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Penatalaksanaan Hipokasifikasi Email Dengan Restorasi Komposit Kelas IV Pada Gigi Anterior Rahang Atas Diani Prisinda; Cindy Lestari Marshaliana
Jurnal Material Kedokteran Gigi Vol 5 No 1 (2016): JMKG Vol 5 No 1 Maret 2016
Publisher : Ikatan Peminat Ilmu Material dan Alat Kedokteran Gigi (IPAMAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (439.215 KB)

Abstract

The advances in restorative materials and adhesive technology plays an important role in dentistry. Adhesive system is currently the main choice for shifting in the principle of “extension for prevention” to “minimally invasive”. In this case, composite resin restorations class IV discoloration accompanied by hypocalcification circumstances was found. Class IV restoration is the restoration of the anterior teeth interproximal surfaces that involve the incisal edge of the tooth, while enamel hypocalcification is opaque white patches on the surface of the email that usually occurs due shortly matrix enamel hypomineralization and is often found in the maxillary incisor teeth. Restoration of class IV composite in this case was done by preparation minimally invasive techniques incremental in filling composite resin, estethic contouring with the use of composite tints and opaquers, as well as finishing and polishing both showed satisfactory results with minimal cost when compared to the restoration of full crown.
Penatalaksanaan restorasi overlay komposit pada gigi molar pertama kiri mandibula pasca perawatan saluran akarManagement of composite overlay restoration of mandibular first molar post-root canal treatment Lydiawati Wibisono; Diani Prisinda
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 34, No 2 (2022): Agustus 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v34i2.28358

Abstract

ABSTRAKPendahuluan: Proses karies gigi dan gigi yang telah dilakukan perawatan endodontik menyebabkan kehilangan substansi gigi sehingga lebih rentan terhadap fraktur. Frederico Ferraris mengatakan restorasi adhesif indirek posterior umum digunakan pada kasus kavitas dengan kerusakan koronal yang luas. Penggunaan overlay komposit indirek memberikan beberapa keuntungan, termasuk konservatif, sealing, fungsi dan estetik yang baik. Tujuan laporan kasus ini membahas penatalaksanaan restorasi overlay komposit indirek sebagai pilihan restorasi pasca perawatan saluran akar. Laporan kasus: Pasien perempuan berusia 47 tahun datang ke klinik dengan keluhan gigi geraham bawah kiri belakang berlubang dan seringkali terselip makanan sejak 2 minggu yang lalu. Pasien tidak memiliki riwayat nyeri spontan, pernah dilakukan penambalan sebelumnya ± 1 tahun lalu. Pemeriksaan objektif menunjukkan gigi 36 tes vitalitas, tes perkusi dan tes tekan negatif, tidak terdapat kegoyangan gigi dengan jaringan sekitar dalam batas normal. Pemeriksaan radiografis menunjukkan terdapat gambaran radioopak menyerupai tambalan dari enamel hingga kamar pulpa dan mendekati bifurkasi, pelebaran membran periodontal, penebalan lamina dura disertai gambaran radioopak di sekitar apikal akar gigi. Jaringan karies dihilangkan dan pembukaan akses kavitas gigi 36, irigasi dengan NaOCl 5,25% dan agitasi menggunakan Eddy® tip, dan preparasi saluran akar dengan teknik crown down menggunakan nikel titanium rotary Protaper GoldTM dan restorasi follow up overlay komposit indirek. Pemeriksaan radiografis bitewing dilakukan pasca pemasangan overlay komposit indirek untuk mengevaluasi keberhasilan perawatan. Simpulan: Restorasi overlay komposit menunjukkan keberhasilan perawatan restorasi pasca endodontik dengan penyembuhan jaringan periapikal serta respon jaringan yang baik.Kata kunci: perawatan saluran akar; overlay; komposit indirekABSTRACTIntroduction: Dental caries processes and endodontically treated teeth (ETT) cause tooth loss, making it more susceptible to fracture. Frederico Ferraris showed that posterior indirect adhesive restoration (PIAR) is commonly used in cases with widespread coronal damage. The indirect composite overlay restoration provides several advantages, including conservative, sealing, function and pleasing aesthetics. This case report discusses the management of indirect composite overlay restoration as a treatment of restoration for post-root canal treatment. Case report: 47-years-old female patient came to the clinic with complaints of cavities in the left lower molar and food impaction 2 weeks ago. The patient has no history of spontaneous pain and had restoration fillings performed 1 year ago on this tooth. Objective examination showed non-vital teeth 36, percussion test and pressure test were negative, and there was no mobility of teeth with the normal surrounding tissue. Radiographic examination shows radiopaque of the crown from enamel towards the pulp chamber and approaching the bifurcation, widening of periodontal membrane, and thickening of lamina dura, accompanied by a radiopaque appearance around the apical root. Removal of caries tissue and access opening of the cavity was performed, irrigation with 5.25% NaOCl and agitation using an Eddy® tip, and root canal preparation with the crown down technique using nickel-titanium rotary Protaper GoldTM™ and indirect composite overlay restorations as a follow-up. Bitewing radiograph is carried out after cementation of indirect composite overlay to evaluate the success of dental treatment. Conclusion: The indirect composite overlay adhesive restoration showed success in restoration post endodontic treatment with the healing of periapical tissue and good tissue response.Keywords: root canal treatment; overlay; indirect composite
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 | Full PDF (345.232 KB) | 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
Compliance evaluation of dental students in orthodontic clinic towards patient safety: observational study Wilam, Christiana; Harsanti, Andriani; Prisinda, Diani; Malinda, Yuti; Suciati, Ame
Padjadjaran Journal of Dental Researchers and Students Vol 7, No 2 (2023): June 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v7i2.40507

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 ABSTRACTIntroduction: Orthodontic clinic Universitas Padjadjaran Dental Hospital (RSGM Unpad) is an outpatient unit that provides services and treatment for malocclusion as one of the five biggest diseases at RSGM Unpad in 2021. Improving the quality of services at the orthodontic clinic by implementing patient safety standards need to be done to improve public health. The purpose of this study was to evaluate the compliance of dental students in orthodontic clinic RSGM Unpad towards patient safety. Methods: The type of research used was descriptive observational research with a purposive sampling technique and a total sample of 87 health workers was obtained. The data collection technique was carried out by observing and evaluating 87 health workers at the Orthodontic Polyclinic of RSGM Unpad in March - April 2022 using an assessment rubric. Results: The results of six quality indicators to determine compliance towards patient safety are: Patient identification compliance is 31.03%; Outpatient waiting time is 30 minutes; National formulary compliance cannot be determined; (4) Hand hygiene compliance is 12.64%; Clinical pathway compliance is 83.33%; Personal Protective Equipment compliance is 13.79%. Conclusion: Compliance evaluation of dental students in orthodontic clinic RSGM Unpad towards patient safety for outpatient waiting time compliance is compliant, and for patient identification compliance, hand hygiene compliance, clinical pathway compliance and Personal Protective Equipment compliance are non-compliant, while compliance with the use of the national formulary cannot be determined.KEY WORDS: compliance, dental students, patient safety, orthodontic clinicEvaluasi kepatuhan peserta didik klinik ortodonti terhadap keselamatan pasien: studi observasionalABSTRAK     Pendahuluan: Poliklinik ortodonti Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) merupakan unit rawat jalan yang menyediakan pelayanan dan perawatan maloklusi sebagai salah satu dari lima penyakit terbesar di RSGM Unpad pada tahun 2021. Peningkatan mutu pelayanan di poliklinik ortodonti dengan cara menerapkan standar keselamatan pasien perlu dilakukan untuk meningkatkan derajat kesehatan masyarakat. Tujuan dari penelitian ini untuk mengevaluasi kepatuhan tenaga kesehatan terhadap keselamatan pasien di poliklinik ortodonti Rumah Sakit Gigi dan Mulut Universitas Padjadjaran. Metode: Jenis penelitian yang digunakan adalah penelitian observasional deskriptif dengan teknik purposive sampling dan didapatkan jumlah sampel sebanyak 87 tenaga kesehatan. Teknik pengumpulan data dilakukan dengan melakukan pengamatan dan penilaian terhadap 87 tenaga kesehatan di Poliklinik Ortodonti RSGM Unpad pada bulan Maret – April tahun 2022 menggunakan rubrik penilaian. Hasil: Hasil dari enam indikator mutu untuk mengetahui kepatuhan terhadap keselamatan pasien adalah sebagai berikut: Kepatuhan identifikasi pasien sebesar 31,03%; Waktu tunggu rawat jalan sebesar 30 menit; Kepatuhan penggunaan formularium nasional yang tidak dapat ditentukan kepatuhannya; Kepatuhan kebersihan tangan sebesar 12,64%; Kepatuhan terhadap clinical pathway sebesar 83,33%; Kepatuhan terhadap penggunaan APD sebesar 13,79%. Simpulan: Evaluasi kepatuhan tenaga kesehatan terhadap keselamatan pasien di poliklinik ortodonti RSGM Unpad pada indikator kepatuhan waktu tunggu rawat jalan adalah patuh dan pada indikator kepatuhan identifikasi pasien, kepatuhan kebersihan tangan, kepatuhan terhadap clinical pathway dan kepatuhan penggunaan APD adalah tidak patuh, sedangkan kepatuhan penggunaan formularium nasional tidak dapat ditentukan.KATA KUNCI: kepatuhan, tenaga kesehatan, keselamatan pasien, pelayanan ortodonti
Effectiveness of Calcium Hydroxide Against Enterococcus Faecalis Biofilm in Dental Root Canals haifa nawari, bilqis; Malinda, Yuti; Prisinda, Diani
Enrichment: Journal of Multidisciplinary Research and Development Vol. 2 No. 11 (2025): Enrichment: Journal of Multidisciplinary Research and Development
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/enrichment.v2i11.300

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Enterococcus faecalis (E. faecalis) is the most widely detected species associated with persistent endodontic infections because it has the ability to form biofilms. This study aimed to identify the effectiveness of calcium hydroxide paste Calcigel® (Prevest DenPro, India) on E. faecalis (ATCC 29212) biofilms in root canals with exposure times of 14, 21, and 28 days. The type of research used was true experimental in vitro by randomly selecting samples of tooth roots on the 14th day of biofilm development and dividing them into six groups: use of Ca(OH)2 as intra-canal medicament for 14, 21, and 28 days, as well as positive control without treatment for 14, 21, and 28 days. Dentin chip suspensions were used for colony form ng units counting to estimates remaining E. faecalis counts. The effectiveness calculation obtained by comparing the test group with the control group at the same treatment duration, with the results of using Ca(OH)2 for 14 days showing a decrease in the number of E. faecalis 96.46%, the results of using Ca(OH)2 for 21 days was 95.20%, while the results of using Ca(OH)2 for 28 days was 94.59%. The results of testing the hypothesis with the ANOVA test showed that there was no significant difference between the effectiveness of calcium hydroxide with exposure to 14 days, 21 days, and 28 days with a significance value of <0.452.
Diagnosis determination of chronic periapical abscess case using imaging radiography software and microbiological examination in female patients Prisinda, Diani; Malinda, Yuti; Lita, Yurika Ambar; Tjahajawati, Sri
Padjadjaran Journal of Dentistry Vol 31, No 1 (2019): March 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7429.37 KB) | DOI: 10.24198/pjd.vol31no1.15974

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Introduction: Diagnosis determination of chronic periapical abscess can be achieved by subjective, objective, and other examination such as radiographic and microbiological examination based on clinical finding and differences intensity at the periapical area with healthy bone suspected to be chronic abscess periapical. A microbiological examination performed to obtain the predominant bacteria that involved to determine an adequate medicament to succeed endodontic treatment. This study was aimed to compare intensity abscess lesion segmentation image reconstruction and surrounding bone for determine the diagnosis of periapical abscess more accurately and to determine the characteristic of bacteria colony from a periapical abscess tooth. Methods: The study sampling method was consecutive sampling (6 female) consisted of inclusion criteria patient with a periapical lesion in anterior maxillary that diagnosed based on clinical signs and symptoms. CBCT 3D scan of the maxillofacial region taken from of patients was measured image intensity periapical lesion and surrounding bone using semi-auto segmentation with ITK-SNAP 3.6.0. Samples from the root canals taken using three sequential sterile paper points. The samples were plated, and microorganisms were then isolated and identified by the colony characteristics. Results: There was a significant difference between the mean content of lesion intensity of (n = 6,256.710 ± 81.930 and 636.022 ± 79.981 lesion boundary. The two-tailed p-value = 0.0050, this difference was considered to be very statistically significant. The mean of group lesion minus group surrounding bone equals to 163.715. 95% confidence interval of this difference from 75.542 to 251.888. Conclusions: Demineralisation of periapical bone can be determined by voxel intensity value in CBCT 3D radiograph using semi-auto segmentation ITK SNAP, could be recommended as a quantitative interpretation for detection periapical lesion and chronic periapical abscesses is a poly-microbial disease. Keywords: Chronic periapical abscess, endodontic, microbiology, radiograph CBCT
The MIC and MBC of calcium hydroxide medicament against bacteria that cause chronic periapical abscess in the vulnerable initial 7-days of endodontic treatment Putri, Chany Mony Dwiayu; Prisinda, Diani; Malinda, Yuti
Padjadjaran Journal of Dentistry Vol 34, No 1 (2022): March
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no1.28638

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Introduction: The primary aetiology of chronic periapical abscesses, including E. faecalis, S. mutans, S. sanguinis, and P. gingivalis, can be eliminated using intracanal medicaments such as calcium hydroxide. The purpose of this study was to determine the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) value of calcium hydroxide paste in the vulnerable initial 7-day of treatment against E. faecalis ATCC 29212, S. mutans ATCC 25175, S. sanguinis ATCC 10556, and P. gingivalis ATCC 33277. Methods: An in-vitro laboratory experiment using a spectrophotometer as a microdilution method was conducted to determine bacteria's MIC and MBC values on calcium hydroxide paste. The sample used in this study was four bacteria using intracanal medicament of calcium hydroxide (Ca(OH)2), incubated for seven days at 37°C, and then bacterial growth was observed. The cell inhibition percentage was calculated using optical density measurements to determine the MIC value. The low MIC and MBC were defined as sensitive bacteria to calcium hydroxide. Results: Calcium hydroxide paste against E. faecalis (ATCC 29212) with MIC values at a concentration of 750 μg/ml and MBC values at a concentration of 96,000 μg ml; S. mutans (ATCC 25175) with MIC value at a concentration of 3,000 ug/ml and MBC value at a concentration of 48,000 ug/ml; S. sanguinis (ATCC 10556) with MIC value at a concentration of 3,000 ug/ml and MBC value at a concentration of 6,000 ug/ml; P. gingivalis (ATCC 33277) with MIC value at a concentration of 6,000 ug/ml and MBC value at a concentration of 48,000 ug ml. Conclusions: Calcium hydroxide can inhibit bacterial growth activity. E. faecalis (ATCC 29212) and S. sanguinis (ATCC 10556) are more sensitive to calcium hydroxide paste than other bacteria, with the lowest MIC and MBC on seven days of incubation since the maximum calcium and hydroxyl ions are released.
Effectiveness of ChKM solution compared to triple-antibiotic paste as an intracanal medicament for bacteria that cause a chronic periapical abscess Malinda, Yuti; Azhara, Dea Hanin; Harnung, Kartikaning; Prisinda, Diani
Padjadjaran Journal of Dentistry Vol 34, No 1 (2022): March
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no1.28642

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Introduction: Chronic periapical abscesses are caused by polymicrobial bacteria, including E. faecalis, S. mutans, S. sanguinis, and P. gingivalis. These bacteria can be eliminated with chlorophenol camphor menthol (ChKM) solution and triple-antibiotic paste (TAP) as an intracanal medicament. This study compared the effectiveness of ChKM solution to triple-antibiotic paste as an intracanal medicament for bacteria that cause a chronic periapical abscess. Methods: An experimental laboratory was conducted in-vitro with the microdilution method and optical density measurement using a spectrophotometer. The cell inhibition percentage was calculated to determine the MIC value. The MBC values were confirmed by cultivating the Mueller Hinton Agar samples, incubating them at 37°C for 24 hours, and observing bacterial growth. Bacteria did not grow in the medium at MBC value. The lower MIC and MBC were sensitive and could be an effective medicament choice. Results: The MIC ChKM solution inhibits E. faecalis ATCC 29212, S. mutans ATCC 25175, S. sanguinis ATCC 10556, and P. gingivalis ATCC 33277 were 4000, 4000, 2000, and 2000 µg/mL consecutively. While MIC of TAP were 6, 0.375, 0.75, and 1.5 µg/mL, respectively. Moreover, MBC of the ChKM solution were 32000, 32000, 8000, 8000 µg/mL and MBC of the TAP were 768, 24, 24, 96 µg/mL. Conclusions: ChKM solution and TAP effectively inhibited and killed E. faecalis, S. mutans, S. sanguinis, and P. gingivalis as an intracanal medicament, as seen from the MIC and MBC values. However, TAP is more effective than the ChKM solution because MIC and MBC values of TAP are much lower than the ChKM solution. This finding indicated that TAP is more effective at the lowest concentration than ChKM solution. It should be highlighted that this was an in-vitro study involving specific microbes; thus, further clinical research is needed.
Tindakan endodontik sustainable dengan perawatan saluran akar satu kali kunjungan pada gigi molar kedua kanan bawah: Laporan kasus Kesuma, Alex; Prisinda, Diani
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 4 (2024): Januari 2024 (Suplemen 4)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i4.49842

Abstract

ABSTRAKPendahuluan: Perawatan kesehatan gigi dan mulut yang optimal terkait dengan sustainability (pelestarian lingkungan) dalam kedokteran gigi bertujuan untuk mencapai praktik kedokteran gigi yang berkualitas dengan dampak negatif yang minimal terhadap lingkungan. Dalam dunia endodontik, salah satu upaya sederhana yang dapat dilakukan oleh dokter gigi saat melakukan perawatan saluran akar adalah dengan menyelesaikan perawatan dalam satu kali kunjungan jika memenuhi indikasi secara klinis dan memungkinkan secara teknis, sehingga dapat mengurangi penggunaan peralatan maupun bahan kedokteran gigi serta jumlah kunjungan pasien. Laporan kasus ini bertujuan untuk menyajikan tindakan perawatan saluran akar satu kali kunjungan pada gigi molar kedua kanan mandibula sebagai salah satu wujud tindakan sustainable dalam bidang endodontik. Laporan kasus: Seorang pasien perempuan berusia 22 tahun datang ke poliklinik konservasi gigi RSGM UNPAD Bandung untuk memperoleh perawatan terhadap keluhan gigi berlubang pada geraham kedua kanan bawahnya dengan riwayat nyeri spontan dan berdenyut yang berlangsung selama beberapa waktu. Pasien mengkonsumsi analgesik untuk meredakan gejalanya sementara waktu. Hasil pemeriksaan objektif menunjukkan karies profunda pada disto-oklusal gigi 47 dengan uji sensibilitas positif, disertai uji perkusi, gigitan, palpasi, dan kegoyangan dalam batas normal. Diagnosis yang ditegakkan adalah pulpitis ireversibel simptomatik dan jaringan apikal normal pada gigi 47. Rencana perawatan adalah berupa perawatan saluran akar satu kali kunjungan dilanjutkan dengan restorasi intermediate komposit direk, kemudian pasien direncanakan untuk dirujuk ke bagian prosthodontik untuk dibuatkan protesa cekat. Simpulan: Salah satu upaya tindakan sustainable dalam bidang endodontik dapat dilakukan dengan melakukan perawatan saluran akar satu kali kunjungan dan pada laporan kasus ini memperlihatkan tingkat keberhasilan perawatan yang tinggi.
THE ANTIBIOTICS SENSITIVITY TEST ON STAPHYLOCOCCUS AND STREPTOCOCCUS FROM CHRONIC APICAL ABSCESS Malinda, Yuti; Prisinda, Diani
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 | Full PDF (251.523 KB) | DOI: 10.30659/odj.9.1.130-137

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Background: Prophylactic antibiotics are required as part of root canal therapy for patient with chronic apical abscess. Streptococcus and Staphylococcus are the most common bacteria found in root canals with chronic apical abscess. Resistance to amoxicillin, clindamycin and vancomycin has been increasing year after year, necessitating the use of a sensitivity test. The goal of this research was to determine the sensitivity of Streptococcus and Staphylococcus from root canals with chronic apical abscess to amoxicillin, clindamycin, and vancomycin to make scientific antibiotic selections.Method: Six isolates of Staphylococcus and one Streptococcus from root canals with chronic apical abscess were identified by Remel RapID and tested to 10 g amoxicillin, 2 g clindamycin, and 30 g vancomycin using Kirby-Bauer disk-diffusion sensitivity test. The diameter inhibition zone was measured and interpreted according to the CLSI (Clinical and Laboratory Standards Institute) standard.Result: Three of six Staphylococcus are resistant, one of six are intermediate, and two are sensitive to amoxicillin. While the Streptococcus is sensitive to amoxicillin. In contrast, all Staphylococcus and the Streptococcus are resistant to clindamycin. Whilst four of six Staphylococcus are resistant, two are intermediate, and the Streptococcus is resistant to vancomycin.Conclusion: Staphylococcus sensitivity to amoxicillin and vancomycin are diverse even though resistant to clindamycin. In comparison, the Streptococcus sensitivity to clindamycin and vancomycin is resistant but sensitive to amoxicillin.