Restorasi fiber-reinforced composite bridge pada gigi posterior rahang atas pasca perawatan saluran akar satu kali kunjungan

Kesehatan rongga mulut dapat mempengaruhi kualitas hidup individu, seperti karies dan kehilangan gigi. Hal tersebut dapat mempengaruhi fungsi mengunyah dan berbicara, penampilan, hubungan interpersonal, bahkan peluang karierseseorang. Oleh sebab itu, penting untuk dilakukan perawatan pada gigi karies dan penggantian gigi yang hilang. Ada beberapa pilihan perawatan yang dapat dilakukan untuk mengganti gigi yang hilang, salah satu teknik terbaru yaitu fiber reinforced composite bridge. Fiber reinforced composite bridge memungkinkan untuk dibuat sendiri oleh operator, memiliki estetik yang baik, dan dapat mengganti gigi posterior tanpa penggunaan bahan metal. Pasien laki-laki berusia 38 tahun datang ke Klinik Konservasi Gigi RSGMP Unpad dengan keluhan sering terjadinya sangkutan makanan pada gigi kanan atas. Gigi tersebut terasa sakit berdenyut satu tahun yang lalu, namun saat ini sudah tidak pernah terasa sakit. Gigi tersebut bersebelahan dengan gigi yang hilang sehingga pasien sulit mengunyah pada sisi kanan dan sering mengunyah satu sisi. Gambaran radiografis mahkota terlihat adanya gambaran radiolusen mendekati pulpa. Saluran akar dua dan lurus lurus, laminadura utuh, tidak terdapat pelebaran membran periodontal,dan tidak terdapat kelainan di periapikal. Tujuan laporan kasus ini adalah untuk melakukan perawatan saluran akar satu kali kunjungan pada gigi 14, melakukan follow up dengan pasak fiber dan fiber reinforced composite bridge sebagai restorasi akhir gigi 14, penggantian gigi 15 yang hilang dan restorasi gigi 16 dengan karies. Simpulan dari laporan kasus, Fiber reinforced composite bridge dapat menjadi alternatif perawatan bagi gigi pasca perawatan endodontik dengan daerah edentulous di sebelahnya

DESCRIPTION OF DENTAL CARIES AND EFFECTS OF FOODS ON TOOTH DESTRUCTION IN SKULLS OF PAWON MAN

The skeleton of Pawon Man’s that lived in Mesolitic era aged 5,660±170 BP - 9,500± 200 BP (Before Present) years before Christ (BC) has been used for forensic odontology research.  However, there has not been any research on dental caries of Pawon Man. The aim of this research was to describe the dental caries in skulls of Pawon Man. The type of the research was descriptive by using purposive sampling. The samples were from four Pawon Man skulls and their teeth. The research was conducted by using clinical examination. All aspects were recorded, collected and presented in tabular form. The result shows that 12.5% of the samples from 32 teeth of skulls of Pawon Man I, III, IV and V had experienced dental caries. Clinical examination shows presence of dental caries in samples of Pawon Man III of  permanent mandibular third molar tooth of region 4(48) in lingual area and buccal lesion of lower left third molar (38). In Pawon IV, lingual lesion of lower left permanent second molar (37) and in lower left permanent third molar (38). All lesions are only in enamel which is code 1 according to ICDAS code. In conclusion, the dental caries in skulls of Pawon Man was low due to their low sugar diets from fruits and sugar-rich plants (fructose sugars). Consumption of hard foods and evidence of presence of animal teeth and mollusks had contributed to the higher percentage of dental attrition compared to dental caries

DESCRIPTION OF DENTAL CARIES AND EFFECTS OF FOODS ON TOOTH DESTRUCTION IN SKULLS OF PAWON MAN

The skeleton of Pawon Man’s that lived in Mesolitic era aged 5,660±170 BP - 9,500± 200 BP (Before Present) years before Christ (BC) has been used for forensic odontology research.  However, there has not been any research on dental caries of Pawon Man. The aim of this research was to describe the dental caries in skulls of Pawon Man. The type of the research was descriptive by using purposive sampling. The samples were from four Pawon Man skulls and their teeth. The research was conducted by using clinical examination. All aspects were recorded, collected and presented in tabular form. The result shows that 12.5% of the samples from 32 teeth of skulls of Pawon Man I, III, IV and V had experienced dental caries. Clinical examination shows presence of dental caries in samples of Pawon Man III of  permanent mandibular third molar tooth of region 4(48) in lingual area and buccal lesion of lower left third molar (38). In Pawon IV, lingual lesion of lower left permanent second molar (37) and in lower left permanent third molar (38). All lesions are only in enamel which is code 1 according to ICDAS code. In conclusion, the dental caries in skulls of Pawon Man was low due to their low sugar diets from fruits and sugar-rich plants (fructose sugars). Consumption of hard foods and evidence of presence of animal teeth and mollusks had contributed to the higher percentage of dental attrition compared to dental caries.

PREVALENSI KARIES DAN INDEKS d e f PADA MURID-MURID KELAS I, II, DAN III SEKOLAH DASAR YANG BERADA DI SEKITAR KLINIK KERJA MAHASISWA FAKULTAS KEDOKTERAN GIGI UNPAD

Penelitian ini bertujuan untuk mengetahui gambaran umum tentang statuskesehatan gigi dan mulut pada murid-murid kelas I, II, dan III Sekolah Dasaryang berada di sekitar Klinik Kerja Mahasiswa FKG Unpad dengan melihatprevalensi karies dan indeks def-nya. Jenis penelitian ini adalah deskriptif.Sampel penelitian sebanyak 333 orang murid, yaitu murid-murid kelas I, II, danIII dari 4 buah Sekolah Dasar diambil secara acak, yang berlokasi di sekitar klinikkerja mahasiswa FKG Unpad. Hasil penelitian menunjukkan prevalensi kariesadalah sebesar 99,9% yang berarti hampir semua anak pada penelitian inimenderita karies, sedangkan indeks def adalah 10,2 artinya pada setiap anakyang diperiksa terdapat 10,2 gigi yang mengalami karies, ditambal, dan sudahdicabut atau diindikasikan untuk pencabutan. Hal ini menunjukkan bahwakeadaan kesehatan gigi dan mulut murid-murid kelas I, II, dan III Sekolah Dasaryang berada di sekitar klinik kerja mahasiswa FKG Unpad adalah buruk.Kata kunci : karies, prevalensi,indeks de

Prevalensi Karies dan Indeks D E F pada Murid-murid Kelas I, II, dan III Sekolah Dasar yang Berada di Sekitar Klinik Kerja Mahasiswa Fakultas Kedokteran Gigi UNPAD

Penelitian ini bertujuan untuk mengetahui gambaran umum tentang statuskesehatan gigi dan mulut pada murid-murid kelas I, II, dan III Sekolah Dasaryang berada di sekitar Klinik Kerja Mahasiswa FKG Unpad dengan melihatprevalensi karies dan indeks def-nya. Jenis penelitian ini adalah deskriptif.Sampel penelitian sebanyak 333 orang murid, yaitu murid-murid kelas I, II, danIII dari 4 buah Sekolah Dasar diambil secara acak, yang berlokasi di sekitar klinikkerja mahasiswa FKG Unpad. Hasil penelitian menunjukkan prevalensi kariesadalah sebesar 99,9% yang berarti hampir semua anak pada penelitian inimenderita karies, sedangkan indeks def adalah 10,2 artinya pada setiap anakyang diperiksa terdapat 10,2 gigi yang mengalami karies, ditambal, dan sudahdicabut atau diindikasikan untuk pencabutan. Hal ini menunjukkan bahwakeadaan kesehatan gigi dan mulut murid-murid kelas I, II, dan III Sekolah Dasaryang berada di sekitar klinik kerja mahasiswa FKG Unpad adalah buruk

PREVALENSI KARIES DAN INDEKS d e f PADA MURID-MURID KELAS I, II, DAN III SEKOLAH DASAR YANG BERADA DI SEKITAR KLINIK KERJA MAHASISWA FAKULTAS KEDOKTERAN GIGI UNPAD

Penelitian ini bertujuan untuk mengetahui gambaran umum tentang status kesehatan gigi dan mulut pada murid-murid kelas I, II, dan III Sekolah Dasar yang berada di sekitar Klinik Kerja Mahasiswa FKG Unpad dengan melihat prevalensi karies dan indeks def-nya. Jenis penelitian ini adalah deskriptif. Sampel penelitian sebanyak 333 orang murid, yaitu murid-murid kelas I, II, dan III dari 4 buah Sekolah Dasar diambil secara acak, yang berlokasi di sekitar klinik kerja mahasiswa FKG Unpad. Hasil penelitian menunjukkan prevalensi karies adalah sebesar 99,9% yang berarti hampir semua anak pada penelitian ini menderita karies, sedangkan indeks def adalah 10,2 artinya pada setiap anak yang diperiksa terdapat 10,2 gigi yang mengalami karies, ditambal, dan sudah dicabut atau diindikasikan untuk pencabutan. Hal ini menunjukkan bahwa keadaan kesehatan gigi dan mulut murid-murid kelas I, II, dan III Sekolah Dasar yang berada di sekitar klinik kerja mahasiswa FKG Unpad adalah buruk. Kata kunci : karies, prevalensi,indeks de

Spatial ability and anatomy learning performance among dental students

Purpose Spatial perception is an essential skill for professional dentists. The objective of this study was to observe the spatial ability, as well as anatomy module grades, of dental students at a dental education center in Indonesia and relate these to gender and cohort. Methods A cross-sectional study was carried out where dental students in years (cohorts) 1, 2, 4–6 were invited to take the Revised Purdue Spatial Visualization Test (PSVT-R) and the redrawn Vandenberg and Kuse Mental Rotation Test (MRT) in order to assess spatial ability. In addition, the 1st- and 2nd-year dental students carried out gross anatomy assessments. Spatial ability test results were compared using an independent t-test to detect gender differences, one-way analysis of variance to inspect cohort differences, and correlation relative to anatomy module scores. Results A total of 326 dental students voluntarily participated. Statistically significant gender differences were found in both spatial ability tests in the overall sample (PSVT-R: p<0.001; MRT: p=0.001). When the 1st- and 2nd-year dental students were pooled, significant gender differences were detected, in which males scored higher than females in both spatial ability tests (PSVT-R: p<0.001; MRT: p=0.003). In anatomy, however, females scored higher than the males (p=0.005). In addition, there were weak to moderate, but significant correlations between spatial ability tests and anatomy scores. Conclusion This study indicated that spatial ability may not be the only factor predicting the academic performance of dental students. However, dental students with low spatial ability scores may need supplementary educational techniques when learning specific spatial tasks

Perawatan saluran akar pada gigi kaninus bawah dengan konfigurasi saluran akar Vertucci tipe II dan III<p></p>Root canal treatment in lower canines with type II and III Vertucci root canal configuration<p>

ABSTRAK Pendahuluan: Kunci dasar keberhasilan perawatan saluran akar adalah diagnosis, rencana perawatan, disertai pengetahuan tentang morfologi saluran akar dan variasinya. Saluran akar merupakan sistem yang kompleks dan dapat bercabang serta menyatu kembali. Identifikasi berdasarkan Vertucci,  terdapat delapan tipe konfigurasi i bentuk variasi sistem saluran akar. Tujuan laporan kasus ini adalah memaparkan perawatan saluran akar pada gigi kaninus rahang bawah dengan konfigurasi saluran akar Vertucci tipe II dan III. Laporan kasus: Pasien perempuan usia 54 tahun dirujuk ke Klinik Konservasi Gigi RSGM Unpad untuk dilakukan perawatan saluran akar pada gigi kaninus kiri dan kanan rahang bawah yang akan menjadi gigi penyangga untuk pembuatan overdenture. Hasil pemeriksaan klinis didapatkan gigi kaninus kiri masih dalam keadaan vital dan gigi kaninus kanan telah nekrosis. Pemeriksaan radiologis CBCT menunjukkan bahwa gigi 33 memiliki bentuk konfigurasi saluran akar tipe III dan gigi 43 yang memiliki konfigurasi saluran akar tipe II. Perawatan endodontik intensional pada gigi 33 diawali dengan anestesi infiltrasi karena gigi vital normal. Tahapan perawatan pada kedua gigi adalah pembukaan akses kavitas, negosiasi (penjajakan) saluran akar menggunakan K-File #8 dan #10, preparasi saluran akar, medikamen antar kunjungan, serta pengisian saluran akar. Setelah kontrol dan tidak ada keluhan, pasien dirujuk kembali ke Klinik Prostodonsia. Simpulan: Perawatan saluran akar pada gigi kaninus bawah dengan konfigurasi saluran akar Vertucci tipe II dan III membutuhkan  pengetahuan mengenai morfologi, variasi, kompleksitas sistem saluran akar, pemeriksaan radiologis, teknik pengisian saluran akar, serta komunikasi antar departemen untuk mendapatkan hasil perawatan yang baik. Kata kunci: preparasi saluran akar; cone-beam computed tomography; overdenture; gigi kaninus.   ABSTRACT Introduction: The essential key to successful root canal treatment is the diagnosis, treatment plan, and knowledge of root canal morphology and its variations. Root canals are complex systems that can branch and rejoin. Identification based on Vertucci, there are eight configurations in the form of variations in the root canal system. This case report aims to describe root canal treatment for mandibular canines with Vertucci type II and III root canal configurations. Case report: A 54-year-old female patient was referred to the Dental Conservation Clinic, RSGM Unpad, for root canal treatment for the left and right mandibular canines, which will become abutments for the overdenture. The clinical examination results revealed that the left canine was still in a vital condition and the right canine was necrotic. CBCT radiological examination showed that tooth 33 had a type III root canal configuration and tooth 43 had a type II root canal configuration. Intentional endodontic treatment on tooth 33 was initiated with infiltration anaesthesia because the vital teeth were normal. The treatment steps for both teeth were opening the access cavity, negotiating (exploring) the root canal using K-File #8 and #10, root canal preparation, medicaments between visits, and root canal filling. After control and no complaints, the patient was referred back to the Prosthodontic Clinic. Conclusion: Root canal treatment for lower canines with Vertucci type II and III root canal configurations requires knowledge of morphology, variation, complexity of the root canal system, radiological examination, root canal filling techniques, and communication between departments to get good treatment results. Keywords: root canal preparation; cone-beam computed tomography; overdenture; canine

DMF-T index in patients undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Department of Radiotherapy, Dr. Hasan Sadikin Hospital

Radiation therapy for head and neck cancer frequently caused severe salivary gland dysfunction. The salivary gland dysfunction possibly decreased the protective function of saliva and caused dental caries. The purpose of this study was to obtain an illustration about DMF-T index in patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Department of Radiotherapy, Dr. Hasan Sadikin Hospital in January-February 2007. The study was a simple descriptive. The study was conducted on 7 males and 9 females undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer. The ages of patient are between 37 years and 77 years. The severity of caries was measured by DMF-T index. DMF-T index in 16 patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Dr. Hasan Sadikin Hospital is 10.6 as the result of this study. The conclusion of this study showed that the DMF-T index in 16 patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Dr. Hasan Sadikin Hospital had very high grade based on WHO classification, which the value was over 6.6

Incidence of tooth sensitivity after resin composite class III restoration with flowable composite as liner

Resin composites is one of the currently most frequently used aesthetic restoration material. A drawback of resin composites is contraction of polimerization which may result in the coming about of dental sensitivity due to microleakage. Flowable composite has high flow capacity and better adaptation capability making the thinnest application on cavity surfaces. An advantage of flowable composite is the possibility of using it as liner in composite resin restoration, which is expected to minimize the occurrence of post restoration dental sensitivity. This research was a descriptive research using the purposive sampling technique. The sample consisted of 27 first incisive and/or second incisive permanent maxilla teeth. A sensitivity test was used on the sample using chlor ethyl and completing questionnaire by patients. The result of dental sensitivity test indicated that 88.9% of the patients did not experience post restoration dental sensitivity and 11.1% of the patients was experience a decrease of dental sensitivity level. Based on research results the conclusion could be drawn that the used of flowable composite as a liner in resin composite class III restoration didn't had a post restoration dental sensitivity