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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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The periodontal pain paradox: Difficulty on pain assesment in dental patients (The periodontal pain paradox hypothesis) Haryono Utomo; Indah Listiana Kriswandini; Diah Savitri Ernawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 39 No. 4 (2006): December 2006
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

In daily dental practice, the majority of patients’ main complaints are related to pain. Most patients assume that all pains inside the oral cavity originated from the tooth. One particular case is thermal sensitivity; sometimes patients were being able to point the site of pain, although there is neither visible caries nor secondary caries in dental radiograph. In this case, gingival recession and dentin hypersensitivity are first to be treated to eliminate the pain. If these treatments failed, pain may misdiagnose as pulpal inflammation and lead to unnecessary root canal treatment. Study in pain during periodontal instrumentation of plaque-related periodontitis revealed that the majority of patients feel pain and discomfort during probing and scaling. It seems obvious because an inflammation, either acute or chronic is related to a lowered pain threshold. However, in contrast, in this case report, patient suffered from chronic gingivitis and thermal sensitivity experienced a relative pain-free sensation during probing and scaling. Lowered pain threshold which accompanied by a blunted pain perception upon periodontal instrumentation is proposed to be termed as the periodontal pain paradox. The objective of this study is to reveal the possibility of certain factors in periodontal inflammation which may involved in the periodontal pain paradox hypothesis. Patient with thermal hypersensitivity who was conducted probing and scaling, after the relative pain-free instrumentation, thermal hypersensitivity rapidly disappeared. Based on the successful periodontal treatment, it is concluded that chronic gingivitis may modulate periodontal pain perception which termed as periodontal pain paradox

Management of oral focal infection in patients with asthmatic symptoms Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 39 No. 3 (2006): September 2006
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Asthma is commonly related to allergic diseases, nevertheless only 40% of asthma patients are related to allergy or atopy. There are some unknown etiologies of asthma that are still in researches. One of the possible causes of asthma is the multiple chemical sensitivity syndrome (MCS) which related to the “neurogenic switching hypothesis”. Since rhinitis, sinusitis and asthma are closely related, treatments which are successfully reduce or eliminate the rhinitis and sinusitis symptoms should also be advantageous to asthma management. There were a lot of sinusitis treatments which reduced asthma symptoms such as nasal corticosteroid, diathermy and surgery. It was also been reported that oral focal infection might cause sinusitis. However, the involvement of oral focal infection in the etiopathogenesis of asthma was seldom discussed. The objective of this study is to propose a mechanism of the relationship between oral focal infection and asthma which is explained by the “neurogenic switching hypothesis”. Two asthmatic patients who also had periodontal disease, pulpal and periapical infection were treated with conventional and/or surgical dental treatments. After the dental and periodontal treatments were completed, the usual triggers of severe asthma attacks such as cold and house dust did not elicit the asthma symptoms. It concluded that regarding to the disappearing of asthma symptoms, the elimination of oral focal infection had a beneficial effect in reducing asthma symptoms.

Sensitization of the sphenopalatine ganglion (SPG) by periodontal inflammation: A possible etiology of sinusitis and headache in children Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 39 No. 2 (2006): June 2006
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Sinusitis is a frequent complication of allergic rhinitis. Theoretically, sinusitis could be found in human since infancy. The prevalence of diagnosed sinusitis is 20% of ambulatory patients in daily practice. Unfortunately, a lot of sinusitis cases must be treated by surgical operation. Other cases are treated conservatively with decongestants, corticosteroids, antibiotics and diathermy. However, dental treatment approach for sinusitis management is rarely discussed. Headache, especially migraine is also a common problem in children. Sinusitis and migraine, are closely related; sinusitis sufferers often accompanied by migraine and vice versa. This phenomenon resulting in misdiagnosis of the main etiology of sinusitis and migraine; if this case happens in young children, the diagnosis should be more complicated. Dental procedures which may directly reduce the periodontal inflammation were done to children diagnosed as sinusitis by otolaryngologist and pediatrician. In a short period of time, the sinusitis and headache symptoms subsided. The objective of this case reports is to propose the possible explanation of the neurogenic switching mechanism cut off, that resulting in the instant relief of sinusitis and headache symptoms. Regarding the immediate relief of the symptoms, the role of autonomic nervous system should also be considered. Since parasympathetic innervations of nasal, sinus mucosa and maxillary periodontal tissues originated from the sphenopalatine ganglion; the conclusion is that the periodontal inflammation may sensitize the sphenopalatine ganglion which may trigger sinusitis and headache in children.

Elimination of oral focal infection: a new solution in chronic fatigue syndrome management? Haryono Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 38 No. 4 (2005): December 2005
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Chronic fatigue syndrome (CFS) is an illness whose primary symptoms are debilitating fatigue and cognitive dysfunction. Substantial symptom overlaping with fibromyalgia, depression, allergic diseases, and many other illnesses, and the absence of a universally applicable diagnostic test, makes the diagnosis of CFS complex and challenging. The pathophysiology of CFS is also complex, and not clearly understood. Formerly, CFS was believed to be a variant form of depression, but due to an increasing body of evidence, CFS is now considered primarily as a biochemical derangement of the functioning of the neuroimmune and neuroendocrine systems. Recently, most treatments still primarily emphasize analgesics, anti inflammatory and psychiatric treatment which correlates to psychosomatic disorders. One of the symptoms that is poorly understood is allergy, but according to the neurogenic switching hypothesis the correlation can be explained nowadays. The role of oral focal infection as one of the possible etiology has still rarely been discussed. The goal of this article is to explain the possible pathophysiology of CFS which could be elicited by oral focal infection, especially endotoxin (lipopolysaccharide) from gram negative bacteria. This case report discusses the history of illness, previous treatments, diagnosis, case management and treatment result. Periodontal treatment of a patient with symptom mimicking CFSs undergoing periodontal treatment has a remarkable result. The conclusion is that the elimination of oral focal infection could be a new solution in CFS management.

Apakah terapi pengendalian plak dapat menurunkan keparahan rinitis alergika pada anak? (Does oral plaque control therapy reduce severity of allergic rhinitis in children?) Haryono Utomo; Darmawan Setijanto
Dental Journal (Majalah Kedokteran Gigi) Vol. 38 No. 2 (2005): June 2005
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Allergic rhinitis is one of the most common ailments in children. In clinical practice approximately 50% of patients with symptoms of rhinitis are diagnosed with non-allergic rhinitis. Positive skin prick test or specific IgE in vitro tests that are relevant to aeroallergens are conclusive diagnostic of allergic rhinitis. However, simple diagnostic method such as "sneezing sign" has already proved to be reliable. Hypersensitive children have humoral immune system (Th2) which release inflammatory factors in the presence of allergen or infection that contribute to allergic response. Immunological reactions occurred and antibodies concentration arise, especially specific IgE instead of IgG because of the isotype switching. A lot of procedures such as allergen avoidance, medication and immunotherapy were done in allergic rhinitis management. However, oral plaque controls were not the point of interest in this case. The aim of this study is to find out the effectiveness of oral plaque control in the reduction of severity of allergic rhinitis symptoms using symptom scores. Fifty children, male and female aged 8–14 years, subjective diagnosed as allergic rhinitis using "sneezing sign" were included in this study. Oral plaque control procedures were done by polishing and flossing followed by 4 days of gargling with 1% povidone iodine. Clinical result showed that after 3 days, oral plaque control 2.925 times more effective than control group. The conclusion was oral plaque control is effective reducing the severity of allergic rhinitis symptoms.

Simple smartphone applications for superimposing 3D imagery in forensic dentistry Haryono Utomo; Mieke Sylvia Margaretha Amiatun Ruth; Levina Gita Wangsa; Rodrigo Ernesto Salazar-Gamarra; Liciano Lauria Dib
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 1 (2020): March 2020
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.v53.i1.p50-56

Background: Forensic dentistry identification commonly involves using dental cast models as ante-mortem data. Here, dentists generally send the pictures as well as the dental records. However, in recent times, dentists – especially orthodontists and prosthodontists – are using 3D scanners in view of reducing the space for cast model storage as well as sending the 3D imaging for fabricating clear aligners and other items such as crowns and bridges. This new trend means data transmission and viewing has become more complicated since sophisticated laptops or personal computers are generally required. For more practical use, smartphones would be a better option, meaning various simple ideas for viewing 3D data must be explored. Furthermore, the conclusions must be evaluated in terms of the validity for forensic dentistry use. Purpose: To evaluate a number of smartphone applications that are simple, user friendly, scalable and capable of the measurement and superimposition of 3D imaging data. Review: Standard tessellation language (STL) is one of the 3D scan file formats that is also useful for 3D printing. Recently, several applications for 3D viewing have been made available for iPhones (iOS) and Android-based devices, which are able to view STL files. However, they have all received both positive and negative reviews in terms of various applications, including forensic dentistry, and they thus require further evaluation by forensic odontologists. Conclusion: Each application has advantages and disadvantages; however, in our experience as forensic odontologists, the CAD Assistant, exocad and Adobe Photoshop Mix, which are available for iOS and Android devices, are preferable for forensic dentistry needs

ESTIMASI USIA BERDASARKAN ERUPSI GIGI MOLAR KETIGA PADA ETNIS TIONGHOA DI SURABAYA Icha Artyas Annariswati; Mieke Sylvia M.A.R Sylvia M.A.R; Haryono Utomo
Jurnal Biosains Pascasarjana Vol. 17 No. 2 (2015): JURNAL BIOSAINS PASCASARJANA
Publisher : Universitas Airlangga

AbstrakEstimasi usia melalu gigi merupakan hal terpenting untuk identifikasi seseorang di kedokteran forensik dan bidang studi lainnya. Erupsi gigi adalah parameter dari perkembangan morfologi gigi yang dapat ditentukan dengan pemeriksaan klinis atau radiografi gigi. Tujuan penelitian ini adalah untuk mempelajari erupsi molar tiga pada populasi Tionghoa untuk kepentingan estimasi usia. Sebanyak 74 orthopantomogram yang terdiri dari 34 laki – laki dan 40 perempuan berusia antara 17 hingga 25 tahun telah dianalisa. Status erupsi molar ketiga dinilai menggunakan tahap perkembangan metode Demirjian yang dimodifikasi, dimana metode tersebut berdasarkan perkiraan tahapan mahkota dan akar gigi yang dilihat dari radiografi gigi. usia kronologis diperoleh dari tanggal lahir individu tersebut. perbedaan antara usia dental dan usia kronologis dianalisa menggunakan independent t-test. Hasil penelitian ini menunjukkan pada laki – laki nilai molar tiga kiri rahang bawah p= 0,170 dan sisi kanan p = 0,163, sedangkan pada perempuan nilai molar tiga kiri rahang bawah p= 0,560 dan sisi kanan p = 0,511 (p>0,05), hal ini berarti tidak ada perbedaan signifikan antara usia dental dan usia kronologis. Kesimpulan dari penelitian ini metode Demirjian yang dimodifikaasi berdasarkan gigi molar tiga dapat digunakan pada populasi Tionghoa di Surabaya untuk estimasi usia. Kata kunci: molar tiga, estimasi usia, metode Demirjian yang dimodifikasi, etnis Tionghoa, Surabaya

Estimasi Usia Anak Etnis Tionghoa di Indonesia dengan Menggunakan Metode Willems Shintya Rizki Ayu Agitha; Mieke Sylvia M.A.R; Haryono Utomo
Jurnal Biosains Pascasarjana Vol. 18 No. 1 (2016): JURNAL BIOSAINS PASCASARJANA
Publisher : Universitas Airlangga

AbstrakEstimasi usia merupakan bagian dari ilmu forensic dan merupakan bagian penting dalam setiap proses identifikasi. Maturasi gigi penting dalam estimasi usia kronologis seseorang. beberapa metode dapat digunakan untuk estimasi usia pada anak. Metode Willems merupakan modifikasi dari metode Demirjian yang menggunakan kalsifikasi mahkota dan akar gigi untuk estimasi usia pada anak. Tujua penelitian ini adalah untuk mengetahui bahwa metode Willems dapat digunakan estimasi usia anak Tionghoa di Surabaya. Sebanyak 76 orthopantomogram yang terdiri dari 32 sampel anak laki-laki dan 44 sampel anak perempuan etni Tionghoa usia antara 6 – 13 tahun telah dianalisa. Metode Willems mengestimasi usia dental melalui penilaiaan terhadap tujuh gigi rahang bawah kiri. Usia kronologis diperoleh dari tanggal lahir anak tersebut.Perbedaan antara usia kronologis dan usia dental dianalisa menggunakan Uji Paired T Test. . Hasil penelitian ini menunjukkan pada laki – laki nilai p= 0,126 (p>0.05), pada perempuan nilai p = 0,053 (p>0.05) dan pada keseluruhan sampel laki-laki dan perempuan nilai p=0.843(p>0.05), hal ini berarti bahwa tidak ada perbedaan signifikan antara usia dental dan usia kronologis. Kesimpulan dari penelitian ini metode Willems dapat digunakan untuk estimasi usia anak etnis Tionghoa di Surabaya. Kata kunci: estimasi usia, metode Willems, etnis Tionghoa,Surabaya

Changes in bacterial profiles after periodontal treatment associated with respiratory quality of asthmatic children Wiyarni Pambudi; Imelda Fabiola; Retno Indrawati; Haryono Utomo; Anang Endaryanto; Ariyanto Harsono
Paediatrica Indonesiana Vol 48 No 6 (2008): November 2008
Publisher : Indonesian Pediatric Society

Background Despite the reduction phenomenon of asthmaexacerbation after dental plaque control, no scientific report hasbeen found to describe the link between bacterial profiles andrespiratory quality in children with asthma.Objective To investigate association between bacterial profiles changesand improvement in respiratory quality after periodontal treatment.Methods Asthmatic children with FEV1 reversibility ~ 12% anddental plaque index ~ 2 who qualified for inclusion criteria wererandomized into two groups. The treatment group was referred fordental plaque removal by oral biology dentist and guided to performan individual oral health care for seven days. The control groupwas observed without intervention. Each subject was assessed forrespiratory quality and bacterial profiles taken from plaque culturebefore and after one week run-in period. Paired t-test and correlationwere used for statistical anayses. The study protocol was approved bythe Medical Research Ethics Committee of Dr. Soetomo Hospital.Results Dental plaque control was performed in 18 of 36 childrenwith mild asthma. At follow-up, plaque analysis among thesubjects receiving dental treatment showed a significant reduction(P<0.01) in number of microbial colony and gram negative bacilli,corresponding by a fall in asthma score, FEV1 reversibility, andblood eosinophil (P<O.Ol). The improvement of respiratoryquality variables were moderately associated (r>0.4; P<0.05) withbacterial profiles changes after periodontal treatment.Conclusions A reduced rate of gram negative bacilli colonizationin dental plaque after periodontal treatment is related toimprovement of respiratory quality of asthmatic children.

Rapid improvement of respiratory quality in asthmatic children after "assisted drainage" therapy Haryono Utomo; Ariyanto Harsono
Paediatrica Indonesiana Vol 50 No 4 (2010): July 2010
Publisher : Indonesian Pediatric Society

Background Â Whilst current asthma management is well-developed, there are still 5-10% uncontrolled asthma patients with unknown etiologies. However, its connection with oral focal infection is still uncertain. Therefore, a collaborated research for asthma management was conducted by pediatricians and dental practitioners. Within minutes after the "assisted drainage" therapy, a modification of healing root planning procedure, there is rapid improvement of respiratory function, ie., forced expiratory-volume one second (FEV1) in asthmatic children. This quick response usually achieved by oral inhalation.Objective To investigate the effectiveness of the assisted drainage therapy in the improvement of respiratory quality.Methods Fifteen asthmatic children were subjected to a longitudinal study for two weeks. In tbe first week they were instructed for al lergen avoidance only and the fOllowing one week was combined with tbe assisted drainage therapy, followed by Â mental health education and dental plaque control therapy. Each s'ubject was af'sef'sed for respiratory quality with a computerized spirometer and blood sampling test. Paired t-test analysis was used for statistical analysis.Results Assisted drainage therapy was performed, within minutes FEV1 increased significantly (P= 0.001). Additionally, there were significant differences serum histamine (P= 0,001) pre and post treatment.Conclusions The assisted drainage therapy is effective as an adjuvant therapy for mild persistent asthma in children.

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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