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Perbedaan nilai kekasaran permukaan hasil finishing dengan menggunakan batu Arkansas dan fine diamond bur pada komposit Nanofiller Sheilla Fauzia Maretta; Diani Prisinda; Anna Muryani
Padjadjaran Journal of Dental Researchers and Students Vol 2, No 2 (2018): Oktober 2018
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v2i2.21435

Abstract

Pendahuluan: Tahap akhir prosedur restorasi yaitu finishing dan polishing. Prosedur finishing perlu dilakukan dengan baik untuk menghasilkan kontur dan hasil restorasi yang optimal. Tujuan penelitian ini untuk mengetahui nilai kekasaran permukaan dari restorasi resin komposit nanofiller yang dilakukan finishing dengan batu Arkansas dan fine diamond bur. Metode: Jenis penelitian yang digunakan adalah eksperimental semu. Sampel penelitian yaitu komposit nanofiller berbentuk silinder dengan ukuran diameter 6 mm dan tinggi 3 mm.  Jumlah sampel adalah 32 buah yang dibagi menjadi dua kelompok. Kelompok pertama terdiri dari 16 sampel yang dilakukan finishing dengan batu Arkansas dan kelompok kedua dengan fine diamond bur. Kekasaran permukaan sampel diukur dengan alat uji Surface Roughness Tester. Analisis data menggunakan uji statistik T-Test Independent. Hasil: Rata-rata nilai kekasaran permukaan finishing batu Arkansas 0.59 μm dan fine diamond bur 0.77 μm. Kelompok resin komposit nanofiller yang dilakukan finishing dengan fine diamond bur lebih kasar dibandingkan dengan batu Arkansas. Simpulan: terdapat perbedaan yang signifikan pada nilai kekasaran permukaan komposit nanofiller hasil finishing antara batu Arkansas dengan fine diamond bur. Kata kunci: Kekasaran permukaan, finishing, batu Arkansas, fine diamond bur, nanofiller
Karakteristik karies periode gigi campuran pada anak usia 6-7 tahun Diani Prisinda; Indah Suasani Wahyuni; Prima Andisetyanto; Yuliawati Zenab
Padjadjaran Journal of Dental Researchers and Students Vol 1, No 2 (2017): Oktober 2017
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v1i1.22520

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Pendahuluan: Karies gigi merupakan salah satu masalah kesehatan gigi di Indonesia. Riset Kesehatan Dasar tahun 2013 menunjukkan status karies gigi masyarakat masih tinggi. Banyak orang beranggapan bahwa gigi sulung tidak perlu dirawat karena akan digantikan oleh gigi permanen sehingga kurang memperhatikan kesehatan gigi sulung anak, akibatnya keadaan gigi sulung yang dijumpai di praktek dokter gigi seringkali sudah mengalami kerusakan parah. Tujuan penelitian ini adalah mendapatkan data mengenai karakteristik karies periode gigi campuran pada anak usia 6-7 tahun, sebagai dasar penelitian karies gigi lebih lanjut. Metode: Jenis penelitian adalah deskriptif dengan pendekatan cross sectional. Populasi adalah anak usia 6-7 tahun dan siswa SD kelas 1 di Kecamatan Tanjungsari, Sumedang. Teknik purposive sampling mendapatkan subyek penelitian sejumlah 52 anak usia 6-7 tahun yang merupakan siswa kelas 1 dari salah satu SD. Instrumen penelitian yaitu: sinar lampu, kaca mulut, sonde, alat tulis dan formulir pemeriksaan. Data hasil pemeriksaan diolah menggunakan program Excel Office. Hasil: Permukaan gigi permanen yang paling banyak mengalami karies adalah oklusal, sedangkan pada gigi sulung adalah permukaan mesial. Kedalaman karies yang paling banyak ditemukan pada gigi permanen adalah superfisial, sedangkan pada gigi sulung adalah profunda. Ditemukan sejumlah 22 gigi permanen mengalami kerusakan, 343 gigi sulung mengalami kerusakan dan 108 gigi sulung hilang karena karies. Simpulan: Terdapat perbedaan karakteristik karies gigi permanen dan gigi sulung pada periode gigi campuran anak usia 6-7 tahun di Kecamatan Tanjungsari Sumedang.Kata kunci: Karakteristik karies, periode gigi campuran, gigi permanen, gigi sulung.
Streamline characteristics using the computational fluid dynamic analysis in the flow of 18% EDTA irrigation solution to remove Ca(OH)2 Anna Muryani; Hendra Dian Adhita Dharsono; Z. Zuleika; Ing. Mochammad Agoes Moelyadi; Diani Prisinda
Majalah Kedokteran Gigi Indonesia Vol 4, No 2 (2018): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.30886

Abstract

The remaining calcium hydroxide (Ca(OH)2) medicaments in the root canal wall can block the penetration of filling medicaments to the dentine tubule and cause the failure in the root canal treatment. One of the ways in cleaning the root canal wall from the remains of (Ca(OH)2) is by using 18% Ethylene Diamine Tetra Acetic Acid (EDTA) irrigation solution. The cleanliness of the root canal can be examined using the Computational Fluid Dynamics (CFD) analysis. The aim of this research was to see the description of the cleanliness of the root canal wall from the (Ca(OH)2) medicament with 18% EDTA irrigation by means of CFD analysis. This is a descriptive-explorative research. Having been validated with the experimental research using test specimen in the form of block resin made in accordance with the characteristics of root canal, the description of the cleanliness of the root canal wall from the (Ca(OH)2) medicament with the 18% EDTA irrigation was analyzed using CFD method. The irrigation needle used was the side-vented type with the position of 3 mm from the tooth apical. The results of the research showed the conformity between the result of experimental research and CFD research. One of the results of this research was the characteristics of streamline of 18% EDTA in the root canal showing a unique behavior due to the characteristics of the form of side vent irrigation needle. The irrigation flow in the coronal area of the inlet (side vent irrigation needle) showed a low velocity causing the more fluid flowing out from the inlet went to apical rather to the outlet (root canal orifice). In conclusion, this research showed that 18% EDTA solution indicated the conformity of validation results between experimental research and CFD research in the frames of 5, 10, 15, and 20 secs observed from experimental research with the of frame 0,010, 0,099, 0,150 and 0,410 secs as observed from CFD research.
AKTIVITAS ANTIBAKTERI FRAKSI ETANOL DAUN KEMANGI (Ocimum americanum) TERHADAP Enterococcus faecalis ATCC 29212 Ame Suciati Setiawan; Fajar Fatriadi; Diani Prisinda
ODONTO : Dental Journal Vol 7, No 2 (2020): December 2020
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.7.2.111-116

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Background: Ocimum americanum (O. americanum) is a natural plant with antibacterial effects inhibits the growth of gram-positive and gram-negative anaerobic bacteria in the oral cavity. Enterococcus faecalis (E. faecalis) is a gram-positive anaerobic bacteria in the root canal which is resistance to intracanal medicament. The purpose of this study is to analyze the antibacterial effect of ethanol fractionation of O. americanum towards E. faecalis ATCC 29212. Ocimum americanum is a natural plant that has antibacterial properties against grampositive and gram-negative anaerobic bacteria in the oral cavity. Enterococcus faecalis is an anaerobic gram-negative bacteria was found in root canals and resistant to various root canal medicament. The purpose of this study was to analyze the antibacterial effect of the ethanol fraction of Ocimum americanum against Enterococcus faecalis. Methods: The research method was experimental used disc diffusion technique. The fraction is made from solid extract into a polar solution with ethanol solvent with concentration 20%, 40%, 60% and 80%. The test was performed by measuring the inhibition zones around the disc after 24 hours.Results: Chemical properties of O.americanum are alkaloid, flavonoid, saponin, tanin, steroid, dan terpenoid. Inhibition zone of O. americanum fraction with concentration 20%, 40%, 60% and 80% is 8.8 cm, 9.8 cm, 11.1 cm and 16.7 cm. The measurement of O. americanum inhibition zone showed better results compared than positive control (Minosep).Conclusion: Ethanol fraction of O.americanum has antibacterial effect towards E. faecalis.
PENGALAMAN KARIES, KADAR HAEMOGLOBIN, BERAT BADAN DAN TINGGI BADAN PADA ANAK DENGAN LESI MUKOSA ORAL Indah Suasani Wahyuni; Fajar Fatriadi; Diani Prisinda; Fidya Meditia Putri; Nanan Nuraeny; Wahyu Hidayat
ODONTO : Dental Journal Vol 4, No 2 (2017): December 2017
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.4.2.79-84

Abstract

Background: Oral mucosal lesions in children caused by nutritional problems, dental infection, poor oral hygiene and trauma. Oral health in children as the next generation of the nation should always be maintained. However there is still lack of data on the emergence of oral mucosal lesions in Indonesian children. Purpose. To describe an overview of the caries experience, Haemoglobin/Hematokrit (Hb Ht), weight (BB) and height (TB) in children aged 6-7 years in several elementary schools at Tanjungsari, Sumedang.Result: 44 of 137 students who had oral mucosal lesions, had completesupporting data. Total of 43 students had an average caries experience of 8.4 teeth/child (1-17 teeth/child), while 1 student was caries-free. The average of weight = 19.3 kg, height = 115.5 cm, and Hb/Ht = 12.5/36.5%. Oral lesions found were plaques on the tongue, ulcers, macules, nodules, pustules and desquamatives.Discussion: The condition of untreated dental caries can cause pain anddiscomfort, so the child will have difculty eating and interfere with the growth process. This can be seen through the child’s caries experience with data on weight and height. Tooth decay affects the nutrient intake and was estimated to lead to a decrease in Hb/Ht. Oral mucosal lesions due to trauma and poor oral hygiene were not expected to affect systemic conditions.Conclusion: The results of this study indicate that the caries experience was very high, the average value of weight and height were normal below the ideal, Hb/Ht levels within normal limits, while Coated tongue was the common diagnosis found from subjects
Antibacterial potential of Ocimum sanctum oils in relation to Enterococcus faecalis ATCC 29212 Diani Prisinda; Ame Suciati Setiawan; Fajar Fitriadi
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (758.543 KB) | DOI: 10.20473/j.djmkg.v51.i3.p104-107

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Background: Enterococcus faecalis is a Gram-positive cocci present in the root canal due to the failure of endodontic treatment and  pulp tissue necrosis. The ideal root canal medicine offers biocompatible properties, ease of cleaning, absence of tooth staining and non-disruption of the root canal filling process. Basil (Ocimum sanctum) is one of the herbs widely used in salads which produces anti-bacterial, anti-fungal and anti-viral effects. The antibacterial effect of basil results from the eugenol which represents a main component demonstrating antibacterial properties. Basil essential oil has an antibacterial effect on both gram positive and gram-negative bacteria. Purpose: This study aimed to determine whether the essential oils contained in basil leaves offer any antibacterial potential with regard to the growth of Enterecoccus faecalis ATCC 29212. Methods: The research was experimental in nature incorporating a simple random sampling technique. In this study, groups of active substance compounds contained in basil leaves were extracted by distillation in order to obtain the essential oil. Preparation of the test solution involved essence of basil leaf oil at concentrations of 5,000 ppm, 10,000 ppm and 20,000 ppm in methanol solvent. A phytochemical test of basil was subsequently conducted in order to identify the content of the compound. The bacteria in this study was tested utilizing a disc diffusion method (Kirby and Bauer test) by measuring the diameter of the clear zone (clear zone) which is indicative of the bacterial growth inhibition response of antibacterial compounds in the extract. Results: The results of the research into the phytochemical test showed that basil contains phenolic flavonoids, triterpenoids, saponins, tannins which produce a negative result on steroids. The results of this study showed that the basil essential oil inhibition zone present in the Enterecoccus faecalis growth had a diameter of 11.70 mm at a concentration of 20,000 ppm. This concentration therefore proved most effective in relation to Enterococcus faecalis than other concentrations. Conclusion: It can be concluded that essential oils of basil leaves demonstrate anti-bacterial inhibitory properties with regard to Enterococcus faecalis.
Perawatan saluran akar ulang non-bedah gigi insisivus lateral kanan rahang atas pada pasien geriatriNon-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient Prima Dianiawati Nur Anisa; Diani Prisinda
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2020): Desember 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.29548

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Pendahuluan: Kegagalan perawatan endodontik umumnya terjadi akibat obturasi yang tidak adekuat dan kebocoran pada restorasi akhir. Kegagalan tersebut dapat diatasi dengan perawatan saluran akar ulang. Perawatan tersebut pada pasien geriatri memerlukan berbagai pertimbangan penatalaksanaan sesuai dengan kondisi fisiologis dan sistemik pasien. Tujuan laporan kasus ini untuk menjelaskan perawatan saluran akar ulang non-bedah gigi insisif lateral kanan atas pada pasien geriatri. Laporan kasus: Perempuan berusia 69 tahun datang ke Instalasi Rawat Jalan Spesialistik Konservasi Gigi Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) untuk memperbaiki tambalan gigi atas depan kanan yang pecah dan untuk merawat gigi tersebut karena terasa tidak nyaman saat digunakan untuk mengunyah. Gigi pernah dilakukan perawatan saluran akar dan penambalan sewarna gigi sekitar empat tahun yang lalu. Pemeriksaan intraoral menunjukan perkusi positif pada gigi insisif lateral kanan rahang atas. Pemeriksaan radiografis periapikal memperlihatkan bahan pengisi saluran akar tidak adekuat, pelebaran membran periodontal di sepertiga apikal, serta terputusnya lamina dura di sepertiga apikal. Rencana perawatan adalah perawatan saluran akar ulang non bedah. Perawatan berlangsung dalam enam kali pertemuan singkat, dengan tahapan pengambilan gutta-percha menggunakan file hedstrom, preparasi saluran akar dengan instrumen rotary, obturasi saluran akar dengan gutta-percha serta sealer resin plus dan restorasi akhir veneer direk berbahan komposit. Simpulan: Perawatan saluran akar ulang non-bedah pada gigi insisif lateral kanan atas berhasil dilakukan dengan ditandai hilangnya keluhan pasien, perbaikan pada gambaran radiografis serta gigi dapat berfungsi secara normal. Keberhasilan perawatan dipengaruhi oleh rencana perawatan yang tepat dengan mempertimbangkan faktor etiologi kegagalan perawatan endodontik serta perubahan fisiologis dan kondisi patologis yang terdapat pada pasien.Kata kunci: Perawatan saluran akar ulang, insisif lateral, pasien geriatri. ABSTRACT Introduction: Endodontic treatment failure generally results from inadequate obturation and leakage at the final restoration. This failure can be relieved by re-root canal treatment. Such treatment in geriatric patients requires various management considerations according to the patient’s physiological and systemic conditions. This case report was aimed to describe the non-surgical root canal re-treatment of maxillary right lateral incisor in a geriatric patient. Case report: A 69-years-old woman came to the Conservative Dentistry Specialist Outpatient Unit of the Universitas Padjadjaran Dental Hospital (RSGM Unpad) to repair a broken maxillary right front tooth fill and to treat the tooth due to the uncomfortable feeling each time the mastication was performed. The tooth was treated with root canals and tooth-coloured fillings about four years ago. Intraoral examination revealed positive percussion of the maxillary right lateral incisor. The periapical radiograph showed inadequate root canal filling, dilation of the periodontal membrane in the third apical, and severed lamina dura in the third apical. The treatment plan was non-surgical root canal re-treatment. The treatment took place in six short sessions, with the steps of gutta-percha collection using a Hedstrom file, the root canal preparation with a rotary instrument, and the root canal’s obturation with gutta-percha plus resin sealer and final restoration of a composite direct veneer. Conclusion: Non-surgical root canal treatment of the upper right lateral incisor was successfully performed as indicated by the absence of the patient’s complaints, improvement in the radiographic image, and the teeth’ normal function. The treatment's success is influenced by a proper treatment plan considering the aetiological factors of endodontic treatment failure, the physiological changes, and pathological conditions present in the patient.Keywords: Root canal re-treatment, lateral incisor, geriatric patient.
Penatalaksanaan kasus lesi endodontik-periodontik dengan keterlibatan furkasi pada gigi molar pertama rahang bawah kiriEndodontic-periodontic lesion management with furcation involvement in the left mandibular first molar Ellizabeth Yunita; Diani Prisinda
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 2 (2020): November 2020 (Suplemen 1)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.18034

Abstract

Pendahuluan: Lesi kombinasi endodontik dan periodontik umum ditemukan pada gigi dengan nekrosis pulpa. Hubungan simultan antara masalah pulpa dan penyakit periodontal dapat menyulitkan dalam menentukan diagnosis dan rencana perawatan. Tujuan laporan kasus ini adalah untuk memperlihatkan keberhasilan perawatan lesi endodontik periodontik disertai keterlibatan furkasi pada gigi molar pertama dengan penatalaksanaan kasus dari kerjasama dua bidang ilmu yang berbeda, ditunjukan dengan hilangnya lesi dan gejala yang terdapat di pasien. Laporan kasus: Gigi molar pertama rahang bawah kiri dengan diagnosis lesi endodontik primer disertai lesi periodontal sekunder (berdasarkan klasifikasi Simon) dirawat secara endodontik yang dikombinasikan dengan perawatan periodontal. Gigi 36 dirawat saluran akarnya terlebih dahulu dengan menempatkan medikasi antar kunjungan kemudian dilakukan restorasi akhir endocrown komposit. Perawatan dilanjutkan dengan pembedahan flap untuk mencapai akses ke area furkasi disertai penempatan bone graft pada defek furkasi. Kontrol dilakukan sampai 3 bulan setelah pembedahan periodontal dan memperlihatkan hasil yang baik. Simpulan: Perawatan lesi endodontik-periodontik pada pasien ini terlihat lesi menghilang, pemeriksaan subjektif dan objektif tidak memperlihatkan kelainan dan pasien merasa puas dengan perawatannya.Kata kunci: Lesi endodontik-periodontik, defek furkasi, perawatan endodontik, kuretase furkasi, restorasi endocrown. ABSTRACTIntroduction: Combined endodontic and periodontic lesions are commonly found in teeth with pulp necrosis. The simultaneous association between pulp problems and periodontal disease can make it difficult to determine a diagnosis and treatment plan. This case report was aimed to demonstrate the successful treatment of endodontic-periodontic lesions with furcation involvement in the left mandibular first molar with collaborative management of two different disciplines, demonstrated by disappearance of the lesions and symptoms in the patient. Case report: Left mandibular first molar diagnosed with primary endodontic lesion and secondary periodontal lesion (according to Simon's classification) was treated endodontically in combination with periodontal treatment. The beginning of the treatment was initiated from the root canal of tooth 36, which was treated by administering the medication between visits, then the final composite endocrown restoration was performed. The treatment was then continued with flap surgery to achieve access to the furcation area with placement of a bone graft in the furcation defect. Control was carried out until three months after periodontal surgery and showed promising results. Conclusion: The treatment of endodontic-periodontic lesions in the patient showed that the lesions have disappeared. Subjective and objective examinations do not show any abnormalities, and the patient is satisfied with the treatment.Keywords: Endodontic-periodontic lesion, furcation defect, endodontic treatment, furcation curretage, endocrown restoration.
Zona hambat ekstrak etil asetat daun kemangi (Ocimum basilicum) terhadap Enterococcus faecalis ATCC 29212Inhibition zone of ethyl acetate extract of basil leaves (Ocimum basilicum) against Enterococcus faecalis ATCC 29212 Rahmi Wastri; Ame Suciati Setiawan; Dani Rizali Firman; Diani Prisinda; Fajar Fatriadi
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 1 (2021): April 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i1.28836

Abstract

Pendahuluan: Enterococcus faecalis (E. faecalis) merupakan bakteri yang persisten pada saluran akar gigi, sehingga dapat menyebabkan infeksi sekunder pada saluran akar gigi yang telah diobturasi. Bahan irigasi dan medikamen harus diberikan pada saluran akar gigi untuk menunjang keberhasilan perawatannya. Daun kemangi (Ocimum basilicum/O. basilicum) merupakan tanaman obat tradisional yang diketahui memiliki potensi antibakteri dan berpeluang untuk dikembangkan sebagai bahan irigasi saluran akar gigi. Penelitian ini bertujuan untuk mengetahui zona hambat ekstrak etil asetat daun O. basilicum terhadap E. faecalis ATTC 29212. Metode:Jenis penelitian eksperimental laboratori. Pengujian zona hambat ekstrak etil asetat daun O. basilicum yang diperoleh dari proses maserasi dilakukan dengan metode difusi cakram dengan menggunakan klorheksidin 0,1% sebagai kontrol positif dan dilakukan tiga kali pengulangan terhadap E. faecalis ATCC 29212. Ekstrak pekat dilarutkan menggunakan DMSO 10% dan dilakukan pengenceran dua tingkat sehingga diperoleh konsentrasi ekstrak 512.000 – 1.000 ppm. Hasil: Ekstrak etil asetat daun O. basilicum pada konsentrasi uji 512.000 ppm telah memperlihatkan zona abu-abu seluas 1 mm di luar cakram uji, sementara konsentrasi uji lainnya tidak memperlihatkan adanya penghambatan. Beragam faktor dalam penelitian ini dapat mempengaruhi hasil pengujian, diantaranya adalah kelarutan ekstrak uji dalam pelarut yang digunakan, prosedur sebelum ekstraksi, dan keterbatasan metoda pengujian. Simpulan: Ekstrak etil asetat daun O. basilicum tidak memiliki zona hambat terhadap E. faecalis ATTC 29212.Kata kunci: Ocimum basilicum, Enterococcus faecalis ATCC 29212, zona hambat. ABSTRACTIntroduction: Enterococcus faecalis (E. faecalis) is a bacteria that persist in root canals, cause secondary infection in obturated root canals. Irrigation material and medicament must be administered to the root canal to support the treatment success. Basil leaves (Ocimum basilicum/O. basilicum) is a traditional medicinal plant known with antibacterial potential and has the opportunity to be developed as a root canal irrigation agent. This study was aimed to determine the inhibition zone of the ethyl acetate extract of O. basilicum leaves against E. faecalis ATTC 29212. Methods: This study was an experimental laboratory. The inhibition zone test of the ethyl acetate extract of O. basilicum leaves obtained from the maceration process was conducted with the disc diffusion method using 0.1% chlorhexidine as a positive control and three replications E. faecalis ATCC 29212. The concentrated extract was dissolved using 10% DMSO, and two dilution levels were carried out to obtain an extract concentration of 512,000 - 1,000 ppm. Results: The ethyl acetate extract of O. basilicum leaves at the test concentration of 512,000 ppm showed a grey zone of 1 mm outside the test disc, while other test concentrations did not show any inhibition. Various factors in this study can affect the test results, including the solubility of the test extract in the solvent used, the procedure before extraction, and the limitations of the test method. Conclusion: O. basilicum leaf ethyl acetate extract had no inhibition zone against E. faecalis ATTC 29212.Keywords: Ocimum basilicum, Enterococcus faecalis ATCC 29212, zone of inhibition.
Pre endodontik build-up dengan teknik canal projection pada gigi insisif lateral rahang atas disertai kerusakan mahkota yang sangat luasPre endodontic build-up with canal projection technique on maxillary lateral incisors with extensive crown damage Maria Faizarani; Diani Prisinda
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 2 (2021): Agustus 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i2.29521

Abstract

Pendahuluan: Gigi dengan kerusakan mahkota yang sangat luas sering menimbulkan masalah dalam perawatan endodontik seperti kesulitan dalam penempatan klem rubber dam sehingga isolasi yang kurang memadai serta kemungkinan terjadinya kebocoran koronal yang mengakibatkan risiko kegagalan perawatan endodontik. Gigi dengan keadaan tersebut  membutuhkan restorasi sementara pre endodontic agar dapat dilakukan isolasi yang memadai, penempatan klem yang efektif selama perawatan dan pemulihan estetik sementara selama perawatan saluran akar. Tujuan laporan kasus ini untuk menjelaskan pembuatan pre endodontic build-up menggunakan alat tip plastik sekali pakai selama perawatan saluran akar pada gigi insisif rahang atas dengan kerusakan mahkota yang sangat luas. Laporan kasus: Pasien perempuan berusia 53 tahun datang ke Klinik Konservasi Gigi RSGM Unpad dengan keluhan gigi seri rahang atas kiri patah saat makan. Gigi tersebut pernah dirawat saluran akar satu tahun yang lalu namun tidak selesai.  Pemeriksaan klinis menunjukkan kehilangan mahkota sampai batas servikal, dan terdapat gambaran radiolusen yang difus di area periapikal. Diagnosis berdasarkan American Association of Endodontics   (AAE) adalah previously initiated therapy disertai periodontitis apikalis asimptomatik. Pembuatan pre endodontic build-up dengan teknik canal projection dilakukan untuk mendapatkan isolasi sekaligus sebagai restorasi sementara dan dilanjutkan dengan perawatan saluran akar dan pembuatan mahkota all porcelain dengan fiber post. Simpulan: Pembuatan pre endodontic build-up menggunakan teknik canal projection  berhasil dilakukan selama perawatan saluran akar gigi insisif lateral kiri atas dengan kerusakan mahkota yang sangat luas. Pre endodontic build-up dengan teknik canal projection pada kasus ini dapat memberikan isolasi yang memadai, memudahkan penempatan klem rubber dam serta memberikan pemulihan estetik yang baik selama periode antar kunjungan. ABSTRACTIntroduction: Extensive crown damage often causes problems in endodontic treatment, such as difficulty placing rubber dam clamps, resulting in inadequate isolation and the possibility of coronal leakage, which results in treatment failure risk. This condition requires pre-endodontic temporary restorations to provide adequate isolation, effective clamping during treatment, and temporary aesthetic restoration during root canal treatment. The purpose of this case report was to describe the fabrication of a pre-endodontic build-up using a disposable plastic tip device during root canal treatment of a maxillary incisor with extensive crown damage. Case report: A 53-year-old female patient came to the Conservative Dentistry Clinic of Universitas Padjadjaran Dental Hospital to complain of a fractured left maxillary incisor that occurred while eating. The tooth had a root canal treatment one year prior but was not completed. Clinical examination revealed crown loss to the cervical margin and a diffuse radiolucent appearance in the periapical area. According to the American Association of Endodontics (AAE), the diagnosis was previously initiated therapy with asymptomatic apical periodontitis. Therefore, the pre-endodontic build-up using the canal projection technique was performed to obtain isolation and temporary restoration, continued with root canal treatment and the manufacture of an all-porcelain crown with fibre post. Conclusions: The pre-endodontic build-up with canal projection technique has been successfully performed during root canal treatment of the maxillary left lateral incisor with extensive crown damage. Pre-endodontic build-up with canal projection technique can provide adequate isolation, facilitate the placement of rubber dam clamps, and provide good aesthetic recovery during the period between visits.