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All Journal Majalah Kedokteran Gigi Indonesia Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Journal of Indonesian Dental Association Jurnal Kedokteran Gigi Terpadu Jurnal Abdimas Kesehatan Terpadu Health Research Journal of Indonesia
Ratnasari, Dina
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Perawatan kaping pulpa indirek disertai restorasi resin komposit pada premolar kedua kanan maksila Moniaga, Winny; Elline; Elsa Prahasti, Anastasia; Ratnasari, Dina
Jurnal Kedokteran Gigi Terpadu Vol. 5 No. 2 (2023): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v5i2.18832

Abstract

Background: Dental caries remains a common condition among people of all ages, as indicated by its impact on the elderly and young people. Proximal caries become more prevalent and eventually dominate the decayed filled surfaces (DFS) score The current restorative dentistry technique aims to induce remineralization of hypomineralized carious dentine, thus conserving and preserving the vital pulp, it could reduce the need for more invasive endodontic therapy. Unexposed pulp with minor inflammation from traumatic injuries or cavities has a good chance of being repaired, It is predicted that pulp tissue will have a repair capacity following removal of a caries lesion. The goal of indirect pulp therapy is to preserve tooth life by regenerating reparative dentin at the material-pulpal complex, which functions as a biological seal.Case report: A 26-year-old male patient presented to the endodontic and conservative dentistry department complaining of discomfort caused by thermal stimulation on the permanent maxillary right premolar and molar. The radiograph examinations revealed no radiolucencies in the periapical region and an interproximal caries lesion on the maxillary right second premolar and first molar with a deep distal caries lesion on the secondary premolar, close to the pulp. Thermal pulp vitality testing confirmed the sensitivity of the pulp. The treatment approach was devised to maintain the vitality of the pulp. Infected dentin was removed and lined with a calcium silicate-based substance, followed by the placement of composite resin as a final restoration.Conclusion: Using light-cured calcium silicate material showed advantages in clinical performance as an indirect pulp capping agent.
Pelepasan monomer resin komposit nanofil dan mikrohibrid dengan penyinaran berbeda Ratnasari, Dina; Elsa Prahasti, Anastasia; Elline
Jurnal Kedokteran Gigi Terpadu Vol. 5 No. 2 (2023): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v5i2.18845

Abstract

Background: Many factors affect the elution of composite resin monomers, such as filler size and light-curing unit used. Objectives: to compare the effect of the filler size and light-curing unit on the elution of monomers. Methods: Subjects were 20 composite resins, consists of 10 microhybrid composite resins and 10 nanofilled composite resins, diameter 4.5 mm and height 2 mm. Composite specimens were cured using halogen light-curing unit 680 mW/cm² or LED 1000 mW/cm², for 20 seconds according to group random allocation. Specimens were put into 1 mL artificial saliva, soaked for 24 hours and then were analyzed with LC-MS/MS, for TEGDMA elution. Results: Two-ways ANOVA test showed there were differences in the influence of filler size and light-curing units type on monomer elution (p < 0.05). The mean of monomer TEGDMA eluted from micro-hal 2.4960 µg/mL ± 0.49318 µg/mL, micro-LED 0.03114 µg/mL ± 2.0820 µg/mL, nano-hal 1.8120 µg/mL ± 0.24273 µg/mL, and nano-LED 1.5000 µg/mL ± 0.0255 µg/mL. Tukey test showed microhybrid composite resin eluted more TEGDMA than nanofilled composite resin (p < 0.05). There were no significant differences in the elution of TEGDMA monomers with the use of light-curing unit halogen or LED (p > 0.05). Conclusion: Different filler size influenced the elution of composite resin monomer. The polymerization of the nanofilled composite resin is better than microhybrid composite resin, proved by less nanofilled composite resin monomer eluted. The use of halogen light-curing unit or LED light-curing unit, showed no difference in the effect on the elution of monomer.
The effect of activated charcoal and bentonite toothpaste on extrinsic tooth discoloration Melaniwati, Melaniwati; Putri, Naura Belinda; Ratnasari, Dina; Dwisaptarini, Ade Prijanti
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.104679

Abstract

Tooth discoloration is categorized into intrinsic and extrinsic types, with the latter caused by external staining agents such as pigmented beverages (e.g., black tea). Whitening toothpastes are commonly used to address extrinsic discoloration, though chemical-based formulations may lead to side effects. Consequently, natural alternatives, including activated charcoal and bentonite, are gaining attention as whitening agents. This study aimed to evaluate the effects of activated charcoal and bentonite toothpaste on extrinsic tooth discoloration. A control group pretest-posttest design was employed, involving 48 premolar teeth divided into four groups. Samples were stained by immersion in a black tea solution (400 mL water, 4 tea bags) for 4 hours daily over 13 days, simulating 7 months of tea consumption. Color measurements were conducted using a spectrophotometer before and after brushing. Brushing was carried out using an electric toothbrush with 0.5 g of toothpaste and 1 mL of distilled water for 2 minutes, twice daily, over 10 days. Repeated ANOVA analysis revealed significant differences in ΔE, ΔL, and ΔC values (p < 0.05). Activated charcoal toothpaste produced a marked lightening effect and increased color intensity, although no change was observed at the cervical region of the teeth. These findings suggest that activated charcoal may serve as an effective natural agent for managing extrinsic discoloration while further research is needed to clarify its long-term effects and clinical applications.
Co-Authors Arianne Dwimega Bin Azman, Syuwari Azhar Christiawan, Kevin Anthony Darmawanti, Miranti Putri Deviyanti Pratiwi Dwisaptarini, Ade Prijanti Eddy Eddy Elline Elline, Elline Elsa Prahasti, Anastasia Fibryanto, Eko Florencia Livia Kurniawan Hapsari Andayani, Lia Johanna Halim, Rafhaela Joko Kusnoto Jordan, Bryan Matthew Melaniwati, Melaniwati Moniaga, Winny Nathania Batihalim, Claudia Olivia Piona Sahelangi Putri, Naura Belinda Riska Hediya Putri Rosalina Tjandrawinata Shafira Prana, Indira Suci, Aldrina Wulan Eka Surmiasih Surmiasih Taufiq Ariwibowo Wulandari, Rizky Yeni Yonathan, Yonathan