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Journal : B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah

PENGARUH CHLORHEXIDINE CHIP PADA PERAWATAN PERIODONTAL: SEBUAH META – ANALISIS Olivia Nauli Komala; Trijani Suwandi
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 8, Nomor 3, Desember 2021
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v8i2.861

Abstract

Introduction: Chlorhexidine in mouthwash or gel is used as an adjunct therapy for periodontal treatment but the effect of using chlorhexidine chip in 3 months was unclear. Objective: The present study aimed to evaluate the effect of chlorhexidine chip on reduction of pocket depth and clinical attachment level gaining in patients with periodontitis. Methods: The literature search was done in PUBMED for the use of chlorhexidine chip as an adjunct to scaling and root planing in improving periodontal status, especially pocket depth and clinical attachment level in periodontitis patients within 3 months. The risk of bias was estimated for each study based on the Cochrane Handbook for Systematic Review of Interventions. Meta-analysis was conducted for reduction of pocket depth and gain of clinical attachment. Results: Electronic search provided 51 records and 5 studies were included. The meta-analysis indicated that there was a significant difference in reduction pocket depth (p<0.05; I2 = 97%) and gain of clinical attachment level between chlorhexidine chip plus SRP and SRP alone (p<0.05; I2 = 98%). The mean difference of reduction of pocket depth was 0.26 (0.13 – 0.40) mm and the mean difference of gain of clinical attachment level was 0.31 (0.14 – 0.47) mm. All studies had fair quality based on AHRQ standards. Conclusions: Chlorhexidine chip can be an adjunct therapy for periodontal treatment to improve the clinical condition in periodontitis patients.
PENCEGAHAN KEGAGALAN IMPLAN DENTAL YANG DISEBABKAN PERI- IMPLANTITIS DENGAN PENGGUNAAN CONCENTRATED GROWTH FACTOR Maitimu, Fergy Christin; Suwandi, Trijani
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 11, No 1 (2024): Vol 11 No 1, Juni 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v11i1.1597

Abstract

Introduction: The destruction that occurs in peri-implantitis, if left untreated, can eventually lead to dental implant failure. Autogenous growth factor is prepared by centrifugation of whole blood samples and has been widely applied in wound healing and tissue regeneration. This platelet concentrate can be used alone or in combination with other biomaterials for soft tissue healing or bone formation. CGF (concentrated growth factor) is a derivative of PRF (platelet-rich fibrin) and has the same 3-dimensional structural complex as PRF. However, it contains more growth factors than PRF and has a more rigid fibrinogen structure. Aims: The objective of this systematic review is to obtain scientific data related to the use of concentrated growth factors in peri-implantitis treatment in order to avoid dental implant failure. Method: A total of 5,339 studies were initially identified from the three databases (Wiley, Researchgate and Google Scholar) between January 2018 and July 2023. Result: Three randomised clinical trials (RCTs) were selected for analysis. Conclusion: Concentrated Growth Factor (CGF) can be employed in combination with bone graft material for the treatment of peri-implantitis, with the objective to prevent dental implant failure that may result from peri-implantitis. However, it is not the sole recommended approach.