The development of natural resources in the root canal irrigant in endodontic treatment has increased to answer biocompatibility issues. The Lerak (Sapindusrarak DC) fruit, known in Indonesia as a traditional soap seed, can be used as an alternative irrigant for root canal irrigation. It almost qualifies as an irritant. This study aimed to determine the antibacterial compound of Sapindusrarak DC (S. rarak DC). That Predicts as the alternative to root canal irrigation. Gas Chromatography-Mass Spectrometry (CG - MS) was used to identify the compounds of Sapindusrarak DC. The results of GC/MS analysis show that the Sapindusrarak DC has bioactive components such as benzyl chloride, 1-Dodecanamine, N, N-Dimethyl-, 1-Tetradecanamine,N,N- Dimethyl, 4- (3-Dimethylaminopropoxy) benzaldehyde, 1- (Dimethylamino) –2- Butanol, Acetamide, 2-(Diethylamino)-N- (2,6-Dimethylphenyl, 9-Octadecenoic Acid, Hexadecanoic Acid, Cis- 13-Octadecenoic acid, methyl ester, Tetrahydroquinoline-4,4,-, 6-Octadecenoic acid, 2- (BenzylmethylamiNomethyl) -2-Norbornone, Cis-13-Eicosenoic acid. At the 24-hour incubation period in a 12.5 percent Sapindusrarak DC, only 0.4% of F. nucleatum survived ina 100 percent salivary growth response. While a saliva concentration of 25% resulted in a growth response of 82 percent, F. nucleatum growth was only 18%. The concentration of 6.25% was then added, followed by CHX. At 48 hours, the S.rarak DC of 12.5% and 6.25% had a better growth response to F. nucleatum than other concentrations. However, CHX was still higher, giving a growth response to F. nucleatum (98.42%). This finding indicates that Sapindusrarak DC has the compound antibacterial to prevent F. nucleatumgrowth, of could be a recommendation as an alternative to natural root canal irrigation in the field of endodontic treatment.
Preparasi saluran akar khemomekanis meliputi instrumentasi mekanik dan irigasi antibakteri untuk menghilangkan/mengeliminasi mikroorganisme dari sistem saluran akar. Berbagai instrumen dan teknik telah dikembangkan untukperawatan saluran akar. Sejak diperkenalkan pada tahun 1988, Nikel Titanium (NiTi) rotary instrumen menjadi populer dibidang endodonti karena kemampuannya untuk membentuk saluran akar dengan kesalahan prosedural yang minimal.Penggunaan instrumen NiTi membutuhkan pemahaman tentang metalurgi dasar termasuk mekanisme fraktur dankorelasi antara anatomi saluran akar. Tulisan ini bertujuan untuk membahas prinsip biologis preparasi saluran akarmenggunakan teknik instrumentasi saluran akar dengan sistem rotary NiTi serta membahas peran dan sifat irigasi saluranakar. Sebagai kesimpulan, perawatan saluran akar diarahkan untuk pengangkatan mikro-organisme dari sistem saluranakar dan pencegahan reinfeksi. Preparasi khemomekanis saluran akar melibatkan instrumentasi mekanik dan bahanirigasi antibakterial.
BACKGROUND Successful root canal therapy requires a thorough knowledge of root and root canal morphology. Coupled with information gleaned from preoperative dental radiography, the clinician can assess to a great extent the anatomic challenges in each tooth. One of the most important anatomic variations is the "C" shape configuration of the canal system. C shape canal presents an extensive complex system and is mostly seen in mandibular second molars. This case report aimed to present a case of a mandibular second molar with a C-shaped canal configuration, which was successfully treated endodontically. A 35-year-old female patient was referred to clinic at Department of Conservative Dentistry, Faculty of Dentistry, University of Sumatera Utara. She felt the discomfort in his mandibular right second molar after the amalgam restoration had failed. Clinical evaluation revealed that she had tenderness to percussion and palpation. In clinical visualisation following access opening, the tooth showed type III C-shaped canal configuration. Radiographic evidence showed the type I of the radicular and apical anatomy. Root canal obturation with warm gutta percha technique was performed with proper final restoration. Careful assessment of preoperative radiograph is a key step for its subsequent management and this assessment might impact greatly on the treatment outcomes. The C-shape configuration presents a challenge to debridement and obturation. According to the endodontic literature, the C-shaped root canal is most frequently seen in the mandibular second molar. The successful treatment of this case demonstrates that C-shaped canal is a challenge for practitioner and hence should be treated thoroughly.
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