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Selective Suppression of Prevotella and Modulation of Oral Dysbiosis in Stunted Children: The Role of Systemic Zinc as a Biological Adjuvant to Mechanical Therapy Nila Kasuma; Dewa Made Wedagama; Thifla Rafifa Wirza; Dedi Sumantri
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 2 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i2.1514

Abstract

Background: Gingivitis in stunted children represents a unique pathological entity driven by a compromised mucosal barrier and systemic zinc deficiency. These children exhibit a phenotype of acquired immunodeficiency, where standard mechanical debridement often fails to resolve inflammation, leading to a phenomenon known as dysbiotic rebound. This study investigated the biomolecular efficacy of systemic Zinc supplementation combined with scaling and root planing (SRP) in modulating the oral microbiome of nutritionally vulnerable children. Methods: A randomized, single-blind, pre-post test controlled clinical trial was conducted in Padang, Indonesia, involving 30 stunted children (Height-for-age Z-score < -2 SD) diagnosed with generalized gingivitis. Participants were randomized into a Control group (SRP + Placebo, n=15) and an Intervention group (SRP + 20mg Zinc Sulfate Monohydrate daily, n=15) for a duration of 14 days. Microbial profiling was performed on unstimulated saliva utilizing high-throughput 16S rRNA gene sequencing (V3–V4 region). Bioinformatics processing utilized the DADA2 pipeline to generate Amplicon Sequence Variants (ASVs). Results: Results indicated that SRP alone resulted in a pathogenic recolonization dominated by Firmicutes (+49.6%). Conversely, Zinc supplementation induced a significant Gram-negative crash, reducing Proteobacteria by 50.6%. Most notably, the key periodontal pathogen Prevotella was suppressed to undetectable levels in the Zinc group (p<0.05). Conclusion: Systemic zinc acts as a potent biological scaffold in the enterosalivary cycle, likely repairing the epithelial barrier and starving hemin-dependent pathogens. It is strongly recommended as a therapeutic adjuvant to prevent the ecological recurrence of gingivitis in nutritionally vulnerable pediatric populations.
The Relationship Between Alkaline Phosphatase Enzyme Levels and the Incidence of Enamel Defects in Permanent Teeth in Children Wulandari , Reno Wiska; Kasuma, Nila; Dasman , Hardisman; Ali , Hirowati
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 1 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i1.1304

Abstract

Enamel gigi merupakan jaringan yang paling keras yang ada di dalam tubuh manusia yang dibentuk oleh interaksi antara protein matriks dan enzim, terkhusus kadar enzim alkaline phosphatase (ALP). Gangguan dalam regulasi atau aktivitas ALP dapat menyebabkan mineralisasi enamel yang tidak tepat dan meningkatkan risiko terjadinya Developmental Defects of Enamel (DDE) pada gigi permanen. Tujuan penelitian adalah menganalisis hubungan kadar enzim ALP dengan kejadian DDE pada anak. A comparative cross-sectional study was conducted on 60 children divided into two groups: normal enamel and DDE. Pemeriksaan enamel gigi menggunakan modified DDE index. Saliva dianalsis dengan metode Kolorimetrik secara duplo. Analisa statistic menggunakan Mann-Whitney test dengan hasil signifikan ketika p < 0,05. Hasil penelitian menunjukan kadar ALP rata-rata pada kelompok enamel normal  lebih rendah [5,90 (1,38 – 27,82) mg/mL] dibandingkan dengan kelompok DDE [7,76 (0,13-11,89) mg/mL] dengan perbedaan yang tidak signifikan (p > 0,05).  Berdasarkan temuan ini, kadar ALP dalam saliva tidak memiliki hubungan langsung yang kuat dengan DDE, sehingga potensinya sebagai biomarker tunggal untuk deteksi dini DDE terbatas.
Selective Suppression of Prevotella and Modulation of Oral Dysbiosis in Stunted Children: The Role of Systemic Zinc as a Biological Adjuvant to Mechanical Therapy Nila Kasuma; Dewa Made Wedagama; Thifla Rafifa Wirza; Dedi Sumantri
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 2 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i2.1514

Abstract

Background: Gingivitis in stunted children represents a unique pathological entity driven by a compromised mucosal barrier and systemic zinc deficiency. These children exhibit a phenotype of acquired immunodeficiency, where standard mechanical debridement often fails to resolve inflammation, leading to a phenomenon known as dysbiotic rebound. This study investigated the biomolecular efficacy of systemic Zinc supplementation combined with scaling and root planing (SRP) in modulating the oral microbiome of nutritionally vulnerable children. Methods: A randomized, single-blind, pre-post test controlled clinical trial was conducted in Padang, Indonesia, involving 30 stunted children (Height-for-age Z-score < -2 SD) diagnosed with generalized gingivitis. Participants were randomized into a Control group (SRP + Placebo, n=15) and an Intervention group (SRP + 20mg Zinc Sulfate Monohydrate daily, n=15) for a duration of 14 days. Microbial profiling was performed on unstimulated saliva utilizing high-throughput 16S rRNA gene sequencing (V3–V4 region). Bioinformatics processing utilized the DADA2 pipeline to generate Amplicon Sequence Variants (ASVs). Results: Results indicated that SRP alone resulted in a pathogenic recolonization dominated by Firmicutes (+49.6%). Conversely, Zinc supplementation induced a significant Gram-negative crash, reducing Proteobacteria by 50.6%. Most notably, the key periodontal pathogen Prevotella was suppressed to undetectable levels in the Zinc group (p<0.05). Conclusion: Systemic zinc acts as a potent biological scaffold in the enterosalivary cycle, likely repairing the epithelial barrier and starving hemin-dependent pathogens. It is strongly recommended as a therapeutic adjuvant to prevent the ecological recurrence of gingivitis in nutritionally vulnerable pediatric populations.
Mothers’ practices in children’s dental health and early childhood caries: A scoping review Zia, Hanim Khalida; Syah, Nur Afrainin; Machmud, Rizanda; Kasuma, Nila; Dasman, Hardisman; Mona, Deli; Purna, Rozi Sastra; Bachtiar, Adang
Padjadjaran Journal of Dental Researchers and Students Vol 9, No 3 (2025): Oktober 2025
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v9i3.67067

Abstract

ABSTRAKIntroduction: The World Health Organization (WHO) in 2022 reported that dental and oral diseases affect approximately 3.5 billion people globally, including 2 billion adults and 514 million children suffering from dental caries. Dental caries occurring in early childhood is known as Early Childhood Caries (ECC). This study aims to identify mothers' practices on children's dental health and early childhood caries. Methods: This study used a scoping review method. The article selection was conducted by searching the PubMed and ScienceDirect databases using the keywords Knowledge, Attitude, Practice, Mother, Early Childhood Caries. Articles were screened according to inclusion and exclusion criteria, titles, abstracts, and content relevance, resulting in 21 studies included for review. Data were analyzed using Exploratory Data Analysis (EDA) to identify maternal practices related to children's dental health and early childhood caries. Results: This study showed that mothers' practices in children's dental health and early childhood caries consisted of three main areas: maintaining oral health, feeding practices, and prevention of bacterial transmission. Maintaining oral health, included seeking information on oral health, taking children to the dentist, assisting them with brushing using fluoride toothpaste, replacing toothbrushes regularly, brushing the tongue, using dental floss for children, and encouraging rinsing after eating. Feeding practices involved frequently giving children sweet foods and drinks, breastfeeding at night, providing formula milk, and giving milk bottles. Prevention of bacterial transmission included maintaining oral health during pregnancy and pre-chewing food before feeding the child. Conclusion: Mothers’ practices in children's dental health and early childhood caries primarily involve oral health maintenance, feeding management, and prevention of bacterial transmission.KEY WORDS: knowledge, attitude, practice, mother, early childhood cariesPraktik ibu dalam kesehatan gigi anak dan early childhood caries: Scoping reviewABSTRACTPendahuluan: World Health Organization (WHO) tahun 2022 menyatakan penyakit gigi dan mulut memengaruhi 3,5 miliar orang di seluruh dunia. Sebanyak 2 miliar orang dewasa dan 514 juta anak menderita karies gigi. Karies gigi pada usia dini disebut Early Childhood Caries (ECC). Tujuan penelitian ini menganalisis praktik ibu dalam kesehatan gigi anak dan early childhood caries. Metode: Penelitian ini menggunakan metode scoping review. Proses seleksi artikel dilakukan pencarian artikel menggunakan kata kunci Knowledge, Attitude, Practice, Mother, Early Childhood Caries pada database PubMed dan Science Direct, penyaringan berdasarkan kriteria inklusi, eksklusi, judul, abstrak, dan isi yang sesuai topik didapatkan 21 artikel untuk di review. Data dianalisis dengan cara Eksplorasi Data (EDA) untuk mengetahui apa saja praktik ibu dalam kesehatan gigi anak dan early childhood caries. Hasil: Penelitian ini menunjukkan praktik ibu dalam kesehatan gigi anak dan early childhood, yaitu pemeliharaan kesehatan gigi dan mulut, meliputi mencari informasi kesehatan gigi dan mulut anak, membawa anak ke dokter gigi, mendampingi anak menyikat gigi, memberi anak pasta gigi berfluoride, mengganti sikat gigi anak, menyikat lidah anak, menggunakan benang gigi untuk anak, dan membiasakan anak berkumur setelah makan. Pemberian makanan, meliputi sering memberi anak makanan manis, sering memberi anak minuman manis, sering memberi ASI anak malam hari, memberi anak susu formula, dan memberi anak botol susu. Pencegahan transmisi bakteri, meliputi menjaga kesehatan gigi ketika hamil dan mengunyahkan makanan anak. Simpulan: Penelitian ini menyimpulkan praktik ibu dalam kesehatan gigi anak dan early childhood caries yaitu pemeliharaan kesehatan gigi dan mulut, pemberian makanan, serta pencegahan transmisi bakteri.KATA KUNCI: pengetahuan, sikap, praktik, ibu, early childhood caries 
Association of Palatal Rugae Patterns In The Maternal Lineage Between Biological Mothers And Daughters of The Minangkabau Ethnic Group In Padang City Arman, Andi Aisyah Farra; Nila Kasuma; Wulandari, Reno Wiska; Wedagama, Dewa Made
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.v21i3.11804

Abstract

Introduction: Palatal rugae are unique, anatomically stable ridges in the oral cavity that serve as reliable markers for forensic identification and genetic research. The Minangkabau ethnic group, known for its matrilineal kinship system, to provides a unique context to for exploring the hereditary transmission of such traits. This study aimed to examine the morphological similarities and differences in palatal rugae patterns between biological mothers and their daughters within the Minangkabau ethnic group in Padang City, Indonesia. Material and Methods: An analytical cross-sectional design was employed involving 53 mother-daughter pairs of confirmed Minangkabau descent. Intraoral digital scans were used to record rugae patterns which were categorized by shape and size based on established classifications. Statistical analysis was conducted using the Mann-Whitney U test to assess intergenerational associations. Results and Discussion: Primary and secondary rugae patterns showed strong morphological similarities between mothers and daughters, indicating heritability. Notably, the wave-shaped rugae pattern was significantly more prevalent in daughters (p < 0.05). Conclusion: Palatal rugae patterns, particularly primary and secondary types, demonstrate maternal inheritance and have potential forensic relevance. The presence of unique ethnic-specific traits underscores the need for broader population-based classifications in forensic odontology and antropology