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Dennis
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PREVENTIVE ENDODONTIC CONSIDERATION ON PULP AND PERIAPICAL TRAUMATISM IN FIXED FINAL RESTORATION: PERTIMBANGAN ENDODONTI PREVENTIF TERHADAP TRAUMA PULPA DAN PERIAPIKAL DALAM RESTORASI AKHIR CEKAT Dennis; Trimurni Abidin
Dentika: Dental Journal Vol. 15 No. 1 (2010): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.373 KB) | DOI: 10.32734/dentika.v15i1.1692

Abstract

The success of fixed restoration preparation relies on several factors i.e. preparation of abutment tooth which must consider pulp-dentin complex and degree of occlusal traumatism. The thinner remaining dentin thickness during abutment preparation, the easier for inflammation and microbial invasion to occur. Inflammation of the pulp with release of inflammatory mediators such as prostaglandin, interleukin and microbial invasion through dentinal tubules played an important role in bone resorption and periapical lesions. This article was aimed to find out the treatment for periapical abscess resulted from porcelain-fused-to-metal (PFM) fixed restoration on maxillary left canine. A 56 year-old male patient was referred to clinic at Department of Conservative Dentistry, Faculty of Dentistry University of Sumatera Utara. He had a bridge from 23 to 26 on his maxillary left side. He felt discomfort in his maxillary left canine. Radiographic evidence showed radiolucency at apical area and clinical evaluation revealed periapical abscess at gingival mucosa of the tooth. Patient felt tenderness to percussion and palpation. Sequence of the treatment procedures was undertaken as follows: trephination and abscess drainage, root canal treatment using step back technique, obturation using lateral condensation method and eventually restored with composite resin using silane as coupling agent. At two-month evaluations, patient had no dental complaint, no tenderness to percussion and palpation as well as absence of clinical and radiographic periapical abscess. As conclusion, root canal treatment following hermetic root canal obturation and proper final restoration for periapical abscess resulted from PFM fixed restoration will determine the success of the treatment outcome.
PRINSIP-PRINSIP DASAR PREPARASI SALURAN AKAR SECARA KHEMOMEKANIS: BASIC PRINCIPLES OF CHEMOMECHANICAL PREPARATION OF ROOT CANAL SYSTEM Cut Nurliza; Dennis; Trimurni Abidin
Dentika: Dental Journal Vol. 18 No. 2 (2014): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.384 KB) | DOI: 10.32734/dentika.v18i2.2027

Abstract

Preparasi saluran akar khemomekanis meliputi instrumentasi mekanik dan irigasi antibakteri untuk menghilangkan/mengeliminasi mikroorganisme dari sistem saluran akar. Berbagai instrumen dan teknik telah dikembangkan untukperawatan saluran akar. Sejak diperkenalkan pada tahun 1988, Nikel Titanium (NiTi) rotary instrumen menjadi populer dibidang endodonti karena kemampuannya untuk membentuk saluran akar dengan kesalahan prosedural yang minimal.Penggunaan instrumen NiTi membutuhkan pemahaman tentang metalurgi dasar termasuk mekanisme fraktur dankorelasi antara anatomi saluran akar. Tulisan ini bertujuan untuk membahas prinsip biologis preparasi saluran akarmenggunakan teknik instrumentasi saluran akar dengan sistem rotary NiTi serta membahas peran dan sifat irigasi saluranakar. Sebagai kesimpulan, perawatan saluran akar diarahkan untuk pengangkatan mikro-organisme dari sistem saluranakar dan pencegahan reinfeksi. Preparasi khemomekanis saluran akar melibatkan instrumentasi mekanik dan bahanirigasi antibakterial.
The Variation of Pulp Canal Configuration in Mandibular Posterior Teeth Using Cone Beam Computed Tomography in Indonesia Subpopulation Mongoloid Race: Konfigurasi Saluran Akar pada Gigi Posterior Mandibula Melalui Cone Beam Computed Tomography pada Ras Mongoloid Indonesia Boel, Trelia; Kartika, Dewi; Dennis
Dentika: Dental Journal Vol. 23 No. 1 (2020): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.895 KB) | DOI: 10.32734/dentika.v23i1.3914

Abstract

It is important to understand pulp canal configuration to have a successful endodontic treatment. Cone Beam Computed Tomography (CBCT) radiography is able to assess the pulp canal configuration, especially on the lingual/palatal, compared to the periapical radiography. The objective of the research is to know the prevalence pulp canal configuration of mandibular molar teeth in Indonesia subpopulation Mongoloid race using CBCT radiography. This research is a descriptive survey with a cross-sectional approach, using 38 CBCT radiographs from the patients undergoing dental treatments in hospitals in Medan. The subjects were selected based on research criteria; then their CBCT radiographs were interpreted and analyzed. The result shows the existence of mandibular mesial root type 2-1 (28.94%), 1-2-1 (5.26%), 2-2 (55.26%), 2-1-2-1 (2.64%), 3-2 (5.26%), 3-1 (2.64%), distal root type 1-1 (36.84%), 2-1 (23.68%), 1-2-1 (15.79%), 1-2 (2.63%), 2-2 (13.17%), 2-1-2-1 (5.26%), 1-3-1 (2.63%). The distolingual root of mandibular first molars consisted of type 1-1 (100%).  Mesial root of mandibular second molars of type 1-1 (2.63%), 2-1 (50%), 1-2-1 (5.26%), 2-2 (36.85%), 2-1-2-1 (2.63%), 1-2-1-2 (2.63%), distal root type 1-1 (57.89%), 2-1 (15.79%), 1-2-1 (13.16%), 2-2 (10.53%), 2-1-2 (2.63%). This variation of the pulp canal can be influenced by the shape of roots. A flat root usually contains pulp canal configuration type II – VIII Vertucci, similarly to mandibular molar mesial canals. As a summary, there is a variation of pulp canal configuration in mandibular first and second molars on Indonesian Mongoloid race, as seen from the CBCT radiographs.
The Variation of Pulp Canal Configuration in Mandibular Posterior Teeth Using Cone Beam Computed Tomography in Indonesia Subpopulation Mongoloid Race: Konfigurasi Saluran Akar pada Gigi Posterior Mandibula Melalui Cone Beam Computed Tomography pada Ras Mongoloid Indonesia Boel, Trelia; Kartika, Dewi; Dennis
Dentika: Dental Journal Vol. 23 No. 1 (2020): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.895 KB) | DOI: 10.32734/dentika.v23i1.3914

Abstract

It is important to understand pulp canal configuration to have a successful endodontic treatment. Cone Beam Computed Tomography (CBCT) radiography is able to assess the pulp canal configuration, especially on the lingual/palatal, compared to the periapical radiography. The objective of the research is to know the prevalence pulp canal configuration of mandibular molar teeth in Indonesia subpopulation Mongoloid race using CBCT radiography. This research is a descriptive survey with a cross-sectional approach, using 38 CBCT radiographs from the patients undergoing dental treatments in hospitals in Medan. The subjects were selected based on research criteria; then their CBCT radiographs were interpreted and analyzed. The result shows the existence of mandibular mesial root type 2-1 (28.94%), 1-2-1 (5.26%), 2-2 (55.26%), 2-1-2-1 (2.64%), 3-2 (5.26%), 3-1 (2.64%), distal root type 1-1 (36.84%), 2-1 (23.68%), 1-2-1 (15.79%), 1-2 (2.63%), 2-2 (13.17%), 2-1-2-1 (5.26%), 1-3-1 (2.63%). The distolingual root of mandibular first molars consisted of type 1-1 (100%).  Mesial root of mandibular second molars of type 1-1 (2.63%), 2-1 (50%), 1-2-1 (5.26%), 2-2 (36.85%), 2-1-2-1 (2.63%), 1-2-1-2 (2.63%), distal root type 1-1 (57.89%), 2-1 (15.79%), 1-2-1 (13.16%), 2-2 (10.53%), 2-1-2 (2.63%). This variation of the pulp canal can be influenced by the shape of roots. A flat root usually contains pulp canal configuration type II – VIII Vertucci, similarly to mandibular molar mesial canals. As a summary, there is a variation of pulp canal configuration in mandibular first and second molars on Indonesian Mongoloid race, as seen from the CBCT radiographs.
Co-Authors Cut Nurliza Dewi Kartika Trelia Boel, Trelia Trimurni Abidin