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Journal : Conservative Dentistry Journal

Antimicrobial activity of calcium hydroxide, calcium oxide, and mineral trioxide aggregate paste against α-Hemolytic Streptococcus Darmadi, Eveline Yulia; Soesilo, Diana
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.v14i1.2024.24-28

Abstract

Background: The bacteria mostly found in the root canals are aerobic and facultative anaerobic bacteria, such as α-Hemolytic Streptococcus. Calcium hydroxide has alkaline characteristics with pH of 12.5, and antimicrobial properties. Calcium oxide is hydrophilic and has a smaller molecular weight than calcium hydroxide. Mineral trioxide aggregate (MTA) has alkaline properties, good biocompatibility, stimulates healing and inhibits bacterial growth. Purpose: The purpose of this study was to examine the differences of antimicrobial activity between calcium hydroxide, calcium oxide, and mineral trioxide aggregate (MTA), also to find which of these materials has the highest antimicrobial activity. Methods: The design of this study was a post-test only control group design. The study subjects were divided into 4 groups. K (-) was control group without any treatment, P1 was treated with calcium hydroxide, P2 was treated with calcium oxide, and P3 was treated with MTA. Each group consisted of 7 samples. The α-Hemolytic Streptococcus were spread on Mueller Hinton agar. Antimicrobial test was using diffusion method and diameter of inhibition zones were measured with caliper. Results: Average inhibitory zone of each sample was P1 (30.9643 mm ± 0,7431), P2 (35,2357 mm ± 0,7099), P3 (28,6 mm ± 1,5532). Tukey HSD test showed significances results between samples P1 and P2 (p=0,001), P1 and P3 (p=0,002), P2 and P3 (p=0,001). Conclusion: The highest antimicrobial activity against α-Hemolytic Streptococcus was calcium oxide followed by calcium hydroxide and MTA.
Innovation in Dental Conservation and Their Impact on Forensic Odontology Fauziah, Yessy Andriani; Wahjuningrum, Dian Agustin; Darmadi, Eveline Yulia; Adityatama, Anneke Paramita
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.v14i2.2024.42-46

Abstract

Background: Innovations in dental conservation are increasingly integral to advancements in forensic odontology. Integrating digital technologies, such as intraoral scanning, CAD/CAM, and 3D printing, has enhanced the precision and efficiency of dental record creation. Purpose: To examine and analyse new technologies and tools in dental conservation which play a crucial role in forensic identification, where accurate dental matching is essential for personal identification. Dental identification systems, including microchips and identification tags on prosthetics, are being implemented to aid in mass disaster victim identification. Reviews: Techniques like virtual dental autopsy offer reliable remote examination capabilities, making them invaluable in emergencies. These technologies facilitate more accurate and durable restorations, enhancing patient outcomes in clinical settings while also providing forensic odontologists with robust tools for human identification, especially under challenging conditions such as mass disasters. This paper explores various innovations in dental conservation and their impact on forensic odontology, emphasizing accuracy, speed, and ethical benefits for human identification processes. Conclusion: The advancements illustrate the transformative impact of digital innovation in dental science, setting new standards in both dental care and forensic applications
Forensic Identification Using Dental Restorations: A Radiographic and Material-Based Perspective Fauziah, Yessy Andriani; Darmadi, Eveline Yulia; Budiharjo, Adrianto; Wahjuningrum, Dian Agustin
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.v15i1.2025.1-4

Abstract

Background: Forensic identification is a critical aspect of criminal investigations and disaster victim identification (DVI). Dental records, particularly dental restorations, serve as essential forensic markers due to their resistance to decomposition and environmental conditions. The integration of radiographic imaging and material-based analysis enhances the accuracy of forensic identification, allowing experts to match post-mortem findings with ante-mortem records. Purpose: This literature review aims to explore the role of dental restorations in forensic identification, focusing on the radiographic techniques and material-based forensic analysis used in modern forensic odontology. Reviews: This literature discusses the durability and uniqueness of dental restorations in forensic investigations. Various radiographic techniques, including periapical, panoramic, and cone-beam computed tomography (CBCT) imaging, are examined for their effectiveness in detecting and analyzing restorations. Additionally, the forensic relevance of restorative materials—such as amalgam, composite resins, ceramics, and metal-based prosthetics—is evaluated in cases where conventional soft tissue or DNA-based identification is not feasible. The review also explores technological innovations, including machine learning algorithms and digital forensic methods, that enhance forensic odontology. Conclusion: Dental restorations remain one of the most reliable forensic markers, particularly in challenging identification cases where DNA and soft tissues are compromised. The integration of advanced radiographic imaging and material analysis significantly enhances the precision of forensic identification. Future developments in AI-driven forensic imaging and automated restoration detection will further strengthen forensic odontology as a crucial field in legal and disaster investigations.
The synergistic role of the immune system and stem cells in dental tissue regeneration Darmadi, Eveline Yulia; Fauziah, Yessy Andriani
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.v15i1.2025.18-22

Abstract

Background: Dental conservation focuses on maintaining natural teeth structure, function, and aesthetics using various techniques. Recent developments in regenerative dentistry highlight the immune system's and stem cells' crucial roles in regenerating dental tissues. The immune system is key in preserving oral health and supporting healing after treatment. Incorporating stem cell therapy presents a promising strategy for restoring damaged tissues, potentially enhancing the effectiveness of dental conservation. Purpose: This review explores the growing potential of immune system modulation and stem cell therapy in promoting tissue regeneration and optimizing clinical outcomes in dental conservation. It aims to summarize recent research while examining this evolving field's benefits, challenges, and future prospects. Reviews: Research indicates that the immune system's inflammatory response plays a dual role as it is crucial for wound healing but can lead to tissue damage if not regulated. Recent studies emphasize the importance of balancing pro-inflammatory and anti-inflammatory mechanisms to optimize tissue regeneration. Stem cells show promising potential in regenerating dentin, pulp, and periodontal tissues. Integrating stem cell therapy with immune modulation may further enhance regenerative outcomes. However, translating these approaches into clinical practice remains challenging due to concerns regarding safety, effectiveness, and ethical considerations. Conclusion: Regulating the immune system and integrating stem cell therapy offer promising advancements in dental conservation. Effectively utilizing these biological mechanisms can enhance tissue regeneration and improve treatment success. Future studies should aim to refine protocols, ensure long-term safety, and overcome practical barriers to fully incorporate these innovations into everyday clinical practice.
Impact of dental anxiety on quality of life in patients undergoing endodontic and restorative care Darmadi, Eveline Yulia; Fauziah, Yessy Andriani; Yemy Ameliana; Dwi Setianingtyas; Wahjuningrum, , Dian Agustin
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.v15i2.2025.52-56

Abstract

Background: Dental anxiety is a common psychological condition that affects individuals undergoing conservative dental procedures such as root canal therapy and restorative treatments. It influences not only a patient’s decision to seek care but also their perception of treatment outcomes and overall quality of life related to oral health. Purpose: This literature review aims to evaluate the relationship between dental anxiety and oral health, particularly its impact on the quality of life of patients undergoing endodontic and restorative dental treatments. Reviews: Dental anxiety is closely associated with increased pain perception, reduced cooperation, and decreased trust in dental professionals. Patients with high anxiety often experience greater discomfort and dissatisfaction, reflected in difficulties eating, speaking, and socializing. Studies consistently show that anxiety can impair treatment experiences and outcomes, while proper management leads to improved oral health and well-being. Effective strategies such as clear communication, empathetic interaction, and adequate pre-treatment preparation are proven to reduce fear and enhance patient satisfaction.Conclusion: Dental anxiety has a significant effect on many aspects of a patient's well-being before, during, and after conservative dental procedures. By adopting a caring and personalized approach, dental professionals can help alleviate anxiety and support improved treatment experiences and outcomes.
Ethical and legal dimensions of informed consent in aesthetic conservative dentistry: a review under Indonesia’s health law Fauziah, Yessy Andriani; Darmadi, Eveline Yulia; Yemy Ameliana; Wahjuningrum, Dian Agustin; Susanto, Dany Agus
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.v15i2.2025.68-73

Abstract

Background: Aesthetic treatments in conservative dentistry, such as tooth whitening, veneers, and composite restorations, have become increasingly popular as more patients seek to enhance their appearance. Unlike therapeutic procedures, these treatments are often elective and based on personal preferences, which brings forward important ethical and legal questions. One of the key aspects is how dentists ensure that patients truly understand the benefits, risks, and alternatives before making a decision. Purpose: This review aims to examine the ethical and legal dimensions of informed consent in aesthetic conservative dentistry, with particular reference to Indonesia's Law No. 17/2023 concerning Health. It explores how dental professionals are expected to balance patients' aesthetic desires with ethical responsibilities and legal duties. Reviews: The discussion covers core ethical principles, including autonomy, beneficence, nonmaleficence, and justice as the foundation of a meaningful consent process. It also examines the latest national regulation, which outlines patient rights and dentist responsibilities, particularly Law No. 17/2023 concerning Health. Since aesthetic procedures are not always medically necessary, they require extra care in communication and documentation to ensure proper patient care and treatment. Conclusion: Informed consent in aesthetic dental care should not be treated as a formality. It is a vital ethical practice that ensures patients feel respected and well-informed. For dentists, especially those involved in aesthetic procedures, it is important to apply both ethical reflection and legal awareness in every step of patient care. Following Law No. 17/2023 concerning Health, maintaining open and honest communication fosters trust and supports safe, responsible treatment.