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Abstrak :
ABSTRAK
Penelitian ini dilakukan untuk mengetahui pengaruh perbedaan selang waktu antara penumpatan semen Zinc Oksid (Phapras)-Eugenol (Cavex) dan penumpatan Isopast (Vivadent) terhadap kekerasan Isopast. Percobaan dilakukan pada Isopast yang ditumpatkan diatas semen ZOE dengan selang waktu 1, 2 dan 5 hari, dan kemudian diukur kekerasannya. Selama selang waktu tersebut semen ZOE direndam dalam air. Sebagai pembanding diukur pula kekerasan Isopast tanpa semen ZOE. Kekerasan diukur dalam KHN pada suatu garis yang jaraknya + 400 um. dan + 1100 um dari garis batas semen ZOE dan Isopast. Ternyata ada peningkatan kekerasan sampai selang waktu 5 hari. Ada perbedaan kekerasan yang bermakna yang dihasilkan oleh selang waktu 1 dan 2 hari, sedangkan antara 2 dan 5 hari, walaupun ada kecenderungan peningkatan kekerasan, secara statistik tidak bermakna. Makin jauh dari semen ZOE kekerasan makin tinggi. Dibandingkan dengan sampel tanpa semen ZOE, terlihat bahwa pada selang waktu 1 hari, jarak ± 400 um., hambatan pengerasannya adalah ± 50 %. Sedangkan pada selang waktu 5 hari, jarak yang sama, tinggal ± 15 %.

Abstrak :
Latar belakang: Di Indonesia, prevalensi karies gigi berkisar antara 85% - 99% dan 67.4% pria umur 15 tahun atau lebih merokok. Tujuan: Tujuan penelitian ini mengkaji hubungan keparahan karies gigi dan intensitas merokok pada pria Indonesia umur 45 – 54 tahun (n = 34.534), responden Riskesdas 2007. Metode: Pengalaman karies gigi (DMFT) dicatat oleh enumerator yang sudah dilatih. Enumerator juga mencatat karakteristik sosiodemografik (umur, pekerjaan, status sosial ekonomi, pendidikan) perilaku kesehatan gigi (gosok gigi) dan merokok responden. 31.4 % responden DMFT-nya ≥ 8, cut off point karies gigi parah dalam penelitian ini. Uji Chi-square digunakan untuk mendeteksi kemaknaan perbedaan prevalensi karies gigi parah pada perokok berat (BI ≥ 400) dan pada yang tidak pernah merokok (BI = 0). Regresi logistik digunakan untuk meng-estimasi besarnya peran merokok berat pada keparahan karies gigi. Hasil: Prevalensi karies gigi parah pada yang tidak pernah merokok, perokok ringan (BI 1-399) dan perokok berat berturut turut adalah, 24,9 %; 32,5 % dan 38,7% (P <0,005). Dibanding yang tidak pernah merokok, adjusted OR karies gigi parah pada perokok ringan dan perokok berat adalah 1,45 (95% CI 1,37-1,53) dan 1,70 (95% CI: 1,59 – 1,81). Kesimpulan: Merokok merupakan salah satu faktor risiko karies gigi parah pada pria Indonesia dan semakin berat intensitas merokoknya, semakin besar pula risikonya. Saran: Para dokter gigi Indonesia, baik secara perorangan, maupun secara kolektif, perlu ambil bagian secara lebih sungguh sungguh dalam pengendalian tembakau di Indonesia ......Background: In Indonesia, dental caries the prevalence between 85% - 99% and 67.4% of males aged 15 years or older currently used tobacco. Objective: The aim of this study is to examine the association between dental caries severity and smoking intensity in 45 – 54 years old Indonesian males (n = 34.534), respondents of Basic Health Research 2007. 31.4 % of respondents have DMFT value ≥ 8, the cut off point of severe dental caries in this study. Methods: The dental caries experience (DMFT) were recorded by well trained enumerators. In addition, the enumerators recorded sociodemographic characteristics (age, socio-economic status, education, job), tooth brushing and smoking behavior of respondents. Chisquare test was used to detect significant difference on prevalence of severe dental caries between heavy smokers (BI ≥ 400) and never smokers (BI = 0). Logistic regression was used to estimate contribution of heavy smoking on dental caries severity. Result: The prevalence of severe dental caries on never smokers, light smokers (BI 1-399) and heavy smokers were 24,9 %; 32,5 % and 38,7% respectively (P <0,005). Compared to never smokers, the adjusted OR of light smokers and heavy smokers were 1,45 (95% CI 1,37-1,53) and 1,69 (95% CI: 1,59 – 1,80). Conclusion: Smoking is a risk factor of severe dental caries in Indonesian men and the higher the smoking intensity, the higher the risk. Recommendation: Indonesian dentists, individually and collectively have to take part more seriously in smoking prevention and control in Indonesia.

Abstrak :
A reimplantation case of maxillary second incisive with periapical (radicular) cyst is reported. A 37 years old female who suffered periapical cyst on her maxillary second incisive requested conventional endodontic treatment in order to avoid to avoid tooth extraction. The tooth was treated with a conventional root canal treatment at the first visit. After the first treatment, the patient suffered a post endodontic treatment pain but was afraid to be operated with apex resection. On the second visit, the maxillary second incisive was extracted. On the third visit the patient requested periapical cyst removal after she received advices from her older sister (who was a medical doctor) about the important of removing cyst capsule in order to avoid cyst recurrency. The patient also requested her tooth reimplantation. Following her request, on her extracted maxillary second incisive, root canal filling and apex resection were done out side her mouth, followed by periapical curettage in the maxillary second incisive region. Then reimplantation was finally performed. Seven months later, the patient told that since her maxillary second incisive apex resection and reimplantation, she never suffered from any pain or swelling. Pain on the tooth percussion and palpation were negative. Tooth mobility was on level 2. There was no sign that periapical radiolucency was growing wider, eventhough it was not getting smaller at that moment. We classified the result of our treatment as "not fail" since we still need a longer time ensure wether or not the result will be able to be classified as "successful". Eventhough radiographic healing was still "uncertain", there was a hope that the patient will gain a "complete healing" after 2 years.