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"Latar belakang: Fokus desinfeksi saluran akar saat ini telah mengalami perubahan dari desinfeksi agresif menjadi proteksi selektif, yang memiliki tujuan utama untuk menciptakan lingkungan yang sesuai, oleh karena itu, bahan irigasi alami sebagai pendamping mulai banyak diteliti potensialnya karena relatif aman. Larutan irigasi dengan kualitas optimal yang dapat membersihkan saluran akar secara menyeluruh sendiri masih belum tersedia dan meskipun ada perkembangan baru di bidang penelitian yang relevan, solusi yang lebih mendekati kualitas ideal belum dikembangkan. Cuka apel dapat dijadikan sebagai bahan alternatif alami yang aman untuk mengeliminasi biofilm sekaligus smear layer, sehingga berpotensi untuk dikembangkan lebih lanjut. Tujuan: Mengetahui perbedaan efek antibakteri bahan irigasi sintetik NaOCl 1,5% dan 2,5% dibandingkan dengan larutan cuka apel terhadap E. faecalis. Metode: Biofilm E. faecalis isolat klinis dibagi menjadi tujuh kelompok sampel untuk dipaparkan dengan bahan uji larutan cuka apel konsentrasi 2,5%, 5%, 10%, kontrol positif NaOCl 1,5%, 2,5% dan kontrol negatif tanpa perlakuan, efek antibakteri dilihat menggunakan metode MTT Assay dan hitung koloni. Hasil: Didapatkan hasil dari kedua uji yang dilakukan bahwa larutan cuka apel konsentrasi 2,5% memiliki efek antibakteri terhadap biofilm E. faecalis tertinggi dibandingkan dengan konsentrasi 5% dan 10%. Kesimpulan: Efek antibakteri larutan cuka apel 2,5%, 5%, dan 10% lebih rendah dibandingkan dengan larutan NaOCl 1,5% dan 2,5% terhadap biofilm E. faecalis.

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Introduction: The current focus of root canal disinfection has changed from aggressive disinfection to selective protection, which has the main goal of creating a suitable environment, therefore, natural irrigation materials as a companion have begun to be studied for their potential because they are relatively safe. Irrigation solutions of optimal quality that can thoroughly clean root canals on their own are not yet available and despite new developments in the relevant research area, solutions closer to the ideal quality have not yet been developed. Apple cider vinegar can be used as a safe natural alternative for eliminating biofilm as well as the smear layer, so it has the potential to be developed further. Objective: To determine the differences in the antibacterial effect of synthetic irrigants NaOCl 1,5% and 2,5% compared to apple cider vinegar solution against E. faecalis. Methods: Clinical isolates of E. faecalis biofilm were divided into seven sample groups to be exposed to test materials for apple cider vinegar concentrations of 2,5%, 5%, 10%, positive control NaOCl 1,5%, 2,5%, and negative control without treatment, the antibacterial effect was seen using the MTT Assay method and colony count. Results: The results of the two tests were obtained that a 2.5% concentration of apple cider vinegar had the highest antibacterial effect on E. faecalis biofilm compared to 5% and 10% concentrations. Conclusion: The antibacterial effect of 2,5%, 5%, and 10% apple cider vinegar solutions was lower than 1,5% and 2,5% NaOCl solutions on E. faecalis biofilm.

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"Latar Belakang: American Association of Endodontist (AAE) (2021) menganjurkan penggunaan irigasi NaOCl 1,5% - 3% dan EDTA 17% pada prosedur regeneratif endodontik. Namun, kedua larutan irigasi tersebut memiliki efek terhadap sel punca dan jaringan dentin. Oleh karena itu bahan pengganti bersumber dari bahan alami mulai diteliti, salah satunya adalah cuka apel. Tujuan: Menganalis efek larutan cuka apel berbagai konsentrasi dan larutan irigasi sintetik terhadap topografi dan kekasaran permukaan dentin saluran akar. Metode: 28 spesimen dentin setebal 1 mm dibagi random pada 7 kelompok, lalu tiap kelompok terdiri dari 4 spesimen. Spesimen dentin direndam dengan aquades, NaOCl 1,5%, NaOCl 2,5%, EDTA 17%, larutan cuka apel 2,5%, 5% dan 10% dengan volume 1,8 ml selama 1 menit. Pengamatan topografi dan analisis kekasaran permukaan dentin saluran akar dilakukan dengan mikroskop digital. Hasil: Terdapat efek larutan cuka apel berbagai konsentrasi dan larutan irigasi sintetik terhadap topografi dan kekasaran permukaan dentin saluran akar yang dievaluasi dengan mikroskop digital. Namun tidak terdapat perbedaan efek larutan cuka apel konsentrasi 2,5%, 5% dan 10% dibandingkan dengan NaOCl 1,5%, 2,5% dan EDTA 17% terhadap kekasaran permukaan dentin saluran akar. Kesimpulan: Larutan cuka apel memiliki efek terhadap kekasaran permukaan dentin saluran akar. Nilai rerata kekasaran permukaan terendah adalah cuka apel 2,5% walaupun nilainya tidak berbeda bermakna dengan larutan uji lainnya.

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Background: The American Association of Endodontist (AAE) (2021) recommends the use of 1.5% - 3% NaOCl irrigation and 17% EDTA in regenerative endodontic procedures. However, these two irrigant solutions had an effect on stem cells and dentine tissue. Therefore, substitutes derived from natural ingredients have begun to be researched, one of which is apple vinegar. Objective: To analyze the effect of various concentrations of apple vinegar and synthetic irrigation solutions on topography and surface roughness of root canal dentin Method: 28 specimens of 1 mm thick dentin were randomly devided into 7 groups, then each group consisted of 4 specimens. Dentin specimens were immersed in distilled water, 1.5% NaOCl, 2.5% NaOCl, 17% EDTA, 2.5%, 5% and 10% apple vinegar solution with 1.8 ml volume of solution for 1 minute. The topography and surface roughness observation was carried out using digital microscope. Results: There was effect of apple vinegar solutions with various concentrations and synthetic irrigant solutions on topography and surface roughness of root canal dentin evaluated by digital microscopy. However, there was no difference in the effect of apple vinegar solution concentrations of 2.5%, 5% and 10% compared to 1.5%, 2.5% NaOCl and 17% EDTA on surface roughness of root canal dentin. Conclusion: Apple vinegar solution has an effect on surface roughness of root canal dentin. The lowest average surface roughness value was 2.5% apple vinegar, although the value was not significantly different from the other test solutions."