Kariogram dan Peranannya dalam Meramalkan Kemungkinan Terjadinya Karies

Cariogram is an instrument which was prepared to estimate caries occurrence among the 18 years old (Branthall et al. 1996). In the Cariogram, parameters of caries interation were consist of diet, susceptible tooth, bacteria and circumstances. However, some of the points in parameters such as colony count and topical fluoride or water fluoridation were not widely known in Indonesia. The aim of this report is to modify a Cariogram for the 12 year old children based on an epidemiological observation which subjects were selected in a randomized stratified sampling. The data were analysed in a multiple logistic regression technique. As a result of the study revealed that new parameters of a modified Cariogram model were slightly different from the original: however, it could be introduced as a model of caries reduction to support the national promotive and preventice program

EFFECTIVITY OF TWO BLEACHING AGENT OF 10% CARBAMIDE PEROXIDE WITH AND WITHOUT POTASSIUM NITRATE-FLUORIDE (CLINICAL STUDY)

Tooth bleaching has become a popular treatment for esthetic improvement in dentistry. There are several 10% carbamide peroxide bleaching agents that are available in Indonesia which contained potassium nitrate-fluoride or without potassium nitrate-fluoride. However, there was no clinical report about these products in Indonesia. This study was conducted to compare the effectiveness of two bleaching and sensitivity of tooth and gingiva. Sixty-four participants were divided into 2 groups. The first group was treated with bleaching agent that contained potassium nitrate-fluoride (Opalescence PF, Ultradent). Bleaching treatment was done for 6-8 hours per night over a 2 week-period. Evaluations were performed at the baseline and at 3, 7, 14 day afterwards. Color change was measured using a value-ordered Vita classic shade guide; tooth and gingival sensitivity were examine using Electric Pulp Tester, Gingival Index and patient log. The results showed that there were no statistical differences in degree of color change between the two products. The mean color change after 2 weeks was 7-8 tabs lighter than baseline. Also there was no statistical difference in tooth and gingival sensitivity between the products. It can be concluded that 10% carbamide peroxide containing potassium nitrate-fluoride has the same effectiveness compared to other agent without potassium nitrate-fluoride for tooth color change and tooth and gingival sensitivity

PERAWATAN GIGI P1 ATAS DENGAN PERCABANGAN DI SALURAN AKAR SEPERTIGA APEKS (LAPORAN KASUS)

This case study reviewed conventional root canal treatment of a maxillary root canal treatment which unexpectedly had a single canal with two foramens. This tooth was recognized as the last frequent tooth appeared neither with additional canal nor unusual root anatomy. Retreatment for this case was successful through widening of the access cavity and the root canal. While trying the master cone, it revealed that the canal splitted and had two foraments. A thorough knowledge of the root canal anatomy as well as careful radiograph interpretations were essential in enhancing the root-cleaning procedure.

THE EFFECT OF IRRADIATION ON ENAMEL MICRO-STRUCTURE CHANGES

Radiotherapy plays an important role in the management of head and neck carcinoma therapy. The radiation dose ranges from 40 – 70 Gy, depends on the severity and location of the malignancy. Many patients experience an increased dental caries or sensitivity occurrence following radiotherapy. The objective of this study is to analyze the enamel micro-structure changes after irradiation. Nine polished enamel slabs were prepared from impacted 3rd molars. The slabs were flushed in non-ionic distilled water and dried by using air spray and divided into 3 groups, the control, 20 Gy and 40 Gy irradiation group. Irradiations were performed from Co60 using Gammacell-220E, with duration variables to produce the irradiation doses of 20 and 40 Gy. Philips pW370-XRD was used to examine specimen microstructure changes after irradiation. 1-way ANOVA was used for statistics analysis. It was revealed that grain size after 40 Gy irradiation was 66.29±2.7 nm, and after 20 Gy was 51.64±15.8 whilst 43.95±11.1 nm for the control group. The micro-stain deviation of the 40 Gy group was 0.594±0.15 N/m, and 0.45±2.6 N/m for the 20 Gy group, and 0.378±0.27 N/m for control group. Statistic analysis showed significant grain size differences between 40 Gy compared to both 20 Gy and control groups, but not between 20 Gy compared to the control group. Similarly, there were micro-stain differences between 40 Gy compared to 20 Gy and control groups, but not between 20 Gy compared to control group. It was concluded that irradiation with 40 Gy caused elevation of the enamel microstrain and apaite grainsize. Elevation of the enamel microstrain could lead to enamel crack and gave hypersensitive sensation

PENATALAKSANAAN KASUS KEGAGALAN PERAWATAN MUMIFIKASI (LAPORAN KASUS)

The management of failure case resulting from mummification treatment. Signs of successful treatment following mummification are the absence of clinical complaints, the formation of secondary cement, and no periapical pathosis present. Treatment about amputation the infected pulp, which has been devitalized in the pulp chamber and leaving the necrotic pulp tissues in root canal is no longer in accordance with treatment tenet nowadays. The remaining necrotic tissues is a focus of infection capable of disturbing biologic healing of tissues. Three cases of root canal treatment following pulp mummification which has been done causes complaints from discomfort to severe pain and the infections spread to periapical tissue in 2, 10, and 22 years afterwards. The results of the treatment are good and periapical radiolucency showing signs of diminution and disappearance. Evaluation on such case was done in 3 months, 6 months, and 2 years after the root canal treatment

PENGARUH PERILAKU DALAM KESEHATAN GIGI PADA KELOMPOK USIA 12 TAHUN TERHADAP KEPARAHAN KARIES (Laporan Penelitian)

An oral health behavior and caries occurrence survey had been performed in 663 children of the 12 years old in Palembang and would be compared to the Dutch children. The subjects were selected in a stratified random sampling for the cross setional design. The results revealed that the knowledge, attitude and behavior of oral health of the children in Palembang were lower. Dental fear between the two groups showed a significant factor with dental caries occurrence. However, among the children in Palembang showed that the group without caries had no dental fear twice higher than the group with dental caries (p<0.05, OR: 0.56, CI: 0.38; 0.79

Kariogram dan Peranannya dalam Meramalkan Kemungkinan Terjadinya Karies

Cariogram is an instrument which was prepared to estimate caries occurrence among the 18 years old (Branthall et al. 1996). In the Cariogram, parameters of caries interation were consist of diet, susceptible tooth, bacteria and circumstances. However, some of the points in parameters such as colony count and topical fluoride or water fluoridation were not widely known in Indonesia. The aim of this report is to modify a Cariogram for the 12 year old children based on an epidemiological observation which subjects were selected in a randomized stratified sampling. The data were analysed in a multiple logistic regression technique. As a result of the study revealed that new parameters of a modified Cariogram model were slightly different from the original: however, it could be introduced as a model of caries reduction to support the national promotive and preventice program

PENGARUH PERILAKU DALAM KESEHATAN GIGI PADA KELOMPOK USIA 12 TAHUN TERHADAP KEPARAHAN KARIES (Laporan Penelitian)

An oral health behavior and caries occurrence survey had been performed in 663 children of the 12 years old in Palembang and would be compared to the Dutch children. The subjects were selected in a stratified random sampling for the cross setional design. The results revealed that the knowledge, attitude and behavior of oral health of the children in Palembang were lower. Dental fear between the two groups showed a significant factor with dental caries occurrence. However, among the children in Palembang showed that the group without caries had no dental fear twice higher than the group with dental caries (p<0.05, OR: 0.56, CI: 0.38; 0.79

PERAWATAN GIGI P1 ATAS DENGAN PERCABANGAN DI SALURAN AKAR SEPERTIGA APEKS (LAPORAN KASUS)

This case study reviewed conventional root canal treatment of a maxillary root canal treatment which unexpectedly had a single canal with two foramens. This tooth was recognized as the last frequent tooth appeared neither with additional canal nor unusual root anatomy. Retreatment for this case was successful through widening of the access cavity and the root canal. While trying the master cone, it revealed that the canal splitted and had two foraments. A thorough knowledge of the root canal anatomy as well as careful radiograph interpretations were essential in enhancing the root-cleaning procedure.  </span

EFFECTIVITY OF TWO BLEACHING AGENT OF 10% CARBAMIDE PEROXIDE WITH AND WITHOUT POTASSIUM NITRATE-FLUORIDE (CLINICAL STUDY)

Tooth bleaching has become a popular treatment for esthetic improvement in dentistry. There are several 10% carbamide peroxide bleaching agents that are available in Indonesia which contained potassium nitrate-fluoride or without potassium nitrate-fluoride. However, there was no clinical report about these products in Indonesia. This study was conducted to compare the effectiveness of two bleaching and sensitivity of tooth and gingiva. Sixty-four participants were divided into 2 groups. The first group was treated with bleaching agent that contained potassium nitrate-fluoride (Opalescence PF, Ultradent). Bleaching treatment was done for 6-8 hours per night over a 2 week-period. Evaluations were performed at the baseline and at 3, 7, 14 day afterwards. Color change was measured using a value-ordered Vita classic shade guide; tooth and gingival sensitivity were examine using Electric Pulp Tester, Gingival Index and patient log. The results showed that there were no statistical differences in degree of color change between the two products. The mean color change after 2 weeks was 7-8 tabs lighter than baseline. Also there was no statistical difference in tooth and gingival sensitivity between the products. It can be concluded that 10% carbamide peroxide containing potassium nitrate-fluoride has the same effectiveness compared to other agent without potassium nitrate-fluoride for tooth color change and tooth and gingival sensitivity