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Widya Saraswati
Faculty of Dental Medicine, Universitas Airlangga,Surabaya,Indonesia
Dentistry

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Anterior maxillary teeth crown lenghtening and indirect veneer for esthetics rehabilitation: A case report Ganiezha Cindananti; Nina Dhaniar; Nurshiffa Hanifatul Amrina Jaelani; Cathelea Raihan Avicenna; Widya Saraswati
Conservative Dentistry Journal Vol. 12 No. 1 (2022): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i1.2022.20-25

Abstract

Background: Crown Lengthening is a surgical procedure performed to create a symmetrical gingival line and is carried out to expose necessary additional tooth structure. A short clinical crown occurs as a result of dental malformations, eruption disharmony, and genetic variation. Purpose: The purpose of this case report is to explain the treatment management of Crown Lengthening over the case of diastema closure by indirect veneer restoration. Case: 32 years old female presented with a chief complaint over a space between her anterior maxillary teeth. She wants to rectify her smile. Case Management: The management in this case are preparation of Digital Smile Design (DSD), Crown Lengthening on 11 and 21, and Indirect Veneer on 11, 21, 22. Conclusion: Aesthetical rehabilitation could be attained by an indirect veneer treatment followed by a gingival management which is Crown Lengthening.
Compressive Strength Of Fiber Reinforced Composite After Immersion In Citric Acid Of Energy Drink Agnes Robia Ambarioni; Alfina Putri Nurrahmania; Chaerun Mutmainnah; Widya Saraswati; Cecilia G.J.Lunardhi
Conservative Dentistry Journal Vol. 12 No. 1 (2022): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i1.2022.45-48

Abstract

Background: Energy drink consumption has been popular in people age 18-35 years old. A few literature showed that this drink can cause damage to teeth and composite due to its acidity. The use of fiber reinforced composite has been increasing due to its good mechanical properties and aesthetic. Fiber reinforced composite has fiber shaped fillers that can withstand mastication forces. A restoration material has to face the complex oral environment to succeed clinically. Compressive strength test is needed to predict the durability of restoration materials against mastication forces. Purpose: To determine the effect of energy drink citric acid immersion to fiber reinforced composite compressive strength. Methods: 32 cylinder shaped fiber reinforced composite samples with 8mm tall and 4mm diameter were divided into two groups. The first group was immerse in distilled water (K1) as control, and the second group (K2) was immerse in energy drink citric acid. The samples were immersed in an incubator at ±37⁰C for 7 days. After 7 days, samples were washed in water, dried with tissue, and then undergo compressive strength test with Autograph machine at crosshead speed of 10mm/minute. The data were then analyzed using Independent t-test. Results: The mean compressive strength of K1 group was 1469.63 MPa and K2 group 1439.57 MPa. The mean value of K2 group was slightly lower than K1 group, but statistically, there was no significant difference between the 2 groups. Conclusion: Energy drink citric acid immersion has no effect on fiber reinforced composite compressive strength.
Single visit root canal treatment with post crown restoration Kun Ismiyatin; Widya Saraswati; Febriastuti Cahyani; Olivia Vivian Widjaya; Dede Ghozali Pangestu; Dea Arshila
Conservative Dentistry Journal Vol. 12 No. 2 (2022): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i2.2022.57-62

Abstract

Background: Single visit endodontics has been shown to be an effective treatment modality when compared with multiple visit therapy and it does not deviate from achieving the objectives of proper biomechanical preparation, debridement, shaping, disinfection and 3 dimensional obturation of root canal system and is more beneficial to the patient and dentist provided there is careful case selection and strict follow of standard endodontic protocols. Symptomatic teeth can also be managed by single visit after controlling the abscess infection with antibiotic, provided the root canal is dry without any discharge.Purpose: This study aims to perform single visit root canals on teeth with irreversible pulpitis and restoration with post core and crown. Case(s): A 48-years-old female comes with dental complaints of upper left rear spontaneous pain at night. The tooth has had cavities since about two years ago and has never been previously treated. The patient said had not any systematic health disorder. There is a spontaneous pain that the patient feels. Case Management: From the examination that has been carried out, a clinical diagnosis of tooth 25 were symptomatic pulpitis irreversible with normal apical tissue. The restoration endodontic treatment plan was a single visit endodontic and the restoration is post core and crown. Conclusion: Symptomatic pulpitis irreversible with normal apical tissue treatment can be carried out single visit root canal treatment. Restoration of post endodontic treatment in this case need fiber post and core using composite and finally restoration using crown that made of zirconia. Zirconia has a higher level of material resistance than lithium disilicate. This is what makes zirconia the choice, especially for posterior teeth.
One Visit Endodontic with Internal Bleaching on Tooth 12 Post Trauma: A Case Report Reyz Pasenda Mulyadi; Sofi Arnesti Wahab; Febriastuti Cahyani; Widya Saraswati
Conservative Dentistry Journal Vol. 12 No. 2 (2022): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v12i2.2022.63-67

Abstract

Introduction: Post-traumatic non-vital teeth is one of the indications for One Visit Endodontic. Trauma to the teeth may arise from conditions that cause the teeth to become necrotic so that the teeth will look darker and experience discoloration. Clinical conditions that indicate the death of the dental pulp and teeth require endodontic treatment. This situation will cause discoloration of the teeth that occur as a result of the metamorphosis of calcified pulp. Internal whitening is a treatment that can be done after the first treatment. Purpose: To provide information about discolored teeth management after trauma which causes pulp necrosis by doing root canal treatment and internal bleaching to change tooth color. Case: A 31-year-old woman came to the RSKGMP Universitas Airlangga with a referral from the orthodontics department where her teeth were darker in color and interfered with her appearance. In the previous history, the patient had an accident and trauma 10 years ago. Case Management: The first step is access opening and a good glide path. Root canal preparation was performed using the Crown Down Pressureless technique. The obturation technique used is Single Cone. The results were good and there were no symptoms during the control. Conclusion: One visit endodontic can be a treatment option for post-traumatic non-vital teeth. Internal bleaching with Walking Bleach Technique is also proven effective in restoring the original tooth color without excessive reduction of the dental crown.
The Effect of Adding Epigallocatechin-3-gallate on the Porosity of Calcium Hydroxide Kun Ismiyatin; Widya Saraswati; Caeleb Fabrizio Sudarsono
Conservative Dentistry Journal Vol. 13 No. 1 (2023): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i1.2023.11-15

Abstract

Background: Dental caries is a very common non-communicablae disease found in all age groups and found in 3.5 billion people in the world. Caries that harm the pulp tissue can be treated by direct or indirect pulp capping. One of the physical properties possessed by pulp capping is the porosity of material. The material most often used for pulp capping treatment of pulp perforations is calcium hydroxide (Ca(OH) 2 ). However, Ca(OH) 2 has a high pH that caused the porosity to be low. High porosity can facilitate cell development and ion exchange. Thus, additional materials with a lower pH are needed to increase porosity such as Epigallocatechin-3-gallate (EGCG). However, the porosity of the combination of EGCG with Ca(OH) 2 is still unclear, so it needs to be researched. Purpose: To explain the differences of Ca(OH) 2 porosity after the addition of EGCG. Methods: This study used a laboratory experimental study with a post test only control group design. This research using 16 samples for each control (Ca(OH) 2 – aquadest) and treatment (Ca(OH) 2 –EGCG) group. Samples from each group were subjected to freeze drying, observed with SEM, analyzed with ImageJ software, and tested with independent T-test. Results: There was a significant difference (p<0.05) in the percentage of porosity between the addition of EGCG to Ca(OH) 2 namely 32,61% compared to Ca(OH) 2 with aquadest namely 23,38%. Conclusion: The porosity of the combination of calcium hydroxide with EGCG has a higher percentage compared to calcium hydroxide with aquadest.
Differences in the solubility of CaCO3 from blood clam shells and Ca(OH)2 as a candidate pulp capping material Widya Saraswati; Nirawati Pribadi; Chaerun Mutmainnah
Conservative Dentistry Journal Vol. 13 No. 1 (2023): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v13i1.2023.16-18

Abstract

Background: Calcium hydroxide (Ca(OH)2) is the gold standar in pulp capping treatment because the biocompatibility and capability to stimulate hard tissue formation and also antibacterial effect. However, this compound has the disadvantage of being easily soluble in saliva which will increase the risk of leakage in the cavity. Another alternative pulp capping material is calcium carbonate from blood clam shells. Blood clam shells contain 98% CaCO3, CaCO3 has low solubility and is difficult to dissolve in water due to the large ions on Ca2+ and CO32- so that the attractive force between these ions is very strong and finally H2O is not able to break down the CaCO3 compound to be dissolved. Purpose: Explained the differences in the solubility of calcium carbonate from blood clam shells and calcium hydroxide as candidates pulp capping materials. Methods: This research is a laboratory experimental study with a pretest-posttest control group design method. The samples consisted of 12 pieces of Ca(OH)2 and CaCO3 then divided into 2 groups and given treatment. Group 1 CaCO3 immersed in 1 day, group 2 Ca(OH)2 immersed in 1 day, group 3 CaCO3 immersed in 7 days, and group 4 Ca(OH)2 immersed in 7 days. Solubility is calculated according to the solubility formula. Data testing with Anova-Welch. Results: There was a significanly difference in the solubility rate between the CaCO3 dan Ca(OH)2 groups immersed for 1 day and 7 days on the Anova-Welch results (p<0.05). Conclusion: The solubility of CaCO3 in blood clam shells is lower than the solubility in Ca(OH)2.)
Co-Authors Agnes Robia Ambarioni Alfina Putri Nurrahmania Caeleb Fabrizio Sudarsono Cathelea Raihan Avicenna Cecilia G.J.Lunardhi Chaerun Mutmainnah Dea Arshila Dede Ghozali Pangestu Febriastuti Cahyani Ganiezha Cindananti Kun Ismiyatin Nina Dhaniar Nirawati Pribadi Nurshiffa Hanifatul Amrina Jaelani Olivia Vivian Widjaya Reyz Pasenda Mulyadi Sofi Arnesti Wahab