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All Journal Journal of Dentistry Indonesia Majalah Kedokteran Gigi Indonesia E-Prodenta Journal of Dentistry
Wignyo Hadriyanto, Wignyo
Bagian Konservasi Gigi, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Yogyakarta
Dentistry Health Professions Medicine & Pharmacology

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Journal : Majalah Kedokteran Gigi Indonesia

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Perawatan Ulang Saluran Akar Insisivus Lateralis Kiri Maksila dengan Medikamen Kalsium Hidroksida-Chlorhexidine Ariani, Ni Gusti Ayu; Hadriyanto, Wignyo
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013)
Publisher : Majalah Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (584.826 KB)

Abstract

Banyak faktor yang menyebabkan kegagalan terapi endodontik antara lain pembersihan dan membentuk saluran akar yang tidak sempurna dan obturasi tidak hermetis sehingga menyebabkan kurangnya kemampuan untuk menghilangkan mikroorganisme yang ada. Saluran akar yang terinfeksi membutuhkan suatu medikamen untuk menunjang keberhasilan dalam perawatan saluran akar.Kalsium hidroksida merupakan salah satu bahan medikamen yang efektif karena memiliki sifat antibakteri dengan spektrum luas, pH tinggi, biokompatibilitas baik, mampu menetralkan endotoksin bakteri, memiliki sifat toksik yang paling rendah, serta menstimulasi pembentukan jaringan keras. Tujuan laporan kasus untuk menunjukan keberhasilan perawatan ulang saluran akar gigi insisivus lateralis kiri maksila dengan lesi periapikal menggunakan medikamen kalsium hidroksida- chlorhexidine. Pasien wanita umur 53 tahun, gigi insisivus lateralis kiri maksila dengan lesi periapikal.Radiografi tampak obturasi kurang hermetis dan radiolusen daerah periapikal. Perawatan ulang saluran akar,diikuti pemasangan pasak fiber frefabricated dan restorasi porselin fuse metal.Keseimpulan setelah evaluasi setelah enam bulan pasca perawatan ulang saluran akar, radiografi menunjukan radiolusen mengecil dan gigi dapat berfungsi dengan normal.ABSTRACT: Re-Treatment of Root Canal of Maxillary Left Lateral Incisor with Calcium Hydroxide-Chlorhexidine Medicament. There are many factors that cause failure of endodontic therapy. For instances, incomplete cleaning and shaping of root canal and inadequate obturation that results in difficulty to remove the microorganisms. Infected root canal requires a medicament for the success of the root canal treatment. Calcium hydroxide is one of the effective ingredients as medicament because it has broad spectrum antibacterial properties, high pH, good biocompatibility, and it is able to neutralize bacterial endotoxins, decrease tissue toxicity, and stimulate the formation of hard tissue. The purpose of this case report is to show the success of root canal treatment of the left maxillary lateral incisor with periapical lesions using calcium hydroxide-chlorhexidine medicaments. The patient was a woman aged 53, complaining about her left maxillary lateral incisor with periapical lesion. Based on the radiographic evaluation, there was less hermetic obturation and a radiolucent in the periapical. Root canal re-treatment was continued with fiber prefabricated post and porcelain fused to metal crown. After six months of evaluation and endodontic retreatment, it is found that there is a decrease of radiolucency periapical lesion, and her teeth are able to function normally.
Perawatan Satu Kunjungan Restorasi Pasak Fiber Reinforced Composite Pada Gigi Insisivus Atas Ariani, Ria; Hadriyanto, Wignyo
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013)
Publisher : Majalah Kedokteran Gigi Indonesia

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Abstract

Perawatan saluran akar satu kali kunjungan memberikan keuntungan antara lain memperkecil resiko kontaminasi mikroorganisme dan menghemat waktu perawatan. Pasak fiber reinforced composite memiliki ikatan yang baik dengan dentin menggunakan semen resin dan inti dari resin. Penggunaan pasak bisa mengurangi risiko fraktur. Tujuan penulisan laporan kasus ini adalah untuk mengevaluasi hasil restorasi gigi 11 nekrosis pulpa pasca perawatan saluran akar disertai restorasi dengan pasak fiber reinforced composite. Pasien wanita, 22 tahun datang ke Klinik Konservasi RSGM FKG UGM untuk merawat gigi depan atas kanan yang berlubang. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis gigi 11 nekrosis pulpa. pasca perawatan saluran akar gigi Gigi direstorasi dengan resin komposit dan pasak fiber reinforced composite. Kesimpula dari hasil evaluasi klinis saat kontrol tidak ada keluhan rasa sakit dan pasien merasa puas.ABSTRACT: One Visit Treatment of Fiber Reinforced Compositerestoration in Maxillary Right First Incisivus. One visit root canal treatment is advantageous to minimize the risk of microorganism contamination. It saves time and more tolerable for the patients. Fiber reinforced composite post is fabricated, and it has been known to have a good bond with dentinal wall of root space, resin cement and composite resin core. The use of this post could decrease the risk of fracture. The purpose of this paper is to report the results of dental restoration 11 pulp necrosis after root canal treatment with resin composite restorations and post fiber reinforced composite. A 22 year-old female patient who came to Faculty of Dentistry UGM complained about her maxillary right incisor teeth which decayed and needed a treatment. Based on the subjective, objective and radiograph examinations, it was diagnosed that the pulp was necrotic. After one visit root canal treatment and based on clinical evaluation, it is concluded that the right upper incisor that was restored using fiber reinforced composite post and composite resin showed no pain, and patient was satisfied.
Comparison of fracture resistance of teeth with prepared protaper next, protaper gold, and hyflex CM rotary files Rinastiti, Margareta; Widyastuti, Andina; Hadriyanto, Wignyo
Majalah Kedokteran Gigi Indonesia Vol 9, No 1 (2023): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.82711

Abstract

Preparation of the root canal system is a crucial step in root canal treatment. Endodontically treated teeth differ structurally from healthy, untreated teeth. This can lead to root cracking by creating pressure on the canal wall, reducing the fracture resistance of the tooth. Different designs, including cross-sectional shape, tip, taper, flute, radial land, helix angle, rake angle, and pitch, can influence the outcome of the root canal preparation and the risk of root fracture. The purpose of this study was to evaluate the fracture resistance of teeth after root canal preparation using three different NiTi rotary files: ProTaper Next (PN), ProTaper Gold (PG), and HyFlex CM (HC). Thirty premolars with a single and straight root canal were decoronated at the cementoenamel junction, leaving 14 mm of the root. The subjects were divided into 3 groups. Group 1 (n = 10) was prepared using PN, group 2 (n = 10) was prepared using PG, and group 3 (n = 10) was prepared using HC. After instrumentation and irrigation, the specimens were subjected to a continuous vertical compressive force (crosshead-speed of 2.28 mm/sec) in order to record the force (in newtons) until root fracture. To describe the surface characteristic of the dentinal root after the preparation, a section fragment from the apical third of the specimens was observed using a scanning electron microscope (SEM) at 2500x magnification. The micrographs were analyzed according to the Hulsman’s method. The results demonstrated that there was a statistically significant difference in root fracture resistance among the three groups. (p = 0.043). The LSD post hoc test indicated that HC showed a higher root fracture resistance (p < 0.05) compared to both PN and PG. In conclusion, the different file systems of PN, PG, and HC instruments generate different root fracture resistance of teeth. In comparison to PN and PG, HC instruments tend to result in increased fracture resistance.
Co-Authors Agustin, Yuniari Arifati, Azizah Diatri Nari Ratih Djaynurdin, Novia Alamsyah Indrapradana, Adyaputra Margareta Rinastiti Ni Gusti Ayu Ariani, Ni Gusti Ayu Nidyasari, Ferdina Raphael Tri Endra Untara Ria Ariani, Ria Tunjung Nugraheni Widya Nugrohowati, Christina Widyastuti, Andina