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All Journal Dental Journal (Majalah Kedokteran Gigi) Conservative Dentistry Journal Indian Journal of Forensic Medicine & Toxicology
Adioro Soetojo
Department Of Conservative Dentistry, Faculty Of Dental Medicine, Universitas Airlangga
Dentistry Public Health

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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.
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.
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.
Epigallocatechin-3-gallate (EGCG) and tricalcium silicate (C_3 S) combination as an antibacterial agent against Enterococcus faecalis Ismiyatin, Kun; Cahyani, Febriastuti; Soetojo, Adioro; Widjiastuti, Ira; Pribadi, Nirawati; Nurkhalidah, Binar Najwa; Raftiani, Ardelia Sabrina; Pramesty, Azzahra Kinaya; Anindya, Cinitra
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.v15i1.2025.46-48

Abstract

Background: Dental caries affects 57.6% of the Indonesian population, with Enterococcus faecalis found in 80% of deep caries cases. Conventional materials used in vital pulp therapy (VPT), such as calcium hydroxide, have limitations including transient antibacterial action and poor sealing capacity. This prompts the exploration of alternative materials like epigallocatechin-3-gallate (EGCG), a polyphenol from green tea with antimicrobial activity, and tricalcium silicate (C₃S), a bioactive cement known for dentin regeneration potential. Purpose: This review evaluates the synergistic antibacterial potential of EGCG and C₃S combinations against E. faecalis, and assesses their feasibility as an alternative in VPT. Review: EGCG disrupts bacterial membranes, inhibits biofilm formation, and suppresses virulence factors, but lacks remineralization capability. Conversely, C₃S promotes dentin repair and creates an alkaline antibacterial environment, though its efficacy diminishes over time. Their combination compensates for each other’s limitations: EGCG enhances antimicrobial potency while C₃S provides long-term alkalinity and regenerative support. Conclusion: The EGCG–C₃S combination exhibits synergistic antibacterial and regenerative effects, offering a promising alternative to current VPT materials.
An aesthetic rehabilitation of fractured anterior maxillary teeth with multiple diastema Galih Sampoerno; Kezia Sepdwiningtyas Santoso; Agustina Restu Nurkhotimah; Karina Awanis Adla; Sri Kunarti; Adioro Soetojo; Nirawati Pribadi; Kun Ismiyatin
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.v15i2.2025.97-104

Abstract

Background: Aesthetic issues on anterior maxillary teeth often require comprehensive treatment due to both functional and psychological impacts. This case report highlights the clinical approach and management for anterior maxillary teeth with crown fracture and multiple diastemas through restorative aesthetic procedures. Purpose: To describe a clinical approach and restorative aesthetic management for a 37 year-old female patient with a crown fracture and multiple diastemas on the anterior maxillary teeth, aiming to restore aesthetics and function through a carefully planned dental treatment. Case(s): A 37 year-old female patient presented to RSGMP UNAIR with a chief complaint of fractured upper anterior teeth and a history of intermittent pain. The patient also reported concern about the spacing between her upper front teeth. The clinical examination revealed involvement of teeth 13, 12, 11, 21, 22, and 23. The patient had no previous dental treatment and no systemic health issues. Case Management: A detailed clinical and radiographic examination was performed, followed by a comprehensive treatment strategy targeting tooth elements 13, 12, 11, 21, 22, and 23. The management focused on restoring tooth structure, closing the diastema, and improving smile aesthetics. Conclusion: Aesthetic and functional rehabilitation of the anterior maxillary teeth was planned and carried out through an integrative restorative approach. The case emphasizes the importance of proper diagnosis dan treatment planning in managing complex aesthetic cases.
Co-Authors Agus Subiwahjudi Agustina Restu Nurkhotimah Annisa Salsabila Andika Putri Ari Subiyanto Bintang Adiguna Widjaja Cecilia G.J. Lunardhi Cinitra Anindya Devi Eka Juniarti Dian Pramita Ayu Kumalasari Dzulfikri, Ahzahra Indah Eresha Melati Kusuma Wurdani Fajariana Fitriani Febriastuti Cahyani Gabriela Kevina Alifen Galih Sampoerno Halima, Siti Noorraida Hendri Eko Wahyudi Ira Widjiastuti Ivan Salomo Sumarto Jayanti Rosha Karina Awanis Adla Karina Erda Saninggar Ketut Suardita, Ketut Kezia Sepdwiningtyas Santoso Kun Ismiyatin Lestari, Vita M. Mudjiono Maretha Siwinata Moch. Mudjiono Mochammad Raidjffan Zulkarnaen Tabona Mulia Rahmah Mulyadi, Reyz Pasenda N. Normayanti Nanik Zubaidah Nirawati Pribadi Nirawati Pribadi Nurkhalidah, Binar Najwa Pramesty, Azzahra Kinaya Putu Dewi Purnama Sari Budha Raftiani, Ardelia Sabrina Rahardia, Nabiela Sandra Kartika Sari Sekar Firdhea Rizkifa Soetanto Sinta Puspita Sri Kunarti Sri Kunarti Sri Kunarti, Sri Sylvia Tamara Yuanita Veda Sahasika Azaria Nariswari Wahab, Sofi Arnesti Widya Saraswati Yasmin Safira Virgiani Yasmin Tasya Brilyanti