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All Journal Journal of Dentistry Indonesia Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Conservative Dentistry Journal Jurnal Ilmiah Medicamento Jurnal Kedokteran Gigi Terpadu Jurnal Abdimas Kesehatan Terpadu
Widyastuti, Wiena
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Characterization of a novel calcium phosphate cement–calcium sulfate hemihydrate–acemannan for vital pulp therapy Bryan Wangidjaja; Widyastuti, Wiena; Elline; Sudiono, Janti
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.74-79

Abstract

Background: Dental caries remains as one of the most prevalent oral diseases worldwide, especially in developing nations like Indonesia. Untreated caries may lead to pulp involvement, prompting vital pulp therapy (VPT) to protect pulp vitality. The success of VPT is dependent on the biological and physical properties of the capping materials. Traditional pulp capping materials, such calcium hydroxide Ca(OH)₂ and mineral trioxide aggregate (MTA), show bio-activity but are limited by issues of solubility, manipulation, and bio-compatibility. Consequently, calcium phosphate cement (CPC) and calcium sulfate hemihydrate (CSH) with acemannan (Ace) have been explored as potential alternatives. Purpose: This research aimed to evaluate the potential of a mixture containing CPC-CSH-Ace as a bio-active material for vital pulp therapy. Methods: CPC–CSH–Ace was formulated by combining 70 wt% CPC and 30 wt% CSH with acemannan concentrations of 3 wt%, 5 wt%, and 10 wt%. Calcium hydroxide (Dycal, Dentsply) and MTA (Bio MTA+, Cerkamed) were used as controls. Particle size was measured using a Particle Size Analyzer (Horiba SZ-100), surface morphology and calcium ratio were tested with SEM–EDS, and crystal structure was determined using XRD (Rigaku Miniflex). Data were examined utilizing one-way ANOVA and subsequent post-hoc testing (p < 0.05). Results: CPC–CSH–Ace exhibited smaller particle sizes, smoother surfaces, higher Ca/P ratios, and more defined hydroxyapatite peaks than Ca(OH)₂ and MTA. Conclusion The combination of CPC–CSH-Ace showed significant chemical and physical characteristics and has promise as a new bio-active material for vital pulp therapy.
Management of ledge and overprepared access cavity in mandibular second molar Steward Hadi; Widyastuti, Wiena; Dina Ratnasari
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.91-96

Abstract

Background: Endodontic success depends on precise execution. Iatrogenic complications such as ledge formation and excessive access cavity preparation can obstruct canal negotiation, impair disinfection, weaken tooth structure, and increase treatment failure. Purpose: This case report describes the management of a ledge and an overprepared access cavity in a mandibular second molar. Case: A 33-year-old female was referred with tooth 37 restored using a subgingival temporary filling. Radiographs revealed mesial radiolucency, an excessively extended access cavity, and a ledge in the mesial root canal. Case Management: Treatment was performed under rubber dam isolation. Temporary restoration and caries were removed, followed by artificial wall construction with resin composite. Pre-curved K-files (#10, #15) were used to bypass the ledge and establish a glide path and determine the working length. Rotary glide path instruments and heat-treated NiTi files were used to shape up to size #25/.04, with irrigation using 5.25% NaOCl and 17% EDTA. After intracanal calcium hydroxide medication, obturation was completed using bioceramic sealer, warm vertical compaction in the mesial root, and a single-cone technique in the distal root. A flowable bulk-fill composite was placed as the intracanal barrier, and final restoration was completed with packable composite. Conclusion: Ledges obstruct instrumentation and disinfection, requiring flexible pre-curved files and careful negotiation to re-establish canal patency. Excessive access cavity preparation compromises peri-cervical dentin, increasing susceptibility to structural failure. Bulk-fill flowable composite offers good marginal adaptation and may improve restoration durability. Thorough planning, controlled instrumentation, and appropriate restorative materials are essential to manage such complications effectively.
Perubahan Warna Pada Bahan Restorasi Resin Komposit Nanofiller Terhadap Perendaman Saliva Buatan Dengan pH 5 Widyastuti, Wiena; Tri Septiani, Afifa
Jurnal Kedokteran Gigi Terpadu Vol. 6 No. 1 (2024): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v6i1.20795

Abstract

Background: The high level of public awareness regarding aesthetic values influences the evolution and selection of restoration materials. Nanofiller composite resin is an option in aesthetic restoration because it has good aesthetic qualities, mechanical properties and high wear resistance. Color changes that occur in nanofiller composite resin are undesirable because they disturb the aesthetic value and appearance. Color changes in restoration materials are influenced by the acidic pH contained in artificial saliva. Objective: This study aims to determine the effect of artificial saliva with a pH of 5 on the color change of nanofiller composite resin restoration materials. Methods: The research object is a nanofiller composite resin with a diameter of 10 mm, and a thickness of 2mm. The research was carried out by soaking nanofiller composite resin in artificial saliva and distilled water solution. The study was divided into 2 groups, namely the treatment group and the control group. Which is placed in an incubator at a temperature of 37˚ C for 24 hours. In the control group, samples were soaked in distilled water for 24 hours, and repeated for 7 days. In the treatment group, samples were soaked in artificial saliva for 4 hours, repeated for 7 days, followed by immersion in distilled water. The color parameters of the research subjects were measured using a Vita Easyshade V spectrophotometer before and after immersion in the control and treatment groups on the 7th day. The measurement results data after carrying out the normality test, T-test (dependent), and Wilcoxon test. Results: The results of this study showed a significant color change (p<0.05). Conclusion: There is an effect of artificial saliva with a pH of 5 on the color change of the nanofiller composite resin material.
The evaluation of apical plug formation during endodontic treatment of immature teeth: a case report Wangidjaja, Bryan; Widyastuti, Wiena; Istanto, Elline; Zulkifly, Dinie Qyrratuaini
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 38, No 1 (2026): April 2026
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v38i1.58376

Abstract

Introduction: Trauma can cause significant changes in pulpal blood microcirculation, leading to pulp necrosis, arrested root formation, and the development of an open apex. One of the materials recommended for creating an apical plug is mineral trioxide aggregate (MTA). Apical plug formation using biomaterials such as MTA is a common technique for inducing apical closure and facilitating healing. The aim of this case report is to describe the use of the apical plug technique in immature teeth after trauma and to evaluate its effectiveness in achieving apical closure and healing. Case report: A 26-year-old woman visited the Department of Conservative Dentistry due to pain in her upper right anterior tooth. She had dental trauma. Tooth 11 presented with a Class IV composite restoration, and periapical radiographic examination revealed an open apex. A diagnosis of pulp necrosis with symptomatic apical periodontitis and an open apex was established. The apical size of the teeth was determined to be #80. Biomechanical preparation involved circumferential filling technique up to size #100 K-file. MTA with a 4 mm thickness was applied at the open apex, followed by continued obturation. The final restoration was completed using a direct composite restoration. Trauma can result in pulp necrosis, leading to incomplete root development in the immature teeth, which is characterized by thin apex wall and open apex. MTA offers advantages such as antibacterial properties, high marginal adaptation, and a pH of 12.5. In this case, a 6-month follow-up demonstrated healing progression in the periapical region. Conclusion: MTA is an excellent material for use in cases of immature teeth. The success of apical plug formation in this case can be evaluated by the resolution of patient complaints and the healing progress of the periapical region.Evaluasi pembentukan apikal plug selama perawatan endodontik pada gigi imatur: Laporan kasusPendahuluan: Trauma dapat menyebabkan perubahan signifikan pada mikrosirkulasi darah pulpa, menyebabkan kematian pulpa, terhentinya pembentukan akar, dan apeks terbuka. Salah satu material yang direkomendasikan untuk membuat apikal plug adalah mineral trioxide aggregate (MTA). Pembentukan apical plug menggunakan biomaterial seperti MTA merupakan teknik umum untuk menginduksi penutupan apikal dan memfasilitasi penyembuhan. Tujuan laporan kasus ini untuk mendeskripsikan penggunaan teknik apical plug pada gigi imatur paska trauma dengan mengevaluasi efektivitasnya selama penyembuhan. Laporan kasus: Seorang perempuan berusia 26 tahun mengunjungi departemen konservasi karena rasa sakit pada gigi depan atas kanan. Pasien tersebut mengalami trauma dental. Pemeriksaan gigi 11 terdapat restorasi komposit kelas IV, dan melalui pemeriksaan radiograf terlihat adanya apeks terbuka. Ukuran apikal gigi adalah #80. Preparasi biomekanis dilakukan dengan teknik circumferential filing sampai dengan K-file #100. MTA dengan ketebalan 4 mm diaplikasikan pada apeks yang terbuka dilanjutkan dengan obturasi. Restorasi akhir dilakukan dengan komposit direk. Trauma menyebabkan kematian pulpa, sehingga perkembangan akar menjadi tidak sempurna pada gigi yang imatur. Akar yang tidak sempurna terlihat memiliki dinding yang tipis dan apeks terbuka. MTA memiliki kelebihan di antara lain sifat antibakteri, adaptasi marginal yang baik, dan pH 12.5. Pasca perawatan 6 bulan pada kasus ini ditemukan adanya penyembuhan pada bagian apikal dari radiograf. Simpulan: MTA adalah material yang sangat baik yang dapat digunakan pada gigi yang imatur. Keberhasilan pembentukan apical plug pada kasus ini dapat dievaluasi dengan hilangnya keluhan pasien dan adanya proses penyembuhan pada regio periapikal.
Co-Authors Adi Hidayat Agnes Aryadi Aryadi Bernard Ongki Iskandar Bryan Wangidjaja Dewa Made Wedagama Dina Ratnasari Elline Farasdhita, Felly Ferry Sandra Fibryanto, Eko Gabriela, Maria Hadrian, Gary Hastuty, Lisiana Indrayadi Gunardi, Indrayadi Istanto, Elline Janti Sudiono Katrini, Faustine Khazin, Sobrina Mohamed Muhammad Ihsan Rizal, Muhammad Ihsan Nadiah, Najla Olivia Piona Sahelangi Roeslan, Moehamad Orliando Stefani, Rosita Steward Hadi Tania, Isabella Audy Tri Septiani, Afifa Trijani Suwandi Victor Reiner Sutanto, Aldrich Vinsensius, Theresa Christy Wangidjaja, Bryan Wijaya, Haryanto William Yusuf, Timotius Wita Anggraini Yuniar Zen Zulkifly, Dinie Qurratuaini Zulkifly, Dinie Qyrratuaini