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"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. "

"ABSTRACTLatar Belakang: Jumlah penduduk lansia di kota Depok terus mengalami peningkatan. Lansia memiliki kerentanan terhadap penyakit sistemik maupun gigi dan mulut yang saling berhubungan, salah satunya perubahan kualitas dan kuantitas saliva. Namun, belum ada penelitian dengan subjek lansia mengenai profil saliva yang dilakukan di kota Depok. Tujuan: Mengetahui profil saliva antar jenis kelamin, kelompok usia, jenis penyakit sistemik, medikasi dan persepsi serostomia pada lansia di kota Depok. Metode: Studi analitik observasional dengan desain penelitian potong lintang. Pengambilan sampel dengan teknik consecutive sampling pada subjek berusia ge; 60 tahun yang berdomisili di Depok. Subjek diperiksa volume saliva tanpa stimulasi, terstimulasi, derajat keasaman dan kapasitas dapar. Subjek menjawab kuesioner Fox mengenai serostomia dan kuesioner tentang penyakit sistemik dan medikasi. Penelitian ini dianalisis dengan uji Mann Whitney-U, Kruskal Wallis dan korelasi Spearman ?=5 . Hasil: Jenis kelamin memiliki hubungan dengan laju alir saliva, tetapi derajat keasaman dan kapasitas dapar tidak. Tidak terdapat perbedaan profil saliva antar kelompok usia, jenis penyakit sistemik dan medikasi. Koefisien korelasi antara serostomia dengan laju alir terstimulasi lebik kuat 0,426 dibanding tanpa stimulasi 0,303 . Kesimpulan: Laju alir saliva memiliki perbedaan bermakna antara laki-laki dan perempuan, tetapi tidak berbeda bermakna antar kelompok usia, jenis penyakit sistemik dan medikasi. Derajat keasaman dan kapasitas dapar tidak berbeda bermakna antar jenis kelamin, kelompok usia, jenis penyakit sistemik dan medikasi. Persepsi serostomia berhubungan dengan laju alir saliva.

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ABSTRACTLatar Belakang Jumlah penduduk lansia di kota Depok terus mengalami peningkatan. Lansia memiliki kerentanan terhadap penyakit sistemik maupun gigi dan mulut yang saling berhubungan, salah satunya perubahan kualitas dan kuantitas saliva. Namun, belum ada penelitian dengan subjek lansia mengenai profil saliva yang dilakukan di kota Depok. Tujuan Mengetahui profil saliva antar jenis kelamin, kelompok usia, jenis penyakit sistemik, medikasi dan persepsi serostomia pada lansia di kota Depok. Metode Studi analitik observasional dengan desain penelitian potong lintang. Pengambilan sampel dengan teknik consecutive sampling pada subjek berusia ge 60 tahun yang berdomisili di Depok. Subjek diperiksa volume saliva tanpa stimulasi, terstimulasi, derajat keasaman dan kapasitas dapar. Subjek menjawab kuesioner Fox mengenai serostomia dan kuesioner tentang penyakit sistemik dan medikasi. Penelitian ini dianalisis dengan uji Mann Whitney U, Kruskal Wallis dan korelasi Spearman 5 . Hasil Jenis kelamin memiliki hubungan dengan laju alir saliva, tetapi tidak pada pada derajat keasaman dan kapasitas dapar. Tidak terdapat perbedaan profil saliva antar jenis penyakit sistemik dan medikasi yang dikonsumsi subjek. Koefisien korelasi antara serostomia dengan laju alir terstimulasi lebik kuat 0,426 dibanding laju alir tanpa stimulasi 0,303 . Kesimpulan Laju alir tanpa stimulasi dan terstimulasi, memiliki perbedaan yang bermakna antara laki laki dan perempuan, tetapi tidak berbeda bermakna antar kelompok usia, jenis penyakit sistemik dan medikasi. Derajat keasaman dan kapasitas dapar tidak berbeda bermakna antar jenis kelamin, kelompok usia, jenis penyakit sistemik dan medikasi. Persepsi serostomia berhubungan dengan laju alir saliva. "

"Latar Belakang: Palfique Universal Flow® merupakan resin komposit flowable yang digunakan untuk merestorasi gigi anterior dan posterior. Untuk dapat beredar di pasaran, material restorasi harus memenuhi karakteristik standar, salah satunya adalah kekuatan fleksural. Material restorasi akan terpapar oleh lingkungan mulut yang kondisi pH-nya selalu berubah sehingga dapat berdampak pada kekuatan fleksuralnya. Tujuan: Menganalisis pengaruh perendaman resin komposit supra-nano Palfique Universal Flow® tipe medium pada berbagai pH saliva buatan terhadap kekuatan fleksural. Metode: Sejumlah dua puluh empat spesimen resin komposit supra-nano Palfique Universal Flow® tipe medium dengan dimensi 25 x 2,8 x 2 mm dikelompokkan menjadi empat, yaitu kelompok tanpa perlakuan, perendaman di saliva buatan pH 3, pH 5,5, dan pH 7. Setelah direndam selama 7 hari, kekuatan fleksural diukur menggunakan Universal Testing Machine. Data dianalisis menggunakan uji Kruskal Wallis, Mann-Whitney, dan Independent T-Test. Hasil: Nilai kekuatan fleksural pada kelompok tanpa perlakuan merupakan yang tertinggi dan semakin rendah pada perendaman di dalam saliva buatan pH 7; 5,5; dan 3 secara berturut-turut dengan perbedaan signifikan (p≤0,05). Nilai antar kelompok berbeda signifikan pada seluruh kelompok (p≤0,05), kecuali pada pH 3 dengan pH 5,5 dan pH 5,5 dengan pH 7 (p>0,05). Kesimpulan: Saliva buatan yang asam menyebabkan nilai kekuatan fleksural resin komposit supra-nano Palfique Universal Flow® tipe medium menjadi lebih rendah.

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Background: Palfique Universal Flow® is a flowable composite resin that used for restoring both anterior and posterior teeth. To be marketed, restorative materials must meet standard characteristics, one of which is flexural strength. Restorative materials are exposed to the oral environment, where pH conditions continuously change, potentially affecting their flexural strength. Objective: To analyze the effect of immersion medium-type supra-nano composite resin Palfique Universal Flow®in artificial saliva at various pH levels on the flexural strength. Methods: Twenty-four specimens of medium-type supra-nano composite resin Palfique Universal Flow®, with dimensions of 25 x 2.8 x 2 mm, divided into four groups: untreated, immersion in artificial saliva with pH 3, pH 5.5, and pH 7. After a 7-days immersion, the flexural strength was measured using a Universal Testing Machine. The data were analyzed using Kruskal-Wallis, Mann-Whitney, and Independent T-Test. Results: The flexural strength values in the untreated group were the highest, decreasing within immersion in artificial saliva at pH 7, 5.5, and 3 with significant differences observed (p≤0.05). Significant differences were noted between groups in all cases (p≤0.05), except between pH 3 and pH 5.5, as well as between pH 5.5 and pH 7 (p>0.05). Conclusion: Artificial saliva with acidic pH levels leads to lower flexural strength values of the medium-type supra-nano composite resin Palfique Universal Flow®.

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"The aim of this research is to see the effect of various dentin conditioners (phosphoric acid) to the bond strength between resin adhesive HNPM/TEGDMA (2 Hydroxy-3,2-Napthoxy-Propyl Methacrylate/Trietilen Glikol di Methacrylate) and dentin tissue of bovine teeth. Dentin conditioner that was used are phosphoric acid solution 10%, 25%, 35% (Group A1, A2, A3). Specimens was divided into 3 Groups, each group has 10 specimens. Bond strength test used "Universal Testing Machine". A G 5000 and SHIMADZU type. The result of this research shows average differences of bond strength of each group. Anova test there is a significant difference (8.485 and p < 0,05). Double comparison Tukey test among groups generally are significant different (p<0,05) except between A2 and A3 group. The result of the research states there are effects of various dentin conditioners to the bond strength between resin adhesive NHPM/TEGDMA and dentin tissue."

"Penelitian ini bertujuan untuk mengetahui pengaruh lama perendaman dalam saliva buatan terhadap perubahan pH-nya dan kekasaran permukaan resin komposit Giomer Bulk-Fill. Jumlah spesimen 63 buah dibagi dalam sembilan kelompok perlakuan yaitu perendaman dalam saliva buatan pH 7; 5,5; dan 4,5 selama masing-masing 1 jam, 24 jam, dan 72 jam pada suhu 370C. Perubahan pH saliva buatan diukur menggunakan pH meter dan pengujian kekasaran permukaan spesimen menggunakan surface roughness tester. Hasil menunjukkan bahwa terdapat perbedaan yang bermakna pada setiap kelompok perlakuan.

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This study aimed to determine the effect of immersion time on artificial saliva pH changes and surface roughness of Giomer Bulk Fill composite resin. Sixty three specimens were divided into nine groups with immersion in artificial saliva pH 7, 5.5, and 4.5 for 1 hour, 24 hours, and 72 hours at 370C respectively. The changes in artificial saliva pH were measured using a pH meter and the surface roughness measured using surface roughness tester. The results showed that there were significant differences between each groups."

"Latar Belakang : Resin komposit menjadi salah satu jenis material restorasi yang banyak digunakan karena memiliki keunggulan dalam sifat fisik, mekanik, dan estetika. Salah satu resin komposit yang beredar di Indonesia adalah Resin Komposit Palfique Supra-Nano Universal Flow yang dikembangkan partikel filler-nya dan diklaim memiliki sifat fisik yang baik antara lain water sorption dan solubility. Penggunaan resin komposit seiring waktu akan terpapar oleh lingkungan rongga mulut akibat adanya saliva yang pH-nya bisa berubah seiring konsumsi makanan dan minuman sehingga mempengaruhi water sorption dan solubility-nya. Hingga saat ini, belum terdapat penelitian mengenai pengaruh perendaman pada berbagai pH saliva buatan terhadap water sorption dan solubility Resin Komposit Palfique Supra-nano Universal Flow. Tujuan : Menganalisis pengaruh perendaman Resin Komposit Supra-Nano Palfique Universal Flow tipe Super Low dan Medium pada berbagai pH saliva buatan terhadap water sorption dan solubility. Metode : Empat puluh delapan spesimen Resin Komposit Supra-Nano Palfique Universal Flow tipe Super Low dan Medium dengan dimensi 15 x 1 mm dibagi menjadi delapan kelompok uji berdasarkan tipe dan perendaman, yaitu pada perendaman di dalam akuades, saliva buatan pH 3, 5,5, dan 7 masing-masing selama 7 hari. Perhitungan dari nilai water sorption dan solubility dilakukan sesuai ISO 4049 : 2019. Analisis data menggunakan uji One way ANOVA dan Kruskall Wallis. Hasil : Nilai water sorption dan solubility pada kedua tipe Resin Komposit Palfique Supra-nano Universal Flow semakin tinggi pada perendaman pH yang semakin rendah. Perendaman di dalam akuades dan saliva buatan pH 3 mengalami kenaikan secara signifikan (p<0,05), dan tidak signifikan pada perendaman di dalam saliva buatan pH 3 dengan pH 5,5 dan pH 7 (p<0,05). Nilai solubility pada perendaman di dalam saliva buatan pH 3 dengan pH 5,5 mengalami kenaikan secara signifikan (p<0,05), sedangkan pada saliva buatan pH 5,5 dengan 7 tidak signifikan (p>0,05). Tipe Super Low memiliki nilai water sorption dan solubility yang lebih tinggi dibandingkan tipe Medium pada semua perendaman namun tidak signifikan (p>0,05). Kesimpulan : Terjadi peningkatan nilai water sorption dan solubility Resin Komposit Palfique Supra-nano Universal Flow setelah perendaman di dalam saliva buatan pH 3 dibandingkan pH 5,5, 7, dan akuades.

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Background : Composite resin is one type of restoration material that is widely used because it has advantages in physical, mechanical, and aesthetic properties. One of the composite resins distributed in Indonesia is Palfique Supra-nano Universal Flow Composite Resin which developed its filler particles and claimed to have good physical and mechanical properties, one of which is the physical properties of water sorption and solubility. The use of composite resins over time will be exposed to the oral environment due to the presence of saliva which pH of saliva can change with the consumption of food and drinks, that affecting the water sorption and solubility of the Composite Resin. Until now, there’s not yet research the effect of immersion at various pH artificial saliva on water sorption and solubility of Palfique Supra-nano Universal Flow Composite Resin. Objective : To analyze the effect of immersion type Super Low and Medium Palfique Supra-Nano Universal Flow Composite Resin at various pH artificial saliva on water sorption and solubilty. Methods : Forty-eight type Super Low and Medium Palfique Supra-Nano Universal Flow Composite Resin specimens with dimensions of 15 x 1 mm were divided into eight test groups based on type and immersion ; distilled water, artificial saliva pH 3, 5,5, and 7 for 7 days. Calculations of water sorption and solubility values will be made according to ISO 4049: 2019. Data analysis used One way ANOVA and Kruskall Wallis test. Results : The value of water sorption and solubility for both types (Super Low and Medium) is higher in immersion at lower pH. Immersion in distilled water and artificial saliva pH 3 in both types increased significantly (p<0.05), and in artificial saliva pH 3 with pH 5.5 and pH 7 was not significant (p<0.05). The solubility value in pH 3 immersion with pH 5.5 increased significantly (p<0.05), while at pH 5.5 and 7 it was not significant (p>0.05). The Super Low type has higher water sorption and solubility values than the Medium type in all immersions but not significant (p>0.05). Conclusion : There is an increase on water sorption and solubility of Palfique Supra-nano Universal Flow Composite Resin after immersion at artificial pH 3 compared to pH 5,5, 7, and distilled water."

"ABSTRAKResin komposit alkasit mampu melepaskan ion hidroksida sehingga dapat mempertahankan pH netral saliva. Ion yang dilepaskan lebih banyak pada suasana asam. Resin komposit alkasit dapat dipolimerisasi secara kimia dan/atau menggunakan sinar. Penelitian ini dilakukan untuk mengetahui kemampuan resin komposit alkasit polimerisasi kimia dan sinar dalam menetralkan saliva buatan. Jumlah spesimen 96 buah dibagi menjadi 16 kelompok perlakuan yang terdiri dari 2 kelompok saliva buatan (pH 4,5 dan 5,5), 2 kelompok metode polimerisasi (kimia dan sinar), dan 4 kelompok waktu perendaman (1, 3, 5, dan 7 hari). Spesimen berbentuk lempeng dengan diameter 15 mm dan tebal 1 mm yang direndam dalam 5 ml saliva buatan dan disimpan dalam inkubator bersuhu 37˚C. Hasil penelitian menunjukkan adanya peningkatan pH saliva buatan pada seluruh kelompok perlakuan seiring dengan waktu perendaman. Berdasarkan uji statistik Independent T test dan Mann Whitney U, secara umum tidak terdapat perbedaan bermakna dalam meningkatkan pH saliva buatan antara kelompok metode polimerisasi kimia dan sinar. Sedangkan, terdapat perbedaan bermakna kenaikan pH saliva buatan pada kelompok yang direndam pada saliva buatan pH 4,5 dan 5,5. Dapat disimpulkan bahwa kemampuan resin komposit alkasit polimerisasi kimia dan sinar sama baik dalam meningkatkan pH saliva buatan hingga hari ke 7, terutama dalam suasana yang lebih asam.

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ABSTRACT

Alkasite composite resin is able to release hydroxide ions so it can maintain a neutral pH of saliva. More ions released in an acid condition. This composite resin can be polymerized chemically or using LED light. This study aimed to determine the ability of self-cured and light-cured alkasite composite resin to neutralize artificial saliva pH. Ninety-six specimens were immersed in 5 ml of artificial saliva, 15 mm in diameter and 1 mm thick were divided into 16 groups consist of 2 groups of artificial saliva (pH 4,5 and 5,5), 2 groups of polymerization method (self-cured and light-cured), and 4 groups of immersion time (1, 3, 5, and 7 days). The result showed that there was an increase in the pH of the artificial saliva in all treatment groups over the time of immersion. The statistical test using Independent T test and Mann Whitney U showed that in general there were no significant differences between the polymerization method. Meanwhile, there were significant differences between the groups that immersed in each artificial saliva pH. It was concluded that self cured and light cured composite resin alkasite have the same ability to increase the pH of artificial saliva until the 7th day, especially in an acid condition."