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INDONESIA
ODONTO Dental Journal
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Core Subject : Health,
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Articles 13 Documents
Search results for , issue "Vol 12, No 2 (2025): August 2025" : 13 Documents clear
Optimization of Post-Endodontic Restoration: Strategies for Handling Deep Subgingival Margin through DME and Crown Lengthening Putra, Hariansyah Buana; Asrianti, Dini
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.231-246

Abstract

Background: Post-endodontic restoration with deep subgingival marginsbeyond the cementoenamel junction (CEJ) is a challenge in itself. Thiscondition can cause difficulties in insulation with rubber dams, molding, andrestoration cementing. The subgingival margin is also at risk of triggeringgingival inflammation and invasion of biological width (BW) due to its proximityto the alveolar bone. Surgical crown lengthening (CL) is often recommended torestore the ideal distance of the BW, but the procedure is invasive. As a moreconservative alternative, Deep Margin Elevation (DME) allows elevation of thesubgingival to supragingiva margin to improve the integrity of the restorationwithout invading the BW.Case report: The first case on the interproximal teeth 24 and 25 (BoneSounding: 1mm) was performed CL by the Periodontics department prior tocrown preparation, after previously undergoing endodontic and post fibertreatment in the Dental Conservation department. The second case was in 36previously treated teeth (Bone Sounding: 2mm) with deep subgingival margins,DME was performed using a high-filler composite resin prior to onlayrestoration. Both procedures were carried out at RSKGM FKG UI.Conclusion: Proper indication for CL and DME at the deep subgingival margincan improve the optimization of periodontal health and the integrity of postendodontic restoration.
Comprehensive Non Surgical Treatment of Periodontitis Stage II grade A : A Clinical Case Report Aurellia, Syifa Callista; Sekar, Patricia Virani; Septnina, Veronica; Kasim, Hocky B.; Firdaus, Ihsan
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.247-254

Abstract

Introduction:  Periodontal disease is a bacterial infection of the periodontal tissue that causes inflammation, progressive loss of attachment, and bone loss. Treatment intended for halting the progression of disease, returning the dentition to a state of health and comfort both functionally and aesthetically. Aim of this case report is to present comprehensive treatment with an interdisciplinary approach. Case Report: A 22-year-old man came with chief complaints of loose lower tooth and dirty tooth, also gums bleeding easily. From the intra-oral examination was found poor oral hygiene with an OHI-S score 3.4; grade 1 tooth mobility of tooth 12, 11, 21, 22, 32, 42, grade 2 tooth 31.41; fenestration in the labial region 41; Ellis fracture grade 1 tooth 13, grade 2 tooth 12, 11, 41, grade 3 tooth 21; and gangren radix of tooth 46. The diagnosis of this case was Periodontitis stage II Grade A active condition with no risk factors. Case management includes initial therapy with scaling, root planing, tooth extraction, tooth restoration, root canal treatment, splinting and occlusal adjustment, also followed by restorative therapy with removable partial dentures. Discussion: Patients with periodontitis will always have periodontitis. The characteristics of periodontitis are irreversible, therefore treatment for periodontitis is aimed to stabilize the periodontal tissue, followed by restorative treatment as part of comprehensive treatment. Conclusion: Comprehensive non-surgical treatment for Periodontitis Stage II Grade A can restore the function and aesthetic of the tooth and mouth.
Enhancing Diagnostic Precision: The Role of Specialized Head Coil MRI in Disc Displacement Diagnosis of Temporomandibular Joint Latief, Shofiyah; Murtala, Bachtiar; Thalib, Bahruddin; Muis, Mirna; Ilyas, Muhammad; Ruslin, Muhammad; Utama, Dharma; Bahar, Burhanuddin
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.208-221

Abstract

Background: This study discusses the use of coil heads in Magnetic Resonance Imaging (MRI) technology to diagnose Temporomandibular Joint Disc Dislocation (TMJ). TMJ disc dislocation is a common condition of the temporomandibular joint that can hurt a person's jaw and make it difficult for them to open their mouth fully. This study sought to assess the effectiveness of MRI with coil heads performed in locating and diagnosing TMJ disc dislocations. Method: Analytic observational with cross-sectional design. A diagnostic test to assess the validity of MRI. Predictor analysis was performed using a multivariate logistic regression test. Result: This study shows disparities in the findings of MRI and RDC tests for detecting temporomandibular joint disc dislocations. Clinical complaints have a strong correlation with disc displacement on MRI and RDC. In the MRI, disc dislocation was significantly correlated with all panoramic examination factors. Only the impaction variable in RDC significantly influences disc dislocation. Asymmetrical condyle position on panoramic inspection and complaints present for more than a year on physical examination indicate disc dislocation. These findings imply that MRI is more effective at identifying displaced temporomandibular joint discs, leading to a more precise diagnosis. Conclusion: The diagnosis of TMJ disc dislocations often involves MRI with coil heads. Medical practitioners can more easily spot disc abnormalities or changes in position thanks to this technology, which offers an accurate and thorough image of the temporomandibular joint's anatomy

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