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CROWN LENGTHENING DAN FRENEKTOMI PADA DAERAH ESTETIK (LAPORAN KASUS) Winda DA; Martina Amalia; Sally SK; Trimurni Abidin
Cakradonya Dental Journal Vol 13, No 2 (2021): Agustus 2021
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v13i2.23533

Arsitektur gingiva berperan penting dalam masalah ukuran, bentuk, dan proporsi gigi yang tepat. Crown lengthening adalah prosedur bedah pemanjangan mahkota gigi dengan tujuan untuk restoratif serta pencapaian estetika baik, yang secara aplikatif menempatkan margin gingiva dengan atau tanpa mengurangi tulang pendukung di bawahnya. Frenulum adalah lipatan selaput lendir yang melekatkan bibir dan pipi ke mukosa alveolar, gingiva, dan periosteum yang mendasarinya. Perawatan frenulum dilakukan dengan bedah frenektomi. Pasien wanita usia 22 tahun dirujuk dari departemen konservasi gigi untuk perawatan yang tepat pada gigi anterior atas dengan perlekatan frenulum tinggi. Pada pemeriksaan intraoral ditemukan fraktur pada gigi 21 sudah dengan perubahan warna. Radiografi periapikal menunjukkan obturasi non-hermetis. Perawatan ulang dilakukan oleh dokter gigi konservasi. Setelah itu crown lengthening dan frenektomi dilakukan untuk mendapatkan lebar biologis serta untuk memerbaiki perlekatan frenulum. Bedah periodontal direkomendasikan untuk mendukung kedokteran gigi restoratif serta untuk meningkatkan prognosis jangka panjang. Pendekatan multidisiplin sering diperlukan untuk mendapatkan hasil estetika yang baik. Bedah crown lengthening dan koreksi frenulum dapat menjadi pilihan yang tepat untuk memfasilitasi terapi restoratif dan meningkatkan penampilan estetis.

Nanotechnology Implementation as Root Canal Sealer Tiffany, Sasha Allayya; Abidin, Trimurni; Prasetia, Widi
Dentika: Dental Journal Vol. 27 No. 1 (2024): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v27i1.14542

The application of nanotechnology is becoming increasingly prevalent in the field of dentistry. Specifically, in root canal treatment, the expulsion of microbes remains a challenge often leading to failure of the procedure. The use of sealer is an effective method to dispose of microbes, but the structure of root canal which features dentinal tubules ranging from micro to nano size underscores the need for nanoparticle sealer. Therefore, this review aimed to evaluate the implementation of nanomaterials as root canal sealer. The results showed that nanoparticle sealer increased the apical sealing ability of root canal obturation material. The concept of using nanoparticles in endodontics as a new treatment efficacy against the hidden microbes in dentinal tubules appeared to be a promising approach. The development of nanotechnology could be used to improve the ability of sealer to penetrate dentinal tubules to achieve successful root canal treatment.

The effect of oligosaccharide chitosan irrigating agent on penetration of two type endodontic sealers into the dentinal tubules: a confocal laser scanning microscopy study Abidin, Trimurni; Darmawan, Gieska Lailarahma; Dalimunthe, Fatimah Dewi
Padjadjaran Journal of Dentistry Vol 34, No 3 (2022): November 2022
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no3.39692

ABSTRACTIntroduction: Irrigation during root canal treatment is one of the important factors that play a role in determining the quality of sealer penetration into the dentinal tubules, especially in the apical third of the tooth root. This is inseparable from the selection of the used irrigation agent. Currently, oligosaccharide chitosan has been developed which is easier to manipulate as an alternative irrigation agent. This study aimed to analyze the effect of the chitosan oligosaccharide irrigating agent on the penetration of two types of endodontic sealers into the dentinal tubules. Methods: This study used 60 mandibular premolars which were randomly divided into 3 groups (n=3). Group 1 was irrigated with 2% chitosan oligosaccharides; Group 2 with a combination of 2.5% NaOCl and 0.2% chitosan nanoparticles; and group 3 was irrigated with a combination of 2.5% NaOCl and 17% EDTA. At the time of obturation, each group was divided into two groups, for sealer treatment using CeraSeal Bioceramic and AH Plus sealer. The sealer’s penetration depth was measured using a confocal laser scanning microscope. Results: The highest mean on the penetration depth of the sealer was seen in the irrigation group using chitosan oligosaccharide solution with CeraSeal bioceramic sealer (2575,151 AU) (p>0.05). Conclusion: There is an effect of 2% oligosaccharide chitosan solution on sealer penetration into dentinal tubules. CeraSeal bioceramic sealer showed better penetration than AH Plus sealer.Keywords: oligosaccharide chitosan; ceraseal bioceramic sealer; AH plus sealer; confocal laser scanning microscope

Efek Antibakteri Sea Cucumber (Stichopus Variegatus) Sebagai Bahan Medikamen Saluran Akar Terhadap Bakteri Enterococcus Faecalis (In Vitro) Gita Tarigan; Trimurni Abidin; Harry Agusnar
Cakradonya Dental Journal Vol 6, No 1 (2014): Juni 2014
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar

Tujuan perawatan endodonti adalah untuk mengeliminasi mikroorganisme dan beberapa produk dari saluran akar sehingga gigi dapat dipertahankan selama mungkin di dalam mulut. Banyak bakteri yang terdapat pada saluran akar salah satunya adalah bakteri anaerob yaitu Enterococcus faecalis, bakteri ini umumnya bakteri yang paling banyak ditemukan dalam saluran akar. Umumnya bakteri ini didapat karena adanya kegagalan dalam perawatan saluran akar. Bahan medikamen yang umumya digunakan di klinik adalah kalsium hidroksida. Sea cucumber adalah salah satu bahan alam yang sudah banyak digunakan dibidang kesehatan. Oleh karena itu, sea cucumber diteliti sebagai salah satu bahan medikamen saluran akar dalam membunuh bakteri Enterococcus faecalis. Efek sea cucumber pada bakteri Enterococcus faecalis dapat dilihat pada konsentrasi (0,1%, 0,2%, 0,25%, 0,3%, 0,4%, 0,5%) dan waktu (4, 6, 8, dan 24 jam) lalu dilakukan pengukuran viabilitas dengan menggunakan 3-(4,5-dimethythiazol-2-yl)-2,5-diphenyl tetrazoliun bromide (MTT) assay dan dibaca dengan microplate reader panjang gelombang 650 nm. Hasil penelitian didapat sea cucumber memiliki efek terhadap Enterococcus faecalis pada waktu 4, 6 konsentrasi yang terbaik adalah 0,3% , sedangkan pada waktu 8 jam konsentrasi yang terbaik dalam membunuh bakteri Enterococcus faecalis adalah 0,5%. Konsentrasi yang paling kecil yaitu 0,2% didapat pada waktu 24 jam. Secara statistik Sea Cucumber memiliki efek terhadap Enterococcus faecalis dengan hasil yang signifikan (p0,05). Sebagai kesimpulan, sea cucumber efektif terhadap Enterococcus faecalis.

Potential of chitosan oligosaccharide gel as a cavity cleanser against adhesive restoration adhesive on the cavity wall Madya Theresa TARIGAN; Trimurni ABIDIN
Journal of Syiah Kuala Dentistry Society Vol 7, No 2 (2022): December 2022
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v7i2.30234

Cavity cleanser is a cavity cleaner with ideal properties such as being biocompatible, antibacterial,removing smear layers, and not interfering with the adhesive bond. This study aims to examine the potential of gelchitosan oligosaccharide (COS) as a cavity cleanser on the adhesion of the restoration to the cavity wall. Thirty-twomandibular premolars with class V restorations are divided into two groups with 2% COS gel and 2% chlorhexidinedigluconate (CHX). Samples were immersed in 2% methylene blue, cut longitudinally, observed under astereomicroscope with 1x magnification, and scored 0-3. The Mann-Whitney test was used to see the potential of gelCOS as a cavity cleanser. The results showed a significant difference between the two groups at the edge of theenamel junction restoration (p=0.038) and the dentin junction restoration (p=0.027). The mean microleakage score ingroup 1 showed better results at the enamel junction (1.19 1.328) and the dentin junction (2.001.211). It shows that2% COS gel has the potential as a cavity cleanser. There was a significant difference between the two groups as acavity cleanser on the adhesion of adhesive restorations to the cavity wall.KEYWORDS: cavity cleanser; chitosan oligosaccharide; chlorhexidine digluconate; microleakage

The potential of high molecular chitosan nanohydroxyapatite as an irrigant in improving fracture resistance after root canal treatment (In Vitro) Ertha Dini FINANTI; Trimurni ABIDIN
Journal of Syiah Kuala Dentistry Society Vol 6, No 2 (2021): December 2021
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v6i2.24189

ABSTRACT Teeth after root canal treatment are at a higher risk of fracture than vital teeth. After root canaltreatment, the causes of tooth fracture are multifactorial, both iatrogenic and non iatrogenic. One of them isirrigants, although very useful for disinfection. Irrigants are known to change the chemical components andstructure of the root canal surface dentin by modifying the proportion of calcium and phosphate minerals. Thisresearch is an experimental laboratory study with a post-test-only group research design to analyze the effect ofirrigating solutions of nanohydroxyapatite, high molecular chitosan, NaOCl, and EDTA with their appropriatecombination for the test group on the fracture resistance of teeth after root canal treatment. Root canal treatment wasperformed on 24 mandibular premolars, with the group I; irrigating solution of nanohydroxyapatite, group II;irrigation of nanohydroxyapatite solution with the addition of 0.2% chitosan, group III; irrigation with 2.5% NaOClsolution and 0.2% chitosan solution, group IV; irrigation solution of 2.5% NaOCl and 17% EDTA. ANOVA testshowed a significant difference in fracture resistance (p0.05) between each group. The highest average fractureresistance was seen in group II, namely the irrigation group using a solution of nanohydroxyapatite with theaddition of 0.2% chitosan, which was 363.644 10,896 N. fracture after root canal treatment.KEYWORDS: nanohydroxyapatite, irrigation solution, fracture resistance

Diffusion of calcium ions in one-third of root canals after administration of high molecular Chitosan nanohydroxyapatite medicament (In Vitro) Widya Nurul AKMALIA; Trimurni ABIDIN
Journal of Syiah Kuala Dentistry Society Vol 6, No 2 (2021): December 2021
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v6i2.24190

ABSTRACT Calcium hydroxide is currently the gold standard medicament. Still, it has the disadvantage of leavinga residue on the surface of the root canal wall. Hence, it can interfere with the setting time and adhesion of the sealermaterial to the root canal wall. This study aims to determine the ability of calcium ion diffusion in one-third of theroot canal after administration of nanohydroxyapatite medicament with a different vehicle than calcium hydroxide.This study used 24 mandibular premolars extracted, decorated, and prepared, then grouped into four treatmentgroups. Based on the paired T-test, the study results showed no significant effect of calcium ion diffusion in group B(p = 0.739) on the 7th and 14th days. The ANOVA test results showed no significant difference in calcium ion diffusion between groups A, B, and C. on the 7th day of testing (p=0.773) and the 14th day (p=0.661). In conclusion, there was no effect and difference in the diffusion of calcium ions in the apical third after administration ofmedicament nanohydroxyapatite vehicle bidisstilled water and nanohydroxyapatite vehicle nanochitosan compared tocalcium hydroxide on the 7th and 14th day KEYWORDS: diffusion, calcium hydroxide, ion calcium, nanohydroxyapatite, nano chitosan, vehicle

Effect of 0.2% chitosan high molecule nanoparticle on the push-out bond strength of resin cement in post-restoration (An in-vitro study) Kubbahseny RASENDREN; Trimurni ABIDIN
Journal of Syiah Kuala Dentistry Society Vol 6, No 2 (2021): December 2021
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v6i2.24187

ABSTRACT Debonding between post and resin cement often occurs due to inadequate smear layer removal.Currently, the wide use of Chitosan as an alternative irrigating solution can remove the smear layer. This studyaimed to determine the effect of 0.2% chitosan high molecule nanoparticle (CHMN) on the push-out bond strength ofresin cement in post-restoration and types of adhesion failure using the different irrigating solutions. Endodontictreatment was performed on 24 mandibular premolars, which were divided into four groups, namely group 1: 0.2%CHMN, group 2: 2.5% sodium hypochlorite (NaOCl) and CHMN, group 3: 5.25% NaOCl and CHMN, group 4: 2.5%NaOCl and EDTA 17%. The final restoration was done using prefabricated glass fiber posts, and each sample wassliced into three segments transversally with a thickness of 2 mm. A push-out test was performed with a universaltesting machine, and failure modes were observed under a stereomicroscope. Data were analyzed with a one-wayanalysis of variance (ANOVA), LSD, and Kruskal-Wallis tests. The results showed a significant difference in pushoutbond strength of resin cement in post-restoration between all groups. The Kruskal-Wallis test showed nosignificant difference between types of adhesion failure. In conclusion, 0.2% CHMN affects the push-out bondstrength of resin cement in post-restoration regardless of or without a combination of NaOCl. However, there wereno effects on the types of adhesion failure. Keywords: bond strength, 0.2% chitosan solution, endodontic irrigation, fiber post

Efek Antibakteri Sea Cucumber (Stichopus Variegatus) Sebagai Bahan Medikamen Saluran Akar Terhadap Bakteri Enterococcus Faecalis (In Vitro) Tarigan, Gita; Abidin, Trimurni; Agusnar, Harry
Cakradonya Dental Journal Vol 10, No 1 (2018): Februari 2018
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v10i1.10389

Tujuan perawatan endodonti adalah untuk mengeliminasi mikroorganisme dan beberapa produk dari saluran akar sehingga gigi dapat dipertahankan selama mungkin di dalam mulut. Banyak bakteri yang terdapat pada saluran akar salah satunya adalah bakteri anaerob yaitu Enterococcus faecalis, bakteri ini umumnya bakteri yang paling banyak ditemukan dalam saluran akar. Umumnya bakteri ini didapat karena adanya kegagalan dalam perawatan saluran akar. Bahan medikamen yang umumya digunakan di klinik adalah kalsium hidroksida. Sea cucumber adalah salah satu bahan alam yang sudah banyak digunakan dibidang kesehatan. Oleh karena itu, sea cucumber diteliti sebagai salah satu bahan medikamen saluran akar dalam membunuh bakteri Enterococcus faecalis. Efek sea cucumber pada bakteri Enterococcus faecalis dapat dilihat pada konsentrasi (0,1%, 0,2%, 0,25%, 0,3%, 0,4%, 0,5%) dan waktu (4, 6, 8, dan 24 jam) lalu dilakukan pengukuran viabilitas dengan menggunakan 3-(4,5-dimethythiazol-2-yl)-2,5-diphenyl tetrazoliun bromide (MTT) assay dan dibaca dengan microplate reader panjang gelombang 650 nm. Hasil penelitian didapat sea cucumber memiliki efek terhadap Enterococcus faecalis pada waktu 4, 6 konsentrasi yang terbaik adalah 0,3% , sedangkan pada waktu 8 jam konsentrasi yang terbaik dalam membunuh bakteri Enterococcus faecalis adalah 0,5%. Konsentrasi yang paling kecil yaitu 0,2% didapat pada waktu 24 jam. Secara statistik Sea Cucumber memiliki efek terhadap Enterococcus faecalis dengan hasil yang signifikan (p0,05). Sebagai kesimpulan, sea cucumber efektif terhadap Enterococcus faecalis.

Counseling, health services and training of dental in Suka Makmur Binjai Abidin, Trimurni; Panggabean, Sondang Pintauli; Farahanny, Wandania
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

This paper explains the community service activities in Suka Makmur Village, Binjai District, Langkat Regency. The aim is to improve the quality of life of the community through oral health, which is to encourage the emergence of creativity and initiative of each individual or community group in the village of Suka Makmur. Communities actively participate in health programs in their villages, and determine program priorities according to the needs and desires of the community. Overall it can be seen that 95.4% of the population experienced a low caries experience category, 3.8% of them had a moderate caries category and there were already 0.9% of the population who had a high caries risk category.

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