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All Journal Medali Jurnal : Media Dental Intelektual Indonesian Journal of Dentistry
Nina Runting
Universitas Muhammadiyah Surakarta
Dentistry Health Professions Medicine & Pharmacology Public Health

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POST-EXTRACTION HEMORRHAGE: ASSESSING HYPERTENSION AS A RISK FACTOR IN DENTAL EXTRACTIONS Amelia Elizabeth Pranoto; Nina Runting; Eddy Hermanto
Indonesian Journal of Dentistry Vol 5, No 2 (2025): August 2025
Publisher : Faculty of Dentistry Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/ijd.v5i2.17889

Abstract

Background: Tooth extraction, a frequently performed dental procedure, typically culminates in hemostasis within several hours post-operatively. Hypertensive individuals exhibit a propensity for protracted bleeding following surgical interventions. This investigation seeks to assess prolonged bleeding after dental extraction in hypertensive patients. The study aims to determine whether elevated blood pressure is the sole etiological factor in prolonged bleeding or if other confounding variables are implicated. Methods: This prospective cohort study was conducted at Wates Public Hospital, Yogyakarta, Indonesia, from October 2024 to February 2025. Consecutive sampling was used in this study. All research subjects were patients at the Oral and Maxillofacial Surgery Clinic of the RSUD Wates who underwent closed-method extraction using local anesthesia. Patients were separated into two groups, normal and hypertension. Seventy-four patients have been involved in this research, based on inclusive and exclusive criteria. Confounding factors which could influenced blood pressure were controlled statistically.Outcome: Findings indicate that increased mean arterial pressure may extend bleeding time after extraction (p < .001). Conclusion: Elevated mean arterial pressure may prolong bleeding following tooth extraction. Furthermore, several confounding factors, including patients’ pharmacotherapy, localized inflammation resulting from periodontal disease in hypertensive individuals, and adverse patient behaviors after extraction, should be taken into consideration.
EFFECT OF TEA TREE (MELALEUCA ALTERNIFOLIA) GEL ON FIBROBLASTS, BLOOD VESSELS AND COLLAGEN POST-EXODONTICS Nina Runting; Degi Intan Hernanti; Dimas Bagus Prayogi Bintara Putra; Sabila Intania Puteri
Media Dental Intelektual Vol. 7 No. 2 (2025): Media Dental Intelektual August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.7.2.126-135

Abstract

Background: Dental exodontics cause wounds to the surrounding tissue where the exodontic procedure was performed. The wound healing process is influenced by the formation of new blood vessels, fibroblast and collagen. Tea-tree has anti-inflammatory and antibacterial properties that can support the wound healing process. Objective: This study aims to determine the effect of tea tree get application on the number of blood vessel cells, fibroblasts, and collagen in post-exodontic sockets of male wistar rats. Research Methods: This study use a true experimental laboratories design with a post test - only control group design with a sample of 27 male Wistar rats which were divided into 9 groups, each group of which had 3 male Wistar rats and then added a reserve of 1 head of each group so the total sample and the reserve amounted to 36 heads. Exodontics were performed on the maxillary left central incisor to facilitate field view and reduce the risk of rat death. The concentration of tea tree gel used was 5%. The number of blood vessel cells, fibroblast and collagen density were observed and counted  on days 3, 5 and 7 then the average was taken. Result: the result showed that the mean number of fibroblast cells, blood vessels and collagen density increased from day 3,5 and 7. Conclusion: it can be shown that the application of tea tree gel can increase fibroblast cells, blood vessels and collagen density in post-exodontic socket of male Wistar rats, thus accelerating the wound healing process.
Co-Authors Amelia Elizabeth Pranoto Degi Intan Hernanti Dimas Bagus Prayogi Bintara Putra Eddy Hermanto Sabila Intania Puteri