Adioro Soetojo
Department Of Conservative Dentistry, Faculty Of Dental Medicine, Universitas Airlangga

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Journal : Conservative Dentistry Journal

PERBEDAAN KEKERASAN PERMUKAAN ENAMEL SETELAH APLIKASI FLUORIDE VARNISH DAN CASEIN PHOSPO PEPTIDE-AMORPHOUS CALSIUM PHOSPHATE FLUORIDE (CPP-ACPF) (PENELITIAN IN VITRO) Sinta Puspita; Adioro Soetojo; Sri Kunarti
Conservative Dentistry Journal Vol. 7 No. 2 (2017): July - December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.726 KB) | DOI: 10.20473/cdj.v7i2.2017.130-137

Abstract

Background: Caries is a chronic, slowly progressing disease, with symptoms not detected at the onset of the disease but generally much later. Its initiation is associated with demineralization (calcium and phosphate loss) of subsurface tooth enamel, resulting in the formation of a subsurface lesion. To restore the natural equilibrium, either remineralization must be enhanced or demineralization must be retarded. There are some topical agents that can enhance remineralization such as topical fluor and casein phosphopeptide – amorphous calcium phosphate (CPP-ACP). Purpose: The aim of this study is to analyze the differences of the enamel surface microhardness after application of fluoride varnish and CPP-ACPF. Methode: 27 blocks bovine enamel were devided into 3 groups. Group 1 – control (No surface treatment), group 2 – fluoride varnish and group 3 – CPP-ACPF. Initial surface hardness enamel was measured for all enamel specimens. Artificial enamel carious lesions were created by immersing enamel samples to demineralization solution (pH 4,5) for 72 hours at temperature 370 C. The surface microhardness of demineralized enamel specimens was measured. A caries progression test (pH cycling) was carried out, which consisted of alternative demineralization (3 hours), remineralization with artificial saliva (21 hours) and application topical agent twice a day for 14 days. Then, the last surface enamel microhardness is measured. Result: Group 3 showed significantly highest Vickers hardness number (P<0,05) followed by group 2 and the lowest is group 1. Conclusions: This study proved that enamel surface microhardness after application of CPP-ACPF was higher than fluoride varnish.
PERBEDAAN KEKUATAN IKATAN KIMIA ANTARA BAHAN BONDING HEMA DENGAN PELARUT ASETON DENGAN BAHAN BONDING HEMA DENGAN PELARUT ETANOL PADA KOLAGEN Adioro Soetojo; Ivan Salomo Sumarto; Moch. Mudjiono; Cecilia G.J. Lunardhi
Conservative Dentistry Journal Vol. 8 No. 2 (2018): July - December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.801 KB) | DOI: 10.20473/cdj.v8i2.2018.69-76

Abstract

Latar belakang: Resin komposit berikatan dengan struktur gigi melalui bahan adesif, yang dikenal dengan sebutan bahan bonding. Bahan bonding biasanya mengandung monomer fungsional yang spesifik pada umumnya adalah ester yang berasal dari reaksi alkohol bivalen dengan asam metakrilat dan phosphor atau derivate asam karboksilat.dalam studi terbaru terdapat ikatan bahan bonding secara kimia. Tujuan: Untuk menganalisis perbedaan kekuatan ikatan kimia antara bahan resin bonding berbahan dasar HEMA berpelarut etanol dan HEMA berpelarut aseton dengan kolagen dentin. Metode: Terdapat 3 kelompok pada penelitian ini. Kelompok pertama HEMA dan kolagen dicampur dengan KBr, kelompok ini sebagai kontrol positif. Kelompok kedua HEMA, etanol, dan kolagen dicampur KBr. Kelompok ketiga HEMA, aseton, dan kolagen dicampur KBr. Ketiga kelompok kemudian dijadikan pellet bening dan dianalisa dengan FTIR,untuk kemudian dihitung nilai puncak pita serapan karbonil dari masing-masing kelompok penelitian. Data dianalisa menggunakan Kruskall Wallis dan Tukey HSD test (p<0.05). Hasil: Nilai Peak (P) pita serapan karbonil kelompok I: 71.36, kelompok II : 46.76, kelompok III : 27.2. Semakin kecil nilai Peak (P) pita serapan karbonil maka diamsusikan semakin besar kekuatan ikatan secara kimia. Kesimpulan: Kekuatan ikatan kimia pada bahan bonding HEMA berpelarut aseton lebih besar dibandingkan dengan berpelarut etanol pada kolagen dentin.
Ekspresi MMP-1 dan TGF-β1 setelah aplikasi dentin bonding berbasis HEMA Adioro Soetojo; Mulia Rahmah; Ari Subiyanto; Moch. Mudjiono
Conservative Dentistry Journal Vol. 8 No. 2 (2018): July - December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (472.424 KB) | DOI: 10.20473/cdj.v8i2.2018.77-84

Abstract

Background: Dentin bonding adalah bahan untuk melekatkan resin komposit terhadap dentin. Komponen utama penyusun dentin bonding adalah 2-hydroxyethyl methacrilate (HEMA). Setelah polimerisasi, terdapat monomer sisa yang akan berdifusi ke dalam tubuli dentin sampai ke dalam pulpa yang dapat mempengaruhi sel odontoblas. Objective: Menganalisis ekspresi MMP-1 dan TGF-β1 pada dentin gigi tikus yang diberikan dentin bonding HEMA dan HEMA murni. Methods: Gigi molar pertama rahang atas tikus wistar dipreparasi klas 1 tanpa aplikasi bahan selama 3 hari (kelompok 1), kemudian diaplikasikan HEMA murni selama 3 hari (kelompok 2), dentin bonding HEMA selama 3 hari (kelompok 3). Kemudian gigi ditumpat dengan Fuji II LC. Tikus wistar di dekaputasi dan rahangnya direseksi pada hari ke 3 kemudian diproses untuk pemeriksaan histokimia. Result: Ekspresi MMP-1 pada penggunaan dentin bonding HEMA lebih sedikit dibandingkan dengan HEMA murni,  ekspresi  TGF-β1 pada penggunaan dentin bonding lebih banyak dibandingkan dengan HEMA murni. Conclusion : Ada perbedaan bermakna pada ekspresi MMP-1 dan TGF-β1 antara penggunaan dentin bonding HEMA dibandingkan dengan HEMA murni
Sitotoksisitas Ekstrak Kulit Kakao (Theobroma cacao) terhadap Kultur Sel Fibroblas BHK-21 Fajariana Fitriani; Adioro Soetojo; Agus Subiwahjudi; tamara yuanita
Conservative Dentistry Journal Vol. 9 No. 1 (2019): January - June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (621.928 KB) | DOI: 10.20473/cdj.v9i1.2019.54-65

Abstract

Latar Belakang: Irigasi saluran akar merupakan salah satu tahapan penting untuk menunjang keberhasilan perawatan. Sodium hipoklorit (NaOCl) merupakan larutan irigasi utama yang sering digunakan namun memiliki sejumlah kekurangan yakni bersifat toksik jika diirigasi sampai ke jaringan periradikular. Kakao (Theobroma cacao) merupakan tumbuhan suku Sterculiaeae yang kulit buahnya mengandung senyawa alkaloid, flavonoid, tanin, saponin dan terpenoid. Senyawa-senyawa tersebut terbukti dapat menghambat pembentukan biofilm pada bakteri Enterococcus faecalis yang merupakan bakteri paling resisten pada saluran akar. Ekstrak kulit kakao diharapkan dapat menjadi bahan alternatif irigasi saluran akar yang ideal, sehingga perlu dilakukan penelitian mengenai efek sitotoksisitasnya terhadap jaringan. Tujuan: Menentukan konsentrasi dari ekstrak kulit kakao yang memberikan efek sitotoksik pada sel fibroblas BHK-21. Metode: Jenis penelitian yang dilakukan adalah eksperimental laboratoris dengan menggunakan kultur sel fibroblas BHK-21. Ekstrak kulit kakao diperoleh melalui maserasi menggunakan etanol 70% dan dilakukan pengenceran dengan konsentrasi 1,56%, 3,125%, 6,125%, 12,5%, 25%, 50%, dan 100%. Sel BHK-21 dalam microplate 96 well dipaparkan dengan ekstrak kulit kakao. Uji sitotoksisitas menggunakan MTT assay dan absorbansi warna dibaca menggunakan Elisa reader. Nilai absorbansi dihitung dengan rumus sehingga didapatkan hasil akhir berupa persentase kematian sel. Hasil: Peningkatan konsentrasi ekstrak kulit kakao berbanding lurus dengan kenaikan persentase sel fibroblas BHK-21 yang mati. Kesimpulan: Konsentrasi minimum ekstrak kulit kakao yang dapat memberikan efek sitotoksik pada sel fibroblas BHK-21 adalah 6,25%.
Management Of White Spot And Central Diastema On Anterior Teeth With Direct Composites Restoration (A Case Report) Adioro Soetojo; Bintang Adiguna Widjaja
Conservative Dentistry Journal Vol. 9 No. 2 (2019): July - December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (586.267 KB) | DOI: 10.20473/cdj.v9i2.2019.66-69

Abstract

Background: One of the most common aesthetic problems is discoloration and central diastema of the anterior teeth. This can make the patient's appearance disturbed and can lead to confidence in influential patients in the complex interaction of social, cultural and psychological disorders. Purpose: The purpose of this case report is to explain the management of white spot on central incisive with central diastema. Case: A 22 years old woman came to Airlangga Dental Hospital with a chief complaint of shyness and lack of confidence due to some white spot and gap on the two central front teeth. Management: The treatment of white spot and central diastema were done using a partial direct veneer technique. Conclusion: White spot and central diastema treated with partial direct veneer restoration is able to produce good aesthetic results.
The effectivity of cavity cleanser chlorhexidinegluconate 2% and saponin 0.78% of mangoosteen peel Maretha Siwinata; Nanik Zubaidah; Adioro Soetojo
Conservative Dentistry Journal Vol. 10 No. 1 (2020): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (438.248 KB) | DOI: 10.20473/cdj.v10i1.2020.19-22

Abstract

Background. Use of cavity cleanser is important before restoration the teeth to clean debris, residue of prepared dentine, blood, bacteria, collagen denaturized by teeth preparation. Nowadays, the cavity cleanser that people used still having shortcoming, one of which is the lack of ability to clean the root canal of the smear layer. Purpose. The purpose of this study examines the difference of cavity cleaner between saponin of mangoosteen peel (GarciniaMangostana L.) and chlorhexidinegluconate 2%. Method. Eighteen upper first premolar divided into 3 groups, each of them consist three tooth. Forming the preparation tooth cavity then group 1 using aquadest for control group, group 2 using chlorhexidinegluconate 2%, and group 3 using saponin of mangoosteen peel (GarciniaMangostana L.). For rating cleanliness of the tooth cavity using a scale of cleanliness conducted under Scanning Electron Microscope. Result. There was a significant difference (p < 0.05) in One-Way ANOVA parametric test andpos hoc test between chlorhexidinegluconate 2 % and saponin of mangoosteen peel to the cleanliness of the tooth cavity. Conclusion.According to the result of the study, it can be concluded that saponin of mangoosteen peel (GarciniaMangostana L.) less effective for cleaning the tooth cavity than chlorhexidinegluconate 2%.
BULKFILL TECHNIQUES WITH INTERMEDIATE LAYER TO MARGINAL ADAPTATION RESTORATION OF CLASS II COMPOSITE RESIN Mochammad Raidjffan Zulkarnaen Tabona; Adioro Soetojo; Ira Widjiastuti
Conservative Dentistry Journal Vol. 11 No. 1 (2021): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v11i1.2021.32-37

Abstract

Background: Dental caries is a hard tissue disease caused by bacterial metabolic activity that causes demineralization, teeth that have caries should be filled in order to function again. One of the restorative materials closer to natural teeth is composite resin because it is the same colour as natural teeth and is easy to shape. As for the placement technique, bulkfill is also used because it is more time-efficient, and irradiation is accompanied by applying the restoration material in one batch. However, the bulkfill technique often causes micro-leakage of dental caries deposition. The intermediate layer is an intermediate layer used to prevent micro-leakage at the edges of the restoration as a base layer for restoration to create a good adaptation before applying packable composite resin. Therefore, bulkfill coating technique with the intermediate layer can reduce the risk of microleakage. Purpose: To describe the bulkfill technique with an intermediate layer against marginal adaptation with class II composite resin restorations. Review: The literature sources used in the preparation of the articles through several databases with descriptions. More journals say that micro-leakage in class II cavity deposition with the intermediate layer technique is better than the bulkfill technique because the intermediate layer technique has better bond strength than the bulkfill technique. If the Bulkfill technique is modified with the Intermediate layer technique, it can show good correlation and internal adaptation. Conclusion: Bulkfill technique with an intermediate layer against marginal adaptation with class II composite resin restorations can reduce the microleakage rate by reducing the polymerization's shrinkage strain.
Comparison Adhesive strength of Resin Composite between Total-etch and Self-etch Techniques on Enamel After Fluoride Application Widya Saraswati; Adioro Soetojo; Yasmin Tasya Brilyanti
Conservative Dentistry Journal Vol. 11 No. 1 (2021): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v11i1.2021.38-41

Abstract

Background : White Spot Lesion (WSL) is caused by Streptococcus Mutan which causes demineralization of teeth. One of the treatments of WSL is topical application of fluoride which aims to remineralize the teeth. However, if topical fluoride treatment does not give satisfactory results, alternative treatments can be made using restorative treatments, one of which is veneers. The procedure for applying veneers requires the application of an adhesive system. The adhesive system used to apply veneers is self-etch and total-etch. Several references state that the application of fluoride which aims to remineralize teeth can influence the adhesiv strength of the restorative material using self etch and total-etch techniques. Purpose : To determine the effect of composite resin adhesion strength between total-etch and self etch techniques on enamel after fluoride application. Review : Literature sources used in the preparation of the article through several databases with descriptions of the effects of fluoride application before total-etch and/or self etch administration. From the existing references, it was found that the application of fluoride before the total-etch system had a less significant effect on the adhesiv strength. Whereas in the self etch system, fluoride application has a significant effect on the adhesiv strength. Conclusion : More references say that the application of fluoride before the total-etch system has a better adhesive strength than the application of fluoride before the self etch system
DISCOLORATION OF NANOHYBRID AND NANOFILLER RESIN COMPOSITES AFTER EXPOSURE TO TURMERIC Yasmin Safira Virgiani; Adioro Soetojo; Nanik zubaidah
Conservative Dentistry Journal Vol. 11 No. 1 (2021): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v11i1.2021.46-49

Abstract

Background: Recently, the demand of aesthetic restorative has greatly increased and enchourages the development of composite resin material. The latest technology of composite is nanohybrid and nanofiller composites. However, color stability of nanohybrid and nanofiller resin composites can be influence by intrinscic and (or) extrinsic factor. Intrinsic factor depends on the composition on the resin composite and extrinsic factor such as colored food and beverages. Turmeric as a food ingredients, that is often consumed by Indonesians can cause discoloration in composites, because it contains the active pigment curcuminoid. The discoloration of nanohybrid and nanofilles composites can caused by the process of water sorbstion and curcumin particles. Purpose: Explain the discoloration of nanohybrid and nanofiller resin composites after exposure to turmeric and the factor that influence. Review(s): The reaction between the curcumin contained in turmeric and nanohybrid as well as nanofiller composites can cause discoloration in both composites. One of the reasons behind the discoloration on composite resin is that the composite resin can absorb water and its substances are carried by the water. Discoloration of composites was influence by the concentration of turmeric solution, pH of the solution, finishing and polishing process, temperature, time of exposure, composition of filler and matrix. Conclusion: Turmeric as an extrinsic factor can cause color changes in nanohybrid and nanofiller composites (ΔE>3,3), where the level of color change can be obtained by intrinsic factors, such as composition of filler and matrix, and other extrinsic factors.
Microleakage Difference of Self-Adhering Flowable Composite and Flowable Composite After Sitric Acid Immersion Widya saraswati; Adioro Soetojo; Veda Sahasika Azaria Nariswari; Annisa Salsabila Andika Putri; Sekar Firdhea Rizkifa Soetanto
Conservative Dentistry Journal Vol. 11 No. 2 (2021): July - December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v11i2.2021.89-92

Abstract

Background: Flowable composite (FC) is a composite that has low viscosity so that it can flow to the cavity. Selfadhering flowable composite (SAC) is a type of flowable composite which is applied without the stages of etching and bonding because it has an acid monomer. Degradation in the oral cavity such as exposure to acidic fluid and changes in temperature can result in microleakage between the restoration and the cavity wall which can cause secondary caries, and hypersensitivity. Purpose: To prove the difference of microleakage between self-adhering flowable composite (SAC) and flowable composite (FC) after immersed in citric acid. Methods: 28 bovine incisors were cleaned and soaked with 0.01% thymol then divided randomly into 4 groups, groups 1 and 2 are immersed in citric acid with SAC restoration and FC restoration. Groups 3 and 4 are SAC and FC material control groups. All groups were prepared class V with cylindrical shapes. Groups 1 and 2 were treated with thermocycling from 5o and 55o C for 120 cycles and immersed in 3364 ppm citric acid for 24 hours. All groups were immersed in 2% methylene blue for 24 hours, then buccolingual cut for 1 mm. Evaluation of microleakage was seen by the amount of color that entered between the restoration wall and the cavity using a 40x magnification Digital Microscope. Test data analysis using the Kruskal Wallis and Mann Whitney U. Results: Significant differences were found between SAC and FC. Significant differences were also obtained from SAC compared with the SAC control group. Whereas in the comparison between FC and FC control group no differences were found. Conclusion: Microleakage SAC is bigger than FC and SAC control group, but FC has no difference with FC control group.