Majalah Kedokteran Gigi Indonesia
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Fiber-Reinforced composite resin bridges as a treatment alternative for posterior missing tooth
No full textDental restoration alternatives for posterior missing tooth range from dental bridges to implant dentures. Fiber-reinforced composite (FRC) resin bridge is one option for the replacement of a single tooth missing. FRC bridge is known as an alternative replacement method for single posterior missing tooth with minimally invasive preparation of abutment teeth. The simplicity of the production method in the FRC bridge provides the possibility of a single-visit bridge treatment. This report aims to present two successful treatments for missing posterior tooth by two different methods of immediate restoration using the FRC resin bridge. Treatments were performed directly using two different fiber materials, pre-impregnated quartz unidirectional fiber, and quartz fiber post. The use of unidirectional quartz fiber and quartz fiber post in the posterior tooth exhibited superior results due to its strength and geometry of fiber placement. In conclusion, the fiber-reinforced composite bridge is a possible option for managing the upper posterior missing tooth
Root canal retreatment followed by apicoectomy and direct restoration with intracanal retention on overfilling obturation
No full textThe success of endodontic treatment depends on proper shaping, disinfection, and obturation of the root canals. The filling material must adequately occupy the root canal space without extending the anatomical apex. Overfilling occurs when the filling material extrudes into the periapical tissues beyond the apex, which negatively affects the long-term prognosis. Endodontic overfilling cases can be addressed through surgical treatments aimed at preserving the tooth. This case report aims to inform to highlight endodontic surgery as an effective treatment for cases of failed root canal treatment due to overfilling of the obturation material. A 27-year-old male patient came to the Dental Conservation clinic at RSGM Prof. Soedomo with a chief complaint of the left maxillary lateral incisor, which had undergone discoloration and caused discomfort during chewing. The tooth had undergone root canal treatment two years prior. Periapical radiographic examination revealed that tooth 22 had been treated with overfilling obturation material and there was widening of the periodontal membrane in the periapical area. Root canal retreatment was performed using the crown-down preparation technique, followed by single-cone obturation with a bioceramic sealer. At the subsequent visit, an apicoectomy was performed, involving flap opening, alveolar bone exposure, removal of granulation tissue, and resection of 3 mm of the tooth apex. Retrograde filling with Mineral Trioxide Aggregate (MTA) was applied, followed by bone grafting and membrane placement. The area was sutured and covered with a periodontal dressing. The final restoration was completed using direct composite resin with intracanal retention. At the one-week follow-up, the patient reported no complaints. In conclusion, apicoectomy is an effective solution for overfilling cases. This case report demonstrates that surgery combined with retreatment can preserve the tooth and restore its function
Effect of zinc oxide nanoparticle concentration coated on acrylic resin upon surface roughness and abrasion resistance
No full textAcrylic resin is the material most often used as a base for dentures; however, acrylic resin has shortcomings in its biological properties as it does not have antimicrobial properties. ZnO is added to acrylic resin because of its antimicrobial properties. The aim of this research is to determine the effect of the concentration of ZnO nanoparticles as a heat polymerization acrylic resin coating on the coating’s resistance to abrasion. A total of 24 acrylic resin samples were made, each measuring 13 x 13 x 2 mm. The acrylic resin was coated with 3-(trimethoxysilyl)propyl methacrylate), then with ZnO nanoparticles with varying concentrations of 2.5%, 5%, and 7.5% in ethanol. ZnO nanoparticle coating was applied using the dip coating method. Subsequently, the samples were subjected to an initial roughness test, abrasion test, and final roughness test. The data obtained were analyzed using one-way ANOVA and LSD(0.05). The results showed that the mean change in roughness (μm) and standard deviation for groups I to IV were 0.11 ± 0.13, 0.08 ± 0.33, 0.1 ± 0.12, and 0.19 ± 0.15, respectively. The results of the one-way ANOVA test showed that there was no significant difference in the roughness after the abrasion test (p > 0.05). Thus, zinc oxide nanoparticles can reduce surface roughness and are resistant to surface abrasion
Combining antimicrobial photodynamic therapy with curcumin and with methylene blue against S. mutans
No full textntimicrobial photodynamic treatment (aPDT) is a treatment method that links a light source to a photosensitizing carrier. There is no clear standardization regarding the exact therapeutic concentration when it is combined with curcumin or methylene blue, and there is no comparison of their activities toward S. mutans. We aimed to assess the best composition of the combination of aPDT and curcumin and with the combination of aPDT and methylene blue in reducing the number of S. mutans biofilms. The searches were carried out in Pubmed, ScienceDirect, and Proquest from 2015 to April 2023; collecting in-vitro and in-vivo research. Two authors independently reviewed studies, assessed their quality and eligibility, then extracted the data. 14 articles that met the inclusion criteria were retained. The final results were then grouped into 2, showing the effectiveness for a combination of aPDT and methylene blue and of aPDT and cucumin (9 and 5 articles, respectively). Each combination has different aPDT properties. The combination of aPDT and methylene blue is effective in reducing S. mutant biofilm in 660 nm diode laser wavelength and 40 mW output power. Furthermore, aPDT combined with curcumin is effective in reducing S. mutants biofilm in a wavelength of 405 nm and an irradiation time of 50-150 seconds. The addition of EDTA in a combination of aPDT and curcumin could increase its effectivity
A Comparative study of microleakage in bioactive composite resin restoration with filled and unfilled bonding materials
No full textThe most recent development in composite resin is bioactive resin, which replaces common resin. If ignored, the tendency for shrinking in bioactive composite resin could result in microleakage. Bonding material innovations that incorporate more filler have also been created to reduce this issue and lower the possibility of microleakage. The purpose of this study is to compare the microleakage of bioactive composite resin restorations with and without filled bonding material. Thirty-two maxillary first premolar samples were split into two groups: group A containing 16 samples repaired with unfilled OptiBondTM Universal (Kerr) and group B containing 16 samples restored with filled SingleBond Universal (3 M). Utilizing ACTIVATM BioACTIVE-Restorative (Pulpdent), the samples from both groups were restored.The specimens were subjected to a 24-hour artificial saliva incubation period, succeeded by an equivalent duration of exposure to 2% methylene blue. A USB digital microscope stereo was used to measure the microleakage by observing the methylene blue 2% penetration depth. Microleakage was 8.95% in group A and 8.83% in group B, according to the results. The findings of the the parametric test using the independent t-test showed that there was no significant difference (p > 0.05) in microleakage across the bioactive composite resin restoration groups. This indicates that the microlekeage of bioactive composite resin restoration is unaffected by the presence of filler in the bonding agent
The relationship between bizygomatic width and mesiodistal width of six maxillary anterior teeth in a Javanese population
No full textThe selection of the mesiodistal width of maxillary anterior teeth is the key to success in prosthodontic treatment. Determining anterior teeth width when there is no existing pre-extraction record can be done through bizygomatic width measurement. The purpose of this study was to look at the relationship between bizygomatic width and mesiodistal width of six maxillary anterior teeth in the Javanese population. This study used a cross-sectional design and was conducted on 32 Javanese subjects who met the following criteria: being 18-25 years of age, having Angle class 1 malocclusion, having complete maxillary anterior permanent teeth, not using dentures, currently not undergoing any orthodontic treatment, and having no abnormalities found in the facial area. The bizygomatic width was measured with a digital caliper with an accuracy of 0.01 mm from the marked right and left bizygomatic points. The mesiodistal width of the six maxillary anterior teeth was measured using dental floss looped from the distal left canine to the right canine. Dental floss marked with a pen was stretched horizontally on paper and then measured with a digital caliper with an accuracy of 0.01 mm. The measurement was done in triplicate. Data were analyzed using Pearson’s correlation and the simple linear regression test. This study’s analysis revealed a strong and positive correlation (r = 0.538 and p < 0.05) between the bizygomatic width and mesiodistal width of the maxillary anterior teeth. The result of the simple linear regression test showed a significant result (p < 0.05). It can be concluded that there was a relationship between the bizygomatic width and the mesiodistal width of the six maxillary anterior teeth in the Javanese population. The mesiodistal width of the six maxillary anterior teeth in the Javanese population can be measured by multiplying the bizygomatic width by the multiplier factor, i.e., 0.427
Prevalence and potential risk factors for periodontal disease among adults aged 35-54 years in Banten
No full textPeriodontal disease is a chronic inflammatory disease that affects the gingival tissue and the underlying structures. Risk factors play a role in both the initiation and development of periodontal disease. It is important to know the risk factors for periodontal disease to prevent the occurrence of more widespread periodontal disease. Based on the 2018 Riskesdas, the prevalence of dental and oral health problems in Banten was 62.8%. This study aims to determine the prevalence and potential risk factors for periodontal disease among adults aged 35-54 years in Banten. This research was an observational descriptive study with a cross-sectional design using secondary data from the 2018 Riskesdas (National Basic Health Research) in Banten. We used total sampling method in this study. Information was processed using SPSS software, and data was presented in tables containing frequencies and percentages. The total number of respondents aged 35-54 years in Banten was 6,755. One thousand eight hundred and sixty-six respondents met the inclusion criteria, while 595 respondents were excluded due to missing data. Thus, 1,271 respondents were obtained and became the research subjects. The majority of respondents were female (64.4%), had low educational level (61.2%), employed (62.6%), brushed their teeth at the wrong time (99.2%), did not smoke (65.9%), did not chew tobacco (96.5%), were obese (51.4%), and did not suffer from diabetes mellitus (95.6%) and hypertension (82.2%). The prevalence of periodontal disease in these respondents was 27.6%. Potential risk factors for periodontal disease among adults aged 35-54 years in Banten include a high degree of education, employment status, smoking behavior, inappropriate toothbrushing time, and obesity
Risk factors for dental caries in adults aged 35-44 years in DKI Jakarta: a cross-sectional study using the 2018 national Riskesdas data
No full textCaries, an oral cavity disease with several causes, is significantly increasing. According to the 2018 Basic Health Research, 92.2% of adults between the ages of 35 and 44 had dental caries. In DKI Jakarta, the prevalence of oral health issues reached a percentage of 59.1%. The purpose of this study was to determine the risk factors for dental caries in adults aged 35-44 years in DKI Jakarta. This research is descriptive observational research with a cross-sectional design. This research uses secondary data from the 2018 Riskesdas. The final total of the respondents was 1,100 after considering the inclusion and exclusion criteria. Based on the results of the research, respondents who were at higher risk of caries development were female (52.2%), employed (68.3%), and had intermediate education (46.3%). Based on certain habits, groups of risk factors that have a high frequency are incorrect time to brush teeth (97.2%), consuming sweet food 1-6x per week (48.5%), consuming sweet drinks ≥ 1x per day (64.3%), consuming soft drinks (89.6%) and energy drinks (93.9%) ≤ 3x per month, not consuming alcoholic beverages (96.8%), and smoking (51.9%). Overall, the prevalence of caries in adults aged 35-44 years in DKI Jakarta is 45%, with a high frequency of various risk factors. Risk factors that are related to the incidence of dental caries are intermediate level of education (OR = 1.19573), high level of education (OR = 1.58056), unemployed (OR = 0.78646), consumption of sweet foods ≥ 1x per day (OR = 0.71107), and smoking (OR = 0.72334)
Comparison of fracture resistance of teeth with prepared protaper next, protaper gold, and hyflex CM rotary files
No full textPreparation of the root canal system is a crucial step in root canal treatment. Endodontically treated teeth differ structurally from healthy, untreated teeth. This can lead to root cracking by creating pressure on the canal wall, reducing the fracture resistance of the tooth. Different designs, including cross-sectional shape, tip, taper, flute, radial land, helix angle, rake angle, and pitch, can influence the outcome of the root canal preparation and the risk of root fracture. The purpose of this study was to evaluate the fracture resistance of teeth after root canal preparation using three different NiTi rotary files: ProTaper Next (PN), ProTaper Gold (PG), and HyFlex CM (HC). Thirty premolars with a single and straight root canal were decoronated at the cementoenamel junction, leaving 14 mm of the root. The subjects were divided into 3 groups. Group 1 (n = 10) was prepared using PN, group 2 (n = 10) was prepared using PG, and group 3 (n = 10) was prepared using HC. After instrumentation and irrigation, the specimens were subjected to a continuous vertical compressive force (crosshead-speed of 2.28 mm/sec) in order to record the force (in newtons) until root fracture. To describe the surface characteristic of the dentinal root after the preparation, a section fragment from the apical third of the specimens was observed using a scanning electron microscope (SEM) at 2500x magnification. The micrographs were analyzed according to the Hulsman’s method. The results demonstrated that there was a statistically significant difference in root fracture resistance among the three groups. (p = 0.043). The LSD post hoc test indicated that HC showed a higher root fracture resistance (p < 0.05) compared to both PN and PG. In conclusion, the different file systems of PN, PG, and HC instruments generate different root fracture resistance of teeth. In comparison to PN and PG, HC instruments tend to result in increased fracture resistance
Knowledge of pregnant women about risk factor of cleft lip and palate at Puskesmas Mutiara, Asahan, Indonesia
No full textCleft is a congenital abnormal space or gap in the upper lip, alveolus, or palate. This congenital abnormality occurs between the 5th and 10th weeks of pregnancy. Clefts are divided into cleft lip, cleft palate, as well as cleft lip and palate. Cleft lip and palate are caused by the interaction of individual genes with certain environmental factors. Mothers’ knowledge about risk factor of cleft lip and palate may promote better health-related behavior in their pregnancy by increasing the understanding about the risk factor. Unfortunately, until now there is still limited data about this. The purpose of this study was to determine the knowledge of pregnant women about risk factor of cleft lip and palate. This was a descriptive study that used the survey method. This study was conducted using a questionnaire distributed to 67 pregnant women (n = 67). The questionnaire consisted of 13 validated questions. The results of this study found that 10.4% of the respondents had good knowledge, 32.8% of the respondents had moderate knowledge and 56.7% of the respondents had poor knowledge. The overall knowledge of the pregnant women about risk factor of cleft lip and palate at Puskesmas Mutiara Asahan fell in the low category