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Journal : Jurnal Kedokteran Gigi Terpadu

Perawatan ulang saluran akar gigi molar kanan mandibula Stefani, Rosita; Steward
Jurnal Kedokteran Gigi Terpadu Vol. 6 No. 1 (2024): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v6i1.20897

Abstract

Background: An inadequate root canal treatment allows bacteria to thrive and survive, which is a major cause of endodontic failure. An appropriate treatment plan can be determined after a precise and accurate diagnosis has been made. Objective: The purpose of this case report is to demonstrate the root canal retreatment on a posterior mandibular tooth with periapical lesions. Case report: A 37-year-old female patient came with complaints of discomfort when chewing food with her lower right back tooth. The tooth had been treated ten years ago with a metal filling, which was replaced with a tooth-colored filling a year ago. Intra-oral examination of tooth 46 showed composite resin restoration on the distobuccal surface. Radiographic findings showed that there was restoration on the distal surface that reaches the floor of the pulp chamber and radiolucency in the furcation area. Root canal retreatment was performed based on the diagnosis of acute apical periodontitis et causa necrotic pulp. The treatment plan involved root canal retreatment with direct resin composite restoration. Root canal retreatment starts with the application of a rubber dam, followed by the removal of any existing restoration and caries, opening the cavity, root canal exploration, and root canal shaping. Biomechanical preparation was carried out with Protaper Hand Use with crown down technique, in conjunction with 2,5% NaOCl irrigation. The initial visit concludes with the disinfection of the root canal with calcium hydroxide. The following treatment involved a subjective and objective assessment, removal of the temporary filling, cleaning of calcium hydroxide, and final irrigation with 2,5% NaOCl, 17% EDTA, and 2% CHX. Obturation was accomplished utilizing the vertical condensation technique. The restoration was completed with composite resin. Conclusion: Root canal retreatment on teeth with acute apical periodontitis et causa necrotic pulp was successfully carried out.
Pengaruh perendaman dengan red wine terhadap perubahan warna restorasi resin komposit one shade Priscilia Dinata Tobing, Fiona; Ongki Iskandar, Bernard; Stefani, Rosita
Jurnal Kedokteran Gigi Terpadu Vol. 6 No. 1 (2024): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v6i1.20968

Abstract

Background: The very rapid development of technology for aesthetic treatment results has given rise to composite resin namely one shade composite resin. One shade composite resin has a chameleon effect that can copy all tooth colors using just one color. However, this composite resin can change color which causes patient dissatisfaction with the treatment results because it interferes with aesthetic value and appearance. This color change is influenced by the presence of color pigments and the acidic pH in the food and drinks, specifically red wine. Objective: To examine the effect of red wine consumption on the color stability of one shade composite resin. Methods: This research used sixteen one shade composite resins, consisting of 2 different brands in cylindrical shape (diameter: 10 mm; height: 2 mm) and allocated to 2 different groups, that is the control and treatment groups for each type of composite resin. Control groups were immersed in artificial saliva fo 6 days within 144 hours. Treatment groups were immersed in red wine for 4 days within 96 hours, followed by immersion in artificial saliva for 2 days within 48 hours. Color measurements were measured using vita easyshade V. Results: The ANOVA Two Way results showed that there were significant color change (p<0,05). Conclusion: There is an effect of immersion red wine on the color stability of one shade composite resin.
Pulpektomi satu kali kunjungan denganRestorasi onlay komposit pada gigi premolar dan molar rahang atas Stefani, Rosita; Subrata, Aryadi; Melaniwati; Tjingson, Natalia; Steward
Jurnal Kedokteran Gigi Terpadu Vol. 6 No. 2 (2024): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v6i2.22393

Abstract

Background: The main aim of endodontic treatment is to eliminate bacterial infection in the pulp and to preserve treated teeth in their best condition, restoring the structure and function of healthy teeth. Dental clinicians should be aware that both adequate root canal treatment and post-treatment restoration work in unison to achieve a successful endodontic treatment.  Objective: The purpose of this article is to demonstrate pulpectomy as an endodontic treatment choice for upper premolar and molar permanent teeth with the diagnosis of irreversible pulpitis, followed by the placement of composite onlay on both teeth.  Case report: A 38-year-old woman sought treatment at RSGM-P Universitas Trisakti, complaining of persistent food trapping in her upper left teeth, which contributed to halitosis. The patient noted episodes of throbbing pain associated with those teeth for three months. Intra-oral examination showed a moderate to large cavity on tooth 25 and 26, both reaching the pulp, as confirmed by radiographic examination. At the first visit, pulpectomy was performed on tooth 26 from caries removal, access opening, irrigation, pulp extirpation, artificial wall building with GIC, biomechanical preparation, and obturation. Patient was told to come again one week after to get the same treatment on 25. At her third visit, composite onlay preparation was conducted. After finished, dental impression of tooth 25 and 26 was carried out to be proceed on laboratory. Cementation was scheduled to one week after on the next visit using resin cement. Patient revisited for follow-up after one month of placement with no complaints. Conclusion: One visit pulpectomy was succesfully carried out on tooth 25 and 26 followed by composite onlay restoration.
Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri Stefani, Rosita
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.v5i2.18802

Abstract

Background: Root canal treatment is one of the modalities to treat periapical lesions. The success of root canal treatment in periapical lesions can be seen with the patient's chief complaint and the healing of periapical lesions as seen by the radiograph. Objective: This case report aims to demonstrate root canal treatment on a maxillary anterior tooth with periapical lesion. Case report: A 22-year-old female patient came with complaints of a maxillary anterior tooth that had throbbing pain several months ago, after having it filled by a previous dentist, and since then, it has never hurt again. Intra-oral examination of tooth 12 showed composite resin on the mesiopalatal surface. Radiographic findings showed that there was a round radiolucency in the periapical area with a diameter of 4 mm. Root canal treatment was performed based on the diagnosis of chronic apical periodontitis et causa necrotic pulp. Root canal treatment begins with the application of a rubber dam, opens the cavity, explores the root canal, and shapes the root canal. Biomechanical preparation was carried out using Protaper Hand Use with crown down technique, combined with 2.5% NaOCl irrigation. The first visit ends with the disinfection of the root canal using calcium hydroxide. Subsequent treatment was carried out with subjective and objective examination, removal of temporary filling, cleaning of calcium hydroxide, and final irrigation with 2.5% NaOCl, 17% EDTA, and 2% CHX. Obturation was achieved using the vertical condensation technique. The restoration was accomplished at the next visit using composite resin. Conclusion: Root canal treatment on teeth with chronic apical periodontitis was successfully carried out.