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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.
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.
PENGGUNAAN MYLAR MATRIX PADA RESTORASI KELAS III KOMPOSIT POST PERAWATAN INDIRECT PULP CAPPING: LAPORAN KASUS Dania, Ayu Rahma; Nurdin, Denny
Jurnal Kesehatan Gigi dan Mulut (JKGM) Vol 6 No 2 (2024): Jurnal Kesehatan Gigi dan Mulut (JKGM)
Publisher : Jurusan Kesehatan Gigi, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkgm.v6i2.2383

Abstract

ABSTRAK Latar Belakang: Keberhasilan restorasi direk komposit pada zona estetik memerlukan pemahaman komprehensif mengenai anatomi gigi, ilmu tentang warna dan material. Aspek paling menantang yaitu mendapatkan kontur yang tepat dan kontak proksimal yang rapat. Mylar matrix umum digunakan pada restorasi kelas III dan IV komposit yang dapat membantu mencapai kontur anatomi estetik yang ideal. Laporan kasus ini bertujuan memaparkan penggunaan Mylar matrix pada restorasi kelas III komposit post perawatan indirect pulp capping.. Laporan Kasus: Pasien perempuan usia 48 tahun datang dengan keluhan gigi berlubang pada kiri depan rahang atas dan terasa ngilu saat minum dingin, namun keluhan hilang saat stimulus dihilangkan. Pasien didiagnosis mengalami reversible pulpitis gigi 23, lalu dirawat dalam 3 kali kunjungan dengan restorasi kelas III komposit disertai aplikasi bahan pulp capping. Pada tahapan restorasi, Mylar matrix digunakan untuk membantu membentuk kembali kontur gigi tersebut. Pembahasan: Mylar matrix digunakan pada restorasi komposit untuk membentuk dinding sementara saat permukaan proksimal gigi telah hilang. Matriks ini dapat membantu penempatan dan pembentukan bahan restorasi. Mylar matrix menawarkan keunggulan dalam kemudahan penggunaannya, tersedia secara luas, murah, membantu penyelesaian restorasi dalam waktu yang cepat, dan hasil yang baik. Kesimpulan: Perawatan kasus pulpitis reversible dengan lesi karies dalam dengan indirect pulp capping dilanjutkan restorasi kelas III komposit dengan penggunaan Mylar matrix pada prosedurnya terbukti berhasil. Vitalitas pulpa terjaga tanpa keluhan subjektif dan pasien puas dengan hasil restorasi secara keseluruhan. Kata kunci : Mylar matrix, restorasi kelas III komposit, indirect pulp capping ABSTRACT Background: The success of direct composite restorations in the esthetic zone requires a comprehensive understanding of tooth anatomy, color and material. The most challenging aspect is getting the contour right and the proximal contact tight. Mylar matrix is ​​commonly used in class III and IV composite restorations that helps to achieve ideal aesthetic anatomical contours. This case report aims to explain the use of Mylar matrix in Class III composite restorations post indirect pulp capping treatment. Case Report: A 48 year old female patient came with complaints of cavities in the left front of the upper jaw and felt sore when drinking cold drinks, but the complaints disappeared when the stimulus was removed. Patient was diagnosed with reversible pulpitis of tooth 23, and was treated in 3 visits with a class III composite restoration accompanied by the application of pulp capping material. At the restoration stage, Mylar matrix is ​​used to reshape the contour of the tooth. Discussion: Mylar matrix is ​​used in composite restorations to form a temporary wall when the proximal surface of the tooth has been lost. This matrix can assist in the placement and shaping of restorative materials. Mylar matrix offers advantages in ease of use, widely available, cheap, helps complete restorations in a fast time, and good results. Conclusion: Treatment of cases of reversible pulpitis with deep carious lesions with indirect pulp capping followed by class III composite restorations using Mylar matrix in the procedure has proven successful. Pulp vitality was maintained without subjective complaints and the patient was satisfied with the overall results of the restoration. Key words: Mylar matrix, class III composite restoration, indirect pulp capping
Administration of lidocaine 2% in endodontic treatment of irreversible pulpitis case of right lower back tooth: Pemberian lidokain 2% pada perawatan endodontik kasus pulpitis irreversibel gigi belakang bawah kanan Hasanah, Nisrina Rufaidah; Nurdin, Denny
Makassar Dental Journal Vol. 14 No. 1 (2025): Volume 14 Issue 1 April 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i1.1201

Abstract

Irreversible pulpitis and root canal treatment (RCT) are conditions that can cause pain. Local anaesthesia is one of the ways to manage pain. However, pulpitis patients often experience anaesthetic failure despite using various types of anaesthetic agents. A 32-year-old woman came to RSGM Unpad with complaints of a large hole in the right lower back tooth. The examination showed that tooth 45 had asymptomatic irreversible pulpitis with normal apical tissue so it was necessary to do RCT. Before treatment, the patient was anaesthetised with buccal and intrapulpal infiltration using lidocaine 2%, epinephrine 1:80,000. It was concluded that the administration of 2% lidocaine epinephrine 1:80,000 before RCT in a patient with AIP performed quickly, efficiently, without any side effects. During treatment, the patient did not complain of pain and comfortably accepted each stage of treatment.
PERAWATAN EKSTIRPASI VITAL KASUS PULPITIS IRREVERSIBLE SIMTOMATIK PADA GIGI ANTERIOR RAHANG ATAS KIRI Pangestu Mulyadi, Ditya Puteri; Nurdin, Denny
Jurnal Kesehatan Gigi dan Mulut (JKGM) Vol 7 No 1 (2025): Jurnal Kesehatan Gigi dan Mulut (JKGM)
Publisher : Jurusan Kesehatan Gigi, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkgm.v7i1.2596

Abstract

Latar Belakang: Pulpitis irreversible merupakan kondisi inflamasi pada jaringan pulpa dimana pulpa tidak dapat kembali ke keadaan semula. Pengambilan seluruh jaringan pulpa yang terinfeksi merupakan salah satu prosedur penting pada perawatan kasus pulpitis irreversible. Pengambilan awal jaringan pulpa vital atau yang biasa dikenal dengan ekstirpasi vital, bertujuan untuk mengangkat pulpa gigi yang terinfeksi sehingga mencegah infeksi ulang. Ekstirpasi vital, khususnya pada kasus pulpitis irreversible simtomatik, juga berfungsi dalam mengendalikan rasa sakit dengan menghilangkan serabut saraf nosiseptif pada pulpa. Kasus: Pasien perempuan berusia 22 tahun datang dengan keluhan gigi depan rahang atas kiri berlubang sejak 7 tahun yang lalu. Terdapat riwayat nyeri spontan yang masih sering dirasakan oleh pasien. Berdasarkan hasil pemeriksaan, ditegakkan diagnosis pulpitis irreversible simtomatik disertai periodontitis apikalis simtomatik gigi 21. Rencana perawatan kasus adalah perawatan saluran akar gigi 21 dengan ekstirpasi vital. Tatalaksana: Perawatan saluran akar dimulai dengan teknik infiltrasi palatal gigi 21 menggunakan lidokain 2% dengan epinefrin 1:80.000. Selanjutnya dilakukan preparasi akses kavitas diikuti dengan ekstirpasi vital menggunakan barbed broach. Perawatan dilanjutkan dengan preparasi kemomekanis (teknik crown down), aplikasi medikamen Ca(OH)2, dan obturasi saluran akar. Kesimpulan: Ekstirpasi vital dan perawatan saluran akar masih menjadi gold standard perawatan kasus pulpitis irreversible simtomatik, dimana perawatan ini menunjukkan tingkat keberhasilan yang tinggi baik dalam pengurangan rasa sakit maupun keberhasilan perawatan dalam jangka panjang.
Anestesi infiltrasi labial-palatal dalam perawatan saluran akar pulpitis irreversibel asimtomatik Suryanto, Shenny Shefira; Nurdin, Denny
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 11, No 1 (2025)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.105384

Abstract

Anestesi infiltrasi labial-palatal merupakan teknik yang efektif untuk memastikan blokade nyeri selama perawatan saluran akar pada gigi anterior maksila. Pulpitis irreversibel asimtomatik tetap memerlukan anestesi yang optimal untuk menghindari ketidaknyamanan selama prosedur, terutama pada tindakan yang melibatkan aspek palatal. Infiltrasi labial saja sering kali tidak mencukupi, sehingga infiltrasi palatal diperlukan untuk menghambat transmisi nyeri dari saraf nasopalatina. Seorang pasien laki-laki berusia 34 tahun datang dengan keluhan gigi depan kiri atasnya berlubang berwarna kehitaman. Pemeriksaan klinis dan radiografis menunjukkan pulpitis irreversibel asimtomatik dengan periodontitis apikalis asimtomatik pada gigi 22. Perawatan saluran akar dilakukan secara multivisit dengan teknik crown-down, diawali dengan anestesi infiltrasi labial dan palatal menggunakan lidokain 2% dengan epinefrin 1:80.000. Kombinasi infiltrasi ini memastikan kontrol nyeri yang optimal dan memungkinkan prosedur berlangsung dengan nyaman dan tanpa hambatan. Hasil akhir menunjukkan tidak adanya keluhan pasca perawatan, serta radiografi memperlihatkan obturasi yang hermetis. Teknik anestesi infiltrasi labial-palatal terbukti memberikan anestesi yang lebih menyeluruh dibandingkan infiltrasi labial saja sehingga meningkatkan kenyamanan pasien dan mendukung keberhasilan perawatan saluran akar. Pemahaman yang baik mengenai teknik ini penting bagi klinisi untuk memaksimalkan efek anestesi dan meningkatkan kualitas perawatan endodontik.