Ahmad Afif Dzulfiqar
Faculty of Dental Medicine, Universitas Airlangga,Surabaya,Indonesia

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The aesthetic management of diastema closure treatment with indirect veneer using lithium disilicate: A case report Kun Ismiyatin; Olivia Vivian Widjaja; Singgih Harseno; Ahmad Afif Dzulfiqar; Caeleb Fabrizio Sudarsono; Indira Moza Azzaria
Conservative Dentistry Journal Vol. 12 No. 1 (2022): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i1.2022.1-5

Abstract

Background: Diastema is a space between two or more adjacent teeth that can interfere with the patient's aesthetic appearance. Various aesthetic treatments can be performed for diastema closure on anterior teeth, one of which is through the installation of veneers. The lithium disilicate ceramic material produces the thinnest veneer and has better properties than other materials, and is able to cover the anterior diastema with a fairly large width. Purpose: To describe the aesthetic procedure for closing the diastema of anterior teeth using indirect lithium disilicate ceramic veneer. Case(s): A 29-years-old male patient came with a complaint of dissatisfaction with her smile because of a gap between teeth 12 and 13. The teeth are in vital condition with normal overjet and overbite, and there are no systemic health problems. Case Management: The management of diastema closure on teeth 12 and 13 was carried out with indirect lithium disilicate veneer treatment. Lithium disilicate veneer has promising aesthetic results due to its enamel-like nature, minimally invasive because it requires minimal tooth reduction, good strength, and did not cause gingival irritation. As a result, this treatment could increase self-confidence of the patient. Conclusion: Diastema closure treatment using indirect lithium disilicate veneer is an effective treatment, gives satisfactory results and can increase the patient's confidence.
Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin Ismiyatin, Kun; Anindya, Cinitra; Widjaja, Olivia Vivian; Harseno, Singgih; Dzulfiqar, Ahmad Afif; binti Tengku Ahmad Noor, Tengku Natasha Eleena
Dental Journal (Majalah Kedokteran Gigi) Vol. 58 No. 1 (2025): March
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.v58.i1.p100-106

Abstract

Background: The developments in endodontics have created opportunities for patients to maintain functional teeth for longer. Surgical endodontic treatment, such as hemisection, has become a more conservative treatment than complex treatments, such as removable or fixed partial dentures or implants. Purpose: The aim of this treatment is to preserve the remaining tooth structure through a hemisection procedure and socket preservation using an alloplastic bone graft and platelet-rich fibrin (PRF). Case: A female patient presented with mastication pain and a large carious tooth in the right mandibular first molar and wanted to save the tooth. Examination showed deep caries and perforation in the bifurcation area of the tooth with loss of the distal crown. However, the mesial root could be preserved, thus hemisection was proposed. Case management: A root canal treatment was performed on the mesial root, followed by separation of the mesial and distal roots, and, finally, distal root extraction. A mixture of PRF and bone graft was used for socket preservation. The tooth was restored with a splinted zirconia crown. Conclusion: Hemisection with socket preservation using alloplastic bone graft and PRF represents a more conservative treatment option for molar teeth with extensive caries. This approach exhibits a good long-term prognosis and enhances the bone healing process.