Articles
Effectiveness of EDTA as the irrigation solution to remove smear layer in root canal
Achiar, Kurniasri Amas;
Sukartini, Endang
Padjadjaran Journal of Dentistry Vol 21, No 2 (2009): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol21no2.14105
One of the objectives of successful endodontic treatment is the hermetic obturation of the root canal system. To achieve this, the root canal filling must seal the canal space both apically and coronally to prevent the ingress of microorganisms or tissue fluids into the canal space. Apical leakage is reported a common reason for the clinical failure of endodontic therapy. Leakage through an obturated root canal is expected to take place at interfaces between sealer and dentin or sealer and gutta-percha, or through voids within the sealer. Hence, the sealing quality of root canal filling depends much on the sealing ability of the sealer. Therefore, anything that may influence the adaptation of the root filling to the canal wall is can determine the degree and the extent of leakage, and ultimately the prognosis of the endodontic therapy. In endodontic therapy, the smear layer formation results from root canal preparation and may influence the effective seal of the root canal system. The smear layer formation is mainly composed of inorganic components (dentin debris) and organic materials, such as pulp tissue remnant, bacteria, and blood cells. Removal of the smear layer from the root canal walls before the obturation can reduce the leakage of root canal sealer. To remove the smear layer use 10 ml 17% EDTA followed by 10 ml of 5.25% NaOCl as irrigating solution. This paper discribe about how the effectivity of EDTA as irigating solution to remove the smear layer especially in the apical root canal with many lateral canal to reduce the apical leakage.
Apical instrumentation in endodontic therapy
Darliana, Kurniasri;
Sukartini, Endang
Padjadjaran Journal of Dentistry Vol 19, No 2 (2007): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol19no2.14190
Cleaning and shaping of the root canal as the foundation for successful endodontic therapy. Cleaning of the root canal as the removal of all the contents of the root canal systems before and during shaping. Mechanical cleaning as the most important part of the root canal therapy. Instrumentation of the apical region has long been considered to be an essential component in the cleaning and shaping process. The apical area as the critical zone for instrumentation. The apical portion of the root canal system can retain microorganisms that could potentially cause periradicular inflammation. The nickel-titanium rotary instrumentation system to facilitate the cleaning and shaping process. Larger instrumentation sizes not only allow proper irrigation but also significantly decrease remaining bacteria in the canal system. How the larger apical sizes preparation must be achieved to clinical success. This paper will describe the major factors impacting the selection of final apical size, the factors are the anatomy of the apical constriction, root canal diameter, apical instrumentation, and bacteria in dentin tubuli.
Incidence of tooth sensitivity after resin composite class III restoration with flowable composite as liner
Dimyati, Andini;
Sukartini, Endang;
Aripin, Dudi
Padjadjaran Journal of Dentistry Vol 19, No 3 (2007): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol19no3.14158
Resin composites is one of the currently most frequently used aesthetic restoration material. A drawback of resin composites is contraction of polimerization which may result in the coming about of dental sensitivity due to microleakage. Flowable composite has high flow capacity and better adaptation capability making the thinnest application on cavity surfaces. An advantage of flowable composite is the possibility of using it as liner in composite resin restoration, which is expected to minimize the occurrence of post restoration dental sensitivity. This research was a descriptive research using the purposive sampling technique. The sample consisted of 27 first incisive and/or second incisive permanent maxilla teeth. A sensitivity test was used on the sample using chlor ethyl and completing questionnaire by patients. The result of dental sensitivity test indicated that 88.9% of the patients did not experience post restoration dental sensitivity and 11.1% of the patients was experience a decrease of dental sensitivity level. Based on research results the conclusion could be drawn that the used of flowable composite as a liner in resin composite class III restoration didnt had a post restoration dental sensitivity.
Caries prevalence and DMF-T index of Papuanâs students with Betel chewing habit
Tebai, Yohanes;
Sukartini, Endang;
Hayati, Ayu Trisna
Padjadjaran Journal of Dentistry Vol 21, No 1 (2009): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol21no1.14084
The purpose of the research is to find the extent of caries prevalence and DMF-T index in Papuanâs students with betel chewing habit in Cilaki Dormitory Bandung, 2007. Betel chewing habit is a chewing action of Areca nut (Areca Catechu Linn), Betel leaves (Piper Betel Folia), Betel fruit (Piper Betle Linn), lime talk (Calcium Hydroxide), and after chew to spent out of the mouth. The research is a descriptive research using the survey technique. Research samples are determined by purposive sampling, and a number of 80 samples are collected, consisting of Papuanâs student with betel chewing habit in Bandung between 18-to-30 years of age. Research results indicated that caries prevalence is 98.75% with a DMF-T index of 5.46. The conclusion of the reseach is that the caries prevalence and the DMF-T in Papuanâs student with betel chewing habit in Cilaki Papuanâs Student Dormitory Bandung, 2007, is in the high category.
The differences in Hg content released from high copper amalgam and silverfil argentum restoration into artificial saliva after one week of soaking (in vitro)
Wisuardy, Deriz Rieskanoerbachra;
Sukartini, Endang;
Armilia, Milly
Padjadjaran Journal of Dentistry Vol 20, No 2 (2008): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol20no2.14139
Dental restoration is a treatment in dentistry that very often implemented. One of the restoration materials used is an amalgam. Amalgam has some deficiencies, among others, the presence of free Hg. The purpose of this study was to find out the difference in Hg content released from two different kinds of amalgam, namely, high copper amalgam and silverfil argentum carried out in vitro. This study was carried out on thirty premolar teeth of the maxilla which underwent class one occlusal restoration. The Hg content released was measured using the Atomic Absorption Spectrophotometry (AAS). This was a quasi-experimental study. The study results analyzed using the independent t paired statistical test method indicated that after one week of immersion, the average Hg content released from high copper amalgam restoration was 10,695 ng/mL and from silverfil argentum restoration was 5,602 ng/mL. The conclusion of the study was that there was a difference in Hg content released from high copper amalgam restoration and silverfil argentum restoration. The Hg content released from high copper amalgam restoration was higher than the Hg content released from silverfil argentum restoration.
Overhanging approximal restoration: Clinical and radiography features at Tarogong Public Health Service Indonesia
Muryani, Anna;
A., Amaliya;
Garna, Devy Firena;
Oscandar, Fahmi;
Sukartini, Endang
Padjadjaran Journal of Dentistry Vol 28, No 2 (2016): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol28no2.13715
Introduction: Overhanging approximal restoration may causes gingival inflammation, periodontal tissue destruction, decreases alveolar bone height, and caries reccurence. Overhanging restoration can be detected clinically and by radiography image. Overhang restorations can occur due to the poor filling procedures, one of which is the limitation of supporting tools. Restoration of teeth done in Puskesmas often found unavailability constraints supporting tools so that in cases of approximal caries often experience overhang. The aim of this study was to evaluate the incidence of overhanging proximal restoration at Tarogong Public Health Centre in Garut Regency West Java Indonesia. Methods: This study was a descriptive cross sectional for the incidence on patient with overhanging approximal restoration who visited at Dental Unit Tarogong Public Health Center in Garut Regency. Intraoral clinical examination was conducted to examine visually and by tactile for the overhang restoration. Periapical radiography examination was taken and became supporting examination. Results: Collected data were 43 cases of overhanging approximal restoration from total 57 patients. The incidence of overhanging approximal restoration were 75,4. Conclusion: The conclusion of this study by radiography was the incidence of overhanging restoration was 75.4 which showed that overhanging restoration approksimal more than good restoration aproksimal at Tarogong Public Health Centre in Garut Regency West Java Indonesia.
The difference of 17% ethylenediaminetetraacetic acid irrigation material contact time of 60 seconds and 30 seconds toward of cleanliness of apical third root canal wall
Wijaya, Yunita;
Natasasmita, Setiawan;
Sukartini, Endang
Padjadjaran Journal of Dentistry Vol 23, No 3 (2011): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol23no3.14030
Root canal preparation is one important step in endodontic treatment, involves the cleaning and the shaping of the root canal debris. Root canal cleaning effectiveness depends on the preparation bio-mechanical and irrigation. Purpose of this study was to evaluate the cleanliness of apical third of root canal wall from of debris, with the contact time of 17% EDTA irrigation material for 60 seconds and 30 seconds after root canal preparation using rotary NiTi instruments. This quasi-experimental study was carried out invitro, with random sampling technique. The sample used was 20 central maxillary incisors that have been extracted and divided into two experimental groups of 10 teeth each. The results were analyzed using student t statistics, showed that the average value of the debris of the two groups differed significantly. The contact time of 60 seconds of 17% EDTA showed cleaner root canal than the 30 seconds. The conclusion of this study was there were the differences of the cleanliness of apical third of the root canal with the 60 seconds contact time of 17% EDTA irrigation materials than 30 seconds contact time.
The differences of tooth density changes in the applications of 45% carbamide peroxide PF and 38% hydrogen peroxide PF as dental bleaching agents and after the application of 1.2% acidulated phosphoric fluoride
Jurnalis, Devriza;
Natasasmita, Setiawan;
Sukartini, Endang
Padjadjaran Journal of Dentistry Vol 22, No 1 (2010): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol22no1.14068
The changes of tooth density is caused by the dissolutions of mineral enamel (demineralization) by bleaching agent. The purpose of this research was intended to know tooth density changes after the application of bleaching agent using 45% carbamide peroxide potassium fluoride (PF) and 38% hydrogen peroxide potassium fluoride (PF) and after the application of 1.2% acidulated phosphoric fluoride (APF).This research was true experimental in-vitro. Sample taking was by random sampling. The sample consisted of 32 maxillary central incisive permanent teeth. The tooth density was measured using RVG (Radiovisiography). The research results were analyzed and tested in a pair and in a pair of two sample for means using t student method. The conclusion of the research was a decrease of tooth density after the application of bleaching agent with 45% carbamide peroxide PF and 38% hydrogen peroxide PF with statistically significant. After the application of 1.2% APF the density increased significantly but the density was lower than original density. There was no significant difference between bleached with 45% carbamide peroxide potassium fluoride and 38% hydrogen peroxide potassium fluoride.
Endodontic treatment failure caused by arsen utilization as the devitalization material
Sukartini, Endang;
Darliana, Kurniasri
Padjadjaran Journal of Dentistry Vol 20, No 2 (2008): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol20no2.14144
Root canal treatment diagnoses as pulpitis irreversible can be treated in a non-vital condition with devitalization material. Arsenic is one of devitalization material that used in inflammatory pulp tissue before it is going to endodontic treatment. The long-term use of it or the leak of using this arsenic can cause the toxic effect of the pulp tissue. The case is going to report is about the damage of gingival tissue and alveolar that caused by the uncarefullness using of arsenic. Inappropriate arsenic applications cause the leak that able to spread to gingival tissue and will become necrosis. Now a day, the using of arsenic begin to leave because of the toxicity sad effect. This report is going to report how much the damage using arsenic trioxide (As2O3) and the effort from the leakness.
The advantage using Ni - Ti rotary instruments as the smoothness of one-third apical root canal wall
Soerachman, Badi;
Sukartini, Endang;
Aripin, Dudi
Padjadjaran Journal of Dentistry Vol 26, No 3 (2014): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia
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DOI: 10.24198/pjd.vol26no3.14004
Canal wall preparation achieved by smoothness. Objective of this study to determine smoothness differences of nickel-titanium manual instruments compared with nickel-titanium rotary instruments in apical third region canal wall. This study was a quasi-experimental research conducted by in vitro method on 30 single rooted upper permanent incisive that have been extracted. They were randomly divided into two groups (n=15) and each group root canal teeth were cleaned and shaped with manual rotary nickel-titanium instruments. Roughness analyzed used with Mitutoyo roughness surface instruments. Every sample analyzed in third region canal wall. Data have been analyzed with a t-test. The result of the study showed that different smoothness for every sample after preparation by manual and rotary. In conclusion, from this study showed those instrumentations with rotary nickel titanium will give the best smoothness than manual nickel titanium instruments, so the result gets significantly.