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Regenerative Endodontic Effectivity In Cases of Necrotic Immature Permanent Teeth Treatment (Literature Review) Novriansyah, M. Rayhan; Bellinda, Merryca; Yulianti, Rinda; Anastasia , Danica; Sujatmiko, Billy
Sriwijaya Journal of Dentistry Vol. 5 No. 2 (2024): Sriwijaya Journal of Dentistry
Publisher : Dentistry Study Program, Faculty of Medicine Universitas Sriwijaya 

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Abstract

Introduction: Pulp necrosis in immature permanent teeth results in incomplete root development with short roots and thin dentinal walls that can lead to fracture. Apexification, the main treatment, did not increase the length and thickness of the root canal wall, making the teeth susceptible to fracture. Regenerative endodontic treatment uses a tissue engineering triad that allows the root to continue developing, increases the dentinal wall thickness, and restores the tooth's vitality to prevent fracture. Purpose: This literature review aimed to examine the effectiveness of regenerative endodontics in treating necrotic immature permanent teeth and which component is the most commonly used and effective. Methods: The literature review uses Google Scholar, DOAJ, Science Direct, and Pubmed data for the last five years, calculated from 2018 to 2023. The journals used fit with the inclusion and exclusion criteria, then analyzed using the Case Report Statement and Checklist and summarized to obtain data on the effectivity of regenerative endodontic treatment in necrotic immature permanent teeth.  Results: This literature review successfully synthesized 18 Case Reports from journals that performed endodontic regeneration treatment on immature permanent teeth with necrosis using various components. Conclusion: Regenerative endodontic treatment using NaOCl with concentrations ranging from 1% to 2,5 %, EDTA 17% as irrigation solutions together with Ca(OH)2 as an intracanal medicament and blood clot as a scaffold proven to effectively eliminate disease, induce bone healing, and restoring the vitality of necrotic immature permanent teeth.
The Effect of Curcuma zedoaria Extract on Enterococcus faecalis Anastasia, Danica; Desmarani, Aina; Bellinda, Merryca
Journal of Indonesian Dental Association Vol 3 No 2 (2020): October
Publisher : Indonesian Dental Association

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Abstract

Introduction: Enterococcus faecalis is a microorganism that is commonly found in persistent or secondary infection of root canal treatment. Irrigation is one of the main processes of endodontic triad to eliminate microorganisms in root canal infections. Curcuma zedoaria, a medicinal plant with antibacterial properties, is effective against several types of microorganisms and has the potential to be used as an alternative of chemical-based irrigant. Objective: This study aimed to evaluate the antibacterial activity of Curcuma zedoaria extract against Enterococcus faecalis. Methods: This in vitro study used C. zedoaria extract with six concentrations (100%, 90%, 80%, 70%, 60%, 50%) as tested groups, 2% Chlorhexidine and distilled water were used as a positive and negative control group, respectively. Solid Mueller-Hinton Agar (MHA) medium containing Enterococcus faecalis ATCC 29212 was perforated with a cork borer and dropped by 5 mL solution according to each group. The inhibition zone diameter was measured to evaluate antibacterial activity. Data were analyzed using a One Way ANOVA, continued by a Post-hoc Bonferroni. Results: The largest growth inhibition zone was associated with the highest concentration (100%), with a mean diameter of 8.36 mm. Conclusion: The 100% C. zedoaria extract concentration had the most effective antibacterial potency against E. faecalis.