Sriwijaya Journal of Dentistry

Regenerative Endodontic Effectivity In Cases of Necrotic Immature Permanent Teeth Treatment (Literature Review)

2025-01-19T06:59:03+00:00

Introduction: Pulp necrosis in immature permanent teeth results in incomplete root development with short roots and thin dentinal walls that can lead to fracture. Apexification, the main treatment, did not increase the length and thickness of the root canal wall, making the teeth susceptible to fracture. Regenerative endodontic treatment uses a tissue engineering triad that allows the root to continue developing, increases the dentinal wall thickness, and restores the tooth's vitality to prevent fracture. Purpose: This literature review aimed to examine the effectiveness of regenerative endodontics in treating necrotic immature permanent teeth and which component is the most commonly used and effective. Methods: The literature review uses Google Scholar, DOAJ, Science Direct, and Pubmed data for the last five years, calculated from 2018 to 2023. The journals used fit with the inclusion and exclusion criteria, then analyzed using the Case Report Statement and Checklist and summarized to obtain data on the effectivity of regenerative endodontic treatment in necrotic immature permanent teeth. Results: This literature review successfully synthesized 18 Case Reports from journals that performed endodontic regeneration treatment on immature permanent teeth with necrosis using various components. Conclusion: Regenerative endodontic treatment using NaOCl with concentrations ranging from 1% to 2,5 %, EDTA 17% as irrigation solutions together with Ca(OH)2 as an intracanal medicament and blood clot as a scaffold proven to effectively eliminate disease, induce bone healing, and restoring the vitality of necrotic immature permanent teeth.

The Differences of Antibacterial Activity of Gambier Leaf Extract (Uncaria gambir Roxb.) with Various Solvents Against Enterococcus faecalis

2025-01-15T09:53:35+00:00

Introduction: Gambier leaves are herbal plants that have the potential to replace chlorhexidine to overcome root canal treatment failures where Enterococcus faecalis are commonly found. Various solvents such as n-hexane, ethyl acetate, ethanol, and distilled water extract from gambier leaves to increase antibacterial activity. Purpose: To determine the difference in antibacterial power of gambier leaf extract (Uncaria gambir Roxb.) with various solvents against Enterococcus faecalis. Methods: This study was an experimental in vitro laboratory investigation. The test group comprised extracts from gambier leaves using n-hexane, ethyl acetate, ethanol, and distilled water, all at a concentration of 10%, prepared through the graded maceration method. The antibacterial activity of these extracts was assessed using the disc diffusion method to determine the inhibition zone values. The results of the inhibition zones were analyzed statistically using one-way ANOVA and Post Hoc Tukey tests. Results: This study showed that a 10% ethyl acetate extract of gambier leaves had the highest average inhibition zone value of 16.10 mm, while a 10% distilled water extract of gambier leaves of 11.00 mm was the lowest. Statistically, there was a significant difference in the mean inhibition zone value between each group. Conclusion: The antibacterial power extract of gambier leaves (Uncaria gambir Roxb.) with a concentration of 10% with various solvents against Enterococcus faecalis showed a significant difference.

Space Regainers in Pediatric Dentistry: A Review

2025-01-19T04:07:54+00:00

Introduction: Early loss of primary teeth can cause various problems, especially the loss of space required for permanent teeth eruption that leads to potential malocclusion. Space regainers are appliances that used to regain the space lost in some cases. Purpose: There are different designs of space regainers, depending on the patient’s cases, and this article aims to summarize fixed and removable space regainers in pediatric dentistry. Conclusion: Fixed and removable space regainers have specific designs and advantages suitable for certain cases.

Gingival Curettage Treatment in Chronic Periodontitis Patients: A Case Report

2024-12-05T03:12:05+00:00

Introduction: Periodontitis is defined as an inflammatory disease of the tooth-supporting tissues caused by certain microorganisms. One of the surgical treatments for generalized chronic periodontitis is gingival curettage. Gingival curettage is a closed surgical procedure involving the removal of inflamed soft tissue lateral to the pocket wall. The goal is to promote the attachment of new connective tissue to the root surface by removing the pocket lining and junctional epithelium using a curette.Purpose: To determine whether gingival curettage is an effective treatment for patients with generalized chronic periodontitis. Case presentation: A 26-year-old female patient presented to the Special Dental and Oral Hospital of South Sumatra Province with complaints of rough masses on all of her teeth. Clinical examination revealed calculus in all regions, an OHI-S score of 1.83 (medium), and an O'Leary plaque index score of 41.37%. Probing depths ranged from 1 to 5 mm, with positive BOP on almost all teeth. After scaling and root planing, the decision was made to proceed with gingival curettage for the patient.Conclusion: In this case, gingival curettage helped reduce pocket depth and restored the gingiva to a more normal appearance. This demonstrates that gingival curettage can be an effective treatment for chronic periodontitis.

Gingival Depigmentation in Maxillary Anterior Region Using Conventional Surgical Scraping A Case Report

2025-01-26T09:20:39+00:00

Introduction: Gingival pigmentation can result from melanin deposits in the gingival epithelial layer. This condition is caused by tobacco in cigarettes, which stimulates melanin production by melanocytes, leading to pigmentation changes in the gingiva. Gingival depigmentation is a procedure aimed at removing pigmentation from the gingiva to achieve improved aesthetic outcomes. Purpose: This case report aims to discuss the management of gingival depigmentation cases using the scalpel method in patients with smoker's melanosis. Case presentation: A 21-year-old male patient presented with complaints of brownish discoloration on his upper and lower gingiva, which he had noticed for approximately 2 years ago. Gingival depigmentation was performed using the scraping technique to remove the gingival hyperpigmentation. Conclusion: Gingival depigmentation using the scalpel technique is a recommended treatment with a simple technique and tools, easy to perform, economical, and can restore gingival aesthetics.