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POST-EXTRACTION HEMORRHAGE: ASSESSING HYPERTENSION AS A RISK FACTOR IN DENTAL EXTRACTIONS Pranoto, Amelia Elizabeth; Runting, Nina; Hermanto, Eddy
Indonesian Journal of Dentistry Vol 5, No 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/ijd.v5i2.17889

Abstract

Background: Tooth extraction, a frequently performed dental procedure, typically culminates in hemostasis within several hours post-operatively. Hypertensive individuals exhibit a propensity for protracted bleeding following surgical interventions. This investigation seeks to assess prolonged bleeding after dental extraction in hypertensive patients. The study aims to determine whether elevated blood pressure is the sole etiological factor in prolonged bleeding or if other confounding variables are implicated. Methods: This prospective cohort study was conducted at Wates Public Hospital, Yogyakarta, Indonesia, from October 2024 to February 2025. Consecutive sampling was used in this study. All research subjects were patients at the Oral and Maxillofacial Surgery Clinic of the RSUD Wates who underwent closed-method extraction using local anesthesia. Patients were separated into two groups, normal and hypertension. Seventy-four patients have been involved in this research, based on inclusive and exclusive criteria. Confounding factors which could influenced blood pressure were controlled statistically.Outcome: Findings indicate that increased mean arterial pressure may extend bleeding time after extraction (p < .001). Conclusion: Elevated mean arterial pressure may prolong bleeding following tooth extraction. Furthermore, several confounding factors, including patients’ pharmacotherapy, localized inflammation resulting from periodontal disease in hypertensive individuals, and adverse patient behaviors after extraction, should be taken into consideration.
SPECIAL METHODS OF SCHOOL HEALTH PROGRAMME FOR SPECIAL NEEDS CHILDREN IN DENTISTRY Pranoto, Amelia Elizabeth; Wahjuningsih, Endah; Paramita, Ayulistya; Tsurayya, Nur; Wardhani, Istien; Apsari, Anindita; Puspita, Sinta; Teguh, Paulus Budi; Juniar, Eriza; Ayu, Dyah; Sarianoferni, Sarianoferni; Prameswari, Noengki; Rahardjo, Pambudi; Rizal, Mohammad Basroni; Hermanto, Eddy
EJOIN : Jurnal Pengabdian Masyarakat Vol. 1 No. 12 (2023): EJOIN : Jurnal Pengabdian Masyarakat, Desember 2023
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/ejoin.v1i12.2014

Abstract

School health program is a program of preventive promotional activities in the field of dentistry using the method “trainer of trainer” or abbreviated as ToT. The program is organized by the Indonesian Association of Dentists (PDGI) together with dental faculties across Indonesia as trainers and multinational company as facilitator. The goal of this program is to create a generation of a nation that will be free of tooth cavities by 2030. Teachers and parents of students with special needs are the target audience for this training, enabling them to carry out morning and night toothbrushing activities for good dental and oral health. ToT's activities include two things: giving advice to teachers and students' parents and brushing their teeth in the morning and evening for 21 days. The problem is that children with special needs do not have the same abilities as other children in terms of receiving information, responding to teaching, and applying what has been taught. Low levels of independence and varying levels of learning difficulties are challenges for trainees. Special methods in teaching morning and night toothbrush activities should be applied well to both teachers and parents of students with special needs, such as how to brush their teeth, the habits of brushing the teeth properly, the use of special brushes, and tips and tricks that can be implemented by the teacher and parents so that children with special requirements can run the program.
Closed reduction and drainage incision for the treatment of neglected and infected mandibular fractures Hermanto, Eddy; Laihad, Fanny Margaretha; Pranoto, Amelia Elizabeth; Elidasari, Monika; Tantra, Ivan; Sarianoferni; Damayanti, Dian Widya
Dental Journal (Majalah Kedokteran Gigi) Vol. 56 No. 3 (2023): 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.v56.i3.p197-201

Abstract

Background: Jaw fracture is the most common facial fracture in oral and maxillofacial bone and is usually caused by trauma. The fracture itself could lead to infection due to bone and tissue damage, which is the port of entry for microorganisms. Fracture-related infection (FRI) in the patient discussed in this study manifested as a submandibular abscess. The goals of fracture treatment were achieving the anatomic reduction of the fracture line and regaining acceptable occlusion. There are two methods for treating mandibular fractures: the closed method, also called conservative treatment, and the open method, which requires advanced surgery. Closed method treatment uses a maxillomandibular fixation (MMF) device in order to reduce and immobilize fracture fragments. Treatment of FRI should use a multidisciplinary approach to achieve an outstanding result, such as wound debridement, antimicrobial therapy, and implant retention. Purpose: The purpose of this article is to report a case of neglected mandibular fracture with a submandibular abscess, which was treated with a combination of the closed reduction method and incision drainage. Case: A 25-year-old female visited Nala Husada Hospital because of a submandibular abscess on the neglected mandibular fracture of the right parasymphysis and left corpus. Case management: The case was managed using an arch bar in the mandible and an eyelet in the maxilla while continuing with MMF and an extra oral drainage incision. Conclusion: Combination therapy (MMF and incision drainage) was needed to treat this case because of the occurrence of a submandibular abscess due to a neglected mandibular fracture.
The number of osteoblasts and osteoclasts in bone remodeling of bone defects caused by peri-implantitis using Anadara granosa bone graft: an experimental study Ariestania, Vivin; Hendrijantini, Nike; Prahasanti, Chiquita; Kurniawan, Hansen; Ashrin, Meinar Nur; Nanik, Chaterina Diyah; Apsari, Anindita; Megantara, Rizko Wira Artha; Sari, Rima Parwati; Hermanto, eddy; Fauzia, Bunga; Matsuyama, Miwa
Padjadjaran Journal of Dentistry Vol 37, No 3 (2025): November 2025
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no3.64295

Abstract

Introduction: Peri-implantitis treatment aims to replace the damaged bone with new and healthy tissue during bone remodeling process. Bone grafts are materials used to stimulate the formation of new bone. Bone graft material derived from Anadara granosa (AG) can be synthesized into hydroxyapatite–tricalcium phosphate (HA-TCP) at a 70:30 ratio, which supports bone regeneration, as indicated by an increase in osteoblast numbers and decrease in osteoclast numbers. This study aims to analyze the effectiveness of Anadara granosa bone graft in the number of osteoblasts and osteoclasts during bone remodeling process. Methods: This study employed an experimental design with a post-test only control group. A total of 84 mice were divided into 12 groups (7 mice per group): negative control (K−), positive control (K+), and treatment group (P), each observed on days 14 and 28. Histological analysis was performed to count osteoblasts and osteoclasts. Data were analyzed using one-way ANOVA. Results: The number of osteoclasts was significantly reduced in the treatment groups (P14: 7.00 ± 1.528; P28: 6.57 ± 1.512) compared to the positive controls (K+14: 13.86 ± 2.410; K+28: 14.29 ± 1.496). On the contrary, the number of osteoblasts increased in the treatment groups (P14: 7.14 ± 1.676; P28: 8.57 ± 1.272) compared to the positive controls (K+14: 2.57 ± 1.512; K+28: 3.86 ± 1.574). Statistical analysis indicated that osteoblasts showed significant differences after AG treatment (p<0.05), and the ANOVA test showed significant differences in osteoclast number after AG treatment (p<0.05).      Conclusion: The number of osteoblasts increases while the number of osteoclast reduces in bone remodelling of bone defect caused by peri-implantitis using AG bone graft.
Gender Identification Based on Ramus Mandibular Index and Gonial Index Through Panoramic Radiography in Javanese People Annariswati, Icha Artyas; Agitha, Shintya Rizky Ayu; Hermanto, Eddy
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 3 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i3.11778

Abstract

Introduction: Sex identification is an important first step in the forensic identification process because it can find a 50% probability of match in identifying individuals and can influence several other examination methods. The mandible is one of the facial bones that shows fairly clear sexual dimorphism. Mandibular morphometric analysis is often used in anthropology and forensic medicine to aid in sex identification. Material and Methods: A total of 62 panoramic radiographs consisting of 29 males and 33 females aged 15-25 years and of Javanese ethnicity were analyzed to determine the differences in the mandibular ramus index and mandibular gonial index variables between males and females using the Mann-Whitney U test. Results and Discussions: The results of the analysis showed significant differences in mandibular ramus height (p<0.05) and mandibular corpus length (p<0.05), with higher values in males than in females. Meanwhile, other variables such as the gonial angle, ramus width, anterior mandibular body height, and coronoid height did not show significant differences between the sexes (p>0.05). Conclusion: There are significant differences between the height of the mandibular ramus and the length of the mandibular body in males compared to females. Thus, the results of this study support previous findings that mandibular linear parameters can be used as reliable indicators in identifying.
Characteristics of biphasic calcium phosphate scaffold formed by Anadara granosa shell synthesis Sari, Rima Parwati; Sari, Maharani Dewinta; Ramanindia, Andiani; Fitri, Karimatul; Susanto, Michelle Rosalind; Pratiwi, Safira Agnes; Yusuf, Diajeng Ayu Permatasari; Prananingrum, Widyasri; Ariestania, Vivin; Widaningsih; Apsari, Anindita; Widyastuti; Brahmanta, Arya; Hermanto, Eddy
Dental Journal (Majalah Kedokteran Gigi) Vol. 59 No. 1 (2026)
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.v59.i1.p78-86

Abstract

Background: Bone augmentation requires biomaterials that can trigger bone regeneration, especially when treating alveolar bone defects. Biphasic calcium phosphate (BCP) can induce cell proliferation and differentiation. Anadara granosa shell can be synthesized into BCP and made into a scaffold with the addition of gelatin. Purpose: To determine the optimal BCP ratio from A. granosa shell synthesis and to establish the material characteristics. Methods: Anadara granosa shells were synthesized using the hydrothermal method at 200°C for 12 and 18 hours, followed by particle size analysis. Next, the resulting powder was made into scaffolds by adding gelatin through the freeze-drying method, and a series of observations were performed regarding its morphology, pore size, porosity, compressive strength (CS), and cell viability. The data were analyzed using an independent t-test, with p < 0.05. Results: Synthesis of A. granosa shells for 12 hours produced a BCP ratio of 69:20 with 11% calcite content and a particle size of 3,343.00 ± 445.25 nm, whereas synthesis for 18 hours produced a ratio of 22:78 with a particle size of 919.96 ± 375.77 nm. In scaffold manufacture, the BCP18 pore size (26.56–145.45) was smaller than that of BCP12 (19.72–309.09), the porosity level was lower (61.49% vs. 81.98%, respectively), and the CS was higher (4.66 ± 1.12 vs. 2.89 ± 0.799, respectively). Nevertheless, both had relatively good cell viability (≥50%). Conclusion: Biphasic calcium phosphate obtained from A. granosa shell synthesis exhibits varying ratios; nevertheless, both variants possess favorable attributes for consideration as potential bone substitute materials, as they meet the necessary biocompatibility requirements.