Mefina Kuntjoro
Department Of Prosthodontic, Faculty Of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

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Journal : Conservative Dentistry Journal

Immediate Complete Overdenture: optimizing patient’s quality of life with endodontic - prosthodontic approach Kuntjoro, Mefina; Agustono, Bambang; Laksono, Harry; Kamadjaja, Michael Josef Kridanto; Mundiratri, Karina; Kurdi, Abil; Fitriana, Astila; Faidah, Faidah; Prasetyo, Eric Priyo
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.v14i2.2024.56-60

Abstract

Background: Immediate complete overdentures are designed for placement denture immediately following the extraction or decapitation of natural teeth. This procedure overcome the challenges associated of esthetic problems, including functional difficulties and psychological issues. Purpose: The article aims to highlight the advantages of endodontic-prosthodontic approach through immediate overdenture, such as the preservation of alveolar bone and improvement in patient’s psychological well-being and quality of life. Case: A 60-years-old female came into Universitas Airlangga Dental Hospital with the chief complaint of missing multiple teeth with upper front teeth becoming loose and desire to replace them because of difficulty in chewing food. Case Management: Diagnostic impressions were taken using irreversible hydrocolloid material, then poured in the dental stone to create final impression. The treatment plan included endodontic treatment, scaling and root planning for 11. The vertical dimension of occlusion was established using a bite rim and mounted on an articulator. Then, the immediate overdenture was created by arranging artificial teeth. Before the denture insertion, 11 was decapitated and filled the orifice with glass ionomer cement. Extraction of 21, 22, 23 was carried out and after ensuring hemostasis, the immediate overdenture was inserted. To finalize the denture insertion, occlusion was assessed using articulating paper. Control was done after day 1,3 and 7 after denture insertion. Conclusion: This case report describes the effectiveness of immediate overdentures as a valuable treatment option through endodontic-prosthodontic approach. By providing a functional and aesthetic solution while minimizing the edentulous period, immediate dentures significantly enhance patient’s quality of life.
The inhibitory activity of Avicennia marina leaf extract on Enterococcus faecalis as a root canal irrigation material Prabanita, Amellindha Salsabilah; Soesilo, Diana; Sularsih; Dwi Andriani; Kuntjoro, Mefina; Prasetyo, Eric Priyo
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.57-61

Abstract

Background: Enterococcus faecalis is considered the most common cause of root canal failure and persistent infection. The standard irrigation solution is 5.25% NaOCl which has drawbacks, such as causing inflammation in the periapical area. New antibacterial agents from natural materials with similar antibacterial properties to chemicals have been developed. Avicennia marina contains flavonoids, saponins, tannins, and avicequinone, which can inhibit bacterial metabolism. Objective: to determine the effect of Avicennia marina leaf extract with various concentrations on the antibacterial inhibitory power of Enterococcus faecalis as a root canal irrigation material. Materials and Methods: The samples were divided into six groups: K+ (5.25% NaOCl), K- (distilled water), P1 (7.5%), P2 (12.5%), P3 (17.5%), and P4 (22.5%). The leaves of Avicennia marina were extracted using ethanol maceration with a rotary evaporator to obtain a concentrated extract, which was then diluted with distilled water to the desired concentrations. The antibacterial effect was tested using the disk diffusion method by applying 0.01 ml of each test sample to sterile paper disks with a sterile micropipette. Results: Inhibition zones were observed as follows: K+ (21.67 mm), P1 (0 mm), P2 (10.50 mm), P3 (13.50 mm), and P4 (14.50 mm). Mann Whitney tests showed significant differences (p < 0.05) between K+ and P1, P2, P3 and P4, as well as between P3 and P4. Conclusion: Avicennia marina leaf extract had antibacterial effects against Enterococcus faecalis at concentrations of 12.5%, 17.5%, and 22.5%.