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Inhalation of sevoflurane in the removal of post-labioplasty and palatoplasty stitches in uncooperative children patients Nuryadi, Ediyana; Kaiin, Harry Arifin; Gunawan, Kirana Lina
Padjadjaran Journal of Dentistry Vol 19, No 3 (2007): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1446.442 KB) | DOI: 10.24198/pjd.vol19no3.14163

Abstract

The technique of behaviour management in medical treatment, especially in dental treatment, is needed to eliminate uncooperative children behaviour. The main factor influencing children behaviour is fear of painful that usually related to dental treatment. Children patients who will have their post­labioplasty and palatoplasty stitches removed have more sensitive condition, they cry when the dentist gives treatment. Using general anesthesia is a method to manage uncooperative children behaviour. Inhalational anesthesia is often used in general anesthesia and sevoflurane is a drug of choice. Sevoflurane has low solubility in blood, pleasant odor, nonirritating airway, and has a rapid induction of and recovery from anesthesia. Some researches indicate that sevoflurane gives more calm condition and can be used as a sufficiently ideal induction and maintenance of anesthesia in children. Sevoflurane can therefore made as alternative procedure in the removal of post-labioplasty and palatoplasty stitches.
Enhancing pediatric endodontic treatment: Intraosseous anesthesia with computer-controlled delivery system Suciati, Khomsah; Indriyanti, Ratna; Gunawan, Kirana Lina
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 3 (2024): September
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.v57.i3.p228-233

Abstract

Background: Pain control during endodontic treatment is essential but challenging, particularly in pediatric dentistry. Intraosseous anesthesia (IO) ensures adequate areas are anesthetized for endodontic treatment of the primary tooth with only a single injection site and a small amount of anesthetic solution required. Anesthesia should be delivered slowly to enhance the success rate, minimize pain and, for the IO technique, minimize risk of osteonecrosis. The IO anesthesia delivery system that meets such criteria is computer-controlled local anesthetic delivery (CCLAD). Purpose: To describe the enhancement of pediatric endodontic treatment with minimum risk intraosseous anesthesia using CCLAD. Case: An 8-year-old male patient came to the Pediatric Dentistry Clinic at Padjadjaran University Dental Hospital reporting pain on the lower right second molar deciduous teeth, indicated for vital pulpectomy. Case Management: The procedure of vital pulpectomy was done under local anesthesia. Patient was given intraosseous injection with CCLAD prior to opening access. The point of injection was at two mm apical from distal interdental papillae of the lower right second molar deciduous teeth. The patient remained calm throughout the local injection and vital pulpectomy procedure. Conclusion: Intraosseous anesthesia is beneficial when used for pain control during pediatric endodontic therapy. The use of CCLAD gives comfort to the patient while lowering the risk of necrotizing alveolar bone.
Successful percentage of action in mandibular block injection training using Fischer’s technique Uthophia, Natrisa; Gunawan, Kirana Lina; Yuza, Abel Tasman
Padjadjaran Journal of Dentistry Vol 27, No 2 (2015): July 2015
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol27no2.26528

Abstract

Introduction: Injecting a local anaesthetic amongst students is part of the dentistry education in many countries. Mandibular block injection technique used in the Faculty of Dentistry Universitas Padjadjaran is Fischer’s technique. The purpose of this study was to determine the success rate based on the average onset and duration of action in mandibular block injection training using Fischer’s technique conducted by the 8th-semester students of the Faculty of Dentistry Universitas Padjadjaran batch 2008. Methods: The method of this study was a descriptive survey—sampling method used was the purposive sampling technique. Data was obtained through the questionnaires distributed to 100 students who practice injection using Fischer’s technique. Anaesthetics used on these injection training was 2% lidocaine HCl with epinephrine 1:80,000. Results: The success rate of mandibular block injection using Fischer’s technique was 88% (88 from 100 injections), with an average onset of action was 2.33 minutes and the average duration of action was 194.07 minutes. Conclusion: The percentage of success in injection training with Fischer’s technique was high, with appropriate average onset and duration of action by the existing standards.
Effectiveness of Xylitol Toothpaste on the Growth and Biofilm Formation of Streptococcus mutans ATCC 25175 Liyana, Liyana; Ahmad, Iwan; Gunawan, Kirana Lina; Gartika, Meirina
Journal of Syiah Kuala Dentistry Society Vol 8, No 1 (2023): June 2023
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v8i1.33375

Abstract

Background: Several toothpaste ingredients have also been proven to prevent dental caries. An alternative material like xylitol can reduce biofilms and caries formation. Objective: This study aims to test the antibacterial xylitol toothpaste against Streptococcus mutans biofilm. Materials and Methods: The type of this research was true experimental by using two kinds of toothpaste with xylitol active ingredient (samples 1 and 2) and toothpaste with fluoride (sample 3). The toothpaste was diluted using the serial dilution method, and then the minimum inhibitory concentration (MIC), minimum bactericide concentration (MBC), minimum biofilm eradication concentration (MBEC), and minimum biofilm inhibition concentration (MBIC) were examined. The data were analyzed with ANOVA and Pearson correlation with a significance value of p0.005. Results: The MIC values of samples 1, 2, and 3 were 0.39%, 0.78%, and 0.39%, respectively. The MBC of samples 1, 2, and 3 were 12.5%, 25%, and 6.25%, respectively. The results of MBIC samples 1, 2, and 3 were 1.56%, 1.56%, and 0.78%, respectively. The results of MBEC samples 1, 2, and 3 were 6.25%, 6.25%, and 1.56%, respectively. There was a difference in the decrease of the mass of Streptococcus mutans ATCC 25175 biofilm after administration using xylitol and fluoride toothpaste, with a p-value of 0.0295. Additionally, there is a correlation between the time of administration of xylitol toothpaste with the changes in the mass of the biofilm Streptococcus mutans ATCC 25175. Conclusion: Xylitol toothpaste can inhibit the growth and eradication of Streptococcus mutans biofilm ATCC 25175.