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All Journal Jurnal Kesehatan Masyarakat Dental Journal (Majalah Kedokteran Gigi) Jurnal Kedokteran Gigi Universitas Padjadjaran Conservative Dentistry Journal
Widya Saraswati
Department Of Conservative Dentistry, Faculty Of Dental Medicine, Universitas Airlangga
Dentistry Health Professions Public Health

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Journal : Conservative Dentistry Journal

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Differences in the solubility of CaCO3 from blood clam shells and Ca(OH)2 as a candidate pulp capping material Saraswati, Widya; Pribadi, Nirawati; Mutmainnah, Chaerun
Conservative Dentistry Journal Vol. 13 No. 1 (2023): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i1.2023.16-18

Abstract

Background: Calcium hydroxide (Ca(OH)2) is the gold standar in pulp capping treatment because the biocompatibility and capability to stimulate hard tissue formation and also antibacterial effect. However, this compound has the disadvantage of being easily soluble in saliva which will increase the risk of leakage in the cavity. Another alternative pulp capping material is calcium carbonate from blood clam shells. Blood clam shells contain 98% CaCO3, CaCO3 has low solubility and is difficult to dissolve in water due to the large ions on Ca2+ and CO32- so that the attractive force between these ions is very strong and finally H2O is not able to break down the CaCO3 compound to be dissolved. Purpose: Explained the differences in the solubility of calcium carbonate from blood clam shells and calcium hydroxide as candidates pulp capping materials. Methods: This research is a laboratory experimental study with a pretest-posttest control group design method. The samples consisted of 12 pieces of Ca(OH)2 and CaCO3 then divided into 2 groups and given treatment. Group 1 CaCO3 immersed in 1 day, group 2 Ca(OH)2 immersed in 1 day, group 3 CaCO3 immersed in 7 days, and group 4 Ca(OH)2 immersed in 7 days. Solubility is calculated according to the solubility formula. Data testing with Anova-Welch. Results: There was a significanly difference in the solubility rate between the CaCO3 dan Ca(OH)2 groups immersed for 1 day and 7 days on the Anova-Welch results (p<0.05). Conclusion: The solubility of CaCO3 in blood clam shells is lower than the solubility in Ca(OH)2.)
Apexification with mineral trioxide aggregate on post trauma right maxillary central incivus teeth Masa, Maria Margaretha S. Nogo; Pratiwi, Dian Dwi; Cahyani, Febriastuti; Zubaidah, Nanik; Namira, Safa Marety; Wulandini, Raden Ajeng; Tanzil, Muhammad Iqbal; Oktaria, Wanda; Saraswati, Widya
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.81-84

Abstract

Background: Trauma often occurs in the maxillary anterior teeth in both children and adults. This usually causes the pulp of a tooth whose root is not yet fully formed to experience necrosis, and the apex closure stops causing the apex to be wide and open. Apexification is a method to induce a calcified barrier in necrotic roots with open apex. Treatment with Mineral trioxide aggregate (MTA) can shorten treatment time and has a higher long-term success rate than using Ca(OH)2. Purpose: The aim of this report is to describe apexification cases using MTA on a non-vital right maxillary central incisor. Case: A 21-year-old male patient came to the Dental Conservation Clinic at Airlangga University Dental Hospital with complaints of broken and discolored front teeth. The tooth was broken after falling ± 10 years ago (2013) while playing football, it was swollen and painful, but in the last ± 1 year (2022) it has never hurt again. The patient's medical history revealed no systemic abnormalities. Objective examination of tooth 11 class IV ellis fracture, negative percussion and bite test, surrounding normal gingiva, no mobility. The radiographic appearance of tooth 11 shows a wide open apex and a radiolucency at the root tip. Vitality of non-vital teeth, Diagnosis of pulpal necrosis with asymptomatic apical periodontitis. Case Management: In this case, the treatment plan is endodontic treatment in the form of apexification with MTA material. The obturation technique was performed using warm thermoplastic (backfill) and accompanied by a fixed restoration using a fiber post and all porcelain crown with a good prognosis for patient care. Conclusion: Apexification with MTA with post and IPS Emax crown restoration is a good treatment option for immature right maxillary central incisor with open apex. The patient is satisfied because the teeth can return both aesthetically and functionally according to the stomatognathic system.
Differences of compressive strength between calcium carbonate from blood clam shells and calcium hydroxide as a candidate for pulp capping material Saraswati, Widya; Juniarti, Devi Eka; Lestari, Vita; Soetojo, Adioro; Kunarti, Sri; Cahyani, Febriastuti; Suardita, Ketut; Rahardia, Nabiela
Conservative Dentistry Journal Vol. 14 No. 1 (2024): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i1.2024.11-14

Abstract

Background: Pulp capping is one of the treatments for reversible pulpitis and aims to maintain pulp vitality. This treatment requires a material that can protect the pulp with good biocompatibility. The physical and mechanical properties, bio interactivity and bioactivity of pulp capping materials are very important for the formation of reparative dentin. Calcium hydroxide (Ca(OH)2) as the gold standard material in pulp capping treatment also has some disadvantages. Another alternative for pulp capping material is blood clam shell because it contains 98% calcium carbonate (CaCO3), which is a compound with a bone-like structure and can induce pulp cell differentiation. Objective: To investigate and explain the difference in compressive strength between CaCO3 from blood clam shells and Ca(OH)2 as a candidate pulp capping material. Methods: This research is a laboratory experimental study with post test only control group design method. Ca(OH)2 and CaCO3 samples were formed with a mixture of powder and aquadest with 4x6 mm sample size. The samples were dried at room temperature and the compressive strength was measured using a universal testing machine (UTM). Result: There is a significant difference in compressive strength between Ca(OH)2 and CaCO3 blood clam shells in the Mann-Whitney test results (p<0.05). Conclusion: The results of the compressive strength test between the mixture of Ca(OH)2 with aquadest in a ratio of 1:1 are greater than the mixture of CaCO3 blood clam shells with aquadest in a ratio of 3:1 so that pure CaCO3 blood clam shells with distilled water without other additives cannot be used as a candidate for capping pulp material.
Esthetic crown lengthening treatment on the maxillary anterior teeth Wahjuningrum, Dian Agustin; Sampoerno, Galih; Prasetyo, Eric Priyo; Saraswati, Widya; Setyabudi; Saravanan, Pravinna; Riyadi, Tiara Lathifah; Ambarwati, Venny Lusanda
Conservative Dentistry Journal Vol. 14 No. 1 (2024): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i1.2024.34-37

Abstract

Background: Asymmetrical smile design due to uneven gingival margin heights of the anterior upper teeth can lead to aesthetic issues and inadequate crown restorations, necessitating crown lengthening treatment. Purpose: The objective of this case report is to demonstrate the outcomes of crown lengthening to achieve improved aesthetics and symmetric gingival margin heights. Case: A 16-year-old female patient sought treatment for decayed left maxillary anterior teeth. Clinical examination revealed a non-vital tooth (tooth 21) with decay and excessively low gingival margins, along with asymmetrical gingival heights between the incisors and canines. Radiographs indicated radiolucent mass in the pulp chamber. Case Management: Crown lengthening was performed on teeth 12, 11, 21, and 22, and apexification was conducted on tooth 21 using a customized fiber post and lithium disilicate crown. Follow-up evaluations showed no complaints, well-maintained crowns, and healthy gingiva. Conclusion: Crown lengthening is feasible for anterior teeth with low gingival margins, enhancing clinical crown length to support aesthetic and final restorations in maxillary anterior teeth.
Smile makeover for multiple caries of anterior teeth through endodontic, periodontic, and restorative management: a case report Anindya, Cinitra; Widjaja, Olivia Vivian; Ismiyatin, kun; Saraswati, Widya; Setyabudi
Conservative Dentistry Journal Vol. 14 No. 2 (2024): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i2.2024.79-86

Abstract

Background: Dental aesthetic issues may affect individual’s aesthetic, function, and psychological well-being. The functions of the stomatognathic system are supporting mastication, speaking, breathing and swallowing functions, so that structural integrity and an ideal and harmonious smile can be achieved as well. Aesthetic issues due to caries of maxillary anterior teeth requires deep analysis, consideration and appropriate treatment planning to aim a good result both functionally and aesthetically. Digital smile design (DSD) plays an important role in aesthetic dentistry where problems can easily be rectified. Purpose: This case report describes a step-by-step aesthetic treatment of a male patient with multiple caries of anterior teeth. Case: This study reports a 21-year-old man with multiple caries on his maxillary anterior teeth. Tooth number 12 with class IV caries lesion. Teeth number 11 and 22 with class IV and VI caries lesion and were endodontically treated, tooth number 21 with class III mesiodistal caries lesion. The patient’s chief complaint is that he felt less confidence with his appearance. Case Management: tooth number 21 was managed with endodontic treatment and followed by insertion of fiber post. Teeth number 11 and 22 that endodontically treated previously, were managed with prefabricated fiber post. Tooth number 12 was managed with crown. Teeth number 11, 21, 22 11, 21, 22 were managed with gingivectomy for aesthetic crown lengthening. Lithium disilicate was chosen for the crown materials Conclusion: Anterior teeth with multiple caries can be improved through endodontic-periodontal-restoration treatments to improve the function and aesthetic performance.
Apex resection treatment on tooth 21 and 22 with suspected radicular cyst Cahyani, Febriastuti; Saraswati, Widya; Mulyadi, Reyz Pasenda; Wahab, Sofi Arnesti; Halima, Siti Noorraida; Dzulfikri, Ahzahra Indah; Zubaidah, Nanik; Kunarti, Sri; Soetojo, Adioro
Conservative Dentistry Journal Vol. 14 No. 2 (2024): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i2.2024.87-89

Abstract

Background: Apex resection is the surgical removal of the apex or root end of a tooth. Endodontic failure is the most usual reason of treatment being performed. Retreatment may be the first option for teeth which have been treated conventionally and exhibit a persistent apical lesion. In particular, failures during conventional therapy could hinder results by leading infections to spread to inaccessible apical regions, necessitating surgery. Purpose: This case report aims to describe the management of radicular cyst on previously treated tooth. Case: A 51-year-old male patient came to Soewandhie General Hospital with a complaint of swelling on his hard palate from one year before. The left maxillary incisor has undergone root canal treatment about 1 year ago, but had not been permanently filled. Case Management: The treatments given were retreatment for 21 and root canal treatment for 22, then followed by cyst enucleation and apex resection on both teeth. Conclusion: Apex resection shows a satisfying result for treating previously treated tooth with persistent apical lesion.
Effect of nano calcium carbonate from Anadara granosa shell induced odontoblast-like cells as a pulp capping material candidate Saraswati, Widya; Ismiyatin, Kun; Goenharto, Setyabudi; Kunarti, Sri; Zubaidah, Nanik; Halima, Siti Noorraida; Daradjat, Kinanti Naianuha; Gusniarti, Haninda Dhipta
Conservative Dentistry Journal Vol. 15 No. 1 (2025): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i1.2025.43-45

Abstract

Background: Vital pulp therapy is a treatment to repair and maintain pulp vitality. Calcium hydroxide is the gold standard in pulp capping materials. Calcium hydroxide has advantage antibacterial. However, calcium hydroxide has some disadvantages such form a layer liquefaction necrosis. Blood clam shells contain 98.7% calcium carbonate. Calcium carbonate (CaCO3) content becomes a good source of calcium can be used as a bone repair material. Purpose: To review effect nano CaCO3 from Anadara granosa shell induced odontoblast-like cells as a pulp capping candidate. Nanoparticles CaCO3 has advantages such as high surface area, low toxicity, biocompatibility, biodegradability, pH-sensitivity, and osteoconductivity. Reviews: Nano CaCO3 from Anadara granosa are promising to promote odontoblast-like cells formation. Conclusion: Nano CaCO3 its potential to influence odontoblast-like cells, which play a crucial role in dentin regeneration and repair.
Co-Authors Adioro Soetojo Agnes Robia Ambarioni Ainin Nafilatus Alfina Putri Nurrahmania Alvita Wibowo Ambarwati, Venny Lusanda Anggi Puspitasari Anin Dita Annisa Rahma Annisa Salsabila Andika Putri Anuj Bhardwaj Arnesti Wahab, Sofi Arshila, Dea Auryn Thania Song Hadinata Avicenna, Cathelea Raihan Cathelea Raihan Avicenna Cecilia G.J.Lunardhi Chaerun Mutmainnah Cinitra Anindya Daradjat, Kinanti Naianuha Devi Eka Juniarti Dewi Kusuma Wardani Dian Agustin Wahjuningrum Dian Pramita Ayu Kumalasari Dur Muhammad Lashari Dyah Utari Wahyu Ningrum Dzulfikri, Ahzahra Indah Ekawati Ekawati Eric Priyo Prasetyo Erin Imaniar B Evelyn Tjendronegoro Febriastuti Cahyani Gabriela Kevina Alifen Galih Sampoerno Ganiezha Cindananti Ghozali Pangestu, Dede Goenharto, Setyabudi Gusniarti, Haninda Dhipta Halima, Siti Noorraida Ida Ayu Putu Sri Widnyani Ira Widjiastuti Jaelani, Nurshiffa Hanifatul Amrina Karlina Samadi Ketut Suardita, Ketut Kun Ismiyatin Latief Mooduto, Latief Leidy Herlin Rumbiak Lestari, Vita M. Mudjiono Masa, Maria Margaretha S. Nogo Mulad, Iga Arziela Mulyadi, Reyz Pasenda Mutmainnah, Chaerun Nadhifa Salma Namira, Safa Marety Nanik Zubaidah Nina Dhaniar Nirawati Pribadi Nurshiffa Hanifatul Amrina Jaelani Oktaria, Wanda Pasenda Mulyadi, Reyz Pratiwi, Dian Dwi Rahardia, Nabiela Ramadani, Rania Rizka Riyadi, Tiara Lathifah Rizka Firdaus Rosidin Ruslan Effendy Ruslan Effendy Saravanan, Pravinna Sekar Firdhea Rizkifa Soetanto Setyabudi Sri Kunarti Sri Kunarti, Sri Sudarsono, Caeleb Fabrizio Sukaton, Sukaton Sutela, I Gede Marantika Yogananda Tanzil, Muhammad Iqbal Tasya Nafatila Veda Sahasika Azaria Nariswari Vina Zavira Nizar Vita Ariesta Vivian Widjaya, Olivia Wahab, Sofi Arnesti Widjaja, Olivia Vivian Wulandini, Raden Ajeng Yasmin Tasya Brilyanti Yonas, Yovita Yovita Yonas