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Tamara Yuanita
Faculty of Dental Medicine, Universitas Airlangga,Surabaya,Indonesia
Dentistry

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Complex Aesthetic Treatment of Patients with Multiple Caries Devi Eka Juniarti; Tamara Yuanita; Nirawati Pribadi; Tarsardo Marbun; Nadien Sekar Pramesti
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.v12i1.2022.38-44

Abstract

Background: The need for dental esthetics is very important in recent years. Fulfilling aesthetic demands with both non-invasive and minimally invasive techniques can maintain tissue continuity. A 38 year old female patient came to the clinic with an esthetic complaint of maxillary anterior teeth. The following case report describes a step by step complex aesthetic treatment of a patient with multiple caries. Appealing aesthetic results will restore the patient's smile through restorative treatment in dentistry. Purpose: The purpose of this case report is to explain the management of complex aesthetic treatment of patients with multiple caries Case: A 38-year-old female patient complained her upper front teeth is turning black. The patient complained that her teeth had hurt ± 3 months ago and sometimes felt sore. The patient wants her teeth to be treated because she feels less confident when she smiles and wants to fix these teeth. The history of treatment on the tooth in question have had root canal treatment and been filled since 8 years ago. The tooth has had braces (orthodontic) treatment and was removed ± 7 years ago. The patient stated that she had no systemic health disorder. Case management : The treatment of this complex case were done using root canal treatment, endodontic retreatment, direct and indirect veneer, dowel, and crown. Conclusion: complex aesthetic treatment of patients with multiple were done aiming for good aesthetic result
Management of Root Perforation : A Case Report Sylvia Paulina Panggono; Teuku Chairil Hafiz; Tamara Yuanita
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.v12i1.2022.53-56

Abstract

Background : Root perforation results in the communication between root canal walls and periodontal space (external tooth surface). It is commonly caused by an operative procedural accident or pathological alteration (such as extensive dental caries, and external or internal inflammatory root resorption). The diagnosis of dental pulp and/or periapical tissue previous to root perforation is an important predictor of prognosis. Case : A female patient came to Dental Conservative University of Airlangga with complaints of perforated lower left molars. On the objective examination obtained negative vitality test, positive on bite test. On radiographic examination, a radiolucent on bifurcation was performed Case management : The tooth was treated by hemisection. Root canal treatment was carried out in the distal canals. Afterwards, the tooth was split mesio-distally. The mesial root was extracted, and the distal root was retained and restored with PFM Crown. Discussion : Hemisection is a useful alternative treatment to extraction to save the multi-rooted teeth by endodontic approach, which includes the root canal treatment of the remaining roots and restoring them with suitable restorative material to splinting it with the adjacent tooth to decrease the risk of displacement followed by a fixed prosthodontic prosthesis to maintain the occlusal balance. Conclusion : Hemisection with subsequent prosthetic rehabilitation can be a viable alternative to retain severely decayed mandibular molar.
Rehabilitation of Anterior Teeth Trough Endorestoration Tamara Yuanita; Teuku Chairil Hafiz; Rosa Amalia Iqony
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.v12i2.2022.90-94

Abstract

Background: Nowadays, people has considered the importance of dental health, both in terms of functional and aesthetic improvements. Complex caries lesion of anterior teeth are a major problems that require aesthetic management due to patient’s confidence. Purpose : The aim is to present a case of anterior maxillary teeth with complex caries treated with endodontic and restoration treatment to recover its optimal function aesthetically. Case A 18-year-old female patient with multiple caries on anterior maxillary teeth. She felt unconfidence about her performance. 13 class IV black caries lesion, 12 radicular tooth, 11 and 21 previously endodontic treated with metal post. 22 class V Black carieus lesion, 23 class III Black caries lesion. Case management:. 13, 12 and 22 were managed with root canal treatment and followed by fiber post insertion. 11 and 21 were previously endodontic treated and retreated with prefabricated fiber post. 23 with moderate caries was managed with crown. All anterior maxillary teeth had crown lengthening before. And all crown materials were made with Lithium Disilicate. Conslussion : Anterior maxillary teeth with severed multiple caries, successfully managed with optimal result. Restoring its function, form aesthetically and improve her quality of life.
Inhibitory effect of nano Stolephorus insularis and calcium hydroxide on glucosyltransferase (GTF) activity of Lactobacillus aciophilus Tamara Yuanita; Devi Eka Juniarti; Tarsardo Marbun
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.v13i1.2023.29-32

Abstract

Background: Dental caries is the most common multifactorial infectious disease worldwide which referes to the process of destruction tooth hard tissue caused by bacterial by-products in the form of acids through carbohydrate fermentation. Lactobacillus acidophilus is one of the main cariogenic bacteria that causes caries by forming biofilms with the help ofglucosyltransferase (GTF) enzymes. Calcium hydroxide has limited antibacterial effects. Nano brown anchovy contains fluor as the active compound which has the potential as an antibacterial alternative agent. Purpose: To explain the inhibition of the combination of nano Stolephorus insularis and calcium hydroxide on the activity of the glucosyltransferase enzyme of Lactobacillus acidophilus bacteria. Methods: This study used a combination of nano Stolephorus insularis 3.125% with calcium hydroxide as a treatment and aquades as a control. The GTF enzyme was obtained from the supernatant centrifuged by Lactobacillus acidophilus in BHIB. The activity of the GTF enzyme was considered by calculating the fructose levels using High Performance Liquid Chromatography (HPLC) in a certain formula.Results: Decreased levels of fructose was obtained in the treatment group. From the results of Mann- Whitney data analysis, there were significant difference in the study groups. Conclusion: the combination of nano Stolephorus insularis with calcium hydroxide is effective to inhibit the glucosyltransferase enzyme activity of Lactobacillus acidophilus bacteria.
Co-Authors Devi Eka Juniarti Nadien Sekar Pramesti Nirawati Pribadi Rosa Amalia Iqony Sylvia Paulina Panggono Tarsardo Marbun Teuku Chairil Hafiz