Pub Date : 2024-02-01DOI: 10.24198/jkg.v36i4.49877
Grace Riska, Aditya Wisnu Putranto
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
ABSTRAKPendahuluan：在毯子上使用毯子可以提高毯子的质量，减少毯子的磨损，同时毯子也可以提高毯子的耐用性。这种应用可以在机械、金属和终端领域使用古塔抹茶。在垂直压实技术（温垂直压实/WVC）中采用的定期方法可以最大限度地提高纤维的性能。它是一种与纤维应用相对应的垂直压实方法。纤维应用：62 岁的妇女在 2 年前就已经拥有了巨大的身体，并且身体健康。12 岁儿童的牙冠修复采用纤维修复和金属烤瓷冠修复。WVC 技术作为纤维修复技术的一种。该技术可实现最佳的古塔油漆粘接、微创准备、降低古塔油漆粘接牙本质的风险、降低牙本质烤瓷的风险、提高树脂的渗透性以及实现更高的效率。这种方法可用于短期牙科手术，并可提高手术的成功率，同时还可提高牙科手术的安全性。简单：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：纤维桩适用于牙体结构破坏严重的牙髓治疗牙齿。然而，粘贴前的准备工作可能会引起各种并发症。桩的准备工作包括去除古塔漆，可以通过机械、化学或热法完成。采用温垂直压实（WVC）技术的热方法具有各种优势，可以优化纤维桩应用的准备工作。本病例报告旨在讨论纤维桩应用前的温热垂直压实法。病例报告：一位 62 岁的女性患者主诉其上门牙有一个大龋洞，两周前开始出现阵痛。治疗方案是使用纤维桩和金属烤瓷冠对 12 号牙进行根管治疗。在该病例中，使用了 WVC 技术为纤维桩做准备。这种方法是纤维桩应用的首选预备方法，因为它可以优化古塔漆的凝结，是一种微创预备方法，可以去除古塔漆，而没有取走牙本质的风险，降低了根尖渗漏的风险，有助于树脂粘结剂的渗透，而且一次就诊就能有效完成。这种方法在日常病例中很常见，可以提高治疗效果的质量，但对其进行分析的病例报告并不多。结论温热垂直压实法可作为一次性使用纤维桩前的首选技术。 关键词：温热垂直压实法；古塔胶去除；纤维桩；桩预备；根管
{"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}
Pub Date : 2024-01-31DOI: 10.24198/jkg.v36i4.49880
Natasya Hillary, C. Kusumasari, A. Abdou
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
摘要引言：生物陶瓷水门汀是最新的首选材料，可用于根尖强化、吸收病例和穿孔修复，被誉为再生牙髓病学中的优质封闭材料。由于根管较宽、没有根尖收缩和牙本质壁较薄，未成熟牙齿的先端封闭治疗是一项相当大的挑战，因此需要专门的技术和材料来管理先端开放的牙齿。本病例报告的目的是使用最新的生物陶瓷材料（Bio-C® 修复体）对开放性根尖的牙齿进行根尖修复。病例报告：患者是一名 11 岁的女性，主诉是两年前因摔跤导致门牙折断后牙龈肿胀，覆盖了牙冠的三分之一处。放射线检查显示根管宽大，根尖开放，根尖区有放射线渗出。 使用 Bio-C® 修复体进行了根尖充填术，然后使用解剖纤维桩和直接复合材料进行最终修复。在 2 个月和 4 个月的对照组中，根尖周病变在 X 光片上显示出愈合的迹象。生物陶瓷材料在开放性根尖治疗中起着人工屏障的作用，具有多种优势，如缩短治疗时间、强化牙本质结构以及具有诱导愈合的生物活性特性。生物陶瓷材料的正交放置在长度控制方面具有挑战性。使用生物活性材料可以降低材料挤出造成不良影响的风险。结论推荐使用一种新的生物陶瓷材料（Bio-C® Repair）进行根尖强化术，因为它可以克服 MTA 的局限性（如牙齿变色、操作困难、凝固时间延长和重金属释放等）。关键词 开尖、未成熟恒牙、根尖强化、生物陶瓷、根尖屏障技术生物陶瓷骨水泥作为未成熟恒牙的根尖强化材料：病例报告ABSTRACT Introduction：生物陶瓷材料是治疗顶点化、吸收、穿孔以及作为牙髓再生材料的首选材料。由于根管宽大、没有根尖收缩和牙本质壁薄，治疗未成熟牙齿的根尖化带来了巨大的挑战，需要专门的技术和材料来治疗根尖开放的牙齿。本病例报告旨在描述使用新型生物陶瓷材料（Bio-C® 修复体）治疗根尖开裂牙齿根尖化的情况。病例报告：一名 11 岁的女患者两年前因摔跤导致牙齿折断，随后出现牙龈肿胀，覆盖了牙冠的三分之一。X 射线检查显示根管宽大，根尖开放，根尖部位有放射线。根尖修复术包括使用 Bio-C® 修复生物陶瓷材料制作根尖塞，然后插入解剖纤维桩和复合树脂作为最终修复体。在 4 个月的随访中，根尖周病变出现了愈合的影像学迹象。生物陶瓷材料在开放性根尖治疗中起着人工根尖封闭的作用，具有缩短治疗时间、加固牙本质结构、具有诱导愈合的生物活性等多种优势。将生物陶瓷材料植入正中的根尖是一项困难的工作，尤其是在控制工作长度时。使用生物活性材料可以降低材料挤出造成负面影响的风险。结论推荐使用新型生物陶瓷材料（如 Bio-C® Repair）来处理先端封闭手术，因为它们可以克服 MTA 的各种局限性，如牙齿变色、操作困难、硬化时间长以及释放有毒重金属成分等。
{"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}
Pub Date : 2024-01-31DOI: 10.24198/jkg.v36i4.49878
Nurhayaty Natsir, Febrianty Alexes Siampa, Juni Jekti Nugroh, Aries Chandra Trilaksana, Wahyuni Suci Dwiandhany, Noor Hikmah, C. Rovani
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
摘要引言：年轻人前牙外伤的发生率很高。以前曾有报道称，50%的年轻固定前牙会发生牙髓坏死，从而破坏了牙尖的形成过程，在某些情况下还会导致牙根尖出现雷击状。根管治疗伴有内陷窝洞的雷射状牙齿对牙科医生来说是一项挑战。本病例报告的目的是解释如何使用 MTA 根尖塞成功治疗上颌侧切牙伴有内陷窝的雷击状根管，然后进行美学修复。病例报告：一名 25 岁的女性因牙龈疼痛和肿胀到 RSKGM 就诊。患者 10 岁时有外伤史，但未接受治疗。临床检查显示，患者牙冠完整，牙槽骨内陷。X光检查显示根尖周病变，根尖呈开放性的 "雷公嘴 "状。治疗方法是使用 MTA 进行根尖堵塞，并使用桩冠进行修复。蓝斑型根管是根尖开放型根管，根尖直径大于冠状直径，因此需要足够的材料在根尖上形成一个盖子（根尖塞）。据报道，MTA 是一种根尖塞材料，具有良好的密封能力、生物相容性、抑菌活性和再生根周组织的能力。结论 用 MTA 材料作为根尖充填剂对上颌侧切牙暴牙根管进行根尖充填治疗是一种有效的方法：青壮年患者前牙外伤的发生率很高。以前曾有报道称，50%的年轻固定前牙会发生牙髓坏死，从而破坏了牙尖形成过程，在某些情况下会导致牙根尖出现雷击状。根管治疗伴有内陷窝洞的雷射牙对牙医来说是一项挑战。本病例报告的目的是报告使用 MTA 根尖塞成功地对上颌侧切牙上的一颗伴有内陷窝洞的蓝斑牙进行了根管治疗，随后进行了美学修复。病例报告：一名 25 岁的女性因疼痛和牙龈肿胀到 RSKGM 就诊。患者 10 岁时曾有外伤史，但未接受治疗。临床检查发现患者牙冠完整，牙根内陷。影像学检查显示根尖周病变，根尖呈雷公嘴状开放。治疗方法是使用 MTA 进行根尖塞治疗，并使用桩冠进行修复。雷劈状根管是根尖开放的根管，根尖直径大于冠状直径，因此需要足够的材料来形成根尖塞。据报道，MTA 是一种根尖塞材料，具有良好的密封性、生物相容性、抑菌活性和再生根周组织的能力。结论使用 MTA 作为根尖塞材料对上颌侧切牙的牙槽窝进行蓝牙根管治疗是一种有效的方法。 关键词 根尖塞 蓝牙根管 牙槽窝 三氧化物矿物质骨料
{"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}
Pub Date : 2024-01-31DOI: 10.24198/jkg.v36i4.49194
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}
Pub Date : 2023-08-31DOI: 10.24198/jkg.v35i2.48594
Lusi Hidayati, Supriyadi Supriyadi, D. Annisa, S. Sulistiyani, R. Nugroho, C. Sukotjo
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
{"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}
Pub Date : 2023-08-31DOI: 10.24198/jkg.v35i2.46750
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}
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