CALCIUM HYDROXIDE IN ENDODONTIC TREATMENT OF PERIAPICALLY INFECTED TEETH

An inadequate endodontic treatment may affect the root canal system and spread beyond its apical foramina that elicit periodontal tissue developing into abscess, granuloma and radicular cyst. Periodical lesions can be treated with non surgical endodontic treatment using calcium hydroxide dressing. This case study is reporting teeth 11 with periodical lesions and infection. Evidence of a clinical healing and radiographic assessments were followed by a non surgical endodontic therapy. Successful treatment outcome is related to the elimination of infection agents from the root canal. This can activate a stimulation zone to promote regeneration. Calcium hydroxide used as a root canal dressing may promote alkalinity at the adjacent tissue , create favourable environmental condition in which hard tissue formation can occur, interfere the bactericidal activity, increase mineralization, and induce healing

CALCIUM HYDROXIDE IN ENDODONTIC TREATMENT OF PERIAPICALLY INFECTED TEETH

An inadequate endodontic treatment may affect the root canal system and spread beyond its apical foramina that elicit periodontal tissue developing into abscess, granuloma and radicular cyst. Periodical lesions can be treated with non surgical endodontic treatment using calcium hydroxide dressing. This case study is reporting teeth 11 with periodical lesions and infection. Evidence of a clinical healing and radiographic assessments were followed by a non surgical endodontic therapy. Successful treatment outcome is related to the elimination of infection agents from the root canal. This can activate a stimulation zone to promote regeneration. Calcium hydroxide used as a root canal dressing may promote alkalinity at the adjacent tissue , create favourable environmental condition in which hard tissue formation can occur, interfere the bactericidal activity, increase mineralization, and induce healing

<p>Perawatan endodontik pada gigi molar kedua mandibula dengan konfigurasi saluran akar berbentuk-C</p><p>Endodontic treatment of mandibular second molar with a C-shaped root canal configuration</p>

ABSTRAK Pendahuluan: Keberhasilan perawatan endodontik membutuhkan pengetahuan yang tepat mengenai berbagai morfologi sistem saluran akar. Variasi sistem saluran akar tidak selalu terjadi dalam variasi jumlah saluran, melainkan juga dalam konfigurasi bentuk. Salah satu variasi anatomi yang paling penting adalah konfigurasi berbentuk-C dan banyak ditemukan pada gigi molar kedua mandibula. Tujuan laporan kasus ini mempresentasikan perawatan endodontik pada gigi molar kedua mandibula dengan konfiguraasi saluran akar berbentuk-C. Laporan kasus: Pasien wanita berusia 21 tahun datang ke Klinik Konservasi Gigi RSGM UNPAD dengan keluhan gigi geraham belakang kiri bawah yang berlubang dan sakit berdenyut spontan sejak dua hari yang lalu.Preparasi akses kavitas memperlihatkan kamar pulpa yang dalam dan luas ke bukal berbentuk C. Hasil interpretasi CBCT memperlihatkan kavitas berbentuk C dengan orifis saluran akar di mesio lingual yang terhubung dengan isthmus ke orifis saluran akar distal. Perawatan endodontik pada konfigurasi sistem saluran akar berbentuk C kategori II (C2)  dengan diagnosis pulpitis ireversibel simtomatik dapat dilakukan dengan optimal dengan mempertimbangkan anatomi eksternal dan internal gigi. Preparasi biomekanis yang intensif dengan teknik instrumentasi circumferential filing, serta penggunaan kombinasi irigan NaOCl 5,25% dan EDTA 17% yang diaktivasi dapat meningkatkan efektivitas debridemen saluran akar. Teknik obturasi kondensasi vertikal termoplastis dapat mengisi iregularitas saluran akar, serta menutup konfigurasi sistem saluran akar. Simpulan: Perawatan endodontik pada gigi molar kedua mandibula dengan konfigurasi saluran akar berbentuk-C berhasil dilakukan dengan baik, diawali penentuan diagnosis yang tepat serta identifikasi dini terhadap variasi saluran akar dan pemeriksaan diagnostik tambahan CBCT yang memfasilitasi preparasi biomekanis dan pengisian sistem saluran akar. Kata kunci: Anatomi akar, konfigurasi bentuk-C, konfigurasi saluran akar, molar kedua mandibula, perawatan endodontik   ABSTRACT Introduction: Successful endodontic treatment requires proper knowledge of various morphologies of the root canal system. The canal system variation does not always occur in the number of canals, but also the shape configuration. One of the essential anatomical variations is the C-shaped configuration which is found in many mandibular second molars. This case report was aimed to present endodontic treatment of mandibular second molar with a C-shaped root canal configuration. Case report: A 21-year-old female patient came to the Conservative Dentistry Clinic of Universitas Padjadjaran Dental Hospital with a complaint of cavities and spontaneous pulsating pain since two days prior. CBCT interpretation shows a C-shaped cavity with a root canal orifice in the mesiolingual connection with an isthmus to the distal root canal orifice. Endodontic treatment of a C-shaped root canal system configuration with category II (C2), with a diagnosis of symptomatic irreversible pulpitis, can be performed optimally by considering the external and internal tooth anatomy. Intensive biomechanical preparation using the circumferential filing instrumentation techniques, and the use of a combination of activated 5.25% NaOCl and 17% EDTA irrigation can increase the effectiveness of root canal debridement. Thermoplastic vertical condensation obturation technique can fill the irregularities of the root canal, as well as sealing the root canal system configuration. Conclusion: Endodontic treatment of mandibular second molar with a C-shaped root canal configuration was successfully performed, initiated with determination of the correct diagnosis and early identification of root canal variations and additional diagnostic CBCT tests which facilitates the biomechanical preparation and root canal system filling. Keywords: Root anatomy, C-shape configuration, root canal configuration, mandibular second molar, endodontic treatment

HOME BLEACHING TECHNIQUE USING CARBAMIDE PEROXIDE

There are two basic kinds of tooth whitening agents. The first is over the counter materials and the other is material used by the dentist or under dentist control. Home bleaching is a technique using 10% carbamide peroxide on a tray applied by patient under dentist supervision. This paper is a review of the effect of 10% carbamide peroxide home bleaching technique. It is revealed that this method is simple, safe, economic, and has short chairside time

HOME BLEACHING TECHNIQUE USING CARBAMIDE PEROXIDE

There are two basic kinds of tooth whitening agents. The first is over the counter materials and the other is material used by the dentist or under dentist control. Home bleaching is a technique using 10% carbamide peroxide on a tray applied by patient under dentist supervision. This paper is a review of the effect of 10% carbamide peroxide home bleaching technique. It is revealed that this method is simple, safe, economic, and has short chairside time

Comparison of the removal of calcium hydroxide medicaments on the root canal treatment irrigated with manual and sonic agitation technique

Introduction: Irrigation of the root canal is an important part of the endodontic treatment. Root irrigation technique can be done with the manual and sonic system by using 2.5% NaOCI solution. Calcium hydroxide [Ca(OH)2 ] is used as a medicament for root canal sterilization. Root canal treatment will fail due to the imperfect removal of Ca(OH)2 residue. The objective of this research was to analyze the comparison of the removal of Ca(OH)2 medicaments on the root canal treatment irrigated with manual and sonic agitation technique using 2.5% NaOCI. Methods: The methods used in this study was experimental laboratory. The sample used was 30 maxillary incisors. The teeth were then divided into two groups randomly, then the root canal preparation was done by the crown down technique with irrigation using 2.5% NaOCI. The radicular part of the teeth was then split longitudinally, given a standardized groove in the one-third of the apical part, then applied with water-solved calcium hydroxide. The teeth were unified afterwards by using flowable composites, then soaked in the artificial saliva. The sample of the 1st group was irrigated by manual agitation technique, and the 2nd group by sonic agitation technique. The data results were analyzed by Kruskal-Wallis and Mann-Whitney tests. Results: The results of Ca(OH)2 removal were different between manual agitation technique compared to the sonic agitation technique. Conclusion: The irrigation using 2.5% NaOCl with the sonic agitation technique were proven to be more effective in removing Ca(OH)2 from root canals than the manual agitation technique

Surface roughness comparison of methacrylate and silorane-based composite resins after 40% hydrogen peroxide application

The change of the tooth colour could be restored with bleaching. The tooth bleaching will affects the surface roughness of the composite resins. Recently, the material basis for composite resins has developed, among others are methacrylate-based and silorane based composite resins. The objective of this study was to distinguish the surface roughness value of methacrylate-based composite resin and silorane based composite resins. This research was quasi-experimental. The sample used in this study were methacrylate and silorane based composite resins in discs form, with the size of 6 mm and the thickness of 3 mm, manufactured into 20 specimens and divided into 2 groups. The control group was immersed in the artificial saliva, and the treatment group was applied with 40% hydrogen peroxide. The result of the experiment analyzed using unpaired sample t-test showed significant differences in the average value of the surface roughness after the application of 40% hydrogen peroxide. The average value of methacrylate and silorane based composite resins were 2.744 μm and 3.417 μm, respectively. There was a difference in the surface roughness of methacrylate and silorane based composite resin compounds after the application of 40% hydrogen peroxide. The surface roughness value of the silorane-based composite resin was higher than the methacrylate-based

Evaluation of the mummification treatment at Conservative Dentistry Clinics

Indonesia is one of many developing countries with high caries prevalence which needs more attention regarding the countermeasures as well as the preventive treatment. Dental problems or pulp injury was able to treated with an endodontic procedure such as pulpotomy. The success of the mummification treatment was able to evaluated through subjective and objective examinations. The purpose of this study was to describe an evaluation of the mummification treatment at Conservative Dentistry Clinics of Faculty of Dentistry Universitas Padjadjaran by examining the condition of the teeth that have received mummification treatment. This study was a descriptive study with purposive sampling technique. The number of samples was as much as 38 teeth from patients who have completed mummification treatment. The results showed the success of mummification treatment was as much as 67% in less than three months, 44% in the range of time 3-6 months, and 29% in more than 6 months. The conclusion of this study was the mummification treatment success at Conservative Dentistry Clinics of Faculty of Dentistry Universitas Padjadjaran was high in less than three months and decreasing in more than six months after treatment

Mixture of Indonesian White Portland Cements, Bi2O3, and Light Cured Methacrylate-based resin as a potential candidate for pulp capping material

ABSTRACT  Introduction: The bioactivity property of pulp capping materials is determined by the hydroxyl ion release ability, which may alter the environmental pH to become alkaline. Calcium silicate-based materials are antibacterial, able to induce reparative dentin and have a good bacteria-tight seal. The poor handling of calcium silicate-based materials can be overcome by adding resin, so the materials will be easier to handle. Therefore, the purpose of this study was to synthesize a mixture of Indonesian White Portland  Cements, Bi2O3, Light Cured Methacrylate-based Resin and analyze its hydroxyl ion release ability. Methods: The study wasquasi experimental. Sample in this research is the Indonesian White Portland Cements. The Indonesian White Portland Cements, Bi2O3 mixture was prepared using the simple solution method and mixed with Light Cured Methacrylate-based Resin. Population was WPC, Bi2O3 and light cured methacrylate-based resin. The sample’s ability to release hydroxyl ions was measured using a calibrated pH meter and titration test 60, 120, 180 and 320 minutes. Analyzed Results: This study showed that the mixture of Indonesian White Portland Cements, Bi2O3, Light Cured Methacrylate-based  Resin had an initial pH of 11.04 and increased to its peak on 168 hours mark, or on day seven, to pH 11,77 with hydroxyl ion release value of 10-2.23 Conclusions: The mixture of Indonesian White Portland Cements, Bi2O3, Light Cured Methacrylate-based Resin has an alkaline pH, is able to release hydroxyl ion and has a potential candidate for pulp capping material. Keywords : Indonesia white portland cements, Bi2O3, light cured methacrylate-based resin, hydroxyl ion release abilit

<strong>Antibacterial activity of strawberry fruit extract against <em>Streptococcus sanguinis</em> (ATCC 10556)</strong>

Introduction: Streptococcus sanguinis is a facultative anaerobic Gram-positive bacteria known as a pioneer that plays a role in creating the biofilm in the oral cavity. Strawberry fruit (Fragaria x ananassa) is an edible fruit widely used for the study as their active compound synergy to improve health. This study aims to analyse the antibacterial activity of strawberry fruit against S. sanguinis (ATCC 10556). Methods: An explorative study was conducted with high concentration methanol extract from strawberry fruit. Antibacterial activity was tested on the methanol extract; afterwards, the extract was fractionated and divided into three fractions: water, ethyl acetate, and hexane. Zone of inhibition was used to assess the most effective fraction among those three, then continued by testing for Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC). Results: Inhibitory zone of the ethyl acetate fraction from strawberry fruit 1%, 2%, 3% ,4% and 5% sequentially were 7.3 mm,10.2 mm, 12.3 mm, 16.3 mm and 16.1 mm. Ethyl acetate fraction of 4% was the most effective to create the zone of inhibition with a size of 16.3 mm compared to the others. The Minimum Inhibitory Concentration (MIC) value was 0.25%. It was obtained by diluting a 4% ethyl acetate fraction on a microplate. The Minimum Bactericidal Concentration (MBC) was 2%. Conclusion: Ethyl acetate fraction was an effective fraction from strawberry fruit and had antibacterial activity against S. sanguinis with the inhibitory zone in the concentration of 4%, MIC of 0.25%, and MBC of 2%