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"The endodontic diseases caused by the endodontic flora, exposed to the root canal system. The number of microorganisms detected in an endodontic infection increased to a range of 3 to 12 organismsper infected root canal associated with an apical lesion, the number of colony forming units (CFUs) is usually between 10 2 and 10 8. Therefore the endodontic infections are polymicrobial. Rotation ofmedication is an endodontic prosedur to prevent bacteria from acquiring resistance to the prolonged use of the same disinfectant. The principles of modern endodontic concept of cleaning root canals are: remove microorganisms and pulp debris from the root canal system. Sodium hypochlorite solution, 1.31- 2.62%, is used for root canal irrigant. If the root canal treatment could not be finished in one visit, calcium hydroxide paste is the recommended for root canal medicament. Because it has been shown as a safely disinfect of the root canal system. The relatively pH value of Calcium hydroxid 13.1, was kept constant for a period of 30 days, induce the apical healing. Eugenol, ChKM, and Ledermix paste can destroy the anaerob bacteria from the infected root canal and irritate the periapical tissue, but Ledermix paste has the toxic selective action to the periapical tissue. Conclusion: The accumulation effect of the root canal dressing using on rotation medicament method, causes toxic effect, so the method is not recommended."

"Endodontic instruments such as file or reamer has potential risk to breakage during cleaning and shaping procedure especially in curved canals. In this case the instrument was fractured because it was forced into the dentin walls to gain deeper penetration, and its removal result in breakage. In this case report removal of the instrument fragment in root canal with conventional technique was failed. So it was decided to continue the treatment, with the consideration that there is no complain within one month observation."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 46-50The necrosis tooth wilh incomplete formed roots and wide root canal should be treated by apexification. Gutta-percha combined with root canal sealer is widely used as an obturation material. The aim of this case report is to figure out that the use of customized gutta-percha in wide root canal to produce compact and hermetic filling."

"Preparasi saluran akar menghasilkan ekstrusi debri, memicu respons inflamasi di periapeks. Tujuan: Mengamati perbedaan jumlah ekstrusi debri ke periapeks pada saluran akar yang dipreparasi menggunakan gerakan rotasi kontinyu dan resiprokal. Metode: Tigapuluh dua gigi premolar secara acak dibagi dalam dua kelompok. Kelompok 1 dipreparasi menggunakan gerakan rotasi kontiyu. Kelompok 2 menggunakan gerakan resiprokal. Penimbangan tabung penampung debri dilakukan dua kali, yaitu sebelum dan setelah preparasi. Perbedaan berat tabung tersebut dianggap sebagai berat debri terekstrusi. Hasil: Tidak terdapat perbedaan bermakna antara kelompok 1 dan 2 (p=0,844) Kesimpulan: Perbedaan gerakan preparasi saluran akar menggunakan rotasi kontinyu maupun resiprokal tidak memengaruhi jumlah ekstrusi debri ke periapeks.

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Root canal preparation produces debris extrusion, lead to inflammation in periapical tissue.

Objective: Assess the differences of periapically extruded debris amount after preparation using continous rotation and reciprocating motion.

Method: Thirty two premolars in a receptor tube were randomly divided into 2 groups. Group 1 was prepared using continuous rotation, Group 2 using reciprocating motion. Amount of the extruded debris was obtained by the receptor tube weight differences before and after preparation.

Results: The difference between groups were not statistically significant (p = 0,844).

Conclusion: Continuous rotation and reciprocating motion have no influence in the amount of periapically extruded debris."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 74-78The failure of endodontic treatment is commonly caused by errors in preoperative, operative and postoperative endodontic treatment. Inadequate final restoration of post-endodontic treatment would impact the success of the treatment. Loose restoration is an example of restoration failure caused by inadequate retention which leads to penetration of saliva along the root canal.This could dissolve the luting cement and cause microleakage to constantly reach the periradicular areas. lf neglecled, this situation will result in a periradicular lesion. Endodontic retreatment was performed to resolve the failing restoration. The restoration failed due to inadequate retention. The treatment was needed to prevent more problems to occur sometime in the future."

"Latar Belakang: Karies gigi merupakan masalah kesehatan yang dialami setengah populasi penduduk dunia (3,58 milyar jiwa) dan penyakit gigi dengan prevalensi terbesar di Indonesia. Insidensi karies mencapai pulpa juga selalu meningkat setiap tahunnya. Perawatan saluran akar merupakan tindakan kuratif yang dilakukan untuk mengatasi hal tersebut. Menurut studi di berbagai negara, tingkat kegagalan PSA dapat mencapai 30% dengan melibatkan banyak faktor. Saat terjadi kegagalan, tindakan yang paling diutamakan untuk dilakukan adalah perawatan saluran akar ulang untuk mempertahankan gigi asli dari pasien. Oleh karena itu, perlu dilakukan penelitian mengenai prevalensi PSA ulang di RSKGM FKG UI dengan mengidentifikasi dan mengevaluasi penyebab kegagalan PSA dan faktor-faktor yang mempengaruhi hal tersebut untuk mencegah hal tersebut terjadi lagi di masa yang akan datang. Tujuan: Mengetahui prevalensi perawatan saluran akar ulang di Rumah Sakit Khusus Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Indonesia periode 2019-2021. Metode: Penelitian merupakan penelitian deskriptif dan analitik komparatif yang bersifat retrospektif menggunakan data sekunder rekam medis pasien konservasi di RSKGM FKG UI. Hasil: Dari 3503 pasien PSA di RSKGM FKG UI periode Januari 2019-Juli 2021, 181 pasien dengan kegagalan PSA memilih untuk PSA ulang dan 20 pasien lainnya dilakukan ekstraksi. Melalui analisis komparatif, terdapat perbedaan secara statistik antara etiologi kegagalan PSA dengan status penyakit periapeks pada pasien, tidak ditemukan perbedaan antara sosiodemografi, elemen gigi dan diagnosis periapeks pasien pada perawatan PSA ulang dan ekstraksi, dan terdapat perbedaan secara statistik antara etiologi kegagalan PSA dengan perawatan yang dipilih (PSA ulang dan ekstraksi). Kesimpulan: Prevalensi PSA ulang di RSKGM FKG UI adalah 5,1%. Penyebab kegagalan PSA yang paling banyak ditemukan adalah pengisian saluran akar yang kurang. Diagnosis penyakit periapeks pasca PSA, paling banyak ditemukan adalah abses periapikal. Berdasarkan sosiodemografis, pasien paling banyak didominasi oleh jenis kelamin perempuan dan kelompok usia yang paling banyak ditemukan adalah kelompok usia 50-59 tahun. PSA ulang paling banyak terjadi pada gigi molar mandibula. PSA yang inadekuat memiliki pengaruh yang signifikan terhadap penyakit periapeks, proporsi tertinggi etiologi kegagalan PSA pada tindakan PSA ulang adalah PSA inadekuat dan proporsi tertinggi etiologi kegagalan PSA pada tindakan ekstraksi adalah restorasi inadekuat

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Background: Dental caries is a serious health problem experienced by half of the world’s population (3.58 billion people) and an oral disease with the highest prevalence in Indonesia. The incidence of pulpitis is also increasing every year. Root canal treatment is taken to cure the disease. According to studies in various countries, endodontic treatment failure rate can reach to 30% involving many factors. When endodontic treatment failure occurs, the most applied action to be taken is endodontic retreatment to preserve patient’s teeth. Therefore, it is necessary to conduct a research on the prevalence of endodontic retreatment at RSKGM FKG UI by discovering the causes of the failure and other factors that contributed to the failure to prevent it from happening in the future. Objectives: This study aims to determine the prevalence of endodontic retreatment at RSKGM FKG UI for the period of 2019-2021. Methods: Retrospective descriptive and comparative analytical study is done using secondary data found in patient’s medical record. Results: There were 3503 endodontic patients at RSKGM FKG UI for the period of January 2019-July 2021, 181 patients with endodontic failure chose to be treated with endodontic retreatment and another 20 patients underwent extraction. Through comparative analysis, there were statistical differences between the etiology of endodontic failure and periapical disease. No differences found between the sociodemographic and the tooth, periapical diagnoses of patients with the choices of treatment between endodontic retreatment and extraction, and there were statistical differences between the etiology of endodontic failure and the choice of treatment. Conclusion: The prevalence of endodontic retreatment at RSKGM FKG UI is 5.1%. The most common etiology of endodontic failure is underobturation. Periapical abscess is the most found diagnosis of post endodontic treatment. Based on sociodemographics, most patients are female and the age group that commonly found was 50-59 years old age group. Endodontic retreatment mostly treated on mandibular molars. the biggest proportion of etiology of failure on endodontic retreatment treatment choice is an inadequate endodontic treatment while the highest proportion of etiology of failure on extraction is inadequate restoration"

"Penelitian ini bertujuan untuk mengetahui frekuensi dan letak ramifikasi saluran akar yang ditemukan pada gigi molar. Penelitian ini menggunakan 56 gigi molar satu dan molar dua yang telah dicabut. Gigi-gigi ini terdiri dari 14 gigi molar satu rahang atas, 3 gigi molar dua rahang atas, 21 gigi molar satu rahang bawah dan 18 gigi molar dua rahang bawah.Metode : gigi direndam dalam larutan saline sampai saat percobaan. Dilakukan pembukaan akses dan preparasi dengan k-file sampai no. 15 kemudian saluran akar diirigasi dengan larutan NaOCl 2,5%. Setelah dikeringkan, gigi didekalsifikasi. Agar gigi terlihat bening gigi direndam dalam metil salisilat. Untuk mengidentifikasi ramifikasi, tinta cina diinjeksikan ke dalam sistem saluran akar. Masingmasing gigi diperiksa jumlah, tipe dan letak ramifikasi di bawah stereomikroskop.Hasil : Dari 56 gigi molar satu dan molar dua, 60,7% memiliki ramifikasi (46,4% saluran lateral; 10,7% apical ramifications dan 10,7% isthmus saluran akar). Sebanyak 50% ramifikasi terletak di 1/3 apikal dan 19,6% terletak di 1/3 tengah.Kesimpulan: Frekuensi ramifikasi saluran akar pada gigi molar satu dan molar dua cukup tinggi dan paling banyak terletak pada daerah 1/3 apikal."

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ABSTRACTProblem Solving in Endodontics, 5th Edition, by James L. Gutmann and Paul Lovdahl, offers updated techniques and an evidence-based approach to the most common procedures performed at chairside. Ideal for both endodontists and general dentists, this thoroughly revised reference combines the precision of quality endodontic care with achievable and pain-free outcomes for the patient. Each chapter has been carefully designed so that you'll quickly grasp the anatomy, the instruments needed, and what procedures should be performed -- all supplemented by boxed clinical case examples and tips. Going beyond problem solving, it also addresses the major issues in diagnostic, anatomic, restorative, periodontic, traumatic, and surgical aspects of tooth retention. Provides chairside guidance for the endodontic procedures most commonly performed by endodontists and general dentists. Entire text has expanded concepts that are verified in new drawings and clinically relevant cases. Integrates new technologies and materials into every chapter that when applied result in predictable and optimal outcomes. Establishes clear parameters for the retention of teeth. Correlates optimal patient outcomes with an evidence-based approach. Reflects the practical expertise of renowned endodontics authority and past President of the AAE, Dr. James Gutmann, and endodontics specialist, Dr. Paul Lovdahl."