Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 46 / No. 2 / Published : 2013-06
Order : 6, and page :80 - 85
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Original Article :
Treatment of non-vital primary molar using lesion sterilization and tissue repair (lstr 3mix-mp)
Author :
- Tania Saskianti*1
- Udijanto Tedjosasongko *2
- Irmawati*3
- Dosen Fakultas Kedokteran Gigi
- Dosen Fakultas Kedokteran Gigi
- Dosen Fakultas Kedokteran Gigi
Abstract :
Background: Most pulp treatment for primary molar teeth with diagnose of gangrenous pulp are root canal treatment. In this technique, the root canal preparation is the longest and most difficult step. The treatment with non-threatening and non-invasive approaches is needed to be done in order to obtain a good cooperation from child patient. Purpose: The purpose of the study was to clinically evaluate the use of 3Mix-MP-a combination of antibacterial drugs, i.e. metronidazole, minocycline and ciprofloxacin (3Mix), and macrogol and propylene glycol (MP) - as pulp medicament on a necroses primary molar. This treatment is done based on the concept of lesion sterilization and tissue repair (LSTR) therapy. Methods: Subject of study were the children who came for dental treatment at Pediatric Dental Clinic of Faculty of Dentistry Universitas Airlangga. After oral examination, 8 primary molars with gangrenous pulp due to dental caries were selected as samples. The following treatment procedure was done to all samples: Cavity on the occlusal teeth was enlarged to put 3 Mix-MP medications. A slice of 3 Mix-MP pastes was placed in the cavity and then sealed with glass-ionomer cement. All subjects were asked to come for recall visit after 1, 3 and 6 months post treatment, and clinically and radiographically evaluated. For microbiological test, we compare the antibacterial effect of 3 Mix-MP with tempophore on mixed bacteria of pulp cavity which was isolated prior to therapy. The antibacterial effect was determined by measuring the inhibition zone after 24 hours anaerobe incubation. Results: In 7 out of 8 samples on recall visit showed no acute or chronic clinical symptoms, such as fistulae, abscess formation, purulent exudates, and swelling or feel any pain during mastication. There was no periapical radiolusensi or resorbtion of alveolar bone in seven of eight students before conducting the treatment, that causes the radiography significant level of this treatment was difficultly measured. Microbiological test result showed LSTR 3Mix-MP has antibacterial effect higher than tempophore (p<0.001). Conclusion: The study indicated that 3Mix-MP treatment gave clinically and radiographically positive response on gangrenous primary molar’s pulp.
Keyword :
LSTR 3Mix-MP, gangrenous pulp, primary teeth,
References :
McDonald RE,(2011) Dentistry for the child and adolescent. Missouri : Mosby
Archive Article
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Volume : 46 / No. : 2 / Pub. : 2013-06 |
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