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"Penumpatan gigi yang berlubang dengan menggunakan bahan tumpat gigi sering dilakukan. Alasan dilakukannya penumpatan lubang gigi adalah mencegah perluasan lubang menjadi lebih besar dan juga menjaga kesehatan struktur gigi yang tersisa. Jenis bahan tumpat gigi yang paling sering digunakan di rumah sakit, puskesmas, dan klinik pribadi ialah bahan tumpat amalgam, GIC, dan resin komposit. Tujuan : Tujuan dari survei ini adalah untuk memaparkan penggunaan bahan tumpat amalgam, GIC, dan resin komposit di RSGMP FKG UI pada tahun 2005, 2006, dan 2007.Metode : Survei ini merupakan survei deskriptif dengan melakukan pengambilan data sekunder dari kartu status pasien konservasi RSGMP FKG UI pada tahun 2005, 2006, dan 2007. Jumlah subyek survei yang diambil adalah 364 kartu status, yang kemudian dikategorikan menurut waktu penumpatan, usia pasien, jenis kelamin, dan regio gigi yang ditumpat.Hasil : Didapatkan informasi bahwa pasien dewasa paling sering mendapatkan perawatan restorasi, pasien wanita lebih banyak mendapatkan perawatan restorasi, regio posterior lebih banyak direstorasi, dan tahun 2007 merupakan waktu penumpatan paling banyak dilakukan.

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Teeth restorations using restorative materials are often implemented. The reasons of restoring caries are to prevent it become larger and to conserve tooth structure remains. Restorative materials which are most often used in hospitals, public health center, and private clinic are amalgam, GIC, and composite resin.

Objective : Objective of this survey is to describe the usage of amalgam, GIC, and composite resin at RSGMP FKG UI in 2005, 2006, and 2007.

Method : This survey is a descriptive survey by collecting secondary data from restored patients?s dental status at RSGMP FKG UI in 2005, 2006, and 2007. Total of survey subjects taken are 364 dental status, which are then categorized based on time of restoration, patients?s age, sex, and restored tooth region.

Result : It is known that there are differences between the usage of amalgam, GIC, and composite resin based on time of restoration, patients?s age, sex, and restored tooth region ; adults are more often to get teeth restorations than children, teenagers, and elderly persons ; women are more often to get teeth restorations than men ; posterior teeth are more often to be restored than anterior teeth ; and year 2007 is a year when the most restorations are implemented."

"Pemutihan gigi kini menjadi pilihan untuk mengembalikan warna gigi yang mengalami diskolorasi. Salah satu teknik pemutihan gigi yang menjadi pilihan adalah teknik pemutihan gigi in-office yang dilakukan oleh dokter gigi. Namun pada praktiknya, aplikasi bahan pemutih gigi tidak hanya mengenai jaringan gigi yang sehat tapi juga jaringan gigi yang mengalami tumpatan, contohnya tumpatan sewarna gigi resin komposit. Untuk memaksimalkan kegunaan dari resin komposit, bahan ini haruslah halus, karena permukaan yang kasar dapat menjadi tempat retensi plak, mengiritasi gingiva dan juga mengurangi kenyamanan pasien.Tujuan : Mengetahui adanya pengaruh aplikasi bahan pemutih gigi hidrogen peroksida 38% terhadap kekasaran resin komposit hibrid. Material dan Metode :20 spesimen resin komposit berdiameter 6mm dan tebal 3mm dibuat secara inkremental dan dipolimerasi menggunakan sinar halogen selama 30 detik. Spesimen dibagi menjadi 2 kelompok, yaitu kelompok aplikasi sebanyak 10 spesimen yang diberi aplikasi bahan pemutih gigi hidrogen peroksida 38% selama 30 menit dan dilanjutkan sampai 60 menit. Sedangkan kelompok kontrol hanya direndam dalam aquabides selama 30 menit dan dilanjutkan sampai 60 menit.Hasil : Terjadi peningkatan nilai kekasaran permukaan resin komposit hidrid setelah aplikasi bahan pemutih gigi hidrogen peroksida 38% baik selama 30 menit maupun 60 menit.Kesimpulan : Bahan pemutih gigi hidrogen peroksida 38% dapat meningkatkan nilai kekasaran permukaan resin komposit hibrid. Peningkatan kekasaran ini dapat menyebabkan berkurangnya nilai estetika resin komposit hibrid.

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Bleaching is one of the technique that used to get back the colour of the discolour tooth. One of the bleaching technique than can be use is in-office bleaching that should be applied by the dentist. But, in the fact, bleaching agent not only applied on the healthy tooth but also in a tooth that has been restorated,by resin composite. To optimize the benefit of resin composite, it has to be smooth, because the rough surface of resin composite can increase the plaque retention, irritate the gingiva, and also make the patient uncomfortable.

Objective : To evaluate the effect of 38% hydrogen peroxide ? containing at in-office bleaching agent apllication to the surface roughness of hybrid composite resin. Material and Method: Twenty specimen of hybrid composite resin (6mm diameter & 3mm in thick) were incrementally polimerized by halogen light for 20 seconds. All spesimens were devided into two groups as follow: 10 spesimens were applied with 38% hydrogen peroxide for 30 minutes and continue to 60 minutes. The other group was soak into the aquabidest for 30 minutes and continue to 60 minutes.

Result: The surface roughness (Ra) of hybrid composite resin is increased significantly before and after application of 38% hidrogen peroxide for 30 minutes or 60 minutes.

Conclusions : The in ? office bleaching agent 38% hydrogen peroxide could increase the surface roughness of hybrid composite resin and may be reduce the estetic of hybrid composite resin."

"Latar Belakang : Salah satu kandungan aktif dalam obat kumur di pasaran adalah Eugenol (Eugenia caryophyllata oil). Namun eugenol mempunyai efek menghambat polimerisasi resin komposit bila digunakan sebagai basis pada restorasi resin komposit.Tujuan : mengetahui pengaruh lama perendaman resin komposit dalam obat kumur mengandung eugenol terhadap kekerasan resin komposit tipe hibrid.Metode : 20 Spesimen resin komposit dibuat (Filtek Z250 3M ESPE), kemudian dikelompokkan ke dalam dua kelompok perlakuan, yaitu perendaman dalam obat kumur eugenol (n = 10) dan dalam akuabides (n = 10). Masing-masing kelompok direndam selama 180 menit dan dihitung kekerasannya setiap 60 menit.Hasil : Terdapat perubahan signifikan pada masing-masing kelompok perlakuan, namun kelompok spesimen yang direndam dalam obat kumur mengalami penurunan lebih besar dibanding spesimen yang direndam dalam akuabides. Di samping itu hasil menunjukkan tidak ada perbedaan yang bermakna diantara kedua kelompok.Kesimpulan : Penggunaan obat kumur yang mengandung Eugenia caryophyllata oil dapat digunakan bagi pasien dengan restorasi resin komposit.

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Background : One of mouthwash active ingredients is Eugenol (Eugenia caryophyllata oil). In the other hand, eugenol has an adverse effect to composite resin polymerization whether it uses as a restorative base.

Purpose : Determine the effect of immersion time of composite resin in mouthwash containing eugenol to hybrid composite resin?s surface hardness.

Methods : 20 specimens were prepared (Filtek Z250 3M ESPE), then were divided into two groups; the treatment group immersed in mouthwash containing eugenol (n = 10) while the control group immersed in distilled water (n = 10). Each groups were immersed for 180 minutes dan were tested their surface hardness every 60 minutes.

Result : there was significant effect for each group, but the mouthwash group showed the greater effect in decrease than the control group. Overall, the result showed no significant effect between the two groups.

Summary : the using of moutwash containing Eugenia caryophyllata oil is save for patients who have composite resin restoration."

"ABSTRAKDalam penggunaannya di rongga mulut, resin komposit dapat mengalami degradasi oleh asam, terutama pada pasien dengan resiko karies tinggi. Resin komposit alkasit merupakan material dual-cured yang berbasis UDMA dan mampu melepaskan ion fluor, kalsium, dan hidroksida. Adanya ion hidroksida yang dilepaskan diketahui dapat menetralkan suasana asam. Namun, belum diketahui bagaimana pengaruh pH saliva buatan terutama pH kristis hidroksiapatit dan fluoroapatit terhadap sifat kekerasan resin komposit alkasit. Penelitian ini dilakukan untuk melihat pengaruh pH saliva buatan terhadap kekerasan resin komposit alkasit polimerisasi kimia dan cahaya. Penelitian berupa eksperimental laboratorik dengan menggunakan masing-masing 48 spesimen resin komposit alkasit (Cention-N, Ivoclar-Vivadent, Liechstenstein) polimerisasi kimia dan cahaya. Spesimen berbentuk silindris dengan diameter 6 mm dan tinggi 2 mm yang dibagi menjadi 16 kelompok perendaman. Perendaman dilakukan pada pH saliva buatan 4,5 dan 5,5 dengan lama perendaman 1, 3, 5, dan 7 hari di dalam inkubator dengan suhu 37°C. Uji kekerasan menggunakan Knoop Microhardness Tester (HMV-G Shimadzu). Hasil penelitian menunjukkan adanya penurunan kekerasan pada resin komposit alkasit polimerisasi kimia dan cahaya setelah dilakukan perendaman selama 1, 3, 5, dan 7 hari dalam saliva buatan dengan pH 4,5 dan 5,5. Nilai kekerasan tertinggi terlihat pada resin komposit alkasit polimerisasi cahaya setelah perendaman 1 hari pada pH saliva buatan 5,5 yaitu 58,41±0,23 KHN. Sedangkan nilai kekerasan terendah terlihat pada resin komposit alkasit polimerisasi kimia setelah perendaman 7 hari pada pH saliva buatan 4,5 yaitu 47,38±0,49 KHN. Berdasarkan uji statistik One-way Anova terdapat perbedaan bermakna (p<0,05) antar kelompok lama perendaman pada pH saliva buatan 4,5 dan 5,5. Hasil uji statistik Independent T-test menunjukkan terdapat perbedaan bermakna (p<0,05) antar kelompok pH saliva buatan dan antar kelompok metode polimerisasi. Dapat disimpulkan bahwa terdapat penurunan nilai kekerasan resin komposit alkasit seiring dengan semakin rendahnya pH saliva buatan dan semakin lamanya perendaman dengan penurunan terbesar pada perendaman 1 hari pertama.

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ABSTRACT

In its application in the oral cavity, composite resins can be degraded by acids, especially in patients with a high caries risk. Alkasite composite resin is a dual-cured material based on UDMA and capable of releasing fluoride, calcium, and hydroxide ions. The presence of hydroxide ion which released to its environtment can neutralize the acidic condition. However, it has not yet determined how saliva pH, especially the critical saliva pH for hydroxyapatite and fluoroapatite, affects the hardness properties of alkasite composite resins. The aim of this study was to determine the effect of artificial saliva pH on the hardness of self-cured and dual-cured alkasite composite resin. This laboratory study used 48 cylindrical-shaped specimens with 6 mm in diameter and 2 mm in thickness of alkasite composite resin specimens (Cention-N, Ivoclar-Vivadent, Liechstenstein) for each polymerization methods. The specimens were divided into 16 groups for immersion in artificial saliva pH 4.5 and 5.5 and then stored in an incubator at 37°C for the next 1, 3, 5, 7 days. The hardness test was performed using a Knoop Microhardness Tester (HMV-G Shimadzu). The results showed that the hardness of self-cured and dual-cured alkasite composite resins decreased after immersion. The highest hardness value was seen in dual-cured alkasite composite resin after 1 day immersion in artificial saliva pH of 5.5 (58.41 ± 0.23 KHN). While the lowest hardness value was seen in the self-cured alkasite composite resin after 7 days immersion in artificial saliva pH 4.5 (47.38 ± 0.49 KHN). Based on the One-way Anova statistical test, there were significant differences (p <0.05) between the different immersion time groups in each artificial saliva pH. The results of the Independent T-test statistical test showed that there were significant differences (p <0.05) between the artificial saliva pH groups and between polymerization methods groups. It was concluded that there was a decrease in the hardness of alkasite composite resin along with the lower pH of artificial saliva and the increasing immersion time. The greatest decrease occured in the first day of immersion."

"The use of resin composites as posterior restoratives has markedly increased over the past decade. The patients demand for better esthetics, concerns related to possible mercury toxicity from amalgam and improvements in resin composite materials have significantly contributed the popularity of these materials. Early problems related to composites included excessive wear, less of anatomic form, post operative sensitivity, secondary caries and marginal leakage. Marginal adaptation still remains an unavoidable problem for composite restoration, especially at the gingival wall of cervical or Class II restoration. In an attempt to improve marginal sealing, many techniques and lining materials have been designed. To reduce stress generated by polymerization shrinkage, applying and curing of resin composites in layers is often recommended. Using a thick adhesive layer or a low-viscosity resin may, due to its elastic properties, serve as a flexible intermediate layer and compensate for the polymerization stress created in resin composite. Flowable composites were created by retaining the same small practicle size of traditional hybrid composite but reducing the filler content and allowing the increased resin to reduce the viscosity of the mixture. Flowable composites were introduced in 1996 as liners, fissure sealants and also in tunnel preparations. They have been suggested for Class I, II, III and V cavity restorations, preventive resin restorations and composite, porcelain and amalgam repairing. Their usage as a liner under high filled resins in posterior restorations has been shown to improve the adaptation of composites and effectively achieve clinically acceptable results. This article attempts to give a broad characteristics of different types of flowable composites. "

"Latar Belakang: Pengunyahan merupakan proses makanan dihancurkan dan dicampur dengan air liur untuk membentuk bolus untuk ditelan. Proses pengunyahan memberikan tekanan pada gigi yang mempengaruhi degradasi sifat mekanik pada gigi. Salah satu cara untuk mengembalikan email yang terdegradasi adalah dilakukan restorasi dengan bahan seperti resin komposit. Bahan restorasi diharapkan memiliki sifat mekanik yang sebanding dengan email. Tujuan: Menganalisis perbedaan kekerasan mikro permukaan resin komposit mikro hibrida dengan resin komposit nano hibrida. Metode: 8 spesimen resin komposit mikro hibrida (Kerr Herculite™ Précis Composite) dan 8 spesimen resin komposit nano hibrida (Kerr Harmonize™ Nano hibrida Universal Composite) disiapkan untuk uji kekerasan mikro permukaan lalu dianalisis dengan uji Independent T-Test. Hasil Penelitian: Terdapat perbedaan bermakna dengan signifikansi p<0,041 (p<0,05) antara nilai kekerasan mikro permukaan resin komposit mikro hibrida dan resin komposit nano hibrida dengan nilai kekerasan resin komposit nano hibrida lebih tinggi (45,51 KHN) dibandingkan dengan resin komposit mikro hibrida (42,31 KHN). Kesimpulan: Resin komposit nano hibrida memiliki kekerasan mikro permukaan lebih tinggi dibandingkan dengan resin komposit mikro hibrida.

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Background: Chewing is the process of crushing food and mixing with saliva to form a bolus for swallowing. The chewing process puts pressure on the teeth which affects the degradation of the mechanical properties of the teeth. One of the ways to restore degraded enamel is to do restoration with materials such as composite resin. The restoration material is expected to have mechanical properties comparable to that of enamel. Objective: Analyzing the differences in surface microhardness of microhybrid composite resin with nanohybrid composite resin. Methods: 8 specimens of microhybrid composite resin (Kerr Herculite ™ Précis Composite) and 8 specimens of nanohybrid composite resin (Kerr Harmonize ™ Nanohybrid Universal Composite) were prepared for surface microhardness testing and then analyzed by Independent T-Test. Result: There was a significant difference with a significance of p <0.041 (p <0.05) between the surface micro-hardness value of hybrid micro-composite resin and nano-hybrid composite resin with higher surface microhardness value for nanohybrid composite resin (45.51 KHN) compared to microhybrid composite resin. (42.31 KHN). Conclusion: The nanohybrid composite resin has higher surface microhardness compared to the microhybrid composite resin."

"Composite resin are restorative materials having color similar to teeth and have been widely used in dentistry. The successful application of composite resin influences the duration of the restoration in the oral cavity. The aim of this research is to describe the influence of artificial saliva contamination and the application of re-conditioning on tensile bond strength of composite resin to dentin. In the control group, the dentin were etched, bonding were applied and composite resin were restored on the dentin. In the group with artificial saliva contamination without re-conditioning, the dentin were etched, bonding were applied and then contaminated with artificial saliva, dried and then restired with composite resin. While the group with artificial saliva contamination with re-conditioning, the dentin were etched, bonding were applied and contaminated with artificial saliva, and then etched and applied bonding agent and restored composite resin.Bond strength test used “Universal testing machine, AG 5000. The results showed that highest value of tensile bond strength of composite resin to dentin was at the control group. It can be concluded that artificial saliva contamination decreased tensile bond strength while re-conditioning application increased it."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV 2006: 129-133The premature loss of primary teeth will make the adjacent tooth drift due to the mesial force of the erupting posterior teeth in the growing child. To overcome this problem a space maintainer is need.But, space maintainer need to undergo a laboratorium process, which means needed more time and money. This paper reported a case with premature loss of maxillary first primary molar using space maintainer which can be used immediately, easy to do, and need low cost, a simple fixed space maintainer bonded wirb flowable resin composite."

"Latar Belakang: Perawatan restorasi resin komposit nanofilled dan nanohybrid memerlukan prosedur pemolesan untuk mengurangi tingkat kekasaran permukaan sehingga permukaan halus dan mengkilap. Tujuan: Membandingkan kekasaran permukaan resin komposit nanofilled dan nanohybrid setelah pemolesan menggunakan teknik multiple-step. Metode: 40 spesimen resin komposit yang dibagi ke dalam 2 kelompok 20 spesimen nanofilled Filtek Z350XT A dan 20 spesimen nanohybrid Filtek Z250XT B dipersiapkan kemudian dipoles. Setelah direndam dalam saliva buatan selama 24 jam, tingkat kekasaran permukaan diukur dengan surface roughness tester. Hasil: Hasil rerata tingkat kekasaran permukaan beserta standar deviasi kelompok A adalah 0,0967 m 0,0174 sedangkan kelompok B adalah 0,1217 m 0,0244. Secara statistik p=0,05 terdapat perbedaan signifikan antara kedua kelompok. Kesimpulan: Dapat disimpulkan bahwa tingkat kekasaran permukaan resin komposit nanofilled setelah pemolesan dengan teknik multiple-step lebih baik dibandingkan dengan nanohybrid.

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Background: Restorative treatment using nanofilled and nanohybrid composite should be finished and polished to reduce surface roughness and create smoother surface of the composite.

Objective: To compare the surface roughness nanofilled and nanohybrid composite resin after polishing using multi step technique.

Method: 40 composite resin specimens were divided into 2 groups 20 nanofilled specimens Filtek Z350XT A and 20 nanohybrid specimens Filtek Z250XT B was prepared and then polished. After immersion in artificial saliva for 24 hours, the surface roughness is measured with a surface roughness tester.

ResultL The mean surface roughness results along with standard deviation of group A is 0,0967 m 0,0174 while group B is 0,1217 m 0,0244. Statistically with p 0.05 , there are significant differences between each group.

Conclusion: Surface roughness of nanofilled composite resin after polishing with multiple step technique is better than nanohybrid."

"ABSTRAKLatar Belakang: LCU prototip dengan metode PWM-kombinasi dengan iradiansi sinar 800, 900, dan 1.000 mW/cm2 telah dibuat untuk mencegah kenaikan suhu pulpa akibat polimerisasi. Tujuan: Menganalisis kekerasan komposit resin yang dipolimerisasi dengan LCU berbeda iradiansi sinar. Metode: Spesimen merupakan komposit resin yang dipolimerisasi dengan LCU prototip (PWMkombinasi) beriradiansi sinar 800, 900, atau 1.000 mW/cm2 atau dengan LCU pembanding (900 mW/cm2). Kekerasan komposit resin diukur menggunakan sistem Knoop. Hasil: Kekerasan komposit resin antar kelompok berbeda bermakna (p<0,05) kecuali yang diberi iradiansi sinar 900 mW/cm2 dari LCUprototip dan LCU pembanding. Kesimpulan: Kekerasan komposit resin dipengaruhi oleh iradiansi sinar dari LCU prototip. LCU prototip atau LCU pembanding dengan iradiansi 900 mW/cm2 menghasilkan kekerasan komposit resin yang sama.

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ABSTRACTBackground: Prototype light curing unit (LCU) with PWM-combined lightirradiance of 800, 900, and 1.000 mW/cm2 was made to prevent the pulp temperature rise due to the polymerization. Objective: To analyze the hardness of resin composites polymerized by LCU different light irradiation. Methods: The specimen is resin composites polymerized by prototype LCU light irradiance 800, 900, or 1.000 mW/cm2 or with comparison LCU (900 mW/cm2). Hardness of resin composite test performed by Knoop system. Result: There is significant differences (p<0.05) among the groups except those between using the prototype LCU and comparison LCU that have irradiance of 900 mW/cm2. Conclusions: The hardness of resin composite was influenced by the irradiance of prototype LCU. The hardness of resin composite from prototype LCU is equal to those from comparison LCU irradiance of 900 mW/cm2."