ODONTO : Dental Journal
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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
Full text link17% 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)
Bioactive Glass Fiber-Reinforced Composite For Bone Regeneration
Full text linkBackground: Bone regeneration remains a critical challenge in tissue engineering, with current solutions such as autografts and allografts facing limitations in availability, cost, and biocompatibility. Bioactive glass fiber-reinforced composites (BGFRC) have emerged as a promising alternative, combining the bioactivity of bioactive glass with the mechanical strength of fiber-reinforced materials.Methods: This literature review synthesizes findings from 46 recent journal articles and books on bioactive glass, bioactive glass fibers, and BGFRC. The review focuses on material composition, mechanical properties, fabrication techniques, and biological interactions. Key aspects include the role of bioactive glass in promoting osteointegration and the reinforcement provided by glass fibers to enhance mechanical performance.Results: BGFRC exhibits superior bioactivity by forming a hydroxyapatite layer upon exposure to physiological fluids, facilitating strong bonding with bone tissue. The release of therapeutic ions stimulates osteogenesis and angiogenesis, promoting bone regeneration. The incorporation of glass fibers significantly improves mechanical properties, including compressive strength and fracture toughness, making BGFRC suitable for load-bearing applications. Advancements in fabrication techniques such as sol-gel processing and 3D printing allow for precise control over porosity and degradation rates, optimizing scaffold design for clinical applications.Conclusion: BGFRC represents a highly promising material for bone tissue engineering due to its enhanced bioactivity, mechanical reinforcement, and biocompatibility. Future research should focus on optimizing composite formulations and exploring clinical applications to further validate their effectiveness in bone regeneration
The Effectiveness Of Tiktok In Increasing Parents' Knowledge About Cavities In Children
Full text linkBackground: Impacted teeth is defined by the teeth are block the path of normal eruption due to several factors such as lack of space in arch of jaw or begin an obstruction of the path of tooth eruption. Tooth eruption occur in more than one tooth. The third molar are the most frequently impacted and generally found at the age of 18-25 years. The initial examination to determine the impacted tooth is panoramic radiographic. Panoramic radiography was choosen because its convenient to use, minimal radiation dosage, and easy to see all condition the tooth in jaw stucture only in one film. This study aim to determine the prevalance of mandibular third molar impaction on panoramic radiography examination at RSGM Soelastri in the range of age 18 to 25 years.Method: The study type is observasional descriptive with longitudinal stiudy design. This design is look at the frequntly of mandibular third molar impaction case in the range of 18 to 25 years at RSGM Soelastri through panoramic radiography picture. This study use the secondary data from panoramic radiography soft file which available at radiography room at RSGM Soelastri in January 2021 to January 2022.Result: The result show that 81,2% the panoramic radiography picture there were impacted teeth where 27,4% were aged 18-19 years, 24.5% were aged 20-21 years, 22,2% were aged 22-23 years and 25,9% were aged 24-25 years.Conclusion: This study conclusion that prevalence of impacted third molar mandibular at RSGM Soelastri in patient where aged 18 to 25 years between January 2021 to January 2022 was 212 case of a total 261 panoramic radiography picture with a percentage of 81.22%.
The Role of IL-6 and IGF-1 in Periodontitis Bone Destruction
Full text linkPeriodontitis is an inflammatory condition affecting the tissues supporting the teeth, destroying the periodontal ligament and alveolar bone. This condition is initiated by periodontal pathogens, which trigger an immune response resulting in tissue damage. Pro-inflammatory cytokines, particularly IL-6, have an important role in this process. IL-6, produced by various cells, including immune and periodontal ligament cells, enhances osteoclastogenesis by enhancing RANKL expression, thereby promoting bone resorption. Conversely, IGF-1, a hormone like insulin, is critical in bone homeostasis and regeneration. IGF-1, synthesised in the liver and locally in tissues, aids in the proliferation and differentiation of osteoblasts and osteoclasts, facilitating bone remodelling. IGF-1 also interacts with IL-6 to modulate inflammatory responses and osteoclast activity. Understanding the interplay between IL-6 and IGF-1 offers insights into the mechanism of bone resorption in periodontitis and identifies potential therapeutic targets. This study aims to elucidate the roles of IL-6 and IGF-1 in periodontitis-induced bone resorption and explore their therapeutic implications for periodontal health.
The Characterization Of Hydroxyapatite, Eppigalocathecine-3-Gallate, Hydroxypropyl Methylcellulose As Bioactive Material For Pulp Capping
Full text linkBackground: According to a previous study, hydroxyapatite (HA) has the potential to be used in dentistry, but it still needs further research, especially as a biomaterial for pulp capping. The pulp capping treatment can maintain pulp vitality and induce dentin reparative formation. Calcium hydroxide is the gold standard of pulp capping material, but it can cause tunnel defects. Several studies made a crosslink with epigallocatechin-3-gallate (EGCG) and hydroxypropyl methylcellulose (HPMC) to improve the effect of hydroxyapatite as a biomaterial. The HA-EGCG-HPMC combination is expected to have the potential as a bioactive material. In this study, HA-EGCG-HPMC was characterized physicochemically by several criteria, such as the gelation time, pH, and antibacterial effect against Aggregatibacter actinomycetemcomitans. This study aims to determine the physicochemical characteristics of the HA-EGCG-HPMC material as a pulp capping materialMethod: This research is an in vitro laboratory experimental study design. Hydroxyapatite powder was dissolved with distilled water at concentrations of 4%, 2%, and 1%, with 10µmol/mL EGCG and hydroxypropyl methylcellulose as the carrier agent. Characterization of the samples measured are gelation time, pH, and antibacterial effect by microdilution method. Result: The HA-EGCG-HPMC combination has an ideal gelation time of about 23-31 minutes, and its pH is within the range of 7.28 - 7.33. However, the HA-EGCG-HPMC does not yet have an antibacterial effect against Aggregatibacter actinomycetemcomitans.Conclusion: The hydroxyapatite, EGCG, and hydroxypropyl methylcellulose can be used as a bioactive material, such as pulp capping material seen from physicochemical characterization that can be developed further.
Differences in Orthodontic Thermal Deflection of Nickel Titanium Wire in Artificial Saliva Soat And Isotonic Beverages
Full text linkBackground: Deflection is one of the properties of the wire that can change if the environmental conditions in the oral cavity are acidic, caused by consuming isotonic drinks. This study aims to determine the difference in deflection of thermal nickel-titanium wire soaked in artificial saliva and isotonic drinks.Method: The type of research used was an in vitro experimental analytic study with a post-only control group design method. The sample used was 36 thermal nickel titanium wire (American Orthodontics) with a wire size of 0.016 inches and divided into 2 groups consisting of the artificial saliva group and the isotonic drink group. Soaking was carried out for 10.5 hours and stored in an incubator at 37oC, then a deflection test was carried out using a Universal Testing Machine. Analysis of the results was carried out using the Independent T-Test in each group after treatment.Result: The results of the study using the Independent T-Test showed a significant difference in the deflection value of the thermal nickel titanium wire in the artificial saliva group and the isotonic drink group of 0.000 (p<0.05).Conclusion: The conclusions obtained in this study indicate that thermal immersion of nickel-titanium wire in the artificial saliva group and the isotonic drink group affects the deflection force in orthodontic treatment
Age estimation of ancient skeletons based on the molar teeth attrition
Full text linkBackground: Two ancient skeletons (Subang Men) were excavated at the Subanglarang site, Subang Regency, West Java, Indonesia. The partial jaw containing set of teeth from the two skeletons was examined to determine the level of dental attrition present which was then used to estimate age at death.Objective: The aim of this study was therefore to determine the pattern of attrition on the molar teeth and use this to estimate the age at death of the Subang Men.Methods: The pattern of attrition in each cusp of the first molar (M1) and second molar (M2) was examined clinically and then compared with the Average Stage of Attrition (ASA) method. Estimated age was then estimated using formula that are outlined in the Average Stage of Attrition (ASA) method.Results: The results showed that the level of attrition that occurred in the M1 and M2 teeth of the two ancient man was significant. The estimated age at death calculated based on the attrition pattern of molar teeth for skeleton 1 was 38.9 and skeleton 2 was 61.9-64.6.Conclusion: Dental attrition which is caused by physiologic and pathologic teeth friction is related to age. Therefore, age estimation can be determined based on the attrition pattern that occurs in the teeth
Comprehensive Non Surgical Treatment of Periodontitis Stage II grade A : A Clinical Case Report
Full text linkIntroduction: 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
Full text linkBackground: 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 anatom
Prevalence of Impacted Mandibular Third Molars in Patients Aged 18–25 at Soelastri Dental Hospital
Full text linkBackground: Impacted teeth is defined by the teeth are block the path of normal eruption due to several factors such as lack of space in arch of jaw or begin an obstruction of the path of tooth eruption. Tooth eruption occur in more than one tooth. The third molar are the most frequently impacted and generally found at the age of 18-25 years. The initial examination to determine the impacted tooth is panoramic radiographic. Panoramic radiography was choosen because its convenient to use, minimal radiation dosage, and easy to see all condition the tooth in jaw stucture only in one film. This study aim to determine the prevalance of mandibular third molar impaction on panoramic radiography examination at RSGM Soelastri in the range of age 18 to 25 years.Method: The study type is observasional descriptive with longitudinal stiudy design. This design is look at the frequntly of mandibular third molar impaction case in the range of 18 to 25 years at RSGM Soelastri through panoramic radiography picture. This study use the secondary data from panoramic radiography soft file which available at radiography room at RSGM Soelastri in January 2021 to January 2022.Result: The result show that 81,2% the panoramic radiography picture there were impacted teeth where 27,4% were aged 18-19 years, 24.5% were aged 20-21 years, 22,2% were aged 22-23 years and 25,9% were aged 24-25 years.Conclusion: This study conclusion that prevalence of impacted third molar mandibular at RSGM Soelastri in patient where aged 18 to 25 years between January 2021 to January 2022 was 212 case of a total 261 panoramic radiography picture with a percentage of 81.22%