Author Archives: Drg. Nicander

Case Report : Direct Anterior Restoration

Hi Everyone

This time I would like to share about Direct Restoration in the front teeth.

These patients came in different time, both have same problem, cavity in the front teeth that really make they can not smile freely. These teeth have been treated with a filling before, but they looked not clean, and still have black shadow in the margin. And after a few months the filling came out. So they feel disappointed with the previous treatment and just leave it until they decided to come to my office to search for a solution. So I suggest some options with fillings or veneer, but they then decide to have another try of filling. So here are the results and they really satisfied.


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Case Report of Root Canal Treatment

Hello readers,

Today I want to share one of my case. a young girl aged 19yo came to my office concerning of the hole in the upper left tooth. She actually came around 9 months ago and i already informed about the hole in the upper left, but she just ignored that hole that time since it didn’t cause pain yet. But now she come with the pain in that tooth already, so I just take visual look and know this tooth will need root canal treatment. So I did the RCT procedure, take xray, and do the cleaning, shaping, and obturated the canal before do the final restoration.

So the lesson is : never let the un-annoying hole cause you pain in the future, fill the cavity as soon as possible.

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Should I remove my wisdom tooth?

Your dentist says you need to have your wisdom tooth taken out. But they don’t hurt, you think, so why remove it?

Now, let’s begin with what is wisdom tooth ? The wisdom tooth is third molar that you have in the back of the other molars and grow in the age of early twenty or end of teens. Wisdom tooth often don’t grow properly. The tooth could be stuck or impacted or it could be growing at an angle to next tooth and they can damage the next tooth. Impacted wisdom tooth also can cause problems with chewing and gums problems. That’s why some dentist take out healthy third molars to prevent problems later on. So just because your wisdom tooth aren’t a source of pain doesn’t mean there’s nothing wrong.

In general, it’s best to have wisdom tooth taken out between ages 16 and 22. When you are younger, the wisdom tooth not fully formed and still not firmly rooted in the jaw, so the sooner we taken out wisdom teeth the fewer complication and risks.

If your dentist recommends surgery, don’t wait. Because I often sees patients who have cavities in their impacted wisdom teeth and the next teeth. In that cases, you might end up losing eight molar instead of four.

Case report

A 39-year-old man came to us for evaluation and treatment for his front tooth. Extraoral tissue investigation was normal. Intraoral investigation revealed there was slighty swelling og gingiva around the broken tooth due to calculus. A clinical diagnosis of irreversible pulpitis was established. After administering local anesthesia, we did endodontic treatment to this tooth. Single visit endodontic done continued with fiber post to make a core build up in this tooth in order to prepare it for a crown. Since this is front tooth, patient decided to have a full porcelain crown instead of porcelain fused to metal crown for aesthetic reason. The next week, he came again to have the crown fixed. This condition needs only 2 sessions and one week time.


Case Report

This lady come to my office with the concern of the gap between the central front teeth. After some discussion I give 2 options which are : orthodontic braces and direct veneer.

First option is orthodontic braces which will give perfect result without changing teeth dimension. Disadvantages are more expensive cost, longer duration of treatment, and the discomfort that will follow braces treatment.

So the lady goes to 2nd option which is direct veneer int he front teeth. With this direct veneer method, we can achieve a good result in an instant time, will take around 30 minutes to finish. Firstly, I take Pre-op picture, then do the preparation by trimming tooth surface. then all the procedure ( etching, bonding, application of composite veneer ) is done, I polished the veneer to have a smooth and a bit glossy look, and take Post-op picture. After treatment, instruction of maintenance was told and the lady came out from my office with more confident big smile.


Root Canal Treatment / Perawatan Saluran Akar

When nerve tissue or pulp is damaged, it breaks down, and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed debris can cause an infection or abscessed tooth at the end of a tooth’s root. That when tooth need root canal treatment. Root canal treatment is a treatment used to repair and save a tooth that is badly decayed or infected. During treatment, the nerve and pulp are removed, and the inside of the tooth is cleaned and sealed with a rubber-like material called gutta-percha. Saving the natural tooth with root canal treatment has many advantages, such as efficient chewing, normal biting force and sensation, natural appearance, protects other teeth from excessive wear or strain. Root canal treatment will helps you maintain your natural smile, continue eating the foods you love and limits the need for ongoing dental work. With proper care, most teeth that have had root canal treatment can last as long as other natural teeth and often for a lifetime.





direct venner / venner komposit

Re-establishing a patient’s lost dental esthetic appearance is one of the most important topics for contemporary dentistry. Veneers are restorations which are envisioned to correct existing abnormalities, esthetic deficiencies and discolorations. Veneer restorations may be processed in two different ways: direct or indirect. Direct veneers have no need to be prepared in the laboratory and are based on the principle of application of a composite material directly to the prepared tooth surface in the dental clinic. Absence of necessity for tooth preparation, low cost for patients compared with indirect techniques and other prosthetic approaches, reversibility of treatment and no need for an additional adhesive cementing system are some advantages of this technique.








Dental amalgam filling / Tambalan amalgam untuk gigi

One of the most vexing issues in dentistry today revolves around the use of silver fillings (amalgams) in our mouths. Do we need to take out the old amalgam fillings for fear of health issues and replace them, or are there better restorative dentistry options that do not pose any potential risk to our health? In a statement released by the U.S. Food and Drug Administration (FDA) in 2009, amalgam fillings, which contain mercury along with other metals, were pronounced safe for most adults and children over 6 years of age. But the FDA still continue to review and evaluate their safety, suggesting the issue still isn’t definitively settled.

Amalgams consist of 50% mercury along with a combination of silver, tin, and copper. Mercury is a powerful neurotoxin and, at certain levels, can cause neurological issues, autoimmune disease, chronic illnesses and mental disorders. The burning question is whether an unknown quantity of mercury vapor in our silver fillings at a constant exposure poses a significant health risk. The World Health Organization (WHO) has stated that the exposure to mercury vapor can greatly increase beyond this number due to personal habits such as grinding of the teeth, chewing gum, and drinking carbonated drinks. This could lead to a fivefold increase in mercury levels after these activities.







Salah satu masalah yang sering dibicarakan dalam bidang kedokteran gigi adalah pemakaian tambalan amalgam yang berwarna abu-abu dalam gigi kita. Apakah kita perlu mengganti tambalan amalgam karena takut akan berbahaya bagi kesehatan kita? Berdasarkan keterangan yang diberikan oleh U.S. Food and Drug Administration (FDA) tahun 2009, bahwa tambalan amalgam, yang mengandung merkuri dan beberapa macam metal didalamnya aman bagi kebanyakan orang dewasa dan anak-anak di atas umur 6 tahun. Tetapi FDA masih terus melanjutkan penelitiannya dan mengawasi hal ini.

Tambalan amalgam mengandung 50% merkuri dan kombinasi dari perak dan tembaga. Merkuri dapat menyebabkan kerusakan saraf, kerusakan sistem pertahanan tubuh dan penyakit-penyakit kronis lainnya.  Tidaklah diketahui berapa banyak merkuri yang terserap oleh tubuh kita yang berasal dari tambalan amalgam sehingga dapat membahayakan tubuh kita. World Health Organization (WHO) menyatakan bahwa merkuri yang masuk ke dalam tubuh akan meningkat jumlahnya apabila seseorang memiliki kebiasaan suka meminum minuman bersoda, makan permen karet, dan kebiasaan mengretakan gigi.




wisdom teeth removal / pencabutan gigi geraham bungsu

Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. When wisdom teeth are misaligned, they may position themselves horizontally, be angled toward or away from the second molars, or be angled inward or outward. Wisdom teeth also can be impacted — they are enclosed within the soft tissue and/or the jawbone or only partially break through or erupt through the gum. Partial eruption of the wisdom teeth allows an opening for bacteria to enter around the tooth and cause an infection, which results in pain, swelling, jaw stiffness, and general illness. Partially erupted teeth are also more prone to tooth decay and gum disease because their hard-to-reach location and awkward positioning makes brushing and flossing difficult.

A wisdom tooth that is fully erupted through the gum can be extracted as easily as any other tooth. However, a wisdom tooth that is underneath the gums and embedded in the jawbone will require an incision into the gums and then removal of the portion of bone that lies over the tooth. Often, for a tooth in this situation, the tooth will be extracted in small sections rather than removed in one piece to minimize the amount of bone that needs to be removed to get the tooth out.

Gigi geraham bungsu merupakan gigi geraham ketiga yang tumbuh ketika kita berumur 20-an. Sering kali gigi geraham bungsu tidak tumbuh dengan baik, miring, dan posisinya tidak sejajar dengan gigi yang lainnya. Kadang kala gigi geraham bungsu juga dapat tidak tumbuh dan tertanam didalam tulang atau tumbuh hanya sebagian saja. Hal ini menyebabkan bakteri dengan mudah masuk dinatara gigi dan gusi sehingga dapat menyebabkan sakit, bengkak, gigi berlubang, penyakit gusi dan hal lainnya.

Gigi geraham bungsu yang tumbuh sempurna dapat dicabut seperti gigi biasanya. Tetapi gigi geraham bungsu yang tertanam di dalam gusi dan tulang maka membutuhkan pemotongan gusi dan pengambilan tulang yang berada diatasnya. Kadang kala gigi yang mau diambil harus dipotong kecil-kecil agar dapat keluar.


What is waterpik? / apakah itu waterpik?

Even though most of us brush our teeth,but still, brushing your teeth is not enough. Half of all American adults have gum disease, which is a root cause of bad breath and tooth loss. To help prevent gum disease, dental professionals tell us to floss daily. But many of us don’t because string floss is difficult and time consuming to use.

Why is waterpik ?

  • Easy to use. Just point the flosser tip between your teeth and along the gumline, and let it do all the work for you.
  • Fast. Water Flossing takes only a minute a day, making it easy to improve your oral health and enjoy the cleanest, freshest mouth possible.
  • Effective. The waterpik removes the plaque and debris lurking deep between teeth and below the gumline, where it’s hard to reach with traditional brushing and flossing.


Menyikat gigi saja tidaklah cukup, setengah warga Amerika menderita penyakit gusi sehingga gigi menjadi goyang dan bau mulut. Untuk itu dokter gigi akan menyarankan kita untuk menggunakan benang gigi setiap hari. Tetapi menggunakan benang gigi menyusahkan banyak orang. 

Mengapa menggunakan waterpik?

  • Sangat mudah untuk digunakan. Yang perlu kita lakukan hanya mengarahkan ujung tip diantara gigi dan pada garis gusi. 
  • Cepat. Mengunakan waterpik hanya membutuhkan 1 menit perhari dan sudah dapat membersihkan gigi dengan baik. 
  • Efektif. Waterpik  dapat membersihkan gi dari plak dan sisa makanan yang menempel pada sela-sela gigi dan dibawah gusi lebih efektif daripada menyikat gigi biasa.