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Wahyuni S. Dwiandhany, Wahyuni S.
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Dentistry Health Professions

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Restoration of endodontically treated mandibular molar tooth with semi-indirect bonded restoration using single shade composite resin: A case report Juwita, Ratna; Dwiandhany, Wahyuni S.; Nugroho, Juni J.; Hikmah, Noor; Natsir, Nurhayaty; Trilaksana, Aries C.
Journal of Case Reports in Dental Medicine Vol 5, No 3 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i3.226

Abstract

Objective: This case report aimed to describe the restoration of endodontically treated mandibular molar tooth with semi-indirect bonded restoration using single shade composite resin.Methods: Endodontic treatment for tooth #36 with asymptomatic irreversible pulpitis. After root canal obturation, treatment was continued with semi-indirect bonded restoration using single shade composite resin. An impression was taken using alginate and then poured with silicone material (Silicone Die, Voco) to produce the model. Single shade composite resin (Omnichroma, Tokoyama Dental) was used to build up the restoration layer by layer in 2 mm increments up to the occlusal surface.Results: After 1 month of control, objective and subjective examinations were carried out on the patient, there were no complaints, indicating the tooth is functioning well and the patient is satisfied with the restorationConclusion: Restoration of endodontically treated mandibular molar tooth with semi-indirect bonded restoration using single shade composite resin in this case gives satisfactory results to restore function and esthetics
Management of vital teeth discoloration with in-office bleaching techniques using hydrogen peroxide 40%: A case report Sari, Ermita; Dwiandhany, Wahyuni S.
Journal of Case Reports in Dental Medicine Vol 4, No 2 (2022)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v4i2.190

Abstract

Objective: This case report aims to describe the treatment of discolored vital teeth with in-office bleaching using 40% hydrogen peroxide.Method: A 41-year-old woman visits the Dental Hospital of Hasanuddin University and complained of yellow teeth in the last five years. The patient has a habit of consuming black tea. The teeth were treated with in-office bleaching techniques with procedures cleaning the tooth surface using a brush and prophylactic paste, then determining the teeth' color using the Opalescent Boost shade guide. Retract the lips using of cheek retractor (Optra gate). The teeth to be bleached are dried and followed by the application of an astringent agent (Acteon Expasyl). Application of gingival barrier (Opaldam Ultradent) to protect the gingiva. Application of bleaching agent H2O2 (Opalescent Boost Ultradent) for 20 minutes. Clean the bleaching material then determine the color of the teeth after bleaching. Apply desensitizing agent (UltraEz Ultradent). Remove the gingival barrier and give instructions after bleaching to the patient.Result: The treatment showed an increase in the brightness of tooth color. The patient showed no complaints of gingival irritation and tooth sensitivity. Extraoral and intraoral examinations showed no abnormalities.Conclusion: In-office bleaching techniques are a minimally invasive treatment for discolored vital teeth that can provide satisfactory esthetic results.
Treatment option in immature permanent teeth with acute apical abscess a case report Hurint, Theresia PL.; Natsir, Nurhayaty; Dwiandhany, Wahyuni S.; Nugroho, Juni J.; Hikmah, Noor; Trilaksana, Aries C.
Journal of Case Reports in Dental Medicine Vol 5, No 2 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i2.221

Abstract

Objective: This case report aims to describe the treatment of open apex on maxillary incisors by performing an apical plug with MTA to induce the formation of a calcified barrier.Method: A 7-year-old female was referred with a fracture on upper right front tooth. Intraoral examination showed fracture on maxillary right central incisor with swollen gums in labial region. Periapical radiograph revealed a wide root canal with open apex and radiolucency. The diagnosis was pulpal necrosis with acute apical abscess.Results: Traumatized immature permanent teeth can cause pulpal necrosis, which can progress to an acute apical abscess. This condition will stop root development and open apex.Conclusion: Treatment of immature
Management of open apex and tooth discoloration in maxillary central incisor: Case report Yamin, Irfan F.; Trilaksana, Aries C.; Hikmah, Noor; Natsir, Nurhayaty; Nugroho, Juni J.; Dwiandhany, Wahyuni S.
Journal of Case Reports in Dental Medicine Vol 5, No 3 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i3.222

Abstract

Objective: The purpose of this case report is to describe the management of open apex and tooth discoloration in the maxillary central incisor.Methods: The patient had an accident 13 years ago. Intraoral examination showed tooth discoloration #8 and composite restoration on the mesial aspect of the tooth. The periapical radiograph showed an open apex and diffuse periapical radiolucency. The diagnosis was pulp necrosis with chronic periapical abscess. The patient was managed by root canal treatment with an apical plug using MTA and then internal bleaching using H2O2 is performed to treat tooth discoloration.Results: Trauma during root formation on anterior teeth can result in pulp necrosis with an open apex and tooth discoloration. This becomes a challenge because the condition of open apex complicates root canal obturation and presents aesthetic problems.Conclusion: The final treatment was composite restoration.
MTA apical plug in non-vital permanent tooth with an open apex: A case report Dwiandhany, Wahyuni S.; Zaelan, Andi GZN.
Journal of Case Reports in Dental Medicine Vol 4, No 3 (2022)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v4i3.214

Abstract

Objective: This case report discussed the treatment of an open apex using an MTA apical plug in a non-vital permanent tooth.Methode: A 39-year-old female visits the Dental Hospital of Hasanuddin University with the chief complaint of decay in her upper front tooth. The tooth was filled, and it fell out a few weeks ago. There is a history of gingival swelling a month before. Radiographic examination showed an open apex #11 with radiolucency in the apical area. Diagnosis was necrosis with a chronic apical abscess. The root canal was prepared using circumferential techniques. Then, dressing using calcium hydroxide was given. MTA was used to perform an apical plug a few weeks later.Results: Patient showed no complaints of pain, and the size of the radiolucency in the periapical area of the tooth was reduced. Following that, a post crown created on #11.Conclusion: MTA apical plugs are effective to treat non-vital permanent tooth with an open apex.
Esthetic rehabilitation of discolored tooth and gingival hyperpigmentation with external bleaching and gingival ablasion: A case report Aswar, Aulia A.; Dwiandhany, Wahyuni S.; Nugroho, Juni J.; Hikmah, Noor; Natsir, Nurhayaty; Trilaksana, Aries C.
Journal of Case Reports in Dental Medicine Vol 6, No 1 (2024)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v6i1.224

Abstract

Objective: Dental discoloration accompanied by gingival hyperpigmentation can be found in daily practice, although it is rare. Gingival hyperpigmentation is caused by excessive melanin deposition in the basal and suprabasal   cell   layers   of   the   epithelium. Gingival depigmentation can be removed by electrosurgery, periodontal surgery, and laser ablation.Methods: During the initial appointment, external bleaching with 40% Hydrogen Peroxide bleaching agent (Opalescent Boost, Ultradent) was applied for 20 minutes to the maxillary and mandibular teeth. The change from the initial color number 8 to 4 (Shade Guide Opalescent Boost, Ultradent) was observed. On the next appointment, the patient had laser ablation treatment on hyperpigmented gums.Results: External bleaching can generally be done with hydrogen peroxide (H2O2) to get optimal brightening results.Conclusion: External bleaching for vital teeth using hydrogen peroxide is a conservative technique with satisfactory results, easy to perform, and highly effective for removing tooth discoloration. While gingival ablation is performed to treat gingival hyperpigmentation. After both procedures, better aesthetic results were obtained.
Endodontic reintervention of the maxillary third molar with type ii vertucci root canal classification: Case report Indriyatmi, Rosida; Hikmah, Noor; Natsir, Nurhayaty; Nugroho, Juni J.; Trilaksana, Aries C.; Dwiandhany, Wahyuni S.
Journal of Case Reports in Dental Medicine Vol 5, No 2 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i2.220

Abstract

Objective: The aim of this case report is to describe endodontic reintervention of a maxillary third molar with Vertucci type II root canal classification.Methods: Root canal treatment was done one year ago. Intraoral examination showed composite fillings, a thermal test (-), percussion (+), and palpation (-). A periapical radiograph shows non-hermetic obturation. Endodontic reintervention was performed by removing gutta- percha using H-File (Dentsply, Switzerland) and xylol solution, followed by determination of working length and confirmation with an apex locator (Propex Pixi, Dentsply, Switzerland). Results: The anatomic variation of the root canal is a complicating factor that results in the failure of the treatment performed. Vertucci type II root canal classification is one of the anatomic variations that complicate instrumentation, which causes treatment failure and requires endodontic re-intervention.Conclusion: Endodontic reinvention of the maxillary third molar with Vertucci type II root canal classification can provide optimal results with the right treatment plan and adequate restoration.
Endodontic reintervention in mandibular second molar with c-shape canals and internal root resorption: A case report Sulastri, Sulastri; Nugroho, Juni J.; Hikmah, Noor; Natsir, Nurhayaty; Trilaksana, Aries C.; Dwiandhany, Wahyuni S.
Journal of Case Reports in Dental Medicine Vol 5, No 3 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i3.223

Abstract

Objective: This case report aims to describe the endodontic reintervention in a mandibular second molar with C-shape canals and IRR.Methods: The tooth had root canal treatment ± 7 months ago, and there was a history of swelling. Clinical and radiographic examination of tooth #46 showed C-shape root canals configuration, mesial unobturated canal, obturated but not hermetically distal root canal, closed IRR on the mesial and distal roots, and diffuse radiolucency in the periapical.Results: The diagnosis was previously treated with a chronic apical abscess. Endodontic reintervention was performed to eliminate bacteria from the root canal systems, obtain hermetic results in irregular root canals due to closed IRR accompanied by a C-shape configuration, and allow proper healing. The tooth was restored with a zirconia overlay.Conclusion: Endodontic reintervention in mandibular second molar with C-shaped canals and internal root resorption can be successful depending on the choice of treatment plan and procedure.
Treatment of post bleaching demineralization using resin infiltration technique: A case report Nidiaty, Angelia C.; Dwiandhany, Wahyuni S.; Nugroho, Juni J.; Hikmah, Noor; Natsir, Nurhayaty; Trilaksana, Aries C.
Journal of Case Reports in Dental Medicine Vol 5, No 2 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i2.219

Abstract

Objective: This helps minimize the look of discoloration by refracting light just like normal teeth. It also stops further demineralization by strengthening and hardening the enamel.Methods: A 20- year- old male patient came to the Dental Hospital of Hasanuddin University with teeth that had turned yellow since the patient routinely consumed coloured drinks every morning and evening, 3 years ago. In-office bleaching with 40% hydrogen peroxide was done to get the teeth discoloured to become brighter.Results: After application of resin infiltration, it was observed that the resin-infiltrated surfaces of the teeth showed a uniform shade of color and harmonization with the surrounding enamel.Conclusion: Minimally invasive treatment with resin infiltration technique was effective to treat white spot lesions after bleaching treatment.
Is single visit endodontic treatment possible for type 1 diabetic patient?: A case report Lolong, Jade M.; Hikmah, Noor; Natsir, Nurhayaty; Nugroho, Juni J.; Trilaksana, Aries C.; Dwiandhany, Wahyuni S.
Journal of Case Reports in Dental Medicine Vol 5, No 3 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i3.225

Abstract

Objective: To describe single visit endodontic treatment in patient with type 1 diabetes.Methods: Patient has history of type 1 diabetes. Intraoral examination showed caries on occlusal #36, positive vitality, negative on percussion and palpation. Radiograph showed normal periapical tissue. The diagnosis of #36 was asymptomatic irreversible pulpitis.Results: Preparation begins with establishing glide path using ProGlider, cleaning and shaping with ProTaper Gold. The canals were irrigated using 5,25% NaOCl, 17% EDTA, and aquadest then activated by ultrasonic. The obturation was done using single cone technique with resin-based sealer followed by post endodontic composite restoration.Conclusion: Single visit endodontic has minimum chair time without compromising the quality of treatment specifically for type 1 diabetic patient while still prioritizing the principle of proper case selection and following standard endodontic protocols.
Co-Authors Aries C. Trilaksana, Aries C. Aswar, Aulia A. Hurint, Theresia PL. Indriyatmi, Rosida Juni J. Nugroho, Juni J. Lolong, Jade M. Nidiaty, Angelia C. Noor Hikmah, Noor Nurhayaty Natsir, Nurhayaty Ratna Juwita Sari, Ermita Sulastri Sulastri Yamin, Irfan F. Zaelan, Andi GZN.