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Uji mikrostruktur prototipe implan gigi titanium pasca perlakuan modifikasi permukaan Alternate Soaking Process dengan konsentrasi CaCl2 dan Na2HPO4 yang berbeda Microstructural examination of titanium dental implant prototype after alternate soaking process surface modification treatment with different concentrations of CaCl2 and Na2HPO4 Nina Djustiana; Muhammad Asrun Adi Saputra Syam; Yanwar Faza; Arief Cahyanto
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 3 (2021): Desember 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i3.37203

Abstract

Pendahuluan: Beberapa metode telah dikembangkan dalam meningkatkan proses osseointegrasi implan titanium diantaranya yaitu alternate soaking process. Metode ini terbukti menciptakan kekasaran porositas dan senyawa CaP pada implan melalui perendaman di dalam larutan CaCl2 dan Na2HPO4. Tujuan penelitian mengetahui gambaran mikrostruktur dari prototipe implan gigi titanium yang dimodifikasi permukaan dengan metode alternate soaking process dengan konsentrasi CaCl2 dan Na2HPO4 yang berbeda. Metode: Jenis penelitian ini adalah deskriptif eksploratif. Sampel penelitian, berupa prototipe implan titanium (20 x 15 x 0,5 mm), dibagi menjadi 4 kategori berdasarkan perlakuan yaitu sampel yang tidak diberikan pre-treatment dan modifikasi permukaan sebagai kontrol (L0) dan sampel yang diberikan pre-treatment dan modifikasi permukaan dengan metode alternate soaking process dengan konsentrasi larutan CaCl2 dan Na2HPO4 yang berbeda (67 mmol/L dan 40 mmol/L (L1), 200 mmol/L dan 120 mmol/L (L2), 600 mmol/L dan  360 mmol/L (L3)). Hasil: Hasil uji mikrostruktur mempelihatkan sampel L0 tidak berporus, sedangkan sampel L1, L2 dan L3 terlihat berporus dengan ukuran porus masing-masing 80-150, 400-700 dan 50-90 μm. Peningkatan konsentrasi CaCl2 dan Na2HPO4 meningkatkan jumlah deposit putih (CaP) dipermukaan prototipe implan titanium. Sampel kontrol L0 memperlihatkan lapisan TiO2 lebih tinggi dibandingkan sampel L1, L2 dan L3 dengan angka ketebalan masing-masing sebagai berikut: 135 , 70.5, 104 dan 92 μm. Simpulan: Prototipe implan gigi titanium yang dimodifikasi permukaan dengan metode alternate soaking process dengan konsentrasi CaCl2 200 mmol/L dan Na2HPO4 20 mmol/L menghasilkan mikrostruktur berporus yang berpotensi lebih optimal dalam menginduksi pertumbuhan jaringan tulang.Kata kunci: implan gigi; titanium; modifikasi permukaan; alternate soaking process  ABSTRACTIntroduction: Several methods have been developed to improve the osseointegration process of titanium implants, including the alternate soaking process. This method was proven to create porosity roughness and CaP compounds on implants through immersion in a solution of CaCl2 and Na2HPO4. The study aimed to determine the microstructure of the surface-modified titanium dental implant prototype using the alternate soaking process method with different concentrations of CaCl2 and Na2HPO4. Methods: A descriptive exploratory research was conducted on the samples, which were titanium implant prototype sized 20x15x0.5mm, divided into four categories based on the treatment. Samples without pre-treatment and surface modification were determined as control (L0). Samples with pre-treatment and surface modification using the alternate soaking process method with CaCl2 and Na2HPO4 solutions of 67 mmol/L and 40 mmol/L were determined as L1; concentrations of 200 mmol/L and 120 mmol/L as L2; concentrations of 600 mmol/L and 360 mmol/L as L3. Results: The microstructural examinations showed that samples in the L0 group were not porous, while samples in the L1, L2, and L3 groups appeared to be porous, with the porous size of 80-150, 400-700, and 50-90 m, respectively. Increasing CaCl2 and Na2HPO4 increased the amount of white deposit (CaP) on the titanium implant prototype surface. The samples in group L0 showed a higher TiO2 layer than samples in group L1, L2, and L3 with thickness figures of 135, 70.5, 104, and 92 m, consecutively. Conclusions: Surface modified titanium dental implant prototype with alternate soaking process method with 200 mmol/L of CaCl2 and 20 mmol/L of Na2HPO4 produced a porous microstructure which has the potential to be more optimal in inducing bone tissue growth.Keywords: dental implant; titanium; surface modification; alternate soaking process
Comparison of brittleness and flowability between Cipetir Gutta-Percha and commercial Gutta-Percha Kosterman Usri; Yanwar Faza; Arya Sanjaya; Nona Viona; Nina Djustiana; Elin Karlina; Renny Febrida; Arief Cahyanto
Padjadjaran Journal of Dentistry Vol 34, No 1 (2022): March
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no1.38869

Abstract

Introduction: Gutta-Percha (GP) is a standard endodontic filling material found in pure form in the Cipetir area, Indonesia. However, a study comparing physical properties (brittleness and flowability) between pure GP and commercially used GP has not been found. Therefore, this study aims to test the brittleness and flowability of Cipetir GP compared to commercial GP. Methods: This study was quasi-experimental. Forty samples were prepared for each material and test, according to ANSI/ADA specification-GP cones-no 78 in 2006. The first step began by making a sample of Cipetir GP using moulds from a cuvette, commercial GP (Inline #80), and gypsum stone. The second step was to test the brittleness (Crease Recovery Tester) and flowability (according to ADA No. 78 of 2000) of Cipetir GP and commercial GP. Results: The brittleness test of Cipetir GP showed unbroken samples, and the commercial GP showed four broken samples. The Fisher's Exact test showed a p-value of 0.087, which means there was no significant difference in brittleness between Cipetir GP and commercial GP. At the same time, the average value of flowability of Cipetir GP and commercial GP were 6.46 mm and 0.19 mm, respectively. The unpaired t-test showed a p-value<0.05, which means there was a significant difference in the flowability between Cipetir GP and commercial GP. Conclusions: There is a brittleness similarity between Cipetir GP and commercial GP, while the flowability value of Cipetir GP is higher than commercial GP. Those initial findings showed that the Cipetir GP might become an excellent candidate to be an alternative endodontic filling.
Flexural properties of electrospun polymethyl methacrylate microfiber-reinforced BisGMA for dental post prefabrication Nina Djustiana; Yanwar Faza; Arief Cahyanto
Padjadjaran Journal of Dentistry Vol 33, No 3 (2021): November
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no3.36255

Abstract

Introduction: A dental post is a restoration to preserve the remaining tooth structure thus can be functioned normally. Many researchers suggested a fiber dental post due to its biomechanical properties that are similar to dentin structure. This study aims to analyse the flexural properties of electrospun polymethyl methacrylate microfiber-reinforced BisGMA for dental post prefabrication. Methods: The sample used was following the ADA guideline, as well as for the number of samples. The sample size was 25×2×2mm, which is close to the average dental post size. PMMA microfibers were prepared by dissolving heat cure PMMA powder with 99% acetone, then electrospinning with a rotary collector. Acquired PMMA microfibers were immersed into the resin matrix containing BisGMA, camphorquinone, and 2-dimethylaminoethyl methacrylate (DMAEMA) as a monomer, initiator, and co-initiator, respectively, to prepare the dental posts. Results: PMMA microfibers structure and surface fracture of dental posts were confirmed by Scanning Electron Microscopy (SEM). PMMA microfibers show unaligned fiber morphology with an approximate diameter size of 1-5 µm.  A universal testing machine was used to measure the dental post's flexural properties (flexural strength and flexural modulus). Dental posts with PMMA fibers showed higher flexural strength (83.5 ± 10.7 MPa) compared to the dental post without PMMA fibers (61.7 ± 3.03 MPa) with a p-value <0.05. On the other hand, PMMA fibers' addition did not significantly increase the dental post's flexural modulus. Conclusion: The PMMA microfibers can intimately adhere to the BisGMA mixture as the resin matrix. Therefore, the PMMA microfiber significantly improves the flexural strength of the BisGMA for dental post prefabrication.