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All Journal Journal of Dentistry Indonesia Dental Journal (Majalah Kedokteran Gigi)
Kurmaena, Iceu Estu
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Dentistry

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Effect of 17% ethylenediaminetetraacetic acid and silver citrate on sealer resin penetration in the apical third Kurmaena, Iceu Estu; Nurliza, Cut; Gani, Basri A.
Dental Journal Vol. 57 No. 3 (2024): September
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.v57.i3.p178-183

Abstract

Background: Endodontic sealers limit bacteria growth and clean the smear layer of the root canal. Biocompatible irrigants silver citrate and ethylenediaminetetraacetic acid (EDTA) have a chelating agent that increases sealer penetration in dentinal tubules. Purpose: This study aims to investigate the final irrigation difference in epoxy resin and bioceramic sealer penetration into dentinal tubules at the apical third. Methods: A total of 30 extracted mandibular premolars were split into six groups; three received epoxy resin sealer and three received bioceramic resin with aquadest, silver citrate (BioAKT) or EDTA 17% irrigation. A confocal laser scanning microscope estimated sealer penetration in dentinal tubules. For quantitative data analysis, Olympus Fluoview ver.4.2a was used. Results: Silver citrate final irrigation with bioceramic resin sealer had the highest dentinal tubular penetration (24%; 1,431 µm), followed by EDTA 17% (20%; 1,202 µm), aquadest (16.3%; 969 µm), EDTA 17% with epoxy resin (15.8%; 938 µm, 14%; 803 µm), and distilled water (10%; 584 µm). Significant differences existed in all groups (p = 0.001). Epoxy resin sealer penetration into dentinal tubules was similar between final irrigants (p = 0.257) and bioceramic resin groups (p = 0.658). Conclusion: Silver citrate (BioAKT), a bioceramic resin sealer-based final irrigation solution, penetrates dentinal tubules better for endodontic therapy.
Clinically Effective Regenerative Therapy for Primary Endodontic Lesions with Secondary Periodontal Lesions: A Case Report Amalia, Martina; Budi, Budi; Kurmaena, Iceu Estu; Yanti, Nevi; Nurcahyanti, Hesty; Nasution, Aini Hariyani
Journal of Dentistry Indonesia Vol. 30, No. 3
Publisher : UI Scholars Hub

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The diagnosis and prognosis of teeth with endo-perio lesions present a major challenge for dentists. Proper diagnosis is critical in determining treatment and the long-term prognosis. However, treating complex endodontic and periodontal lesions is one of the most common challenges in current clinical practice. The coexistence of pulpal and periodontal tissue damage may complicate diagnosis and further influence dental prognosis. This article consists of a case report evaluating the efficacy of xenografts and resorbable membrane pericardium in treating bifurcation lesions associated with periodontal lesions of the left mandibular first molar. A 22-year-old female patient was referred by conservative dentistry with complaints of gingival swelling on tooth 36 with furcation involvement associated with periodontal lesions. A gingivectomy was performed after the first stage of periodontal therapy because gingival swelling precluded endodontic treatment. After 3 months of endodontic treatment, the grade II bifurcated lesion had not yet healed, so regenerative surgery using xenografts and a resorbable pericardial membrane was performed. Periodontal treatment showed no gingival inflammation, and radiographic evidence showed bone improvement. Endo-perio lesions are complex in etiology and require a high degree of expertise to identify and treat them. Therefore, effective treatment of lesions requires collaboration between various multidisciplinary disciplines.
Co-Authors Amalia, Martina Basri A. Gani, Basri A. Budi Budi Cut Nurliza, Cut Nasution, Aini Hariyani Nevi Yanti Nurcahyanti, Hesty