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Radixtio Auzan Fepiosandi
Faculty Of Dental Medicine, Universitas Airlangga,Surabaya,Indonesia
Dentistry

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Pulp tissue regeneration in the treatment of immature premolars accompanied by infection: A case report Gabriella Djuanda, Anastasia; Dianti, Eska; Auzan Fepiosandi, Radixtio; Lazuardi Ramadhan, Daniyal; Agustin Wahjuningrum, Dian; Setyabudi
Conservative Dentistry Journal Vol. 12 No. 2 (2022): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i2.2022.95-99

Abstract

Background: Young permanent teeth are one of the challenges in performing endodontic treatment. Revascularization is a good yet simple treatment option for pulp tissue regeneration to stimulate periapical lesion healing, continue root growth and restore pulp tissue function. Purpose: This case report describes management of pulp tissue regeneration in teeth with infection. Case: Female, 16 years old, came complaining of pain in the left lower back tooth accompanied by recurrent swelling. Radiograph showed an open apex with apical lesion on tooth 35. The diagnosis was pulpal necrosis accompanied by a chronic apical abscess. Case management: The treatment plan was revascularization and direct composite restoration. After accessing the cavity, the teeth were prepared, irrigated, and medicated with TAP, which was repeated for 2 visits. On the next visit, after the root canal was cleaned, over instrumentation was performed for bleeding and Collaplug was placed over the blood clot, covered with MTA, and composite resin for coronal sealing. Follow up was carried out for up to 9 months and was asymptomatic. Radiographs show healing of the lesion accompanied by closure of the root canal. Conclusion: Regenerative endodontics has been shown the successful in stimulating root canal closure to treat immature teeth
Chipped Veneer Restoration: A Full Digital Workflow Utilizing Intraoral Scanner and Lithium Disilicate CAD/CAM Blocks Material Ramadhan, Daniyal Lazuardi; Fepiosandi, Radixtio Auzan
Conservative Dentistry Journal Vol. 14 No. 2 (2024): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i2.2024.61-64

Abstract

Background: Chipped veneers are a typical dental problem that affects both appearance and function. Advances in digital dentistry, particularly intraoral scanning and CAD/CAM technology, have transformed restorative procedures, allowing for quicker, more precise, and least invasive treatments. Purpose: The purpose of this article is to illustrate the use of a comprehensive digital workflow to restore damaged veneer, with a focus on process efficiency and precision. Case: A 32-year-old male patient come to clinic with a chipped veneer on the maxillary lateral incisor. The patient expressed concerns about aesthetics and desired a swift, minimally invasive solution. Clinical examination confirmed the need for restoration without replacing the entire veneer. Case management: The restoration process began with shade guide taking and removing the excess cement in the tooth and gingival management using retraction cord, after the preparation performed intraoral scanning process begin, which provided an accurate digital imprint of the damaged tooth and surrounding dentition. The scan results were used to design the repair with CAD software, assuring the best fit and aesthetics. The restoration was made from lithium disilicate utilizing a chairside milling machine. The veneer piece was polished, treated, and then cemented to the tooth. The whole approach reduced chairside time while producing a useful and appealing result. Conclusion: A full digital method that incorporates intraoral scanning and lithium disilicate milling provides a consistent, efficient, and patient-friendly approach to chipped veneer repair. This case demonstrates the potential for digital dentistry to improve clinical results while lowering procedural complexity.
Human dental pulp mesenchymal stem cells regenerative potential Fadiyan Amriel, Menza; Priyo Prasetyo, Eric; Auzan Fepiosandi, Radixtio; Agustin Wahjuningrum, Dian; Suardita, Ketut; Zora, Zofia; Natan, Daniel; Bin Zainal Abidin, Imran; Ohara, Masaru
Conservative Dentistry Journal Vol. 15 No. 1 (2025): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i1.2025.27-32

Abstract

Background: Stem cells can be divided into mono-potent, oligopotent, multipotent, pluripotent, and totipotent. Dental and oral stem cells are stem cells found in the teeth and mouth that has the potential to develop into various cell types. The rapid development of regenerative dentistry has resulted in the exploration of stem cells, including dental pulp mesenchymal stem cells. Mesenchymal stem cells, have important regenerative potential in repairing dental and surrounding tissues. One of dental stem cells source that have been discovered is dental pulp mesenchymal stem cells. Purpose: This article aims to review the regenerative potential of human dental pulp mesenchymal stem cells (HDPMSCs). Review: HDPMSCs are potential for regenerative dentistry, including regenerative endodontics due to their multipotency, ease of collection, and ability to support tissue repair, immunomodulation, and regeneration across dental, orthopedic, neurological, and cardiovascular applications. Conclusion: The regenerative potentials of HDPMSCs on various treatments are vastly explored by many studies.
Single visit endodontic treatment and zirconia crown restoration for functional and esthetic rehabilitation Galih Sampoerno; Ratih Mutiara Sani; Hasna Shabrina; Jasmina Putri Azizia; Ramdhan Hanif Nahada; Radixtio Auzan Fepiosandi; Nanik Zubaidah; Widya Saraswati
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.v15i2.2025.80-86

Abstract

Background: Endodontic treatment followed by full-coverage restoration represents the standard of care for structurally compromised posterior teeth. The integration of contemporary endodontic techniques with high-strength esthetic materials, such as zirconia crowns, facilitates comprehensive functional and esthetic rehabilitation in a single treatment sequence, particularly for younger patients with high esthetic expectations. Purpose: To present a successful case of single-visit endodontic treatment followed by fiber post placement and zirconia crown restoration on a mandibular molar in a young female, resulting in favorable functional and esthetic outcomes. Case: A 20-year-old female presented with persistent spontaneous pain in the lower left posterior region for one week, following two years of untreated dental caries. Initial management was conducted at a primary health center with pain control. Clinical and radiographic examination revealed a deep Class II caries lesion with pulp exposure on tooth 36 and a positive percussion response, indicative of irreversible pulpitis. Case Management: Tooth 36 underwent single-visit root canal therapy using a crown-down pressureless technique and single-cone obturation. This was followed by fiber post placement for coronal reinforcement and definitive restoration with a zirconia crown. At the one-week follow-up after crown cementation, the tooth exhibited excellent functional performance, stable periapical healing, intact crown margins, and high patient satisfaction with the esthetic result. Conclusion: This case demonstrates the clinical efficiency and long-term esthetic advantages of combining single-visit endodontic therapy with zirconia crown restoration in young adult patients.
Co-Authors Agustin Wahjuningrum, Dian Bin Zainal Abidin, Imran Dianti, Eska Fadiyan Amriel, Menza Gabriella Djuanda, Anastasia Galih Sampoerno Hasna Shabrina Jasmina Putri Azizia Ketut Suardita, Ketut Lazuardi Ramadhan, Daniyal Nanik Zubaidah Natan, Daniel Ohara, Masaru Priyo Prasetyo, Eric Ramadhan, Daniyal Lazuardi Ramdhan Hanif Nahada Ratih Mutiara Sani Setyabudi Widya Saraswati Zora, Zofia