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Effects of tooth preparation on the microleakage of fissure sealant Gesti Kartiko Sari; Sri Kuswandari; Putri Kusuma Wardani Mahendra
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 2 (2022): June 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v55.i2.p67-70

Background: Fissure sealing can be achieved by preparing and sealing the deep pits and fissures in the teeth with a sealant to prevent caries. Fissure sealing is performed using resin modified glass ionomer cement (RMGIC) and failure is most often due to weak adhesion between the material and the tooth, resulting in microleakage. Purpose: The study aimed to determine the effect of a preparation technique with bur and acid application on potential RMGIC fissure sealant microleakage. Methods: Twenty-four extracted maxillary premolars were divided into four treatment groups. Group 1 underwent enameloplasty with a round bur and application of 37% phosphoric acid; group 2 with a tapered bur and 37% phosphoric acid; group 3 with a round bur and 10% polyacrylic acid; and group 4 with a tapered bur and 10% polyacrylic acid. The application of 37% phosphoric acid was carried out for 15 seconds, while 10% polyacrylic acid was applied for 20 seconds, before RMGIC filling. The teeth were stored in artificial saliva at 37°C for 24 hours, then thermocycled 100 times at 5°C and 55°C for 20 seconds each. The teeth were immersed in a 1% methylene blue solution for 24 hours at 37°C, then cut crosswise. The length of the microleakage was observed with a stereo microscope at 8 times magnification and measured using raster image application. Data was analysed with one-way ANOVA. Results: Significant differences were found between treatment groups (F=562.14; p<0.05). The deepest mean microleakage was in the round bur and 10% polyacrylic acid group (1657.87 ± 78.08) and the shallowest was in the round bur and 37% phosphoric acid group (500.70 ± 38.55). Conclusion: The preparation method, type of bur and acid solution have an effect on microleakage potential of RMGIC fissure sealing. Round bur preparation and 37% phosphoric acid resulted in shallow microleakage.

PENATALAKSANAAN TRAUMA PADA GIGI ANTERIOR DESIDUI (LAPORAN KASUS) Nendika Dyah Ayu Murika Sari; Putri Kusuma Wardani Mahendra
Jurnal Ilmiah dan Teknologi Kedokteran Gigi Vol 18, No 2 (2022)
Publisher : Fakultas Kedokteran Gigi Universitas Prof. Dr. Moestopo (Beragama)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32509/jitekgi.v18i2.2052

Latar Belakang : Trauma gigi sering terjadi pada anak - anak, sekitar 30-40% anak-anak setidaknya mengalami satu kali trauma injuri pada gigi desidui. Trauma gigi yang paling banyak dialami pada masa anak-anak adalah intrusi gigi. Perawatan pada gigi desidui yang mengalami traumatic injury harus dilakukan bukan hanya karena alasan estetik atau fungsional, melainkan traumatik injuri gigi desidui dapat berdampak pada perkembangan dari benih gigi permanen. Tujuan dari penulisan ini adalah untuk mengetahui penatalaksaan traumatik injuri gigi anterior desidui dengan intrusi apeks ke arah palatal disertai luksasi. Laporan kasus : seorang anak perempuan berusia 3 tahun datang bersama orang tuanya dengan keluhan anak jatuh tertimpa kursi. Gigi depan goyang dan berdarah. Hasil pemeriksaan klinis didapatkan intrusi apeks ke arah palatal pada gigi 51 disertai luksasi derajat 2. Penalataksaan pada kasus ini adalah dengan melakukan ekstraksi gigi 51 dengan anestesi infiltrasi. Dua minggu setelah pencabutan, luka sudah menutup tetapi belum sempurna dan tidak ada komplikasi. Kesimpulan : Penalataksanaan kasus trauma gigi desidui harus mempertimbangkan pengaruhnya terhadap kondisi gigi permanen. Pencabutan menjadi pilihan perawatan yang tepat untuk kondisi gigi desidui anterior yang mengalami trauma dengan kondisi intrusi apeks mengarah ke palatal dan disertai dengan luksasi derajat 2, karena dapat membahayakan kondisi gigi permanen.

Treatment of ulcers in traumatic injuries in children with gauze impregnated with chlorhexidine gluconate 2% Nendika Dyah Ayu Murika Sari; Putri Kusuma Wardani Mahendra
Journal of Holistic Nursing Science Vol 10 No 2 (2023): July - December
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/nursing.v10i2.8954

Background: The basement membrane of the labial mucosa in children has a thin, delicate structure and is prone to trauma. Trauma can cause hyperemia, edema, epithelial desquamation, erosion, or ulceration, depending on the duration and intensity of the injury. Treatments to reduce pain in ulcers include the use of mouthwash and topical drugs such as corticosteroids, anesthetics, anti-inflammatories, and chlorhexidine gluconate. The aim of this paper is to report on the use of 2% Chlorhexidine gluconate gauze as a treatment for ulcers in children caused by traumatic injuries. Case Report: A 5-year-old girl came with her mother with complaints of swollen lips, pain, and a fussy child. Based on the results of the alloanamnesis, it was known that two days ago the child fell and hit the floor while playing at school. The objective examination revealed the presence of multiple yellowish-brown ulcers measuring about 5 mm on the superior and inferior labial mucosa, with brown crusted edges and edema. The treatment in this case is to apply gauze moistened with 2% chlorhexidine gluconate twice a day. Result of the Treatment: Seven days after treatment, the wound was completely healed. Conclusion: Treatment of labial mucosal ulcers in traumatic injuries can be done by applying gauze moistened with 2% chlorhexidine gluconate.

Restorasi Estetik dengan Strip Crown pada Gigi Anterior Desidui (Laporan Kasus): Aesthetic Restoration with Strip Crown for Anterior Primary Teeth (Case Report) Nendika Dyah Ayu Murika Sari; Putri Kusuma Wardani Mahendra
Jurnal Surya Medika (JSM) Vol. 9 No. 2 (2023): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v9i2.5710

Background: Anterior dental caries affect masticatory function and aesthetics. The most popular type of aesthetic crown for the restoration of deciduous incisors is the strip crown. Purpose: to report the case of restoration of an aesthetic restoration with a strip crown on anterior primary teeth. Case: A 5.5-year-old boy comes with his mother with complaints of tooth decay. He never hurts and has never been traumatized. A clinical examination revealed that the teeth 52, 51, 61, and 62 had extensive dentinal caries in all parts. Diagnosis based on ICDAS is caries class 5. Case Management: The teeth were subjected to crown-strip restoration in two visits. The first visit was for teeth 51 and 61, and the second visit was for teeth 52 and 62. The teeth were cleaned with carious tissue, lining, and application of flowable composite resin with strip crown, polishing, and finishing. Conclusion: Strip crown restoration can be an alternative choice for primary anterior teeth where caries extends throughout the crown and improves aesthetic results.

PREVALENSI DAN ETIOLOGI KEBIASAAN MENGUNYAH SATU SISI PADA ANAK USIA 12-14 TAHUN Wulandari, Veronica Veronica; Mahendra, Putri Kusuma Wardani; Bramanti, Indra
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 11, No 2 (2024): Vol. 11,No 2 (Desember 2024)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v11i2.1709

Introduction: The high prevalence of unilateral chewing behaviors can be influenced by pain, tooth radices, extracted teeth, food impaction, malocclusion, and others. Aim: This study aims to assess the prevalence and identify the etiology of unilateral chewing in children aged 12-14 years. Methods: Observational cross-sectional study was conducted among 211 students aged 12-14 at 2 junior high schools at Kecamatan Gamping. Chewing patterns were observed while they chewed gum for 15 seconds, paused, smiled widely, and repeated this process 7 times at 5-second intervals. Students were classified as having a consistent unilateral chewing habit if they consistently chewed on one side and predominant habit if they chewed 5-6 times on the same side. Furthermore, a clinical examination of the oral cavity was performed to assess the students' oral health. The data were analyzed descriptively and statistically using the chi-square test. Result: The findings revealed that 61.14% of the students exhibited a unilateral chewing habit and there were no significant differences between males and females. The consistent category is mostly caused by caries factor, while the dominant category is caused by non-caries factors. There were notable differences in the etiology between the consistent and dominant categories. Conclusion: The prevalence of unilateral chewing habits among students aged 12-14 was 61.14%. The primary etiology of consistent unilateral chewing was caries-related factors and predominant category was non caries factors

Differences of anteroposterior facial dimensions in male and female children on intermediate mixed and early permanent dentition using Cervical Vertebrae Maturation Index Listania, Ica; Kuswandari, Sri; Mahendra, Putri Kusuma Wardani
Padjadjaran Journal of Dentistry Vol 33, No 3 (2021): November
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no3.30947

Introduction: Cervical vertebrae are one of the indicators for craniofacial bones maturation. Timing of craniofacial bone maturation determined achievement of orthodontic early treatment. Some previous researchers recommended cervical vertebral maturation to assess craniofacial growth. This study was aimed to analyse the differences of anteroposterior facial dimensions in male and female children on intermediate mixed and early permanent dentition using Cervical Vertebrae Maturation Index (CVMI). Methods: An analytic observational study with a cross-sectional design was conducted on the students of Islamic Elementary School (Madrasah Ibtidaiyah) in Depok district, Sleman, Yogyakarta, from July 2019 to January 2020. Subjects consisted of 22 males and 22 females aged 8-11 years, obtained by a consecutive sampling technique. The anteroposterior facial analysis was performed on the lateral cephalometry for measuring the distance of Sella turcica to Nasion (S-N) representing the anterior cranial base, Posterior Nasal Spine to Anterior Nasal Spine (PNS-ANS) representing the maxilla and Gonion-Menton (Go-Me) and Condylion-Gnathion (Co-Gn) represents the mandible. Assessment of CVMI was decided by the Hassel and Farman methods. Data were analysed by One Way ANOVA. Results: The mean value of S-N, PNS-ANS, Go-Me, and Co-Gn dimensions, generally were higher in males than females; however, only dimensions of maxillary and mandibular were showed significant difference (p<0.05), while the S-N dimension was not significantly different (p>0.05). At the interval of CVMI 3 and 4, the Go-Me and Co-Gn dimensions showed a significant difference (p<0.05) both in males and females. Conclusion: There was a difference in anteroposterior dimensions of the maxillary and mandibular in cervical vertebral maturation in children with intermediate mixed and early permanent dentition, however, no difference was found in the anterior cranial base.

Perawatan revaskularisasi pada gigi permanen muda dengan apikal terbuka dengan waktu evaluasi 13 bulan setelah perawatan: laporan kasus Hidayat, Akbar Aulia; Wardani Mahendra, Putri Kusuma; Utomo, Rinaldi Budi; Triani, Maulina
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 3 (2024): Desember 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i3.48600

Pendahuluan: Nekrosis yang terjadi pada gigi permanen muda mengakibatkan proses pertumbuhan dan perkembangan gigi terhenti. Perawatan pada gigi dengan kondisi apikal terbuka bertujuan untuk mencegah atau menghilangkan lesi ataupun peradangan pada bagian apikal, merangsang kelanjutan perkembangan akar, mengembalikan fungsi jaringan pulpa secara perspektif imunologi dan sensorik. Revaskularisasi merupakan alternatif perawatan endodontik untuk gigi nekrosis dengan apikal terbuka yang memungkinkan terjadinya penutupan pada bagian apikal. Tujuan laporan kasus ini adalah melaporkan hasil perawatan revaskularisasi pada gigi permanen muda dengan apikal yang terbuka dengan waktu evaluasi 13 bulan setelah perawatan. Laporan Kasus: Laki-laki berusia 12 tahun datang ke klinik Kedokteran Gigi Anak Universitas Gadjah Mada dengan keluhan gigi belakang kiri bawah berlubang, pernah sakit hingga tidak bisa tidur dan memiliki riwayat bengkak berulang sejak 1 tahun terakhir pada gusi sekitarnya. Gigi belum pernah diobati sebelumnya. Hasil pemeriksaan intra oral menunjukkan gigi 36 nekrosis. Pemeriksaan radiografi menunjukkan apikal gigi 36 masih dalam terbuka. Rencana perawatan gigi 36 adalah revaskularisasi. Hasil evaluasi selama 13 bulan menunjukkan terjadi penutupan daerah apikal dan pemanjangan pada akar gigi 36 serta tidak terjadi resorpsi patologis pada gigi 36. Simpulan: Perawatan revaskularisasi dapat dijadikan sebagai salah satu perawatan pada gigi yang mengalami nekrosis pulpa dengan bagian apikal yang masih terbuka. Keterampilan operator, pasien yang kooperatif dan kerjasama dengan orang tua pasien sehingga meningkatkan keberhasilan perawatan pada kasus ini.Revascularization treatment of young permanent teeth with open apices with 13-month evaluation: Case reportIntroduction: Necrosis that occurs in young permanent teeth causes the growth and development process to stop. Treatment of teeth with open apical conditions aims to prevent or eliminate lesions or inflammation in the apical part, stimulate the continuation of root development, restore pulp tissue function from an immunological and sensory perspective. Revascularization is an alternative endodontic treatment for necrotizing teeth with open apicals that allows closure of the apical part. The purpose of this case report is to report the results of revascularization treatment on a young permanent tooth with an open apical with an evaluation time of 13 months after treatment. Case Report: A 12- year-old male came to the Pediatric Dentistry clinic of Gadjah Mada University with complaints of a cavity in the lower left back tooth, had been in pain until he could not sleep and had a history of recurrent swelling since the last 1 year on the surrounding gums. The tooth has never been treated before. Intra oral examination results showed tooth 36 necrosis. Radiographic examination showed the apex of tooth 36 was still open. The treatment plan for tooth 36 was revascularization. Evaluation results for 13 months showed closure of the apical area and lengthening of the root of tooth 36 and no pathological resorption of tooth 36. Conclusion: Revascularization treatment can be used as a treatment for teeth that have pulp necrosis with the apical part still open. The operator's skills, cooperative patient and cooperation with the patient's parents increased the success of treatment in this case.

THE EFFECT OF COW AND SOY MILK CONSUMPTION ON CALCIUM LEVELS OF WISTAR RAT TEETH Ahassa, Ulya; Wardani Mahendra, Putri Kusuma; Soeprihati, Indah Titien
Odonto : Dental Journal Vol 8, No 1 (2021): July 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: Complementary food (MPASI) is the main food after the child weans from exclusive breastfeeding. One of the main sources of complementary food is milk. Most children are fed with cowâ€™s milk, but since some children are lactose intolerant, they will be recommended to consume soy milk. However, soy milk and cowâ€™s milk are known to have different amount of calcium as one of the key nutrients for tooth growth and development. The purpose of this study was to compare the effect of cowâ€™s milk and soy milk consumption on the calcium concentration of Wistar rat teeth.Method: Subjects were 27 male Wistar rats aged 1 month old divided into 3 groups, equally with 9 rats in each: groups that consumed cowâ€™s milk, soy milk, and control group. The group consuming Cow and soy milk was fed 2 times a day, in the morning and evening for 28 days. Each subject was then euthanized and their mandibular right incisor was taken at the end of the treatment to measure calcium concentration by atomic absorption spectrophotometry.Result: The results of the one way ANOVA test showed that there were significant differences (p <0.05) in the calcium concentration of incisors in the teeth of rat consuming cowâ€™s milk, soy milk, and control group. Hence, it can be concluded that the consumption of cowâ€™s milk and soy milk has an effect on the calcium concentration of Wistar rat teeth. Conclusion: Calcium concentration of Wistar rat teeth that consume cowâ€™s milk is higher than those that consume soy milk.

Pengaruh aplikasi ekstrak cangkang kerang hijau (Perna Viridis) konsentrasi 20% dalam sediaan mousse terhadap kadar kalsium email gigi sulung: studi eksperimental Wardani, Sito Resmi Hayuning; Mahendra, Putri Kusuma Wardani; Bramanti, Indra
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 37, No 3 (2025): Desember 2025
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v37i3.60956

Pendahuluan: Cangkang kerang hijau (Perna viridis) mengandung 95% kalsium karbonat amorf murni yang berfungsi sebagai prekursor hidroksiapatit. Hidroksiapatit berperan dalam proses remineralisasi gigi. Efektifitas penggunaan sintesis hidroksiapatit sangat dipengaruhi oleh bentuk sediaan yang diberikan. Tujuan penelitian ini menganalisis pengaruh aplikasi ekstrak cangkang kerang hijau (Perna Viridis) konsentrasi 20% dalam sediaan mousse terhadap kadar kalsium email gigi sulung. Metode: penelitian eksperimental semu dengan menggunakan 16 gigi insisivus desidui anterior yang dibagi menjadi 4 kelompok penelitian. Sebelum diberikan perlakuan, dilakukan demineralisasi menggunakan asam fosfat 37%. Kelompok perlakuan diaplikasikan mousse cangkang kerang hijau konsentrasi 20%, kelompok kontrol positif diaplikasikan CPP-ACP, kelompok kontrol negatif tidak diberikan perlakuan dan kelompok basis diaplikasikan mousse ke permukaan labial gigi. Keseluruhan sampel dimasukkan ke dalam inkubator bersuhu 37˚C dan diambil sesuai dengan waktu retensinya yaitu 30 menit, setelah pemaparan bahan remineralisasi. Pengukuran kadar kalsium gigi dilakukan menggunakan Spektrofotometri Serapan Atom (SSA). Analisis data dilakukan dengan menggunakan uji Anova dan post hoc. Hasil: Kelompok mousse cangkang kerang hijau memiliki kadar kalsium tertinggi, diikuti dengan kelompok kontrol positif, basis mousse dan kelompok kontrol negatif. Hasil One Way ANOVA menunjukkan adanya perbedaan kadar kalsium yang bermakna antara kelompok perlakuan (p=0,001). Hasil uji Post Hoc LSD menunjukkan adanya perbedaan yang signifikan (p<0,05) antara kelompok kontrol negatif dengan kelompok kontrol positif (p=0,001) dan kelompok mousse kerang hijau (p=0,001). Simpulan: Pemberian aplikasi mousse ekstrak cangkang kerang hijau konsentrasi 20% dapat meningkatkan kadar kalsium email gigi sulung.Effect of 20% green mussel (Perna viridis) shell extract in mousse formulation on the calcium content of deciduous tooth enamel: an experimental studyIntroduction: Green mussel shells (Perna viridis) contain 95% amorphous calcium carbonate (CACO3), which serves as a precursor for hydroxyapatite, which plays an important role in the tooth remineralization process. The effectiveness of hydroxyapatite synthesis application is greatly influenced by the formulation and form of the preparation. This study aimed to determine the effect of a 20% green mussel shell extract in mousse formulation on the calcium content of deciduous tooth enamel. Methods: This was a quasi-experimental study using 16 anterior deciduous incisor teeth divided into four experimental groups. Before treatment, demineralization was performed using 37% phosphoric acid. The treatment group received mousse containing 20% green mussel shell extract, the positive control group received CPP-ACP, the negative control group received no treatment, and the base group received plain mousse applied to the labial tooth surface. All samples were placed in an incubator at a temperature of 37˚C and collected according to their retention time, i.e., 30 minutes after exposure to the remineralizing agents. Measurement of enamel calcium levels was performed using Atomic Absorption Spectrophotometry (AAS). Data were analyzed using one-way ANOVA followed by a post hoc LSD test. Results: The group treated with 20% green mussel shell mousse showed the highest calcium levels followed by the positive control group, mousse base group, and negative control group. The one-way ANOVA results showed a significant difference in calcium levels between treatment groups (p=0.001). The Post Hoc LSD test results showed a significant difference (p<0.05) between the negative control group and both the positive control (p=0.001) and green mussel mousse group (p=0.001). Conclusion: Application of 20% green mussel shell extract mousse effectively increases the calcium content of deciduous tooth enamel.

THE EFFECT OF COW AND SOY MILK CONSUMPTION ON CALCIUM LEVELS OF WISTAR RAT TEETH Ahassa, Ulya; Wardani Mahendra, Putri Kusuma; Soeprihati, Indah Titien
Odonto : Dental Journal Vol 8, No 1 (2021): July 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.1.1-5

Background: Complementary food (MPASI) is the main food after the child weans from exclusive breastfeeding. One of the main sources of complementary food is milk. Most children are fed with cowâ€™s milk, but since some children are lactose intolerant, they will be recommended to consume soy milk. However, soy milk and cowâ€™s milk are known to have different amount of calcium as one of the key nutrients for tooth growth and development. The purpose of this study was to compare the effect of cowâ€™s milk and soy milk consumption on the calcium concentration of Wistar rat teeth.Method: Subjects were 27 male Wistar rats aged 1 month old divided into 3 groups, equally with 9 rats in each: groups that consumed cowâ€™s milk, soy milk, and control group. The group consuming Cow and soy milk was fed 2 times a day, in the morning and evening for 28 days. Each subject was then euthanized and their mandibular right incisor was taken at the end of the treatment to measure calcium concentration by atomic absorption spectrophotometry.Result: The results of the one way ANOVA test showed that there were significant differences (p <0.05) in the calcium concentration of incisors in the teeth of rat consuming cowâ€™s milk, soy milk, and control group. Hence, it can be concluded that the consumption of cowâ€™s milk and soy milk has an effect on the calcium concentration of Wistar rat teeth. Conclusion: Calcium concentration of Wistar rat teeth that consume cowâ€™s milk is higher than those that consume soy milk.

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