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Background: A diastema is the distance or space between two or more adjacent teeth. This abnormality can interfere with the aesthetics of a patient, and 97% of diastemas occur in the maxilla. Various treatments can be performed for diastema closure in patients, one of which is composite resin restoration. Purpose: To explain the aesthetic procedure for diastema closure. Case: A 20-year-old female patient presented with complaints of the distance between her anterior teeth (Class I Angle occlusion with normal overjet and overbite). The labial frenum associated with the diastema was normal in size and position. The patient was not amenable to invasive procedures. Case Management: Management of midline diastema closure using the direct composite technique with DSD, the putty index method and button shade technique. Conclusion: The closure of a midline diastema with direct composite using DSD, the putty index method and button shade technique provides aesthetic results with less cost and time due to the absence of laboratory procedures.

Background: A successful endodontic treatment is inseparable from the right choice of root canal dressing. The right choice of medicaments would result in patient satisfaction. Enterococcus faecalis (E. faecalis) and Porphyromonas gingivalis (P. gingivalis) are usually found in failed root canal treatments. Calcium hydroxide is a gold standard dressing that creates an alkaline environment in the root canal and has a bactericidal effect. Commercially, there are calcium hydroxide dressings with supporting additions, including calcium hydroxide–iodophors (CH–iodophors) and Calcium hydroxide–barium sulfate (CH–barium sulfate). Purpose: This study aimed to compare the antibacterial efficacy between CH–iodophors and CH–barium sulfate root canal dressings on E. faecalis and P. gingivalis. Methods: CH–iodophors and CH–barium sulfate were obtained commercially. E. faecalis and P. gingivalis were obtained from stock culture taken from the root canal of failed endodontic treatment. E. faecalis and P. gingivalis were cultured in Petri dishes, and for each bacterium, 12 wells were made in the media. Six wells were used for the CH–iodophors group, and six wells were used for the CH–barium sulfate group. CH–iodophors and CH–barium sulfate were deployed in the wells in E. faecalis and P. gingivalis cultured media in the Petri dishes. After incubation, the inhibition zone diameters were measured. An independent t-test was used for analysis, and the significance level was set at 5%. Results: There is a significant difference in the antibacterial efficacy of CH–iodophors and that of CH–barium sulfate on E. faecalis and P. gingivalis (p = 0.00001). Conclusion: CH–iodophors have a higher antibacterial efficacy than CH–barium sulfate on both E. faecalis and P. gingivalis.

Background: Composite resins restoration is a treatment for tooth structure loss due to pathological conditions. Longevity of composite resins restoration can be affected by surface hardness restoration. Glycerin can increase surface hardness restoration with inhibit bond oxygen and free radicals on polymerization composite resins. Purpose: Analyze the increase surface hardness composite resins restoration after glycerin application before light-curing composite resins. Review(s): Of the six journals included in this literature review, five journals reported significant differences because of the obstacles in the polymerization process of the composite resin when composite contact with light-curing will activate the photoinitiator to produce highly reactive free radicals, free radicals will break the double chain carbon bonds of monomers and form single bonds of free radicals with monomers. Bonding of free radicals with monomers will produce polymeric bonds (degree of conversion) which affects the level of surface hardness of the filling. While one journal noted no significant difference in the surface hardness of composite resin after glycerin application. Conclusion: The use of glycerin before light-curing can increase the surface hardness composite resin restorations.

Background: Dental caries is one of oral and dental disease that has high prevalence in Indonesia. The fact showed that there are many dental caries were in advanced condition, resulting in root canal treatment needed. The failure of root canal treatment usually caused by patient non compliance in multivisit treatment. It was probably because of the lack of public knowledge about oral and dental health. Purpose: This study was to investigate the correlation between oral and dental health knowledge with patient compliance in multivisit treatment. Methods: An analytic survey using cross sectional design was carry out on 35 patients in UPF Konservasi Gigi RSGMP FKG UNAIR around September-November 2011. The data gathering was done using both questionnaire and focused interview. The test of Spearman correlation was used to measure the correlation between the oral and dental health knowledge to patient compliance in multivisit treatment. Result: This study showed that there was no significant correlation between oral and dental health knowledge to patient compliance (p=0,837). But there was significant correlation between patient compliance with patient motivation  (p=0,006), needs (p=0,020), perception (p=0,018) and dental treatment cost (p=0,034) with patien compliance in multivisist dental treatment. Conclusion: There was no significant correlation between oral and dental health knowledge to patient compliance. There are other factors that give significance contribution to the increasement of complianced beside knowledge, such as motivation, needs, patient’s perception in continousy treatment and and cost.