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Perawatan Saluran Akar Satu Kunjungan Disertai Restorasi dan Pasak Resin Komposit pada Nekrosis Pulpa dengan Lesi Periapikal (terhadap Gigi Insisivus Sentralis Kanan Maksila) Anung Sri Gutomo; Yulita Kristanti
Majalah Kedokteran Gigi Indonesia Vol 18, No 1 (2011): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4986.678 KB) | DOI: 10.22146/majkedgiind.16475

Abstract

Latar belakang. Perawatan Saluran akar satu kunjungan merupakan perawatan saluran akar yang prosesnya diselesaikan dalam satu kali kunjungan. Hal ini memberikan keuntungan antara lain memperkecil resiko kontaminasi mikroorganisme dalam saluran akar dan menghemat waktu perawatan. Pasak resin komposit merupakan pasak buatan sendiri yang dibuat dari resin komposit, pasak ini mempunyai daya tahan yang cukup kuat untuk menerima tekanan pengunyahan dan tidak memerlukan preparasi saluran akar yang banyak membuang struktur dentin. Tujuan. penulisan laporan kasus ini adalah untuk mengevaluasi restorasi resin komposit dengan pasak resin komposit pasca perawatan saluran akar satu kunjungan pada gigi insisivus sentralis kanan maksila. Kasus. Laki-Iaki 20 tahun datang ke Klinik Konservasi Gigi RSGM Prof Soedomo untuk merawatkan gigi depan atas yang berlubang di bagian palatal. Penanganan. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis gigi insisivus sentralis kanan maksila karies profunda dengan nekrosis pulpa disertai lesi periapikal. Rencana perawatan yang akan dilakukan adalah perawatan saluran akar satu kunjungan, dilanjutkan restorasi resin komposit dengan pasak resin komposit aktivasi kimiawi. Kesimpulan. Evaluasi klinis pada waktu kontrol gigi insisivus sentralis kanan maksila menunjukkan tidak ada respon perkusi dan palpasi, warna gingiva normal,tumpatan masih utuh, warna tumpatan dan warna gigi tidak berubah.
Perawatan Saluran Akar Satu Kunjungan Disertai Ekstrusi dan Mahkota Jaket Porselin Fusi Metal dengan Fraktur Ellis Kelas III Subgingiva (Pada Gigi Insisivus Sentralis Kanan Maksila) Yulita Kristanti; Wignyo Hadriyanto; Raphael Tri Endra Untara
Majalah Kedokteran Gigi Indonesia Vol 18, No 1 (2011): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6072.355 KB) | DOI: 10.22146/majkedgiind.16492

Abstract

Latar Belakang dan Tujuan. Laporan kasus ini dibuat dengan tujuan untuk menginformasikan hasil perawatan saluran akar, ekstrusi gigi dan restorasi mahkota jaket porselin fusi metal dengan penguat inti pasak tuang pada gigi insisivus sentralis kanan maksila yang mengalami fraktur Ellis klas III subgingiva dengan pulpitis irreversibel. Kasus dan Penanganannya. Pasien laki-Iaki umur 20 tahun mengalami fraktur Ellis klas III subgingiva akibat keeelakaan satu minggu sebelum periksa. Cara perawatan yang dilakukan adalah dengan melakukan perawatan saluran akar satu kunjungan pada gigi insisivus kanan atas maksila. Setelah dilakukan kontrol pasea perawatan saluran akar dan menunjukkan tanda-tanda menuju kesembuhan, dilakukan ekstrusi. Ekstrusi dilakukan dengan terlebih dahulu mengambil sebagian guta perea disaluran akar untuk meletakkan kawat dengan coi/ di ujungnya. Selanjutnya bracket dan insisal bar dipasang pada 5 gigi anterior dan dihubungkan dengan kawat dengan coil diujungnya yang telah disementasikan dalam saluran akar dengan semen ionomer kaea tipe I. Setelah gigi terekstrusi, dan melewati periode stabilisasi selama 1 bulan dengan tidak terjadi relaps, perawatan dilanjutkan dengan preparasi pembuatan inti pasak tuang dan dilanjutkan dengan pembuatan mahkota jaket porselin fusi metal. Hasil. Hasil perawatan ini menunjukkan ekstrusi telah tereapai dalam waktu 1 bulan dan perawatan dilanjutkan dengan pembuatan inti pasak tuang dan mahkota jaket porselin fusi metal warna A2 (vitapan) dengan kontur, embrasur dibuat ideal, area kontak proksimal pada bagian sepertiga insisal. Kesimpulan. Perawatan saluran akar satu kunjungan disertai ekstrusi dan mahkota jaket porselin fusi metal efektif untuk menangani kasus gigi insisivus sentralis kanan maksila dengan fraktur Ellis Kelas III subgingiva.
APEXIFICATION FOLLOWED BY DIRECT COMPOSITE VENEER ON ELLIS CLASS IV FRACTURE: A CASE REPORT Effendi Halim; Yoanita Dwiaidina; Wignyo Hadriyanto; Pribadi Santosa; Ema Mulyawati; Yulita Kristanti
ODONTO : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.0.170-180

Abstract

Introduction: Traumatized immature permanent teeth can cause pulp necrosis, leading to imperfect root formation, and thus resulting an open apex. The apical opening of the immature teeth is mostly large and thus may lead to difficulties in performing a root filling. In such cases, apexification is mandatory before doing root canal treatment. The aim of this case report was to inform that apexification and direct veneer was suitable to treat Ellis class IV fracture with necrotic pulpCase Report: 21-year-old female came to the Dental Conservation Clinic RSGM Prof. Soedomo Faculty of Dentistry UGM with chief complaint of right central incisive maxilla fracture and tooth discoloration. Radiographic examination showed an open apex of tooth 11 with a diffuse apical radiolucent area. Root canal treatment and apexification were carried out using circumferential technique and Mineral Trioxide Aggregate (MTA). Vertical warm obturation was performed, followed by intra coronal bleaching in the next visit. Final restoration was carried out using direct composite veneer. Post treatment radiographic showed a 1 mm diameter of radiolucent area at the apex in a good healing process.Conclusion: Apexification using MTA can be used to treat an open apex tooth. 1Student of Specialist Programme in Conservative Dentistry, Dentistry Faculty, Gadjah Mada University 2Department of Conservative Dentistry, Dentistry Faculty, Gadjah Mada University
RETRIEVING BROKEN INSTRUMENT IN HALF OF THE APIKAL ON CANINES TEETH WITH H-FILE BRAIDING TECHNIQUE Yunita Styaningrum; Yoanita Dwi Andina; Yulita Kristanti
ODONTO : Dental Journal Vol 8, No 2 (2021): December 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.2.146-150

Abstract

ABSTRACTBackground: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique. Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention. Result: No complain pain after 2 weeks retrieving broken instrument.Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing.
THE EFFECT OF VARIOUS DESENSITIZING AGENT APPLICATION ON IN-OFFICE BLEACHING ON THE NUMBER OF FIBROBLASTS Nunik Rahayu Apriliyani; Ema Mulyawati; Yulita Kristanti
ODONTO : Dental Journal Vol 8, No 1 (2021): July 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.1.132-140

Abstract

Background: Reactive Oxygen Species (ROS) released from hydrogen peroxide causes inflammation of the pulp. Remineralization action by fluoride-containing desensitizing agent (Casein Phosphopeptides-Amorphous Calcium Fluoride Phosphate/CPP-ACFP) occluding dentinal tubule, thereby minimizing the penetration of hydrogen peroxide into the pulp and affect the number of fibroblasts. The aim of this study was to determine the effect of fluoride-containing desensitizing agent (CPP-ACFP) application: before, after, and before-after in-office bleaching techniques using 40% hydrogen peroxide on the number of fibroblasts.Method: Twenty-eight maxillary molar teeth were divided into 4 groups, Control Group (bleaching treatment), Group I (CPP-ACFP application before bleaching), Group II (CPP-ACFP application after bleaching), and Group III (CPP-ACFP application before and after bleaching). Rats were sacrificed 5 days after and histological preparations were stained with HE. Fibroblasts counting was performed using a 1000x magnification light microscope.Result: ANOVA test showed that there were significant mean differences in the number of fibroblasts among the groups. The LSD test showed that there were statistically significant differences in almost all of the compared groups except between the Control Group and Group II.Conclusion: The number of fibroblasts in the pulp of rats applied CPP-ACFP before and after in-office bleaching was less than applied CPP-ACFP before or after in-office bleaching.
NON SURGICAL LATROGENIC PERFORATION REPAIR USING MINERAL TRIOXIDE AGGREGATE AND DIRECT RESTORATION WITH FIBER POST ON CENTRAL MAXILLARY INCISOR Hendargo Agung Pribadi; Yulita Kristanti
Jurnal Teknosains Vol 6, No 2 (2017): June
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/teknosains.27589

Abstract

Perforation can be a problem that leading to root canal treatment failure in the long run. Perforation can be caused by iatrogenic factor. The most common iatrogenic perforation was found at maxillary anterior. Non surgery iatrogenic perforation repair can be done using mineral trioxide aggregate and direct restoration. The purpose of this case report was to describe non surgical iatrogenic perforation repair using mineral trioxide aggregate and direct restoration with fiber post. A 27 years old male patient diagnosed for pulpitis came to  RSGM Prof. Soedomo. Root canal treatment (pulp extirpation) had performed before he was referred for further treatment. Objective test showed both percussion and palpation were negative. From periapical radiograph could be noticed that there was no file left in the root canal. Root canal treatment was performed using step back technique and lateral condensation. Perforation was sealed by mineral trioxide aggregate. The tooth was restored using direct restoration with fiber post. Latrogenic perforation can be treated non surgically using mineral trioxide aggregate and directly restored using composite resin with fiber post.
MANAGEMENT OF MISALIGNED CROWN FRACTURE WITH EXTERNAL ROOF RESORPTION USING MINERAL TRIOXIDE AGGREGATE (MTA) AND CUSTOM CAST POST AND CORE RESTORATION Rebecca Azary Kuncoro; Yulita Kristanti
Jurnal Teknosains Vol 6, No 2 (2017): June
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/teknosains.27596

Abstract

Crown fracture is the most commonly reported traumatic injuries in the permanent dentition. One of the unfavorable response to trauma is the development of external root resorption (ERR). Injuries may also cause tooth angulation changes so it should be treated with a customized cast post and core to produce better aesthetic result and to obtain sufficient compressive strength.The case report describes the use of mineral trioxide aggregate (MTA) as an apical plug to promote periapical healing of an open apex and the use of custom cast post and core to correct the tooth angulation.Case report.A 23-year-old male patient came to RSGM Prof. Soedomo with a chief complaint of a fractured and labial misaligned of upper right central incisor due to trauma 10 years ago. Patient expressed his unwillingness to get orthodontic therapy. Percussion and palpation test showed no discomfort or pain. There was no mobility noticed. Radiograph showed periapical radiolucency and open apex. Tooth was treated with calcium hydroxide dressing and MTA apical plugs were placed in the apical portion of canals. Tooth was restored with custom cast post and core to correct the angulation followed by the placement of an porcelain crown.MTA can be used as apical plug for sealing open apex caused by ERR combined with custom cast post and core for other option for misaligned tooth.
Composite resin restoration with fiber reinforced composite after root canal treatment of necrotic pulp tooth with gumboil Dessy Natalia; Yulita Kristanti
Jurnal Teknosains Vol 10, No 2 (2021): June
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/teknosains.41113

Abstract

Gumboil is inflammation reaction in the gum caused by pulp infection. Gumboil is seen as an oral lesion characterized by a soft erythematous papule where a periapical abcess is draining into the oral cavity. An adequate root canal treatment can  cure gumboil and remove bacteria from the root canal. To support the success of root canal treatment, final restoration used in this case is composite resin restoration with reinforcing fiber (short fiber reinforced composite). The purpose of this treatment was to restore the functions of tooth in mastication and preserving the supporting tissue. A female patient age 23 years old came with complaints of pain in the lower right mandibular molar accompanied by swelling of the gums around the teeth since a week ago. Swelling is intermittent since last 3 months. The tooth have been restored for about 3 years ago. Clinical examination showed a positive percussion, positive palpation, negative vitality, and negative mobility. Radiographic examination showed bifurcation and periapical lesions. Root canal treatment is performed with crown down preparation technique and followed by direct composite resin restoration with short fiber reiforced composite. The success of root canal treatment followed by composite resin restoration with short fiber reinforced fiber is marked by the absence of complaints as well as the dissappearance of gumboil.
The effect of CPP-ACP containing fluoride on Streptococcus mutans adhesion and enamel roughness Yulita Kristanti; Widya Asmara; Siti Sunarintyas; Juni Handajani
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 4 (2013): December 2013
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (695.477 KB) | DOI: 10.20473/j.djmkg.v46.i4.p202-206

Abstract

Background: Direct contact between the bleaching agent and the enamel surface results in demineralization, alteration in surface roughness and bacterial adhesion. Many studies try to minimize this side effect through different way. Purpose: The aim of this study was to determined the effect of Calcium Phospho Peptide-Amorphous Calcium Phosphate (CPP-ACP) containing fluoride application before and after bleaching procedure on the adhesion of S. Mutans and enamel roughness. Methods: The samples were 6 teeth which were divided into 4 groups, and each tooth was cut into four pieces. Group A and C were treated with CPP-ACP after bleaching, while group B and D were treated with CPP-ACP before and after bleaching. CPP-ACP used in group C and D was the one that contain fluoride. After treatment, all samples were sterilized, immersed in steril human saliva for one hour, then immersed into S. mutans suspension of 108 CFU. Samples were incubated overnight. On the next day the samples were put into steril BHI and vortexed for one minute to detach the bacteria. Fifteen ml BHI containing bacteria was poured into TYS agar then incubated 37°Cfor 48 hours. Bacterial colony was counted with colony counter. The SEM examination was done on all samples. Results: Application of desensitizing agent reduced the S.mutans adhesion significantly among groups (p<0.05) except between group A and C. SEM evaluation revealed significant differences among groups. Conclusion: The application of CPP-ACP containing fluoride before and after bleaching was effective to reduce the accumulation of S.mutans colony and enamel roughness.Latar belakang: Kontak langsung antara bahan bleaching dan permukaan enamel menyebabkan demineralisasi, perubahan kekasaran permukaan dan berpengaruh terhadap banyaknya bakteri Streptococcus mutans (S. mutans) yang melekat. Banyak peneliti mencoba meminimalkan efek samping ini dengan cara yang beragam. Tujuan: Penelitian ini bertujuan untuk meneliti efek aplikasi CPP-ACP mengandung fluor sebelum dan setelah bleaching terhadap adhesi S.mutans dan kekasaran enamel. Metode: Sampel penelitian adalah 6 buah gigi yang dibagi dalam 4 kelompok, kemudian masing-masing gigi dibelah menjadi 4 bagian. Kelompok A dan C diaplikasi dengan CPP-ACP setelah bleaching, sedang Kelompok B dan D diaplikasi CPP-ACP sebelum dan setelah bleaching. CPP-ACP yang digunakan pada kelompok C dan D adalah yang mengandung fluor. Setelah perlakuan, semua sampel disterilkan dan direndam dalam saliva steril, lalu direndam dalam suspensi S. mutans 108 CFU dan diinkubasi 24 jam. Hari berikutnya sampel dimasukkan dalam BHI steril, divortex 1 menit untuk melepaskan bakteri. Lima belas ml BHI yang berisi S. mutans tersebut diambil untuk dikultur dalam agar TYS dan diinkubasi 37°C selama 48 jam. Bakteri yang tumbuh dihitung dengan colony counter. Pemeriksaan SEM dilakukan untuk meneliti permukaan enamel. Hasil: Aplikasi CPP-ACP(F) menurunkan jumlah bakteri yang melekat pada enamel secara signifikan (p<0,05) pada semua kelompok, kecuali antara kelompok A dan C. Simpulan: Aplikasi CPP-ACP mengandung fluor sebelum dan sesudah bleaching efektif mengurangi akumulasi S. mutans dan kekasaran pada permukaan enamel.
PENGARUH PENUND AAN TAHAP PENUMPATAN DENGAN RESIN KOMPOSIT PADA TEKNIK SANDWICH TERHADAP KEKUATAN TARIK PELEKATAN SEMEN IONOMER KACA DAN RESIN KOMPOSIT Yulita Kristanti; Diatri Nari Ratih
Journal of Dentomaxillofacial Science Vol. 1 No. 1 (2002): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v1i1.129

Abstract

Sandwich technique, a combination filling technique using composite resin filling material and glass ionomer cement has been widely used. In fact, such a combination filling technique need  ffcf i longer time compare to filling without combination. This research was done in order to know the influence of delayed fill ; ing in sandwich technique using composite resin related to the tensile strength between glass ionomer cement and composite resin.The materials studied consist of 16 samples, that were divided into 4 groups. The first one was used as the control groupt without delaying), while group II-IVwas used as the treating groups. Each group consist of 4 samples. The difference treatment between group II-IVwas the soaking time in the artificial saliva. Group II was soaked into artificial saliva (pH5)for 1 day, group , HI for 7 days, and group IVfor 14 days. The result of this research shows that the diference among the groups involved were very significant, except between group I and group II.The longer the sample was soaked into the artificial saliva, the tensile strength tends to decrease.