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Influence of alcohol-containing mouthwash and alcohol-free mouthwash towards the hybrid composite restoration materials surface hardness Munawar, Adlina Hasna; Febrida, Renny; Nurdin, Denny
Padjadjaran Journal of Dentistry Vol 25, No 3 (2013): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.685 KB) | DOI: 10.24198/pjd.vol25no3.15574

Abstract

Mouthwash is widely used by the community to maintain oral health. Beside the benefit provided, both alcohol-containing mouthwash and alcohol-free mouthwash have negative effects on the composite resin restorative materials, which can affect the surface hardness. One of composite types is hybrid type which is superior in physical and mechanical properties as a restorative material. The aim of this study was to determined the effect of alcohol-containing mouthwash and alcohol-free mouthwash towards the surface hardness of hybrid composite restorative material. This study used 15 disc-shaped specimens of hybrid composite with the size of 6 mm diameter and 4 mm thickness and divided into three treatment groups immersion, in the alcohol-containing mouthwash (A), alcohol-free mouthwash (B), and artificial saliva (C) as control for 12 hours, which surface hardness was further tested using Vickers hardness test. The mean of hardness values of group: A 24.9 VHN; B: 27.2 VHN; and C: 28.4 VHN. The results of statistical tests One-Way ANOVA showed there were significant differences in the hardness values among the three treatment groups (p<0,05). From this study concluded that both alcohol-containing mouthwash and alcohol-free mouthwash were decreasing the surface hardness of hybrid composite restorative material.
Perbedaan Kebersihan Sepertiga Apikal Saluran Akar yang Diirigasi Sodium Hipoklorit 2.5% antara Teknik Non Agitasi dan Agitasi Manual Dinamik Nurisawati, Irene Mariani; Muryani, Anna; Nurdin, Denny
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (602.852 KB) | DOI: 10.24198/jkg.v29i3.15948

Abstract

Pendahuluan: Teknik agitasi manual dinamik adalah sebuah metode agitasi menggunakan gutta percha yang dapat membantu irigan untuk mengalir lebih jauh ke bagian apikal saluran akar sehingga pembersihan saluran akar lebih baik. Tujuan penelitian ini adalah untuk mengetahui perbedaan kebersihan sepertiga apikal saluran akar yang diirigasi sodium hipoklorit 2.5% antara teknik non agitasi dan teknik agitasi manual dinamik. Metode: metode penelitian pada kelompok non agitasi (A) yaitu sampel diirigasi menggunakan sodium hipoklorit 2.5% sebanyak 18 ml. Pada kelompok agitasi manual dinamik (B), gutta percha digerakkan dengan gerakan dorong dan tarik sedalam panjang kerja sebanyak 200 kali dengan total irigasi menggunakan sodium hipoklorit 2.5% sebanyak 18 ml. Sampel adalah 30 gigi insisif sentral rahang atas. Sampel difoto menggunakan mikroskop stereo dengan pembesaran x16. Foto sampel dinilai dengan teknik skor Wu & Wesselink lalu diuji menggunakan uji t dua sampel bebas. Hasil: Hasil penelitian menunjukkan nilai signifikansi 0.002 ( α = 0.05). Rata-rata nilai debris kelompok non agitasi adalah 0.121 dan agitasi manual dinamik 0.055. Simpulan: Terdapat perbedaan signifikan antara kelompok A dan kelompok B, dimana teknik agitasi manual dinamik membersihkan sepertiga apikal saluran akar lebih baik dibandingkan teknik non agitasi.Introduction: Dynamic manual agitation techniques are agitation method using a gutta-percha that able to help irrigants to flow further into the apical part of the radicular canal thus makes the root canal cleansing better. The purpose of this study was to determine the difference of the one-third apical radicular canal hygiene irrigated with non-agitation and dynamic manual agitation techniques using 2.5% sodium hypochlorite. Methods: The group with non-agitation treatment (Group A) was irrigated using as much as 18 ml of 2.5% sodium hypochlorite. Whilst in the group with dynamic manual agitation treatment (Group B), the gutta-percha was driven with a push and pull motion for as long as 200 hours of total working, with total irrigation using as much as 18 ml of 2.5% sodium hypochlorite. The sample was 30 maxillary central incisors. Samples were photographed using a stereomicroscope with 16 times magnification. The sample images were assessed with the Wu & Wesselink score technique, then tested using the two-sample t-test. Results: The result of the research showed a significance value of 0.002 (α = 0.05). The average debris value of the non-agitation group was 0.121, and 0.055 for the dynamic manual agitation group. Conclusion: There was a significant difference between group A and group B, where manual dynamic agitation technique cleansed the radicular one-third apical better than non-agitation technique.
Sodium Alginat sebagai Controlled Release Mikroenkapsulasi Chlorhexidine 2% untuk Alternatif Dressing Saluran Akar Gigi Denny Nurdin
Indonesian Journal of Applied Sciences Vol 1, No 3 (2011)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/ijas.v1i3.1879

Abstract

Chlorhexidine in various concentrations has been recommended as a root canal irrigation and medicament of infected teeth. Intracanal medicament should remain stable in solution and remain active despite being contaminated by blood, serum and tissue protein derivates. A way is needed to protect the medicament from the influence of the root canal environtment, that is by encapsulating the root canal medication. Coating materials used must be biocompatible and biodegradable, one of which is sodium alginate. In this research, microcapsules of sodium alginate with chlorhexidine as an active compounds were manufactured using sol-gel and emulsion method, and a crosslink menthod between sodium alginate and calcium nitrate.  The purpose of this study was to analyze the ability of sodium alginate as a controlled release of encapsulated active compound chlorhexidine 2% who has micro size in order to work in the root canal tooth and analyze the release rate. Research conducted at the Material Processing Laboratory Engineering Physics Institut Teknologi Bandung. The results showed that based on SEM obtained microcapsule size ranging from 0.3 μm - 5μm and by using UV-Vis characterization of the release rate is known is 0.03% per minute. The conclusions of this study was sodium alginate has the ability to encapsulate the active compound chlorhexidine 2% in micro size.****Chlorhexidine dalam berbagai konsentrasi telah direkomendasikan sebagai bahan irigasi dan obat saluran akar gigi yang terinfeksi. Obat saluran akar harus tetap stabil dalam larutan dan tetap aktif meskipun terdapat darah, serum dan derivat protein jaringan. Diperlukan suatu cara untuk melindungi obat saluran akar dari pengaruh lingkungannya yaitu dengan cara mengenkapsulasi obat saluran akar tersebut. Bahan penyalut yang digunakan harus bersifat biocompatible dan biodegradable yang salah satunya adalah sodium alginat. Pada penelitian ini dilakukan pembuatan mikrokapsul sodium alginat dengan senyawa aktif chlorhexidine 2 % menggunakan metode sol-gel dan emulsi serta metode crosslink antara sodium alginat dan kalsium nitrat.Tujuan penelitian ini adalah untuk  menganalisis kemampuan sodium alginat sebagai controlled release dari enkapsulasi senyawa aktif chlorhexidine 2% yang mempunyai ukuran mikro agar dapat bekerja dalam saluran akar gigi dan menganalisis release rate-nya.Penelitian dilakukan di Laboratorium Proses Material Teknik Fisika Institut Teknologi Bandung. Hasil penelitian menunjukkan bahwa berdasarkan karakterisasi SEM didapatkan ukuran mikrokapsul berkisar antara 0,3µm – 5µm dan dengan menggunakan karakterisasi UV-Vis diketahui release ratenya adalah 0,03% permenit. Simpulan dari penelitian ini adalah sodium alginat memiliki kemampuan untuk mengenkapsulasi senyawa aktif chlorhexidine 2% dalam ukuran mikro.
Perbedaan kebersihan sepertiga apikal saluran akar yang diirigasi sodium hipoklorit 2,5% dengan teknik non agitasi dan agitasi manual dinamikDifferences of one-third radicular apical cleanliness irrigated with non-agitation and manual dynamic agitation technique using 2,5% sodium hypochlorite Irene Mariani Nurisawati; Anna Muryani; Denny Nurdin
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (602.852 KB) | DOI: 10.24198/jkg.v29i3.15948

Abstract

Pendahuluan: Teknik agitasi manual dinamik adalah sebuah metode agitasi menggunakan gutta percha yang dapat membantu irigan untuk mengalir lebih jauh ke bagian apikal saluran akar sehingga pembersihan saluran akar lebih baik. Tujuan penelitian ini adalah untuk mengetahui perbedaan kebersihan sepertiga apikal saluran akar yang diirigasi sodium hipoklorit 2,5% antara teknik non agitasi dan teknik agitasi manual dinamik. Metode: Jenis penelitian yang dilakukan uji eksperimental semu. Sampel terdiri 30 gigi insisif sentral rahang atas terbagi 2 kelompok yaitu kelompok non agitasi (A) dan agitasi manual dinamik (B). Pada kelompok (B), gutta percha digerakkan dengan gerakan dorong dan tarik sedalam panjang kerja sebanyak 200 kali dengan total irigasi. Semua sampel diirigasi menggunakan sodium hipoklorit 2,5% sebanyak 18 ml. Sampel difoto menggunakan mikroskop stereo dengan pembesaran 16 kali. Foto sampel dinilai dengan teknik skor Wu & Wesselink lalu diuji menggunakan uji t dua sampel bebas. Hasil: Rata-rata nilai debris kelompok non agitasi adalah 0,121 dan agitasi manual dinamik 0,055, nilai signifikansi 0,002 (α=0,05). Simpulan: Terdapat perbedaan signifikan antara irigasi dengan menggunakan teknik non agitasi dan agitasi manual dinamik.Kata kunci: Agitasi manual dinamik, teknik non-agitasi, sodium hipoklorit 2,5%. ABSTRACTIntroduction: Dynamic manual agitation technique is an agitation method using the gutta-percha that able to help irrigants to flow further into the apical part of the radicular canal thus makes the root canal cleansing better. The purpose of this study was to determine the difference of radicular one-third apical hygiene irrigated with non-agitation and manual dynamic agitation technique using 2,5% sodium hypochlorite. Methods: The research type was quasi-experimental. The sample consisted of 30 maxillary central incisors divided into two groups, namely the non-agitation group (A) and dynamic manual agitation (B). In group (B), gutta-percha was delivered with a total of 200 push-pull strokes. All samples were irrigated using 18 ml of 18% sodium hypochlorite. Samples were photographed using a stereo microscope with a magnification of 16 times. Photographs of samples were assessed with Wu & Wesselink score techniques then tested using the two free samples t-test. Result: The average debris value of the non-agitation group was 0.121, and dynamic manual agitation was 0.055, with the significance value of 0.002 (α = 0.05). Conclusion: There was a significant difference between non-agitation and manual dynamic agitation irrigation technique.Keywords: Manual dynamic agitation technique, non-agitation technique, 2.5% sodium hypochlorite.
Clustering Mikrokapsul Silika-Chlorhexidine 2% Menggunakan Kitosan dan Sodium Alginat Denny Nurdin; Angga Hudaya; Bambang Sunendar
Jurnal Material Kedokteran Gigi Vol 1 No 2 (2012): JMKG Vol 1 No 2 September 2012
Publisher : Ikatan Peminat Ilmu Material dan Alat Kedokteran Gigi (IPAMAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (335.659 KB)

Abstract

Enterococcus faecalis is a leading cause of persistent bacterial infection of the root canal. These bacteria have the ability to invade dentinal tubule penetration making it difficult to eliminate root canal medications. Dentinal tubules are so small between 1-3μm. Microencapsulation of the root canal medicament with a size less than 1μm is expected to be the way out to solve this problem. In this study used sodium silicate as a precursor and chlorohexidine 2% as a root canal the encapsulated drug. The method used is the sol gel Stober process. Clustering using chitosan and alginate materials made to microencapsulation chlorhexidine 2% in higher numbers. The purpose of this study was to obtain silica microcapsules with chlorhexidine 2% of active compound which is less than 1 μm homogeneously with chlorhexidine 2% of the active compound is encapsulated in greater numbers. The results showed that the sequence and composition of the chitosan-alginate affects the formation of clusters, the best results obtained on the composition of the cluster formation of chitosan 2% as much as 6% volume and 0.5 M alginate 2% volume, with an average cluster size of 0.7 μm
Modifikasi Waktu Aging dan Konsentrasi Kitosan pada Enkapsulasi Mikrokapsul Silika-Chlorhexidine 2% untuk Aplikasi Drug Delivery Root Canal Treatment Denny Nurdin; Enggar Dwi Kusuma; Bambang Sunendar Purwasasmita
Jurnal Teknologi Bahan dan Barang Teknik Vol 4, No 2 (2014)
Publisher : Center for Material and Technical Product

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (569.832 KB) | DOI: 10.37209/jtbbt.v4i2.47

Abstract

The rising complexity and needs of healthcare nowadays is demanding the science and engineering to bring out the new concept of health treatment that enabled more effective drug administration. Silica, known as one of the most potential resources in Indonesia even in the whole world, can cope with poor temperature and chemical stability limitations. Silica has a good compatibility and stability which can lead it to be a promising material to encapsulate bioactive or drug and effectively deliver them to human body. The used of sodium silicate as precursorwass intended to encapsulate the active substance, in this case was chlorhexidine 2%. The encapsulation was done by Stober process. By Stober process it is possible to produce spherical and monodispersed nanoparticles with controlable particle size and drug release rate in ambient temperature. This study was purposed to generate approximately 1 µm sized microcapsules of silica containing chlorhexidine digluconate 2% encapsulated with alginate and chitosan. Microcapsules were intended to be used in medicament root canal treatment. The Stober process was modified with aging time and consentration of chitosan solution to control the size of microcapsules. Varied aging times are 72 hours, 36 hours, 24 hours, 8 hours, and 4 hours. The most suitable modified result, which was 4 hours aging time with 100-500 nm particle size then soaked in chlorhexidine 2% and combined with alginate and chitosan in ratio 6% :2% to form clustered encapsulated microcapsule under 1 µm in size. The characteristics of microcapsules were observed by scanning electron microscopy, FTIR spectroscopy. The release rate of encapsulated active substance observed was forty minutes longer than the non-encapsulated, by UV-Visible spectroscopy. Perkembangan kehidupan manusia telah menuntut ilmu pengetahuan dan teknologi untuk menemukan cara terbaru bagi perawatan kesehatan dan teknik penyaluran obat. Silika sebagai sumber daya mineral terbesar di Indonesia bahkan di dunia berpotensi sebagai material yg dapat menyalurkan zat aktif ke dalam tubuh tanpa batasan efektivitas karena pengaruh suhu ataupun kestabilan kimia bahan itu sendiri. Pada penelitian ini dilakukan enkapsulasi zat aktif chlorhexidine 2% melalui proses Stober agar partikel yang dihasilkan berbentuk spherical dengan ukuran yang dapat dikontrol dan terdispersi secara merata. Sodium silikat digunakan sebagai precursor. Mikrokapsul yang dihasilkan ditujukan untuk perawatan saluran akar gigi. Proses Stober dilakukan dengan variansi waktu aging dan konsentrasi kitosan sebagai dispersan untuk mengontrol ukuran partikel. Waktu aging bervariasi mulai 72 jam, 36 jam, 24 jam, 8 jam, dan 4 jam. Dari variasi waktu aging, mikrokapsul terbaik akan dilakukan impregnasi chlorhexidine 2% dan dienkapsulasi dengan 6% kitosan 2% dan 2% alginat 0,5% sehingga didapatkan mikrokapsul dengan ukuran kurang dari 1 µm. Pada hasil sintesis kemudian dilakukan karakterisasi SEM, dan FTIR. Melalui UV-Vis diketahui waktu aktifdari zat aktif bertambah 40 menit dengan enkapsulasi.
Penggunaan Zinc Oxide Eugenol Sebagai Sealer Pada Perawatan Saluran Akar Gigi 11: Laporan Kasus Muhammad Arib Rafi; Nurdin, Denny
Media Kesehatan Gigi : Politeknik Kesehatan Makassar Vol 23 No 1 (2024): Juni 2024
Publisher : Jurusan Keperawatan Gigi Poltekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/mkg.v23i1.576

Abstract

Irreversible pulpitis is a condition that indicates that the inflamed pulp cannot heal, so it requires treatment in the form of root canal treatment. The success of root canal treatment depends on the process of cleaning, shaping and sealing the root canal. To obtain a good seal, obturation materials such as gutta-percha and sealer are used. The function of the sealer is to fill the space between the gutta-percha and the root canal wall. Zinc oxide eugenol is one of the most commonly used sealer materials because it has antimicrobial effects, is radiopaque, easy to obtain and apply, and is economical. This case report reports a 24 year old female patient who came with complaints of cavities in her front teeth since 1 year ago. Based on the examination results, the patient's diagnosis was irreversible asymptomatic pulpitis with normal apical tissue of tooth 11. The treatment carried out was root canal treatment on tooth 11. The results of the treatment showed that zinc oxide eugenol could be a good sealer and did not cause abnormalities in the periapical tissue.
Mixture of Indonesian White Portland Cements, Bi2O3, and Light Cured Methacrylate-based resin as a potential candidate for pulp capping material Nurdin, Denny; Simanjuntak, Beactris Lamria; Farah Adang, Rahmi Alma; Cahyanto, Arief
Padjadjaran Journal of Dentistry Vol 35, No 1 (2023): March 2023
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no1.43207

Abstract

ABSTRACT Introduction: The bioactivity property of pulp capping materials is determined by the hydroxyl ion release ability, which may alter the environmental pH to become alkaline. Calcium silicate-based materials are antibacterial, able to induce reparative dentin and have a good bacteria-tight seal. The poor handling of calcium silicate-based materials can be overcome by adding resin, so the materials will be easier to handle. Therefore, the purpose of this study was to synthesize a mixture of Indonesian White Portland  Cements, Bi2O3, Light Cured Methacrylate-based Resin and analyze its hydroxyl ion release ability. Methods: The study wasquasi experimental. Sample in this research is the Indonesian White Portland Cements. The Indonesian White Portland Cements, Bi2O3 mixture was prepared using the simple solution method and mixed with Light Cured Methacrylate-based Resin. Population was WPC, Bi2O3 and light cured methacrylate-based resin. The sample’s ability to release hydroxyl ions was measured using a calibrated pH meter and titration test 60, 120, 180 and 320 minutes. Analyzed Results: This study showed that the mixture of Indonesian White Portland Cements, Bi2O3, Light Cured Methacrylate-based  Resin had an initial pH of 11.04 and increased to its peak on 168 hours mark, or on day seven, to pH 11,77 with hydroxyl ion release value of 10-2.23 Conclusions: The mixture of Indonesian White Portland Cements, Bi2O3, Light Cured Methacrylate-based Resin has an alkaline pH, is able to release hydroxyl ion and has a potential candidate for pulp capping material.Keywords :Indonesia white portland cements, Bi2O3, light cured methacrylate-based resin, hydroxyl ion release ability
Combination of irrigation solutions in root canal treatment: Kombinasi larutan irigasi dalam perawatan saluran akar gigi Destira, Nisya; Nurdin, Denny
Makassar Dental Journal Vol. 13 No. 3 (2024): Volume 13 Issue 3 Desember 2024
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v13i3.1040

Abstract

Irrigation is an important stage to support the success of root canal treatment. Some irrigation solutions commonly used in root canal treatment include NaOCl and EDTA. This article describes the use of a combination of 5.25% concentration NaOCl and 17% EDTA irrigation solution in root canal treatment of tooth 21. A 20-year-old female presented for treatment of a broken left upper front tooth. Clinical examination showed positive vitality and percussion tests while the palpation test was negative; there was a picture of thickening of the lamina dura and periodontal ligament on radiographic examination. The patient was diagnosed with asymptomatic irreversible pulpitis with symptomatic apical periodontitis. At the initial stage, cavitary access preparation, working length measurement, preparation using rotary instruments, irrigation with a combination of NaOCl and EDTA were performed, administration of medicament, and root canal filling was performed followed by composite resin restoration. It was concluded that the combination of NaOCl and EDTA irrigation solutions in the root canal treatment of tooth 21 showed good results.
Perawatan saluran akar teknik crown-down pada gigi anterior kiri rahang atas Sabiella, Herna Alvi; Nurdin, Denny
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 10, No 2 (2024)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.98863

Abstract

Perawatan saluran akar merupakan perawatan yang dilakukan dengan cara mengambil seluruh jaringan pulpa yang terinfeksi dari kamar pulpa dan saluran akar, kemudian saluran akar dibersihkan, dibentuk dan diisi dengan bahan pengisi saluran akar. Preparasi saluran akar merupakan salah satu tahapan yang penting dalam keberhasilan perawatan saluran akar. Teknik preparasi crown-down merupakan salah satu teknik yang digunakan untuk preparasisaluran akar. Teknik ini dilakukan dan diharapkan mampu memberikan hasil preparasi dan obturasi saluran akar yang hermetis. Seorang pasien perempuan berusia 24 tahun datang dengan keluhan gigi kiri depan rahang atas yang sudah ditambal sejak 9 tahun yang lalu berubah warna dan terlihat adanya bayangan hitam. Pemeriksaan menunjukkan gigi 21 mengalami nekrosis pulpa disertai periodontitis apikalis simtomatik. Rencana perawatan akan dilakukan perawatan saluran akar gigi 21. Perawatan saluran akar diawali dengan access opening, preparasi saluranakar dengan teknik crown-down menggunakan Protaper hand-use, dan obturasi dengan gutta percha Protaper F4. Preparasi saluran akar dengan teknik crown-down menggunakan Protaper hand-use menunjukkan hasil preparasi yang baik sehingga dihasilkan obturasi yang hermetis yang menunjang keberhasilan perawatan saluran akar.