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Efektivitas gel ekstrak daun binahong (Anredera cordifolia) terhadap kontraksi luka pada penderita reccurent apthous stomatitis (RAS)Effectiveness of binahong (Anredera cordifolia) leaves extract gel on the wound contraction of patients with recurrent aphthous stomatitis (RAS) Hanifah, Nisa; Sari, Anindiya Kartika; Gemilang, Adhika Ilham; Ningsih, Juwita Raditya
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 31, No 3 (2019): Desember 2019
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v31i3.21880

Pendahuluan: Reccurent apthous stomatitis (RAS) adalah ulser yang terjadi secara berulang pada mukosa oral. Proses penyembuhan RAS terbagi menjadi 4 fase yaitu: fase premonitory, fase preulseratif, fase ulseratif, dan fase maturasi. Tanaman binahong selama ini digunakan untuk menyembuhkan penyakit ringan maupun berat, seperti menyembuhkan wasir, flu tulang, susah buang air besar, kolesterol tinggi, diabetes, asam urat, pegal linu, stroke, penyembuhan luka pasca operasi, meningkatkan vitalitas pria, tipes, sesak nafas, darah rendah, pengobatan luka, dan sebagai antibakteri. Melalui skrining fitokimia, tanaman binahong diketahui memiliki kandungan zat kimia aktif flavonoid, saponin, alkaloid, steroid/ terpenoid, dan tanin. Tujuan penelitian ini adalah untuk mengetahui efektivitas pemberian gel ekstrak binahong (Anredera cordifolia) terhadap kontraksi luka penderita RAS. Metode: Jenis penelitian ini merupakan penelitian eksperimental semu dengan pre-test post-test design. Subjek penderita RAS minor pada penelitian ini mendapat pemeriksaan ukuran kontraksi luka sebelum pemberian gel ekstrak binahong pada fase ulseratif ≤ 3 hari dan sesudah pemberian gel ekstrak daun binahong pada hari ke-5 dan ke-7 dengan konsentrasi 2,5%, 5%, dan 10% dan kontrol positif berupa triamcinolone acetonide 0,1%. Jumlah sampel yang digunakan dalam penelitian yaitu sebanyak 25 subjek. Hasil: Hasil analisis menggunakan uji Shapiro Wilk dan uji Kruskal Wallis menunjukkan perbedaan signifikan dengan nilai p<0,05 pada kelompok konsentrasi 2,5%. Simpulan: Gel ekstrak binahong (Anredera cordifolia) pada konsentrasi 2,5% dan 5% efektif mengurangi diameter kontraksi luka penderita RAS. Konsentrasi yang paling efektif dalam penyembuhan luka pada penderita RAS adalah konsentrasi 2,5%.Kata kunci: Recurrent aphthous stomatitis (RAS), kontraksi luka, daun binahong, fase penyembuhan RAS. ABSTRACTIntroduction: Recurrent aphthous stomatitis (RAS) is an ulcer that repeatedly occurs on the oral mucosa. The healing process of RAS is divided into 4 phases: premonitory, pre ulcerative, ulcerative, and maturation phase. Binahong plants have been used to cure mild and severe illnesses, such as curing haemorrhoids, arthritis, constipation, high cholesterol, diabetes, gout, joint pain, stroke, postoperative wound healing, improving male vitality, typhus, dyspnea, low blood pressure, wound treatment, and work as an antibacterial. Through phytochemical screening, binahong plants are known to contain active chemicals such as flavonoids, saponins, alkaloids, steroids/terpenoids, and tannins. The purpose of this study was to determine the effectiveness of the administration of binahong (Anredera cordifolia) extract gel on the wound contractions of RAS patients. Methods: This research was quasi-experimental with a pre-test post-test design. The subjects with minor RAS in this study received an examination of the size of the wound contraction prior to the administration of binahong extract gel in ≤ 3 days of the ulcerative phase, also after administration of binahong leaf extract gel on the 5th and 7th day with a concentration of 2.5%, 5%, and 10%, and positive control in the form of 0.1% triamcinolone acetonide. The number of samples used in the study was 25 subjects. Results: The analysis results using the Shapiro Wilk and the Kruskal Wallis tests showed significant differences with p-values < 0.05 in the concentration group of 2.5%. Conclusion: Binahong (Anredera cordifolia) extract gel with a concentration of 2.5% and 5% is effective in reducing the wound contraction diameter of patients with RAS, with the most effective concentration is 2.5%.Keywords: Recurrent aphthous stomatitis (RAS), wound contraction, binahong leaves, RAS healing phase.

Durability of zirconia and lithium disilicate crowns in bruxism patients: a systematic review Juwita Raditya Ningsih; Jaya Ria Rezky
Odonto : Dental Journal Vol 13, No 1 (2026): April 2026
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.13.1.93-99

Background: Fatigue stress carried on by repetitive occlusal loads that fail to recover teeth, as in bruxism cases, can weaken and lower the material's strength. Patients with bruxism receive dental care to minimize biological costs while halting further tooth loss and restoring function and attractiveness. It has been difficult to combine the aesthetic appeal and strength of the restorative materials up to this point. The purpose of the review article is to determine how durable dental crown materials are in patients with bruxism so that this can be considered when selecting crown materials.Method: This literature review follows the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). During the search and selection process, studies were selected using the framework (P), Intervention (I), Comparison (C), Outcomes (O), and Study design (S; PICOS): (P): Patients treated with crowns; (I): crown in bruxism patient; (C): type of crown material (O): Main results are: outcome of crown use in bruxism patients (S): Randomized controlled trial (RCT), cohort studies, prospective studies, and case series were included.The data search process via: (PubMed), Google Scholar, Scopus, and Science Direct, is limited to 2018-2024. The keywords used are (bruxism OR "sleep bruxism") AND ("dental crown" OR "ceramic crown") AND (zirconia OR "lithium disilicate")). Of the 1416 articles screened, three articles were included in this review.Result: A total of three studies met the inclusion criteria, consisting of one randomized clinical trial, one prospective clinical study, and one observational case series. The findings demonstrated high survival rates and low complication rates for zirconia and lithium disilicate crowns in bruxism patients. The only randomized clinical trial reported no significant difference between the two materials in terms of survival and complications. Observational studies supported favorable clinical performance of zirconia crowns, although complications were more frequently observed in patients with bruxism.Conclusion: Within the limitations of this review, zirconia and lithium disilicate crowns demonstrate favorable short-term clinical performance in patients with bruxism. However, the limited number of high-quality studies highlights the need for further well-designed clinical research.

Durability of zirconia and lithium disilicate crowns in bruxism patients: a systematic review Juwita Raditya Ningsih; Jaya Ria Rezky
Odonto : Dental Journal Vol 13, No 1 (2026): April 2026
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.13.1.93-99

Background: Fatigue stress carried on by repetitive occlusal loads that fail to recover teeth, as in bruxism cases, can weaken and lower the material's strength. Patients with bruxism receive dental care to minimize biological costs while halting further tooth loss and restoring function and attractiveness. It has been difficult to combine the aesthetic appeal and strength of the restorative materials up to this point. The purpose of the review article is to determine how durable dental crown materials are in patients with bruxism so that this can be considered when selecting crown materials.Method: This literature review follows the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). During the search and selection process, studies were selected using the framework (P), Intervention (I), Comparison (C), Outcomes (O), and Study design (S; PICOS): (P): Patients treated with crowns; (I): crown in bruxism patient; (C): type of crown material (O): Main results are: outcome of crown use in bruxism patients (S): Randomized controlled trial (RCT), cohort studies, prospective studies, and case series were included.The data search process via: (PubMed), Google Scholar, Scopus, and Science Direct, is limited to 2018-2024. The keywords used are (bruxism OR "sleep bruxism") AND ("dental crown" OR "ceramic crown") AND (zirconia OR "lithium disilicate")). Of the 1416 articles screened, three articles were included in this review.Result: A total of three studies met the inclusion criteria, consisting of one randomized clinical trial, one prospective clinical study, and one observational case series. The findings demonstrated high survival rates and low complication rates for zirconia and lithium disilicate crowns in bruxism patients. The only randomized clinical trial reported no significant difference between the two materials in terms of survival and complications. Observational studies supported favorable clinical performance of zirconia crowns, although complications were more frequently observed in patients with bruxism.Conclusion: Within the limitations of this review, zirconia and lithium disilicate crowns demonstrate favorable short-term clinical performance in patients with bruxism. However, the limited number of high-quality studies highlights the need for further well-designed clinical research.

Penatalaksanaan Restorasi Kelas II GV Black Resin Komposit dengan Matriks Tofflemire Fikri Nabila; Juwita Raditya Ningsih
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 4 No. 2 (2026): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v4i2.2211

Background: Class II restoration according to the classification of Greene Vardiman Black is one of the procedures in dental conservation that often presents a challenge for operators or dentists during treatment. Class II restorations have their own level of difficulty, particularly during the placement of restorative materials into the cavity. One of the possible failures in Class II restorative treatment is marginal leakage, which can lead to microleakage at the restoration margins. Purpose: To report the success of class II restoration with composite resin using tofflmire matrix. Case report: A 23-year-old female patient came with a complaint of cavities, the complaint was felt since 1 year ago in the lower left back tooth, there was no pain and had never been treated. In the case, preparation and restoration were carried out using composite resin with isolation using tofflmire matrix, applied using an Incremental technique. Discussion: Class II posterior tooth restorations have challenges such as leakage due to the techniques and materials used. Composite resin is chosen because of its good adaptation, esthetics, and wear resistance. Incremental techniques are preferred because they reduce polymerization stress and provide optimal curing results. Tofflemire matrix is used for stability and soft tissue protection.Conclusion: The selection of composite resin with an Incremental technique and the use of a Tofflemire matrix provides more optimal, aesthetic, and minimal risk of failure results for class II posterior tooth restorations.

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