Articles
The remineralization potential of cocoa (Theobroma cacao) bean extract to increase the enamel micro hardness
S., Sulistianingsih;
I., Irmaleny;
Hidayat, Opik Taofik
Padjadjaran Journal of Dentistry Vol 29, No 2 (2017): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol29no2.13614
Introduction: Remineralization is the process of returning mineral ions into a hydroxyapatite structure characterized by mineral deposition on the enamel surface. The presence of mineral deposition would affect the microhardness of tooth enamel. Fluorine, as the remineralization agent is known with side effects such as fluorosis. Cocoa bean extract contains theobromine that can be used as an alternative remineralization ingredients. The objectives were to determine enamel microhardness after remineralization using cocoa bean extract as natural material and to compare with fluorine as synthetic material. Methods: Thirty-six maxillary first premolar tooth crowns was cut and planted in the epoxy resin. Teeth were then immersed in demineralization solution at pH 4 for 6 hours. The sample were divided into 2 groups, 18 for the fluorine group and the remaining group of cocoa extract. Vickers microhardness test was used before treatment, both after demineralized and remineralized. Results: The value of enamel microhardness before treatment in the fluorine group was 376.17 VHN as average value and the cocoa extract group was 357.33 VHN. After demineralization in fluorine group was 268.13 VHN and cocoa extract group was 235.93 VHN. After remineralization in fluorine group and cocoa extract group, respectively, 321.08 VHN and 293.86 VHN. The results of the analysis revealed that the level of enamel microhardness after remineralization was not significantly different in both groups (p>0.05). Conclusions: The findings indicated the ability of cocoa extract to increase the microhardness of enamel and implies the potential as a fluorine substitution for remineralization.
Knowledge level of the elementary school of Arjasari students after education regarding natural background radiation and oral health care
A, Azhari;
Sitam, Suhardjo;
Susilawati, Sri;
Satifyl, Irmaleny;
Octavia, Ivhatry Rizky;
Damayanti, Merry Annisa
Padjadjaran Journal of Dentistry Vol 29, No 3 (2017): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol29no3.14304
Introduction: Environment and behaviour are the main factors affecting the health status of a human being. People living in high natural radiation exposure area (radon zone), which is as much as 85% of the air content, characterized by many presents of granite rocks. The village of Arjasari is an area with many granite rocks presence. The objective of this study was to determined the knowledge level of the elementary school students after education regarding natural background radiation and oral health care. Methods: The research was a descriptive survey research, with data sampling taken by using questionnaires towards as much as 150 elementary students. Previously, respondents were given first education regarding natural background radiation and oral health care. Instruments in this study using questionnaires that was tested for validation and reliabilities. Data analysis used was a descriptive survey technique processed by using computer program. Data was percentages of three rating categories, which were high, medium and low. Results: The results showed that the knowledge level of student regarding natural background radiation and oral health care. was as much as 14% in the high category; as much as 45% in the moderate category; and as much as 41% in the low category. Conclusion: Knowledge level of student after education about natural radiation and the effect of oral health was in the moderate category level.
Perbedaan kebersihan sepertiga saluran akar dari debris setelah diirigasi menggunakan jarum bevel dan jarum side-ventDifferences of the one third of the root canal cleanliness after irrigation using bevel needles and side-vent needles
Tapiza, Niza;
Irmaleny, Irmaleny;
Muryani, Anna
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 30, No 1 (2018): April
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran
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DOI: 10.24198/jkg.v30i1.17932
Pendahuluan: Pembersihan saluran akar merupakan tahapan penting yang mempengaruhi keberhasilan perawatan saluran akar. Irigasi saluran akar menggunakan irigan yang dihantarkan melalui spuit dan jarum irigasi. Desain ujung jarum yang digunakan dapat mempengaruhi kebersihan saluran akar yang diirigasi. Bagian sepertiga apikal saluran akar merupakan bagian yang paling sulit untuk dibersihkan, terutama jika irigasi dilakukan dengan menggunakan spuit dan jarum. Tujuan penelitian ini adalah untuk mengetahui perbedaan kebersihan sepertiga apikal saluran akar dari debris setelah diirigasi menggunakan jarum bevel dan jarum side-vent. Metode: Sampel yang digunakan sebanyak 30 gigi insisif sentral rahang atas yang telah diekstraksi. Gigi dibagi dua kelompok untuk diinstrumentasi dengan jarum protaper dan diirigasi menggunakan NaOCl 2,5%. Kelompok pertama diirigasi menggunakan jarum bevel dan kelompok kedua diirigasi menggunakan jarum side-vent. Skor debris yang dihasilkan masing-masing kelompok kemudian diuji dengan uji t tidak berpasangan. Hasil: Hasil penelitian menunjukan bahwa kelompok yang diirigasi jarum side-vent dapat menghasilkan rata-rata skor debris lebih rendah (0,091) dibandingkan kelompok yang diirigasi jarum bevel (0,117). Uji statistik terhadap rata-rata skor debris menghasilkan nilai p>0,05 (p=0,095). Simpulan: Simpulan penelitian ini adalah tidak terdapat perbedaan signifikan pada kebersihan sepertiga apikal saluran akar dari debris setelah diirigasi menggunakan jarum bevel dan jarum side-vent. ABSTRACTIntroduction: Cleaning of the root canal is an important part which will determined the success of root canal treatment. Cleaning is done by irrigating root canal with irrigant delivered by syringe and irrigation needle. Needleâs tip design can affect the result of root canal cleanliness after irrigation. Apical third of root canal is the most difficult part to be cleaned, especially if the irrigation was done by syringe and needle. The aim of this study was to find out the difference of apical third of root canal cleanliness from debris after irrigation using a beveled needle and a side-vented needle. Method: This study used 30 extracted upper central incisives as samples. The teeth were divided into two groups, each group of teeth was instrumented and irrigated with 2.5% NaOCl. The first group was irrigated using a beveled needle and the second group was irrigated using a side-vented needle. Debris score from both groups were analyzed using independent t test. Results: Result of this study showed that the group that was irrigated using a side-vented needle had a lower debris score (0.091) than the group that was irrigated using a beveled needle (0.117). Statistic test toward the mean of debris score resulted in p>0,05 (p=0,095). Conclusion: In conclusion there was no significant difference of apical third of root canal cleanliness from debris after irrigation using a beveled needle and a side-vented needle.Keywords: Beveled needle, debris, root canal irrigation, side-vented needle.
EFFECT OF LATEX AND EXTRACT OF JATROPHA CURCA LINN ON EXPRESSION OF SUBSTANCE P (SP) AND CYCLOOXYGENASE-2 OF DENTAL PULP: EFEK LATEKS DAN EKSTRAK JATROPHA CURCA LINN TERHADAP EKSPRESI SUBSTANSI P DAN COX2 PULPA GIGI
Irmaleny;
Narlan Sumawinata;
Dewi Fatma
Dentika: Dental Journal Vol. 16 No. 1 (2011): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v16i1.1896
Inflammatory pulpal pain may arise due to the increased pressure inside the pulp or the release of prostaglandin E2(PGE2). In the inflamed pulp, levels of PGE2 and substance P (SP) is higher than those of normal pulp. PGE2 sensitizes all nociceptor while SP can induce the activity of cyclooxygenase-2 (COX- 2) and is an exitatory neurotransmitter. Jatropha curcas Linn latex is widely used for pulpal pain relief. The aim of this study was to evaluate the effect of the latex and extract of J. curcas on the dental pulp expression of COX-2 and SP. Thirty-six pulpitis-induced dental pulp of Macaca fascicularis , were divided into 3 groups: Group 1 served as controls, Group 2 was given latex, and Group 3 was given extracts. The ELISA assay was used to determine the levels of SP and COX-2. SP data was analyzed with ANOVA (p <0.05) while the COX-2 data was analyzed with Mann Whitney. The results showed that the levels of SP (pg/mL) of the control, latex, and extract group were 28.94; 26.22; 28.89 respectively, while levels of COX-2 (ng/ml) of control, latex, and extract group were 0.04; 0.08; 0.10 respectively. In conclusion , J. curcas can reduce the levels of SP, J. curcas latex has lower levels of SP than extract, but does not provide clear results in decreased levels of COX- 2. Further study requires the mechanism of SP, and the concentration of COX- 2 needs to be further investigated using different methods.
Pembersihan sealer dalam saluran akar pada kasus retreatment non-bedah Gigi 11 menggunakan cairan irigan dengan aktivasi sonicCleansing of the root canal sealer in the case of non-surgical retreatments of tooth 11 using liquid irrigant with sonic activation
Yolanda Yolanda;
Irmaleny Irmaleny
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 30, No 3 (2018): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran
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DOI: 10.24198/jkg.v30i3.20092
Pendahuluan: Kegagalan perawatan saluran akar dapat menyebabkan terjadinya infeksi ulang. Retreatment non-bedah merupakan salah satu perawatan yang dapat dilakukan untuk menangani infeksi ulang. Pada perawatan retreatment seluruh bahan pengisi saluran akar termasuk gutaperca dan sealer harus dihilangkan seluruhnya. Salah satu teknik untuk membersihkan sealer di dalam saluran akar adalah dengan menggunakan cairan irigasi dan aktivasi sonik. Laporan kasus ini bertujuan untuk mendeskripsikan tatalaksana pembersihan sealer pada saluran akar pada kasus retreatment gigi 11 menggunakan irigan dan aktivitas sonik. Laporan kasus: Pasien laki-laki umur 25 tahun datang ke bagian Konservasi Gigi RSGM Unpad mengeluhkan gigi depan rahang atas sakit sejak satu minggu sebelumnya, berubah warna, dan pernah dirawat saluran akar. Pasien ingin giginya dirawat dan diperbaiki penampilannya. Pemeriksaan klinis menunjukkan vitalitas gigi negatif. Pemeriksaan radiologis menunjukkan terdapat gambaran radiopak pada saluran akar menyerupai bahan pengisi, dan terdapat pelebaran membran periodontal. Rencana perawatan adalah retreatment gigi 11 dengan follow up internal bleaching dan restorasi komposit kelas IV. Perawatan dilakukan dengan irigasi menggunakankan larutan EDTA dan surfaktan (Smearclear, SybronEndo) yang diaktifasi menggunakan EndoActivator (Dentsply). Simpulan: Pembersihan sealer dari saluran akar dilakukan dengan penggunaan EDTA dengan surfaktan yang diaktivasi menggunakan aktivasi sonik pada kasus retreatment gigi 11.Kata kunci: EDTA, surfaktan, aktivasi sonik, non-surgical retreatment, sealer saluran akar. ABSTRACT Introduction: The failure of root canal treatment can causes re-infection. Non-surgical retreatment is one of the procedures can be done to deal with the re-infection. All root canal fillers including the gutta-percha and sealers must be removed entirely. One technique for cleaning the root canal sealers is by using liquid irrigation and sonic activation. This case report was aimed to describe the management of cleansing the root canal sealer in the case of non-surgical retreatment of tooth 11 using liquid irrigant with sonic activation. Case report: A 25-years-old male patient came to the Department of Conservative Dentistry of the Faculty of Dentistry Universitas Padjadjaran Dental Hospital with a chief complaint of soreness in his maxillary front teeth prior week, with a colour change, and had been treated with a root canal treatment. The patient wanted his tooth to be treated and had an appearance improvement. Clinical examination indicated the negative vitality of the tooth. Radiological examination showed that there was a radiopaque image on the root canal resembling a filling material, and there was also a widening periodontal membrane. The treatment plan was retreatment of tooth 11 with the follow-up of internal bleaching and class IV composite restorations. The treatment was performed by irrigation using an EDTA solution and surfactant (SmearClear™ SybronEndo) which was activated using an EndoActivator® (Dentsply). Conclusion: Cleansing of the root canal sealer in the case of non-surgical retreatments of tooth 11 was carried out using an EDTA solution and surfactants, activated using the sonic activation.Keywords: EDTA, surfactant, sonic activation, non-surgical retreatment, root canal sealer.
Modifikasi mahkota metal porselen pada restorasi paska perawatan endodontik gigi premolar atas kananModification of porcelain metal crowns in post-endodontic restoration in upper right premolar teeth
Mey Amalia Fitriani Sulaeman;
Irmaleny Satifil
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran
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DOI: 10.24198/jkg.v32i3.27337
Pendahuluan: Gigi yang telah dirawat endodontik dapat mengalami perubahan baik secara makro maupun mikrostruktur, sehingga menjadikannya lebih rentan terhadap fraktur. Restorasi gigi yang telah dirawat endodontik perlu mempertimbangkan sisa jaringan yang tersedia agar restorasi dapat bertahan lama. Tujuan laporan kasus ini untuk memaparkan bahwa restorasi modifikasi mahkota metal porselen dapat menjadi alternatif pilihan pada gigi pasca perawatan endodontik. Laporan kasus: Wanita berusia 43 tahun dirujuk dari departemen prostodonti untuk dilakukan perawatan saluran akar pada gigi premolar atas kanan. Pemeriksaan klinis menunjukan gigi 14 dengan sisa tambalan komposit dan hilangnya dinding palatal. Tes vitalitas tidak berespon, pada pemeriksaan perkusi, tekan dan palpasi memberikan hasil negatif. Pemeriksaan radiografis memperlihatkan saluran akar yang telah terisi gutta-percha yang inadekuat. Diagnosis untuk gigi 14 adalah previously treated tooth. Perawatan endodontik ulang dilakukan dan dipersiapkan untuk restorasi akhir berupa mahkota penuh dengan pasak fiber. Berdasarkan rencana perawatan dari departemen prostodonti, mahkota penuh dibuat dengan bahan metal porselen modifikasi bahan metal pada permukaan oklusal karena pasien mengalami bruksisme dan sedang dalam perawatan menggunakan splin oklusal. Simpulan: Modifikasi mahkota metal porselen pada gigi pertama rahang atas paska perawatan endodontik merupakan alternatif pilihan terbaik dan memberikan hasil yang memuaskan.Kata kunci: Mahkota metal porselen, restorasi, gigi paska perawatan endodontik. ABSTRACTIntroduction: Endodontically-treated teeth can change both macro and microstructure, making them more susceptible to fracture. Restorations of endodontically-treated teeth need to consider the remaining tissue available, thus makes the restoration last longer. This case report was aimed to demonstrate that modified porcelain metal crown restoration could become a choice in post-endodontic teeth treatment. Case report: A 43-year-old woman was referred from the prosthodontics department for her maxillary right premolar root canal treatment. Clinical examination revealed that tooth 14 with remaining composite filling and loss of the palatal wall. The vitality test did not respond. On percussion examination, pressure and palpation gave negative results. Radiographical examination showed a root canal filled with insufficient gutta-percha. The diagnosis for tooth 14 was previously treated tooth. Re-endodontic treatment was performed and prepared for the final restoration of a full crown with fibre posts. According to the prosthodontics department’s treatment plan, the full crown was made of metal modified porcelain for the occlusal surface because the patient had bruxism and was being treated with occlusal splints. Conclusion: Modification of porcelain metal crown on the maxillary first premolar after endodontic treatment is the best alternative and gives satisfactory results.Keywords: Porcelain metal crown, restoration, post-endodontic dental treatment.
Perbedaan kebersihan sepertiga saluran akar dari debris setelah diirigasi menggunakan jarum bevel dan jarum side-ventDifferences of the one third of the root canal cleanliness after irrigation using bevel needles and side-vent needles
Niza Tapiza;
Irmaleny Irmaleny;
Anna Muryani
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 30, No 1 (2018): April
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran
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DOI: 10.24198/jkg.v30i1.17932
Pendahuluan: Pembersihan saluran akar merupakan tahapan penting yang mempengaruhi keberhasilan perawatan saluran akar. Irigasi saluran akar menggunakan irigan yang dihantarkan melalui spuit dan jarum irigasi. Desain ujung jarum yang digunakan dapat mempengaruhi kebersihan saluran akar yang diirigasi. Bagian sepertiga apikal saluran akar merupakan bagian yang paling sulit untuk dibersihkan, terutama jika irigasi dilakukan dengan menggunakan spuit dan jarum. Tujuan penelitian ini adalah untuk mengetahui perbedaan kebersihan sepertiga apikal saluran akar dari debris setelah diirigasi menggunakan jarum bevel dan jarum side-vent. Metode: Sampel yang digunakan sebanyak 30 gigi insisif sentral rahang atas yang telah diekstraksi. Gigi dibagi dua kelompok untuk diinstrumentasi dengan jarum protaper dan diirigasi menggunakan NaOCl 2,5%. Kelompok pertama diirigasi menggunakan jarum bevel dan kelompok kedua diirigasi menggunakan jarum side-vent. Kebersihan sepertiga saluran akar diukur melalui skor debris. Skor debris dari masing-masing kelompok kemudian diuji dengan uji t tidak berpasangan. Hasil: Hasil penelitian menunjukan bahwa kelompok yang diirigasi jarum side-vent dapat menghasilkan rata-rata skor debris lebih rendah (0,091) dibandingkan kelompok yang diirigasi jarum bevel (0,117). Uji statistik terhadap rata-rata skor debris menghasilkan nilai p>0,05 (p=0,095). Simpulan: Simpulan penelitian ini adalah tidak terdapat perbedaan signifikan pada kebersihan sepertiga apikal saluran akar dari debris setelah diirigasi menggunakan jarum bevel dan jarum side-vent.Kata kunci: Debris, irigasi saluran akar, jarum bevel, jarum side-vent. ABSTRACTIntroduction: Root canal cleaning is an important part which will determine the success of root canal therapy. Cleaning is done by irrigating root canal with irrigant delivered by syringe and irrigation needle. Needle’s tip design can affect the result of root canal cleanliness after irrigation. One-third root canal apical would be the most challenging part to be cleaned, especially if the irrigation was done by syringe and needle. This study was aimed to find out the difference of the one-third root canal apical cleanliness from debris after irrigation using a bevel and a side-vent needle. Methods: This study used 30 extracted maxillary central incisors as samples. The teeth were then divided into two groups; each group was instrumented and irrigated with 2.5% NaOCl. The first group was irrigated using a bevel needle and the second group was irrigated using a side-vent needle. The first group was irrigated using a bevel needle and the second group was irrigated using a side-vent needle. The cleanliness of one-third of the root canal was measured through a debris score. Debris scores from each group were then tested by an unpaired t-test. Result: Result of this study showed that the group irrigated using a side-vent needle had a lower debris score (0.091) than the group irrigated using a bevel needle (0.117). Statistic test of the debris score mean resulted in p > 0.05 (p = 0.095). Conclusion: In conclusion, there was no significant difference in the one-third root canal apical cleanliness from debris after irrigation using a bevel and a side-vent needle.Keywords: Bevel needle, debris, root canal irrigation, side-vent needle.
Penggunaan Pita Fibre Reinforced Composite (FRC) Sebagai Pasak pada Gigi 21 dengan Bentuk Saluran Akar yang Lebar
Irma Widyasari;
Irmaleny Satifil
Jurnal Material Kedokteran Gigi Vol 2 No 1 (2013): JMKG Vol 2 No 1 Maret 2013
Publisher : Ikatan Peminat Ilmu Material dan Alat Kedokteran Gigi (IPAMAGI)
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The primary purpose of a post is to retain a core and restoration on a tooth with extensive loss of coronal structure. However, preparation of a post space may increase the risk of the root canal fracture, especially in a large root canal. For reducing that, the new concepts was developed. the main idea was to build up a post that can be following anatomical form of the root canal, using minimal invasive preparation and made from the material which is modulus of elasticity closed to the dentinal. Its can be achieved by using custom fibre reinforced composite post. The aim of these case report was to inform the usage of custom fibre reinforced composite as root canal post on the endodontically treated tooth 21 with a large root canal. A 15 years old boy came to department of conservatif dentistry RSGM UNPAD to make a restoration for his endodontically treated tooth. The clinical examination revealed fracture horizontal on tooth 21 with less a half remaining coronal tooth tisue and discolorisation. Radiological examination showed radioopaque in whole of the root canal with increased width of the root canal to the coronal. Periapikal area was normally condition. The tooth was restored using custom fibre reinforced composite post and all porcelain crown as a final restoration. Custom FRC post was a good alternative for endodontically treated tooth with a large of the root canal that could be tailored to specific need, enabling preservation of tooth structure, and using minimal invasive preparation
Veneer labial direk (Direct labial veneering)
Irmaleny -
Makassar Dental Journal Vol. 7 No. 1 (2018): Vol 7 No 1 April 2018
Publisher : Makassar Dental Journal PDGI Makassar
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DOI: 10.35856/mdj.v7i1.9
Menata kembali penampilan estetik gigi pasien merupakan hal yang paling penting dalam dunia kedokteran gigi kontemporer. Metoda dan bahan perawatan gigi yang terbaru diciptakan dalam rangka untuk mencapai tujuan tersebut. Sebagian besar dokter gigi lebih menyukai pendekatan estetik dan konservatif. Estetik merupakan hal yang sangat berperan dalam restorasi veneer labial direk. Veneer adalah suatu lapisan tipis dari suatu bahan restorasi yang ditempatkan di atas permukaan gigi untuk meningkatkan penampilan yang lebih estetik, melindungi permukaan gigi yang rusak, dan untuk mengoreksi gigi yang retak. Veneer dapat dibuat dari bahan porselen secara indirek yang dibuat di laboratorium gigi yang lalu dilekatkan pada gigi, atau dibuat dari komposit. Veneer komposit dapat dilakukan secara direk dengan teknik layering ataupun secara prefabricated yang telah tersedia dari pabrik tinggal dilekatkan ke gigi. Veneer komposit paling banyak digunakan dalam kedokteran gigi karena kemampuannya membentuk ikatan yang kuat dengan permukaan gigi dan mampu memberikan warna yang alami dan sama dengan gigi.
Anestesia lokal dalam prosedur endodontik
Irmaleny .
Makassar Dental Journal Vol. 1 No. 3 (2012): Vol 1 No 3, Juni 2012
Publisher : Makassar Dental Journal PDGI Makassar
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DOI: 10.35856/mdj.v1i3.54
Pada beberapa kasus endodontik, keadaan anestesi yang dalam sukar untuk dicapai. Hal ini berbeda dengan teknik anestesi yang digunakan pada prosedur restorasi gigi. Masalah emosi dan perubahan jaringan akan menurunkan ambang rangsang nyeri dan dapat mengganggu keefektifan anestetik lokal. Kondisi ini memerlukan teknik tambahan dan cara pendekatan tersendiri. Makalah ini akan membahas upaya untuk memperoleh anestesi yang dalam pada perawatan endodontik, injeksi tanpa rasa sakit dan teknik khusus seperti injeksi intraoseus, injeksi ligamen periodonsium, dan injeksi intrapulpa, sebagai anestesi tambahan dalam teknik konvensional untuk manajemen anestesi pulpa yang baik.