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All Journal Sehat Rakyat: Jurnal Kesehatan Masyarakat Lambda: Jurnal Ilmiah Pendidikan MIPA dan Aplikasinya
Widi Prasetia
Universitas Sumatera Utara
Agriculture, Biological Sciences & Forestry Dentistry Education Health Professions Mathematics Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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Effectiveness of Single-Visit Root Canal Treatment and Adhesive Restoration in Improving Accessibility of Tooth Preservation Services: A Case Report Teuku Agus Surya; Widi Prasetia
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.6640

Abstract

Background: The management of teeth with pulp necrosis and symptomatic apical periodontitis requires effective root canal disinfection and durable restoration. Single-visit root canal therapy with bioceramic sealers and adhesive restorative techniques provides a comprehensive approach to promote periapical healing and tooth preservation. Aim: This case report describes the endodontic treatment and restorative management of a maxillary second premolar with a periapical lesion using single-visit endodontic and DME technique for direct composite restoration. Case Report: A patient presented with pain during chewing on the maxillary left second premolar, previously restored one year earlier. The tooth was initially sensitive but developed pain on mastication after six months. Clinical findings included negative thermal response, positive percussion, negative palpation, and no mobility. Radiographs showed a periapical lesion. The diagnosis was pulp necrosis with symptomatic apical periodontitis. Case Management: Endodontic treatment was performed in a single visit. Root canal preparation was followed by obturation using a single-cone technique with bioceramic sealer. Restorative management involved the DME technique to elevate the cervical margin, followed by direct composite for functional restoration. Discussion: Single-visit root canal therapy provides outcomes comparable to multi-visit protocols. Bioceramic sealer enhances periapical healing due to its bioactivity and sealing properties. The DME technique facilitates restorative access and margin control in deep areas, while direct composite ensures conservative reinforcement and esthetics. Conclusion: This integrated single-visit approach combining bioceramic obturation, DME, and direct composite restoration achieved successful management of a maxillary second premolar with pulp necrosis and.
Manajemen Teknik Klinis terhadap Instrument Patah yang Tertinggal dalam Prosedur Perawatan Saluran Akar: A Literature Review Zovai Hiskia Sianturi; Widi Prasetia
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.6855

Abstract

The management of fractured endodontic instruments during root canal treatment represents a significant challenge in clinical endodontic practice. Instrument fracture can hinder effective cleaning and disinfection of the root canal system, increase the risk of complications, and potentially compromise treatment outcomes. Therefore, the selection of an appropriate management technique is crucial to ensure procedural success and to maintain a favorable prognosis for the treated tooth. This literature review aims to discuss and analyze various clinical techniques used in the management of fractured endodontic instruments. The methods reviewed include non-surgical retrieval techniques, ultrasonic activation, mechanical approaches using specialized auxiliary devices, and electrochemical dissolution methods. The selected articles consist of relevant case reports, retrospective studies, and clinical investigations, with particular emphasis on the effectiveness of each technique, clinical indications, and factors influencing the success of instrument retrieval. The results of this review indicate that non-surgical techniques are the most frequently employed approaches and demonstrate high success rates, especially when combined with ultrasonic devices and magnification aids. Ultrasonic techniques have been shown to be effective in improving accessibility and visualization of fractured instruments, thereby facilitating fragment removal while minimizing dentinal damage. Electrochemical dissolution methods have also been reported to be effective in certain clinical situations; however, their success rates vary depending on the type and material composition of the fractured instrument.
Anatomical Post In Crown Fractures With Composite Direct Restoration: A Case Report Nur’aini Badriah; Trimurni Abidin; Widi Prasetia
Lambda: Jurnal Ilmiah Pendidikan MIPA dan Aplikasinya Vol. 5 No. 3 (2025): Lambda
Publisher : Lembaga Bale Literasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58218/lambda.v5i3.1805

Abstract

Crown fractures in maxillary incisors, particularly complicated crown fractures, present significant clinical challenges due to their impact on aesthetics, function, and the psychological well-being of patients. The management of such fractures often requires a multidisciplinary approach involving endodontics and orthodontics, to achieve optimal outcomes. This case report aim to give recommendation treatment for crown facture with gross loss structure and malposisition. A 18 years old male patient arrived to Dental Hospital( RSGM USU) with chief complain his upper front teeth fracture three years ago. Negative vitality tests and no mobility. Periapical radiographs indicated apical resorption. Diagnose for 11 and 21 is Pulp Necrosis with Asymptomatic Apical Periodontitis. Anterior teeth were crowded and need orthodontic treatment. Anatomical post used in 11, 21 with extensive loss of hard tissue structure to support final restoration. Anatomical post not only enhance aesthetics but also used in endodontically treated teeth to correct the teeth inclination. The advantages of anatomical post made of polyethylene fibre include aesthetic, bond well with tooth structure, and elastic modulus close to dentin. Direct composite restoration aims to placement of orthodontic appliances to correct malocclusion and orthodontic extrusion is necessary to restore the biologic width and achieve proper aesthetics in this case. Direct composite restorationis necessary for correcting malocclusion using orthodontic appliances to support the successfull treatment.
Role of Carbon Quantum Dots in the Development of Herbal-Based Endodontic Irrigation Materials: A Literature Review Edi Satria; Nevi Yanti; Widi Prasetia
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.5928

Abstract

Background: The irrigation process of root canals plays a significant role in cleaning the root system of microorganisms and dead tissue. However, chemical irrigation materials such as NaOCl often cause side effects such as tissue irritation and toxicity. Therefore, the use of safer and environmentally friendly natural materials has become the focus of recent research. Objective: This study aims to review the development of the use of Carbon Quantum Dots (CQDs) based on natural materials as an alternative for root canal irrigation. Method: The study was conducted by tracing literature from the last five years (2020–2025) through databases such as Google Scholar. Only experimental research that tests the efficacy and characterization of CQDs from herbal extracts was analyzed. Results: CQDs synthesized from plants such as betel leaf, green tea, ginger, and propolis have high antibacterial properties, fluorescence characteristics, and do not damage dentin tissue. These compounds are also effective against resistant bacteria such as E. faecalis and have the potential to be used in photodynamic therapy.Conclusion: Herbal-based CQDs are considered promising as a safe, efficient, and sustainable irrigation agent. However, more clinical trials are needed to prove its efficacy in endodontic practice.
Co-Authors Edi Satria Nevi Yanti Nur’aini Badriah Teuku Agus Surya Trimurni Abidin Zovai Hiskia Sianturi