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Abstrak :
Latar Belakang: Sebagian besar pasien menginginkan bahan tambal sewarna gigi yang tahan lama dan memiliki stabilitas warna yang tinggi. Penggunaan partikel berukuran nano pada komposit saat ini dapat meningkatkan kualitas pemolesan dan menyebabkan komposit lebih tahan terhadap pewarnaan. Perubahan warna yang terjadi pada resin komposit dapat dipengaruhi oleh komponen kimiawi dalam obat kumur yang digunakan sehari-hari. Obat kumur memang efektif dalam melawan dan mengurangi penyebaran virus, namun beberapa obat kumur mengandung bahan yang dapat mengakibatkan pewarnaan pada restorasi resin komposit. Tujuan: Mendapatkan perbedaan perubahan warna antara resin komposit nanohibrida yang direndam dalam obat kumur chlorhexidine gluconate 0,2% dan povidone iodine 1%. Metode: Spesimen resin komposit nanohibrida berjumlah 32 buah disiapkan dalam mould (6x3 mm). Spesimen dibagi menjadi 2 kelompok (n=16) berdasarkan obat kumur yang digunakan yaitu kelompok A1 (chlorhexidine gluconate 0,2%) dan A2 (povidone iodine 1%). Spesimen direndam aquades dengan suhu 37ºC selama 24 jam, lalu dilakukan pemolesan dengan Sof-Lex Polishing Discs dan uji warna awal menggunakan kolorimeter. Setelah itu, spesimen direndam dalam obat kumur selama 24 jam. Kemudian dilakukan uji warna akhir dan hasil rata-rata nilai perubahan warna dianalisis dengan uji Mann-Whitney. Hasil Penelitian: Terdapat perbedaan bermakna antara rerata nilai perubahan warna resin komposit nanohibrida yang direndam dalam chlorhexidine gluconate 0,2% dan povidone iodine 1% (p < 0,05) dengan nilai kelompok povidone iodine 1% (3,35) lebih tinggi dibandingkan dengan kelompok chlorhexidine gluconate 0,2% (0,63). Kesimpulan: Perubahan warna yang terjadi pada resin komposit nanohibrida dengan perendaman povidone iodine 1% lebih tinggi dibandingkan dengan perendaman dengan chlorhexidine gluconate 0,2%. ......Background: Most patients want a tooth-colored filling material that is durable and has high color stability. The use of nano-sized particles in today’s composites can improve the quality of polishing and make the composites more resistant to discoloration. Discoloration that occur in the composite resins can be affected by chemical components in the mouthwash that used daily. Mouthwashes are effective in against and reducing the spread of viruses, but some mouthwashes contain ingredients that can cause discoloration of composite resin restorations. Objective: Obtaining differences in discoloration between nanohybrid composite resin soaked in 0.2% chlorhexidine gluconate and 1% povidone iodine mouthwash. Methods: Thirty two nanohybrid composite resin specimens were prepared in a mold (6x3 mm). Specimens were divided into two groups (n=16) based on the mouthwash that used, group A1 (0.2% Chlorhexidine gluconate) and A2 (1% Povidone iodine). The specimens were immersed in distilled water at 37ºC for 24 hours, then polished with Sof-Lex Polishing Discs and then the initial color test was performed using a colorimeter. After that, the specimens were soaked in mouthwash for 24 hours. Then the final color test was carried out and the mean values of the color change were analyzed by Mann-Whitney test. Results: There was a significant difference between the average color change value of the nanohybrid composite resin immersed in 0.2% chlorhexidine gluconate and 1% povidone iodine (p < 0.05) with 1% povidone iodine group value (3.35) higher than 0.2% chlorhexidine gluconate (0.63). Conclusion: The color change that occurred in the nanohybrid composite resin with 1% povidone iodine immersion was higher than that with 0.2% chlorhexidine gluconate immersion.

Abstrak :
Latar Belakang: Larutan teh hijau nanopartikel atau larutan kitosan nanopartikel dengan konsentrasi minimal 0,5% sudah menujukkan sifat antibakteri yang akan mempengaruhi rongga mulut dan obat kumur klorheksidin 0,2% digunakan sebagai pembanding yang sudah menjadi gold standard. Sementara itu terdapat pengaruh obat kumur terhadap kekerasan di penelitian sebelumnya. Oleh karena itu, perlu diketahui kekerasan komposit resin nanofill dan nanohybrid setelah perendaman larutan teh hijau nanopartikel 1,5% kitosan nanopartikel 2%, atau klorheksidin 0,2%. Tujuan: Menganalisis pengaruh perendaman larutan teh hijau nanopartikel 1,5% kitosan nanopartikel 2%, atau klorheksidin 0,2% terhadap kekerasan komposit resin nanofill dan nanohybrid. Metode: Spesimen komposit resin nanofill (n=15) dan nanohybrid (n=15) dilakukan 3 perlakuan, perendaman larutan teh hijau nanopartikel 0,5% selama 7 hari (n=5), dan larutan kitosan nanopartikel 2% selama 7 hari (n=5), dan obat kumur klorheksidin 0,2% selama 7 hari (n=5). Setiap sebelum dilakukan uji kekerasan, komposit resin dibersihkan dengan ultrasonic cleaner. Pengujian kekerasan dilakukan pada awal dan setelah perendaman obat kumur. Hasil: Kekerasan komposit resin nanofill dan nanohybrid sebelum dan setelah perendaman larutan teh hijau nanopartikel 1,5% kitosan nanopartikel 2%, atau klorheksidin 0,2% berbeda bermakna (p<0,05), yaitu pada kisaran 57,97 - 67,56 KHN. Perbedaan juga ditemui antar perendaman larutan teh hijau nanopartikel, 1,5% kitosan nanopartikel 2%, atau klorheksidin 0,2% pada komposit resin yang sama (p<0,05) dan menujukkan data heterogen (p<0,05). Perbedaan bermakna ditemukan pada antar teh hijau nanopartikel 1,5% dan kitosan nanopartikel 2%, atau teh hijau nanopartikel 1,5% atau klorheksidin 2%, atau kitosan nanopartikel 2% dan klorheksdin 0,2%. Pada komposit resin nanofill dan nanohybrid setelah perendaman obat kumur yang sama terdapat perbedaan bermakna (p<0,05). Kesimpulan: Komposit resin nanofill dan nanohybrid mengalami penurunan kekerasan setelah perendaman larutan teh hijau nanopartikel nanopartikel 1,5% kitosan nanopartikel 2%, atau klorheksidin 0,2%. ......Background: Concentration of 0.5% nanoparticle green tea solution or nanoparticle chitosan solution has shown antibacterial properties that will affect the oral cavity and chlorhexidine mouthwash is used as a comparison which has become the gold standard. Meanwhile, there is an effect of mouthwash in previous studies. Therefore, it is necessary to know the hardness of nanofill and nanohybrid resin composites after immersion in green tea nanoparticles solution, 1.5% chitosan nanoparticles 2%, or 0.2% chlorhexidine. Objective: To analyze the effect of immersion in green tea nanoparticles solution, 1.5% chitosan nanoparticles 2%, or 0.2% chlorhexidine on the hardness of nanofill and nanohybrid composite resins. Methods: Composite resin specimens of nanofill (n=15) and nanohybrid (n=15) resins underwent 3 treatments, immersion in 0.5% green tea nanoparticles solution for 7 days (n=5), and 2% chitosan nanoparticle solution for 7 days (n=5), and 0.2% chlorhexidine solution for 7 days (n=5). Composite resins must be cleansed by the untrasonic cleaner before the hardness testing. Hardness testing was carried out at the beginning and after immersion in the solution. Results: The hardness of the nanofill and nanohybrid composite resin before and after immersion of green tea nanoparticles solution, 1.5% chitosan nanoparticles 2%, or 0.2% chlorhexidine was significantly different (p<0.05) in range of 57,97 - 67,56 KHN. Differences were also found between immersion in green tea solution, 1.5% chitosan nanoparticles 2%, or 0.2% chlorhexidine in the same composite resin (p<0.05) and all those group are heterogen data. There were significant differences in the nanofill and nanohybrid resin compositions after immersion in the different solution (p<0.05). Conclusion: The hardness of nanofill and nanohybrid resin composites decreased after immersion in green tea solution, 1.5% chitosan nanoparticles 2%, or 0.2% chlorhexidine.

Abstrak :
Tujuan :Penelitian bertujuan untuk mengetahui pengaruh aplikasi gel acidulated phosphate fluoride terhadap perubahan warna material restoratif resin komposit bulk-fill flowable yang direndam dalam larutan kopi. Metode penelitian: Dua puluh spesimen resin komposit bulk-fill flowable berbentuk silinder berdiameter 6 mm dengan tebal 2 mm disiapkan kemudian dibagi menjadi 2 kelompok, dengan salah satu kelompok menerima aplikasi gel APF dan kelompok lainnya tidak. Setelah diberikan aplikasi gel, spesimen kemudian direndam di dalam larutan kopi (37oC) selama 7 hari. Pengukuran warna dilakukan dengan colorimeter pada saat sebelum perlakuan, setelah aplikasi gel APF dan setelah perendaman di dalam larutan kopi, kemudian dihitung nilai perubahan warnanya sesusai sistem CIE Lab. Analisis data menggunakan uji statistik Independent T-Test untuk menilai perbedaan perubahan warna antara kelompok dengan dan tanpa aplikasi gel APF. Hasil: Hasil menujukkan kelompok yang menerima gel APF mengalami perubahan warna yang lebih besar (p>0.05) daripada kelompok tanpa gel APF. Kesimpulan : Dari hasil penelitian, disimpulkan bahwa aplikasi gel APF memiliki pengaruh terhadap perubahan warna pada resin komposit bulk-fill flowable ......Objective: The aim of this study was to determine the effect of application of acidulated phosphate fluoride gel on the color change of bulk-fill flowable composite resin restorative material immersed in coffee. Methods: Twenty specimens of bulk-fill flowable composite resin in the form of cylinders 6 mm in diameter and 2 mm in thickness were prepared and then divided into 2 groups, with one group receiving APF gel application and the other group not. After being given the gel application, the specimens were then immersed in a coffee solution (37oC) for 7 days. Color measurement was carried out with a colorimeter before treatment, after application of APF gel and after immersion in coffee solution, then the value of the color change was calculated according to the CIE Lab system. Data was analyzed using the independent T-Test statistical test to assess differences in color change between groups with and without APF gel application. Results: The results showed that the group that received the APF gel had a greater color change (p> 0.05) than the group without APF gel application. Conclusion: From the results of the study, it was concluded that the application of APF gel had an effect on the color change of the flowable bulk-fill composite resin.

Abstrak :
Latar belakang : Resin komposit bulkfill merupakan resin terbaru yang dapat direstorasi dengan kedalaman 4-5 mm dalam sekali penyinaran. Polimerisasi dipengaruhi oleh durasi penyinaran dan besaran irradiansi lightcuring untuk mendapatkan kekerasan permukaan dan depth of cure yang optimal. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan nilai kekerasan resin komposit dan depth of cure resin komposit Tetric® N- Ceram bulk-fill yang disinari lightcure dengan durasi 5 detik, 10 detik dan 15 detik. Metode Penelitian: Dalam penelitian ini digunakan 24 spesimen resin komposit Tetric® N-Ceram bulk-fill berbentuk silinder dengan ukuran diameter 6 mm dan tebal 4 mm. Selembar mylar strip diletakkan diatas permukaan resin komposit sebelum dilakukan proses curing. Polimerisasi dilakukan menggunakan Light Curing Unit (LED DBA iLed) selama 5 detik, 10 detik dan 15 detik dengan irradiansi 1100 mW/cm2. Setelah polimerisasi, spesimen direndam dalam akuades pada suhu 37oC selama 24 jam. Spesimen dibagi menjadi tiga kelompok (n=8) yaitu; kelompok resin komposit dengan penyinaran 5 detik, penyinaran 10 detik dan penyinaran 15 detik. Spesimen diuji menggunakan HMV-G Series Micro Vickers Hardness Tester (Shimadzu, Jepang) dengan beban 100 gram selama 10 detik untuk mendapatkan nilai kekerasan. Data dianalisis dengan uji statistik Kruskall Wallis dan Post-Hoc Mann Whitney. Hasil Penelitian: Hasil uji statistik menunjukkan kenaikan bermakna nilai kekerasan permukaan dan depth of cure pada resin komposit Tetric® N-Ceram bulk-fill. Nilai kekerasan dan depth of cure tertinggi terlihat pada resin komposit Tetric® N-Ceram bulk-fill pada kelompok penyinaran 15 detik, yaitu sebesar 41,61 ± 1,25 KHN dan 72,71 ± 1,88. Kesimpulan: Disimpulkan bahwa semakin bertambah durasi penyinaran lightcure yang disinari, semakin bertambah nilai kekerasan permukaan dan depth of cure resin komposit Tetric® N-Ceram bulk-fill. ......Background : Bulkfill composite resin is the newest resin that can be restored to a depth of 4-5 mm in one step. Polymerization is determined by the irradiation time and the amount of light curing irradiance to obtain optimal microhardness and depth of cure. Objective: The aim of this study was to determine the difference in the value of the microhardness of the composite resin and the depth of cure of the Tetric® N-Ceram bulk- fill composite resin irradiated by lightcure with a duration of 5 seconds, 10 seconds and 15 seconds. Method: Twenty four specimens of Tetric® N-Ceram bulk-fill Composite Resin were used in this study. All materials were prepared into disk-shaped specimens of 6 mm in diameter and 4 mm in thickness. A piece of mylar strip was placed on the top of the specimens just before the polymerization.. Polymerization was carried out using a Light Curing Unit (LED DBA iLed) for 5 seconds, 10 seconds and 15 seconds with an irradiance of 1100 mW/cm2. After polymerization, specimens were immersed in 37 aquadest solution for 24 hours. Specimens were divided into three groups (n=8) that is; composite resin group with 5 seconds of irradiation, 10 seconds of irradiation and 15 seconds of irradiation. Specimens were tested with HMV-G Series Micro Vickers Hardness Tester (Shimadzu, Jepang) with 100 gram indentation in 10 seconds. Data were analyzed using Kruskall Wallis and Post-Hoc Mann Whitney to assess the significant differences among groups Result: The results of statistical tests showed a significant increase in the value of microharhardness and depth of cure on Tetric® N-Ceram bulk- fill composite resin. The highest microhardness and depth of cure values were seen in the Tetric® N-Ceram bulk-fill composite resin in the 15 second irradiation group, namely 41.61 ± 1.25 KHN and 72.71 ± 1.88. Conclusion: It was concluded that the longer the duration of irradiation of the irradiated lightcure, the higher the microhardness value and depth of cure of the Tetric® N-Ceram bulk-fill composite resin.

Abstrak :
Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan nilai kekerasan resin komposit microhybrid G-aenial Posterior™ setelah perendaman dalam saliva buatan dengan pH 4,5; 5,5; dan 7 selama 1 hari dan 7 hari.Metode Penelitian: Dalam penelitian ini digunakan 36 spesimen resin komposit microhybrid G-aenial Posterior™ berbentuk silinder dengan ukuran diameter 6 mm dan tebal 2 mm. Selembar mylar strip diletakkan diatas permukaan resin komposit sebelum dilakukan proses curing. Polimerisasi dilakukan menggunakan Light Curing Unit (LED DBA iLed) selama 10 detik dengan irradiansi 1200 mW/cm2. Setelah polimerisasi, spesimen direndam dalam akuades pada suhu 37oC selama 24 jam. Spesimen dibagi menjadi enam kelompok (n = 6) yaitu; perendaman pada saliva buatan pH 4,5 selama 1 hari, saliva buatan pH 5,5 selama 1 hari, saliva buatan pH 7 selama 1 hari, saliva buatan pH 4,5 selama 7 hari, saliva buatan pH 5,5 selama 7 hari, dan saliva buatan pH 7 selama 7 hari. Spesimen diuji menggunakan HMV-G Series Micro Vickers Hardness Tester (Shimadzu, Jepang) dengan beban 50 gram selama 15 detik untuk mendapatkan nilai kekerasan. Data dianalisis dengan uji statistik One-Way ANOVA dan Post-Hoc Bonferroni. Hasil Penelitian: Hasil uji statistik menunjukkan penurunan bermakna nilai kekerasan material G-aenial PosteriorTM setelah dilakukan perendaman selama 1 dan 7 hari dalam saliva buatan dengan pH 4,5; 5,5; dan 7. Nilai kekerasan tertinggi terlihat pada resin komposit microhybrid G-aenial Posterior™ setelah perendaman 1 hari pada pH saliva buatan pH 7 yaitu sebesar 19,14 ± 0,61 VHN. Sedangkan nilai kekerasan terendah terlihat pada resin komposit microhybrid G-aenial Posterior™ setelah perendaman 7 hari pada pH saliva buatan pH 4,5 yaitu sebesar 14,37 ± 0,31 VHN. Kesimpulan: Disimpulkan bahwa dengan pertambahan waktu perendaman, dan penurunan pH saliva buatan didapatkan nilai kekerasan yang menurun pada resin komposit microhybrid G-aenial PosteriorTM. ......Objective: The aim of this study was to determine the difference of Microhybrid G-Aenial Posterior™ Composite Resin hardness value after immersion in artificial saliva with pH 4.5; 5.5; and 7 for 1 day and 7 days. Method: 36 specimens of Microhybrid G-Aenial Posterior™ Composite Resin were used in this study. All materials were prepared into disk-shaped specimens of 6 mm in diameter and 2 mm in thickness. A piece of mylar strip was placed on the top of the specimens just before the polymerization. Polymerization was done using LED curing unit (LED DBA iLed) in 10 seconds with irradiance 1200 mW/cm2. After polymerization, specimens were immersed in 37C aquadest solution for 24 hours. Specimens were divided into six groups (n=6) immersed with artificial saliva pH 4,5 in a day; pH 5,5 in a day; pH 7 in a day; pH 4,5 in 7 days; pH 5,5 in 7 days; and pH 7 in 7 days. Specimens were tested with HMV-G Series Micro Vickers Hardness Tester (Shimadzu, Japan) with 50 gram indentation in 15 seconds. Data were analyzed using One-Way ANOVA and Post-Hoc Bonferroni to assess the significant differences among groups. Result: The result showed hardness significant decreased of G-aenial PosteriorTM after were immersed in 1 and 7 days in 4,5; 5,5; dan 7 pH of artificial saliva. The highest and lowest hardness value seen in microhybrid G-aenial Posterior™ composite resin after were immersed in one day with pH 7 of artificial saliva (19,14 ± 0,61 VHN) and 7 days with pH 4,5 (14,37 ± 0,31 VHN) respectively. Conclusion: It was concluded that the increased immersion time and the decrease in the pH value of the artificial saliva decreased the hardness value of the G-aenial PosteriorTM microhybrid composite resin.