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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.
Perawatan Saluran Akar dengan Teknik Step Back pada Gigi Depan Atas Sebelah Kanan : Laporan Kasus: Root Canal Treatment with Step Back Technique on the Right Upper Front Tooth : A Case Report Chanal, Izzati Chatyarianti; Nurdin, Denny
Bhakta Dental Journal Vol 3 No 1 (2025): Juni
Publisher : Fakultas Kedokteran Gigi IIK Bhakti Wiyata, Kediri.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56710/bhaktadent.v3i1.53

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Root canal treatment is a procedure to remove the infected pulp tissue from the tooth, then clean, fill, and seal it. The main steps are access preparation, cleaning and shaping, and obturation. One of the cleaning and shaping method is the step-back technique. This technique is the conventional technique performed by preparing the apical portion first. Step-back technique have its advantages such as more flaring in the coronal portion and more precise apical stop. This case report describes a 52-year-old male patient who came with a cavity in the upper right front tooth, the patient had felt a spontaneous pulses for one year, but the intensity had decreased. Radiographic examination showed the condition of the horizontal bone loss approximately 2 mm in the alveolar bone, periodontal ligament widening, and the lamina dura was discontinuity in the apical third. The diagnosis was made as symptomatic irreversible pulpitis with symptomatic apical periodontitis of tooth 13, and the treatment plan was root canal treatment. The treatment begins with caries removal, access opening, extirpation, and re-walling. On the second visit working length determination, root canal preparation using the step-back technique, administration of medicament. On the next visit the root canal was filled and closed with a temporary filling, and the root canal treatment of tooth 13 showed a good results.
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 2013
Publisher : Universitas Padjadjaran

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

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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.
Effect of packaged strawberry juice on the surface roughness of nanofilled type composite resin Amelia, Rizky; Hidayat, Opik Taofik; Nurdin, Denny
Padjadjaran Journal of Dentistry Vol 25, No 3 (2013): November 2013
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol25no3.26812

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Introduction: The hard tissue of the teeth is resistant to heat and acid,  so that the teeth have an important role as a material consideration of forensic dentistry. The humans have the same shape of the teeth around one in two billion. The stimuli of burn with high temperature and sour can be change the picture of macroscopic and microscopic tooth. This is the subject of an interesting comparison in the interests of justice and identification of dentistry. Methods: This research was a quasi experiment to know a change of microscopic teeth on the hard cases tooth-burning and the case hard acid treatment. The sample used were seven teeth, with details of one normal as a comparison, three teeth burned and three teeth soaked in a solution of water of accu. Observations were made using the microscope at 40x enlarged on each tooth. The tooth was documented by means of a photographed and compared with healthy teeth. Results: The results of this study was obtained by observing and comparing the microscopic structure and the obtained differences in the teeth and treated with the picture of normal teeth. Conclusion: Conclusion of this research is on the tooth are burned was visible loss of enamel at the cement-enamel junction as a result of the process of carbonization heat exposure so as to cause a breach of micro on the outer layer of the tooth enamel and thinning of dentin tubules, while the teeth are in the soak water accu (strong acid) seen change in color of enamel, micro cracks due to defective enamel and depletion of tubulus dentine and loss of boundary between the cementum and dentine.
Antibacterial potential of strawberries and basil extracts combination against Streptococcus sanguinis (ATCC 10556) Dharsono, Hendra Dian Adhita; Nurdin, Denny; Fatriadi, Fajar; Gondowidjojo, Yolanda Dwiutami; Yunita, Ellizabeth; Apriyanti, Eti
Padjadjaran Journal of Dentistry Vol 33, No 3 (2021): November
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no3.35894

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Introduction: Streptococcus sanguinis is a commensal microorganism as well as a pioneer colony in forming dental plaque. Oral biofilm formation can be prevented by a mechanical cleaning procedure followed by the use of mouthwash. The current gold standard for mouthwash is chlorhexidine. Nevertheless, it has side effects that are not recommended for long-term use. Previous studies had proven that herbal-based mouthwashes such as basil leaves (Ocimum basilicum) and strawberry fruit (Fragaria x ananassa) have been shown to have antibacterial properties. The effectivity of antibacterial activity phenomenon in combined extracts has been reported in other studies. This research aims to observe the antibacterial potential of the F. x ananassa and O. basilicum extract combinations against S. sanguinis (ATCC 10556). Methods: The sample of this study was a combination of F. x ananassa and O. basilicum extract, which initially screened for their antibacterial activities. Antibacterial activities of F. x ananassa and O. basilicum extracts against S. sanguinis were observed using Kirby Bauer method, while Minimum Inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) by serial microdilution method. The 2% concentration from each extract was combined in 1:1, 1:2, and 2:1 volume ratio variations then tested for inhibitory zones, MIC, and MBC. Results: F. x ananassa extract had 0.125% and 0.25% for MIC and MBC respectively, while O. basilicum extract showed the value of MIC and MBC as 0.031% and 0.063% against S. sanguinis (ATCC 10556). The extract combinations in 1:1, 1:2, and 2:1 volume ratio variations showed 0.016% for MIC and 0.031% for MBC. Conclusions: It was concluded that combining extracts of 2 % F. x ananassa and 2% O. basilicum in various ratios were observably to have the antibacterial potential against S. sanguinis (ATCC 10556).
Antibacterial activity of strawberry fruit extract against Streptococcus sanguinis ATCC 10556) Nurdin, Denny; Dharsono, Hendra Dian Adhita; Fatriadi, Fajar; Sahara, Elvi; Adang, Rahmi Alma Farah; Gondowidjojo, Yolanda Dwiutami; Kurnia, Dikdik
Padjadjaran Journal of Dentistry Vol 34, No 1 (2022): March
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no1.37043

Abstract

Introduction: Streptococcus sanguinis is a facultative anaerobic Gram-positive bacteria known as a pioneer that plays a role in creating the biofilm in the oral cavity. Strawberry fruit (Fragaria x ananassa) is an edible fruit widely used for the study as their active compound synergy to improve health. This study aims to analyse the antibacterial activity of strawberry fruit against S. sanguinis (ATCC 10556). Methods: An explorative study was conducted with high concentration methanol extract from strawberry fruit. Antibacterial activity was tested on the methanol extract; afterwards, the extract was fractionated and divided into three fractions: water, ethyl acetate, and hexane. Zone of inhibition was used to assess the most effective fraction among those three, then continued by testing for Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC). Results: Inhibitory zone of the ethyl acetate fraction from strawberry fruit 1%, 2%, 3% ,4% and 5% sequentially were 7.3 mm,10.2 mm, 12.3 mm, 16.3 mm and 16.1 mm. Ethyl acetate fraction of 4% was the most effective to create the zone of inhibition with a size of 16.3 mm compared to the others. The Minimum Inhibitory Concentration (MIC) value was 0.25%. It was obtained by diluting a 4% ethyl acetate fraction on a microplate. The Minimum Bactericidal Concentration (MBC) was 2%. Conclusion: Ethyl acetate fraction was an effective fraction from strawberry fruit and had antibacterial activity against S. sanguinis with the inhibitory zone in the concentration of 4%, MIC of 0.25%, and MBC of 2%.
Keberhasilan Coronal Seal terhadap Microleakage pada Obturasi Saluran Akar Gigi 11 Saputro, Najla; Nurdin, Denny
Bhakta Dental Journal Vol 2 No 1 (2024): Juni
Publisher : Fakultas Kedokteran Gigi IIK Bhakti Wiyata, Kediri.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56710/bhaktadent.v2i1.38

Abstract

Background: Root canal treatment is a treatment that aims to clean pulp tissue or microorganisms so that the root canal can be filled properly. Prevention of microleakage in the coronal part from contamination of oral fluids and microorganisms into the root canal can be achieved with a good coronal seal. Case: A 37-year-old female patient came with complaints of a broken right front upper jaw tooth caused by being hit by a door one month ago. Examination showed that tooth 11 had pulpitis irreversible asymptomatic with periodontitis apikalis symptomatic. The treatment plan is root canal treatment. Case Management: Root canal treatment begins with access opening, crown-down preparation, obturation using a single cone technique using F3 protaper guttapercha, and the coronal seal of the root canal being sealed with Universal Type Glass Ionomer cement. Conclusion: The choice of glass ionomer cement material as a root canal coronal seal against external factor contamination has quite good quality. Keywords: coronal seal, Glass Ionomer Cement, microleacage, obturation, root canal treatment