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All Journal ODONTO Dental Journal B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah Odonto dental journal
Maranantan, Helga Anindyastika
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Dentistry Health Professions Medicine & Pharmacology

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The Effect Of Final Irrigation Materials And Techniques On The Cleanliness Of The Smear Layer In The Apical Third Of The Root Canal Maranantan, Helga Anindyastika; Ratih, Diatri Nari; Mulyawati, Ema
Odonto : Dental Journal Vol 12, No 1 (2025): April 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.1.44-53

Abstract

17% EDTA is a chelating agent used to clean the smear layer. Novel silver citrate (NSC) is a new material with the same use, while 0.2% chitosan nanoparticles are a material that has been widely studied. The agitation technique influences smear layer cleanliness by optimizing the penetration of irrigation material. Agitation techniques are sonic and ultrasonic agitation techniques; each has its advantages and disadvantages. The research objective is to evaluate the effect of final irrigation materials, agitation techniques, and a combination of both on the cleanliness of the smear layer in the apical third of the root canal.Forty-five premolars were prepared with a rotary instrument. Samples then randomly divided into 3 experimental groups (n=15). Group 1 used 17% EDTA, group 2 used NSC, and group 3 used 0.2% nanoparticle chitosan. Each group was divided into three subgroups (n=5) with subgroup A using manual agitation technique, subgroup B sonic agitation, and subgroup C ultrasonic agitation. The samples were sectioned and then examined under SEM with 5000x magnification to evaluate the cleanliness of the smear layer. The results from SEM were scored and then analyzed using Chi-Square test (IBM SPSS Statistics 29.0.1.0).Final irrigation agents of 17% EDTA, NSC, and 0.2% chitosan nanoparticles resulted in the same cleanliness of the smear layer (p˃0.05). The ultrasonic agitation technique showed better cleanliness of the smear layer than the sonic agitation and manual agitation techniques (p˂0.05). The final irrigation material combined with agitation techniques resulted in the same cleanliness of the smear layer (p˃0.05).
The Effect Of Final Irrigation Materials And Techniques On The Cleanliness Of The Smear Layer In The Apical Third Of The Root Canal Maranantan, Helga Anindyastika; Ratih, Diatri Nari; Mulyawati, Ema
Odonto : Dental Journal Vol 12, No 1 (2025): April 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.1.44-53

Abstract

17% EDTA is a chelating agent used to clean the smear layer. Novel silver citrate (NSC) is a new material with the same use, while 0.2% chitosan nanoparticles are a material that has been widely studied. The agitation technique influences smear layer cleanliness by optimizing the penetration of irrigation material. Agitation techniques are sonic and ultrasonic agitation techniques; each has its advantages and disadvantages. The research objective is to evaluate the effect of final irrigation materials, agitation techniques, and a combination of both on the cleanliness of the smear layer in the apical third of the root canal.Forty-five premolars were prepared with a rotary instrument. Samples then randomly divided into 3 experimental groups (n=15). Group 1 used 17% EDTA, group 2 used NSC, and group 3 used 0.2% nanoparticle chitosan. Each group was divided into three subgroups (n=5) with subgroup A using manual agitation technique, subgroup B sonic agitation, and subgroup C ultrasonic agitation. The samples were sectioned and then examined under SEM with 5000x magnification to evaluate the cleanliness of the smear layer. The results from SEM were scored and then analyzed using Chi-Square test (IBM SPSS Statistics 29.0.1.0).Final irrigation agents of 17% EDTA, NSC, and 0.2% chitosan nanoparticles resulted in the same cleanliness of the smear layer (p˃0.05). The ultrasonic agitation technique showed better cleanliness of the smear layer than the sonic agitation and manual agitation techniques (p˂0.05). The final irrigation material combined with agitation techniques resulted in the same cleanliness of the smear layer (p˃0.05).
APEKSIFIKASI MENGGUNAKAN BIODENTINE PADA GIGI INSISIVUS SENTRALIS PASCA AVULSI: CASE REPORT Damara, Ovy Prima; Maranantan, Helga Anindyastika; Nisa, Nela Khairun; Nelirda, Muhammad Ikhsan
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol. 12 No. 2 (2025): Vol 12 No 2 (December 2025)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v12i2.1904

Abstract

Introduction: Permanent tooth avulsions occur in 0.5%–16% of all dental injuries. Treatment for avulsions includes replantation followed by root canal treatment to reduce extraoral dry time and achieve a good prognosis. Avulsions in permanent teeth stifle vascular circulation, leading to necrosis. Necrosis in immature permanent teeth results in incomplete apical closure. Such cases require apexification treatment to ensure a hermetic root canal treatment.Aim: The purpose of this case report is to describe apexification treatment for an avulsed immature maxillary central incisor using biodentine.Case and Management: This case report describes the case of a 12-year-old boy with a complaint of a loose tooth due to a fall, 3 hours before arriving at RSGM Prof.Soedomo UGM. The patient arrived with the tooth soaked in saline. The socket was cleaned followed by replantation and splinting for 4 weeks. Four weeks later, root canal treatment and apexification using biodentine were performed. The patient was instructed to return for a follow-up after six months. The results of clinical and radiographic examinations showed good filling, no root resorption, and no complaints from the patient.Discussion: Apexification is a method for creating a calcification barrier on non-vital teeth with open apices. In this case, a one-step apexification procedure was performed to obtain an apical plug using biodentine. Biodentine exhibits excellent biocompatibility, hydrophilic properties, greater sealing ability, and shorter setting times.Conclusion: Biodentine can be used for apexification treatment of avulsed immature teeth and has demonstrated good efficacy in forming an apical barrier.
Co-Authors Damara, Ovy Prima Diatri Nari Ratih Ema Mulyawati, Ema Nelirda, Muhammad Ikhsan Nisa, Nela Khairun