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All Journal Majalah Kedokteran Gigi Indonesia ODONTO Dental Journal JITEKGI Jurnal Ilmiah dan Teknologi Kedokteran Gigi E-Prodenta Journal of Dentistry Jurnal Kesehatan Gigi dan Mulut (JKGM) Jurnal Kedokteran Gigi Terpadu Jurnal Abdimas Kesehatan Terpadu Odonto dental journal Media Penelitian dan Pengembangan Kesehatan
Stefani, Rosita
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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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.
Penatalaksanaan Periodontitis Apikalis pasca Restorasi Inadekuat pada Gigi Anterior Mandibula Stefani, Rosita; Aryadi; Ratnasari, Dina; Tjingson, Natalia
Jurnal Kedokteran Gigi Terpadu Vol. 7 No. 2 (2025): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v7i2.26094

Abstract

Background: Inadequate dental restorations may disrupt the coronal seal and permit microleakage, allowing bacterial penetration into the root canal system. Persistent microbial contamination can induce a host-mediated inflammatory response in the periapical tissues, resulting in apical periodontitis. Root canal treatment is indicated to eliminate intracanal infection through effective cleaning, shaping, and disinfection, thereby supporting periapical healing. Objective: This case report describes the endodontic management of chronic apical periodontitis associated with an inadequate restoration in a mandibular anterior tooth, highlighting the clinical decision-making and treatment protocol to achieve periapical healing. Case report: A 34-year-old female patient presented to RSGM FKG USAKTI, with a chief complaint of a dislodged restoration on her lower left anterior tooth, which had been restored approximately one year prior. Intraoral examination revealed a cavity on the disto-palatal surface of tooth 32. Radiographic examination showed caries reaching the pulp on the distal surface, accompanied by apical periodontitis. At the initial visit, caries removal, access cavity preparation, and biomechanical preparation of the root canal system were performed. Root canal obturation was completed at a subsequent visit, followed by placement of a definitive direct composite resin restoration one month later. Conclusion: Multi-visit root canal treatment followed by definitive composite resin restoration was successfully performed, demonstrating effective management of apical periodontitis secondary to inadequate restoration in a mandibular anterior tooth.
Perawatan saluran akar vital molar kedua kiri mandibula dengan restorasi fiber post, core dan mahkota zirkonia Stefani, Rosita; Subrata, Aryadi; Ratnasari, Dina; Claudiary Sinatra, Talisa; Barbie Lim, Maria; Kenneth Kurniawan, Alexander; Tjingson, Natalia
Jurnal Kedokteran Gigi Terpadu Vol. 7 No. 2 (2025): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v7i2.26120

Abstract

Background: Endodontically treated teeth are prone to biomechanical failure due to substantial structural loss, often necessitating fiber post–core and Zirconia crown restorations to re-establish tooth integrity and function. The choice of fiber post–core and Zirconia crown is determined by the amount of remaining tooth structure. Case Description: A 38-year-old male presented with a two-month history of throbbing pain in tooth 37, accompanied by discomfort during mastication. The patient had been self-medicating with mefenamic acid and reported no systemic illnesses. Intraoral examination revealed moderate oral hygiene (OHI-S 2) and a large occlusal cavity with a pulp polyp (Black Class II, Mount–Hume 2.4, ICDAS D6). Cold testing elicited a positive response, with tenderness to percussion but normal mobility and probing depths. Radiographic evaluation demonstrated pulp chamber radiolucency, widening of the periodontal ligament space, thickening of the lamina dura, and periapical radiolucency. The diagnosis was symptomatic irreversible pulpitis with apical periodontitis. The patient underwent root canal therapy followed by post–core and crown restoration. Discussion: Fiber-reinforced composite (FRC) posts provide dentin-like elasticity, favorable esthetics, and superior fracture resistance compared to metal posts, allowing more uniform stress distribution in endodontically treated teeth. The use of an FRC post combined with a Zirconia crown following root canal therapy successfully restored the tooth’s structure, function, esthetics, and long-term retrievability. Conclusion: Fiber post–core and Zirconia crown restoration is an effective approach for rehabilitating endodontically treated teeth at risk of biomechanical failure, offering dentin-like elastic properties and uniform stress distribution to optimize functional and esthetic outcomes.
The effects of heat treatment files and taper lock depth on the torsional fatigue resistance of rotary NiTi instruments Haryanto, Viola Shelvannia; Stefani, Rosita; Eddy, Eddy; Iskandar, Bernard Ongkie
Media Penelitian dan Pengembangan Kesehatan Vol. 36 No. 1 (2026): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v36i1.4190

Abstract

Background: A file fracture is a significant complication in endodontic treatment, particularly when it obstructs access to the apical root canal. The primary cause is torsional fatigue, occurring when applied force exceeds the elastic limit of NiTi alloys. Heat-treated rotary files have been developed to improve torsional resistance. Objective: To compare the time to fracture due to torsional fatigue between gold and blue heat-treated rotary files under taper lock conditions. Methods: A total of 48 heat-treated rotary files (#25.04) were embedded in bulk-fill composite resin blocks to simulate taper lock. Samples were randomly divided into eight groups (n=6): E-Flex Gold (3 mm, 5 mm), EndoArt Smart Gold (3 mm, 5 mm), E-Flex Blue (3 mm, 5 mm), and EndoArt Smart Blue (3 mm, 5 mm). Torsional fatigue time was recorded from the start of rotation using an endomotor until fracture occurred. Results: One-way ANOVA revealed a statistically significant difference in torsional fatigue time among groups (p<0.05). Conclusion: Blue heat-treated rotary files showed longer fracture times and may be safer in high taper lock conditions, although results are limited by the in vitro resin model.
Co-Authors Anjani, Salsabila Aryadi Barbie Lim, Maria Bernard Ongki Iskandar Claudiary Sinatra, Talisa Dwisaptarini, Ade Prijanti Eddy Eddy Eddy Eddy, Eddy Ferry Sandra Fibryanto, Eko Hadi, Steward Hadrian, Gary Haryanto, Viola Shelvannia Iskandar, Bernard Ongkie Kenneth Kurniawan, Alexander Melaniwati Melaniwati, Melaniwati Nadiah, Najla Nathania, Cindy Priscilia Dinata Tobing, Fiona Ratnasari, Dina Rein, Janice Marzel Santoso, Lidia Sinatra, Talisa Claudiary Steward Subrata, Aryadi Tjingson, Natalia Trijani Suwandi Vanessa, Gisela Ellenia Victor Reiner Sutanto, Aldrich Widyastuti, Wiena Wijaya, Haryanto William Yusuf, Timotius