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COMPARISON OF PERIODONTAL STATUS AMONG MILD, MODERATE AND HEAVY SMOKERS IN FACULTY OF DENTISTRY, UNIVERSITAS SUMATERA UTARA: PERBANDINGAN STATUS PERIODONTAL PADA PEROKOK RINGAN, SEDANG DAN BERAT DI FAKULTAS KEDOKTERAN GIGI UNIVERSITAS SUMATERA UTARA Siti Muthi’atun Naila; Wulandari, Pitu
Dentika: Dental Journal Vol. 20 No. 2 (2017): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (400.521 KB) | DOI: 10.32734/dentika.v20i2.996

Abstract

Smoking is associated with a wide spectrum of disease including systemic diseases such as cancer, lung,and cardiovascular disease. Smoking is one of the risk factors that cause the severity of periodontal disease which is influenced by the number of cigarettes consumed per day. This study was aimed to analyze the comparison among periodontal status in mild, moderate, and heavy smokers in the Faculty of Dentistry, Universitas Sumatera Utara. This study was an observational analytic study with the cross-sectional approach,and sampling was done by purposive sampling method. This study was held in PeriodonticsInstallation, USU Dental Hospital (RSGM USU) with a total number of 80 sampleswas selected based on inclusion and exclusion criteria. A questionnaire and informed consent form were distributed to the samples at the beginning of the study followed by oral examination such as Periodontal Index Russell. The analysis data was performed by one way ANOVA test to show the differences in periodontal status among mild, moderate, and heavy smokers. The results showed that there was a significant difference among the mean of periodontal index scores in mild, moderate, and heavy smokers (p<0,05). As a conclusion,the more cigarettes consumed the worse of periodontal status.
STATUS PERIODONTAL PASIEN YANG MENJALANI HEMODIALISIS DI RSUP HAJI ADAM MALIK MEDAN: PERIODONTAL STATUS OF PATIENTS WHO UNDERWENT HEMODIALYSIS IN RSUP HAJI ADAM MALIK MEDAN Pitu Wulandari; Armia Syahputra; Ria Septina Rusli
Dentika: Dental Journal Vol. 17 No. 2 (2012): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.057 KB) | DOI: 10.32734/dentika.v17i2.1803

Abstract

Penyakit periodontal merupakan suatu penyakit multifaktorial yang mengenai jaringan periodontal di rongga mulut. Salahsatu penyebabnya adalah penyakit ginjal kronis. hemodialisis yang dijalani individu dapat meningkatan pembentukankalkulus dan menyebabkan inflamasi gingiva di rongga mulut. Tujuan penelitian ini adalah untuk mengetahui hubunganantara penyakit ginjal kronis dan kesehatan jaringan periodontal pada pasien yang menjalani hemodialisis. Penelitiancase-control dilakukan pada dua kelompok pasien: kelompok pertama terdiri atas 33 pasien penyakit ginjal kronis yangmenjalani hemodialisis sebagai kelompok uji dan kelompok kedua terdiri atas 32 pasien tanpa penyakit ginjal kronissebagai kolompok kontrol. Indeks gingiva, indeks perdarahan papila dimodifikasi, kedalaman poket, dan kehilangan levelperlekatan klinis diukur dan informasi yang terdapat dalam kuesioner meliputi variabel-variabel seperti status penyakitginjal kronis yang diderita, status hemodialisis, kebiasaan menggosok gigi, riwayat penyakit sistemik dan dental.Kemudian data dianalisis. Hasil penelitian menunjukkan indeks gingiva, indeks perdarahan papila dimodifikasi,kedalaman poket, dan kehilangan level perlekatan klinis lebih tinggi secara signifikan pada kelompok uji dibandingkandengan kelompok kontrol (p<0,05). Ada hubungan antara penyakit ginjal kronis dan kesehatan periodontal. Sebagaikesimpulan, penderita penyakit ginjal kronis memiliki status periodontal yang lebih parah dibandingkan dengan pasientanpa penyakit ginjal kronis.
HUBUNGAN ANTARA DIABETES MELITUS TIPE 2 DENGAN DESTRUKSI PERIODONTAL PADA PENDERITA PERIODONTITIS: RELATION OF TYPE TWO DIABETES WITH PERIODONTAL DESTRUCTION IN PATIENT WITH PERIODONTITIS Pitu Wulandari; Ulipe
Dentika: Dental Journal Vol. 15 No. 2 (2010): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.203 KB) | DOI: 10.32734/dentika.v15i2.1915

Abstract

Type 2 diabetes mellitus (T2DM) is one of the most common diseases found in the world especially in Indonesia. This disease has many oral manifestations and one of them is periodontitis. The aim of this study was to know the correlat of T2DM and periodontal destruction in those with periodontitis by using a case control study. The study comprised of two groups of subjects who had T2DM and non diabetes respectively. Samples were taken from three places in Medan. Each group was taken 45 people, so the total numbers of samples are 90 people. Periodontal destruction was measured using periodontal index by Russel, probing depth and clinical attachment loss. Data was analyzed using independent Student and Pearson correlation tests. The result showed that the periodontal index and clinical attachment loss in T2DM patients were bigger than those in controls. Conversely, the probing depth in T2DM patients was smaller than those in controls but it was not statistically significant. Beside that, the increasing of blood glucose did not influence the periodontal condition. In conclusion, there was a correlation between T2DM and periodontal destruction in those with periodontitis.
pH DAN KAPASITAS BUFFER SALIVA DALAM HUBUNGANNYA TERHADAP PEMBENTUKAN KALKULUS PADA PASIEN DI INSTALASI PERIODONSIA RSGM USU: SALIVARY pH AND BUFFER CAPACITY RELATED TO CALCULUS FORMATION OF PATIENTS AT PERIODONTICS INSTALLATION IN USU DENTAL HOSPITAL Pitu Wulandari; Fellicia Lestari
Dentika: Dental Journal Vol. 18 No. 2 (2014): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.837 KB) | DOI: 10.32734/dentika.v18i2.2014

Abstract

Kalkulus adalah plak termineralisasi yang terdiri atas komponen anorganik dan matriks organik. Kalkulus dapatterbentuk dan melekat erat pada permukaan gigi serta tidak dapat dibersihkan dengan penyikatan gigi konvensional.Kalkulus merupakan masalah yang umum bagi semua kalangan usia. Kalkulus juga merupakan salah satu faktor etiologilokal yang berperan dalam penyakit periodontal. Salah satu hal yang berpengaruh terhadap pembentukan kalkulus adalahsaliva. pH dan kapasitas buffer saliva dapat berpengaruh terhadap pembentukan kalkulus. Penelitian sebelumnyamenyatakan bahwa pH dan kapasitas buffer saliva saling berpengaruh terhadap pembentukan kalkulus. Tujuan penelitianini adalah untuk menganalisis pengaruh pH dan kapasitas buffer saliva terhadap pembentukan kalkulus. Jenis penelitianini adalah analitik observasional dengan rancangan penelitian cross sectional. Penelitian ini dilakukan di InstalasiPeriodonsia RSGM USU dengan jumlah sampel 40 orang. Sampel pada penelitian ini adalah pasien yang datangberkunjung ke Instalasi Periodonsia RSGM USU. Penelitian ini diawali dengan mengumpulkan saliva yang distimulasimenggunakan permen karet wax dengan metode spitting untuk pemeriksaan pH dan kapasitas buffer saliva, kemudiandilakukan pemeriksaan jaringan periodontal berupa indeks kalkulus dan indeks periodontal yang terdiri atas pemeriksaanOral Calculus Index Simplified, Volpe Manhold Index dan Periodontal Disease Index. Hasil penelitian ini menunjukkanada korelasi yang positif dan signifikan antara pH dan kapasitas buffer saliva terhadap indeks kalkulus dan indeksperiodontal (p< 0,05). Sebagai kesimpulan, pH dan kapasitas buffer saliva berpengaruh secara signifikan terhadappembentukan kalkulus.
Association between age, gender and education level with the severity of periodontitis in pre-elderly and elderly patients Pitu Wulandari; Dody Widkaja; Aini Hariyani Nasution; Armia Syahputra; Gebby Gabrina
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
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.v55.i1.p16-20

Abstract

Background: As individuals grow older, they may be more susceptible to chronic diseases, which can affect their overall health. Periodontitis, for instance, is one of the most common oral diseases that result from prolonged exposure to pathogens. The main etiology of periodontitis is dental biofilms, but several risk factors may also affect the progression of the disease. Purpose: The study aimed to determine whether there was an association between age, gender and education level and the severity of periodontitis using the 2017 American Academy of Periodontology (AAP) classification. Methods: A retrospective analytical study was used to determine the stage and grade of periodontitis in relation to age, gender and education level. Secondary data in the form of medical record status was analysed using software applications. Results: The distribution of periodontitis was 66.7% in pre-elderly patients (45–59 years), 61.5% in male subjects and 39.7% in individuals with middle education levels. Using chi-square analysis, the severity of periodontitis showed a statistically significant correlation with age (p=0.01) and gender (p=0.003). In contrast, the level of education was not statistically correlated to the severity of periodontitis (p=0.887). The percentage of stage IV grade B was highest in elderly patients (65.38%), while stage IV grade C was the highest in male subjects (41.67%). Conclusion: The study showed that age and gender significantly influenced the occurrence and severity of periodontitis, while education level showed the opposite.
HUBUNGAN KEBIASAAN MEROKOK DAN MENGUNYAH SATU SISI TERHADAP TINGKAT KEPARAHAN PERIODONTITIS Pitu Wulandari; Aini Haryani Nasution; Irma Ervina; Agnes Nikita Pangaribuan; Gebby Gabrina
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 9, No 2 (2022): Vol 9 No 2, Desember 2022
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v9i2.1077

Abstract

Introduction: Periodontitis is an inflammatory condition of the supporting tissues of the teeth caused by one or a group of specific microorganisms that cause progressive periodontal destruction characterized by an increase in probing depth, recession, or both. One of the risk factors for periodontal disease is habitual factors, such as smoking and unilateral chewing. The purpose of this study was to examine the relationship between smoking and unilateral chewing on the severity of periodontitis. Methods: This study was cross-sectional with a retrospective analytical design. The sample used is 67 people. Data was obtained from periodontitis status in 2017-2019 at the Periodontics Clinic of the USU Dental Hospital. Data were analyzed using the Chi-square test with a 95% confidence interval and a 5% significance level (p<0.05). The severity of periodontitis was assessed based on a staging system published by the Academy of Periodontology (AAP) in 2017. Results: The results showed a significant relationship between smoking habits and the severity of periodontitis (p=0.012), as well as a significant relationship between unilateral chewing habits and the severity of periodontitis (p=0.019). Conclusion: The result of this study concluded that is a significant relationship between smoking and unilateral chewing habits on the severity of periodontitis.
Inhibitory test of andaliman (Zanthoxylum achantopodium DC) extract mouthwash against dental plaque bacteria Martina Amalia; Priscillia Sekar Yosuana; Iqlima Salsabila binti Mohammad; Filya Suri Risky Nababan; Zulkarnain; Pitu Wulandari; Aini Hariyani Nasution; Armia Syahputra
Dental Journal Vol. 56 No. 2 (2023): June 2023
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.v56.i2.p92-97

Abstract

Background: Andaliman (Zanthoxylum achantopodium DC) is an endemic plant that is found in the province of Sumatera Utara, Indonesia. It contains secondary metabolites, such as alkaloids, flavonoids, glycosides, saponins, tannins, and triterpenoids/steroids, which can potentially be used as a mouthwash. Streptococcus sanguinis and Staphylococcus aureus are the primary colonizing bacteria in plaque formation. Bacterial plaque is known to be the main cause of periodontal disease but can be controlled mechanically and chemically using mouthwash. Purpose: To determine the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of andaliman extract mouthwash (2%, 4%, 8%) against Streptococcus sanguinis ATCC®10556™ and Staphylococcus aureus ATCC® 25923™. Methods: This is a laboratory study with a post-test control-only design. The sample consists of andaliman extract mouthwash (2%, 4%, 8%), a positive control (chlorhexidine gluconate 0.2%), and a negative control (mouthwash formulation without andaliman extract) with three repetitions for each group. Data were analyzed with the one-way ANOVA test and post hoc LSD test. Results: The andaliman extract mouthwash with concentrations of 2%, 4%, and 8% significantly reduced the number of Streptococcus sanguinis and Staphylococcus aureus colonies (p<0.05), and there was a significant difference in the andaliman extract mouthwash with concentrations of 2%, 4%, and 8% compared to the negative control. Conclusion: Andaliman extract mouthwash with a concentration of 8% was more effective in inhibiting Streptococcus sanguinis growth than Staphylococcus aureus. The MIC values for both bacteria were 2%, but the study could not determine the MBC value.
PERSIAPAN PERIODONTAL SEBELUM PERAWATAN ORTODONTI CEKAT UNTUK PASIEN DENGAN PERIODONTAL KOMPROMIS – SEBUAH SERIAL KASUS Budi Budi; Pitu Wulandari; Leni Amalia; Muslim Yusuf; Frisca Rhiyanthy; Nita Hardiana
Cakradonya Dental Journal Vol 14, No 1 (2022): Februari 2022
Publisher : FKG Unsyiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (449.277 KB) | DOI: 10.24815/cdj.v14i1.27296

Abstract

Banyak pasien dewasa membutuhkan perawatan ortodonti karena alasan estetis. Selain itu, perawatan ortodonti untuk mengoreksi maloklusi dapat membantu pasien untuk melakukan prosedur kontrol plak yang adekuat. Namun, klinisi tidak dapat memulai perawatan ortodonti ketika jaringan periodontal belum stabil dan dalam kondisi inflamasi. Oleh karena itu, klinisi harus dapat mendiagnosa dan mempersiapkan kondisi periodontal agar dalam kondisi yang sehat dan stabil sebelum memulai perawatan ortodonti. Selain itu, diperlukan waktu untuk mencapai kondisi periodontal yang sehat dan stabil setelah terapi periodontal. Prosedur pembedahan dan regenerasi memerlukan waktu penyembuhan yang jauh lebih lama dibandingkan pendekatan yang lebih sederhana. Tujuan penulisan laporan kasus ini adalah untuk menunjukkan pendekatan terapi periodontal yang lebih sederhana agar perawatan ortodonti dapat dimulai lebih awal. Terapi periodontal yang sederhana seperti scaling, root planing, dan kuretase, efektif untuk meningkatkan kondisi periodontal kompromis menjadi lebih sehat dan stabil. Selain itu, terapi periodontal tetap harus dilanjutkan selama dan sesudah perawatan ortodonti, untuk mempertahankan kondisi periodontal yang bebas inflamasi.
Improving Life Quality of Postmenopausal Women with Oral Health Advancement Nurdiana Nurdiana; Pitu Wulandari; Martina Amalia
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 2 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v7i2.8328

Abstract

Menopause is a natural developmental stage in a woman's life that is marked by permanent cessation of menstruation. The period after menopause is called postmenopausal. Menopause causes irreversible hormonal changes. Hormones have a potential role in the development and integrity of the oral cavity. Changes in the oral cavity and the vulnerability of postmenopausal women to oral abnormalities due to decreased reproductive hormones, make this to be an important concern by providing information, education, and motivation as well as prevention of oral abnormalities in postmenopausal because if the oral disease is left untreated can affect systemic conditions and interfere with the quality of life of postmenopausal women. In this regard, this community service carried out counseling to add information, examination of the oral cavity to educate, as well as good and correct brushing practices to increase motivation for prevention of oral abnormalities. After this community service, participants became more aware of the condition of their mouth and had the motivation to improve the condition of their oral cavity through information obtained from counseling, oral examination, and tooth brushing practices. Furthermore, this activity needs to be carried out on an ongoing basis and conduct training of trainers (ToT) for village midwives as health workers who directly interact with the community.
Knowledge level, attitude, and behavior of midwifery students about periodontal health to pregnant women: Gambaran tingkat pengetahuan, sikap dan perilaku mahasiswi kebidanan tentang kesehatan periodontal terhadap ibu hamil Armia Syahputra; Zulkarnain; Pitu Wulandari; Sonia Mulyani Sinaga
Makassar Dental Journal Vol. 11 No. 3 (2022): Volume 11 Issue 3 Desember 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i3.635

Abstract

Periodontal disease is an inflammatory disease of the tissues surrounding the teeth. Periodontal disease during pregnancy is cor-related with adverse pregnancyoutcomes such as prematurity, low birth weight, preeclampsia, and miscarriage. Midwifery stu-dents who will practice need to know about periodontal health inpregnant women. This descriptive study is aimed to determine the knowledge, attitudes and behavior of midwifery students at STIKes Senior Medan about periodontal health for pregnant women, with the number of research samples was 102 female students. The tests used are validity tests, reliability tests and des-criptive statistical analysis. The questionnaire is valid and reliable except for items number 3 for knowledge and 5 for attitude so it is deleted. The resultsshowed that the level of knowledge and attitudes and behaviour of STIKes senior midwifery students about the periodontal health of pregnant women is in the good category.