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All Journal Journal of Dentistry Indonesia MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Interdental Jurnal Kedokteran Gigi (IJKG) MDJ (Makassar Dental Journal)
Asri Riany Putri
Fakultas Kedokteran Gigi Universitas Mahasaraswati Denpasar
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Public Health

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Acidic Environment Effect on the Push-out Bond Strength of Mineral Trioxide Aggregate Mixed with Different Liquids Ratih, Diatri Nari; Putri, Asri Riany
Journal of Dentistry Indonesia Vol. 22, No. 1
Publisher : UI Scholars Hub

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Abstract

Mineral trioxide aggregate (MTA) as retrograde filling is always in contact to inflamed tissues in periradicular area. Objective: To investigate the effect of acidic environment on push-out bond strength of MTA mixed with sterile water, local anesthetic, and 5% CaCl2. Methods: Thirty middle third of mandibular premolar roots were randomly assigned into 3 groups of 10 each. MTA mixed with sterile water (Group 1), local anesthetic (group 2), 5% CaCl2 (group 3). Each group was then divided into group A: soaked in synthetic tissue fluid with pH 5, and group B: pH 7.4. Specimens were stored in an incubator with a temperature of 370C for 72 hours, undertaken a push-out test, and observed under a stereo-microscope. Results: A two-way ANOVA showed that acidic environment reduced the push-out bond strength of MTA mixed with either sterile water, local anesthetic or 5% CaCl2 (p <0.05). The predominantly failure was a mixture of adhesive and cohesive type. Conclusion: The acidic environment reduced the push-out bond strength of MTA mixed with either sterile water, local anesthetic or 5% CaCl2. MTA mixed with 5% CaCl2 produced the greatest push-out bond strength, whereas MTA mixed with local anesthetic had the lowest push-out bond strength.
PERAWATAN SALURAN AKAR GIGI MOLAR ATAS DENGAN CROWN LENGTHENING DAN RESTORASI ONLEI CERAMOPOLIMER Putri, Asri Riany
Interdental: Jurnal Kedokteran Gigi Vol 15 No 2 (2019): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v15i2.596

Abstract

Teeth post root canal treatment (RCT) would be very brittle because it has lost moisture and most of the hard tissue, so they need a restoration. Ceramopolymer is one of the choosen material for posterior onlay restoration recently. A tooth with subgingival caries often pose problems. Non adequat restoration can cause secondary caries and a failed restoration. The aim of this case report is to demonstrate a succeed treatment of crown lengthening with ceramopolymer onlay as post RCT restoration on maxilla secondary molar with irreversible pulpitis. A 30-year-old female patient was referred for RCT on the maxillary right second molar with irreversible pulpitis. RCT, crown lengthening and indirect onlay had been performed. Teeth that have taken RCT needs an restoration and ceramopolymer is a material that can be chosen. Ceramopolymer is an indirect restoration filled with 73% micro-fine ceramic. It combines the advantages of composite and ceramics so it provides a highly strong but elastic restoration for posterior teeth. Surgical crown lengthening can be done to gain access to subgingival area and cleaning the caries site and also to give an adequat tooth preparation. Crown lengthening with ceramopolymer onlay as post RCT restoration on maxilla secondary molar showed a successful treatment outcome.
Mahkota Porselin Fusi Metal dengan Parallel Self-Threading Dowel Pasca Perawatan Saluran Akar Gigi Premolar Maksila Asri Riany Putri; Diatri Nari Ratih
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 1, No 1 (2015)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.453 KB) | DOI: 10.22146/mkgk.11921

Abstract

Gigi premolar maksila merupakan gigi yang mendapat tekanan pengunyahan besar dan rentan mengalami fraktur terutama setelah dilakukan perawatan saluran akar (PSA). Gigi yang telah dilakukan PSA akan menjadi sangat rapuh dan rentan fraktur karena telah kehilangan kelembaban dan banyak jaringan kerasnya. Gigi premolar juga mendapat tekanan pengunyahan yang besar karena bentuk dan letaknya yang lebih dekat dengan aksis horizontal transversal. Penggunaan parallel self-threading dowel dan mahkota penuh porselen fusi metal akan mendistribusikan beban pengunyahan keseluruh bagian akar dan meningkatkan ketahanannya terhadap fraktur. Tujuan laporan kasus ini adalah untuk menunjukkan keberhasilan penggunaan parallel self-threading dowel dengan mahkota penuh porselen fusi metal sebagai restorasi pasca PSA pada gigi premolar kedua maksila nekrosis pulpa dengan lesi periapikal. Pasien wanita berusia 30 tahun dirujuk untuk PSA pada gigi premolar kedua kanan maksila nekrosis pulpa dengan lesi periapikal. Pasien merasakan sakit saat gigi digunakan untuk makan. Perkusi dan palpasi positif namun mobilitas normal. Pemeriksaan radiografik menunjukkan gambaran radiopak yang telah mengenai ruang pulpa dan radiolusensi pada periapikal gigi. PSA dan restorasi mahkota penuh dilakukan dengan parallel self-threading dowel. Parallel self-threading dowel dan mahkota penuh PFM sebagai restorasi akhir menunjukkan keberhasilan perawatan pada gigi premolar kedua maksila pasca PSA. ABSTRACT: Porcelain Fused to Metal Crown with Parallel Self-Threading Dowel Post Root Canal Treatment On Maxillary Premolar. Maxillary premolar teeth have great chewing forces and prone to fracture, especially after root canal treatment (RCT). Teeth that have RCT done will be very brittle and fracture prone because it has lost moisture and lost most of its hard tissue. Premolars also receive great chewing forces because its shape and location are closer to the horizontal transverse axis. The use of parallel self-threading dowel and full porcelain fused to metal crowns will distribute the load of mastication throughout the roots and improve resistance to fracture. The aim of this case report was to demonstrate the success of the use of parallel self-threading dowel with full porcelain fused to metal crown restoration aftera RCT on maxillary second premolar with pulp necrosis and periapical lesion. A 30-year-old female patient was referred for RCT on the maxillary right second premolar with pulp necrosis and periapical lesion. Patient felt pain when the tooth was used to eat. There was tenderness to percussion and palpation but the mobility was normal. A radiographic examination showed radiopaque image that entered pulp chamber and periapical radiolucency on tooth. RCT and full crown restoration with parallel self-threading dowel had been performed. Parallel self-threading dowel and full porcelain fused to metal crown as the final restoration after RCT on the maxillary second premolar showed a successful treatment outcome.
CROWN DOWN PREPARATION TECHNIQUE WITH LARGE TAPER ENDODONTIC HAND INSTRUMENT : TEKNIK PREPARASI CROWN DOWN DENGAN LARGE TAPER ENDODONTIC HAND INSTRUMENT Asri Riany
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 17 No. 1 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i1.2424

Abstract

Introduction: Root canal preparation is an important step in root canal treatment. The use of stainless steel K-Files is time-consuming and causes fatigue to patients and operators. The large taper endodontic hand instrument can be used as an option for another preparation instrument. The purpose of this article is to determine the advantages of using large taper endodontic hand instruments as a preparation instrument compared to conventional stainless steel K-Files. Case: The 24-year-old male patient presented with pain in his lower left tooth even though it was not used. Examination of teeth 35, percussion and press (+), palpation (-), CE (-), exploration of root canals with smooth broach (+). There was a radiolucent image in the distal crown that had reached the pulp chamber, radiolucency with a blurred border of 2mm in diameter at the periapical area, and the dilation of the periodontal ligaments along with the roots. Tooth 35 diagnosis was partial pulp necrosiswith periapical lesions. Case Management: Root canal treatment of teeth 35 using hand-used ProTaper with the crown down technique up to F4 WL = 21mm. Obturation with single cone technique with Endomethasone as a sealer. Discussion: The large taper instrument is very flexible and easily enters narrow and bent root canals, thus it can shorten the working time, reduce the risk of fatigue for patients and operators, improves the cleaning of the root canal system, and consistent root canal formation. The crown down technique used can reduce the risk of preparation errors, prevent debris extrusion and improve obturation quality. Conclusion: Root canal preparation using a large taper endodontic hand instrument can shorten the working time and reduce the risk of fatigue for patients and operators compared to preparations using conventional stainless steel K-File.
Fiber Composite Splint in Tooth Mobility accompanied by Esthetic Correction of Microdontia and Tooth Rotation: Case Report: Fiber composite splint pada mobilitas gigi disertai koreksi estetika mikrodonsia dan rotasi gigi Dwis Syahriel Dwis Syahriel; Asri Riany Putri; Dwis Syahrul; Arya Kusuma Agraha
Makassar Dental Journal Vol. 12 No. 1 (2023): Volume 12 Issue 1 April 2023
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v12i1.673

Abstract

Teeth 12, 11, 21, 22 had degree 2-mobility. Tooth 22 had rotation, and anatomically small or microdontia, and diastema 21-22. There was slight inflammation on the upper anterior gingiva and the patient felt discomfort when chewing. Scaling, root planing and periodontal flap surgery were performed about 1 month ago. Anatomical shape and rotation on 22, and diastema on 21-22 were corrected with direct composite laminate veneer technique. Splints on teeth 13, 12, 11, 21, 22, 23 functioned well. Tooth 22 as well as diastema 21-22 were well corrected. It is concluded that composite fiber splints effectively correct maxillary anterior tooth mobility while correcting the anatomical shape of microdontia and rotational teeth.
FRENECTOMY ON MAXILLARY LABIAL FRENULUM PENETRATING PAPILLA TYPE BY CONVENTIONAL SURGICAL TECHNIQUES: A CASE REPORT Dwis Syahriel; Dwis Syahrul; Arya Kusuma Agraha; Asri Riany Putri
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 19 No. 2 (2023): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v19i2.7711

Abstract

Introduction: The frenulum is a fold of mucosa that attaches the lips and cheeks to the alveolar mucosa, gingiva, and underlying periosteum. If the attachment is too high and thick to approach the gingival margin (papilla penetrating type) it causes a central diastema on the upper incisor or recurrence after orthodontic treatment, besides causing oral hygiene problems and gingival recession as well as denture stability. An abnormal frenulum should be removed by frenectomy. History and Clinical Finding: An 18-year-old female patient with a tall and thick maxillary labial frenulum as a cause of central diastema on teeth 11, 21. The patient had been treated with removable orthodontics starting 2 years ago. Since 4-6 months ago the diastema has relapse. The maxillary labial frenulum appears to be attached to the incisive papilla (penetration of the papillae). The Blanch test shows movement of the interdental papillae and blanching (ischemia) of the incisor papillae. Case Management: Frenectomy using a scalpel until all the papillae and fibrous fibers are removed. Control 14 days postoperative, the wound was healed. During the blanching test, there was no movement of the papillae and the color was normally. Discussions: The high maxillary labial frenulum causes the two central incisors to erupt far apart. Orthodontic treatment  must be accompanied by removal of the etiological factor by frenectomy for the treatment to be successful. Conclusions: Penetrating papilla type frenectomy of the maxillary labial frenulum with the conventional technique of using a scalpel effectively eliminates the causes of central diastema.
Co-Authors Arya Kusuma Agraha Arya Kusuma Agraha Diatri Nari Ratih Dwis Syahriel Dwis Syahriel Dwis Syahriel Dwis Syahrul Dwis Syahrul