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THE RELATIONSHIP OF MICRONUTRIENTS AND ORAL MUCOSA DISEASES: A SYSTEMATIC REVIEW Desi Elvhira Rosa; Nanan Nur’aeny
Dentino : Jurnal Kedokteran Gigi Vol 7, No 1 (2022)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v7i1.13109

Background: The association between micronutrients and oral mucosa diseases have been studied for a long time by many researchers. Nutritional deficiency can significantly interfere the function of the oral cavity. Various diseases in the oral cavity can occur due to nutritional deficiencies, especially micronutrient deficiencies. Purpose: This study aimed to systematically evaluate recently studies that investigating micronutrient level in patients with oral mucosa diseases to determine the relationship of micronutrients and oral mucosa diseases. Method: Electronic databases were searched from January 2011 to June 2021 for studies that measured the micronutrients level in patients with oral mucosa diseases. Only case-control studies in human reporting serum, salivary and urine level of micronutrients in oral mucosa diseases were included. The quality of case-control studies was assessed using the quality assessment tool developed by the National Heart, Lung and Blood Institute and Research Triangle Institute International. Results: There were 23 case-controlled studies were included in this study. Three studies investigated micronutrients level in recurrent aphthous stomatitis, 5 studies in oral submucous fibrosis, 8 studies in oral lichen planus, 6 studies in oral potentially malignant disorders and oral cancer and 1 study in another oral mucosa diseases. Overall, only 1 (4,35%) was assessed as poor-quality rating. Based on this review, there was a positive association between malnutrition (excess and low) of micronutrients and oral mucosa diseases. Conclusion: There is a relationship between malnutrition, either excess or lack of micronutrients on oral mucosal diseases.

GEOGRAPHIC TONGUE PREVALENCE AND NUTRITIONAL STATUS AMONG FIRST GRADE SCHOOL CHILDREN AT TANJUNGSARI SUBDISTRICT OF SUMEDANG Nita Septiani; Indah Suasani Wahyuni; Risti Saptarini; Nanan Nur’aeny
Dentino : Jurnal Kedokteran Gigi Vol 4, No 2 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i2.7053

Background: Geographic tongue (GT) is a state of the tongue surface which is characterized by an atrophic filiform papillary, a rising in surrounding borderline with yellowish white appearance, and presentations in varying locations and shapes. One of the predicting factors of GT is nutritional deficiency. Objective: to determine the prevalence of GT and nutritional status among first grade school children at Tanjungsari Subdistrict of Sumedang. Methods: It was a descriptive research with the implementation of survey method. The sampling was obtained according to inclusion criteria. The research locations comprised of three elementary school representatives in Tanjungsari sub-district, Sumedang. Nutritional status was assessed using Food Frequency Questionaire (FFQ) Results: There were 200 children with a prevalence of geographic tongue in a total of 4.5%. Nutritional status obtained a result of 11.11% student included in the above-normal criteria, 22.22% students included in normal criteria, 11.11% student included in low deficiency criteria, 33.33% students included in moderate deficiency criteria, and 22.22% students included in high deficiency criteria. Conclusion: The prevalence of geographic tongue among first grade school children at Tanjungsari District of Sumedang is 4.5% with the highest nutritional status in moderate deficiency category.Background: Geographic tongue (GT) is a state of the tongue surface which is characterized by an atrophic filiform papillary, a rising in surrounding borderline with yellowish white appearance, and presentations in varying locations and shapes. One of the predicting factors ofGT is nutritional deficiency. Objective: to determine the prevalence of GT and nutritional status among first grade school childrenat Tanjungsari Subdistrict of Sumedang.Methods:It was a descriptive research with the implementation of survey method. The sampling was obtained according to inclusion criteria.The research locations comprised of three elementary school representatives in Tanjungsari sub-district, Sumedang. Nutritional status was assessedusing Food Frequency Questionaire (FFQ)Results: There were 200 children with a prevalence of geographic tongue in a total of 4.5%. Nutritional status obtained a result of 11.11% student included in the above-normal criteria, 22.22% studentsincluded in normal criteria, 11.11% student included in low deficiency criteria, 33.33% students includedin moderate deficiency criteria, and 22.22% students included in high deficiency criteria. Conclusion: The prevalence of geographic tongue among first grade school children at Tanjungsari District of Sumedang is 4.5% with the highest nutritional status in moderate deficiency category. Keyword:Children, elementary school, first grade, geographic tongue; nutritional status

THE IMPORTANT ROLE OF ORAL MEDICINE SPECIALIST IN MANAGEMENT OF STEVENS-JOHNSON SYNDROME PATIENT Nuri Fitriasari; Eko Rotary Nurtito; Nanan Nur’aeny; Indah Suasani Wahyuni
Dentino : Jurnal Kedokteran Gigi Vol 5, No 2 (2020)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v5i2.8969

ABSTRACTIntroduction: Stevens-Johnson Syndrome (SJS) is an acute hypersensitivity reaction that manifests on the skin, oral mucosa, ocular, gastrointestinal, genital and anal area. It is also potentially life-threatening in concern of dehydration and infection. Oral mucosal lesions due to SJS resulted in a significant decrease of patient’s quality of life. When the oral mucosa involved, the intake of nutrients and fluids is disrupted contributing to electrolyte imbalance that aggravates dehydration. Moreover, oral mucosal lesions have become an entry point for infection. Purpose: This case report describes the important role of oral medicine specialists in the management of oral mucosal lesions in SJS patient. Review: A 26-year-old female patient was referred from the Department of Dermatology and Venereology with a diagnosis of SJS et causa suspected paracetamol and/or amoxycillin. The complaints comprised of pain on the lips and oral cavity, difficulty in mouth opening, and pain when swallowing. The management for oral lesions included: history taking, external and intra oral examinations, dexamethasone mouthwash, nystatin oral suspension, and sodium chloride (NaCl) 0.9% solution. The patient showed improvement in oral mucosal lesions within 3 weeks of treatment that was provided by oral medicine specialist and medical team collaboration. Conclusion: Based on this case report, the role of oral medicine specialist is very important as part of the management team for SJS patient. Oral medicine specialist can reduce morbidity that results from oral mucosal involvement. Collaboration with oral medicine specialist since the beginning of treatment is the key to success in SJS management. Keywords: Oral medicine specialist, Oral mucosal lesion, Stevens-Johnson Syndrome.

IDENTIFICATION OF CANDIDA SPECIES IN DIABETIC PATIENTS WITH COATED TONGUE Hilda Hindasah; Yuti Malinda; Riani Setiadhi; Indah Suasani Wahyuni; Wahyu Hidayat; Nanan Nur’aeny
Dentino : Jurnal Kedokteran Gigi Vol 4, No 2 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i2.7068

Background: Coated tongue is a condition in which the dorsum of the tongue is covered by a white layer containing food debris or microorganisms such as Candida species (Candida spp). Factor that can influence coated tongue including a condition such as Diabetes mellitus which often reduce the production of saliva and initiate the increase of Candida spp in number. Objective: to determine various species of Candida spp. in the saliva of Diabetes mellitus patients with coated tongue as a preliminary condition to detect oral candidiasis. Methods: Coated tongue examination was performed by evaluating the lesion visually or using tongue scraper. Salivary collection was performed using oral rinse concentrate method. Saliva samples were inoculated in Chromogenic Agar to identify Candida spp. by examining the colour and the form of colony. Results: Eight samples (88.8%) were identified as C. albicans while C. parapsilosis was presented in 5 samples (66.6%) and C. tropicalis in 2 samples (22.2%). Overall, C. albicans is the most common Candida spp. that found in oral cavity. Candida spp. as normal flora in the oral cavity could be pathogen if the body's immune system decreases. In this study, there was a slight difference between Candida spp. found in the saliva of Diabetes mellitus patients compared to the control group. Conclusions: Candida spp. that identified in Diabetes mellitus patients with coated tongue are C.albicans, C. glabrata, and C. tropicalis.

Peranan Dokter Gigi dalam Meningkatkan Kualitas Hidup Pasien Mukositis dengan Leukemia Limfoblastik Akut (Laporan Kasus) Theodora Adhisty Dwiarie; Nanan Nur’aeny; Nelly Nainggolan
Denta Journal Kedokteran Gigi Vol 16 No 1 (2022): Februari
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v16i1.2

Background: Mucositis, a painful condition common in patients undergoing chemotherapy, can decrease the patient's quality of life. Treatment of mucositis by dentists supports the improvement of general health conditions and the patient's quality of life. This case report aims to discuss a case of a patient with mucositis after undergoing chemotherapy treatment for acute lymphoblastic leukemia. Case: 21 years old female diagnosed with acute lymphoblastic leukemia, referred to the oral medicine department from internal medicine, complained of pain in oral mucosa and lockjaw in the last three days after chemotherapy treatment with methotrexate. Internal medicine prescribes ceftriaxone intravenous (IV), dexamethasone IV, chlorhexidine gargle, and nystatin. Intraoral examination showed erosive lesions in the tongue, labial, and buccal mucosa and was diagnosed as oral mucositis grade 3 according to the World Health Organization scale. Her quality-of-life score is 46 according to The Functional Assessment of Cancer Therapy-General (FACT-G) and 58 according to Oropharyngeal Mucositis Quality of Life (OMQoL). Case management: She was treated with magic mouthwash containing diphenhydramine HCL, sucralfate, and aluminum hydroxide-magnesium hydroxide. Chlorhexidine and nystatin were advised to stop. The patient was instructed to keep her oral hygiene by gargling with sodium chloride and povidone-iodine after eating. Five days after the therapy, her condition improved (grade 1), and there was an increase in the FACT-G and OMQoL scores to 54 and 93. Conclusion: Mucositis can cause pain in the patient. A dentist can help diagnose and provide appropriate treatment to reduce the patient's complaints and improve the patient's quality of life.

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