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Perawatan Endodontik Pada Kasus Kombinasi Resorpsi Internal Dan Resorpsi Servikal Gigi Insisivus Sentral Rahang Atas Marcelina Wijaya; Diani Prisinda
SONDE (Sound of Dentistry) Vol. 6 No. 1 (2021): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/sod.v6i1.3643

Pendahuluan: Resorpsi merupakan kondisi terkait proses fisiologis atau patologis yang mengakibatkan hilangnya dentin, sementum, atau tulang karena interaksi terstruktur antara sel inflamasi dan sel resorpsi, dapat terjadi baik internal maupun eksternal, secara bersamaan pada gigi yang sama, muncul sebagai defek yang terpisah atau bergabung. Proses resorpsi dimulai oleh berbagai rangsangan seperti trauma, peradangan kronis pada pulpa terus menerus yang disebabkan oleh faktor bakteri dan perawatan ortodontik. Laporan Kasus: Pasien laki-laki usia 27 tahun datang dengan keluhan gigi atas depan kanan berubah warna sedikit lebih gelap dibandingkan gigi sebelahnya. Gigi tersebut pernah sakit tiba-tiba dan pernah muncul jerawat di sekitar gusinya. Pasien pernah mengalami kecelakaan motor dan gigi depannya terbentur 10 tahun yang lalu, pernah dirawat ortodonti cekat selama 4 tahun. Pemeriksaan radiografis gigi 11 menunjukkan mahkota normal, jumlah akar 1, terdapat radiolusen pada 1/3 hingga 2/3 tengah dinding saluran akar mesial, lamina dura menghilang di periapikal dan pada 2/3 tengah akar dinding mesial, dan terdapat radiolusen berbatas jelas dengan diameter 2mm. Gigi 11 dilakukan pembukaan akses kavitas, finishing menggunakan nikel titanium rotary ProTaper Gold (Dentsply), irigasi dengan EDTA 17% dan NaOCl 5,25% serta aktivasi menggunakan ultrasonik (Ultra X, Eighteeth), pemberian medikamen antar kunjungan kalsium hidroksida, selanjutnya pengisian saluran akar dengan teknik warm vertical condensation. Restorasi pasca endodontik yaitu resin komposit direk dengan resin fiber construct (Kerr). Simpulan: Perawatan endodontik kombinasi resorpsi internal dan resorpsi servikal gigi insisivus sentral rahang atas pada kasus ini memperlihatkan keberhasilan yang baik.

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)

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.

THE ANTIBIOTICS SENSITIVITY TEST ON STAPHYLOCOCCUS AND STREPTOCOCCUS FROM CHRONIC APICAL ABSCESS Yuti Malinda; Diani Prisinda
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 | DOI: 10.30659/odj.9.1.130-137

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.

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

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

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

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

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

THE ANTIBIOTICS SENSITIVITY TEST ON STAPHYLOCOCCUS AND STREPTOCOCCUS FROM CHRONIC APICAL ABSCESS Yuti Malinda; Diani Prisinda
Odonto : Dental Journal Vol 9, No 1 (2022): July 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

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.

Evaluasi kepatuhan peserta didik klinik ortodonti terhadap keselamatan pasien: studi observasional Wilam, Christiana; Harsanti, Andriani; Prisinda, Diani; Malinda, Yuti; Suciati, Ame
Padjadjaran Journal of Dental Researchers and Students Vol 7, No 2 (2023): Juni 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

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

ABSTRAK 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 ortodontiCompliance evaluation of dental students in orthodontic clinic towards patient safety: observational study 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 clinic

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

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 : Faculty of Dentistry Universitas Padjadjaran

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

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