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All Journal Dental Journal (Majalah Kedokteran Gigi)
Ahmad Syaify
Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
Dentistry

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The effects of zinc oxide non-eugenol and cellulose as periodontal dressings on open wounds after periodontal surgery Yoeliani Budisidharta; Ahmad Syaify; Sri Pramestri Lastianny
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.p45-49

Abstract

Background: Periodontal surgery forms a part of periodontal treatment that can sometimes cause open wounds, such as gingivectomy and depigmentation. Unfortunately, the healing process of open wounds can be inhibited due to bacterial infections and systemic factors. Thus, after surgery, the open wounds need to be closed with periodontal dressing. Purpose: This study aims to reveal the differences between using zinc oxide non-eugenol and cellulose periodontal dressings on open wounds after periodontal surgery. Methods: Thirty-two samples were divided into two groups. Group I consisted of 16 samples where zinc oxide non-eugenol was applied as a periodontal dressing. Similarly, Group II consisted of 16 samples where cellulose was applied as a periodontal dressing. The dressings were applied to open wounds after periodontal surgery using the split-mouth technique. Hence, zinc oxide non-eugenol was applied on the right side and cellulose was applied on the left side of the mouth. The patients’ healing index (HI) score was measured on day seven and their wound healing index (WHI) score was measured on days seven and twenty-one. Results: The day-seven HI score of the wounds applied with cellulose was higher than those applied with zinc oxide non-eugenol. Meanwhile, the WHI of the cellulose group was lower than that of the zinc oxide non-eugenol group, except on day twenty-one. Both the HI and WHI scores then were analysed using Mann Whitney. Conclusion: The application of cellulose is better than zinc oxide non-eugenol on the healing of open wounds after periodontal surgery.
Combining 10% propolis with carbonated hydroxyapatite to observe the RANKL expression in a rabbit’s alveolar bone Nungky Devitaningtyas; Ahmad Syaify; Dahlia Herawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 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.i4.p212-216

Abstract

Background: Periodontitis causes an increased receptor activator level in the nuclear factor-κβ ligand (RANKL), which is one of the inflammatory mediators that plays a role in osteoclastogenesis. The open flap debridement (OFD) technique is the preferred treatment when accompanied by regenerative periodontal treatment using guided tissue regeneration (GTR) and guided bone regeneration (GBR). Carbonated hydroxyapatite is a GBR material that serves as a scaffold and has strong osteoconductive properties for bone regeneration. Propolis is natural product that can decrease osteoclastogenesis in periodontitis by decreasing the RANKL expression. Purpose: To investigate the RANKL expression after open flap debridement by applying carbonated hydroxyapatite to 10% propolis in the alveolar bone of rabbits. Methods: Nine induced-periodontitis rabbits (Oryctolagus cuniculus) were divided into three treatment groups of Group A OFD, Group B OFD followed by the application of carbonated hydroxyapatite, and Group C OFD followed by application of 10% propolis-carbonated hydroxyapatite. Each group was selected one to euthanised on the seventh, 14th and 28th day, respectively, and prepared using histology slides. The data was analysed using a two-way ANOVA followed by a post-hoc LSD test (p<0.05). Results: The RANKL expression in each group showed significant differences (p=0.00; p<0.05) on the seventh, 14th and 28th day. The post-hoc LSD test showed that the RANKL expression in the treatment group with carbonated hydroxyapatite-10% propolis had significant differences (p<0.05) in the intergroup analysis at different time points. Conclusion: Combining 10% propolis with carbonated hydroxyapatite in OFD treatment can decrease the RANKL expression in a rabbit’s alveolar bone.
The enhancement of type 1 collagen expression after 10% propolis-carbonated hydroxyapatite application in periodontitis-induced rabbits Indi Kusumawati; S. Suryono; Ahmad Syaify
Dental Journal (Majalah Kedokteran Gigi) Vol. 54 No. 1 (2021): March 2021
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.v54.i1.p16-20

Abstract

Background: Alveolar bone defects caused by periodontitis may require regenerative therapy to restore bone structure. Propolis possesses antibacterial, anti-inflammatory and antioxidant properties, which can stimulate bone regeneration. Propolis-carbonated hydroxyapatite (CHA) material was applied during open flap debridement (OFD) in periodontitis therapy. Purpose: To analyse the effect of the application of 10% propolis-CHA after OFD on type 1 collagen expression on periodontitis-induced rabbits. Methods: Six male rabbits, aged 5–8 months, weight 1500–2000 grams, were ligated with wire and injected with Porphyromonas gingivalis lipopolysaccharide (LPS) for six weeks to induce periodontitis. The samples were divided into three groups: group A (OFD only), group B (OFD+CHA) and group C (OFD+10% propolis-CHA). To acquire 10% propolis-CHA, the CHA block was cut into 10mg and then immersed in 1ml of 10% propolis solution for 24 hours at room temperature. Decapitation was performed on the seventh and 14th day after OFD was performed on each group and microscopic slides were prepared for type 1 collagen examination. The data was analysed using a two-way ANOVA with a 95% confidence interval followed by a post hoc LSD test. Results: The type 1 collagen expression in group C (61.36±1.88 on day seven and 70.25±3.89 on day 14) was significantly different from group A (42.91±1.78 on day seven and 45.18±2.48 on day 14) and group B (43.91±5.31 on day seven and 59.63±3.27 on day 14) on both the seventh day and the 14th day (p=0.000). Conclusion: The administration of 10% propolis-CHA during OFD can increase the type 1 collagen expression in the alveolar bone of rabbits on the seventh and 14th day.
Co-Authors Dahlia Herawati Indi Kusumawati Nungky Devitaningtyas S. Suryono Sri Pramestri Lastianny, Sri Pramestri Yoeliani Budisidharta