Ema Mulyawati
Department of Conservative Dentistry, Faculty of Dentistry, Universitas Gadjah Mada

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Sifat fisik hidroksiapatit sintesis kalsit sebagai bahan pengisi pada sealer saluran akar resin epoxy (Physical properties of calcite synthesized hydroxyapatite as the filler of epoxy-resin-based root canal sealer) Ema Mulyawati; Marsetyawan HNES; Siti Sunarintyas; Juni Handajani
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 4 (2013): December 2013
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 (287.449 KB) | DOI: 10.20473/j.djmkg.v46.i4.p207-212

Abstract

Background: The filler addition to resin based sealers will enhance the physical properties of the polymer. Because of its biological properties, the synthetic hydroxyapatite (HA) has been proposed as filler for dental material such as composite resin. The calcite synthesized HA is the HA produced of calcite minerals that came from many Indonesian mining. Purpose: The aim of study was to determine the effect of different concentration of calcite synthesized HA as the filler of the epoxy-resin-based root canal sealer on the physical properties such as its contact angle, the film thickness and the microhardness. Methods: The crystal of the calcite synthesized hydroxyapatite with the size between 77.721-88.710 nm and the ratio of Ca/P 1.6886 were synthesized at Ceramic Laboratory, Mechanical Engineering, using wet method of hydrothermal microwave. The powders of the epoxy- resin were prepared by added the synthesized hydroxyapatite crystal in 5 different weight ratios (e.g.: HA-10%, HA-20%, HA-30%, HA-40% and HA-50%). Each of these was mixed with the paste of 3:1 ratio using spatula on a glass plate until homogen and then measuring the contact angle and the film thickness. Microhardness test was conducted after the mixture of experimental sealer was stored for 24 hrs at 37 oC to reach perfect polymerization. Results: All of contact angles were <90o and were not significantly different to each other (p= 0.510). All groups had a film thickness in accordance with ISO 6876 (<50 um) and with no statistical difference (p= 0.858). In the HA of 10%, 20%, 30% seen that the microhardness were increased, while in the HA-50% was decreased and in the HA-40% has the same microhardness to the control groups (HA-0%). Conclusion: Calcite synthesized HA as the filler did not affect contact angle and film thickness of the sealer. Microhardness of the epoxy-resin based sealer could be increased using maximum 30% of the calcite synthesized HA as the filler.Latar belakang: Penambahan bahan pengisi pada sealer berbahan dasar resin akan meningkatkan sifat fisik polimer. Karena sifat biologis bagus, hidroksiapatit (HA) sintetis digunakan sebagai bahan pengisi material kedokteran gigi seperti resin komposit. Hidroksiapatit sintesis kalsit merupakan HA yang hasilkan dari mineral kalsit berasal dari berbagai daerah pertambangan di Indonesia. Tujuan: Penelitian ini bertujuan untuk meneliti pengaruh berbagai konsentrasi HA sintesis kalsit sebagai bahan pengisi sealer berbahan dasar resin epoksi terhadap sifat fisiknya yaitu sudut kontak, ketebalan film dan kekerasan mikronya. Metode: Kristal HA sintesis kalsit yang berukuran 7,721-88,710 nm dengan rasio Ca/P 1,6886 diperoleh dari sintesis di Laboratorium Keramik, Teknik Mesin, Universitas Gadjah Mada menggunakan wet method dengan microwave hidrotermal. Serbuk resin epoksi dipersiapkan dengan menambahkan kristal HA sintesis kalsit dalam lima konsentrasi yang berbeda yaitu HA-10%, HA-20%, HA-30%, HA-40% dan HA-50% (dalam berat). Masing-masing serbuk diaduk dengan pasta resin epoksi dengan perbandingan 3:1 menggunakan spatula di atas glassplate hingga homogen, selanjutnya dilakukan pengukuran sudut kontak dan ketebalan film. Pengukuran kekerasan mikro dilakukan setelah sealer disimpan dalam inkubator 37 oC selama 24 jam sehingga mencapai polimerisasi sempurna. Hasil: Semua kelompok menunjukkan bahwa sudut kontak <90o dan menunjukkan tidak ada perbedaan yang signifikan (p=0,510). Semua kelompok menunjukkan bahwa ketebalan filmnya sesuai dengan ISO 6876 (<50 um) dan menunjukkan tidak ada perbedaan yang signifikan (p=0,858). Pada kelompok HA-10%, 20% dan 30% kekerasan mikronya meningkat, sedangkan pada HA-50% menurun dan HA-40% kekerasannya sama dengan kelompok kontrol (HA-0%). Simpulan: Penambahan hingga 50% HA sintesis kalsit sebagai bahan pengisi sealer resin epoksi tidak mempengaruhi sudut kontak dan ketebalan film. Kekerasan sealer dapat ditingkatkan dengan menambahkan HA sintesis kalsit maksimum hingga 30%.
The apical leakage of mineral trioxide aggregate as the retrograde filling material with various mixing agents Ema Mulyawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 2 (2010): June 2010
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 (195.244 KB) | DOI: 10.20473/j.djmkg.v43.i2.p102-106

Abstract

Background: Mineral trioxide aggregate (MTA) is relatively considered as a new material in endodontic. It even has been used as retrograde filling material due to its biocompatibility, antibacterial effect, sealing ability and anti-moist effect. Some materials have been used as mixing agent to achieve an appropiate setting of MTA. Purpose: The aim of this study is to investigate the effect of the mixing agents of MTA towards the apical leakage when they are used together as retrograde filling materials. Method: The samples of this research consist of 30 human extracted upper central incisors. First, the crown of each tooth is sectioned. The root canals are prepared by using the conventional technique and then are obturated with gutta percha. After cutting the root apex, 2 mm from apical, class 1 cavities are prepared by using fissure bur with the depth of 3 mm. The samples then are divided into 3 groups with 10 teeth for each. Group I uses aquabidest as mixing agent of MTA (MTA-aquabidest), group II uses saline (MTA-saline), while group III uses 0.12% chlorhexidine (MTA-chlorhexidine). The apex of each group then is filled with the mixing MTA determined already. Afterwards, clearing method is used to evaluate the apical leakage. The apical leakage actually is determined by measuring the depth of methylene blue penetration with stereomicroscope. The statictical analyses of the linear dye penetration then are performed with analysis of varians ANOVA. Result: The dye penetration for both MTA-aquadest and MTA-saline groups indicates the lowest penetration, and there is even a significant difference compared with MTA-0.12% chlorhexidine group (p<0.005). Conclusion: It can be concluded that aquabidest and saline as mixing agents of MTA produce less apical leakage compared with 0.12% chlorhexidine.Latar belakang: Mineral trioxide aggregate (MTA) merupakan bahan yang relatif baru dalam bidang endodontik. Bahan tersebut diindikasikan sebagai bahan pengisi retrograd karena bersifat biokompatibel, antibakteri, kerapatannya bagus dan tidak terpengaruh kelembaban.Untuk mendapatkan settingnya, beberapa bahan telah digunakan sebagai bahan pencampur MTA. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh bahan pencampur MTA sebagai bahan retrograd terhadap kebocoran apikal. Metode: Bahan penelitian berupa 30 gigi insisivus sentral atas bekas cabutan. Mahkota gigi dipotong dan saluran akar dipreparasi menggunakan teknik konvensional dan diobturasi dengan guta perca. Akar dipotong dengan jarak 2 mm dari apeks dan dibuat preparasi kavitas kelas I menggunakan bur fisura dengan kedalaman 3 mm pada ujung akar tersebut. Akar gigi tersebut dibagi dalam 3 kelompok masing-masing 10. Kelompok I menggunakan akuabides sebagai bahan pencampur MTA (MTA-akuades), kelompok II menggunakan salin (MTA-salin) dan kelompok II menggunakan Chlorhexidine 0,12% (MTA-chlorhexidine). Ujung akar kemudian diisi campuran MTA sesuai kelompoknya. Evaluasi kebocoran apikal menggunakan teknik clearing. Kebocoran apikal ditentukan dengan mengukur kedalaman penetrasi larutan biru metilen menggunakan mikroskopstereo. Hasil pengukuran dianalisis menggunakan analisis varian (ANOVA). Hasil: Penetrasi warna pada kelompok MTA-akuades maupun MTA-salin menunjukkan hasil yang paling kecil dan kedua kelompok tersebut berbeda secara signifikan dengan kelompok MTA-chlorhexidine 0,12% (p<0,005). Kesimpulan: Bahan pencampur akuades dan salin menghasilkan MTA dengan kebocoran apikal yang lebih kecil dibandingkan chlorhexidine.