Prawati Nuraini
Department Of Pediatric Dentistry Faculty Of Dental Medicine Universitas Airlangga

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Indirect pulp capping in primary molar using glass ionomer cements Murtia Metalita; Udijanto Tedjosasongko; Prawati Nuraini
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 4 (2014): December 2014
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.523 KB) | DOI: 10.20473/j.djmkg.v47.i4.p190-193

Abstract

Background: Indirect pulp capping in primary teeth, however, is more rarely conducted than permanent teeth, since it thought to have low impact and most suggestion is for taking caries lesion aggressively on primary teeth. Purpose: The study was aimed to evaluate the subjective complaint, clinical symptom, and radiographic appearance of indirect pulp capping treatment using glass ionomers cements in primary molar. Methods: Sixteen children in range of age 6 to 8 years old, who visited Clinic of Pediatric Dentistry Universitas Airlangga Dental Hospital, Surabaya Indonesia, were the subject of study. They had one occlusal dental caries on one side of maxillary or mandibular primary molar with the diagnose of pulpitis reversible. The experimental group, had indirect pulp capping treatment with glass ionomer cements (GC Fuji VII®), while the control group, had indirect pulp capping treatment with calcium hydroxide (Metapaste). Each group was filled with GC Fuji IX® as permanent restoration. After one week, one month, and three months later, the observations were made on subjective complaint, clinical symptom, and radiographic appearance. Results: The results showed no subjective complaint such as pain or problem on mastication; no negative clinical symptoms such as pain on palpation, gingivitis or periodontitis, and abnormal tooth mobility; no negative radiographic appearance such as pathological apical radioluscency, internal or external resorbtion, and change of ligament periodontal widthafter the treatment. Conclusion: The study suggested that indirect pulp capping treatment using glass ionomer cement materials on primary teeth might be considered to be the treatment choice.Latar belakang: Indirect pulp capping pada gigi sulung lebih jarang dilakukan dibandingkan gigi permanen, karena dianggap memiliki dampak yang rendah dan sebagian besar menyarankan untuk mengambil lesi karies secara agresif pada gigi sulung. Tujuan: Penelitian ini bertujuan untuk mengevaluasi keluhan subjektif, gejala klinis, dan gambaran radiografi perawatan indirect pulp capping menggunakan glass ionomer pada gigi molar sulung. Metode: Enam belas anak berusia 6 sampai 8 tahun, yang mengunjungi Klinik Kedokteran Gigi Rumah Sakit Gigi dan Mulut Universitas Airlangga, Surabaya Indonesia, adalah subjek penelitian ini. Mereka punya satu karies gigi oklusal molar sulung pada satu sisi maksila atau mandibula dengan diagnosa pulpitis reversibel. Pada kelompok eksperimen dilakukan perawatan indirect pulp capping dengan glass ionomer (GC Fuji VII®), sedangkan kelompok kontrol, dilakukan perawatan indirect pulp capping dengan kalsium hidroksida (Metapaste). Setiap kelompok ditumpat dengan glassionomer untuk gigi posterior (GC Fuji IX®) sebagai restorasi permanen. Observasi dilakukan setelah satu minggu, satu bulan, dan tiga bulan kemudian, pengamatan dilakukan pada keluhan subjektif, gejala klinis, dan gambaran radiografi. Hasil: Hasil penelitian menunjukkan tidak ada keluhan subjektif seperti rasa sakit atau masalah pada pengunyahan; tidak ada gejala klinis negatif seperti rasa sakit pada palpasi, gingivitis atau periodontitis, dan mobilitas gigi abnormal; tidak ada gambaran radiografi negatif seperti radioluscency patologis apikal, resorbsi internal atau eksternal, dan pelebaran periodontal ligamen setelah perawatan. Simpulan: Penelitian ini menunjukkan bahwa perawatan indirect capping menggunakan glass ionomer pada gigi sulung dapat dipertimbangkan sebagai pilihan perawatan.
Microleakage of conventional, resin-modified, and nano-ionomer glass ionomer cement as primary teeth filling material Dita Madyarani; Prawati Nuraini; Irmawati Irmawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 4 (2014): December 2014
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.579 KB) | DOI: 10.20473/j.djmkg.v47.i4.p194-197

Abstract

Background: Glass ionomer cements are one of many dental materials that widely used in pediatric dentistry due to their advantage of fluoride release and chemical bond to tooth structure. Adherence of the filling material to the cavity walls is one of the most important characteristic that need to be examined its effect on microleakage. Purpose: This study was conducted to examine the microleakage of nano-ionomer glass ionomer cement compared with the conventional and resin-modified glass ionomer cements. Methods: Standard class V cavities sized 3 mm x 2 mm x 2 mm were made on a total of 21 extracted maxillary primary canine teeth and restored with the conventional, resin-modified, dan nano-ionomer glass ionomer cements. All the teeth were immersed in a 2% methylene blue dye for 4 hours. The depth of dye penetration was assessed using digital microscope after sectioning the teeth labio-palatally. The results were statistically analyzed using Kruskal-Wallis test. Results: All type of glass ionomer material showed microleakage. Conventional glass ionomer cement demonstrated the least microleakage with mean score 1.29. the resin-modified glass ionomer cements (mean score 1.57) and nano-ionomer glass ionomer cement (mean score 2.57). Conclusion: The conventional glassionomer, resin modified glassionomer, and nano-ionomer glassionomer showed micro leakage as filling material in primary teeth cavity. The micro leakage among three types was not significant difference. All three material were comparable in performance and can be used for filling material but still needs a coating material to fill the microleakage.Latar belakang: Semen ionomer kaca adalah salah satu dari banyak bahan gigi yang banyak digunakan dalam praktek kedokteran gigi anak karena bahan tersebut merilis fluoride dan berikatan kimia dengan struktur gigi. Perlekatan bahan tumpatan pada dinding kavitas adalah salah satu karakteristik paling penting yang perlu diteliti efeknya terhadap kebocoran mikro. Tujuan: Penelitian ini dilakukan untuk meneliti kebocoran mikro nano-ionomer glass ionomer dibandingkan dengan glass ionomer konvensional dan resin-modified. Metode: Standard kelas V kavitas berukuran 3 mm x 2 mm x 2 mm dibuat pada total 21 gigi kaninus sulung rahang atas hasil pencabutan dan ditumpat dengan glass ionomer tipe konvensional, resin-modified, dan nano-ionomer. Kemudian semua gigi direndam dalam 2% metilen biru selama 4 jam. Setelah gigi dibelah labio-palatal kedalaman penetrasi pewarna dinilai menggunakan mikroskop digital. Hasil dianalisis secara statistik menggunakan uji Kruskal-Wallis. Hasil: Semua jenis bahan glass ionomer menunjukkan kebocoran mikro. Glass ionomer tipe konvensional menunjukkan kebocoran mikro terendah dengan rata-rata skor 1,29; glass ionomer tipe resin-modified (rata-rata 1,57) dan glass ionomer tipe nano-ionomer (rata-rata skor 2.57). Hasil uji statistik menunjukkan kebocoran pada tepi ketiga bahan tersebut tidak berbeda secara signifikan. Simpulan: Bahan tumpatan glass ionomer tipe konvensional, resin-modified, dan nano-ionomer, ketiganya menunjukkan kebocoran tepi tumpatan yang tidak berbeda signifikan. Ketiga bahan yang sebanding dalam performance dan dapat digunakan untuk bahan tumpatan tapi masih membutuhkan bahan pelapis untuk mengisi kebocoran mikro yang terjadi.
The role of partial denture in management of hypohidrotic ectodermal dysplasia Tania Saskianti; Seno Pradopo; Prawati Nuraini; Michael Josef Kridanto Kamadjaja
Dental Journal (Majalah Kedokteran Gigi) Vol. 41 No. 2 (2008): June 2008
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (383.028 KB) | DOI: 10.20473/j.djmkg.v41.i2.p70-73

Abstract

Ectodermal dysplasia is a rare hereditary disorder with a characteristic physiognomy. The ectodermal dysplasia constitutes a group of hereditary disorders whose clinical manifestation can be defects in ectodermal structures. The case of a 11-year-old child with hypohidrotic ectodermal dysplasia and partial anodontia is presented. Affected children require extensive dental treatment to restore appearance and help the development of a positive self image. Partial denture was provided to encourage a normal psychological development and to improve the function of the stomatognatic system. It is important for the patient and the dentist to understand that continued monitoring for dental problems is necessary. This paper had an objective to relate and discuss a case of hypohidrotic ectodermal dysplasia, with the approach of the influence of an esthetic rehabilitation and functional alternative in the improvement of the quality of life.