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Penatalaksanaan instrumen jarum patah di gigi molar kedua kanan bawah Marietta Susilo; Irmaleny Irmaleny
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 7, No 1 (2021)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.72026

Abstract

Jarum patah di dalam saluran akar dapat disebabkan oleh penggunakan instrumen jarum endodontik yang tidak tepat saat melakulan preparasi biomekanis. Beberapa hal yang dapat menyebabkan patahnya jarum adalah teknik preparasi yang tidak tepat, kekuatan fisik jarum yang sudah melebihi limit batas waktu pemakaian, akses yang tidak adekuat, anatomi saluran akar yang rumit, dan cacat pabrik. Terdapat tiga pendekatan dalam penanggulangan instrumen patah yaitu, membiarkannya di tempat (leave in situ), mengupayakan untuk melampaui fragmen (bypass), dan mengeluarkan fragmen. Seorang pasien perempuan berusia 22 tahun mengeluhkan sakit pada gigi belakang kanan bawah saat digunakan untuk mengunyah. Gigi tersebut pernah dilakukan perawatan saluran akar tetapi belum selesai. Pada pemeriksaan klinis terlihat adanya sisa tambalan sementara pada gigi 47 dengan karies mencapai pulpa di bagian distooklusal dan pada pemeriksaan radiologis terlihat gambaran radioopak pada saluran mesiobukal berupa jarum patah sepanjang 2 mm. Jarum endodontik pada gigi 47 patah diduga karena penggunaan file protaper handuse F2 yang dipaksakan pada saluran yang sempit, sehingga ujung file terjepit di dinding saluran akar danmenyebabkan jarum endodotik patah. Teknik bypass berhasil digunakan dengan cara menyusuri celah antara dentin saluran akar dengan jarum yang patah menggunakan Kfile #8-#15 dan dilanjutkan sampai file protaper Handuse F1,disertai irigasi NaOCl dan EDTA gel. Pengisian saluran akar dilakukan menggunakan guttapercha dan sealer Ahplus. Restorasi akhir berupa pasak dengan mahkota Porcelain Fuse to Metal. Teknik bypass dapat menjadi pilihan pada kasus jarum patah dan memberikan hasil perawatan yang baik.
PENTINGNYA MEMELIHARA KESEHATAN GIGI DAN MULUT MASYARAKAT DI MASA PANDEMI Irmaleny, Irmaleny
DHARMAKARYA: Jurnal Aplikasi Ipteks untuk Masyarakat Vol 12, No 4 (2023): Desember, 2023
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/dharmakarya.v12i4.32479

Abstract

Pokok Permasalahan. Pandemi covid-19 yang mewabah di Indonesia bahkan ke seluruh dunia mengharuskan masyarakat tetap berada di dalam rumah serta membatasi kegiatan keluar rumah yang salah satunya pergi ke dokter gigi. Keterbatasan pelayanan kesehatan gigi yang diberikan di masa pandemi ini menuntut masyarakat agar lebih memperhatikan kesehatan gigi dan mulutnya sehingga dapat mencegah penyakit dan kerusakan gigi lebih lanjut. Tujuan. Artikel ini bertujuan untuk memberikan edukasi kepada masyarakat tentang pentingnya memelihara kesehatan gigi dan mulut di masa pandemi untuk mencegah kunjungan ke dokter gigi yang dapat mengurangi risiko penyebaran covid-19.  Metode. Dilakukan survei kondisi gigi dan pemeliharaan  kesehatan gigi dan mulut secara online terhadap 1.006 responden laki-laki dan perempuan berusia 18-55 tahun yang tersebar di seluruh Indonesia melalui aplikasi google form. Responden diedukasi tentang perawatan gigi berlubang di masa pandemi melalui kegiatan webinar dengan mendatangkan narasumber di bidang Kesehatan gigi. Selain itu, dilakukan talk show tentang perawatan gigi di media Televisi dengan sesi tanya jawab dan konsultasi singkat. Hasil. Berdasarkan pengisian kuisioner, tanyajawab dan konsultasi singkat yang dilakukan, terlihat kurangnya pemahaman pengunaan fluor, waktu dan teknik  menyikat gigi yang baik, dan penanganan yang kurang tepat saat sakit gigi di masa pandemi. Webinar dengan 357 pendaftar yang antusias  telah mendapatkan edukasi kesehatan gigi. Talkshow menjadikan kegiatan edukasi lebih interaktif dan menarik minat masyarakat. Kesimpulan. Edukasi pemeliharaan kesehatan gigi dan mulut perlu diberikan untuk meningkatkan kesadaran masyarakat akan pentingnya memelihara kesehatan gigi dan mulut di masa pandemi.
Dental health status assessment of TNI-AL bintara officers using DMFT index and Chief of Naval Staff Regulation: a descriptive study Arifin, Kanisa Mirena; Irmaleny, Irmaleny; Sitam, Suhardjo; Setiawan, Krisnadi
Padjadjaran Journal of Dentistry Vol 35, No 3 (2023): November 2023
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no3.49787

Abstract

ABSTRACTIntroduction: Military personnel belong to a high-risk group for the development of various pathological conditions in the oral cavity. Based on research, the experience of dental caries in the army population of several other countries was relatively high. The purpose of this study was to describe the assessment of the dental health status of Bintara Officer (the NCO) the Indonesian National Military-Naval Force (TNI-AL) using caries experience index. Methods: The descriptive method was used with primary data collection through the caries experience index (DMF-T) examination and assessment of the dental health status of the TNI-AL. A purposive sampling technique with a total of 40 members with inclusion criteria, ranked Bintara Officer, 10 years of service, male or female, was used. Exclusion criteria were those serving outside the city or abroad and not signing an informed consent form. The data was collected and analyzed descriptively using Microsoft Excel. Results: DMF-T index value was 3.7, included in the Stakes I category, which had a maximum number of DMF of 10 teeth: 25.0% in the very low category, 17.5% in the low category, 27.5% in the moderate category, 17.5% in the high category, and 12.5% in the very high category. The dental health status of the TNI-AL were 95.0% in the Stakes I category, 2.5% in the Stakes II category, 2.5% in the Stakes III category, and there were no subjects in the Stakes IV category. Conclusion: Assessment of the dental health status of bintara officer Indonesian National Military-Naval Force using DMFT index value was in the moderate category, and based on Perkasal the majority was included in the Stakes I category.KEYWORDS : Caries, DMF-T index, dentistry, TNI-AL dental health status
A simple microabrasion technique as aesthetic approach on fluorosis of anterior teeth Maulidia Indah SARI; Irmaleny SATIFIL
Journal of Syiah Kuala Dentistry Society Vol 6, No 1 (2021): June 2021
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v6i1.21890

Abstract

ABSTRACT Dentistry treatment is not only focused on restoring the function of mastication but also onthe aesthetic problem. Fluorosis is one of the aesthetic problems caused by excessive fluoride intakeduring email formation and produced color changes on the surface of the email. Fluorosis was notaffected by the aesthetics but also influenced the confidence of the patient. The Microabrasion techniqueis an option for fluorosis because it is conservative treatment with good results. A 20-year-old womanwho came to the Dental Conservation clinic complained that she wants to remove the brown color andwhite spots seen on the front teeth, which significantly interfere with her appearance. Based on clinicalexamination, many cavities were found in the back teeth of the upper and lower jaw. The results of thehistory and clinical study revealed that the patient had fluorosis in her teeth. Microabrasion was carriedout using Opalustre (ultradent). This material was applied to the tooth surface and rubbed using anapplicator (opal bristle) for 60 seconds. Then applied fluoride gel paste with finishing cup opal.Treatment results showed changes in tooth color, brown and white patches disappeared. Microabrasionis the first choice for aesthetic treatment in fluorosis and has shown satisfying results to restore thepatient's aesthetics problem. KEYWORDS: Fluorosis, microabrasion technique
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 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.672 KB) | DOI: 10.24198/pjd.vol29no2.13614

Abstract

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 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.83 KB) | DOI: 10.24198/pjd.vol29no3.14304

Abstract

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.