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All Journal Seminar Nasional Aplikasi Teknologi Informasi (SNATI) Majalah Kedokteran Gigi Indonesia ODONTO Dental Journal Dental Journal (Majalah Kedokteran Gigi) Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Journal of Dentomaxillofacial Science Odonto dental journal
Margareta Rinastiti
Department Of Conservative Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Pengukuran Panjang Saluran Akar Gigi pada Citra X-Ray Gigi Menggunakan Active Shape Model Ima Kurniastuti; I Ketut Eddy Purnama; Mauridhi Hery Purnomo; Margareta Rinastiti
Seminar Nasional Aplikasi Teknologi Informasi (SNATI) 2015
Publisher : Jurusan Teknik Informatika, Fakultas Teknologi Industri, Universitas Islam Indonesia

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Abstract

Abstract— Dalam penelitian ini dilakukan pengukuranpanjang saluran akar gigi secara otomatis untuk mendapatkanpanjang saluran akar gigi yang cepat dan akurat. Metode yangdigunakan adalah contrast stretching sebagai tahappreprocessing yang bertujuan untuk mempertajam ciri atau fiturdalam citra, active shape model yang menghasilkan daerahsaluran akar gigi dan operasi morfologi berupa thinning sertaperimeter untuk mengukur panjang saluran akar gigi. Hasilpenelitian menunjukkan bahwa active shape model mampumesegmentasi saluran akar gigi sehingga dapat dilakukanpengukuran panjang saluran akar gigi. Rata-rata akurasi yangdihasilkan oleh metode ini sebesar 88,24%.Keywords—panjang saluran akar gigi; active shape model;citra x-ray gigi
Perawatan ekstrusi dan luksasi gigi molar satu mandibula dengan restorasi endocrown fiber reinforced compositeExtrusion and luxation treatment of mandibular first molar with endocrown fiber-reinforced composite restoration Friska Elizabet Panjaitan; Hapsari Paramakirana; Pribadi Santosa; Margareta Rinastiti
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 3 (2022): Maret 2022 (Suplemen 3)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i3.33250

Abstract

ABSTRAKPendahuluan: Pemilihan bentuk restorasi setelah perawatan saluran akar harus dilakukan dengan cermat. Restorasi endocrown dapat mengoreksi dataran oklusal yang ekstrusi, memperbaiki kontak area, membentuk kontur gigi, embrasur serta memperbaiki inklinasi gigi. Tujuan laporan kasus menyampaikan keberhasilan restorasi endocrown fiber reinforced composite sebagai alternatif restorasi gigi setelah perawatan saluran akar dalam kondisi klinis khusus yaitu ekstrusi dan luksasi yang mampu mengatasi mobilitas dan inklinasi gigi sehingga gigi dapat berfungsi dengan baik. Laporan kasus: Kasus pasien wanita berusia 43 tahun dengan gigi molar mandibula kanan nekrosis pulpa, ekstrusi dan luksasi derajat 1. Perawatan saluran akar dilakukan dengan teknik crown down, multi kunjungan dan restorasi akhir menggunakan endocrown fiber reinforced composite yang dilakukan secara indirek. Hasil perawatan menunjukkan tidak adanya keluhan, luksasi terkoreksi dan gigi dapat berfungsi dengan baik. Simpulan: Perawatan saluran akar gigi molar satu mandibula dengan restorasi endocrown fiber reinforced composite dengan kondisi klinis ekstrusi dan luksasi menunjukkan tingkat keberhasilan perawatan yang baik ditandai dengan tidak adanya keluhan, luksasi terkoreksi dan gigi dapat berfungsi dengan baik Kata kunci: endocrown; fiber reinforced composite; perawatan saluran akar; luksasi. ABSTRACTIntroduction: The choice of restoration form after root canal treatment must be made carefully. Endocrown restorations can correct extruded occlusal planes, improve contact areas, contour teeth, embrasure and improve dental inclination. This case report aims to present the success of endocrown fiber reinforced composite restoration as an alternative to dental restoration after root canal treatment in special clinical conditions, namely extrusion and luxation, which can overcome the mobility and inclination of the teeth so that the teeth can function properly. Case report: A 43-year-old female patient with a right mandibular molar with pulp necrosis, extrusion, and grade 1 luxation. Root canal treatment was performed using crown down technique, multiple visits and indirect restoration using endocrown fiber reinforced composite. The treatment results showed no complaints, the luxation was corrected, and the teeth could function properly. Conclusion: Root canal treatment of mandibular first molars with endocrown fiber reinforced composite restoration with extrusion and luxation clinical conditions showed a good treatment success rate, indicated by no complaints, corrected luxation and functioning teeth. Keywords: endocrown; fiber-reinforced composite; root canal treatment; luxation
THE EFFECT SODIUM HYPOCHLORITE 2,5% AND SODIUM THIOSULPHATE AS IRRIGATION ON THE CLEANLINESS OF THE APICAL THIRD ROOT Christina Mahardika; Yulita Kristanti; Margareta Rinastiti
ODONTO : Dental Journal Vol 9, No 1 (2022): July 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.1.81-87

Abstract

Background: Sodium hypochlorite produces free oxygen and free radicals that cause damage to dentin collagen. Combination with Sodium thiosulfate with the aim of improving root canal hygiene and restoring the oxidizing effect on the dentin surface.The apical third of the root canal is the most difficult part, due to its narrower anatomy, curvature and frequent branching of the root canal. Method: The study used 30 specimens which were divided into 3 groups, group I was irrigated with 2.5% NaOCl, 5% sodium thiosulfate and saline, group II was irrigated with 2.5% NaOCl, 10% sodium thiosulfate and saline and group III was irrigated with 2.5% NaOCl and saline. The tooth length 14 mm measured from apical to crown. The crown down technique was prepared using the M3 Pro gold file. Observation of the level of cleanliness of the root canal was carried out using a Scanning Electron Microscope (SEM) with 5000x magnification at apical third . The results of micrographic photographs are then given a score of 1-4.Result: Irrigated with 5% and 10% sodium thiosulfate showed no significant difference.Conclusion: The differences is not significant, 2,5% irrigation with sodium thiosulfate resulted in a higher cleanliness apical third of the root canalthan 2,5% NaOCl irigation with saline
Aesthetic rehabilitation on fractured and altered passive eruption anterior teeth: A case report Rahadyan SJ. Pramudita; Yulita Kristanti; Margareta Rinastiti; Hendargo Pribadi
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Abstract

Objective: This case report aims to present the management of crown fractures with pulpal exposure caused by traumatic injury and a condition called gummy smile or altered passive eruption (APE), through a multidisciplinary approach. Case Report: A 24-year-old male patient came to the Dental Conservation Clinic RSGM Prof Soedomo FKG UGM, complained of broken teeth and pain in the upper front tooth due to an accident. #12 and #21 experienced horizontal discontinuity to the dentine surface and some lines on the labial surface and #11 underwent a fracture with exposure of the pulpal tissue. The patient wants to take care of broken teeth and improve his smiles. Results: A treatment plan was formulated, which consisted of a stepwise treatment including endodontic treatment, crown lengthening, prefabricated glass-fiber post followed by a core build-up, and finally, direct composite to achieve patient satisfaction. Conclusion: The careful planning of a multidisciplinary approach such as endodontics, periodontics, and direct restorations can treat patients with complex aesthetic complaints relating to problems with the tooth and its soft tissues, and immediate restoration for providing a fast, predictable, economical, yet satisfactory result to improves patient self-confidence.
Open apex and crown fracture management Rhona M. Untari; Kurnia Fitriningtyas; Margareta Rinastiti
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Abstract

Objective : To describe the management of a coronal complicated fracture of an upper left central incisor with pulp necrosis and open apex using MTA and restored with PFM crown with customized glass fiber post. In this case, after the apexification procedure, the root canal was not filled with gutta-percha but directly filled with customized glass fiber post. Case Report : A 14-year-old female patient came to the RSGM UGM Prof. Soedomo with chief complaints of crown fracture in the upper left central incisor and wanted to be treated. The first step of the endodontic treatment was the apexification of tooth 21 using MTA and the restoration after apexification was PFM crown with customized glass fiber post which was expected to aesthetically recover its original form and function. Result : After a year recall, the clinical appearance of the teeth 21, showed no sign of marginal inflamation or alterations of the proximal. The patient felt comfortable with his appearance and did not have tooth pain. Conclusion: Endorestoration treatment on anterior teeth with complicated crown fractures and open apex can restore the normal form, function and dental aesthetic according to a stomatognathic system and restore self-confidence.
Impregnation of various fiber tapes toward mechanical properties of dental fiber-reinforced composites Sunarintyas, Siti; Irnawati, Dyah; Harsini, Harsini; Rinastiti, Margareta; Nuryono, Nuryono
Majalah Kedokteran Gigi Indonesia Vol 9, No 1 (2023): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.80060

Abstract

Synthetic dental fiber tape for fiber reinforcement (FRC) restoration is relatively costly and its availability is still limited in Indonesia, so natural dental fibers have been used as an alternative material. The aim of this study was to assess the effect of impregnation of various fiber tape toward the flexural strength and hardness of FRC. The materials used were natural Bombyx mori silk fibers (Indonesia), dental polyethylene tape (Construct Kerr, USA), dental Quartz tape (Quartz Splint UD, France), dental E-glass tape (Everstick TM, GC, Japan), silane coupling agent (Ultradent, Jordan), and composite resin (Denfil-Flow, USA). Five groups of samples consisted of FRC with various fiber tapes were prepared: unidirectional-silk, braided-silk, quartz, polyethylene, and E-glass. The five groups of FRC were tested to determine the flexural strength and hardness. The results were analyzed by one-way ANOVA, followed by LSD test. The results showed that the highest flexural strength was in the quartz group (496.84 ± 109.14 MPa), while the lowest was in the braided-silk group (139.39 ± 4.30 MPa). The highest hardness property was in the unidirectional-silk group (141.29 ± 25.17 VHN), while the lowest was in the braided-silk group (139.39 ± 4.30 VHN). The ANOVA showed that various fiber tapes significantly influenced the flexural strength and hardness of FRC (p < 0.05). The LSD showed that the unidirectional-silk, braided-silk, and polyethylene groups demonstrated no significant difference. The LSD for hardness showed that the unidirectional-silk group had a significant difference with the other groups (p < 0.05). It can be concluded that various fiber tapes influenced the flexural strength and hardness of FRC. Natural silk fibers showed comparable flexural strength and hardness with the other fiber tapes.
Comparison of fracture resistance of teeth with prepared protaper next, protaper gold, and hyflex CM rotary files Rinastiti, Margareta; Widyastuti, Andina; Hadriyanto, Wignyo
Majalah Kedokteran Gigi Indonesia Vol 9, No 1 (2023): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.82711

Abstract

Preparation of the root canal system is a crucial step in root canal treatment. Endodontically treated teeth differ structurally from healthy, untreated teeth. This can lead to root cracking by creating pressure on the canal wall, reducing the fracture resistance of the tooth. Different designs, including cross-sectional shape, tip, taper, flute, radial land, helix angle, rake angle, and pitch, can influence the outcome of the root canal preparation and the risk of root fracture. The purpose of this study was to evaluate the fracture resistance of teeth after root canal preparation using three different NiTi rotary files: ProTaper Next (PN), ProTaper Gold (PG), and HyFlex CM (HC). Thirty premolars with a single and straight root canal were decoronated at the cementoenamel junction, leaving 14 mm of the root. The subjects were divided into 3 groups. Group 1 (n = 10) was prepared using PN, group 2 (n = 10) was prepared using PG, and group 3 (n = 10) was prepared using HC. After instrumentation and irrigation, the specimens were subjected to a continuous vertical compressive force (crosshead-speed of 2.28 mm/sec) in order to record the force (in newtons) until root fracture. To describe the surface characteristic of the dentinal root after the preparation, a section fragment from the apical third of the specimens was observed using a scanning electron microscope (SEM) at 2500x magnification. The micrographs were analyzed according to the Hulsman’s method. The results demonstrated that there was a statistically significant difference in root fracture resistance among the three groups. (p = 0.043). The LSD post hoc test indicated that HC showed a higher root fracture resistance (p < 0.05) compared to both PN and PG. In conclusion, the different file systems of PN, PG, and HC instruments generate different root fracture resistance of teeth. In comparison to PN and PG, HC instruments tend to result in increased fracture resistance.
Retrieval of broken file and retreatment of previously treated mandibular left second molar Paramastri, Sukma; Fitriningtyas, Kurnia; Santosa, Pribadi; Mulyawati, Ema; Rinastiti, Margareta; Kristanti, Yulita
Majalah Kedokteran Gigi Indonesia Vol 9, No 3 (2023): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.83545

Abstract

Broken files in the root canal system which are not removed may interfere with thorough cleaning of the root canals. As a result, they cannot be hermetically obturated. This imperfect cleaning can leave necrotic tissue which can potentially cause failure in root canal treatment. The purpose of this paper is to describe the management of retrieval of broken files and re-treating root canals in previously treated mandibular left second molars. The retrieval of the broken file used conventional techniques combined with a Satelec ultrasonic scaler to remove the files from the root canal. It was operated under an endodontic microscope, and after retreatment of the root canal, the tooth was restored with final restoration of endocrown. Retrieval of fractured files using conventional techniques combined with Satelec ultrasonic scaler and the root canal re-treatment followed by final endocrown restoration could restore all four tooth functions properly.
A Comparative microleakage analysis of two bioactive root perforation sealing materials Indriani, Herliena Dyah; Rinastiti, Margareta; Untara, Raphael Tri Endra
Majalah Kedokteran Gigi Indonesia Vol 10, No 1 (2024): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.86748

Abstract

Complications during root canal therapy, such as perforation, might lead to failure of root canal therapy. A root perforation allows the root canal system and periradicular tissue to communicate, which may affect the treatment outcome. The ability of perforated sealing materials to stop microleakage is also crucial to the success of the treatment. The latest bioactive materials, such as bioactive calcium silicate cement (BCSC) and enhanced resin-modified glass ionomer (ERMGIC), are used. This study compares the microleakage of BCSC and ERMGIC as a material for sealing root perforations at different observation times. Thirty post-extraction premolars, no caries, and single roots were used in this study. Samples were divided into two different groups. The perforation simulation was created using cylindrical fissure round-end burs at a distance of 2 mm from the cervical line. Following the use of BCSC and ERMGIC to seal the perforation, the samples were separated into three subgroups and immersed in a simulated body fluid for different durations in an incubator set at 37°C. As soon as the samples reached the immersion period, all samples were immersed in 1% methylene blue for 24 hours. It was then divided into two parts and examined under a microscope at 50x magnification. The two-way ANOVA test demonstrated no significant variation in the microleakage of the root perforation seal, depending on the material type and the observation time. This study found that microleakage, a material used to seal root perforations, was unaffected by the types of materials used or the length of the observation period.
Management of a mandibular second molar with vertucci type ii (root canal) configuration using fiber-reinforced direct composite: a case report Veransa, Blofoma Mohentaeses; Rinastiti, Margareta
Padjadjaran Journal of Dentistry Vol 36, No 3 (2024): November 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no3.58665

Abstract

Introduction: Vertucci Type II (root canal) configurations in mandibular second molars are rare. These anatomical variations complicate root canal preparation, irrigation, and obturation. The use of fiber-reinforced direct composite contributes to reinforcing teeth post-endodontic treatment, enhancing fracture resistance, and improving the long-term success of restorations, particularly in posterior teeth subjected to significant masticatory forces. This case report aims to present the management of root canal treatment procedures for a mandibular second molar with a Vertucci Type II configuration, and fiber-reinforced composite restorations through carpeting, and wallpapering techniques. Case Report: A 23-year-old female patient presented to the Conservative Dentistry Clinic, RSGM UGM-Prof Soedomo Yogyakarta, for treatment of her lower left second molar. She reported discomfort in the tooth, which had been previously restored two years prior. Six months before the examination, the restoration fractured causing pain. Although the pain has subsided, food debris often accumulated in the resulting cavity. Root canal treatment was performed using single-cone obturation technique with gutta percha and bioceramic sealer to achieve a hermetic sealing. In addition, restoration utilized polyethylene fiber reinforcement applied with wallpapering and carpeting techniques, combined with short fiber reinforced composite (SFRC) for dentin replacement, to enhance structural integrity and fracture resistance. The patient was monitored for one year. Conclusion: Root canal treatment of mandibular second molars with Vertucci type II configuration emphasizes the importance of understanding root canal anatomy, using CBCT for accurate evaluation. Optimal irrigation and hermetic obturation with a single-cone technique with a bioceramic sealer are crucial for treatment success. Post-endodontic restoration with polyethylene fiber-reinforced composite, incorporating short fiber-reinforced composite for dentin replacement, improves fracture resistance and maintains bond integrity.
Co-Authors Abiddinda Agustin, Wandita Swasti Christina Mahardika Diatri Nari Ratih Dyah Irnawati Ema Mulyawati, Ema Enggardipta, Raras Ajeng Erwidawan, Mahar rosa Fitriningtyas, Kurnia Friska Elizabet Panjaitan Hapsari Paramakirana Hendargo Pribadi I Ketut Eddy Purnama Ima Kurniastuti Imandini, Aldila Indriani, Herliena Dyah Kurnia Fitriningtyas Kurnia Fitriningtyas Maharani, Cyntia Dewi Mahardika, Christina Mauridhi Hery Purnomo Mochammad Imron Awalludin Nugroho, Dian Lestari Putri Nuryono Nuryono Paramastri, Sukma Pribadi Santosa Rahadyan SJ. Pramudita Raphael Tri Endra Untara Regina, APrima Vista Okta Rhona M. Untari Rhona mariana Satrio, Fajar Siti Sunarintyas Tunjung Nugraheni Veransa, Blofoma Mohentaeses Widyastuti, Andina Wignyo Hadriyanto Yulita Kristanti Yulita Kristanti