular as more patients seek to enhance their appearance. Unlike therapeutic procedures, these treatments are often elective and based on personal preferences, which brings forward important ethical and legal questions. One of the key aspects is how dentists ensure that patients truly understand the benefits, risks, and alternatives before making a decision. Purpose: This review aims to examine the ethical and legal dimensions of informed consent in aesthetic conservative dentistry, with particular reference to Indonesia's Law No. 17/2023 concerning Health. It explores how dental professionals are expected to balance patients' aesthetic desires with ethical responsibilities and legal duties. Reviews: The discussion covers core ethical principles, including autonomy, beneficence, nonmaleficence, and justice as the foundation of a meaningful consent process. It also examines the latest national regulation, which outlines patient rights and dentist responsibilities, particularly Law No. 17/2023 concerning Health. Since aesthetic procedures are not always medically necessary, they require extra care in communication and documentation to ensure proper patient care and treatment. Conclusion: Informed consent in aesthetic dental care should not be treated as a formality. It is a vital ethical practice that ensures patients feel respected and well-informed. For dentists, especially those involved in aesthetic procedures, it is important to apply both ethical reflection and legal awareness in every step of patient care. Following Law No. 17/2023 concerning Health, maintaining open and honest communication fosters trust and supports safe, responsible treatment.
Co-Authors Adityatama, Anneke Paramita Agung Sosiawan Ahmad Yudianto Ambarwati, Venny Lusanda Amit Bhardwaj Ananta Tantri Budi Andi Syahrimayani Andi Syahrimayani Anuj Bhardwaj Ari Subiyanto Arif Rahman Nurdianto Arif Rahman Nurdianto Bin Zainal Abidin, Imran Budiharjo, Adrianto Chang, Nicole Ava Chusnita, Ria Cornelia Melinda Adi Santoso Dalhar Hakiki Darmawan Darwis Devi Eka Juniarti Dianti, Eska Dwi Setianingtyas Dwikora Novembri Utomo Dyanita Hasri Eric Priyo Prasetyo Eveline Yulia Darmadi Evelyn Tjendronegoro Evelyn Tjendronegoro Fadiyan Amriel, Menza Febriastuti Cahyani Fery Setiawan Firmansyah, Awang Bagus Gabriella Djuanda, Anastasia Galih Sampoerno Goenharto, Aurelia Gunawan, Nathania Elita Handoko, Jessica Cristy Heni Puspitasari Ira Widjiastuti Ivon Dewi Setianingrum Karlina Samadi Ketut Suardita, Ketut Kevin Prayogo Kratika Mishra Kun Ismiyatin Kurniati, Mala Latief Mooduto, Latief Lazuardi Ramadhan, Daniyal M Rulianto Marpaung, Grace Julieta Mega Selvia Monika Werdiningsih Nabiela Rahardia Natan, Daniel Ohara, Masaru Paidal, Nurfahira Prasita, Shafa R. Roulianto Radixtio Auzan Fepiosandi Ria Chusnita Riyadi, Tiara Lathifah Rizka Firdaus Rosidin RM Coen Pramono D Saptaningrum, Mardikaning Riasta Saravanan, Pravinna Setyabudi Setyabudi Setyabudi Setyabudi Setyabudi Setyabudi Setyabudi Setyabudi, Setyabudi Shariz Bin Sharizal, Shafy Sheetal Khandelwal Shivani Bhardwaj Sholeh Ardjanggi Sukandar, Wilson Sukaton, Sukaton Susanto, Dany Agus Sutikno, Antonius Edwin Swadheena Patro Tamara Yuanita Tantri Wismayaning Radito Tjendronegoro, Evelyn Ulfadi , Bakhiitah Thufailah Putri Vera Rimbawani Sushanty Widya Saraswati Wiratno, Amelia Rahma Yemy Ameliana Yessy Andriani Fauziah Yuline Krishartini Zora, Zofia