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All Journal Dentika Dental Journal Journal of Dentistry Indonesia Jurnal Biosains Pascasarjana Indonesian Journal of Tropical and Infectious Disease Majalah Kedokteran Gigi Indonesia Dental Journal (Majalah Kedokteran Gigi) Paediatrica Indonesiana E-Prodenta Journal of Dentistry Indonesian Journal of Dental Medicine Indian Journal of Forensic Medicine & Toxicology Sinnun Maxillofacial Journal

Haryono Utomo

Dental Clinic Faculty Of Dentistry Airlangga University Surabaya - Indonesia

Author-ID : 3196253

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Public Health

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Articles

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Relieving idiopathic dental pain without drugs Haryono Utomo; M. Rulianto
Dental Journal (Majalah Kedokteran Gigi) Vol. 44 No. 2 (2011): June 2011
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Teeth are commonly obvious source of orofacial pain. Sometimes the pain source is undetectable, thus called as idiopathic dental pain. Since dentist wants to alleviate or eliminate the pains with every effort in their mind, a lot of drugs could be prescribed. Moreover, it is make sense that endodontic treatment or even tooth extraction will be done. Unfortunately, endodontic treatment may also initiate neuropathic tooth pain that is caused by nerve extirpation, thus worsen the pain. Therefore, another cause of dental pain such as referred pain, periodontal disease, or stress which related to psychoneuroimmunology should be considered. In order to prevent from unnecessary drugs or invasive treatment such as root canal treatment and extraction, correct diagnosis and preliminary non-invasive therapies should be done. Purpose: This review elucidates several therapies that could be done by dentists for relieving idiopathic dental pain which includes massage, the “assisted drainage” therapy, modulation of psychoneuroimmunologic status and dietary omega-3. Reviews: Understanding the basic pathogenesis of pain may help in elucidating the effects of non-drug pain therapy such as muscle massage, the “assisted drainage” therapy, omega-3 and psychological stress relieving. These measures are accounted for eliminating referred pain, reducing proinflammatory mediators and relieving unwanted stress reactions consecutively. Psychological stress increases proinflammatory cytokines and thus lowered pain threshold. Conclusion: As an individual treatment, this non-drug therapy is useful in relieving idiopathic dental pain; nevertheless, if they work together the result could be more superior.Latar belakang: Gigi adalah suatu penyebab umum dari nyeri orofasial. Kadang kala penyebab nyeri tidak dapat ditemukan, sehingga disebut sebagai nyeri gigi idiopatik. Karena dokter gigi berupaya untuk mengurangi atau menghilangkan nyeri dengan segala cara maka banyak obat akan diresepkan ke pasien. Bila gagal maka sangat mungkin dilakukan perawatan saraf gigi bahkan pencabutan gigi. Akan tetapi, perawatan endodontik juga dapat menimbulkan nyeri neuropatik yang disebabkan oleh ekstirpasi saraf gigi, sehingga nyeri makin parah. Sebab itu, penyebab lain nyeri gigi seperti nyeri yang dialihkan (referred pain), penyakit periodontal atau stres yang berhubungan dengan psikoneuroimunologi perlu dipertimbangkan.Untuk mencegah kejadian konsumsi obat yang tidak perlu ataupun perawatan endodontik dan pencabutan gigi maka diagnosis yang tepat dan terapi non-invasif harus dilakukan terlebih dahulu. Tujuan: Studi pustaka ini menerangkan beberapa terapi yang dapat dilakukan dokter gigi untuk mengurangi nyeri gigi idiopatik yaitu masase, terapi assisted drainage,modulasi status psikoneuroimunologi dan diet omega-3. Tinjauan Pustaka: Pengetahuan mengenai patogenesa nyeri dapat menerangkan efek terapi nyeri non-medikamentosa seperti masase otot, terapi assisted drainage, diet omega-3 dan mengurangi stres psikologis. Berbagai terapi ini dapat mengurangi nyeri alihan, mediator proinflamasi dan mengurangi stres. Stres psikologis akan mengingkatkan sitokin proinflamasi yang menurunkan ambang nyeri. Kesimpulan: Sebagai terapi individual, terapi non-medikamentosa ini berguna untuk mengurangi nyeri gigi idioaptik, akan tetapi bila bekerja sama dapat lebih baik lagi.

Integrated orofacial therapy in chronic rhinosinusitis management for children with sleep bruxism Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 2 (2010): June 2010
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: The prevalence of rhinosinusitis was 20% in ambulatory patients and was mostly affected by viral infections and allergy. If conservative treatments of rhinosinusitis failed, surgical procedure is an alternative choice. Previous case report revealed that the rhinosinusitis symptoms were successfully relieved by the "assisted drainage" therapy only. Nevertheless, this therapy was less successful in children with sleep bruxism (SB). Purpose: To report an integrated orofacial therapy for management of rhinosinusitis children with sleep bruxism (SB) which consisted of the assisted drainage, night-guard and masseter muscle massage therapies. Case: Two boys who suffered from rhinosinusitis with bruxism were unsuccessfully treated with conventional treatment. Case management: Patients was subjected to the assisted drainage therapy that was scaling and root planning combined with gingival massage, and masseter muscle massage; night guard was worn in night sleep. They successfully relieved the rhinosinusitis symptoms. Conclusion: Based on the successful result, this integrated therapy could be suggested as an adjuvant in rhinosinusitis management.Latar belakang: Prevalensi rinosinusitis adalah 20% pasien rawat jalan dan umumnya disebabkan oleh infeksi virus dan alergi. Apabila terapi konservatif rinosinusitis mengalami kegagalan maka pilihan terakhir adalah operasi. Pada laporan kasus yang ada telah terjadi perbaikan gejala rinosinusitis setelah dilakukan terapi “assisted drainage” saja. Akan tetapi, terapi ini kurang berhasil pada anak dengan sleep bruxism (SB). Tujuan: Melaporkan suatu terapi orofasial terintegrasi untuk tatalaksana rinosinusitis pada anak dengan sleep bruxism (SB) yang terdiri dari terapi assisted drainage, night guard dan masase otot masseter. Kasus: Dua anak laki-laki yang menderita rinosinusitis dengan bruxism telah mengalami kegagalan pada perawatan konsvensional. Tatalaksana kasus: Pasien dilakukan terapi assisted drainage yang adalah scaling dan root planning yang dikombinasikan dengan masase gingiva dan masase otot masseter; sedangkan nightguard dipakai saat tidur malam. Terapi ini berhasil mengurangi gejala rinosinusitis. Kesimpulan: Berdasarkan keberhasilan terapi, terapi terintegrasi ini dapat digunakan sebagai ajuvan dalam tatalaksana sinusitis.

Allergic asthma in children: Inherited, transmitted or both? (The transmission of periodontopathic bacteria concept) Seno Pradopo; Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 42 No. 3 (2009): September 2009
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: In theory, allergic diseases including asthma, was the resultof exposure to a transmissible agent and do not depend on early infection which is said to make children more allergy-resistant. This seems, to be a direct contradiction to the hygiene hypothesis, since epidemiologic evidence can be cited in this theory's support. The fact that nearly all childrenwith asthma are allergic, but only a small proportion of allergicchildren have asthma, at least raises the possibility that someadditional factor is involved. That this additional factor might be a transmissible agent is also suggested by the similarity between the gross epidemiologic patterns of children with paralyticpoliomyelitis in the 1950s and children with asthma currently. Purpose: The purpose of this study was to reveal the possible relationship between the transmissions of allergic asthma and periodontopathic bacteria. Reviews: Recent researches showed that periodontopathic bacteria are transmissible from mother and caregivers to infants. In addition, a collaborated research that was conducted by dental practitioners and pediatricians revealed that Gram-negative bacteria were significantly predominant (p = 0.001) in uncontrolled allergic asthmatic children compared to well-controlled ones. Nevertheless, how does these two phenomenon related was still uncertain. Literatures showed that periodontopathic bacteria modulates host immune response and sometimes caused disadvantageous effect to allergic asthma. Conclusion: According to the ability of periodontopathic bacteria and its components to stimulate immunocompetent cells, it is possible that they are able to modify host-immune response which tends to increase allergic asthma symptoms.

Chronic gingivitis and aphthous stomatitis relationship hypothesis: A neuroimmunobiological approach Chiquita Prahasanti; Nita Margaretha; Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 42 No. 1 (2009): March 2009
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Traumatic injuries to the oral mucosa in fixed orthodontic patients are common, especially in the first week of bracket placement, and occasionally lead to the development of aphthous stomatitis or ulcers. Nevertheless, these lesions are selflimiting. Purpose: The objective of this study is to reveal the connection between chronic gingivitis and aphthous stomatitis which is still unclear. Case: A patient with a persistent lesion for more than six months. Case Management: RAS was treated with scaling procedure, the gingival inflammation was healed. However, in this case report, despite the appropriate management procedures had been done, the lesion still worsen and became more painful. Moreover, the symptoms did not heal for more than two weeks. Actually, they had been undergone orthodontic treatment more than six months and rarely suffered from aphthous stomatitis. Coincidentally, at that time they also suffered from chronic gingivitis. It was interesting that after scaling procedures, the ulcer subsides in two days. Conclusion: Recently, the neuroimmunobiological researches which involved neurotransmitters and cytokines on cell-nerve signaling, and heat shock proteins in gingivitis and stomatitis are in progress. Nevertheless, they were done separately, thus do not explain the interrelationship. This proposed new concept which based on an integrated neuroimmunobiological approach could explain the benefit of periodontal treatment, especially scaling procedures, for avoiding prolonged painful episodes and unnecessary medications in aphthous stomatitis. However, for widely acceptance of the chronic gingivitis and aphthous stomatitis relationship, further clinical and laboratory study should be done. Regarding to the relatively fast healing after scaling procedures in this case report; it was concluded that the connection between chronic gingivitis and aphthous stomatitis is possible.

Simple replantation protocol to avoid ankylosis in teeth intended for orthodontic treatment Yuli Nugraeni; David Buntoro Kamadjaja; Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 42 No. 1 (2009): March 2009
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Dento-alveolar trauma resulted from accidents involving the oral regions mostly affect the upper central incisors. Overjet that is beyond 5 mm and incompetent lip also contribute to increase the risk. Several literatures had already discussed different methods of replantation of avulsed teeth. However, it was not meant for further orthodontic treatment. Purpose: The objective of this review is to propose a simple replantation protocol of avulsed teeth which also prevent from ankylosis. Reviews: Protruded teeth usually need orthodontic treatment; therefore, an appropriate management should be done to avoid the development of ankylosis. Ankylosis of the periodontal ligament (PDL) becomes a problem in orthodontic tooth movement in repositioned or replanted teeth. In addition, ankylosed teeth also more susceptible to root resorption. Actually, it was caused by the endodontic treatment. In particular, severely protruded or unoccluded teeth are hypofunctional, therefore have narrow PDL, thus it may facilitate to ankylosis development. Ideal management protocol such as the use of root canal sealer i.e. mineral trioxide aggregate (MTA); the using of Emdogain, and resilient wiring or semi-rigid fixation with brackets has become a solution in avulsed teeth arranged for orthodontic treatment. Nevertheless, the presence of oral surgeon, endodontist and orthodontist in the same time, and also ideal preparations after an accident was difficult to achieve. Conclusion: Considering that reducing the ongoing PDL inflammation with intracanal medicaments and maintaining the functional force during mastication is possible; it is concluded that this simple replantation protocol is likely.

Reducing allergic symptoms through eliminating subgingival plaque Haryono Utomo; Chiquita Prahasanti; Iwan Ruhadi
Dental Journal (Majalah Kedokteran Gigi) Vol. 41 No. 4 (2008): December 2008
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Elimination of subgingival plaque for prevention and treatment of periodontal diseases through scaling is a routine procedure. It is also well-known that periodontal disease is related to systemic diseases. Nevertheless, the idea how scaling procedures also able to reduce allergic symptoms i.e. eczema and asthma, is not easily accepted, because it is contradictory to the “hygiene hypothesis”. However, since allergic symptoms also depend on variable factors such as genetic, environmental and infection factors; every possible effort to eliminate or avoid from these factors had to be considered. Subgingival plaque is a source of infection, especially the Gram-negative bacteria that produced endotoxin (lipopolysaccharides, LPS), a potential stimulator of immunocompetent cells, which may also related to allergy, such as mast cells and basophils. In addition, it also triggers the “neurogenic switching” mechanism which may be initiated from chronic gingivitis. Objective: This case report may explain the possible connection between subgingival plaque and allergy based on evidence-based cases. Case: Two adult siblings who suffered from chronic gingivitis also showed different manifestations of allergy that were allergic dermatitis and asthma for years. They were also undergone unsuccessful medical treatment for years. Oral and topical corticosteroids were taken for dermatitis and inhalation for asthma. Case Management: Patients were conducted deep scaling procedures, allergic symptoms gradually diminished in days even though without usual medications. Conclusion: Concerning to the effectiveness of scaling procedures which concomitantly eliminate subgingival plaque in allergic patients, it concluded that this concept is logical. Nevertheless, further verification and collaborated study with allergic expert should be done.

Gingival immunologic defense index: a new indicator for evaluating dental plaque infection risk in allergic children Seno Pradopo; Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 41 No. 1 (2008): March 2008
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

There is a possible relationship between dental plaque and children allergic diseases. According to literatures, gingivitis suffered mostly by allergic children than control. Case reports also revealed that dental plaque control therapy was able to reduce, even eliminate rhinosinusitis and asthmatic symptoms without additional medications. However, the exact method for confirming the gingivitis-related allergy is still uncertain. Allergic diseases have multifactorial etiologies and dental plaque had been proposed as a new trigger of allergic symptoms. Nevertheless, since not every child with gingivitis suffered from allergy or vice versa, this uncertain phenomenon may lead to patients or other clinician disbelief. The objective of the present study was to propose a new method, which involving the Gingival immunologic defense index (GIDI) to evaluate the susceptibility to allergic diseases. GIDI is an index that had been developed earlier for evaluating gingival immunologic defense with respect to immunoglobulin A (IgA) levels. This index based on the simple count of the inflamed gingival surfaces of a child plus the measurement of salivary IgA content. It provides clinicians with important information about the immunologic defense potential of each subject. Interestingly, most allergic children also had inherited IgA deficiency, thus this concept is likely. Based on literatures, GIDI could be a potential index for evaluating the risk of allergic diseases through gingival health assessment. However, prior investigation to the value of Indonesian GIDI index which related to allergy should be conducted.

A new concept in orthodontics: faster and healthier tooth movement by regularly consuming xyilitol chewing gum Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 40 No. 4 (2007): December 2007
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Xylitol was first discovered in the 19th century, it wasn’t until the 1960’s that commercial production was first implemented. Recent studies showed that xylitol chewing gum is beneficial for preventing caries and periodontal disease. Therefore, it is also advantageous for orthodontic treatment, especially the fixed orthodontics patients who have difficulties in acquiring optimal oral health, particularly periodontal health which important in remodeling. However, how consuming xylitol chewing gum may stimulate tooth movement and preventing root resorption is still unclear. It is suggested that chewing activities may stimulate tooth movement, since jaw hypofunction leads to lower mineral apposition and bone function; and narrow periodontal ligament (PDL). These conditions may lead to impaired remodeling process, and increases the susceptibility of root resorption during orthodontic tooth movement. Moreover, since stimulation of the PDL could be mechanoreceptive (i.e. chewing action) or nociceptive (i.e. painful stimulation), periodontal nerve fibers are supposed to play an important role in bone remodeling. It is supported by a study which revealed that during tooth movement, the galanin-containing immunoreactive nerve fibers, a part of primary sensory neurons in the PDL is increasing. Galanin is able to induce osteoclast differentiation that needed for bone resorption in orthodontic treatment. The objective of this study is to elucidate a new concept in using xylitol chewing gum as an excellent media to have a faster and healthier orthodontic movement. Since continuous chewing stimulates the PDL which enhances tooth movement, improves oral health, and prevents root resorption; it is concluded that this concept is possible.

New insight in pediatric dentistry: preventive dentistry in allergy management protocol Seno Pradopo; Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 40 No. 3 (2007): September 2007
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

; "> The relationship between oral health and systemic diseases had been abundantly studied, however, mostly were related to adultsuch as cerebrovascular disease, cardiovascular disease, diabetes mellitus etc. Nevertheless, it was still uncommon that oral healthalso related to allergic disease. The field of pediatric dentistry is mostly related to preventive dentistry (i.e. prophylactic procedures,preventive orthodontic etc., but rarely related to preventive medicine such allergy prevention in children. Allergic diseases develop outof a close interaction between genetic predisposition and environmental triggers, and progress continuously since infancy regarding tothe allergic march. Concerning to the partially developed immunity in children, children are more susceptible to infection and allergicdiseases than adults. Unfortunately, infection and allergic diseases are interrelated; infection impaired allergy and vice versa. Poororal health is closely related to infection; however, improving oral health is not included in allergy management protocol. In order toanticipate the future, dentist or especially pediatric dentist should be able to review about basic children immunity and oral mucosalimmunity. Additionally, it is essential to explain to the parents and medical practitioners who are not familiar to this new paradigm.The objective of this study is to review articles related to children’s oral health and allergic symptoms. Regarding to the successfuloral management of allergic symptoms, the propensity that improving oral health could be included in children’s allergy managementprotocol is likely.

Chronic periodontitis as an etiology of sleep disturbances and premenstrual syndrome (PMS) Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 40 No. 1 (2007): March 2007
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

It is obvious that sleep disturbances may induced by acute pulpal or periodontal pain. Other causes of sleep disturbances which also termed as sleep dysfunction, or insomnia, according to the patient has to be treated by physician. Nevertheless, in a case report, surprisingly, periodontal treatment relieved sleep disturbances and premenstrual syndrome (PMS). Coincidentally, women also more vulnerable to sleep disturbances and periodontal disease. It is also interesting that the exact etiology of PMS is still unknown, and 80% women who suffered from PMS also experience sleep disturbances. Recently, there has been increasing numbers of literatures and evidence-based cases linking periodontal disease to systemic diseases. However, systemic effects of periodontal disease that lead to PMS which associated with sleep disturbances are rarely discussed. Several mechanisms had been proposed to involve in these symptoms: female sexual hormonal imbalance, stimulation of the hypothalamic-pituitary-adrenal axis (HPA-axis) and neurogenic switching mechanism. In addition, as estrogen makes women more susceptible to stress, it worsen the symptoms. The glucocorticoid hormones synthesized upon stimulation of the HPA-axis, either by stress or pro-inflammatory cytokines, may disrupt the sleep-wake cycle; and also create estrogen dominance. The aim of this study is to propose the etiopathogenesis of PMS which associated with sleep disturbances that may be related to chronic periodontitis. Since in this case report scaling and curettage resulted in the disappearing of PMS and sleep disturbances; the conclusion is that chronic periodontal disease may act as one of the etiologies of PMS and sleep disturbance.

Co-Authors Anang Endaryanto Ananto Ali Alhasyimi Ariyanto Harsono Ariyanto Harsono Arofi Kurniawan Beshlina Fitri Widayanti Roosyanto Prakoeswa Beta Novia Rizky Boedi, Rizky M. Chiquita Prahasanthi, Chiquita Chiquita Prahasanti Chusida, An'nisaa David B. Kamadjaja Diah Savitri Ernawati Eha Renwi Astuti Endah Mardiati, Endah Ervina Sofyanti Farmasyanti, Cendrawasih Andusyana Gio, Prana Ugiana Gita, Levina Hariemmy, Monica Icha Artyas Annariswati Ida Bagus Narmada Imelda Fabiola Indah Listiana Kriswandini Iwan Ruhadi Kimberly Clarissa Oetomo Levina Gita Wangsa Liandro, Muhammad Raihan Liciano Lauria Dib M. Rulianto MAR, Myeke Sylvia Maria Istiqomah Marini Maria Purbiati Marya, Anand Mieke Sylvia Nita Margaretha Novita Pambudi, Wiyarni R. Darmawan Setijanto Retno Indrawati Roestamadji Retno Pudji Rahayu Riki Kristanto Rodrigo Ernesto Salazar-Gamarra Romadhoni, Ajeng Dyah Satigi, Lyvia Vanessa Seno Pradopo Shintya Rizki Ayu Agitha Swastirani, Astika Wahyuni Dyah Parmasari, Wahyuni Dyah Widyawati Sutedjo, Widyawati Yuli Nugraeni

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