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The Characterization Of Hydroxyapatite, Eppigalocathecine-3-Gallate, Hydroxypropyl Methylcellulose As Bioactive Material For Pulp Capping Elline, Elline; Suwartini, Tien; Komariah, Komariah; Lambertus, Reynaldo
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.366-374

Background: According to a previous study, hydroxyapatite (HA) has the potential to be used in dentistry, but it still needs further research, especially as a biomaterial for pulp capping. The pulp capping treatment can maintain pulp vitality and induce dentin reparative formation. Calcium hydroxide is the gold standard of pulp capping material, but it can cause tunnel defects. Several studies made a crosslink with epigallocatechin-3-gallate (EGCG) and hydroxypropyl methylcellulose (HPMC) to improve the effect of hydroxyapatite as a biomaterial. The HA-EGCG-HPMC combination is expected to have the potential as a bioactive material. In this study, HA-EGCG-HPMC was characterized physicochemically by several criteria, such as the gelation time, pH, and antibacterial effect against Aggregatibacter actinomycetemcomitans. This study aims to determine the physicochemical characteristics of the HA-EGCG-HPMC material as a pulp capping materialMethod: This research is an in vitro laboratory experimental study design. Hydroxyapatite powder was dissolved with distilled water at concentrations of 4%, 2%, and 1%, with 10µmol/mL EGCG and hydroxypropyl methylcellulose as the carrier agent. Characterization of the samples measured are gelation time, pH, and antibacterial effect by microdilution method. Result: The HA-EGCG-HPMC combination has an ideal gelation time of about 23-31 minutes, and its pH is within the range of 7.28 - 7.33. However, the HA-EGCG-HPMC does not yet have an antibacterial effect against Aggregatibacter actinomycetemcomitans.Conclusion: The hydroxyapatite, EGCG, and hydroxypropyl methylcellulose can be used as a bioactive material, such as pulp capping material seen from physicochemical characterization that can be developed further.

Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik: laporan kasus Jesslyn, Godelatia; Iskandar, Bernard Ongki; Suwartini, Tien
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 4 (2024): Januari 2024 (Suplemen 4)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i4.49884

ABSTRACTPendahuluan: Perawatan endodontik sekali kunjungan adalah perawatan saluran akar dari tahapan preparasi, disinfeksi serta obturasi dilakukan pada kunjungan yang sama. Beberapa faktor seperti jumlah saluran akar, ketersediaan waktu, kemampuan operator, keadaan pasien serta gejala dari gigi perlu dipertimbangkan dalam pemilihan kasus serta rencana perawatan. Disinfeksi dan hasil obturasi ditentukan oleh proses preparasi mekanis serta larutan irigasi. Tujuan laporan kasus ini adalah menjelaskan penatalaksanaan endodontik sekali kunjungan kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik. Laporan kasus: Pasien laki-laki berusia 25 tahun datang untuk memperbaiki gigi molar pertama kiri mandibula tanpa ada keluhan rasa sakit maupun rasa tidak nyaman. Pemeriksaan klinis dan radiografis menunjukan nekrosis pulpa disertai periodontitis apikalis asimptomatik pasien dilakukan perawatan endodontik sekali kunjungan. Preparasi biomekanis dilakukan dengan single file NiTi rotary hingga #25,06, dan irigasi dilakukan dengan NaOCl 5,25, EDTA 17% serta CHX 2% dengan aktivasi sonic. Obturasi dilakukan dengan teknik warm vertical compaction menggunakan siler bioceramic dan guta-percha single cone. Setelah itu direstorasi dengan indirek onlay komposit. Terdapat beberapa keuntungan dan kerugian dalam melakukan perawatan endodontik sekali kunjungan. Studi menunjukan penyembuhan dari perawatan sekali maupun multi kunjungan sama. Keberhasilan perawatan didukung dari reduksi bakteri, obturasi yang hermetis, serta restorasi koronal yang adekuat. Disinfeksi saluran akar lebih penting dalam perawatan saluran akar dibandingkan jumlah kunjungan perawatan. Simpulan: Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikal asimptomatik mengurangi durasi perawatan dan dapat mengembalikan fungsional gigi dengan tingkat keberhasilan yang sama dengan perawatan multi kunjungan. kata kuncisekali kunjungan, endodonti, perawatan, desinfeksi saluran akar, nekrosis pulpa, periodontitis apikalis asimptomatikSingle-visit endodontic treatment on first mandibular left molar with necrotic pulp and asymptomatic apical periodontitis: a case reportABSTRACTIntroduction: Single-visit endodontics implies an endodontic treatment from cleaning, shaping, and disinfection until obturation at the same appointment. Several factors including the number of rots, time availability, clinician’s skill, patient’s acceptance, and symptoms need to be considered in case selection. The process of cleaning and shaping determines both the degree of disinfection and ability to obturate the canals. This case resort aimed to describe management of a single-visit endodontic treatment on first lower mandible left molar with necrotic pulp and asymptomatic apical periodontitis. Case report: A 25-year-old male came to restore his mandible left molar without any pain or discomfort. Clinical and radiographic examination showed a necrotic pulp with asymptomatic apical periodontitis. Single-visit endodontic treatment was conducted. The Preparation was done using a #25.06 single-file NiTi rotary, in combination with 5,25% NaOCl, 17% EDTA, and 2% CHX Irrigation steps was done with sonic activation. The canals were obturated with single-cone gutta-percha and bioceramic sealer by warm vertical compaction technique. The tooth then undergone restored with an indirect composite overlay restoration. There are advantages and disadvantages to a single-visit treatment. Studies showed that the healing rate of single and multiple-visit root canal treatment is similar. Reduction of bacteria, hermetic obturation, and satisfactory coronal restoration can result in a successful outcome. Regardless of the number of appointments, effective disinfection of the root canal is critical. Conclusion: Single-visit treatment reduces the number of appointments and restored tooth function with a similar success rate compared to multi-visit treatment. Keywordsingle-visit, endodontic, treatment, root canal irrigants, dental pulp necrosis, apical periodontitis

Penegakan diagnosis dan tata laksana radiks entomolaris gigi molar kedua mandibula menggunakan CBCT dengan teknik SLOB: laporan kasus Antonius, Ferry; Suwartini, Tien; Gunawan, Juaniata Amaludin
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 1 (2024): April 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i1.48050

ABSTRAKPendahuluan: Disinfeksi sistem saluran akar dari mikroorganisme akan mempengaruhi tingkat keberhasilan perawatan endodontik. Saluran akar yang terlewatkan dapat menjadi penyebab kegagalan perawatan. Sehingga, klinisi harus mengetahui dan memahami variasi dari morfologi akar. Salah satu variasi morfologi akar dimana terdapat adanya akar tambahan di bagian distolingual. Tujuan laporan kasus memaparkan penegakan diagnosis dan tata laksana radiks entomolaris gigi molar kedua mandibula menggunakan CBCT dengan teknik SLOB. Laporan kasus: Perempuan, 27 tahun, datang ke RSGM-P Universitas Trisakti dengan keluhan sakit gigi pada sisi kiri rahang bawah. Pemeriksaan klinis, terlihat gigi 36 dengan kavitas yang besar, sedangkan gigi 37 tertutup tumpatan sementara. Pemeriksaan radiografi, terlihat gambaran radiolusensi melibatkan pulpa serta perubahan pada periapikal gigi 37. Gambaran kabur pada radiografi dari outline akar distal diduga adanya akar tambahan. Diagnosis nekrosis pulpa dengan periodontitis apikalis simtomatik. Saat pembuatan akses kavitas terlihat orifis saluran akar distal yang menjauh dari garis tengah imajiner sehingga diperlukan modifikasi akses kavitas menjadi trapezoidal. Perawatan saluran akar dilakukan pada gigi 37 dan direstorasi menggunakan indirek overlay. Pengetahuan variasi morfologi akar dapat menghindari terjadinya missed canal. Akses kavitas juga memiliki peran penting untuk menentukan lokasi akar tambahan dan letak orifis. Penggunaan magnifikasi dan alat ultrasonik sangat membantu dalam menentukan dan merawat gigi dengan radiks entomolaris. Rehabilitasi gigi dengan restorasi indirek akan memberikan keberhasilan jangka panjang. Simpulan: Diagnosis tepat, penatalaksanaan dan rehabilitasi gigi dengan akar ekstra yang baik, akan memberikan keberhasilan jangka panjang. Penggunaan CBCT atau radiografi konvensional dengan teknik SLOB dapat membantu mengidentifikasi radiks entomolaris dalam perawatan endodontik. Klinisi perlu mengetahui tahapan dan modifikasi yang dibutuhkan selama perawatan endodontik pada gigi dengan radiks entomolaris untuk menghindari kesalahan iatrogenik. Kata kunciradiks entomolaris, saluran akar, perawatan saluran akar, restorasi indirek, onlayDiagnosis and Management of radix entomolaris in the mandibular second molar using CBCT with the SLOB technique: Case reportABSTRACTIntroduction: Successful endodontic treatment depends on the removal of microorganisms from root canal systems. Missed canal can jeopardize the treatment's outcome. Therefore, clinicians should be aware and have a good understanding of the variations in root canal morphology. This case report aims to present the diagnosis and management of radix entomolaris in the mandibular second molar using CBCT with the SLOB technique.Case report: A 27-year-old female visited RSGM-P Universitas Trisakti with a complaint of pain in the left side of the jaw. Clinical examination showed that tooth no 36 with deep caries and no 37 filled with temporary restoration. On radiograph examination, radiolucency involves the pulp with periapical changes on tooth no 37 from. A Hazy image on the outline of distal root suggests extra roots. A diagnosis of pulp necrosis with apical periodontitis was made The distal root canal orifice is seen to be far from the fictitious midline at the time the cavity access is made, so it is required to adjust the cavity access to become trapezoidal. Root canal treatment was done and followed by prosthetic rehabilitation with indirect overlay. An accurate diagnosis of radix can avoid missed canal. Access cavity also plays a critical role to locate extra root and canal orifices. Magnification and ultrasonic can be helpful in locating and treating radix entomolaris. Rehabilitation of the tooth with indirect restorations will lead to the long-term success of the tooth. Conclusion: Accurate diagnosis, proper management and rehabilitation of the tooth with presence of extra root, will lead to the long-term success of the tooth. Radix entomolaris can be identified using CBCT or traditional radiography with the SLOB approach in endodontic therapy. To avoid iatrogenic errors, clinicians must understand the phases as well as modifications required for endodontic treatment of teeth with radix entomolaris. Keywords radix entomolaris, root canal , root canal treatment, indirect restoration, onlay

Pemberdayaan Kader Posyandu RPTA Mustika Kelurahan Cideng melalui Pengolahan Produk Milk Bun Dkelors (Moringa Oleifera) sebagai Makanan Tambahan 1000 Hari Pertama Kehidupan komariah, Komariah; Lestari, Sri; Suwartini, Tien; Laksmiastuti, Sri; Livia, Florencia; Darma, Joshua; Fernando, Theodorus Aldo; Lidwina, Naomi; Susanto, Shannon Winnie; Fitria, Nada; Aribah, Nada Erica
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.15358

ABSTRAK Stunting adalah kondisi gagal tumbuh anak yang diakibatkan kekurangan gizi kronis. Untuk mengatasi kekurangan gizi, perlu dilengkapi dengan pemberian makanan tambahan (PMT), khususnya masukkan gizi seimbang dalam 1000 hari pertama kehidupan (HPK) dalam memenuhi kebutuhan zat gizi, yang bertujuan mengurangi risiko stunting. Kader posyandu Ruang Publik Terpadu Ramah Anak (RPTRA) Mustika, Kelurahan Cideng, sebagai wadah layanan dan tombak penggerak kesehatan masyarakat, harus mempunyai pengetahuan yang baik untuk memperbaiki gizi dalam pencegahan stunting. Salah satunya pemberian makanan tambahan selama 1000 HPK berbasis bahan alam lokal yang tersedia dengan harga terjangkau, salah satunya tanaman kelor (Moringa oleifera). Daun kelor, baik segar maupun kering, dapat digunakan sebagai bahan fortifikasi dalam produk makanan seperti Milk bun Dkelors. Kegiatan ini adalah untuk memberdayakan kader posyandu dalam meningkatkan pengetahuan mengenai manfaat daun kelor segar dan kering, serta produk fortifikasi makanan yang dihasilkan sebagai makanan tambahan pada masa 1000 HPK. Kegiatan ini meliputi tahap persiapan, survei serta analisis masalah. Tahap pelaksanaan kegiatan meliputi pemberian pre-test dan post-test materi paparan, yang diikuti dengan demonstrasi pembuatan produk makanan berbasis daun kelor, salah satunya Milk Bun Dkelors. Hasil pre-test dan post-test menunjukkan peningkatan pengetahuan kader posyandu serta ketertarikan terhadap pembuatan Milk Bun Dkelors berdasarkan hasil uji kesukaan. Terdapat peningkatan pengetahuan kader posyandu tentang manfaat dan aplikasi fortifikasi daun kelor dalam produk makanan seperti Milk Bun Dkelors sebagai makanan tambahan selama 1000 HPK. Kata kunci: Stunting, daun kelor, makanan tambahan, milk bun dkelors ABSTRACT Stunting is a condition of impaired growth in children caused by chronic malnutrition. To address malnutrition, it is essential to provide supplementary feeding (PMT), particularly by incorporating balanced nutrition during the first 1000 days of life (HPK) to meet nutritional needs and reduce the risk of stunting. Posyandu cadres at the Child-Friendly Integrated Public Space (RPTRA) Mustika in Cideng Village, as a service hub and health mobilization spearhead for the community, must have good knowledge to improve nutrition in stunting prevention. One approach is through supplementary feeding during the 1000 HPK based on locally available, affordable natural ingredients, such as the moringa plant (Moringa oleifera). Fresh or dried moringa leaves can be used as a fortification ingredient in food products, such as Milk Bun Dkelors. This activity aims to empower posyandu cadres by enhancing their knowledge about the benefits of fresh and dried moringa leaves and the fortified food products derived from them as supplementary feeding during the 1000 HPK. The activities include the preparation stage, survey, and problem analysis. The implementation stage includes a pre-test and post-test on the presented material, followed by a demonstration of making food products based on moringa leaves, such as Milk Bun Dkelors. The pre- and post-test results show an increase in posyandu cadres' knowledge and interest in making Milk Bun Dkelors, based on the preference test results. There was an increase in posyandu cadres' knowledge about the benefits and applications of moringa leaf fortification in food products like Milk Bun Dkelors as supplementary feeding during the 1000 HPK. Keywords: Stunting, moringa leaves, supplementary feeding, Milk Bun Dkelors

Relation of pilot hours of flight to stress, bruxism, attrition and abfraction in vivo research Puspithasari, Amelia; Suwartini, Tien
Odonto : Dental Journal Vol 10, No 1 (2023): July 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.10.1.37-45

Background: Pilots are a very stressful job. As a consequence of stress, pilots practice bruxism. Common clinical manifestations due to bruxism are attrition and abfraction. To evaluate whether there is a relationship between pilot flight hours and job stress associated with the occurrence of bruxism, attrition and abfraction among domestic civil aviation pilots throughout Indonesia. Methods: The subjects of the study were 196 pilots who were undergoing routine annual dental examinations at the Aviation Health Center of the Directorate General of Transportation. The pilot's flying hours, pilot job stress, awareness of the occurrence of bruxism was evaluated using the questionnaires. Attrition and abfraction were calculated based on scoring. Results: Most of the research subjects had flight hours of 5,000 to 10,000 hours, namely 44.4% (n = 87). Pilots who experienced stress were represented with at least 56.1% depression (n = 110) and minimal anxiety 49% (n = 96). Bruxism was found in 16.8% (n = 33) of all subjects. The highest attrition measurement was in enamel 47.4% (n = 93) and the most abfraction occurred in posterior teeth 8.2% (n = 16). The results of the Spearman correlation test show that there is no significant relationship between pilot flying hours with stress, bruxism with stress and stress on attrition. Conclusion: The higher the pilot's flight hours, the lower the stress. The higher the pilot's stress, the lower the attrition. There is no relationship between bruxism and pilot stress. The attrition that occurs is not directly related to bruxism activity.

Relation of pilot hours of flight to stress, bruxism, attrition and abfraction in vivo research Puspithasari, Amelia; Suwartini, Tien
Odonto : Dental Journal Vol 10, No 1 (2023): July 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.10.1.37-45

Background: Pilots are a very stressful job. As a consequence of stress, pilots practice bruxism. Common clinical manifestations due to bruxism are attrition and abfraction. To evaluate whether there is a relationship between pilot flight hours and job stress associated with the occurrence of bruxism, attrition and abfraction among domestic civil aviation pilots throughout Indonesia. Methods: The subjects of the study were 196 pilots who were undergoing routine annual dental examinations at the Aviation Health Center of the Directorate General of Transportation. The pilot's flying hours, pilot job stress, awareness of the occurrence of bruxism was evaluated using the questionnaires. Attrition and abfraction were calculated based on scoring. Results: Most of the research subjects had flight hours of 5,000 to 10,000 hours, namely 44.4% (n = 87). Pilots who experienced stress were represented with at least 56.1% depression (n = 110) and minimal anxiety 49% (n = 96). Bruxism was found in 16.8% (n = 33) of all subjects. The highest attrition measurement was in enamel 47.4% (n = 93) and the most abfraction occurred in posterior teeth 8.2% (n = 16). The results of the Spearman correlation test show that there is no significant relationship between pilot flying hours with stress, bruxism with stress and stress on attrition. Conclusion: The higher the pilot's flight hours, the lower the stress. The higher the pilot's stress, the lower the attrition. There is no relationship between bruxism and pilot stress. The attrition that occurs is not directly related to bruxism activity.

Potensi Antibakteri Lidah Buaya, Kalsium Hidroksida, dan Omeprazole Terhadap Enterococcus faecalis Hana Kartika, Adityarini; Suwartini, Tien; Tri Oka Binartha, Ciptadhi
Jurnal Kedokteran Gigi Terpadu Vol. 7 No. 1 (2025): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v7i123880

This literature review aims to evaluate the efficacy of various intracanal medicaments in root canal therapy, particularly against Enterococcus faecalis, a common pathogen responsible for endodontic treatment failure. Calcium hydroxide remains the most commonly used intracanal medicament due to its high pH and ability to induce hard tissue formation. However, its efficacy against E. faecalis is limited. Proton pump inhibitors such as omeprazole have shown potential in enhancing the antibacterial properties of calcium hydroxide. In addition, herbal alternatives such as Aloe barbadensis miller (Aloe vera) have shown promising antibacterial effects with a lower toxicity profile compared to traditional medicaments. Although calcium hydroxide is effective in certain aspects of endodontic therapy, its limitations against persistent pathogens such as E. faecalis require exploration of additional or alternative intracanal medicaments. Proton pump inhibitors and herbal extracts such as aloe vera offer promising avenues for improving root canal treatment outcomes.

Peran edukasi interaktif dalam peningkatan pengetahuan kesehatan gigi dan mulut Shalsabilla A. Hi. Yahya, Putri; Asia, Rr. Asyurati; Juliawati, Mita; Suwartini, Tien; Cloudya Panjaitan, Caesary
Jurnal Kedokteran Gigi Terpadu Vol. 7 No. 2 (2025): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v7i2.26000

Background: Oral and dental health is an important aspect of body health that is often neglected. Many research data show that the level of awareness and optimal oral and dental health practices still need to be improved. This improvement requires oral and dental health education with more interesting methods and can involve active participation from the audience. Objective: to assess an overview of Family Welfare and Empowerment Organization knowledge regarding dental and oral health before and after education using interactive media. Methods: This study was a quasi experimental study with a pre-test – post-test conducted on PKK women in Palu, Sulawesi Tengah. The PKK women knowledge was measured by filling out the questionnaire, which has been tested for its validity and reliability using the Pearson product moment correlation and Cronbach Alpha, then the questionnaires were distributed directly. Results: An assessment involving 91 respondents demonstrated a consistent upward trend in dental and oral health knowledge among most PKK women, observed prior to counseling and sustained at 15-day and 30-day post-intervention intervals. Conclusion: This study shows that most PKK women experienced increased knowledge about maintaining oral health. PKK women need to be more active in providing information related to oral health and are expected to practice it daily for themselves and their families. Interactive educational media is an effective tool for oral health education and increasing knowledge, especially among community groups such as PKK women. These findings support its broader implementation in public health programs to address preventable oral health problems.

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