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Penatalaksanaan Perawatan Endodontik Pada Molar Kedua Maksila Yang Memiliki Saluran Mesiobukal Dua Elline Elline; Diana Puspa Indah
Jurnal Kedokteran Gigi Terpadu Vol. 1 No. 1 (2019): JULY
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Background: The second mesiobuccal canal in mesiobuccal (MB2) roots in maxillary molars is a common finding in root canal treatments.1 The incidence of MB2 in maxillary molars is 60.4%. The foremost common reasons for treatment failures in permanent maxillary first molars have been as cribed to failure in identifying extra canals particularly in the mesiobuccal root.2 The method for detection MB2 includes dentin removal under magnification and ultrasonic tips. 1 Knowledge of the morphology of the root canal system is important in planning endodontic therapy, as its success relies on the location of all of the canals that can then be disinfected, shaped, and filled.2This case report is written to bring forward the proper and successful management inendodontic treatment of permanent maxillary first molar withfour canals, in which the mesiobuccal root has two canals. Case Report: A 33 years old male patient complained of cavity on her right upper back tooth and wanted to be filled. Radiographic examination showed that an incomplete access cavity with mesioocclusal cavity of maxillary second molar, which was restored with temporary filling. Access opening and locating MB2 orifice was performed using an ultrasonic tip and under dental operating microscope. The canals were prepared with WaveOne Gold rotary Ni-Ti file with irrigation using 5.25% sodium hypochlorite, 17% EDTA and 2% chlorhexidine gluconate. Calcium hydroxide was used as an intracanal medicament. The canals were obturated with continuous wave compaction technique. Final restoration was performed using composite restoration. Conclusion: The proper locating and treatment of MB2 canals are essential for the success of endodontic treatment of maxillary second molars.

Smile Design pada Penutupan Diastema Menggunakan Veneer Porselin pada kasus Protrusif (Laporan Kasus) Elline Elline
Jurnal Kedokteran Gigi Terpadu Vol. 1 No. 2 (2019): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Background: Value of the appearance of one’s teeth has taken on a greater importance in today’s society. Several Choices of treatment are available to treat the problems arising in the zone of high esthetic sensitivity. Each treatment offers some advantages and disadvantages. The use of porcelain laminate veneers to solve esthetic and functional problems has been shown to be a valid management option especially in the anterior esthetic zone. Smile design is a scientific principal that can help operators to achieve esthetic goals. This case report discussed a patient with diastema in the anterior region with protrusive dental position. The patient was treated with porcelain laminate veneers in the anterior teeth for diastema closure. Objective: This case report was written to bring forward the proper and successful management in esthetic treatment of anterior maxilla in protrusive dental position case. Case and management : A 37 year-old female patient complained of diastema in anterior teeth and feels uncomfortable with her condition. She was unhappy with the appearance of her teeth and restrained herself from smiling due to self-consciousness. On examination, diastemas were found in her maxillary and mandibular anterior region. Smile Design was applied in this patient, and it was decided to use porcelain laminate veneer. The tooth preparation was kept in enamel at a depth of 0.5 mm using a depth cutting diamond and a tapered diamond 1 mm in diameter. 0.25 mm chamfer was maintained in the cervical region The chamfer finish lines were at the level of gingival margin. Gingival retraction procedure was performed prior to final dental impression using a double impression technique. Cementation was done after final evaluation of both aesthetic and function. Conclusion: Esthetic management in diastema closure using simple smile design can be done by using porcelain laminate veneers which give satisfactory result.

Tatalaksana Perawatan Doskolorasi Intrinsik Dengan Perawatan Saluran Akar Dan Metode Walking Bleach Ie Elline Istanto
Jurnal Kedokteran Gigi Terpadu Vol. 2 No. 1 (2020): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Background: Intrinsic discoloration of the tooth can be caused following trauma, loss of vitality, endodontic treatment, and restorative procedures apart from known local and systemic factors. Tooth bleaching, veneering or placement of a full coverage crown are treatment options for discolored tooth. Non-vital teeth that are extensively discolored are highly receptive for bleaching techniques. This case report discusses a patient having discoloration in the anterior region with caries in proximal distal. In clinical aspects considerations, it was essential for a minimally invasive and achieve esthetic treatment. Objective: This case report is written to bring forward the proper and successful management in esthetic treatment of anterior maxilla in discoloration with caries in proximal case. Case and management : A 20 years old female patient complained of discoloration in 11 and feels uncomfortable with her condition. On examination, 11 caries D6 ICDAS, Mount & Hume site 2 size 3 and Class IV G.V Black. In first appointment, patient was informed about the treatment and signed informed consent. Endodontics treatment was performed in multiple visit. Root canal preparation was performed using TF Adaptive 25/.08, 35/.06, 50/.04. Obturation used warm vertical compaction. After finishing the endodontics treatments 2 mm wing barrier was built to prepare the walking bleach method. Walking bleach using hydrogen peroxide 35% was applicated in pulp chamber for 1 week. In next visit, composite restoration was done. Conclusion: Management in intrinsic discoloration can be done by performing endodontic treatment , walking bleach combined with composite restoration and they can give satisfactory result.

HUBUNGAN KARAKTERISTIK INDIVIDU DAN POSISI DALAM KELUARGA TERHADAP TINGKAT PENGETAHUAN PENCEGAHAN COVID-19 Eko Fibryanto; Harryanto Wijaya; Janti Sudiono; Elline Elline
Jurnal Ilmiah dan Teknologi Kedokteran Gigi Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Gigi Universitas Prof. Dr. Moestopo (Beragama)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32509/jitekgi.v18i1.1661

Latar belakang: Indonesia merupakan salah satu negara yang terdampak pandemi COVID-19 yang disebabkan virus SARS-CoV 2. Jakarta adalah kota dengan jumlah penderita tertinggi di Indonesia. Peta sebarannya meliputi wilayah Jakarta Barat. Penyebaran penyakit ini berhubungan dengan karakteristik individu dan tingkat pengetahuan warga tentang pencegahan COVID-19. Tujuan: penelitian ini bertujuan menganalisis tingkat pengetahuan warga masyarakat RT007/RW007, Srengseng, Kembangan, Jakarta Barat dan hubungan usia, jenis kelamin, tingkat pendidikan, status pekerjaan dan posisi dalam keluarga dengan tingkat pengetahuan tentang pencegahan COVID-19. Metode: jenis dan rancangan penelitian adalah observasional analitik dengan rancangan potong silang pada sampel yang berjumlah 78 orang. Sampel ditentukan dengan purposive sampling. Pengukuran tingkat pengetahuan dilakukan dengan mengisi kuesioner oleh responden. Total dari 78 responden, jumlah yang terbanyak adalah kategori berusia dewasa (20-59 tahun) sebesar 73%. Jumlah responden laki-laki dan perempuan masing-masing sebanyak 40 dan 38 orang. Sebesar 44.9% responden memiliki tingkat pendidikan terakhir adalah SMA dan 60.3% responden tidak bekerja. Sebanyak 60.3% dari total seluruh responden memiliki posisi sebagai kepala keluarga. Hasil: tingkat pengetahuan warga yang termasuk kategori baik adalah sebesar 56.4%. Analisis uji Chi-square dengan Continuity Correction dan uji Mann-Whitney menunjukkan bahwa tidak ada perbedaan proporsi antara tingkat pengetahuan tentang COVID-19 berdasarkan usia, jenis kelamin, tingkat pendidikan, status pekerjaan dan posisi dalam keluarga (p0.05). Kesimpulan: tidak ada perbedaan tingkat pengetahuan tentang pencegahan COVID-19 pada semua kelompok usia, jenis kelamin yang berbeda, jenjang pendidikan, bekerja atau tidak bekerja, sebagai anggota atau kepala keluarga.

EFFECT OF 4 wt% HYDROXYAPATITE PASTA ON DENTAL EMAIL HARDNESS James Hartono Santoso; Anastasia Elsa Prahasti; Elline
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 1 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i1.8580

Introduction: Dental erosion can affect the dental demineralization due to the pH level that is below the critical pH of 5,5 resulting a decrease in dental enamel hardness. Remineralization is needed to bring back the mineral loss. Hydroxyapatite is similar to inorganic components in dental enamel dan have biocompatible properties. Hydroxyapatite with 4 wt% concentration has a Ca/P molar ratio close to 1,67, which is similar to the human enamel and can regenerate enamel. This study is aimed to analyze the effects of 4 wt% hydroxyapatite paste on dental enamel hardness for 7 and 14 days. Material and Methods: 20 maxillary premolars were divided into 4 groups. Group A1 were applied with 4 wt% hydroxyapatite paste for 30 minutes each day for 7 days, group A2 were applied with 4 wt% hydroxyapatite paste for 30 minutes each day for 14 days, group B1 were immersed with artificial saliva for 7 days, and group B2 were immersed with artificial saliva for 14 days. All groups were immersed with artificial saliva and was incubated for 24 hours at 37°C. Hardness measurements were carried out at the start, after erosion, and at the end of the experiment. Dental enamel hardness was measured with Vickers Hardness Tester (Shimadzu HMV G-21 Series). Dental enamel hardness data were analysed with GLM Repeated Measure ANOVA test (p<0,05) and One-way ANOVA test (p<0,05). Results and Discussions: The result showed dental enamel hardness number after 4 wt% hydroxyapatite paste application showed significant difference than untreated group, which was immersed in artificial saliva. Dental enamel hardness number after 4 wt% hydroxyapatite paste application for 14 days showed significant difference than 7 days. Conclusion: It can be concluded that 4 wt% hydroxyapatite paste application for 14 days resulted in an increase of dental enamel hardness as in normal condition of dental enamel before erosion

Edukasi Pertolongan Pertama Kasus Gawat Darurat Gigi pada Remaja Wilayah Kayu Mas Jakarta Timur Faudah Amin, Meiny; Yusra, Yohana; Juliawati, Mita; Kusnoto, Joko; Ie Elline
JURNAL ABDIMAS KESEHATAN TERPADU Vol. 2 No. 2 (2023): Jurnal Abdimas Kesehatan Terpadu
Publisher : Fakultas Kedokteran Gigi, Universitas Trisakti bekerjasama dengan Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jakt.v2i2.18737

Emergency dental issues such as throbbing toothaches, dental trauma (fractures, dislodgment from the gums), teeth pierced by orthodontic wires, and wires from dental braces causing injuries by piercing the gums, are some of the health problems that can result in prolonged suffering for those experiencing them. Every case has a different level of emergency. Although for some people it is not considered a real emergency, it is still a condition that urgently requires proper action before going to the dentist. Therefore, there is a need for increased knowledge to provide first aid before visiting a dentist. Collaborative efforts between medical professionals, alumni, and professional students from the Faculty of Dentistry at Trisakti University conducted an activity involving education for the adolescent community at the Integrated Child-Friendly Public Space (RPTRA) in Kayu Mas, East Jakarta, on March 16, 2023. Before and after the distribution of education, pre and post-tests were conducted, showing significant improvements in knowledge regarding dental emergencies. The conclusion drawn from this activity underscores the importance of knowing the initial steps to handle dental emergencies in order to receive appropriate medical care.

Metode Interaktif dalam Edukasi Permasalahan Kesehatan Gigi Pada Anak di SDK Jakarta Barat Elline, Elline; Pratiwi, Deviyanti; Sandra, Ferry; Teguh, Sharren; Nova, Andrian; Fibryanto, Eko
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.16873

ABSTRAK Anak – anak usia sekolah dasar, yaitu usia 6-10 tahun adalah populasi resiko karies tinggi yaitu mencapai 54%. Hal ini termasuk pada anak usia sekolah di SDK Jakarta Barat. Sekolah ini memiliki jumlah siswa yang banyak dan terdapat fasilitas UKGS (unit kesehatan gigi sekolah). Akan tetapi, dokter gigi berpraktik hanya 1x seminggu untuk anak – anak SD kelas 1. Hal ini menyebabkan kurangnya tenaga penyuluhan kesehatan gigi terutama dalam upaya mencegah gigi berlubang dan tatalaksana darurat jika terjadi trauma pada anak - anak. Pengabdian kepada mayarakat ini bertujuan mengedukasi anak-anak SDK Di Jakarta Barat dalam mencegah dan mangatasi permasalahan kesehatan gigi sederhana yang sering terjadi di usia mereka dengan metode interaktif. Kegiatan ini diikuti oleh 137 orang murid kelas 1. Edukasi dilakukan dengan metode interaktif, diawali dengan paparan menggunakan media audio visual dan tanya jawab serta permainan. Keberhasilan metode ini terlihat dari tingkat antusias peserta anak dalam mengikuti rangkaian kegiatan penyuluhan dengan tertib dan dapat diarahkan serta evaluasi pretest dan post test peserta edukasi. Hasil menunjukkan bahwa ada peningkatan secara signifikan pengetahuan anak-anak dengan metode interaktif. Metode interaktif merupakan metode yang efektif dan menyenangkan untuk edukasi kesehatan gigi pada anak usia 6-7 tahun di SDK Jakarta Barat. Kata Kunci: Metode Interaktif, Edukasi, Kesehatan Gigi Anak ABSTRACT Children aged 6-10 years have a high caries risk, reaching 54%. This includes school-age children at SDK Jakarta Barat, especially grade 1 children. This school has many students, and even though this school has Usaha Kesehatan Gigi Sekolah (UKGS), the dentist practices only once a week for grade 1 elementary school children. This results in insufficient information needs for a large number of students. In this community, there are no external health workers who provide education about dental health, in this case how to prevent cavities and emergency management if trauma occurs in children. This community service aims to educate elementary school children in West Jakarta on preventing basic dental health problems that often occur. This activity was attended by 137 grade 1 students. Education was conducted using an interactive method, starting with exposure using audio-visual media, questions and answers, and games. Results are seen from educational participants' pretest and posttest evaluation. The results show a significant increase in children's knowledge with this interactive method. The interactive method is an effective and fun method for educating dental health for children aged 6-7 years at SDK West Jakarta. Keywords: Interactive Methods, Education, Children's Dental Health, Aged 6-7 Years

The Characterization Of Hydroxyapatite, Eppigalocathecine-3-Gallate, Hydroxypropyl Methylcellulose As Bioactive Material For Pulp Capping Elline, Elline; Suwartini, Tien; Komariah, Komariah; Lambertus, Reynaldo
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.366-374

Background: According to a previous study, hydroxyapatite (HA) has the potential to be used in dentistry, but it still needs further research, especially as a biomaterial for pulp capping. The pulp capping treatment can maintain pulp vitality and induce dentin reparative formation. Calcium hydroxide is the gold standard of pulp capping material, but it can cause tunnel defects. Several studies made a crosslink with epigallocatechin-3-gallate (EGCG) and hydroxypropyl methylcellulose (HPMC) to improve the effect of hydroxyapatite as a biomaterial. The HA-EGCG-HPMC combination is expected to have the potential as a bioactive material. In this study, HA-EGCG-HPMC was characterized physicochemically by several criteria, such as the gelation time, pH, and antibacterial effect against Aggregatibacter actinomycetemcomitans. This study aims to determine the physicochemical characteristics of the HA-EGCG-HPMC material as a pulp capping materialMethod: This research is an in vitro laboratory experimental study design. Hydroxyapatite powder was dissolved with distilled water at concentrations of 4%, 2%, and 1%, with 10µmol/mL EGCG and hydroxypropyl methylcellulose as the carrier agent. Characterization of the samples measured are gelation time, pH, and antibacterial effect by microdilution method. Result: The HA-EGCG-HPMC combination has an ideal gelation time of about 23-31 minutes, and its pH is within the range of 7.28 - 7.33. However, the HA-EGCG-HPMC does not yet have an antibacterial effect against Aggregatibacter actinomycetemcomitans.Conclusion: The hydroxyapatite, EGCG, and hydroxypropyl methylcellulose can be used as a bioactive material, such as pulp capping material seen from physicochemical characterization that can be developed further.

The Toxicity Assessment of Hydroxyapatite with Theobromine Formulation on Human Dental Pulp Stem Cells (hDPSC) Clara Pricilla Suarthana; Elline Elline; Anastasia Elsa Prahasti; Aryadi Aryadi
Denta Journal Kedokteran Gigi Vol 19 No 1 (2025): Februari
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v19i1.7

Background: Deep caries not treated immediately can cause more severe damage and loss of tooth vitality. Ca(OH)2 and MTA are often used as vital pulp treatment materials, but both have limitations. Therefore, alternative materials are needed. Hydroxyapatite is a major component of bones and teeth forms reparative dentin without tunnel defects, while theobromine has been shown to have a better anti-cariogenic effect than fluoride. The combination of both can be a choice for vital pulp treatment. Therefore, conducting cytotoxicity and cell proliferation tests is important to ensure safety and determine whether the material can induce cell proliferation. Objective: To determine the toxicity and proliferation of hydroxyapatite theobromine on human dental pulp stem cells. Materials and Methods: The toxicity assessment of hydroxyapatite with theobromine formulation on human dental pulp stem cells (hDPSC) was a laboratory experimental study (in vitro) carried out using a posttest control group design with the method used being the MTT assay. Results: The highest cell viability value was Ca(OH)2 122.08%, control cells 113.70%, HA/TB 2:1 108.03%, HA/TB 1:1 103.23%, HA/TB 1:2 102.09%, and the lowest was negative control 100%. The highest proliferation value was in control cells 138.00%, HA/TB 2:1 135.00%, HA/TB 1:2 129.64%, Ca(OH)2 128.38%, and HA/TB 1:1 122.11%, and the lowest cell proliferation value was in the negative control at 100%. This shows that the higher the hydroxyapatite value compared to theobromine, the greater the percentage value. Conclusion: Theobromine hydroxyapatite formulation is non-toxic, so it has potential as a vital pulp treatment ingredient, but it is less effective in inducing cell proliferation.

The Characterization Of Hydroxyapatite, Eppigalocathecine-3-Gallate, Hydroxypropyl Methylcellulose As Bioactive Material For Pulp Capping Elline, Elline; Suwartini, Tien; Komariah, Komariah; Lambertus, Reynaldo
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.366-374

Background: According to a previous study, hydroxyapatite (HA) has the potential to be used in dentistry, but it still needs further research, especially as a biomaterial for pulp capping. The pulp capping treatment can maintain pulp vitality and induce dentin reparative formation. Calcium hydroxide is the gold standard of pulp capping material, but it can cause tunnel defects. Several studies made a crosslink with epigallocatechin-3-gallate (EGCG) and hydroxypropyl methylcellulose (HPMC) to improve the effect of hydroxyapatite as a biomaterial. The HA-EGCG-HPMC combination is expected to have the potential as a bioactive material. In this study, HA-EGCG-HPMC was characterized physicochemically by several criteria, such as the gelation time, pH, and antibacterial effect against Aggregatibacter actinomycetemcomitans. This study aims to determine the physicochemical characteristics of the HA-EGCG-HPMC material as a pulp capping materialMethod: This research is an in vitro laboratory experimental study design. Hydroxyapatite powder was dissolved with distilled water at concentrations of 4%, 2%, and 1%, with 10µmol/mL EGCG and hydroxypropyl methylcellulose as the carrier agent. Characterization of the samples measured are gelation time, pH, and antibacterial effect by microdilution method. Result: The HA-EGCG-HPMC combination has an ideal gelation time of about 23-31 minutes, and its pH is within the range of 7.28 - 7.33. However, the HA-EGCG-HPMC does not yet have an antibacterial effect against Aggregatibacter actinomycetemcomitans.Conclusion: The hydroxyapatite, EGCG, and hydroxypropyl methylcellulose can be used as a bioactive material, such as pulp capping material seen from physicochemical characterization that can be developed further.

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