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Perawatan ulang saluran akar non-bedah dan restorasi ulang menggunakan pasak fiber reinforced composite Fajrianti, Henytaria; Ratih, Diatri Nari; Kristanti, Yulita
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 9, No 2 (2023)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.77445

Perawatan saluran akar (PSA) bertujuan untuk menghilangkan mikroorganisme dari saluran akar. Kegagalan PSA dapat disebabkan oleh faktor-faktor seperti obturasi yang tidak hermetis, underfilling, overfilling, dan kegagalan restorasi pasca-PSA. Penambahan retensi berupa pasak dan mahkota jaket resin komposit dapat menjadi pilihan pasca endodontik. Artikel ini bertujuan untuk melaporkan kasus perawatan saluran akar ulang (retreatment) diikuti dengan pasak fiber prefabricated dan restorasi mahkota resin komposit. Seorang wanita berusia 21 tahundirujuk ke klinik konservasi gigi dengan keluhan utama gigi depan atas nyeri berulang selama 2 minggu terakhir. Pasien pernah jatuh 4 tahun lalu dan sudah dilakukan perawatan saluran akar serta diberi mahkota akrilik. Terlihat adanya area yang terbuka pada daerah servikal labial mahkota tersebut disertai inflamasi gingiva disekitarnya. Pemeriksaan palpasi (-) dan perkusi (+). Tindakan perawatan berupa retreatment, pemasangan pasak fiber dan restorasi mahkota komposit memberikan hasil yang baik. Kasus perawatan ulang saluran akar memerlukan tahapan yang tepat, dengan penambahan pasak fiber dapat meningkatkan retensi restorasi pada gigi dengankehilangan struktur yang signifikan.

The Effect Of Final Irrigation Materials And Techniques On The Cleanliness Of The Smear Layer In The Apical Third Of The Root Canal Maranantan, Helga Anindyastika; Ratih, Diatri Nari; Mulyawati, Ema
Odonto : Dental Journal Vol 12, No 1 (2025): April 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.1.44-53

17% EDTA is a chelating agent used to clean the smear layer. Novel silver citrate (NSC) is a new material with the same use, while 0.2% chitosan nanoparticles are a material that has been widely studied. The agitation technique influences smear layer cleanliness by optimizing the penetration of irrigation material. Agitation techniques are sonic and ultrasonic agitation techniques; each has its advantages and disadvantages. The research objective is to evaluate the effect of final irrigation materials, agitation techniques, and a combination of both on the cleanliness of the smear layer in the apical third of the root canal.Forty-five premolars were prepared with a rotary instrument. Samples then randomly divided into 3 experimental groups (n=15). Group 1 used 17% EDTA, group 2 used NSC, and group 3 used 0.2% nanoparticle chitosan. Each group was divided into three subgroups (n=5) with subgroup A using manual agitation technique, subgroup B sonic agitation, and subgroup C ultrasonic agitation. The samples were sectioned and then examined under SEM with 5000x magnification to evaluate the cleanliness of the smear layer. The results from SEM were scored and then analyzed using Chi-Square test (IBM SPSS Statistics 29.0.1.0).Final irrigation agents of 17% EDTA, NSC, and 0.2% chitosan nanoparticles resulted in the same cleanliness of the smear layer (p˃0.05). The ultrasonic agitation technique showed better cleanliness of the smear layer than the sonic agitation and manual agitation techniques (p˂0.05). The final irrigation material combined with agitation techniques resulted in the same cleanliness of the smear layer (p˃0.05).

The Effect Of Final Irrigation Materials And Techniques On The Cleanliness Of The Smear Layer In The Apical Third Of The Root Canal Maranantan, Helga Anindyastika; Ratih, Diatri Nari; Mulyawati, Ema
Odonto : Dental Journal Vol 12, No 1 (2025): April 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.1.44-53

17% EDTA is a chelating agent used to clean the smear layer. Novel silver citrate (NSC) is a new material with the same use, while 0.2% chitosan nanoparticles are a material that has been widely studied. The agitation technique influences smear layer cleanliness by optimizing the penetration of irrigation material. Agitation techniques are sonic and ultrasonic agitation techniques; each has its advantages and disadvantages. The research objective is to evaluate the effect of final irrigation materials, agitation techniques, and a combination of both on the cleanliness of the smear layer in the apical third of the root canal.Forty-five premolars were prepared with a rotary instrument. Samples then randomly divided into 3 experimental groups (n=15). Group 1 used 17% EDTA, group 2 used NSC, and group 3 used 0.2% nanoparticle chitosan. Each group was divided into three subgroups (n=5) with subgroup A using manual agitation technique, subgroup B sonic agitation, and subgroup C ultrasonic agitation. The samples were sectioned and then examined under SEM with 5000x magnification to evaluate the cleanliness of the smear layer. The results from SEM were scored and then analyzed using Chi-Square test (IBM SPSS Statistics 29.0.1.0).Final irrigation agents of 17% EDTA, NSC, and 0.2% chitosan nanoparticles resulted in the same cleanliness of the smear layer (p˃0.05). The ultrasonic agitation technique showed better cleanliness of the smear layer than the sonic agitation and manual agitation techniques (p˂0.05). The final irrigation material combined with agitation techniques resulted in the same cleanliness of the smear layer (p˃0.05).

Pengaruh ekstrak membran kerabang itik konsentrasi 70% terhadap infiltrasi makrofag pada pulpitis reversibel Novaria, Novaria; Haniastuti, Tetiana; Ratih, Diatri Nari
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.102879

Pulpitis reversibel merupakan inflamasi pada gigi. Pada saat terjadi inflamasi, sel makrofag akan mendatangi area jejas. Pulpitis reversibel biasanya dirawat dengan material kaping pulpa. Material tersebut ditempatkan pada dasar kavitas untuk menginduksi perbaikan pulpa. Tujuan penelitian ini untuk mengetahui pengaruh aplikasi ekstrak membran kerabang itik (Anas platyrhynchos) dengan konsentrasi 70% terhadap infiltrasi sel makrofag pada pulpa yang mengalami pulpitis reversibel. Empat puluh lima tikus Sprague dawley dibagi menjadi tiga kelompok. Pulpitis reversibel diinduksi pada semua tikus Sprague dawley dengan cara mempreparasi gigi molar pertama rahang atas sedalam 0,8mm menggunakan round diamond bur. Ekstrak kerabang itik konsentrasi 70% dan kalsium hidroksida (Ca(OH)2)diaplikasikan pada dasar kavitas pada kelompok ekstrak dan kontrol positif. Kelompok kontrol negatif tidak diaplikasikan apapun pada dasar kavitas hasil preparasi. Selanjutnya semua gigi tersebut ditumpat dengan semen ionomer kaca (SIK). Tikus Sprague dawley didekapitasi pada hari ke-1, 3, 5, 7 dan 14 setelah perlakuan. Sampel rahang atas tikus ditanam dalam parafin dan diwarnai dengan hematoxylin eosin. Selanjutnya diamati jumlah sel makrofag menggunakan mikroskop cahaya dengan perbesaran 400X. Hasil uji dengan ANOVA dua jalur menunjukkan antara ketiga kelompok penelitian terdapat perbedaan jumlah sel makrofag yang signifikan (p < 0,05). Kesimpulan penelitian ini adalah aplikasi ekstrak membran kerabang itik (Anas platyrhynchos) menyebabkan penurunan jumlah infiltrasi sel makrofag pada pulpa yang mengalami pulpitis reversibel.

Prevalence and characteristics of aggressive periodontitis Nariratih, Diatri; Rusjanti, Janti; Susanto, Agus
Padjadjaran Journal of Dentistry Vol 23, No 2 (2011): July 2011
Publisher : Universitas Padjadjaran

Aggressive Periodontitis is one of periodontal disease that generally affects individuals less than 30 years old, with a rapid attachment loss and alveolar bone destruction. Special features of the disease are affected incisors and first molars with symmetrical bilateral destruction. The purpose of this study was to determine the prevalence and characteristics of Aggressive Periodontitis at Student Clinics, Faculty of Dentistry Padjadjaran University on May to July 2010. Based on accidentally sampling, 415 new patients at Dental and Oral Hospital, Faculty of Dentistry Padjadjaran University and Dental and Oral Polyclinic at RSUP dr. Hasan Sadikin Bandung participated in this study. Each subject filled out the questionnaire and did a clinical examination. Patients with attachment loss ≥ 4 mm were referred for radiographic and microbiologic examination to support the diagnosis. The results showed that there were 13 patients who have the diagnostic criteria of Aggressive Periodontitis. Nine patients were diagnosed as Localized Aggressive Periodontitis, and 4 patients as Generalized Aggressive Periodontitis. It is concluded that the prevalence of Aggressive Periodontitis was 3.13%, and indicated low prevalence. Characteristics of Localized Aggressive Periodontitis patients were female in 20-29 age range, whereas characteristics of Generalized Aggressive Periodontitis patients were male in 30-39 age range.

Effect Of Final Irrigation Materials And Techniques On Sealer Penetration Depth Into Dentinal Tubule Of The Apical Third Root Canal Premadhika, Yogi; Ratih, Diatri Nari; Widyastuti, Andina
Odonto : Dental Journal Vol 11, No 1 (2024): July 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.1.124-135

Background: The smear layer may interfere with the penetration of the root canal sealer. Final irrigation is known to improve chelating agents' ability in smear layer removal. This study aimed to compare the effect of various materials and final irrigation techniques on the penetration depth of bioceramic silers in the apical third of the tooth.Method: This study used 45 premolars that were prepared with a rotary instrument and then randomly divided into three experimental groups (n=15). Group 1 used 17% EDTA as the final irrigation material, group 2 used Novel Silver Citrate, and group 3 used 0.2% nanoparticle chitosan. Each group was divided into three subgroups (n=5), with subgroup A using manual agitation technique, subgroup B using sonic agitation, and subgroup C using ultrasonic agitation. The teeth were then obturated using a bioceramic sealer. Teeth then cut vertically for observation and measurement sealer penetration using a stereo microscope with a magnification of 30x followed by observation using SEM at 1000x magnification. data where analyzed using a two-way ANOVA followed by an LSD Post Hoc test, with a significance level of 95%.Result: Two-way ANOVA showed significant differences in materials, techniques, and material-technique interactions (p<0,05).Conclusion: This study concludes that there is an effect of material, technique, and material-technique interaction of final irrigation on the penetration of bioceramic sealer into the dentinal tubules, Combination of 0.2% chitosan nanoparticles and sonic agitation as material and final irrigation technique resulted in the most longest penetration of bioceramic sealer into dentinal tubules.

Effect Of Final Irrigation Materials And Techniques On Sealer Penetration Depth Into Dentinal Tubule Of The Apical Third Root Canal Premadhika, Yogi; Ratih, Diatri Nari; Widyastuti, Andina
Odonto : Dental Journal Vol 11, No 1 (2024): July 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.1.124-135

Background: The smear layer may interfere with the penetration of the root canal sealer. Final irrigation is known to improve chelating agents' ability in smear layer removal. This study aimed to compare the effect of various materials and final irrigation techniques on the penetration depth of bioceramic silers in the apical third of the tooth.Method: This study used 45 premolars that were prepared with a rotary instrument and then randomly divided into three experimental groups (n=15). Group 1 used 17% EDTA as the final irrigation material, group 2 used Novel Silver Citrate, and group 3 used 0.2% nanoparticle chitosan. Each group was divided into three subgroups (n=5), with subgroup A using manual agitation technique, subgroup B using sonic agitation, and subgroup C using ultrasonic agitation. The teeth were then obturated using a bioceramic sealer. Teeth then cut vertically for observation and measurement sealer penetration using a stereo microscope with a magnification of 30x followed by observation using SEM at 1000x magnification. data where analyzed using a two-way ANOVA followed by an LSD Post Hoc test, with a significance level of 95%.Result: Two-way ANOVA showed significant differences in materials, techniques, and material-technique interactions (p<0,05).Conclusion: This study concludes that there is an effect of material, technique, and material-technique interaction of final irrigation on the penetration of bioceramic sealer into the dentinal tubules, Combination of 0.2% chitosan nanoparticles and sonic agitation as material and final irrigation technique resulted in the most longest penetration of bioceramic sealer into dentinal tubules.

Effect of adhesive type, application technique, and immediate dentin sealing on the shear bond strength of lithium disilicate Seantiga, Viera; Untara, Tri Endra; Ratih, Diatri Nari
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.94806

Immediate dentin sealing (IDS) is a technique involving the application of adhesive material to freshly prepared dentin for indirect restorations. This method prevents contamination by saliva, debris, and bacteria from penetrating dentinal tubules, which could otherwise compromise the bonding strength of restorative materials. This study aimed to evaluate the effects of different adhesive types and application techniques in IDS on the shear bond strength (SBS) of lithium disilicate. The adhesive systems investigated included an eighth-generation adhesive and a universal adhesive, each applied using both total-etch and self-etch techniques. Twenty-eight upper premolars were divided into four groups, with buccal crown surfaces prepared for IDS treatment as follows: Group I – eighth-generation adhesive with total-etch; Group II – eighth-generation adhesive with self-etch; Group III – universal adhesive with total-etch; and Group IV – universal adhesive with self-etch. Lithium disilicate was cemented onto the dentin surfaces treated with IDS and then immersed in distilled water for 24 hours prior to SBS testing. The results showed that both adhesive type and application technique significantly influenced SBS (p < 0.05). No significant differences were observed among Groups II, III, and IV. However, Group I demonstrated the lowest SBS. In conclusion, the findings indicate that both the choice of adhesive and application technique in IDS significantly affect the shear bond strength of lithium disilicate.

Management missed canal tooth and broken file using ultrasonic instrument Abiddinda; Agustin, Wandita Swasti; Rinastiti, Margareta; Ratih, Diatri Nari
Dental Journal (Majalah Kedokteran Gigi) Vol. 56 No. 4 (2023): December
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i4.p255-260

Background: Endodontic mishaps, such as missed canal and broken file, are procedural accidents that can affect the prognosis of endodontic treatment. A missed canal can lead to endodontic failure because of bacterial remnants in the root canal. A broken file may cause obstruction of the canal, inhibiting the process of shaping and cleaning. An ultrasonic instrument can be used under a dental microscope to manage a missed canal or broken file fragment. Purpose: This study aimed to show the management of missed canal and instrument separation by endodontic retreatment using an ultrasonic instrument under dental microscope. Case: A 31-year-old female patient presented to Dental Hospital Universitas Gadjah Mada with discomfort from chewing her upper left molar since 2 weeks (January 4, 2022). The tooth was subjected to root canal treatment 2 years ago (November 18, 2019). The percussion test yielded a positive result. The examination of radiographs showed the presence of a broken file in the middle third of the mesiobuccal root canal. Case Management: The first stage of the retreatment was removal of the gutta-percha. This was followed by exploration of the missed canal and retrieval of the broken file using an ultrasonic instrument under a dental microscope. Then, the root canals, including the messiobuccal2 canal, that was missed at the previous treatment, were prepared. The final step was zirconia crown restoration with a fiber post. Conclusion: An ultrasonic device along with a dental microscope can be used to manage a missed canal and instrument separation conservatively.

Antibacterial Efficacy of Ethyl Acetate Fraction of Siwak (Salvadora persica)-NaOCl Combination as a Root Canal Irrigant against Enterococcus faecalis: An In Vitro Study Kusuma, Andina Rizkia Putri; Ratih, Diatri Nari; Irnawati, Dyah -; Nuryono, Nuryono -
Jurnal Kesehatan Gigi Vol. 12 No. 1 (2025): December 2025
Publisher : Jurusan Kesehatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v12i1.13605

Root canal irrigant is a very important factor in supporting the success of root canal treatment. The currently recommended combination of sodium hypochlorite (NaOCl), ethylenediamintetraacetic acid (EDTA), and chlorhexidine has many drawbacks including toxicity to periapical tissues, bad taste, negative interactions between ingredients, and extended application time. Siwak (Salvadora persica) stem extract has been widely studied in its use as a dental material, including as a root canal irrigant. This study aims to formulate the ethyl acetate fraction of siwak with low concentration NaOCl, and test its antibacterial potential against E. faecalis. This research used 9 groups, namely the ethyl acetate fraction (FEA) of siwak ethanol extract with the concentrations of 1.25 mg/ml, 2.5 mg/ml, 5 mg/ml, a combination of FEA siwak 1.25 mg/ml + NaOCl 1.25%, FEA siwak 2.5 mg/ml + NaOCl 1.25%, FEA siwak 5 mg/ml + NaOCl 1.25%, NaOCl 1,25%, saline, and chlorhexidine. Based on the number of colony counts, the most significant inhibition was seen in the combination group of FEA siwak 5 mg/ml + NaOCl 1.25%. Data analysis was carried out using the One Way ANOVA test with a significance value of 0.00 (p <0.05) followed by the Post Hoc LSD test with a significance value of 0.130 (p>0.05) in the comparison between the combination group of FEA siwak 5 mg/ml + NaOCl 1.25% with chlorhexidine. The combination of FEA siwak 5 mg/ml + NaOCl 1.25% has the same effectiveness as chlorhexidine 2% in inhibiting E. faecalis bacteria, and potential as a root canal irrigant.

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