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Latar Belakang: Perawatan karies dengan minimal intervensi, yaitu dengan membuang infected dentin, dan meninggalkan affected dentin, kemudian dilakukan remineralisasi pada affected dentin. Pada affected dentin masih terdapat ikatan silang kolagen. Remineralisasi dentin lebih kompleks karena pada karies dentin sudah tidak ada sisa kristal mineral. Untuk terjadinya remineralisasi ekstrafibrilar dan intrafibrilar pada dentin, maka dibutuhkan dentin matrix protein 1 (DMP 1)  yang merupakan protein non-kolagen. Proses polymer-induced liquid precursor (PILP) merupakan metode Guided Tissue Remineralization yang bertujuan untuk remineralisasi dentin secara intrafibrilar dan ekstrafibrilar dengan penambahan polimer sebagai analog DMP1. Salah satu material analog protein non kolagen adalah asam poliaspartik.

Tujuan: Mengevaluasi remineralisasi dentin pada permukaan demineralized dentin setelah perendaman dengan larutan remineralisasi yang mengandung asam poliaspartik sebagai analog protein non kolagen.

Metode: Empat kelompok dilakukan demineralisasi buatan. Setelah itu, tiga kelompok dilakukan perendaman dengan larutan remineralisasi yang mengandung asam poliaspartik, sedaangkan satu kelompok tidak dilakukan perendaman larutan remineralisasi asam poliaspartik. Evaluasi remineralisasi dengan Micro-CT.

Hasil: Terlihat remineralisasi pada permukaan demineralized dentin yang ditandai dengan penurunan kedalaman lesi demineralized dentin yang ditandai dengan peningkatan grey scale index setelah dilakukan perendaman dengan larutan remineralisasi asam poliaspartik. Perbandingan rerata empat kelompok menunjukkan perbedaan bermakna.

Kesimpulan: Asam poliaspartik memiliki potensi untuk meremineralisasi demineralized dentin.

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Background: Caries treatment with minimal intervention, namely by removing infected dentine, and leaving affected dentine, then remineralization of affected dentine. In the affected dentine there are still have collagen cross bonds. Dentin remineralization is more complex because there is no residual mineral crystals in dentinal caries. For extrafibrillary and intrafibrillary remineralization in dentine, dentin matrix protein 1 (DMP 1) is a non-collagen protein. The polymer-induced liquid precursor (PILP) process is a Guided Tissue Remineralization method which aims to remineralize intrafibrilar and extafibrilar dentine by adding polymers as analogous to DMP1. One of the non collagen protein analog material is polyacpartic acid.

Objective: To evaluate remineralization of dentine on the demineralized dentin surface after immersion with remineralization solutions containing polyacpartic acid as a non-collagen protein analog.

Method: Four groups carried out artificial demineralization. After that, three groups were immersed with remineralization solution containing polypartic acid, while one group was not immersed in polyacpartic acid remineralization solution. Remineralization evaluation with Micro-CT.

Results: It appears remineralization on the demineralized dentin surface which is characterized by a decrease in the depth of demineralized dentin lesions which is characterized by an increase in gray scale index after immersion with polyacpartic acid remineralization solution. The comparison of the mean of the four groups showed significant differences.

Conclusion: Polyacpartic acid has the potential to remineralize for demineralized dentine.

 

 

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"Latar Belakang: Remineralisasi pada dentin affected dapat terjadi secara guided tissue remineralization (GTR). Remineralisasi ini terjadi pada matriks intrafibrilar kolagen dentin karena peran protein non kolagen yaitu Dentin Matriks Protein 1 (DMP1) yang dapat rusak saat proses demineralisasi. Dibutuhkan material analog pengganti DMP1 untuk proses remineralisasi, salah satunya adalah asam poliaspartik dalam proses Polymer-Induced Liquid Precursor (PILP). Tujuan: Menganalisis remineralisasi yang terjadi pada demineralized dentin setelah diinduksi oleh asam poliaspartik dalam proses PILP. Metode: Sampel berupa dentin blok direndam pada larutan demineralisasi lalu dibagi menjadi empat kelompok, yaitu kelompok demineralized dentin tanpa perendaman larutan asam poliaspartik dan kelompok dengan perendaman larutan asam poliaspastik selama 3, 7, dan 14 hari. Sampel di evaluasi dengan uji SEM dan EDX. Hasil: Terdapat perbedaan signifikan antara kelompok demineralized dentin dengan kelompok remineralisasi asam poliaspartik pada hari ke 3, 7, dan 14. Remineralisasi yang terjadi berupa deposit ion kalsium dan fosfat. Kesimpulan: Asam poliaspartik dalam proses PILP memiliki potensi untuk meremineralisasi demineralized dentin.

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Background: Remineralization on affected dentin can be occurred by guided tissue remineralization (GTR) method. The remineralization process took place in intrafibilar matrix dentin collagen which regulated by a non collagenous protein, Dentin Matrix Protein (DMP 1) which can be destroyed during demineralization process. Remineralization process requires non collagenous protein analog material, one in particular is poliaspartic acid in Polymer-Induced Liquid Precursor (PILP) process. Objective: To analyze remineralization process that occured on demineralized dentin after application polyaspartic acid in PILP process. Method: Dentin block sample was soaked in demineralized solution. The sample then divided into four groups which are demineralized dentin without application of poliasparticacid solution, and demineralized dentin soaked in polyaspartic acid solution in the period of 3 ,7 and 14 days. The samples were evaluated by using SEM and EDX. Result: A statistically significant result between demineralized dentin group and remineralization with poliaspartic acid group within 3, 7, 14 days. Remineralization occurred by calcium and phosphate ions deposition. Conclusion: Polyaspartic acid in PILP process has the capability of remineralizing demineralized dentin."

"Latar Belakang : Penambahan fluor ke dalam proses PILP memiliki potensi meningkatkan remineralisasi intrafibril dan ekstrafibril kolagen dentin. Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh penambahan fluor dalam proses PILP terhadap remineralisasi intrafibril dan ekstrafibril kolagen dentin. Metode : 8 sampel blok dentin dibagi ke dalam 4 kelompok: Kelompok 1 demineralized dentin sebagai kontrol, kelompok 2 demineralized dentin disimpan dalam larutan remineralisasi PILP yang ditambahkan fluor 5 ppm, kelompok 3 demineralized dentin disimpan dalam larutan remineralisasi PILP yang ditambahkan fluor 25 ppm, kelompok 4 demineralized dentin disimpan dalam larutan remineralisasi PILP tanpa fluor (0 ppm) Kemudian seluruh sampel disimpan dalam shaking incubator pada suhu 37°C selama 14 hari. Selanjutnya dilakukan pemeriksaan dengan TEM/SAED untuk melihat remineralisasi intrafibril dan ekstrafibril kolagen dentin dan kristalinitas kristal yang dihasilkan. Hasil : Terjadi remineralisasi intrafibril dan ekstrafibril kolagen dentin pada kelompok perlakuan 2, 3, dan 4. Remineralisasi intrafibril dan ekstrafibril terlihat paling padat pada kelompok 2. Terdapat perbedaan kristalinitas kristal di antara kelompok 1, 2, 3, dan 4. Kesimpulan: Penambahan fluor 5 ppm ke dalam proses PILP menghasilkan remineralisasi intrafibril dan ekstrafibril kolagen dentin. Remineralisasi yang dihasilkan berupa kristal apatit dengan tingkat kristalinitas yang padat.

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Background: Fluoride addition into PILP process has the potential to increase intrafibrillar and extrafibrillar dentin collagen remineralization. Objective: This research aim to evaluate the influence of fluoride addition into PILP process towards intrafibrillar and extrafibrillar dentin collagen remineralization. Methods: 8 dentin blocks were divided into 4 sample groups. Group 1 (demineralized dentin) as control group, group 2 is demineralized dentin that were soaked in PILP process with 5 ppm fluoride addition, group 3 is demineralized dentin that were soaked in PILP process with 25 ppm fluoride addition, and group 4 is demineralized dentin that were soaked in PILP process with no fluor (0 ppm) addition. All of the samples were incubated in shaking incubator at 37o C for 14 days. Result: Intrafibrillar and extrafibrillar dentin collagen remineralization occurred in group 2, 3, and 4. The most dense intrafibrillar and extrafibrillar dentin collagen remineralization was seen in group 2. There are differences of crystal's crystallinity between group 1, 2, 3, and 4. Conclusion: 5 ppm fluoride addition into PILP process produced intrafibrillar and extrafibrillar dentin collagen remineralization. The remineralization were consisted by high-density apatite crystals."

"Latar Belakang: Polymer Induced Liquid Precursor (PILP) merupakan remineralisasi biomimetik dengan menggunakan bahan polimer anionik sintetik yang dapat menggantikan peran protein non kolagen dalam remineralisasi intrafibrillar. Asam poliaspartik merupakan salah satu material analog protein non kolagen yang penting dalam proses PILP. Nanodroplet yang terbentuk dalam proses PILP mampu berdifusi ke dalam intrafibrillar kolagen ataupun gap zone yang memiliki ukuran 40 nanometer dan mengalami kristalisasi. Tujuan: Menganalisis remineralisasi intrafibrillar dan ukuran kristal hidroksiapatit yang terbentuk. Metode: Evaluasi efek asam poliaspartik dalam proses PILP pada remineralisasi intrafibrillar selama 3, 7 dan 14 hari melalui TEM dan ukuran kristal hidroksiapatit yang terbentuk melalui XRD. Hasil: Ada perbedaan signifikan secara evaluasi deskriptif antar kelompok remineralisasi 3, 7 dan 14 hari terhadap kelompok demineralized dentin pada remineraliasi intrafibrillar. Tidak terdapat perbedaan bermakna antar kelompok remineralisasi maupun kelompok demineralized dentin terhadap ukuran kristal hidroksiapatit. Kesimpulan: Asam poliaspartik dalam proses PILP memiliki potensi dalam remineralisasi intrafibrillar.

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Background: Polymer Induced Liquid Precursor (PILP) is a biomimetic remineralization using synthetic anionic polymer material that can replace the role of non-collagen proteins in intrafibrillar remineralization. Polyaspartic acid is one of the non collagen protein analog materials that is important in the PILP process. Nanodroplet formed in the PILP process is able to diffuse into intrafibrillar collagen or gap zones that have a size of 40 nanometers and crystallize. Purpose: To analyze the intrafibrillar remineralization and the size of hydroxyapatite crystal formed.

Methods: Evaluation of the effect of polyaspartic acid in PILP process on intrafibrillar remineralization for 3, 7 and 14 days through TEM and the size of hydroxyapatite crystal formed through XRD.

Result: There was a significant difference in descriptive evaluation between remineralization groups of 3, 7 and 14 days against the demineralized dentin group in intrafibrillar remineralization. There were no significant differences between the remineralization group and the demineralized dentin group to the size of hydroxyapatite crystals.

Conclusion: Polyaspartic acid within PILP process has potential ability in intrafibrillar remineralization."

"Latar Belakang: Proses PILP adalah proses remineralisasi yang menggunakan makromolekul bermuatan, yakni polyaspartic acid, untuk menstabilkan ion calcium phosphate dalam larutan tersaturasi, dan mencegah nukleasi spontan serta presipitasi mineral. Penambahan ion fluoride pada proses ini akan membentuk kristal fluorapatite yang memiiki kekerasan lebih tinggi dari hidroksiapatit. Tujuan:Penelitian ini bertujuan untuk mengetahu pengaruh penambahan fluoride dalam larutan remineralisasi melalui proses PILP terhadap kekerasan email. Metode: 25 sampel gigi dibagi menjadi 5 kelompok. Kelompok 1 (email normal) sebagai kontrol positif, kelompok 2 (email terdemineralisasi) sebagai kontrol negatif, kelompok 3 email yang diremineralisasi melalui proses PILP, kelompok 4 email yang diremineralisasi melalui proses PILP dengan penambahan fluoride 5 ppm, kelompok 5 email yang diremineralisasi melalui proses PILP dengan penambahan fluoride 25 ppm. Seluruh sampel disimpan dalam inkubator pada suhu 370C selama 14 hari. Selanjutnya dilakukan uji kekerasan mikro untuk melihat kekerasan email. Data yang diperoleh dianalisis secara statistik dengan one-way ANOVA dan uji Post Hoc Tamhane. Hasil: Terdapat perbedaan bermakna kekerasan mikro email setelah diremineralisasi melalui proses PILP tanpa dan dengan penambahan fluoride 5 ppm dan 25 ppm. Kesimpulan:Remineralisasi melalui proses PILP dengan penambhan fluoride 5 ppm memiliki kekerasan mikro yang lebih tinggi dibandingkan tanpa penambahan fluoride dan dengan penambahan fluoride 25 ppm.

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Background: PILP process is a remimineralization used charged macromolecule, polyaspartic acid, to stabilize calcium and phophate ion in order to prevent mineral spontaneus nucleation and precipitation. Fluoride was addedto form fluorapatite crystals which have a higer microhardness than hydroxyapatite. Objective: To determine the effect of adding fluoride in remineralization solution through the PILP process on enamel microhardness. Methods: 25 teeth were divided into 5 groups. Group 1 (normal enamel) as a positive control, group 2 (demineralized enamel) as a negative control, group 3 demineralized enamel which remineralized through PILPprocess, group 4 demineralized enamel which remineralized through PILP process with 5 ppm fluoride, group 5 demineralized enamel which remineralized through PILP process with 25 ppm fluoride. All samples were stored in an incubator at 370C for 14 days. Vicker's microhardness test was performed to see enamel microhardness. The data were statistically analyzed with one-way ANOVA and Tamhane Post Hoc Test. Result: There is a difference between enamel microhardness after being remineralized through PILP process without and with 5 and 25 ppm fluoride.Conclusion: Remineralization via PILP process with addition of 5 ppm fluoride has a higher microhardness value than without and with 25 ppm fluoride."

"The aim of this research is to see the effect of various dentin conditioners (phosphoric acid) to the bond strength between resin adhesive HNPM/TEGDMA (2 Hydroxy-3,2-Napthoxy-Propyl Methacrylate/Trietilen Glikol di Methacrylate) and dentin tissue of bovine teeth. Dentin conditioner that was used are phosphoric acid solution 10%, 25%, 35% (Group A1, A2, A3). Specimens was divided into 3 Groups, each group has 10 specimens. Bond strength test used "Universal Testing Machine". A G 5000 and SHIMADZU type. The result of this research shows average differences of bond strength of each group. Anova test there is a significant difference (8.485 and p < 0,05). Double comparison Tukey test among groups generally are significant different (p<0,05) except between A2 and A3 group. The result of the research states there are effects of various dentin conditioners to the bond strength between resin adhesive NHPM/TEGDMA and dentin tissue."

"Latar Belakang: Asam hialuronat (AH) merupakan glikosaminoglikan dan salah satu komponen penting dari matriks ekstraseluler pada lingkungan biologis mikro dentin.  Pada pulpa terinflamasi, ketika lingkungan biologis mikro kondusif maka terjadi rekrutmen sel punca pulpa (human dental pulp stem cells/hDPSCs) yang akan berdiferensiasi menjadi odontoblast like cell membentuk dentin reparatif dan terdapat ekspresi dentin sialophosphoprotein (DSPP).Tujuan: Mengetahui potensi berbagai konsentrasi AH pada media kultur hDPSCs terhadap ekspresi DSPP dengan waktu observasi  7 hari dan 14 hari. Metode: hDPSCs yang didapatkan dari bahan baku tersimpan pada pasase ke-3 dan 4 yang telah mengalami serum starvation selama 24 jam, diberikan AH dengan konsentrasi 10 mg/mL , 20 mg/mL , 30 mg/mL dan  kontrol positif pada medium osteogenik. Selanjutnya dilakukan observasi waktu selama 7 hari dan 14 hari untuk melihat ekspresi DSPP dari tiap kelompok secara kuantitatif (uji ELISA) dan potensi mineralisasi secara kualitatif (uji alizarin red) pada hari ke-21. Uji statistik menggunakan one way anova. Hasil: Terdapat perbedaan potensi berbagai konsentrasi  AH (10mg/mL, 20  mg/mL, 30 mg/mL)  (p<0.05) pada media kultur hDPSCs terhadap ekspresi DSPP dengan waktu observasi 7 hari dengan konsentrasi 30 mg/mL yang paling berpotensi meningkatkan DSPP dan dikonfirmasi dengan nodul yang pekat pada uji alizarin red di hari ke-21. Kesimpulan: Asam hialuronat (AH) memiliki potensi untuk meningkatkan ekspresi DSPP, konsentrasi AH 30 mg/ml merupakan konsentrasi yang optimum bagi hDPSCs. 

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Background: Hyaluronic acid (HA) is glycosaminoglycan and one of important factors in extracellular matrix located at dentin niche biology.  In an inflamed pulp, when niche biology is conducive, the recruitment of human dental pulp stem cells (hDPSCs) will take place and it will differentiate into odontoblast like cell that will create reparative dentin and expressing dentin sialophosphoprotein (DSPP). 

Objective: To analyze the potential of HA conditioned media in various concentration towards hDPSCs differentiation via expression of DSPP at day 7 and 14. 

Methods: hDPSCs culture were obtained from previous research (ethical approval attached) at P3 and P4. After 24 hours incubation of hDPSCs, culture media were supplemented with osteogenic media. Cells were then starved for 24 hours. hDPSCs then planted into 96 well plate and HA 10 mg/ml, 20 mg/ml, 30 mg/ml added into each particular well. DSPP expression is analysed using elisa reader at day 7 and 14 and qualitative result is analysed using alizarin red at day 21. Data was analysed using one way anova.

Result: At day 7 there is a statistically significant different potential of natural HA conditioned media in various concentration (10mg/mL, 20  mg/mL, 30 mg/mL) (p<0.05) towards hDPSCs differentiation via expression of DSPP with HA 30 mg/mL being the most potential concentration to increase DSPP expression, which can be confirmed by bold nodules presented with alizarin red at day 21. 

Conclusion: HA have the potential to increase odontoblast differentiation process via expression of DSPP, with HA 30 mg/mL being the optimum concentration for hDPSCs."

"Latar Belakang: Salah satu material remineralisasi yang banyak digunakan adalah semen ionomer kaca (SIK). Namun dentin terdemineralisasi sesudah aplikasi SIK memiliki sifat mekanis yang berbeda dan lebih rendah daripada dentin normal karena remineralisasi yang terjadi adalah remineralisasi interfibril. Material carboxymethyl chitosan (CMC) bertindak sebagai analog protein nonkolagen yang mampu menstabilisasi nanocluster amorphous calcium phosphate (ACP) dalam proses remineralisasi intrafibril. Tujuan: Mengetahui pengaruh aplikasi modifikasi SIK-CMC5% dan SIK-CMC10% pada dentin terdemineralisasi terhadap kekerasan mikro, fasa mineral dan derajat kristalinitas dentin. Metode: Material SIK dilakukan pencampuran dengan CMC pada rasio 5% dan 10% menghasilkan SIK-CMC5% dan SIK-CMC10%. Kemudian, demineralisasi pada kavitas dentin terdemineralisasi dilakukan dengan aplikasi material SIK, SIK-CMC5% dan SIK-CMC10%. Akar gigi direndam dalam cairan phosphate-buffered saline selama 14 hari. Remineralisasi dentin dievaluasi dari kekerasan mikro melalui uji Vickers dan penilaian fasa mineral dan derajat kristalinitas dentin dari uji X-Ray Diffraction (XRD). Hasil: Kekerasan mikro dentin pada kelompok SIK-CMC5% dan SIK-CMC10% meningkat dibandingkan pada kelompok SIK. Pembentukan kristal hidroksiapatit ditemukan pada sampel SIK dan SIK-CMC, dengan derajat kristalinitas tertinggi pada sampel SIK-CMC10%. Kesimpulan: Semen Ionomer Kaca modifikasi Carboxymethyl Chitosan 10% lebih efektif dalam meningkatkan nilai kekerasan mikro dan mempengaruhi pembentukan fasa mineral kristal hidroksiapatit dan derajat kristalinitas.

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Background: One of the widely used remineralization materials is glass ionomer cement (GIC). However, demineralized dentine after GIC application has different and lower mechanical properties than normal dentin because the remineralization that occurs is interfibril remineralization. Carboxymethyl chitosan (CMC) acts as noncollagenous protein analog that can stabilize amorphous calcium phosphate (ACP) nanoclusters in intrafibril remineralization. Objective: To determine the effect of the application of modified GIC-CMC5% and GIC-CMC10% on the microhardness, mineral phase and degree of crystallinity of demineralized dentin. Methods: GIC material was mixed with CMC at ratio 5% and 10% to produce GIC-CMC5% and GIC-CMC10%. Remineralization of demineralized dentin cavity was carried out by applying GIC, GIC-CMC5% and GIC-CMC10% for 14 days. Remineralization was evaluated from microhardness value through Vickers test and assessment of mineral phase and degree of dentin crystallinity from X-Ray Diffraction (XRD) test. Results: Dentin microhardness in the GIC-CMC5% and GIC-CMC10% was increasing compared to the CIC group. The formation of hydroxyapatite crystals was found in the GIC and GIC-CMC samples with the highest degree of crystallinity in the GIC-CMC10% sample. Conclusion: Modified Glass Ionomer Cement with 10% Carboxymethyl Chitosan is more effective in increasing the microhardness value and affecting the formation of the hydroxyapatite crystalline mineral phase and the degree of crystallinity."

"Penelitian bertujuan mengetahui pengaruh besar tekanan dan lama scrubbing terhadap kuat rekat geser self adhering flowable composite pada dentin. Self adhering flowable composite diaplikasikan dengan tekanan scrubbing 1, 2, dan 3 gram masing-masing selama 15, 20, dan 25 detik. Resin komposit diaplikasikan secara inkremental. Polimerisasi dengan sinar selama 20 detik. Kuat rekat geser diuji menggunakan Testing Machine dan dianalisa dengan ANOVA diikuti Post Hoc Test Bonferroni. Daerah patahan diobservasi menggunakan SEM. Kuat rekat geser tertinggi pada tekanan scrubbing 3 gram selama 25 detik. Perbedaan besar tekanan dan waktu saat scrubbing mempengaruhi kuat rekat geser self adhering flowable composite pada dentin.

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Effect of different scrubbing pressure and duration on shear bond strength of self adhering flowable composite to dentin was evaluated. Self adhering flowable composite was applied on dentin with 1, 2, and 3 grams pressure for 15, 20, and 25 seconds. Composite was constructed incrementally. Polymerization for 20 seconds. Shear bond strength was tested with a Testing Machine and analyzed by ANOVA and Bonferroni. Fractured area was observed with a SEM. The highest shear bond strength was obtained in 3 grams scrubbing pressure for 25 seconds. The different scrubbing pressure and duration influenced shear bond strength of self adhering flowable composite to dentin."

"Latar Belakang: Saat ini perawatan pulpa vital mengacu pada konsep minimal intervensi, yaitu dengan meninggalkan lapisan affected dentin saat ekskavasi karena masih terdapat ikatan silang kolagen sehingga dapat dilakukan upaya remineralisasi. Remineralisasi melalui aplikasi material bioaktif Mineral Trioxide Aggregate (MTA) belum dapat menghasilkan karakteristik dentin menyerupai dentin normal karena pembentukan mineral hanya terjadi pada ruang ekstrafibrillar. Penggunaan material analog protein non kolagen dibutuhkan untuk menstabilkan nano Amorphous Calcium Phosphate (ACP) agar dapat memasuki ruang intrafibrillar, salah satunya menggunakan Carboxymethyl Chitosan (CMC).Tujuan: mengevaluasi remineralisasi dentin pada permukaan dentin terdemineralisasi setelah aplikasi material MTA dan material modifikasi MTA-CMC dengan melihat morfologi permukaan dan komposisi ion pada dentin.Metode: remineralisasi dilakukan melalui aplikasi material MTA, MTA-CMC 5% dan 10% selama 14 hari pada permukaan sampel dentin yang terdemineralisasi. Pengamatan morfologi dilakukan dengan Scanning Electron Microscope (SEM) dan konfirmasi komposisi ion dengan Energy Dispersive X-ray Spectroscopy (EDX).Hasil: terdapat perbedaan morfologi pada permukaan dentin setelah dilakukan remineralisasi melalui aplikasi MTA, MTA-CMC 5%, dan MTA-CMC 10% selama 14 hari yang dievaluasi menggunakan SEM. Hasil analisis EDX mengonfirmasi adanya peningkatan kandungan kalsium dan fosfor pada permukaan dentin yang diremineralisasi dengan material MTA-CMC.Kesimpulan: remineralisasi melalui aplikasi material modifikasi MTA-CMC dapat memengaruhi morfologi permukaan dan komposisi ion pada permukaan dentin yang terdemineralisasi.

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Background: Vital pulp treatment refers to the concept of minimal intervention by preserving the affected dentin layer in the excavation process because there are still collagen cross-linked to induce remineralization. Remineralization through the application of bioactive material Mineral Trioxide Aggregate (MTA) produce different dentin characteristics to normal dentin because mineral formation only occurs in the extrafibrillar space. The use of non-collagen protein analog materials is needed to stabilize the nano Amorphous Calcium Phosphate (ACP) to get into the intrafibrillar space, one of which is Carboxymethyl Chitosan (CMC).

Objective: To evaluate dentin remineralization on the surface of demineralized dentin after the application of MTA and MTA-CMC modified material by looking at the surface morphology and ionic composition of the dentin.

Methods: The remineralization was carried out through the application of MTA,MTA-CMC 5%, MTA-CMC 10% materials for 14 days on the surface of demineralized dentin samples. Morphological observations were carried out by Scanning Electron Microscope (SEM) and confirmation of ion composition by Energy Dispersive X-ray Spectroscopy (EDX). Results: there were morphological differences on the dentin surface after remineralization through the application of MTA, MTA-CMC 5%, and MTA-CMC 10% for 14 days which were evaluated using SEM. The results of the EDX analysis confirmed an increase in the content of calcium and phosphorus on the dentin surface remineralized with MTA-CMC material.

Conclusion: remineralization through the application of MTA-CMC modified material can affect the surface morphology and ion composition on the demineralized dentin surface."