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"Latar Belakang: Restorasi resin komposit masih memiliki kekurangan, yaitu terjadinya kebocoran mikro akibat kontraksi saat polimerisasi sehingga dapat menyebabkan kegagalan restorasi. Penelitian ini bertujuan untuk menganalisis perbedaan tingkat kebocoran mikro dinding restorasi kelas I antara RK packable (RP) dan RK flowable dengan kandungan filer tinggi (RF). Metode: Kavitas kelas I dipreparasi pada tiga puluh dua gigi premolar kemudian dibagi menjadi dua kelompok. Kelompok pertama ditumpat dengan RP, kelompok kedua dengan RF, keduanya ditumpat secara inkremental. Selanjutnya spesimen dilakukan uji thermocycling dan diikuti perendaman dalam biru metilen 1% selama 24 jam. Gigi kemudian dibelah bukolingual dan diamati menggunakan mikroskop stereo pembesaran 14x dan dinilai dalam skala ordinal (0-4). Analisis statistik dilakukan dengan uji Kolmogorov-Smirnov. Hasil: Tidak terdapat perbedaan yang signifikan antara Kelompok RP dan RF (p=0,699). Kesimpulan: Tidak terdapat perbedaan bermakna antara kebocoran mikro menggunakan RP maupun RF yang ditumpat secara inkremental. Namun secara substansi, RF menunjukkan kebocoran mikro lebih sedikit dibandingkan dengan RP.

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Background: Composite resins undergo contraction during polymerization which may result in microleakage and leads to restoration failure. The purpose of this study is to analyze the microleakage of Class I restorations that were filled with packable composite (RP) and high filler flowable composite (RF) incrementally.

Methods: Standardized Class-I cavities were prepared on 32 extracted human premolars and randomly assigned into two groups. The first group were filled with RP and the second group were filled with RF. The specimens were subjected to thermocycling, followed by immersion in 1% methylene blue dye for 24 hours. The teeth were sectioned bucco-ligually and evaluated for microleakage under 14x magnification stereomicroscope and scored in ordinal scale (0-4). Statistical analysis was performed with the Kolmogorov-Smirnov test.

Results: There was no significant difference between group RP and RF (p=0.699).

Conclusion: There is no significance difference between microleakage by RP and RF. But substantially, RF provided less microleakage than RP."

"Kebocoran mikro resin komposit proksimal seringkali terjadi pada dinding gingiva. Tujuan studi ini mengevaluasi efek komposit flowable sebagai lapisan antara untuk mengurangi kebocoran mikro pada dinding ginigva. Metode: 30 gigi premolar RA dipreparasi berbentuk boks, restorasi dilakukan pada kelompok 1 dengan resin komposit packable saja (kontrol). Kelompok 2 dengan RK flowable sebagai lapisan antara, setebal 1 mm dan komposit packable di atasnya. Kelompok 3, seperti kelompok 2 namun RK flowable sebagai lapisan antara setebal 2 mm. Setelah dilakukan siklus termal, kebocoran mikro diukur dari penetrasi zat warna metilen biru 1%. Analisis statistik dengan uji Kolmogorov-smirnov. Hasil: Kebocoran mikro pada kelompok 1 berbeda bermakna dengan kelompok 2 dan 3. Namun tidak terdapat perbedaan bermakna pada kelompok 2 dan 3 (p<0.05). Kesimpulan : Tingkat kebocoran mikro dinding gingiva paling sedikit pada restorasi RK proksimal dengan aplikasi RK flowable pengganti dentin setebal 1 mm namun, ketebalannya tidak memiliki pengaruh terhadap tingkat kebocoran mikro secara statistik.

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Microleakage of composite restoration in proximal often occurs on gingival wall. The purpose of this study is to evaluate the influence of flowable composite as intermediate layer to reduce microleakage on gingival wall. Materials and Method: Thirty whole-extracted upper premolars were devided into 3 groups. Within a box-like cavities, the first group is restored with packable composite only. Group 2 were restored with flowable composite with 1 mm thickness then restored with incrementally packable composite. Group 3 were restored like group two with flowable composite thickness were 2mm. After thermocycling, the penetration of 1% methylene blue was investigated along the gingival wall. The data were analyzed with Kolmogorov-smirnov test. Results: There were significant difference between group 1 with group 2 and 3. No significant difference found between Group 2 and Group 3. Conclusion: Flowable composite as intermediate layer has influence in reducing the microleakage of gingival wall on proximal composite restoration. Nonetheless the thickness of flowable composite has no influence."

"[Latar Belakang: Kebocoran mikro tepi restorasi resin komposit dapat menyebabkan terjadinya perubahan warna dan karies sekunder. Salah satu upaya menguranginya adalah teknik rebonding pasca finishing dan polishing. Tujuan: Menganalisiskebocoranmikrotepirestorasi resin kompositsetelahdilakukanteknikrebondingmenggunakansurface sealant danbonding agent. Metode: 60 gigi premolar dipreparasi pada bagian bukal dengan diameter kavitas 3mm dan kedalaman 2mm. Sampel penelitian dibagi menjadi dua kelompok secaraacakuntukdilakukanrebonding.Kelompok 1 dilakukanrebondingmenggunakansurface sealant dan kelompok 2 menggunakanbonding agent. Pengukuran penetrasi zat warna biru metilen 1% dilakukan setelah thermocycling. Hasil: Terdapat perbedaan yang bermakna (p<0,05) antara jenis bahan rebonding dengan skala kebocoran, dimana kebocoran mikro tepi restorasi paling sedikit terdapat pada kelompok 1 dibandingkan kelompok 2. Kesimpulan: Prosedur rebonding dengan aplikasi surface sealant dapat menutup kebocoran mikro pada tepi restorasi resin komposit pasca finishing dan polishing lebih baik dibandingkan aplikasi bonding agent., Background:Microleakage at the marginal area of composite resin restoration can lead to discoloration and secondary caries. Performing rebonding after finishing and polishing can reduce microleakage of composite resin restoration. Aim: The aim of this study was to analyse the microleakageof composite resin restoration after rebonding with surface sealant and bonding agent. Methods: Cavity preparation was performed on the buccal side of sixty human premolar teeth with 3mm diameter and 2mm depth. Samples were randomly divided into two groups for rebonding with different materials. Samples in group 1 were rebonded with surface sealant, while samples in group 2 using bonding agent. The microleakage was measured using 1% methylene blue after thermocycling procedure. Results: Group 1shows less microleakage than group 2, statistic analysis show significant difference between the two groups ( p<0.05). Conclusion: Rebonding procedure with surface sealant can reduce marginal microleakage in composite resin restoration better than bonding agent.]"

"[ABSTRAKKavitas kelas I sering ditemui pada permukaan gigi molar karena mempunyai bentuk anatomi pit dan fisur yang dalam sehingga sering menyebabkan sisa makanan tertinggal yang nantinya dapat menyebabkan karies gigi. Bahan restorasi yang sesuai untuk penumpatan kavitas kelas I adalah resin komposit. Namun resin komposit memiliki kelemahan yaitu mengalami penyusutan polimerisasi yang menyebabkan kebocoran tepi. Kavitas kelas I juga memiliki c-factor terbesar dibandingkan kavitas lainnya yang dapat menyebabkan kebocoran, sehingga untuk mengatasinya dapat menggunakan liner SIKMR serta teknik Bulk-fill dan inkremental oblik. Tujuan dari penelitian ini adalah menganalisis kebocoran tepi restorasi resin komposit teknik Bulk-fill dengan liner dan teknik inkremental dengan liner. Sebanyak 70 sampel dipreparasi dibagian bukal dengan ukuran 3 mm x 3 mm, terdiri dari 10 sampel kelompok Bulk-fill, 30 sampel kelompok Bulk-fill dengan liner SIKMR dan 30 sampel kelompok inkremental oblik. dengan liner SIKMR direndam dalam air destilasi selama 24 jam. Kemudian dilakukan Thermocycling 250x, suhu 5-550C dilanjutkan dengan aplikasi cat kuku dan rendam dalam metilen biru selama 24 jam. Sampel dibelah dalam arah buko-palatal dan dilakukan pengamatan menggunakan mikroskop stereo kemudian hasilnya diuji statistik menggunakan uji Chi-Square. Hasil uji statistik menunjukkan adanya perbedaan yang bermakna diantara semua kelompok dengan nilai signifikansi p≤0,05. Inkremental oblik dengan liner menunjukkan tingkat kebocoran lebih rendah dibandingkan Bulk-fill dengan liner.

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ABSTRACTCavity class I often found on the surface of the molars because they have the anatomical shape of pits and fissures are deep that often cause food scraps left behind which can later lead to dental caries. Restorative material suitable for cavities penumpatan class I is the composite resin. However, a drawback of composite resin namely polymerization shrinkage which causes microleakage. Cavity class I also have a c-factor compared to most other cavity which can cause leaks, so to overcome SIKMR can use the liner as well as bulk-fill technique and incremental oblique. The purpose of this study was to analyze the microleakage of composite resin restorations Bulk-fill technique and oblique incremental techniques with liner. A total of 70 samples were prepared on the buccal with the size of 3 mm x 3 mm, consisting of 10 groups of Bulk-fill samples, 30 samples of Bulk-fill groups with liner SIKMR and oblique incremental groups of 30 samples. with liner SIKMR soaked in distilled water for 24 hours. Then do the Thermocycling 250X, 5-550 C temperature followed by application of nail polish and soak in methylene blue for 24 h. Samples were cleaved in buko-palatal direction and made observations using a stereo microscope and the result was tested statistically using Chi-Square. Statistical analysis showed significant differences among all groups with significant value p≤0,05. Incremental oblique with liner show a lower leakage rate than the Bulk-fill with liner., Abstract: Cavity class I often found on the surface of the molars because they have the anatomical shape of pits and fissures are deep that often cause food scraps left behind which can later lead to dental caries. Restorative material suitable for cavities penumpatan class I is the composite resin. However, a drawback of composite resin namely polymerization shrinkage which causes microleakage. Cavity class I also have a c-factor compared to most other cavity which can cause leaks, so to overcome SIKMR can use the liner as well as bulk-fill technique and incremental oblique. The purpose of this study was to analyze the microleakage of composite resin restorations Bulk-fill technique and oblique incremental techniques with liner. A total of 70 samples were prepared on the buccal with the size of 3 mm x 3 mm, consisting of 10 groups of Bulk-fill samples, 30 samples of Bulk-fill groups with liner SIKMR and oblique incremental groups of 30 samples. with liner SIKMR soaked in distilled water for 24 hours. Then do the Thermocycling 250X, 5-550 C temperature followed by application of nail polish and soak in methylene blue for 24 h. Samples were cleaved in buko-palatal direction and made observations using a stereo microscope and the result was tested statistically using Chi-Square. Statistical analysis showed significant differences among all groups with significant value p≤0,05. Incremental oblique with liner show a lower leakage rate than the Bulk-fill with liner.]"

"Penelitian ini bertujuan untuk mengevaluasi pengaruh durasi penyinaran dengan LED terhadap kebocoran tepi mikro restorasi resin komposit bulk-fill. Tiga puluh gigi premolar dipreparasi pada permukaan oklusal dengan panjang 4 mm, lebar 3 mm, dan kedalaman 4 mm yang disesuaikan dengan anatomi masing-masing gigi. Spesimen dibagi menjadi tiga kelompok secara acak berdasarkan durasi penyinaran 10 detik, 20 detik, dan 30 detik. Pengukuran kebocoran tepi mikro dilakukan menggunakan metode penetrasi zat warna, larutan methylene blue 1. Data yang diperoleh dianalisis menggunakan uji statistik Kruskal-Wallis. Hasil analisis tidak menunjukan perbedaan bermakna p>0,05 pada semua kelompok. Durasi penyinaran tidak memberikan pengaruh yang signifikan terhadap kebocoran tepi mikro restorasi resin komposit bulk-fill.

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This aims to evaluate the influence of different exposure time on its microleakage. Cavity preparation was perfomed on the occlusal side of thirty human premolar teeth with 4 mm length, 3 mm width, and 4 mm depth. Specimen were randomly divide into three groups according to exposure times 10s, 20s, and 30s. The microleakage was measured using 1 methylene blue. Data were statistically analyzed by Kruskal Wallis. The result showed insignificant differences in all groups p 0,05. Exposure times was not significantly affected the microleakage of bulk fill composite resin restoration. "

"This research was carried out to study the difference in the antibacterial capacity of two kinds of filling materials, namely amalgam and composite resin, on S. mutans KPSK2 bacteria with different times of treatment. In total, 48 amalgam and composite resin samples each were prepared and then divided into four groups of treatment. Of each group, 6 samples were used to count the number of bacterial colonies and 6 samples to count the right obstacle zone. The results show that the best antibacterial capacity of composite resin occured within one week, while for amalgam the best performance appears within one day. The antibacterial capacity of flourine containing composites is stronger than that of amalgam for a time of 1 to 2 weeks."

"ABSTRAKUp to present, plaque control is the most effective method to maintain oral hygiene. Using chewing gum after eating food and snacks can stimulate saliva, promote remineralization and reduce potential dental plaque. To know whether using chewing gum can reduce plaque index as good as toothbrushing, thus an experimental study was performed. Sample was the first grade of junior high school students. After selection according to the requirements, the sample size was 35 students. Each sample got two different treatments. In the first day, they used chewing gum and the next day they were instructed to brush their teeth. Before and after using chewing gum and toothbrushing their dental plaque was scored. The mean of plaque score before using chewing gum was 2.24 and after using chewing gum was 1.28, statistically there was a significant difference (t=33; df=34; p,0.001). The mean of plaque score before toothbrushing was 2.26 and after toothbrushing 1.10, statistically there was a significant difference. Using chewing gum and toothbrushing can reduce plaque score, though the reduction of plaque score by toothbrushing was greater compared with using chewing gum."

"Latar Belakang: Kerapatan pengisian saluran akar merupakan hal yang penting bagi kesuksesan perawatan saluran akar. Pengambilan gutaperca dan preparasi pasak pada restorasi gigi pasca PSA dapat mengganggu kerapatan bahan pengisi yang tersisa. Siler saluran akar sebaiknya dapat mempertahankan kerapatan bahan pengisi setelah dilakukan pembuangan gutaperca dan preparasi pasak. Siler epoksi telah digunakan secara luas karena memiliki sifat adhesif dan kerapatan yang baik dengan dinding saluran akar. Baru-baru ini siler MTA juga telah dikembangkan dan dikatakan memiliki sifat adhesif dan kerapatan yang baik. Tujuan: Tujuan penelitian ini adalah untuk menganalisis kerapatan sepertiga apeks pengisian saluran akar dengan siler epoksi dan siler MTA setelah dilakukan preparasi pasak. Metode: Preparasi saluran akar dilakukan pada empat puluh gigi manusia dengan saluran akar tunggal dan dibagi menjadi dua kelompok secara acak, yaitu kelompok siler epoksi (SE) dan siler MTA (SM). Preparasi saluran akar dilakukan dengan ProTaper rotary, dan irigasi NaOCl 2,5% dan EDTA cair 17%. Preparasi pasak dengan peeso reamer dilakukan 7 hari pasca pengisian dengan menyisakan bahan pengisi sepanjang 5 mm di bagian apeks. Kerapatan sisa bahan pengisi diukur dengan menghitung penetrasi tinta pada sampel yang telah ditransparansi. Pengamatan dilakukan dengan mikroskop stereo perbesaran 20 kali. Skor 1 untuk penetrasi tinta 0-0,5 mm, skor 2 untuk penetrasi tinta 0,51-1mm, dan skor 3 untuk penetrasi tinta >1 mm. Hasil: Data penetrasi tinta pada kelompok SE: skor 1 sebanyak 35%, skor 2 sebanyak 30%, dan skor 3 sebanyak 35%. Sedangkan pada kelompok SM skor 1 sebanyak 25%, skor 2 sebanyak 30%, dan skor 3 sebanyak 45%. Uji Chi-Square menunjukkan terdapat perbedaan kerapatan yang tidak bermakna antara kelompok SE dan SM. Kesimpulan: Pengisian sepertiga apeks pasca preparasi pasak pada kelompok siler epoksi lebih rapat dibandingkan kelompok siler MTA, namun keduanya tidak berbeda bermakna.

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Background: Root canal obturation sealing ability is an important part of endodontic success. Restoration of endodontically treated teeth may sometimes need post and core. Post preparation procedure requires partial removal of the root canal filling to prepare adequate space for the post and retention of the intra canal post. Root canal sealer should be able to maintain obturation seal. Epoxy sealer has been widely used because its adhesive properties and sealing ability. Recently MTA sealer has also been developed and according to the manufacturer, MTA sealer also has adhesive properties and good sealing ability.

Aim: The aim of this study was to analyze the sealing ability of apical third of the root canal a with epoxy sealer and MTA sealer after post preparation.

Methods: Root canal preparation was performed on forty human teeth with a crown down technique; irrigation with 2,5% NaOCl and 17% EDTA, and lubrication with RC-Prep were used. The canals were then filled with gutta-percha and root canal sealer utilizing a cold lateral condensation technique. MTA Fillapex or AH-Plus were used in the experimental groups. The teeth were cleared with Robertson technique and examined under a stereomicroscope. Post preparation was performed with peeso reamer 7 days after obturation. Residual seal was measured by counting dye leakage. Observations were made with a stereo microscope magnification of 20 times. Score 1 for ink penetration 0-0.5 mm, a score of 2 to 0.51 - 1mm dye leakage, and a score of 3 for dye leakage > 1 mm.

Results: Dye leakage on the SE group: score1 : 35 %, score 2: 30 %, and score 3: 35 %. While the SM group: score 1: 25 %, score 2: 30 %, and score 3: 45 %. Chi-Square test showed no significant differences in density between the SE and SM group.

Conclusion: Dye leakage demonstrated that SE group show less leakage than SM group. Chi-Square test show there is no significant difference between both group."

"ABSTRAKPenelitian ini dilakukan untuk mengetahui pengaruh pada hasil pengisian saluran akar di 1/3 apeks, akibat pengambilan sebagian gutaperca untuk ruang pasak. Pengambilan dilakukan pada hari ke-1, hari ke-3, dan hari ke-7 setelah pengisian saluran akar, dengan menggunakan semen saluran akar yang berbeda. Enam puluh enam akar gigi saluran akar tunggal, lurus, foramen apeks tertutup, dipreparasi secara step-back panjang 11 mm dengan file terbesar no. 60, dan step-back sampai no. 80. Foramen di apeks diseragamkan dengan menembuskan file no. 25 panjang 12 mm saluran akar diisi dengan teknik kondensasi lateral masing-masing 30 akar gigi menggunakan AH-26 dan 30 akar lainnya dengan endomethasone, dan masing-masing waktu pengambilan dilakukan pada 10 akar gigi. Pengaruh akibat pengambilan gutaperca dilihat berdasarkan kebocoran pengisian saluran akar yang diukur dari perembesan zat warna tinta cina dengan waktu perendaman 7 hari. Perendaman dengan tinta cina dilakukan setelah pengambilan gutaperca, sementara itu sampel direndam dalam aquadest sampai saat akan dilakukan pengambilan. Evaluasi dengan mikroskop stereo, terlebih dahulu sampel dibelah memanjang. Kesimpulan yang dapat ditarik dari penelitian ini yaitu ada pengaruh waktu pengambilan sebagian gutaperca untuk ruang pasak. Kebocoran pada penggunaan semen saluran akar AH-26 lebih besar daripada endomethasone, kebocoran paling besar terjadi pada pengunaan semen saluran akar AH-26 pengambilan hari ke-1, sedang pengambilan pada hari ke-3 dan ke-7 pada penggunaan kedua macam semen saluran akar tersebut tidak berbeda bermakna. "