Irma Ervina
Department Of Periodontology, Faculty Of Dentistry-Universitas Sumatera Utara, Medan, Indonesia

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PENGARUH PERIODONTITIS TERHADAP KESEHATAN BAYI YANG DILAHIRKAN : INFLUENCE OF PERIODONTITIS ON THE HEALTH OF BABIES BORN Irma Ervina; Ellissa Wijaya
Dentika: Dental Journal Vol. 15 No. 1 (2010): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.886 KB) | DOI: 10.32734/dentika.v15i1.1693

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Periodontal disease is characterised by low-grade infection of the gums and tooth support structures by Gram-negative, predominantly anaerobic bacteria. Periodontitis may cause preterm birth by causing low-grade bacteraemia, which lodges in the decidua, chorion and amnion or by releasing endotoxin into the maternal circulation, which triggers intrauterine inflammation and preterm birth. Approximately 25% of PLBW cases occur without any of the known risk factors, which have prompted continuation of the search for other possible causal factors. Collectively, the studies summarized in this paper suggest a model wherein chronic periodontal infection, serving as a reservoir for bacterial products (such as LPS) or various inflammatory mediators (or both), may play an important role in the development of PLBW. On that basis, the authors felt the need for further review on the effect of periodontitis on the health of babies born, and is expected to provide insight into the influence of periodontitis on the health of babies born so the dentist can be more critical and increasing role in preventing and improving maternal health pregnancy and abortion standarizations. As conclusion, the poor health of periodontium during pregnancy is one of the risks of preterm and low birth weight
DETEKSI AWAL, MANIFESTASI ORAL DAN PENATALAKSANAAN PERIODONTAL PADA PASIEN LEUKEMIA – SEBUAH TINJAUAN Budi Budi; Irma Ervina
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 8, Nomor 2, September 2021 (Special Edition)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v8i2.883

Abstract

Introduction: Systemic diseases such as leukemia can manifest on the periodontium. The symptoms of this disease can be varied such as gingival enlargement, bleeding, oral ulceration, petechiae, mucosal pallor, noma, and trismus, but most clinicians are unaware of these conditions. This literature study purposed to review the literature concerning the oral manifestations and periodontal managements consideration of patients with leukemia. Review: The most frequent oral manifestations associated with leukemia are represented by the paleness of oral mucosa or abnormal color of the gum, petechiae, ecchymosis, bleeding associated with painless gingival hyperplasia, hemorrhage, ulcerative necrotic lesions, and buccal infections. Clinicians should take precautions when encountering those symptoms, such as referring the patient to specialized professionals. Besides that, clinicians should have a certain protocol to maintain the oral health of patients and to prevent complications that may occur from dental procedures. Patients with leukemia have a bleeding tendency and increased risk of infection which required special attention on periodontal and dental management to prevent the development of opportunistic infections and other complications. However, many patients are unaware of their disease and clinicians hold a pivotal role to identify leukemia through oral manifestations and giving feasible dental management. Conclusion: This review describes the oral manifestation of leukemia, which might be useful in early diagnosis. By knowing the diagnosis, clinicians should concern about special considerations in providing dental treatment to patients with leukemia.
HUBUNGAN KEBIASAAN MEROKOK DAN MENGUNYAH SATU SISI TERHADAP TINGKAT KEPARAHAN PERIODONTITIS Pitu Wulandari; Aini Haryani Nasution; Irma Ervina; Agnes Nikita Pangaribuan; Gebby Gabrina
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 9, No 2 (2022): Vol 9 No 2, Desember 2022
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v9i2.1077

Abstract

Introduction: Periodontitis is an inflammatory condition of the supporting tissues of the teeth caused by one or a group of specific microorganisms that cause progressive periodontal destruction characterized by an increase in probing depth, recession, or both. One of the risk factors for periodontal disease is habitual factors, such as smoking and unilateral chewing. The purpose of this study was to examine the relationship between smoking and unilateral chewing on the severity of periodontitis. Methods: This study was cross-sectional with a retrospective analytical design. The sample used is 67 people. Data was obtained from periodontitis status in 2017-2019 at the Periodontics Clinic of the USU Dental Hospital. Data were analyzed using the Chi-square test with a 95% confidence interval and a 5% significance level (p<0.05). The severity of periodontitis was assessed based on a staging system published by the Academy of Periodontology (AAP) in 2017. Results: The results showed a significant relationship between smoking habits and the severity of periodontitis (p=0.012), as well as a significant relationship between unilateral chewing habits and the severity of periodontitis (p=0.019). Conclusion: The result of this study concluded that is a significant relationship between smoking and unilateral chewing habits on the severity of periodontitis.
PERANAN KITOSAN DALAM TERAPI PERIODONTAL R. Tri Rizky Ananda; Irma Ervina
Cakradonya Dental Journal Vol 14, No 1 (2022): Februari 2022
Publisher : FKG Unsyiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.994 KB) | DOI: 10.24815/cdj.v14i1.27298

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Penyakit periodontal disebabkan oleh plak dan bakteri yang mempengaruhi jaringan pendukung gigi. Terapi periodontal secara mekanik bertujuan untuk menghilangkan biofilm dan kalkulus subgingiva untuk mencegah rekolonisasi bakteri dan pembentukan biofilm. Dalam beberapa kasus di mana terapi mekanis memiliki keterbatasan, maka terapi penunjang seperti terapi antibiotik diberikan. Kitosan adalah sejenis selulosa polisakarida alami, banyak ditemukan pada serangga, cangkang krustasea dan dinding sel jamur, juga dikenal sebagai kitin terlarut yang tidak beracun, biokompatibel dan biodegradable. Kitosan memiliki beberapa karakteristik seperti efek antibakteri terhadap bakteri patogen periodontal, antiinflamasi, sistem penghantar obat, meningkatkan aktivitas modulasi regeneratif, hemostatik dan aktivitas penyembuhan. Makalah ini menjelaskan manfaat kitosan sebagai biomaterial alami yang aman dan dapat digunakan dalam berbagai bidang di bidang kedokteran gigi. Kitosan juga memiliki sifat biologis yang baik, sehingga kitosan cukup menjanjikan bila digunakan dalam pengelolaan terapi periodontal non bedah.
Hubungan Antara Periodontitis Dengan Kelahiran Bayi Prematur Berberat Badan Lahir Rendah Ditinjau Dari Aspek Destruksi Periodontal Khairiyah Ulfah; Irma Ervina
Cakradonya Dental Journal Vol 8, No 1 (2016): Juni 2016
Publisher : FKG Unsyiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.542 KB)

Abstract

Kelahiran bayi prematur berberat badan lahir rendah merupakan masalah kesehatan masyarakat baik di negara maju maupun negara berkembang. Kejadian bayi berat badan lahir rendah di Indonesia tahun 2003 sebesar 90 per 1000 kelahiran. Kelahiran prematur ini meningkatkan risiko angka kematian dan kesakitan bayi, yang mencakup ketidakmampuan perkembangan saraf, kelemahan kognitif, masalah pernafasan, anomali kongenital dan gangguan tingkah laku. Penelitian ini bertujuan untuk mengetahui hubungan antara periodontitis dengan kelahiran bayi prematur BBLR khususnya ditinjau dari aspek destruksi periodontal dan perbedaan tingkat destruksi periodontal antara ibu yang melahirkan bayi prematur BBLR dengan ibu yang melahirkan bayi normal. Penelitian dilakukan secara observasional dengan pendekatan Cross Sectional. Sampel dalam penelitian ini diambil dari Rumah Sakit Umum Haji Adam Malik, Rumah Sakit Umum dr.Pirngadi, Rumah Sakit Umum Haji, Klinik Bersalin Tri Putri, dan Klinik Bersalin Yakin Sehat dengan total sampel 45 orang, terdiri dari ibu yang melahirkan bayi prematur BBLR sebanyak 17 orang dan ibu yang melahirkan bayi normal sebanyak 28 orang. Pemeriksaan gigi meliputi kedalaman saku dan kehilangan perlekatan klinis dengan menggunakan prob dan kaca mulut dengan pencahayaan senter. Tidak ada hubungan antara periodontitis dengan kelahiran bayi prematur BBLR dan terdapat perbedaan tingkat destruksi periodontal antara ibu yang melahirkan bayi prematur BBLR dan ibu yang melahirkan bayi normal. Rata-rata kedalaman saku ibu yang melahirkan bayi prematur BBLR lebih tinggi daripada ibu yang melahirkan bayi normal, namun perbedaan tersebut tidak bermakna secara statistik. Sedangkan rata-rata kehilangan perlekatan klinis ibu yang melahirkan bayi prematur BBLR lebih tinggi daripada ibu yang melahirkan bayi normal dan perbedaan tersebut bermakna secara statistik. Periodontitis pada ibu hamil merupakan salah satu faktor risiko kelahiran bayi prematur BBLR.
THE EFFECTIVENESS OF PLATELET RICH FIBRIN, CONNECTIVE TISSUE GRAFT AND THEIR COMBINATION IN THE CLOSURE OF GINGIVAL RECESSION: A SYSTEMATIC REVIEW Dian Anggraini; Irma Ervina; Aini Hariyani Nasution
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 1 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i1.7866

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Introduction: Connective Tissue Graft (CTG) is one of the techniques in gingival recession treatment, but considering the morbidity of using CTG, biomaterials such as Platelet Rich Fibrin (PRF) can be an alternative in gingival recession closure treatment. This systematic review aims to compare and evaluate the use of PRF, CTG and their combination in gingival recession closure. Review: An electronic literature search in Medline (PubMed), Google Scholar, and Elsevier (Sciencedirect) was conducted to identify Randomized Clinical Trial (RCT) reporting on the treatment of gingival recession using PRF, CTG or a combination of both from 2018 to 2023 in English. This systematic review was conducted following the Preferred Reporting Items for Systematic review (PRISMA) guidelines. The parameters assessed in the RCTs were: recession depth (RD), clinical attachment level (CAL), keratinized gingival width and height (KTW, KTH), probing depth (PD), gingival thickness (GT) and patient discomfort after surgery assessed by VAS (Visual Analog Scale). Based on the 1,152 articles retrieved, there were only five RCTs eligible for systematic review. Four articles compared the use of PRF with CTG, and one article compared the use of CTG with the combination of CTG + PRF in gingival recession closure. Conclusion: The use of PRF, CTG, and a combination of both were effective in closing gingival recession. The use of CTG gave better results in increasing gingival thickness and keratinized gingival width compared to the use of PRF, but the combination of CTG and PRF gave significant results in keratinized gingival height and decreasing recession depth compared to the use of CTG alone. Thus, the combination of CTG and PRF may be a more promising gingival recession closure treatment option.
EFFECTIVENESS OF SOCKET PRESERVATION IN MAINTAINING ALVEOLAR BONE VOLUME: A SYSTEMATIC REVIEW Fahrur Rozi Lubis; Irma Ervina; Martina Amalia
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 1 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i1.8640

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Introduction: Alveolar bone undergoes dimensional changes due to resorption after tooth extraction, which can make it difficult to place a denture or implant. Preservation socket procedures are performed at the time of tooth extraction with the aim of minimizing alveolar bone resorption. The purpose of this systematic review is to analyze the effectiveness of socket preservation in preserving alveolar bone. Review: This systematic review was conducted through an electronic literature search in PubMed, Wiley, and Sciencedirect, which was used to obtain a number of Randomized Clinical Trial (RCT) articles on the effectiveness of socket preservation with graft material versus no socket preservation. This systematic review was conducted following the Preferred Reporting Items for Systematic reviews (PRISMA) guidelines. Based on the 417 articles screened, there were 24 duplicates, and after the articles were included by the criteria of: RCT, human study, publication in English, within the last five years and focusing on the methods and outcomes of socket preservation, 5 articles were found to be relevant. Conclusion: Of the five studies reviewed, one study using allograft material and four studies using xenograft material, the results were that socket preservation can reduce alveolar bone resorption and can maintain the horizontal and vertical dimensions of alveolar bone compared to no socket preservation
The Role of Occlusal Adjustment on Treatment of Tooth’s Mobility: Case Report Cut Ati Ningsih; Irma Ervina; Aini Hariyani Nasution
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 2 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i2.9521

Abstract

Introduction: Periodontal disease and traumatic occlusion can result in loss of alveolar bone so that the teeth become mobile. Treatment of tooth’s mobility depends on the etiology and prognosis of the tooth. Case: This case report describes the treatment of a tooth’s mobility due to periodontal disease and traumatic occlusion. The first case was a 39-year-old female patient with complaints of mobility of teeth, the gums of the lower front teeth were often swollen, pus intermittently since 2 years ago. Clinical examination showed tooth 41 mobility grade 2 with a pocket depth of 6 mm and teeth 31,32,42 mobility grade 1 with a pocket depth of 3 mm and were traumatic occlusion on teeth 11,21 and 41. Radiographic showed infrabony defects of teeth 31 and 41 with 30% bone loss. The second case was a 22-year-old female patient with complaints of bleeding gums when brushing her teeth and mobility of lower front teeth since 1 year ago. Clinical examination showed teeth 31,41 mobility grade 2 with a pocket depth of 4 mm and 6 mm, teeth 32,42 mobility grade 1 with a pocket depth of 3 mm, there was traumatic occlusion on teeth 21 and 31. Radiographic showed suprabony defects on teeth 31 and 41 with 30% bone loss. Case Management: In both cases, initial treatment was carried out with scaling and root planing, followed by occlusal adjustment. One week post-treatment oclusal adjustment there was no tooth mobility in either case. Discussions: Mobility can be caused by periodontal tissue inflammation, alveolar bone destruction, and traumatic occlusion. Conclusion: Occlusal adjustment can reduce mobility in traumatic occlusal teeth.
Quality Of Life of Menopausal Women Suffering from Periodontitis Relating to Dental Conditions: Kualitas Hidup Perempuan Menopause Penderita Periodontitis, Berkaitan dengan Kondisi Gigi Geligi Irma Ervina; Panggabean, Gabriel Jonathan; Pitu Wulandari; Martina Amalia
Dentika: Dental Journal Vol. 25 No. 2 (2022): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v25i2.8563

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Menopause describes the cessation of a woman’s menstrual period due to the ovaries’ shutdown of estrogen and progesterone production. Decreased levels of these hormones cause menopause symptoms and reduce the quality of life. Therefore, this study aims to determine how the quality of life of postmenopausal women and the practice of periodontics in Medan City are related to the condition of teeth. A descriptive method was used with a cross-sectional design to adapt the questionnaires. The number of samples was 60 people based on medical record data at the periodontics installation of the RSGM USU and dentists’ practice in Medan. Furthermore, a Likert scale was used to assess the quality of life of postmenopausal women with periodontitis. The results showed that the quality of life, which strongly influenced the teeth, was Stage IV Grade B. In terms of social relations, the most decisive influence on the condition of the teeth was appearance. The aspect of the physical ability which strongly influences the condition is chewing hard food. In conclusion, menopausal women with periodontitis influence their quality of life from aspects of physical ability, social relations, general health, and psychology. Key words: quality of life, menopausal women, periodontitis, dental conditions
Pengaruh Strategi Pemasaran Terhadap Penjualan di Toko Ugi Kabupaten Wajo Andi Prayudhi; Faisal; Irma Ervina
Precise Journal of Economic Vol 2 No 1 (2023): Edisi: April 2023
Publisher : Yayasan Pengembangan Sumber Daya Insani Lamaddukelleng

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Penelitian ini bertujuan untuk mengetahui pengaruh strategi pemasaran terhadap penjualan di Toko Ugi Kabupaten Wajo Secara simultan. Populasi dalam penelitian ini adalah pengunjung atau konsumen Toko Ugi Kabupaten Wajo. Sampel dalam penelitian ini berjumlah 86 orang. Pengambilan sampel menggunakan teknik sampel dengan menggunakan rumus slovin adalah penentuan sampel berdasarkan kebetulan, yaitu siapa saja yang secara kebetulan bertemu dengan peneliti maka digunakan sebagai sampel, bila dilihat orang tersebut yang kebetulan ditemui akan dijadikan sumber data. Instrumen pengumpulan data menggunakan kuesioner dengan Skala Likert. Analisis data menggunakan regresi linier sederhana, uji determinasi dan Uji t. Hasil penelitian ini menunjukkan bahwa (1) Hasil analisis regresi liner sederhana menunjukkan nilai koefisien regresi Strategi pemasaran (X) sebesar 0,393 dengan nilai signifikasi sebesar 0,001 yang artinya terdapat pengaruh strategi pemasaran terhadap penjualan.(2) Hasil uji Determinasi (R2) menunjukkan bahwa koefisien determinasi diperoleh sebesar 0,115 yang artinya variabel strategi pemasaran dapat menjelaskan volume penjualan sebesar 11,5% sedangkan sisanya 88,5% dijelaskan oleh variabel lain. (3) Hasil uji t menunjukkan nilai signifikan variabel strategi pemasaran sebesar 0,001 karena nilai sig. 0,001 < probabilitas 0,05 artinya variabel strategi pemasaran dapat diterima yang artinya ada pengaruh strategi pemasaran terhadap penjualan.