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All Journal Padjadjaran Journal of Dentistry Journal of Indonesian Dental Association
Hutomo, Dimas Ilham
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Staging and Grading of Periodontitis in Relation to Hypertension Rahdewati, Herlis; Ayuningtyas, Dewi; Hutomo, Dimas Ilham; Lukman, Zahrani Rahma; Tadjoedin, Fatimah Maria
Journal of Indonesian Dental Association Vol 8 No 1 (2025): May
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v8i1.1350

Abstract

Introduction – Pendahuluan: Hypertension (HT), a leading cause of cardiovascular morbidity and mortality, affects a significant portion of the global population and is a major public health concern. Periodontitis is a multifactorial chronic inflammatory disease involving tooth-supporting structures Objective – Tujuan: This study aims to evaluate the relationship between the severity of periodontitis and the prevalence of hypertension in an adult population. Methods – Metode: A retrospective cross-sectional study from medical records was conducted in this study. Data taken from medical records were age, gender, blood pressure, bleeding on probing, anti-hypertension drugs consumed by the patient, periodontitis diagnosis based on the 2017 classification, and history of other systemic diseases. This study involved 144 adult patients diagnosed with periodontitis, classified by staging (I-IV) and grading (A-C) Results – Hasil: Hypertension's impact on periodontitis severity becomes more evident with advancing age. HT group exhibited a higher prevalence of severe periodontitis (Stages III and IV) compared to normotensive patients (p=0.000), particularly among older age groups (45-60 years (p=0.029) and >60 years (p=0.038)). HT groups are more likely to exhibit Grade C periodontitis(p=0.04). HT patients demonstrate worse periodontal parameters that could contribute to accelerated disease progression and more severe outcomes. Conclusion – Kesimpulan: There is an association between the staging and grading of periodontitis and hypertension. These findings underscore the importance of a multidisciplinary approach in the management of periodontal and cardiovascular health to improve overall health outcomes. Keywords – Kata Kunci: Periodontitis, blood pressure, hypertension.
Orthognathic surgery case overview in patients with class III dentoskeletal Angle classification Hutomo, Dimas Ilham; Astuti, Ida Ayu; Sumaji, Borman
Padjadjaran Journal of Dentistry Vol 25, No 2 (2013): July 2013
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol25no2.26788

Abstract

Introduction: Angle classification is a classification commonly used for malocclusion in the field of orthodontics. Mandibular prognation is one of the skeletal features of Class III dentoskeletal classification or defined as mesiocclusion. The prevalence of class III dentoskeletal occurrence in Asian populations is much higher than Caucasian racial populations. Aim of research is to obtain data of Orthognathic surgery case overview in patients with class III dentoskeletal angle classification Methods: Type of research is using a retrospective descriptive method by taking secondary data from medical record cards of orthognathic surgery cases. The population in this study were all medical record data of patients undergoing orthognathic surgical treatment in the Oral and Maxillofacial Surgery Department of RSUP Dr. Hasan Sadikin 2006-2011 period. The sample in this study is medical record data of patients with Class III dentoskeletal classification performed orthognathic surgery in the period 2006-2011. then classified by year of surgery, sex, age, Angle classification, state of anterior open bite, location of surgery, and technique used in surgery. Result: 2% of orthognathic surgical patients have a Class III Angle relationship and only 8% of orthognathic surgical patients have a Class II Angle relation. Based on the anterior tooth overbite relation in patients with an Angle class III relationship, there are 16 patients who have an open bite relation on the anterior teeth. Only 8 patients from Angle III class relationships were treated with orthognathy without an anterior open bite relation.Conclusion: In the period 2006-2011, the Department of Oral and Maxillofacial Surgery Dr. Hasan Sadikin handled 26 orthognathic surgical patients, The most orthognathic surgical patients were in the age group of 21-25 years and the difference in the number of male and female patients was only small, Cases of orthognathic surgery in patients with class dentoskeletal Angle classification III is the most handled case by the Department of Oral and Maxillofacial Surgery Dr. Hasan Sadikin Bandung in the period 2006-2011 reached 92.31% of all orthognathic surgery cases or 24 cases. (4) Most orthognathic surgical patients with Class III dentoskeletal classification have an anterior open bite relation. The most commonly performed surgical techniques for patients with Class III dentoskeletal classification are bimaxillary surgical techniques with a combination of Le Fort 1 osteotomy techniques on the maxilla and sagittal split osteotomy and genioplasty of the mandible.
Combination of Platelet-rich Fibrin (PRF) in Advanced Periodontitis Stage Treatment Harsas, Nadhia Anindhita; Tadjoedin, Fatimah Maria; Sulijaya, Benso; Hutomo, Dimas Ilham; Purba, Melinda Rabekka; Sasri, Cahyaning Wulan
Journal of Indonesian Dental Association Vol 6 No 2 (2023): October
Publisher : Indonesian Dental Association

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Abstract

Introduction: The treatment of advanced periodontitis has been a challenge for clinicians. Platelet-rich fibrin (PRF) is a second-generation platelet concentrate that contains various growth factorss and cytokines that promote tissue regeneration. The use of PRF in combination with other regenerative materials and techniques has been shown to be effective in the treatment of intrabony defects. This case series aims to evaluate the efficacy of PRF combinations in the regenerative treatment of patients with advanced periodontitis. Case report: Two patients diagnosed with advanced periodontitis (stage III/IV grade C) were selected for this study. After the completion of periodontal initial therapy, there were still pockets with a probing depth ≥ 5 mm (5–10 mm). Therefore, surgical interventions were planned. The first case used the combination of PRF with bone graft and guided tissue regeneration (GTR), while open flap debridement (OFD) with the addition of PRF and bone graft to create sticky bone was done in the second case. Three to five months of follow-up showed favorable outcomes, as evidenced by reductions in probing depth (PD), gains in clinical attachment level, and filling of bone defects, as well as improvements in patient comfort and rapid wound healing. Conclusion: The combination of PRF with grafting material and/or GTR has been shown to be a beneficial therapeutic approach for periodontal regenerative therapy. Platelet-rich fibrin in periodontal surgery may accelerate the tissue healing process.
Co-Authors Benso Sulijaya, Benso Dewi Ayuningtyas Harsas, Nadhia Anindhita Ida Ayu Astuti, Ida Ayu Lukman, Zahrani Rahma Purba, Melinda Rabekka Rahdewati, Herlis Sasri, Cahyaning Wulan Sumaji, Borman Tadjoedin, Fatimah Maria