Nirawati Pribadi
Faculty Of Dental Medicine, Universitas Airlangga, Surabaya

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The effects of propylene glycol addition in the combination of calcium hydroxide and propolis on compressive and flexural strength Mandojo Rukmo; Nirawati Pribadi; Elisa Kusuma Wardani; Sukaton; Belinda Belinda Meilani Perdana Putri
Conservative Dentistry Journal Vol. 12 No. 1 (2022): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i1.2022.32-37

Abstract

Background: The mechanical properties of pulp-capping materials may affect their resistance to fracture during placement of a final restorative material or while supporting an overlying restoration over time when the mastication process is carried out. The combination of calcium hydroxide and propolis as a pulp capping material has the weakness on mechanical properties so it is necessary to add another material to improve its mechanical properties. Propylene glycol is used as a vehicle because it improves its handling property. Purpose: To explain how the compressive and flexural strength of the pulp capping material in the combination of calcium hydroxide, propolis, and propylene glycol compared without adding of propylene glycol. Methods: The study used 4 treatment groups with each group consisting of 7 replications. Control group is a combination of calcium hydroxide-propolis with a ratio of 1: 1.5, group 1 is a combination of calcium hydroxide-propolis-propylene glycol 20% with a ratio of 1:1.5:0.375, group 2 is a combination of calcium hydroxide-propolis-propylene glycol 30% with a ratio of 1:1.5:0.375, and group 3 is a combination of calcium hydroxide-propolis-propylene glycol 30% with a ratio of 1:1.5:0.375. Materials were mixed according to comparison and printed on a cylindrical mold with the size of 4 mm x 6 mm and a block mold with the size 65 mmx10 mmx6 mm. Then, the compressive and flexural strength was tested using an Autograph test instrument. Results: The statistical analysis was performed with ANOVA and Tukey HSD’s post-hoc test. There were statistically significant differences on compressive and flexural strength between groups (P<0.05). Conclusion: Addition of propylene glycol in the combination of calcium hydroxide and propolis have an influence of increasing of compressive and flexural strength, especially in the addition of 40% propylene glycol.
Complex Aesthetic Treatment of Patients with Multiple Caries Devi Eka Juniarti; Tamara Yuanita; Nirawati Pribadi; Tarsardo Marbun; Nadien Sekar Pramesti
Conservative Dentistry Journal Vol. 12 No. 1 (2022): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i1.2022.38-44

Abstract

Background: The need for dental esthetics is very important in recent years. Fulfilling aesthetic demands with both non-invasive and minimally invasive techniques can maintain tissue continuity. A 38 year old female patient came to the clinic with an esthetic complaint of maxillary anterior teeth. The following case report describes a step by step complex aesthetic treatment of a patient with multiple caries. Appealing aesthetic results will restore the patient's smile through restorative treatment in dentistry. Purpose: The purpose of this case report is to explain the management of complex aesthetic treatment of patients with multiple caries Case: A 38-year-old female patient complained her upper front teeth is turning black. The patient complained that her teeth had hurt ± 3 months ago and sometimes felt sore. The patient wants her teeth to be treated because she feels less confident when she smiles and wants to fix these teeth. The history of treatment on the tooth in question have had root canal treatment and been filled since 8 years ago. The tooth has had braces (orthodontic) treatment and was removed ± 7 years ago. The patient stated that she had no systemic health disorder. Case management : The treatment of this complex case were done using root canal treatment, endodontic retreatment, direct and indirect veneer, dowel, and crown. Conclusion: complex aesthetic treatment of patients with multiple were done aiming for good aesthetic result
Wound Healing Process of hemisection Lower Right 1st Molar Tooth After Administration of Silver Ion Water Sukaton; Nirawati Pribadi; Nurfahira Paidal; Bernadus Daniel
Conservative Dentistry Journal Vol. 12 No. 1 (2022): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i1.2022.49-52

Abstract

Background. Hemisection Is a procedure for amputation of roots and resection of teeth performed due to periodontal abnormalities involving bifurcation, abnormalities in one root, very deep gingival margin due to caries or fracture. Tooth extraction is a process of alveolar dental expenditure , where the teeth are no longer able to do the treatment again . After the extraction of one of the roots the tooth socket heals slowly. Some factors such as lack of blood supply, dehydration, exudate excess, or foreign bodies hamper socket healing. Silver Ion Water is liquid embedded with silver ion which is known to promote wound healing. This study utilizes silver ion water of 15 ppm concentrate. Purpose. To understand the process of wound healing after 1 root tooth extraction the water supply of silver ions Method. Marmot teeth removed , then the wound was given H2O2 for 3 days to make chronic inflammation . Samples were divided into 3 groups . Wounds of the control group were not given water silver ions , group 1 was given a silver ions water for 3 days , group 2 was given a silver ion water for 5 days . On day 8 , the socket is cut and fabricated plate HPA .Results . The number of fibroblasts , chronic inflammatory cells , blood vessels of the control group was 64 , 97 , 22 , group 1 was 84 , 78 , 31 , group 2 was 119 , 40 , 45 .Conclusion . Silver Ion Water shown to accelerate wound healing after one root extraction .
KEKASARAN PERMUKAAN RESIN KOMPOSIT NANOFILLER SETELAH PENYIKATAN DENGAN PASTA GIGI WHITENING DAN NON WHITENING Nirawati Pribadi; Cecilia G.J. Lunardhi; Aprodita Permata Y
Odonto : Dental Journal Vol 4, No 2 (2017): December 2017
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (354.532 KB) | DOI: 10.30659/odj.4.2.72-78

Abstract

Background: Improving the aesthetic needs of patients is followed by various improvement and development of aesthetic dentistry products. The aesthetic demand drives the patients to choose the type of restoration which has superiority on its aesthetic properties that is nanofller composite resin. This demand also causes the patients prefer to use whitening toothpaste which its abrasive materials allegedly cause surface roughness. Surface roughness of the restoration is one of the important factors that affect the durability of the restoration. High surface roughness causes the retention of plaque and dicoloration that will ultimately affect the aesthetic of the restoration itself. Objective: To determine the increase of surface roughness nanofller composite resin restorations after brushing with toothpaste whitening and non-whitening.Methods: 21 samples of nanofller composite resin, divided into 3 groups. Group 1 (control) brushed with distilled water, group 2 brushed with mixture of distilled water and whitening toothpaste, and group 3 brushed using mixture of distilled water and non-whitening toothpaste. Each group was brushed with a time of 30 seconds per day for two weeks (14 days). The measurements of surface roughness were taken before and after the samples were brushed.Results: There were an increase in the surface roughness of each groupafter brushing. The result showed that the highest value of increased surface roughness occured in group 2 (whitening toothpaste), while the lowest value occured in group 1 (control). There are also signifcant differences between the value of the increased surface roughness nanofller composite resin in each group.Conclusions: The increase of surface roughness of nanofller composite resin after brushing with a whitening toothpaste was higher than brushing with non whitening toothpaste
Zirconia crown restoration on endodontically treated first premolar: A case report Pribadi, Nirawati; Sylvia; Tri Maulinda, Wulan; Ciciliya
Conservative Dentistry Journal Vol. 12 No. 2 (2022): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i2.2022.73-76

Abstract

Background: Endodontic treatment failure is frequently caused by insufficient coronal sealing or crown restorations. In the longterm, this reduces the dental prognosis. A widely used restoration material that has outstanding mechanical properties is zirconia. Purpose:This report's aim is to describe the management of zirconia crown restorations on first premolars after endodontic treatment. Case: A 54-year-old male patient complained of a lump in the upper right gum area and had a restoration done, but it frequently came off. The patient needs immediate treatment with a longer-lasting restoration. Case Management: Endodontic treatment was completed in a single visit, and a zirconia crown was used as a permanent restoration Conclusion: Zirconia crown restorations on first premolars after endodontic treatment provide aesthetic and promising results.
In office dental bleaching with hydrogen peroxide: A case report Pribadi, Nirawati; Sylvia; Tri Maulinda, Wulan; Wahyu Nur Cahyani, Anggi
Conservative Dentistry Journal Vol. 12 No. 2 (2022): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i2.2022.82-85

Abstract

Background: Tooth discoloration has become an aesthetic issue that has a psychosocial impact on the majority of people. Dental bleaching is the most conservative preferred treatment for discolored teeth. Purpose: The aim of this case study is to report cases with in-office dental bleaching of maxillary and mandibular anterior teeth. Case: A 35-year-old woman complained about a yellowish tint on her upper jaw and front mandible, which made her feel self-conscious. Case Management: In-office dental bleaching performed using hydrogen peroxide and a desensitizing agent. Follow-up was taken, and the treatment results were satisfactory. Conclusion: In office dental bleaching is a treatment option to correct discolored teeth in a short time.
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

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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.)
Effects of hydroxyapatite bovine tooth graft (HAp-BTG) and polyethylene glycol (PEG) combinations in post extraction sockets on the amount of osteoid Zubaidah, Nanik; Wulandini, Raden Ajeng; Sa'adah, Nur Hikmatus; Arrianti, Tyas Ramadhini; Pribadi, Nirawati
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.v13i2.2023.56-59

Abstract

Background: One of the actions in the field of tooth conservation such as hemisection can result in changes, especially in hard tissue due to the extraction of tooth roots and part of the tooth crown. After tooth extraction, socket wound healing will occur which ends with the process of osteogenesis. This process can reduce the dimensions of the socket due to alveolar bone resorption. Socket preservation can prevent dimension reduction and bone resorption to achieve maximum treatment results. The administration of Hydroxyapatite bovine tooth graft (HAp-BTG) into the post-extraction socket is expected to increase the formation of osteoid matrix which is important in the formation of new bone. Purpose: Proving the effect of adding a combination of HAp-BTG and PEG into the post-extraction socket on increasing the number of osteoid. Methods: 32 wistar rats were divided into control and treatment groups. Then the lower left incisor was extracted, the post-extraction socket was filled with PEG for the control group and a combination of HAp-BTG and PEG for the treatment group. On the 14th and 28th day the wistar rats were terminated and the mandibles were taken to make tissue preparations. HE staining was performed on the samples and observing the extent of the osteoid using a microscope with 400x magnification. Results: There was a significant difference between the control group and the treatment group on the 14th and 28th days. Conclusion: Administration of a combination of HAp-BTG and PEG into the post-extraction socket increased the number of osteoid on the 14th and 28th days.
A retreatment of an endodontic tooth 25 with underfilled Cahyani, Febriastuti; Adita, Farah Rahmi; Rachmawati, Atika Nisaa; Haq, Addina Ainul; Fadila, Okta Mulia Nur; Cinantya, Aulia Dian; Pribadi, Nirawati
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.v13i2.2023.85-90

Abstract

Background: Cases of endodontic failure requiring retreatment are endodontic failure cases in which microorganisms in root canal are able to survive, causing inflammation and pain. Purpose: This research aims to carry out retreatment of teeth after endodontic treatment to maintain and improve its function. Case: Male patient (67 years) has suffered from pain when chewing and discolored upper left second premolar tooth since one year ago in 2022. Ten years ago in 2013, he got dental treatment for the tooth. The patient also has a history of controlled hypertension. Case management: Several stages were conducted in sequence, namely gutta percha removal from previous endodontic treatment, root canal re-preparation, irrigation sequence, dressing, and obturation with single cone technique. Conclusion: In this case, an indirect restoration in the form of a crown should have been conducted to obtain a good contact point. As a result, food retention occurred in the interdental area, and then microorganisms entered through the periodontal tissue, causing periodontal inflammation. The inflammation then spread apically until it entered one-third of the apical in root canal, resulting in periapical inflammation. Exposed dentinal tubules in the missing portion of cementum then cause bacterial invasion of the tubules and increase the possibility of damage to the pulp. Periodontal disease can progress apically and involve the apical foramen. In this case, an indirect crown restoration was used since the quality of the final restoration has an impact on the survival and success rate of the endodontically treated tooth. In conclusion, a well-sealed crown restoration will prevent the entry of microorganisms
Assessing the antibacterial efficacy of nano propolis concentrations on Streptococcus mutans Putra, Mohammad Gerald Athallah; Aulia, Zahra Maulida; Widjiastuti, Ira; Pribadi, Nirawati; Cahyani, Febriastuti
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.v14i1.2024.22-23

Abstract

Background: Dental caries is a common disease among the Indonesian population, with a prevalence of dental caries in Indonesia reaching 88.8%. Streptococcus mutans is one of the types of bacteria found in caries lesions. Nano propolis has antibacterial properties that can help inhibit the growth of Streptococcus mutans bacteria, reducing the risk of dental caries. Objective: This study aims to determine the effective concentration of nano propolis ranging from 2.5% to 0.625%. Methods: The research evaluates various concentrations of nano propolis, and the minimum concentration that inhibits the growth of Streptococcus mutans is observed using the colony count method. Results: The growth of Streptococcus mutans at a concentration of 2.5% nano propolis was 0, at 1.8% it was 6, at 1.25% it was 11.4, and at 0.625% it was 42. The positive control group containing BHIB media and Streptococcus mutans bacteria showed an average colony growth of 161. Conclusion: Nano propolis at a concentration of 1.25% is effective in inhibiting the growth of Streptococcus mutans.