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DEPARTEMEN KONSERVASI GIGI. FAKULTAS KEDOKTERAN GIGI, UNIVERSITAS AIRLANGGA PROF. DR. MOESTOPO 47. SURABAYA. 60132
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Conservative Dentistry Journal
Published by Universitas Airlangga
ISSN : 20871848     EISSN : 27228045     DOI : 10.20473/cdj.v10i1.2020.1-4
Core Subject : Health,
Dentistry
Journal of conservative dentistry accepts original manuscripts in the field of Endodontic other related subjects articles, including research, case reports and literature reviews. The spread of fields include: Endodontic research; Preventive, curative and rehabilitative related to endodontic field; Oral health education and promotion related to endodontic field; Endodontic and restorative clinical research; Basic sciences related to endodontic field; Endodontic healthcare management
Arjuna Subject : Kedokteran Gigi - Kedokteran Gigi (Lain-Lain)
Articles 189 Documents
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Parental dental anxiety levels in pediatric dentistry KOL DOāžAN, Åžebnem; ÇELENK, Sema
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.51-55

Abstract

Background: Dental anxiety is defined as the apprehension and fear of terrible events occurring during dental treatment, coupled with a sense of losing control. There are numerous individual and environmental factors causing dental anxiety in children, with the most significant environmental factor being the family environment in which the child is raised. Purpose: To break a possible cycle of dental anxiety within families, it may be necessary to assess and particularly address the level of dental anxiety in parents, especially mothers. In eliminating dental anxiety, providing parents with information to reduce their dental worries and teaching them coping strategies will be a significant step in minimizing the impact of these anxieties on their children.Reviews: The fears related to dental treatments of parents and/or siblings can induce dental anxiety in children. Studies have found that children with odontophobic parents are more likely to develop odontophobia. Additionally, research results indicate that dental anxiety can be transmitted among family members through modeling.Conclusion: Our literature review indicates that dental anxiety is significantly widespread among both children and adults in society. The observation that children with parents who suffer from dental anxiety tend to have a higher level of dental anxiety themselves suggests that resolving this issue should begin with the parents.
Effects of hydroxyapatite bovine tooth graft (HAp-BTG) and polyethylene glycol (PEG) combinations in post extraction sockets on the amount of osteoid Zubaidah, Nanik; Wulandini, Raden Ajeng; Sa'adah, Nur Hikmatus; Arrianti, Tyas Ramadhini; Pribadi, Nirawati
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.56-59

Abstract

Background: One of the actions in the field of tooth conservation such as hemisection can result in changes, especially in hard tissue due to the extraction of tooth roots and part of the tooth crown. After tooth extraction, socket wound healing will occur which ends with the process of osteogenesis. This process can reduce the dimensions of the socket due to alveolar bone resorption. Socket preservation can prevent dimension reduction and bone resorption to achieve maximum treatment results. The administration of Hydroxyapatite bovine tooth graft (HAp-BTG) into the post-extraction socket is expected to increase the formation of osteoid matrix which is important in the formation of new bone. Purpose: Proving the effect of adding a combination of HAp-BTG and PEG into the post-extraction socket on increasing the number of osteoid. Methods: 32 wistar rats were divided into control and treatment groups. Then the lower left incisor was extracted, the post-extraction socket was filled with PEG for the control group and a combination of HAp-BTG and PEG for the treatment group. On the 14th and 28th day the wistar rats were terminated and the mandibles were taken to make tissue preparations. HE staining was performed on the samples and observing the extent of the osteoid using a microscope with 400x magnification. Results: There was a significant difference between the control group and the treatment group on the 14th and 28th days. Conclusion: Administration of a combination of HAp-BTG and PEG into the post-extraction socket increased the number of osteoid on the 14th and 28th days.
BMP-7 Expression After Induction of Hydroxyapatite Bovine Tooth Graft Gel as A Socket Preservation of The Alveolar Bone (Laboratory Experimental of The Alveolar Bone) Zubaidah, Nanik; Namira, Safa Marety; Aryandhita, Amanda Paramitha Putri; Firyasasty, Beffano Roziq Herdymunas; Cahyani, Febriastuti
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.60-63

Abstract

Background: Hemisection is an endodontic surgical procedure that can leave alveolar bone defects. Changes in the dimensions of the alveolar bone can be minimized by preserving the alveolar bone socket using a bone graft. Induction of Hydroxyapatite Bovine Tooth Graft (HAp-BTG) in the alveolar bone socket is expected to increase the expression of BMP-7 which is a growth factor in osteogenesis. Purpose: To describe the increase in BMP-7 expression after induction of hydroxyapatite bovine tooth graft gel as a socket preservation of the alveolar bone of Wistar rats on the 14th and 28th days. Methods: 28 Wistar rats were extracted on the lower left incisor. Post-extraction sockets were induced by Polyethylene Glycol (PEG) as the control group and HAp-BTG + PEG as the treatment group. On the 14th and 28th day the Wistar rats were euthanized and the mandibles were taken. By using immunohistochemical staining on anatomic histopathological examination, BMP-7 expression was observed using a microscope with 1000í— magnification. The research results were analyzed using One Way ANOVA. Results: There was a significant increase in BMP-7 expression between the control group and the treatment group. Conclusion: BMP-7 expression after induction of hydroxyapatite bovine tooth graft gel as a socket preservation of the alveolar bone of Wistar rats increased on the 14th and 28th days.
Management Open Apex Using Bioceramic Root Repair Material : A Case Report of Permanent Anterior Teeth Setyabudi; Yohana, Yeyen
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.64-68

Abstract

Background: Trauma to immature teeth can cause disrupt of the blood vessel supply in the pulp which leads to pulp necrosis. This can then, indirectly disrupts of root formation and incomplete apex closure.4,5 Young permanent teeth with wide open apex to be a challenge for root canal treatment, especially during obturation. Apexification is a treatment option for open apex with necrotic pulp. The purpose is to create an apical stop at the apical third of the apex so that obturation can be achieved. Case: A 27-year-old man came to RSKGMP UNAIR with chief complaints that his upper front teeth were fracture and discolored and the pain had disappeared since march 2023. From the clinical examination, tooth 21 showed Ellis fracture class III and there was tooth discoloration. Pulp vitality examination with cavity test and unresponsive k-file test, percussion (+) and bite test (+). Radiographic examination show an exposed pulp and exposed apex of tooth 21 accompanied by an unclearly defined radiolucent image at the apex of tooth 21. The diagnosis of this tooth was pulp necrosis with symptomatic apical periodontitis. Treatment: Apexification use bioceramic root repair material as apical plug at the apex. After that, obturation is achieved using a thermoplastic technique. Final restoration with individual customized post and lithium disilicate crown. Conclusion: Apexification is an option in cases of pulp necrosis with an open apex using bioceramic root repair material. Bioceramic root repair material is a bioactive material, that induces osteogenesis, is easier to apply, has faster setting time, biocompatible, hydrophilic, high pH and has anti-microbial properties.
Inhibition of Streptococcus mutans biofilm formation using combination of nano brown anchovy (Stolephorus insularis) and calcium hydroxide Yuanita, Tamara; Sukaton; Paramitha, Shafa Marwa Moza; Ulfadi, Bakhiitah Thufallah Putri; Salma, , Adinda Fazzahra; Setyabudi
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.69-73

Abstract

Background: One of the important virulence factors of S. mutans is the biofilm formation. Some bacteria in biofilms show resistance to antimicrobials. Therefore, the addition of nano brown anchovy (S. insularis) as antibiofilm agents can potentiate the caries and infection prevention efficacy of endodontic treatment. Purpose: To describe the effect of the combination of nano brown anchovy (S. insularis) 12% and Ca(OH)2 with a ratio of 1:1 on inhibition of S. mutans biofilm formation. Methods: Laboratory experimental research on S. mutans bacteria was carried out in vitro using the crystal violet assay method. Brown anchovy was made into nanoparticles, dissolved to a concentration of 12%, and combined with Ca(OH)2. Biofilm samples were given treatment and observed for inhibition of biofilm growth. Biofilm growth inhibition was seen from the Optical Density (OD)540nm absorbance value measured using a spectrophotometer. Results: In the group that was tested with Ca(OH)2, the average percentage in S. mutans biofilm reduction was 55%, while in the group that was tested with a combination of nano brown anchovy (S. insularis) and Ca(OH)2, the average percentage in S. mutans biofilm reduction was 61%. Conclusion: The combination of nano brown anchovy (S. insularis) 12% and Ca(OH)2 with a ratio of 1:1 can inhibit the formation of S. mutans biofilm.
Effect of combination of nano brown anchovy (Stolephorus insularis) nanoparticles and calcium hydroxide on inhibition Streptococcus sanguinis biofilm formation Yuanita, Tamara; Juniarti, Devi Eka; Nabilla, Tasya; Wiratno, Amelia Rahma; Tarigan, Shindyloken Juni Artha; Afifah, Anisa Nur; Setyabudi
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.74-80

Abstract

Background: Lactobacillus acidophilus and Aggregatibacter actinomycetemcomitans are gram bacteria that can cause various problems in the oral cavity so that materials that have antibacterial potency are needed. Calcium hydroxide, chlorhexidine, and sodium hypochlorite as antibacterial ingredients have disadvantages such as forming tunnel defects, causing dysgeusia, and damaging periapical tissue, so it is hoped that there will be natural materials as alternatives. The nano brown anchovy has fluor as the active compound which has the potential as an antibacterial agent. Purpose: To analyze the effect of antibacterial potency of nano brown anchovy (Stolephorus insularis) on Lactobacillus acidophilus and Aggregatibacter actinomycetemcomitans. Methods: This research is a laboratory experimental in vitro with the post-test only control group design. Brown anchovy is made into nano and diluted by dilution method into several concentrations. The direct contact method was used between some concentrations and the two bacteria. The values of MIC (Minimum Inhibitory Concentration) and MBC (Minimum Kill Concentration) were obtained by counting the number of bacterial colonies on Mueller Hinton Agar media. Bacterial colony growth was calculated manually in Colony Forming Units (CFU). Results: Antibacterial potency of nano brown anchovy on Lactobacillus acidophilus showed MIC results at 1.56% concentration and MBC at 3.125% concentration. Antibacterial potency of nano brown anchovy on Aggregatibacter actinomycetemcomitans showed MIC results at 3.125% concentration and MBC at 6.25% concentration. Conclusion: Nano brown anchovy has antibacterial activity on Lactobacillus acidophilus and Aggregatibacter actinomycetemcomitans.
Apexification with mineral trioxide aggregate on post trauma right maxillary central incivus teeth Masa, Maria Margaretha S. Nogo; Pratiwi, Dian Dwi; Cahyani, Febriastuti; Zubaidah, Nanik; Namira, Safa Marety; Wulandini, Raden Ajeng; Tanzil, Muhammad Iqbal; Oktaria, Wanda; Saraswati, Widya
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.81-84

Abstract

Background: Trauma often occurs in the maxillary anterior teeth in both children and adults. This usually causes the pulp of a tooth whose root is not yet fully formed to experience necrosis, and the apex closure stops causing the apex to be wide and open. Apexification is a method to induce a calcified barrier in necrotic roots with open apex. Treatment with Mineral trioxide aggregate (MTA) can shorten treatment time and has a higher long-term success rate than using Ca(OH)2. Purpose: The aim of this report is to describe apexification cases using MTA on a non-vital right maxillary central incisor. Case: A 21-year-old male patient came to the Dental Conservation Clinic at Airlangga University Dental Hospital with complaints of broken and discolored front teeth. The tooth was broken after falling ± 10 years ago (2013) while playing football, it was swollen and painful, but in the last ± 1 year (2022) it has never hurt again. The patient's medical history revealed no systemic abnormalities. Objective examination of tooth 11 class IV ellis fracture, negative percussion and bite test, surrounding normal gingiva, no mobility. The radiographic appearance of tooth 11 shows a wide open apex and a radiolucency at the root tip. Vitality of non-vital teeth, Diagnosis of pulpal necrosis with asymptomatic apical periodontitis. Case Management: In this case, the treatment plan is endodontic treatment in the form of apexification with MTA material. The obturation technique was performed using warm thermoplastic (backfill) and accompanied by a fixed restoration using a fiber post and all porcelain crown with a good prognosis for patient care. Conclusion: Apexification with MTA with post and IPS Emax crown restoration is a good treatment option for immature right maxillary central incisor with open apex. The patient is satisfied because the teeth can return both aesthetically and functionally according to the stomatognathic system.
A retreatment of an endodontic tooth 25 with underfilled Cahyani, Febriastuti; Adita, Farah Rahmi; Rachmawati, Atika Nisaa; Haq, Addina Ainul; Fadila, Okta Mulia Nur; Cinantya, Aulia Dian; Pribadi, Nirawati
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.85-90

Abstract

Background: Cases of endodontic failure requiring retreatment are endodontic failure cases in which microorganisms in root canal are able to survive, causing inflammation and pain. Purpose: This research aims to carry out retreatment of teeth after endodontic treatment to maintain and improve its function. Case: Male patient (67 years) has suffered from pain when chewing and discolored upper left second premolar tooth since one year ago in 2022. Ten years ago in 2013, he got dental treatment for the tooth. The patient also has a history of controlled hypertension. Case management: Several stages were conducted in sequence, namely gutta percha removal from previous endodontic treatment, root canal re-preparation, irrigation sequence, dressing, and obturation with single cone technique. Conclusion: In this case, an indirect restoration in the form of a crown should have been conducted to obtain a good contact point. As a result, food retention occurred in the interdental area, and then microorganisms entered through the periodontal tissue, causing periodontal inflammation. The inflammation then spread apically until it entered one-third of the apical in root canal, resulting in periapical inflammation. Exposed dentinal tubules in the missing portion of cementum then cause bacterial invasion of the tubules and increase the possibility of damage to the pulp. Periodontal disease can progress apically and involve the apical foramen. In this case, an indirect crown restoration was used since the quality of the final restoration has an impact on the survival and success rate of the endodontically treated tooth. In conclusion, a well-sealed crown restoration will prevent the entry of microorganisms
Anti-microbial efficacy of garlic (Allium Sativum L.) extract as a root canal irrigant in endodontic treatment Cahyani, Febriastuti; Farizaldi, Reisya Irfanny; Syafaati, Lailatul Maghfiroh; Hartanli, Audrey Luisa; Aryandhita, Amanda Paramitha Putri
Conservative Dentistry Journal Vol. 13 No. 2 (2023): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i2.2023.91-95

Abstract

Background: Herbal medications are an effective alternative in dental endodontic treatment due to their antimicrobial, anti-inflammatory, and biocompatibility properties and thus they are more biocompatible and less cytotoxic. The antibacterial, antifungal, and antiviral properties of garlic (Allium sativum L.) support broad-spectrum activity against gram-positive and gram-negative organisms and effectiveness against multidrug-resistant organisms that are essential as endodontic materials. Purpose: The purpose of this literature review is to analyze how the antimicrobial efficacy of garlic (Allium sativum L.) extract can be used as a root canal irrigant in endodontic treatment. Review: The development of pulp and periapical disease involves high-intensity bacterial activity that proliferates and produces toxic side products such as organic acids. When crushed or minced, garlic releases allicin compounds through the enzymatic action of alliinase (cysteine sulfoxide lyase) on alliin. Allicin, organosulfur compounds, and antioxidant compounds in garlic extract can exert antimicrobial role by inhibiting the synthesis of pathogenic microorganisms, fighting the resulting infection, and working synergistically with other antimicrobial agents to increase the effectiveness of treatment against antibiotic- resistant bacterial infections. In comparison to other antimicrobial agents, a number of studies have shown that there is no significant difference between garlic extract and sodium hypochlorite (NaOCl) in exerting bactericidal effects against pathogenic bacteria. Other studies have also shown that garlic extract has good dentin penetration properties as well as ideal flow and wetting capabilities. Conclusion: Garlic (Allium sativum L.) extract has good antimicrobial efficacy, dentin penetration, as well as ideal properties of root canal irrigation in endodontic treatment
A review of tissue engineering in regenerative endodontic treatment Prasetyo, Eric Priyo; Wahjuningrum, Dian Agustin; Sampoerno, Galih; Sukandar, Wilson; Shariz Bin Sharizal, Shafy; Paidal, Nurfahira; Fadiyan Amriel, Menza; Gunawan, Nathania Elita; Suardita, Ketut; Tjendronegoro, Evelyn
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.v14i1.2024.1-5

Abstract

Background: Regenerative endodontic treatments are classified based on approach in the procedures and principles. One is cell-free approach that involves a revitalization procedure to achieve continued root growth while the other is cell-based approach which involves pulp/dentin regeneration through isolation and ex vivo expansion of stem cells seeded in the scaffold and then transplanted into the canal space. Technically, the cell-free approach is simpler than cell-based approach because the former does not concern about external stem cell isolation and culture. Currently, the gold standard and the one that has been clinically performed is cell-free approach. Cell-based approach is still not a standard because currently the cell-based approach is still in the clinical trial stage. Purpose: to evaluate the biological basis and clinical protocols recently used in regenerative endodontic treatment and discuss potentially future treatment approaches. Review: The literature review was searched in PUBMED with the keywords: immature permanent teeth, pulp revascularization, stem cells and regenerative endodontics. The regenerative endodontic treatments with various procedures and techniques result in a significant increase in root length and dentinal wall thickness. Stimulation of stem cells in apical root canal system is required to induce tissue formation and continued root maturation. Conclusion: The success of regenerative endodontic therapy relies on the development of a technique that enables clinicians to create functional pulp tissue within cleaned and shaped root canal systems. It is hoped that further research studies are required to define advantages and limitations of cell-free and cell-based approach.

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