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Endodontic Retreatment in Underfilled Root Canal of Maxillary First Molar with Chronic Periapical Abscess: A Case Report Nanik Zubaidah; Kun Ismiyatin; Cinitra Anindya; Nindhira Puspita Sari; Singgih Harseno; Ahmad Afif Dzulfikar; Dian Dwi Pratiwi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16990

Abstract

Background:The failure of endodontic treatment commonly caused by imperfect obturation, periodontalperiradicularlesions, untreated root canals, and some other factors. The failure may trigger the occurrenceof secondary infections due to persistent. bacteria.One of the abnormalities that appear after endodontictreatment is a periapical abscess.Endodontic failure can be overcome by endodontic retreatment, apicalsurgery, or extraction. During an endodontic retreatment, endodontic instruments are used to remove theroot canal filling material and to repeat the steps of endodontic treatment to achieve the apical patency.Purpose: This case report presents management to overcome the failure of previous endodontic treatmentwith nonsurgical endodontic retreatment. Case: A 66 years old male patient came with a dull pain oftooth no 16 and uncomfortable when used for chewing since 2 months after endodontic treatment. Theepisodic swelling appeared since 3 months ago which then deflated.The objective examination showed apositive response to bite test and percussion test. Intraoral periapical radiograph confirmed an underfilledroot canal, and a periapical radiolucency with a diffuse border on palatal root. Case Management: Basedon the patient’s history taking, radiographic, and clinical examination,endodontic retreatment was doneand followed by porcelain fused to metal crown restoration. Conclusion: Endodontic retreatment is theappropriate treatmentoption to overcome the failure of the previous endodontic treatment that accompaniedwith a periapical lesion and to preserve its function in stomatognatic system.
Effect of Extract and Caffeic Acid Phenethyl Ester on Apoptosis of Odontoblast Cells Ira Widjiastuti; Agus Subiwahjudi; M. Aditya Syahputra; Grace Angelina Samuel; Ni Putu Sawitri Mega; Cinitra Anindya
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14765

Abstract

Background: Propolis is a resinous hive product collected by bees from tree buds and mixed with secretedbee wax to both avoid bacterial contamination in the hive and seal it. It is known to have a wide spectrumof pharmacological properties, including anti-inflammatory, antioxidant, antibacterial, antiviral, and antifungal abilities. Apoptosis tests were performed on odontoblast cells in rats (Rattus novegicus) to assessthe viability of propolis extract and caffeic acid phenetyl esters (CAPE) as alternative candidates for pulpcapping agents in conservative dentistry treatment. Objective: To examine the apoptosis activity of propolisextract and CAPE as capping materials on odontoblast cells. Methods: This study was designed as a posttest only control group laboratory experiment. The rats were randomly divided into three groups. Pulpexposures were performed on the occlusal surface of the right maxillary first molars. In the first group, thecontrol group, glass ionomer cement (GIC) was directly applied to the pulp exposure. In the second group,the sample group, propolis extract was applied to the pulp exposure, and in the third group, CAPE wasapplied to the pulp exposure. All cavities were then filled with GIC as a permanent filling. Animals weresacrificed on the first and fourteenth days. The direct counting method of histological examination was basedon the apoptotic odontoblasts, using the terminal deoxyribonucleotidyl transferase dUTP nick end labeling(TUNEL) assay technique. Result: There was a greater number of apoptotic odontoblasts in the controlgroup, followed by the CAPE group and, lastly, the propolis extract group. Conclusion: The apoptosisactivity of the propolis extract is lower than that of CAPE.
The potency of propolis extract as anti-inflammatory agent for stimulation of reparative dentin formation Anindya, Cinitra; Widjiastuti, Ira; Zubaidah, Nanik
Conservative Dentistry Journal Vol. 13 No. 1 (2023): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i1.2023.42-47

Abstract

Background: As an effort to treat a deep caries lesion with a diagnosis of reversible pulpitis, one of the treatment options is pulp capping. For decades, calcium hydroxide has been considered the most acceptable pulp capping material and has been routinely used in dental practice, but it also has some weakness. To overcome that, alternative materials are needed that can provide a better effect. Recently, a lot of research has been done using natural ingredients, including Propolis. Propolis has been known to have strong antimicrobial and anti inflammatory properties. Therefore, it is necessary to conduct a deeper study regarding the potency of propolis extract as an anti inflammatory agent for the stimulation of reparative dentin formation so that it can be considered to be used as a pulp capping material. Objective: The aim of this literature review is to highlight the potency of propolis extract as anti inflammatory agent in the natural stimulation of reparative dentin formation. Methods: The search strategy consist of an electronic research using databases such as PubMed, Google Scholar, Science Direct, dan Springer Link for studies published from 2003 to 2021 regarding the potency of propolis extract as anti inflammatory agent for stimulation of reparative dentin formation, including review articles and research articles. Results: Propolis and its constituents have been proven to be used as a potent natural anti inflammatory, it also considered to have the ability to promote reparative dentin formation. However, there are some literatures stated that reparative dentin does not form with the application of propolis, and the causes may vary. Conclusion: Propolis extract has a potency as an anti inflammatory agent in dental pulp inflammation by inhibiting TNFα expression, and increasing TGF-β1 expression, as well as its potency in stimulating the formation of reparative dentin. Based on this review, further studies are needed.
In office external bleaching of teeth with discoloration: a case report Anindya, Cinitra; Ismiyatin, Kun; Zubaidah, Nanik; Supandji, Rafaelle Raditya; Nurkhalidah, Binar Najwa
Conservative Dentistry Journal Vol. 14 No. 1 (2024): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v14i1.2024.6-10

Abstract

Background: Tooth discoloration is a prevalent issue that significantly impacts an individual's self-confidence. Fortunately, dentists offer highly effective and non-invasive teeth whitening techniques that use higher concentrations of hydrogen peroxide (HP) of around 35% to 40%. These techniques can help resolve the problem of teeth discoloration better than at-home methods designed to deliver faster results. This is particularly helpful when immediate whitening is required. Purpose: This case study aims to report cases of in-office external bleaching of discolored teeth. Case: A 29-year-old woman complained about the yellowish shade of her teeth, which made her feel less confident due to the yellowish color. Case Management: The management for discoloration of teeth was done with dental bleaching using 40% hydrogen peroxide. As a result of the treatment, the desired tooth color increased from 3M1 to 1M1 Vita 3D Master and from Opalescence no.6 to 4. Conclusion: In-office dental bleaching is a highly effective treatment option for correcting tooth discoloration that dental professionals widely use. The procedure can significantly improve the appearance of discolored teeth and increase self-confidence of the patient.
Health Education For Early Awareness in Maintaining Oral Health For Students at PPTQ Hasan Munadi Islamic Boarding School, Ponorogo, East Java: Edukasi Peningkatan Kesadaran Sejak Dini Santri Santriwati dalam Menjaga Kesehatan Gigi dan Mulut, Pondok Pesantren PPTQ Hasan Munadi, Ponorogo, Jawa Timur Puspitasari, Yeni; Alam, Sabda; Desi, Febria; Artanty, Dian; Anindya, Cinitra; Cahyo, Adi; Zahratur, Anindita; Fitri, Bingah; Mustriana, Ratna; Kusuma, Febriyanti; Yulviyanti, Anita; Sutowijoyo, Aryo; Surya, Rangga; Rahmatari, Bandaru; Nerito, Prima; Dewita, Meirna; Gayatri, Khamila
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 2 (2024): November (2024)
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i2.269

Abstract

PPTQ Hasan Munadi is an Islamic boarding school located in Badengan District, Ponorogo, East Java. The journey to the school requires a long travel distance, with winding roads and a considerable distance from the city. This situation leads to limited healthcare facilities, particularly dental clinics, and infrequent oral health education activities in the surrounding area. As a result, many students at the boarding school have a limited understanding of the importance of maintaining oral health, including the proper techniques for brushing teeth. The aim of the health education program at Pondok Pesantren PPTQ Hasan Munadi is to provide dental and oral health education and training to students from an early age (7-9 years old). This health education program used pre-post test to asses the program’s success. Before the health education intervention, students are given a pre-test. Following this, an educational session is conducted using a lecture method supported by media such as a phantom, video, and flipchart. Next session, a post-test is administered to assess any changes in the students' knowledge about maintaining oral health. Data analysis reveals that 49% of the students had a moderate level of knowledge regarding dental and oral health before the intervention. After the educational session, there was an increase of 7.3% in the number of students who achieved a good level of knowledge. This program indicates a significant improvement in the students' knowledge regarding oral health following the educational intervention.
Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin Ismiyatin, Kun; Anindya, Cinitra; Widjaja, Olivia Vivian; Harseno, Singgih; Dzulfiqar, Ahmad Afif; binti Tengku Ahmad Noor, Tengku Natasha Eleena
Dental Journal (Majalah Kedokteran Gigi) Vol. 58 No. 1 (2025): March
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v58.i1.p100-106

Abstract

Background: The developments in endodontics have created opportunities for patients to maintain functional teeth for longer. Surgical endodontic treatment, such as hemisection, has become a more conservative treatment than complex treatments, such as removable or fixed partial dentures or implants. Purpose: The aim of this treatment is to preserve the remaining tooth structure through a hemisection procedure and socket preservation using an alloplastic bone graft and platelet-rich fibrin (PRF). Case: A female patient presented with mastication pain and a large carious tooth in the right mandibular first molar and wanted to save the tooth. Examination showed deep caries and perforation in the bifurcation area of the tooth with loss of the distal crown. However, the mesial root could be preserved, thus hemisection was proposed. Case management: A root canal treatment was performed on the mesial root, followed by separation of the mesial and distal roots, and, finally, distal root extraction. A mixture of PRF and bone graft was used for socket preservation. The tooth was restored with a splinted zirconia crown. Conclusion: Hemisection with socket preservation using alloplastic bone graft and PRF represents a more conservative treatment option for molar teeth with extensive caries. This approach exhibits a good long-term prognosis and enhances the bone healing process.
Smile makeover for multiple caries of anterior teeth through endodontic, periodontic, and restorative management: a case report Anindya, Cinitra; Widjaja, Olivia Vivian; Ismiyatin, kun; Saraswati, Widya; Setyabudi
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.v14i2.2024.79-86

Abstract

Background: Dental aesthetic issues may affect individual’s aesthetic, function, and psychological well-being. The functions of the stomatognathic system are supporting mastication, speaking, breathing and swallowing functions, so that structural integrity and an ideal and harmonious smile can be achieved as well. Aesthetic issues due to caries of maxillary anterior teeth requires deep analysis, consideration and appropriate treatment planning to aim a good result both functionally and aesthetically. Digital smile design (DSD) plays an important role in aesthetic dentistry where problems can easily be rectified. Purpose: This case report describes a step-by-step aesthetic treatment of a male patient with multiple caries of anterior teeth. Case: This study reports a 21-year-old man with multiple caries on his maxillary anterior teeth. Tooth number 12 with class IV caries lesion. Teeth number 11 and 22 with class IV and VI caries lesion and were endodontically treated, tooth number 21 with class III mesiodistal caries lesion. The patient’s chief complaint is that he felt less confidence with his appearance. Case Management: tooth number 21 was managed with endodontic treatment and followed by insertion of fiber post. Teeth number 11 and 22 that endodontically treated previously, were managed with prefabricated fiber post. Tooth number 12 was managed with crown. Teeth number 11, 21, 22 11, 21, 22 were managed with gingivectomy for aesthetic crown lengthening. Lithium disilicate was chosen for the crown materials Conclusion: Anterior teeth with multiple caries can be improved through endodontic-periodontal-restoration treatments to improve the function and aesthetic performance.
Epigallocatechin-3-gallate (EGCG) and tricalcium silicate (C_3 S) combination as an antibacterial agent against Enterococcus faecalis Ismiyatin, Kun; Cahyani, Febriastuti; Soetojo, Adioro; Widjiastuti, Ira; Pribadi, Nirawati; Nurkhalidah, Binar Najwa; Raftiani, Ardelia Sabrina; Pramesty, Azzahra Kinaya; Anindya, Cinitra
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.v15i1.2025.46-48

Abstract

Background: Dental caries affects 57.6% of the Indonesian population, with Enterococcus faecalis found in 80% of deep caries cases. Conventional materials used in vital pulp therapy (VPT), such as calcium hydroxide, have limitations including transient antibacterial action and poor sealing capacity. This prompts the exploration of alternative materials like epigallocatechin-3-gallate (EGCG), a polyphenol from green tea with antimicrobial activity, and tricalcium silicate (C₃S), a bioactive cement known for dentin regeneration potential. Purpose: This review evaluates the synergistic antibacterial potential of EGCG and C₃S combinations against E. faecalis, and assesses their feasibility as an alternative in VPT. Review: EGCG disrupts bacterial membranes, inhibits biofilm formation, and suppresses virulence factors, but lacks remineralization capability. Conversely, C₃S promotes dentin repair and creates an alkaline antibacterial environment, though its efficacy diminishes over time. Their combination compensates for each other’s limitations: EGCG enhances antimicrobial potency while C₃S provides long-term alkalinity and regenerative support. Conclusion: The EGCG–C₃S combination exhibits synergistic antibacterial and regenerative effects, offering a promising alternative to current VPT materials.