Diagnosis Karies

Salah satu keberhasilan dalam penanggulangan karies ditentukan oleh penegakan diagnosis yang tepat, baik terhadap karies dini primer maupun sekunder. Selama ini pengakan diagnosis umumnya didasarkan pada anamnesis, pemeriksaan klnis dan radiologis. Anamnesis sendiri tidak dapat dijadikan data yang akurat untuk dapat mengetahui adanya karies dini baik primer maupun sekunder, karena umumnya belum memberikan keluhan subjektif kepada pasien. Sedangkan pemeriksaan klinis berupa penggunaan sonde tidak selalu menghasilkan diagnosis yang tepat, bahkan mungkin dapat mengakibatkan terjadinya kavitasi yang seharusnya oleh letak karies, ketebalan jaringan gigi dll. Oleh karena itu, akhir-akhir ini telah dikembangkan berbagai cara diagnosis yang diharapkan dapat membantu dalam menegakkan diagnosis karies secara tepat, sehingga rencana dan tindakan perawatannya dapat dilakukan dengan lebih akurat, karenanya kemungkinan terjadinya hal-hal yang merugikan operator maupun pasien dapat dihindari

DIFFERENCE BETWEEN ANTIMICROBIAL EFFECTS OF PAPACARIE AND PAPAIN ON STREPTOCOCCUS MUTANS IN VITRO

Objective: The aim is to compare the antimicrobial effects of papain and Papacarie with dilution and diffusion tests.Methods: There were two treatment groups and one Group control. The treatment group received papain and Papacarie, and the control groupreceived chlorhexidine, in five liquids with different concentrations of 0.5%, 0.25%, 0.125%, 0.0625%, and 0.03%. The dilution and diffusion testswere used to determine the minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), and zone of inhibition for eachtreatment material.Results: MICs of papain and Papacarie were 12.5%, indicating that at a concentration of 12.5%, the material can inhibit the growth of Streptococcusmutans. Papain does not have an MBC value but the Papacarie has an MBC at 25%, which indicating that at a concentration of 25%, Papacarie hasbactericidal effects on S. mutans. The zone of inhibition of papain was lower than Papacarie.Conclusion: Based on chemomechanical caries removal materials, the antimicrobial effects of Papacarie were better than those of papain

ANTIBACTERIAL EFFECTIVENESS OF 2% CHITOSAN AND 2% CHLORHEXIDINE AGAINST ENTEROCOCCUS FAECALIS IN BIOFILM (LABORATORY EXPERIMENT)

Objective: Enterococcus faecalis can form biofilms and has a major role in the etiology of persistent lesions after root canal. We analyzed the efficacyof chitosan and chlorhexidine against E. faecalis in biofilms.Methods: Polymerase chain reaction was used to analyze E. faecalis DNA that survived and lived after immersing the biofilm in an antibacterialsolution.Results: A statistically significant difference was noted in living E. faecalis between chitosan and control and between 2% chlorhexidine and controlgroups (p≤0.05). No significant difference was noted between chitosan and chlorhexidine groups (p>0.05).Conclusions: Antibacterial effectivity of chitosan is equal to that of chlorhexidine against E. faecalis in biofilm

ABFRAKSI DAN PENATALAKSANAANNYA (LAPORAN KASUS)

Abfraction is a cervical non caries lesion which occur mostly as a result of traumatic occlusion, needs to be taken into consideration. The aim of this case study is to understand how to treat abfraction lesion. First the focus of treatment is only to endodontic case but pain was still existed after the root canal treatment and it revealed that there were abfraction lesion on the other 5 teeth. Treatment of those lesions consisted of filling with GIC cement and occlusal adjustment

Diagnosis Karies

Salah satu keberhasilan dalam penanggulangan karies ditentukan oleh penegakan diagnosis yang tepat, baik terhadap karies dini primer maupun sekunder. Selama ini pengakan diagnosis umumnya didasarkan pada anamnesis, pemeriksaan klnis dan radiologis. Anamnesis sendiri tidak dapat dijadikan data yang akurat untuk dapat mengetahui adanya karies dini baik primer maupun sekunder, karena umumnya belum memberikan keluhan subjektif kepada pasien. Sedangkan pemeriksaan klinis berupa penggunaan sonde tidak selalu menghasilkan diagnosis yang tepat, bahkan mungkin dapat mengakibatkan terjadinya kavitasi yang seharusnya oleh letak karies, ketebalan jaringan gigi dll. Oleh karena itu, akhir-akhir ini telah dikembangkan berbagai cara diagnosis yang diharapkan dapat membantu dalam menegakkan diagnosis karies secara tepat, sehingga rencana dan tindakan perawatannya dapat dilakukan dengan lebih akurat, karenanya kemungkinan terjadinya hal-hal yang merugikan operator maupun pasien dapat dihindari

ABFRAKSI DAN PENATALAKSANAANNYA (LAPORAN KASUS)

Abfraction is a cervical non caries lesion which occur mostly as a result of traumatic occlusion, needs to be taken into consideration. The aim of this case study is to understand how to treat abfraction lesion. First the focus of treatment is only to endodontic case but pain was still existed after the root canal treatment and it revealed that there were abfraction lesion on the other 5 teeth. Treatment of those lesions consisted of filling with GIC cement and occlusal adjustment.</p