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"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."

"Latar Belakang: Resin komposit Giomer Bulk-Fill merupakan resin komposit yang dapat ditumpat hingga ketebalan 4 mm dan dapat melepas ion fluor. Resin komposit ini juga menjadi buffer asam ketika tingkat pH saliva turun dan mengembalikan ke pH netral. Namun, kenaikan pH diikuti dengan penurunan sifat fisik dari material. Belum diketahui apakah terdapat pengaruh terhadap kekerasan permukaan setelah material ini melepas fluor dan perubahan pH saliva.

Tujuan: Untuk mengetahui pengaruh perbedaan pH saliva buatan dan lama perendaman terhadap kekerasan permukaan resin komposit Giomer Bulk-Fill.

Metode: Penelitian eksperimental laboratorik menggunakan sembilan puluh spesimen resin komposit Giomer Bulk-Fill berdiameter 6 mm dan tinggi 3 mm dibagi menjadi 9 kelompok perendaman yaitu dengan saliva buatan pH 7 (kontrol); pH 5,5; pH 4,5 dengan lama perendaman 1 jam, 24 jam, dan 72 jam yang disimpan dalam inkubator dengan suhu 37°C. Uji kekerasan menggunakan Knoop Microhardness Tester (Shimadzu HMV-G21DT, Jepang).

Hasil: Berdasarkan hasil uji statistik One-way ANOVA terdapat perbedaan bermakna (p<0,05) antara kelompok perendaman dalam saliva buatan pH 4,5 dengan kelompok perendaman dalam saliva buatan pH 5,5 dan kelompok perendaman dalam saliva buatan pH 4,5 dengan kelompok perendaman dalam saliva buatan pH 7 yang dilakukan perendaman selama 72 jam. Nilai kekerasan pada perendaman dengan saliva buatan pH 4,5 dan lama perendaman 1 jam, 24 jam, dan 72 jam beruturut-turut sebesar 35,9±2,40 KHN, 33,75±2,98 KHN, dan 32,7±2,71 KHN. Sementara itu, nilai kekerasan dengan saliva buatan pH 5,5 dan lama perendaman 1 jam, 24 jam, dan 72 jam beruturt-turut sebesar 38,92±2,96 KHN, 37,00±1,82 KHN, dan 38,6±3,42 KHN. Dengan larutan saliva buatan pH 7 dan lama perendaman 1 jam, 24 jam, dan 72 jam didapatkan nilai kekerasan berturut-turut adalah 37,01±2,21 KHN, 37,05±1,79 KHN dan 37,72±2,51 KHN.

Kesimpulan: Lama perendaman dan tingkat keasaman dalam saliva buatan dapat menurunkan nilai kekerasan permukaan resin komposit Giomer Bulk-Fill.

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Introduction: Composite resin Giomer Bulk-Fill is a material for restoration that can be placed in single increment with depth until 4 mm and release fluoride ion. This composite resin can be an acidic buffer when pH saliva drops and turns it back to pH neutral. However, the physical properties of the material are decreased. It is unknown if there any change of surface hardness of the material due to fluoride ion release and changes in pH saliva.

Objective: This study aimed to determine the effect of immersion time and different pH levels of artificial saliva on surface microhardness of composite resin Giomer Bulk-Fill.

Methods: Laboratory experimental research using ninety specimens of resin composite Giomer Bulk-Fill and divided into nine groups with immersion in artificial saliva pH 7 (control); 5,5; and 4,5 for 1, 24, and 72 hours at 37°C respectively and tested using Knoop Microhardness Tester (Shimadzu HMV-G21DT, Japan).

Result: The statistical test using One-way ANOVA showed that there were significant differences (p<0,05) between group of immersion in artificial saliva pH 4,5 compared to group of immersion in artificial saliva pH 5,5 and group of immersion in artificial saliva pH 5,5 compared to group of immersion in artificial saliva pH 7 for 72 hours of immersion. The result showed that the hardness number of the groups immersed in artificial saliva pH 4,5 for 1 hour, 24 hours, and 72 hours respectively are 35,9±2,40 KHN, 33,75±2,98 KHN, and 32,7±2,71 KHN. Meanwhile, the hardness number of the groups immersed in artificial saliva pH 5,5 for 1 hour, 24 hours, and 72 hours respectively 38,92±2,96 KHN, 37,00±1,82 KHN, and 38,6±3,42 KHN. The hardness number of the groups immersed in aritificial saliva of pH 7 for 1 hours, 24 hours, and 72 hours are 37,01±2,21 KHN, 37,05±1,79 KHN dan 37,72±2,51 KHN.

Conclusion: Different immersion times and pH levels decrease surface microhardness of Giomer Bulk-Fill 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."

"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: Material restorasi yang paling berkembang pesat sampai saat ini adalah resin komposit. Resin komposit yang beredar di pasaran dan menurun klaim pabrik memiliki sifat estetika yang baik, mudah dimanipulasi, serta dapat dipakai secara universal adalah Resin Komposit Supra-Nano Palfique Universal Flow. Suatu material restorasi harus mengalami polimerisasi yang adekuat agar menghasilkan sifat fisik, kimia, mekanik, dan biologis yang optimal. Sifat kekerasan mikro dan depth of cure material dapat menjadi indikator seberapa baik polimerisasi suatu material. Pada keadaan klinis, anatomi gigi dapat menghalangi sinar untuk berada tepat di atas permukaan restorasi sehingga jarak dan durasi penyinaran memengaruhi kekerasan mikro dan depth of cure resin komposit. Tujuan: Menganalisis pengaruh jarak dan durasi penyinaran terhadap kekerasan mikro dan depth of cure Resin Komposit Supra-Nano Palfique Universal Flow. Metode: Tiga puluh spesimen Resin Komposit Supra-Nano Palfique Universal Flow berbentuk silinder berdiameter 6 mm dan tinggi 2 mm dipersiapkan untuk penelitian ini. Spesimen terbagi menjadi 6 kelompok berdasarkan jarak penyinaran (0,3, dan 6 mm) dan durasi penyinaran (10 dan 15 detik) yang disinari light curing unit dengan iradiansi 1050 mW/cm2. Uji kekerasan dilakukan pada permukaan atas spesimen, dan diuji juga kekerasan pada permukaan bawah spesimen untuk menghitung depth of cure (DoC). DoC dihitung dengan menggunakan metode bottom/top hardness ratio (%). Data dianalisis menggunakan uji statistik One-way ANOVA dan Independent Sample T-test. Hasil: Kekerasan mikro dan DoC semakin tinggi pada jarak yang semakin dekat baik pada durasi 10 maupun 15 detik. Nilai kekerasan mikro dan DoC pada durasi penyinaran 15 detik lebih tinggi dibandingkan durasi penyinaran 10 detik pada jarak yang sama secara signifikan (p<0.05). DoC > 80% hanya didapatkan pada kelompok dengan jarak penyinaran 0 mm dengan durasi penyinaran 10 dan 15 detik yaitu 81,44 ± 0,02% dan 92,64 ± 0,01% secara berurutan, serta pada kelompok dengan jarak penyinaran 3 mm dan durasi penyinaran 15 detik, yaitu 88,78 ± 0,02%. Kesimpulan: Semakin dekat jarak penyinaran dan semakin lama durasi penyinaran, maka kekerasan mikro dan DoC akan semakin tinggi.

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Background: The most rapidly developing restoration material to date is composite resin. The composite resin on the market and according to manufacturer claims has good aesthetic properties, is easy to manipulate and can be used universally is Palfique Universal Flow Supra-Nano Composite Resin. A material restoration must have an adequate polymerization to produce optimal physical, chemical, mechanical, and biological properties. The microhardness and depth of cure properties of a material can be an indicators of how well a material is polymerized. In clinical situations, anatomical teeth can prevent light from being directly above the surface of the restoration so that the distance and duration of light-curing affect the microhardness and depth of cure of the composite resin. Objective: To analyze the effect of light-curing distance and duration on the microhardness and depth of cure of Supra-Nano Palfique Universal Flow Composite Resin. Methods: Thirty specimens of Palfique Universal Flow Supra-Nano Composite Resin in a cylindrical shape with a diameter of 6 mm and a height of 2 mm were prepared for this study. Specimens were divided into 6 groups based on the light-curing distance (0,3, and 6 mm) and duration (10 and 15 seconds) which were exposed to a light curing unit with an irradiance of 1050 mW/cm2. The hardness test was on the top surface of the specimen, and hardness was also tested on the bottom surface of the specimen to calculate the depth of cure (DoC). DoC was calculated using the bottom/top hardness ratio (%) method. Data was analyzed statistically by One-way ANOVA and Independent Sample T-test. Results: Microhardness and DoC were higher at closer light-curing distances for both 10 and 15 seconds. Microhardness and DoC values at a light-curing duration of 15 seconds were significantly higher than at a duration of 10 seconds at the same distance (p<0.05). DoC > 80% was only obtained in the group with a light-curing distance of 0 mm with a duration of 10 and 15 seconds, that is 81.44 ± 0.02% and 92.64 ± 0.01% respectively, and 88.78 ± 0.02% in the group with a light-curing distance of 3 mm and a duration of 15 seconds. Conclusion: The closer the light-curing distance and the longer the light-curing duration, the higher the microhardness and DoC."