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All Journal Dentika Dental Journal Dental Journal (Majalah Kedokteran Gigi) Padjadjaran Journal of Dentistry Journal of Dentomaxillofacial Science Padjadjaran Journal of Dental Researchers and Students Jurnal of Syiah Kuala Dentistry Society

Kirana Lina Gunawan

Bagian Ilmu Kedokteran Gigi Anak Fakultas Kedokteran Gigi Universitas Padjajaran Bandung, Indonesia

Author-ID : 270939

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Articles

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

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 postÂlabioplasty 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.

PENATALAKSANAAN MOUTH PREPARATION PADA ANAK DENGAN KELAINAN JANTUNG BAWAAN TIPE ATRIAL SEPTAL DEFECT DI BAWAH ANESTESI UMUM: MOUTH PREPARATION MANAGEMENT IN CHILDREN WITH ATRIAL SEPTA DEFECT TYPE OF CONGENITAL HEART DISEASE UNDER GENERAL ANAESTHESIA Inne Suherna Sasmita; Anissa Maya Kania; Kirana Lina Gunawan
Dentika: Dental Journal Vol. 16 No. 2 (2011): Dentika Dental Journal
Publisher : TALENTA

ASD (Atrial Septal Defect) is a congenital heart disease in the form of holes (defects) in the interatrial septum (septum between the right and left atrial cavity) due to failure of fusion that occurs during fetal interatrial septum. Septum does not close completely and allow blood to flow mixes the left and right atrium. The incidence is about 6.7% of all CHD in babies born alive. Patient 4-year-old girl with symptoms of multiple caries and general condition of ASD. Mouth care preparation of maintenance actions in the form of preventive measures such as fillings, fissure sealants, scaling, root planing as well as curative measures such as extraction of teeth in pediatric patients prior to surgery on his heart abnormalities. Management in the field of dentistry is important to prevent bacterial endocarditis. The purpose of this paper was to discuss the handling of mouth preparation in ASD patients. In Conclusion, mouth preparation in patients with cardiac abnormalities of type ASD is necessary before surgery on his heart abnormalities.

Perbedaan tingkat kecemasan pada orang tua penderita celah bibir dan langit-langit yang belum dan telah dioperasi Sarasti Laksmi Anindita; Kirana Lina Gunawan; Indra Hadikrishna
Padjadjaran Journal of Dental Researchers and Students Vol 2, No 1 (2018): Februari 2018
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v2i2.21445

Pendahuluan: Orang tua dengan anak penderita celah bibir dan langit-langit yang akan dioperasi sering mengalami kecemasan, baik penderita celah bibir dan langit-langit yang belum dan telah dioperasi.Tujuan penelitian menganalisis perbedaan tingkat kecemasan yang terjadi pada orang tua dari anak penderita celah bibir dan langit-langit baik yang belum maupun telah dilakukan operasi. Metode: Penelitian ini merupakan studi komparatif dengan jumlah responden 17 orang tua dari penderita yang belum dioperasi dan 13 orang tua dari penderita yang telah dioperasi. Teknik pengambilan sampel menggunakan purposive sampling dengan instrumen penelitian berupa kuesioner Stait Trait Anxiety Inventory (STAI). Hasil: State dan trait anxiety berada dalam kategori sedang. State anxiety lebih tinggi dibandingkan dengan trait anxiety. Analisis perbandingan masing-masing state dan trait pada kedua kelompok menunjukkan H0 diterima (p>0,05). Kecemasan dapat disebabkan oleh beberapa faktor seperti jenis kelamin, usia, pendidikan terakhir, status ekonomi, dan pekerjaan. Simpulan: tidak terdapat perbedaan signifikan antara orang tua dari penderita celah bibir dan langit-langit yang belum dioperasi dan orang tua dari penderita celah bibir dan langit-langit yang telah dioperasi.Kata kunci: Celah bibir dan langit-langit, kecemasan

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

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.

Penggunaan sedasi inhalasi N 2 O-O 2 pada penatalaksanaan marsupialisasi ranula rongga mulut anak anxiety patient Harun Achmad; Dini Safitri; Kirana Lina Gunawan
Journal of Dentomaxillofacial Science Vol. 7 No. 2 (2008): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i2.197

Inhalation sedation becomes the main choice in the dental treatment of children whoovercome have any kind of the fearness, concerned with pain in the treatment of theirteeth. Inhalation sedation with N2O-Ocauses sedation situation that accompanies byanalgesia to the conscious patients by inhaling the mixture of oxide nitrogen (N2O)with oxygen (O), that was known as psychosedation or concious sedation technique.Ranula is a mucocel that developed at the base of the mouth, unilateral, bluish, andthe shape like frog stomach. On this paper, will be esplained about N2O-O2inhalationsedation technique that concider the condition for the patient, using short time andcan be recovered immediately. A 9 year old girl diagnosed by ranula sublingualis onthe cavity of the mouth was very anxiety and fear in this treatment. The ranula treatedwith marsupialitation and was supervised by inhalation sedation of N2O-O2 in theSpecial Dental Care Hasan Sadikin Hospital Bandung. The result showed thatinhalation sedation with N2O-O2 was very very useful to reduce anxiety and fear tocertain patients with minimal side-effect. So it was very important to a dentist to knowthe selection of the patient, equipment and the technique of inhalation sedationadequately

Pain parameters for buffered and non-buffered anesthetic injections in children undergoing dental procedures Theodora Erlin Puspitasari; Iwan Ahmad Musnamirwan; Kirana Lina Gunawan; Meirina Gartika
Dental Journal Vol. 56 No. 1 (2023): March 2023
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.v56.i1.p58-62

Background: Dental procedures, such as injections, usually cause pain and make children uncomfortable and uncooperative. One approach for reducing pain is the use of buffered anesthetics. Purpose: The research objective was to assess the pain parameters between buffered and non-buffered anesthetic injections, based on oxygen saturation, pulse rate, and the self-reporting of pain by the children. Methods: The research method was quasi-experimental, with purposive sampling of 19 children. Pain parameters, based on oxygen saturation and pulse rate, were measured using a pulse oximeter. The self-reporting of pain used the Wong–Baker FACES® pain rating scale. Statistical analysis used a t-test and Mann–Whitney test with P < 0.01 taken as statistically significant. Results: The results showed a significant difference in oxygen saturation before and after the injection of buffered and non-buffered anesthetics (P = 0.0002). Delivering the buffered anesthetics were reported to be less painful than non-buffered anesthetics. The oxygen saturation and pulse rate were inversely proportional to the self-reporting of pain in children. Statistical analysis showed no significant difference between oxygen saturation (P = 0.5) and pulse rate (P = 0.4886) in those receiving buffered and non-buffered anesthetics. However, there was a significant difference in the self-reporting of pain between the two groups (P = 0.00000262). Conclusion: Pain parameters could be measured physiologically and psychologically. This research concludes that physiologically, there was no difference in pain parameters, based on oxygen saturation and children’s pulse rate. Psychologically, there was a difference in the self-reporting of pain; 14 children reported that delivering the buffered anesthetic was painless.

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

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 : Universitas Padjadjaran

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

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

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.

Co-Authors Abel Tasman Yuza Ahmad, Iwan Anissa Maya Kania Anissa Maya Kania Dini Safitri Ediyana Nuryadi Ediyana Nuryadi, Ediyana Harry Arifin Kaiin Harry Arifin Kaiin, Harry Arifin Harun Achmad Indra Hadikrishna Inne Suherna Sasmita Iwan Ahmad Musnamirwan Liyana, Liyana Meirina Gartika Ratna Indriyanti Sarasti Laksmi Anindita Suciati, Khomsah Theodora Erlin Puspitasari Uthophia, Natrisa

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