{"title":"Metode Kompaksi Vertikal Panas (Warm Vertical Compaction) Sebagai Persiapan Aplikasi Pasak Fiber pada Saluran Akar","authors":"Grace Riska, Aditya Wisnu Putranto","doi":"10.24198/jkg.v36i4.49877","DOIUrl":"https://doi.org/10.24198/jkg.v36i4.49877","url":null,"abstract":"ABSTRAKPendahuluan: Pasak diindikasikan pada gigi pasca perawatan saluran akar pada gigi dengan kerusakan struktur gigi yang luas, namun tahapan persiapan aplikasi pasak dapat menyebabkan berbagai komplikasi. Persiapan pasak meliputi pengambilan gutta-percha yang dapat dilakukan secara mekanis, kimia, atau termal. Metode termal pada teknik kompaksi vertikal panas (warm vertical compaction/WVC) memiliki berbagai kelebihan yang dapat mengoptimalkan persiapan aplikasi pasak fiber. Tujuan laporan kasus ini membahas metode kompaksi vertikal panas sebelum aplikasi pasak fiber. Laporan kasus: Pasien wanita, 62 tahun mengeluhkan gigi depan atas berlubang besar dan sakit berdenyut sejak 2 minggu lalu. Rencana perawatan adalah perawatan saluran akar gigi 12 dengan restorasi pasak fiber dan porcelain fused to metal crown. Teknik WVC digunakan sebagai persiapan aplikasi pasak fiber pada kasus ini. Metode ini menjadi pilihan persiapan aplikasi pasak fiber karena dapat mengoptimalisasi kondensasi gutta-percha, preparasi yang minimal invasif, mengangkat gutta-percha tanpa risiko mengambil dentin, mengurangi risiko kebocoran apikal, membantu penetrasi semen resin dan efisien dalam satu kunjungan. Metode ini umum ditemui pada kasus sehari-hari dan akan meningkatkan kualitas hasil perawatan, namun belum banyak laporan kasus yang menganalisisnya. Simpulan: Metode kompaksi vertikal panas dapat menjadi salah satu pilihan teknik sebelum aplikasi pasak fiber dalam satu kunjungan.Kata kunci: kompaksi vertikal panas, warm vertical compaction, pengambilan gutta-percha, restorasi pasak, pasak fiber.Warm vertical compaction method prior to fiber post application: a case reportABSTRACTIntroduction: Post was indicated for endodontically treated teeth with extensive tooth structure destruction. However, preparation for post application could cause various complications. Post preparation involved removal of gutta-percha which could be done mechanically, chemically, or thermally. The thermal method with warm vertical compaction (WVC) technique had various advantages that could optimize the preparation of fiber post applications. The purpose of this case report was to discuss warm vertical compaction method prior to fiber post application. Case Report: A 62-year-old female patient complained of a large cavity in her upper front tooth and throbbing pain since 2 weeks ago. The treatment plan was root canal treatment for tooth 12 with fiber post and porcelain fused to metal crown. The WVC technique was used in preparation for fiber post application in this case. This method was the preferred preparation method for fiber post applications because it could optimize gutta-percha condensation, was a minimally invasive preparation, removed gutta-percha without the risk of taking dentin, reduced the risk of apical leakage, helped resin cement penetration and was efficient in one visit. This method is commonly found in everyday cases and will improve the quality of treatment results, but t","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":"1546 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bioceramic cement as a reparative material in apexification of immature permanent tooth: a case report","authors":"Natasya Hillary, C. Kusumasari, A. Abdou","doi":"10.24198/jkg.v36i4.49880","DOIUrl":"https://doi.org/10.24198/jkg.v36i4.49880","url":null,"abstract":"ABSTRACTIntroduction: Bioceramic cement is the latest material of choice that can be used in apexification, resorption case, perforation repair, and known as high-quality sealing material in regenerative endodontics. The treatment of apexification in immature teeth poses a considerable challenge due to the wide root canal, the absence of apical constriction, and thin dentin walls, thus requiring specialized techniques and materials for managing teeth with an open apex. The objective of this case report is to delineate the treatment of apexification in teeth with open apices using the latest bioceramic material (Bio-C® Repair). Case report: An 11-year-old female patient with chief complaints of swollen gums covering the cervical third of the crown after her front tooth was broken due to a fall two years ago. Radiographic examination showed a wide root canal with an open apex and radiolucency in the apical area. The apexification procedure with an apical plug was performed with Bio-C® Repair, followed by anatomical fiber post and direct composite restoration for the final restoration. In the 2-month and 4-month control, the periapical lesion showed signs of healing on radiographs. Bioceramic materials act as an artificial barrier in open apex management and provide various advantages, such as shortening treatment time, strengthening dentin structure, and possessing bioactive properties that can induce healing. The orthograde placement of bioceramic material is challenging in terms of length control. Using bioactive materials can reduce the risk of adverse impacts from material extrusion. Conclusion: A new bioceramic material (Bio-C® Repair) is recommended for the apexification procedure because it can overcome the limitations of MTA (e.g., tooth discoloration, handling difficulties, prolonged setting time, and the release of heavy metals.Keyword open apices, immature permanent tooth, apexification, bioceramic, apical barrier techniqueSemen biokeramik sebagai material apeksifikasi gigi permanen imatur: laporan kasusABSTRAKPendahuluan: Material biokeramik merupakan material pilihan yang digunakan untuk menangani prosedur apeksifikasi, resorpsi, perforasi, dan sebagai material regeneratif endodontik. Perawatan apeksifikasi pada gigi yang belum matang menimbulkan tantangan besar karena saluran akar yang lebar, tidak adanya konstriksi apikal, dan dinding dentin yang tipis, sehingga memerlukan teknik dan material khusus untuk merawat gigi dengan apeks terbuka. Tujuan laporan kasus ini adalah untuk menjelaskan perawatan apeksifikasi pada gigi dengan apeks terbuka menggunakan material biokeramik terbaru (Bio-C® Repair). Laporan kasus: Pasien perempuan 11 tahun datang dengan keluhan pembengkakan pada gusi yang menutupi sepertiga servikal mahkota gigi, setelah gigi tersebut patah karena terjatuh dua tahun yang lalu. Pemeriksaan radiografis menunjukkan saluran akar yang lebar dengan apeks terbuka serta radiolusensi pada area apikal. Prosedur apeksifikasi dila","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":"821 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140479493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurhayaty Natsir, Febrianty Alexes Siampa, Juni Jekti Nugroh, Aries Chandra Trilaksana, Wahyuni Suci Dwiandhany, Noor Hikmah, C. Rovani
{"title":"Root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application: a case report","authors":"Nurhayaty Natsir, Febrianty Alexes Siampa, Juni Jekti Nugroh, Aries Chandra Trilaksana, Wahyuni Suci Dwiandhany, Noor Hikmah, C. Rovani","doi":"10.24198/jkg.v36i4.49878","DOIUrl":"https://doi.org/10.24198/jkg.v36i4.49878","url":null,"abstract":"ABSTRACTIntroduction: The incidence of anterior dental trauma in young adults is high. The impact of this has been previously reported that pulp necrosis occurs in 50% of young fixed anterior teeth so that the process of apex formation is disrupted and in some cases can cause a blunderbuss shape at the tooth root apex. Root canal treatment of blunderbuss teeth accompanied by dens invaginatus poses a challenge for a dentist. Aims of this case report to explain successful root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application using MTA followed by esthetic rehabilitation. Case report: A 25-year-old female presented to RSKGM with a complaint of pain and swelling of the gingiva. History of trauma at the age of the patient was 10 years old without treatment. Clinical examination revealed a complete crown with dens invaginatus. Radiographic examination showed a periapical lesion and an open apex blunderbuss shape. Treatment performed was treatment with an apical plug using MTA and restoration using a peg crown. Shape root canal with a blunderbuss is an open apex root canal with the root apex diameter greater than the coronal diameter, hence requiring adequate material to form a cap over the root apex (apical plug). It has been reported that MTA is an apical plug material that has good sealing ability, biocompatibility, bacteriostatic activity and the ability to regenerate periradicular tissues. Conclusion: Root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application of MTA material as apical plug is an effective method.Keywordapical plug, blunderbuss canal, dens invaginatus, mineral trioxide aggregatePerawatan saluran akar blunderbuss gigi insicivus lateral rahang atas dengan dens invaginatus dengan aplikasi apical plug: laporan kasusABSTRAKPendahuluan: Insidensi trauma gigi anterior pada pasien usia dewasa muda cukup tinggi. Dampak dari hal ini telah dilaporkan sebelumnya bahwa terjadi nekrosis pulpa pada 50% gigi anterior tetap muda sehingga proses pembentukan apeks terganggu dan pada beberapa kasus dapat menyebabkan bentuk blunderbuss pada apeks akar gigi. Perawatan saluran akar gigi blunderbuss yang disertai dengan dens invaginatus menimbulkan tantangan tersendiri bagi seorang dokter gigi. Tujuan laporan kasus ini melaporkan keberhasilan perawatan saluran akar gigi blunderbuss pada gigi insisivus lateral rahang atas dengan dens invaginatus dengan aplikasi apical plug menggunakan MTA yang dilanjutkan dengan rehabilitasi estetik. Laporan kasus: Seorang perempuan, 25 tahun datang ke RSKGM dengan keluhan nyeri dan pembengkakan pada gingiva. Riwayat trauma pada saat usia pasien 10 tahun tanpa dilakukan perawatan. Pada pemeriksaan klinis terlihat mahkota lengkap dengan dens invaginatus. Pemeriksaan radiografi menunjukkan lesi periapikal dan apeks terbuka berbentuk blunderbuss. Perawatan yang dilakukan adalah perawa","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":"42 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140475826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Poppy Andriani, Ade Prijanti Dwisaptarini, Eko Fibryanto, Nur Zety Mohd Noh
{"title":"Successful regenerative approach with direct pulp capping using mineral trioxide aggregate after pulpal injury 2 years follow-up: Case report","authors":"Poppy Andriani, Ade Prijanti Dwisaptarini, Eko Fibryanto, Nur Zety Mohd Noh","doi":"10.24198/jkg.v36i4.49194","DOIUrl":"https://doi.org/10.24198/jkg.v36i4.49194","url":null,"abstract":"","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":"691 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140474515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lusi Hidayati, Supriyadi Supriyadi, D. Annisa, S. Sulistiyani, R. Nugroho, C. Sukotjo
{"title":"The radiopacity of glass ionomer cement after addition of nHA powder: experimental study","authors":"Lusi Hidayati, Supriyadi Supriyadi, D. Annisa, S. Sulistiyani, R. Nugroho, C. Sukotjo","doi":"10.24198/jkg.v35i2.48594","DOIUrl":"https://doi.org/10.24198/jkg.v35i2.48594","url":null,"abstract":"ABSTRACTIntroduction: One of the restorative materials often used in dental restoration treatment is GIC. One type of GIC is conventional GIC. Conventional GIC has the disadvantage of having low compressive strength compared to resin-modified GIC and high viscosity. One of the efforts to improve the mechanical properties of GIC is by adding nano hydroxyapatite (nHA) which can be obtained from natural materials such as eggshells. The addition of nHA to GIC can increase the compressive strength of GIC and the addition of nHA is thought to result in a change in the radiopacity properties of GIC. The research aims to analyze the radiopacity of GIC after the addition of nano-hydroxyapatite powder. Methods: The number of samples was 24 discs with a diameter of 7 mm and a height of 3 mm which were divided into 4 group. The research group was K0 (GIC) as the control group, K1 (GIC+ 2% nHA), K2 (GIC+ 3% nHA), and K3 (GIC + 4% nHA). Radiopacity measurements were carried out using the J Image application. Results: The results of the ANOVA test was p<0.05, which means that the radiopacity values in each group had a significant difference. The average gray value of GIC without the addition of nHA (K0) was 206.5, GIC + 2% nHA (K1) was 233.0, GIC + 3% nHA (K2) was 237.8 and GIC + 4% nHA (K3) was 241.0 measured with Image J. Conclusions: The addition of nHA powder can increase the radiopacity of GIC and 4% nHA powder added to GIC has the highest radiopacity value compared to 2 and 3% nHA powder added to GIC. .Key words radiopacity, glass ionomer, cement, nHARadiopasitas glass ionomer kaca setelah penambahan bubuk nHA: studi eksperimentalAbstrakPendahuluan: Salah satu bahan restoratif yang sering digunakan dalam perawatan restorasi gigi adalah GIC. Salah satu jenis GIC adalah GIC konvensional. GIC konvensional memiliki kekurangan yaitu kekuatan tekannya rendah dibandingkan dengan GIC yang dimodifikasi resin dan viskositas tinggi. Salah satu upaya untuk meningkatkan sifat mekanik GIC adalah dengan menambahkan nanohidroksiapatit (nHA) yang dapat diperoleh dari bahan alami seperti cangkang telur. Penambahan nHA ke GIC dapat meningkatkan kekuatan tekan GIC dan penambahan nHA diduga mempengaruhi sifat radiopasitas GIC. Penelitian ini bertujuan untuk mengetahui radiopasitas GIC setelah penambahan bubuk nanohidroksiapatit. Metode: Jumlah sampel adalah 24 cakram dengan diameter 7 mm dan tinggi 3 mm yang dibagi menjadi 4 kelompok. Kelompok penelitian ini adalah K0 (GIC) sebagai kelompok kontrol, K1 (GIC+2% nHA), K2 (GIC+3% nHA), dan K3 (GIC+4% nHA). Hasil: Hasil uji ANOVA diperoleh nilai p<0.05 yang berarti bahwa nilai radiopasitas pada setiap kelompok memiliki perbedaan yang signifikan. Rata-rata nilai gray value GIC tanpa penambahan nHA (K0) adalah 206,5, GIC + 2% nHA (K1) adalah 233,0, GIC + 3% nHA (K2) adalah 237,8 dan GIC + 4% nHA (K3) adalah 241,0. Simpulan: Penambahan bubuk nHA dapat meningkatkan radiopasitas GIC dan 4% bubuk nHA yang ditambahkan ke GIC memiliki n","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42355694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fitri Dona Siregar, Ani Megawati, Tenny Setiana Dewi
{"title":"Manifestasi oral dan tatalaksana herpes zoster trigeminal pada anak: A rare case report","authors":"Fitri Dona Siregar, Ani Megawati, Tenny Setiana Dewi","doi":"10.24198/jkg.v35i2.46750","DOIUrl":"https://doi.org/10.24198/jkg.v35i2.46750","url":null,"abstract":"","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43616196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pengaruh nystatin topikal dan terapi oksigen hiperbarik terhadap jumlah makrofag pada tikus kandidiasis oral kondisi imunosupresi: studi eksperimental laboratoris","authors":"Agni Febrina Pargaputri, Dwi Andriani, Dian Mulawarmanti, Ivanda Rizka Amaliah","doi":"10.24198/jkg.v35i2.47145","DOIUrl":"https://doi.org/10.24198/jkg.v35i2.47145","url":null,"abstract":"","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48945114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}