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Effectivity of ozone water application on the socket after posterior tteeth extraction to accelerate clotting time phase Isnandar Isnandar; Rahmi Syaflida; Abdullah Oes; Yuni Nurul Fairuz
Majalah Kedokteran Gigi Indonesia Vol 6, No 2 (2020): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.42461

After tooth extraction, dentists always place sterile tampons on the extracted socket to stop bleeding, to prevent infection and to reduce patients’ discomfort. Ozone is a biocompatible, bactericidal gas that can accelerate the healing of wounded soft tissue. In addition, it comes up with hemostasis effect to stop bleeding and may accelerate the clotting time and wound healing. Another advantage of ozone therapy is that it can be treated without making any trauma. The purpose of this research is to evaluate the effectivity of ozone water application in the socket to accelerate clotting time phase after posterior teeth extraction in 3 minutes, 6 minutes, and 10 minutes. This research was clinical experimental research with post-test only control group design. The research sampling was done through non-probability sampling. Then, sample was divided into two groups, each of which consisted of 15 patients treated with ozone tampons and 15 patients treated with sterile tampons after tooth extraction. Data were analyzed using chi-square test, and results showed a significant difference between the two groups. Ozone tampons show better result in accelerating clotting time after posterior teeth extraction than sterile tampons.

The effect of an 8% cocoa bean extract gel on the healing of alveolar osteitis following tooth extraction in Wistar rats I. Isnandar; Olivia Avriyanti Hanafiah; Muhammad Fauzan Lubis; Lokot Donna Lubis; Adzimatinur Pratiwi; Yeheskiel Satria Yoga Erlangga
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 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.i1.p7-12

Background: Alveolar osteitis is a well-known complication that occurs following a tooth extraction when the clot within the socket breaks down too early, causing increased localised inflammation and extreme pain. Alveolar osteitis delays the wound healing process of the socket. The polyphenols in the cocoa bean (Theobroma cacao L.) can stimulate the wound healing process. Purpose: The aim of this study was to analyse the effect of an 8% cocoa bean extract gel on the healing of alveolar osteitis following a tooth extraction. Methods: This study is an in vivo experiment with a posttest-only control group design. Thirty-six male Wistar rats were divided into three groups: a negative control, positive control and an 8% cocoa bean extract gel. A tooth extraction was performed on the mandibular incisor, and alveolar osteitis was induced by the application of adrenaline using a paper point on the socket. On the 3rd, 7th and 14th days, the clinical wound size of the extraction socket was measured, and the rats were sacrificed to observe the number of macrophages, fibroblasts and osteoblasts microscopically. A two-way analysis of variance test and post hoc least significant difference test were used to analyse the data (p < 0.05). Results: The data analysis showed a significant difference in the clinical wound size of the extraction socket and the number of macrophages, fibroblasts and osteoblasts between the 8% cocoa bean extract gel and the control groups (p = 0.000). Conclusion: An 8% cocoa bean extract gel stimulates the healing of alveolar osteitis following tooth extraction in Wistar rats.

Association of maternal folic acid supplementation and incidence of non-syndromic cleft lip and palate Hendry Rusdy; I. Isnandar; Indra Basar Siregar; Rizkiani Cahya Putri Sinaga
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.p76-80

Background: Cleft lip and palate as a frequent congenital defect is caused by genetic and environmental factors. Micronutrient folic acid as an environmental factor has shown a role as a cleft lip and palate protective factor in several previous studies. Purpose: The purpose of this study was to determine the distribution of adequacy of folic acid supplementation and the association between folic acid supplementation during the first trimester of pregnancy with the incidence of cleft lip and palate at Mitra Sejati Hospital, Medan, North Sumatra, Indonesia. Methods: This study used analytical research with a case-control design and questionnaire. A Chi-square test was used to observe the association between the folic acid supplement intake during the first trimester with the incidence of cleft. The p-value ≤ 0.05 was deemed to be significant. Results: The study found that 47 mothers (51.09%) had insufficient, while 45 mothers (48.91%) had adequate folic acid supplementation. This study did not show a significant association between supplement use and all cleft incidence (p>0.05), but a significant result was found between inadequate supplementation (<400µ/day) and cleft lip with or without cleft palate occurrence (p=0.043; OR 2.4[1.022-5.625]). Conclusion: The present study showed that most pregnant women did not have sufficient folic acid supplement in the first trimester. Furthermore, inadequate maternal folic acid supplementation (<400µ/day) during the first trimester of pregnancy increased the tendency for cleft lip and cleft palate (with or without cleft lip) to occur significantly.

Pengaruh ekstrak daun kemangi (Ocimum basilicum L) terhadap Staphylococcus aureus di rongga mulutEffect of basil leaf extract (Ocimum basilicum L.) on oral Staphylococcus aureus Putri Widya Utami; Isnandar Isnandar; Rahmi Syaflida; Indra Basar Siregar
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 1 (2021): April 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i1.29968

Pendahuluan: Staphylococcus aureus merupakan mikroorganisme dalam rongga mulut yang bersifat patogen. Di Indonesia, penyakit infeksi masih menjadi masalah umum terutama pada rongga mulut, untuk itu dikembangkan obat antibakteri yang berasal dari tumbuhan salah satunya daun kemangi. Tujuan penelitian untuk menganalisis efektivitas penggunaan ekstrak daun kemangi (Ocimum basilicum L) terhadap jumlah Staphylococcus aureus rongga mulut. Metode: Penelitian ini menggunakan true eksperiment laboratoris, dimana pengujian efektivitas antibakteri dengan metode pengenceran seri. Sampel yang digunakan strain murni Staphylococcus aureus dan isolat klinik Staphylococcus aureus. Konsentrasi ekstrak yang digunakan 50%, 25%, 12,5%, 6,25% dan dilakukan pengulangan sebanyak 4 kali. Data penelitian diolah menggunakan SPSS yaitu uji Kruskal-Wallis dan uji Mann-Whitney.Hasil: Konsentrasi 50% merupakan kadar bunuh minimum (KBM) untuk strain murni bakteri Staphylococcus aureus, dan kadar hambat minimum (KHM) untuk isolat klinik Staphylococcus aureus. Konsentrasi 25% hanya didapati kadar hambat minimum (KHM) untuk strain murni Staphylococcus aureus. Simpulan: Terdapat pengaruh penggunaan ekstrak daun kemangi (Ocimum basilicum L) terhadap penurunan jumlah Staphylococcus aureus rongga mulut.Kata kunci : Daun kemangi, Staphylococcus aureus, pengenceran seri, KHM, KBM. ABSTRACTIntroduction: Staphylococcus aureus is a pathogenic microorganism in the oral cavity. In Indonesia, infectious diseases are still a common problem, especially in the oral cavity. Therefore, a natural antibacterial remedy has been developed, one of which is basil leaves. The study aimed to analyse the effectiveness of using basil leaf extract (Ocimum basilicum L) against the number of oral Staphylococcus aureus. Methods: This study used a true laboratory experiment, where the antibacterial effectiveness was tested by using the series dilution method. The samples used were pure strains of Staphylococcus aureus and clinical isolates of Staphylococcus aureus. The extract concentration used was 50%, 25%, 12.5%, 6.25% and was repeated 4 times. The research data were processed using SPSS, namely the Kruskal-Wallis test and the Mann-Whitney test. Results: The concentration of 50% is the minimum kill rate (MKC) for pure strains of Staphylococcus aureus and the minimum inhibitory level (MIC) for clinical isolates of Staphylococcus aureus. At 25% concentration, only the minimum inhibitory level (MIC) was found for pure strains of Staphylococcus aureus. Conclusion: There is an effect of using basil leaf extract (Ocimum basilicum L) on reducing the number of oral Staphylococcus aureus.Keywords: Basil leaf, Staphylococcus aureus, serial dilution, MIC, MKC.

Effectivity of hand washing technique using World Health Organization (WHO) method with an ultraviolet light assessment on health workers at Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Sumatera Utara February-March 2018 Olivia A. Hanafiah; Isnandar Isnandar; Indra B. Siregar; Lung L. Wong
Journal of Dentomaxillofacial Science Vol. 4 No. 1 (2019): (Available online: 1 April 2019)
Publisher : DiscoverSys Inc.

Objective: This study aim to determine the effectivity of hand washing technique using the World Health Organization (WHO) method with Ultraviolet Light Assessment on health workers at Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas of Sumatera Utara February-March 2018.Material and Methods: This study was an experimental study with a one group pre-test post-test group design. The sampling method used in this study was purposive sampling. 18 undergraduate students in the Department of Oral and Maxillofacial Surgery participated as subjects of this study. Sample was assessed before and after hand washing using WHO method.Results: Hand washing technique using WHO method was effective on the palm, back of hands, between fingers, and thumbs (p<0.05) while on fingertips was not effective (p>0.05).Conclusion: Effectivity of hand washing technique using WHO method with the Ultraviolet Light Assessment on health workers at Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Sumatera Utara February â€“ March 2018 was effective.

Comparison of Chloroxylenol 4.8% and Povidone Iodine 7.5% on Total Bacteria Count Post WHO Routine Hand Washing on Clinical Students at the Department of Oral Surgery, Faculty of Dentistry, Universitas Sumatera Utara March-May 2018 Ahyar Riza; Isnandar Isnandar; Rahmi Syaflida; Jasmine Jasmine
Journal of Dentomaxillofacial Science Vol. 4 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v0i0.796

Objective: To compare Chloroxylenol 4.8% and Povidone Iodine 7.5% on total bacterial count post WHO routine hand washing on clinical students at the department of oral surgery, Faculty of Dentistry, Universitas Sumatera UtaraMaterial andÂ Methods: This was an experimental study with post-test only control group design approach. Purposive technique is applied to collect samples which are clinical students. In this study, sample were divided into 3 groups and each consisting of 10 people. Aquadest was used as control group while Chloroxylenol 4.8% and Povidone Iodine 7.5% was used as the treatment group. Each member performed routine handwashing using WHO method for 1 minute long.Results: The results were statistically analyzed using Kruskal Wallis and Mann-Whitney Test. The comparison between Chloroxylenol and Povidone Iodine showed no significant difference to the total bacteria count after handwashing (p>0.05) but the Chloroxylenol group showed a greater mean reduction.Conclusion: Chloroxylenol and Povidone Iodine are capable reducing the number of bacteria in hands, therefore it can be a good antiseptic choice for hand washing.

Difference influence of rubbing and soaking tooth extraction instruments in 70% alcohol on total oral bacterial colonisation on clinical students at the Department of Oral Surgery and Maxilofacial March-May 2018 Ahyar Riza; Hendry Rusdy; Isnandar Isnandar; Evelin N. Sari
Journal of Dentomaxillofacial Science Vol. 5 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Objective: To compare the effect of rubbing and soaking tooth extraction instrument in 70% Â alcohol on total oral bacterial colonisation at the Department of Oral Surgery, Faculty of Dentistry, Universitas Sumatera Utara.Â Material and Methods: This is an experimental research with a post-test only approach. The sampling technique used is Purposive Sampling. In this study, sample were divided into 2 groups consisting of 18 extraction instruments which are lower molar forceps rubbed with 70% alcohol and soaked in 70% alcohol. Each instrument were pre-cleaned using brush, water and soap prior disinfection process.Results: The results were statistically analyzed using Mann-Whitney Test. The result showed no significant difference to the total bacteria count on rubbing and soaking using 70% alcohol.Conclusion: Soaking in 70% alcohol method showed more effective because it overally kills bacteria.Keyword:Â

Cleft lip and palate based on birth order and family history at Mitra Sejati General Hospital, Indonesia Hendry Rusdy; Isnandar; Indra Basar Siregar; Veronica
Dental Journal Vol. 55 No. 4 (2022): December 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.i4.p221-225

Background: Cleft lip and palate is one of the most common congenital abnormalities in infants and is caused by more than one factors, which can be genetic and environmental. Defects in a family gene can result in cleft lip and palate. The study found a high family history relationship with the incidence of cleft lip and palate. Birth order studied by several researchers also has different results, which were influenced by folic acid consumption, maternal knowledge, lack of antenatal care visits and maternal age. To determine the cases of cleft lip and palate based on the birth order of the children and family history of the patients at Mitra Sejati General Hospital. Purpose: The study aimed to investigate cleft lip and cleft palate patients by birth order and family history. Methods: This research was a retrospective descriptive study using survey method. Researchers gave 13 questions through a questionnaire and data were collected and counted manually. Results: The results showed that based on the birth, the cleft case in the first birth order amounted to 25 people, the second 30 people, the third 19 people, and the fourth or more as many as 20 people. Based on family history, 27 patients had a family history of cleft lip and palate, while 67 patients did not have family history. Conclusion: The cases of clefts at Mitra Sejati General Hospital happened more frequently in the second child and most incidence did not have family history.

Comparison between effectivity of povidone Iodin 1% application with swab technique and rinse to the number of bacteria colonization as an aseptic action in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Sumatera Utara Isnandar; Hendry Rusdy; Indra B. Siregar; Nur Syamimi
Journal of Dentomaxillofacial Science Vol. 5 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v0i0.848

Objective: To compare between Effectivity of Povidone Iodin 1% Application With Swab Technique and Rinse To the Number of Bacteria Colonization As An Aseptic Action at the department of oral surgery, Faculty of Dentistry, Universitas Sumatera Utara.Material andÂ Methods: This was an experimental study with post-test only control group design approach. Purposive technique is applied to collect samples which are clinical students. In this study, sample were divided into 4 groups and each consisting of 10 people. The sample was divided into negative control group with 0.9% normal saline and 1% povidone iodine treatment group with two techniques which is swab and gargle.Results: Based on Mann-Whitney test result on 1% Povidone Iodin group which was rinse andÂ swab technique obtained p-value = 0.382 where p-value > 0,05 so it can be concluded that there is no significant difference between 1 % Povidone Iodine in rinsing technique and 1% Povidone Iodine in swabbing.Conclusion: Rinsing was more effective than swab as an aseptic action with 1% Povidone Iodine.

Efficacy of rinsing chlorhexidine digluconate 0.12% and povidone iodine 1% on total bacterial count as aseptic technique at Department of Oral Surgery, Faculty of Dentistry, Universitas Sumatera Utara Isnandar; Hendry Rusdy; Indra B. Siregar; Karisha HS. Ashari
Journal of Dentomaxillofacial Science Vol. 6 No. 1 (2021): (Available online: 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v6i1.1422

Objective: To compare chlorhexidine digluconate 0.12% and povidone iodine 1% on total bacterial count after mouth rinsing at the department of oral surgery, Faculty of Dentistry, University of Sumatera Utara Material and Methods: This was an experimental study with post-test only control group design approach. Purposive technique was applied to collect samples which are clinical students. In this study, sample were divided into 3 groups and each consisting of 12 people. Normal saline 0.9% was used as control group while chlorhexidine digluconate 0.12% and povidone iodine 1% was used as the treatment group. Each member performed mouth rinsing for 30 seconds. Results: The results were statistically analyzed using Kruskal Wallis and Mann-Whitney test. The comparison between chlorhexidine digluconate 0.12% and povidone iodine 1% showed a significant difference to the total bacteria count after mouth rinsing (p<0.05) and the chlorhexidine digluconate 0.12% group showed a greater mean reduction. Conclusion: Chlorhexidine digluconate 0.12% reduce more bacteria than povidone iodine 1%. However, both of the antiseptic agents can be a choice for mouth rinsing.

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