Munakhir Mudjosemedi
Department Of Dentomaxillofacial Radiology, Faculty Of Dentistry, Universitas Gadjah Mada, Jl. Denta, Sekip Utara, Yogyakarta

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The application of infection control in intraoral radiographic examinations in various healthcare facilities: an observational study Prihandita, Alifia Rizqy Ramadhania; Shantiningsih, Rurie Ratna; Gracea, Rellyca Sola; Mudjosemedi, Munakhir
Padjadjaran Journal of Dentistry Vol 36, No 1 (2024): March 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no1.53032

Abstract

ABSTRACTIntroduction: One of the sectors that has been significantly impacted by the COVID-19 pandemic is dentistry. There is a significant chance that an intraoral radiographic examination will facilitate the spread of the COVID-19. One of the radiographers' efforts to prevent the spread of the COVID-19 virus is to carry out infection control. The application of infection control performed by radiographers is influenced by many factors. This study aimed to analyze differences in the application of infection control in intraoral radiographic examinations during the COVID-19 pandemic in various healthcare facilities. Methods: This study conducted was an observational analytic study with a cross-sectional design. The research was conducted using a questionnaire consisting of 13 statement items. Thirty intraoral dental radiographers who were employed in radiology departments at various healthcare facilities participated in the study as respondents. The research data that had been collected was then tested using the One Way Anova test to find out the differences in the application of infection control by radiographers from each healthcare facility. Results: The results of the study indicated that the significance value was 0.314 (p>0.05), which means that there was no significant difference in the score category for each healthcare facility. The lack of complete respondents from all different kinds of existing healthcare facilities was still a weakness of this study. Conclusion: During the COVID-19 pandemic, there was no discernible difference in how each healthcare facility implemented infection control during intraoral radiographic examinations.KeywordCOVID-19, healthcare facilities, infection control, intraoral radiographs, radiographers
Perbandingan mental index dan panoramic mandibular index berdasarkan status dental: kajian pada radiograf panoramik Deriputra, Gde Parama Wistara; Shantiningsih, Rurie Ratna; Mudjosemedi, Munakhir; Widyaningrum, Rini
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 9, No 3 (2023)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.100773

Abstract

Mandibula berperan dalam proses pengunyahan sehingga mengalami proses remodeling secara terus menerus. Status dental menunjukkan kondisi gigi serta kehilangan gigi-gigi pada individu. Status dental yang berbeda-beda akan menghasilkan beban mastikasi beragam yang selanjutnya mempengaruhi proses remodeling pada mandibula. Adanya perubahan ukuran tulang pada area kortikal mandibula dapat dideteksi dengan indeks radiomorfometri,antara lain Mental Index (MI) dan Panoramic Mandibular Index (PMI). Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan MI dan PMI pada radiograf panoramik antar kelompok status dental. Sampel penelitian ini berupa 134 radiograf panoramik digital dari instalasi radiologi RSGM UGM Prof. Soedomo. Status dental terbagi menjadi 5 kelompok, yaitu kategori I (bergigi lengkap), Kategori II (bergigi sebagian), Kategori III (tidak bergigi padarahang atas), Kategori IV (tidak bergigi pada rahang bawah) dan Kategori V (tidak bergigi total). Indeks MI dan PMI diukur dengan perangkat lunak EzDent-I Vatech. Rerata MI pada Kategori I adalah 3,73 ± 0,59, Kategori II adalah 3,59 ± 0,49, Kategori III adalah 3,54 ± 0,74, Kategori IV adalah 3,63 ± 0,27, dan Kategori V adalah 3,43 ± 0,78. Rerata PMI pada Kategori I adalah 0,33 ± 0,08, Kategori II adalah 0,32 ± 0,05, Kategori III adalah 0,31 ± 0,07, Kategori IVadalah 0,30 ± 0,03, dan Kategori V adalah 0,29 ± 0,06. Hasil uji Kruskal-Wallis menunjukkan bahwa tidak terdapat perbedaan yang signifikan pada pengukuran MI (p = 0,440) dan PMI (p = 0,266) antar kelompok status dental (p > 0,05). Kondisi status dental tidak berpengaruh terhadap ketebalan korteks mandibula di area foramen mental, yang ditunjukkan dengan hasil pengukuran MI maupun PMI yang tidak berbeda secara signifikan pada semua kelompokstatus dental.
β-Carotene gingival mucoadhesive patch on Cx-43 and 8-Oxo-dg expression to prevent micronucleus formation due to panoramic radiography exposure Shantiningsih, Rurie Ratna; Suwaldi, Suwaldi; Astuti, Indwiani; Mudjosemedi, Munakhir
Padjadjaran Journal of Dentistry Vol 31, No 1 (2019): March 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.423 KB) | DOI: 10.24198/pjd.vol30no3.16351

Abstract

Introduction: β-carotene as a lipid-soluble antioxidant substance, expected to prevents the oxidative reaction and to improve the junctional communication detected by Cx-43. Micronucleus is known as one of the early markers of DNA damage which might be related to carcinogenesis mechanism that increased by panoramic radiography radiation exposure. The objective of this research was to analyse the effect of the β-carotene gingival mucoadhesive patch on Cx-43 expression and 8-oxo-dG to prevent micronucleus formation at the gingival mucosa of New Zealand rabbit due to panoramic radiography radiation exposure. Methods: β-carotene gingival mucoadhesive patch was applied to gingival mucosa of the experimental rabbits. In Group I, the rabbits without patch was a control group. Group II has applied the patch before radiography exposures, Group III during the radiography exposures, and Group IV after radiography exposures. Micronucleus samples were taken from the rabbit’s swabbed gingival mucosa, then stained using modified Feulgen-Rossenbeck. The 8-oxo-dG and Cx-43 expressions were detected using immunohistochemistry technique. The results were then analysed using two-way ANOVA. Results: The increasing number of micronucleus in Group I had a different mean (p < 0.05) with Group III and IV. The expression of 8-oxo-dG and Cx-43 had significant differences (p < 0.05) between Group I and III. This results indicated that β-carotene gingival mucoadhesive patch prevents the increasing number of micronucleus especially when it applied before and during panoramic radiography radiation exposure by the increasing Cx-43 and decreasing 8-oxo-dG expression. Conclusion: The β-carotene gingival mucoadhesive patch can be utilised to prevent the panoramic radiography radiation exposure’s effect. Keywords: β-carotene, gingival-mucoadhesive patch, micronucleus, radiation exposure
Length of cranial base and total face height in cephalograms for sex estimation in Indonesia Ramadhani, Nabila Almira; Widyaningrum, Rini; Gracea, Rellyca Sola; Ningtyas, Aini Hasibah; Mudjosemedi, Munakhir
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 2 (2024): June
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.v57.i2.p97-101

Abstract

Background: Sex estimation is the first step in identifying bodies following disasters or accidents. Craniometric analysis of lateral cephalograms can be used in the process. Among the measurements that can be used are the length of cranial base, determined by Basion–Nasion (Ba-N) length, and the total face height, determined by the Nasion–Menton (N-M) length, which can highlight significant differences between men and women. Purpose: This study aimed to determine the differences in length of cranial base and total face height measurements between men and women and to demonstrate how these two measurements can be used for sex estimation in the Indonesian population. Methods: This cross-sectional study employed a patient database from the dental hospital of Universitas Gadjah Mada. The study sample consisted of 116 cephalograms taken of 58 men and 58 women aged 20–40 years. The linear measurements were taken using EzDent-I Vatech software. Results: The mean cranial base length measurements in the men and women groups were 103.83 ± 4.37 and 96.01 ± 3.80 mm, respectively, whereas the total face height measurements were 121.03 ± 7.26 and 111.23 ± 5.09 mm, respectively. The Mann–Whitney U-Test revealed a significant difference (p < 0.05) between the groups. Logistic regression showed that the two measurements can be used to form an equation for sex estimation with an accuracy of 88.8%. Conclusion: Length of cranial base (Ba-N) and total face height (N-M) measurements from lateral cephalograms can accurately be used for sex estimation. Further research among specific populations is required to develop accurate methods for sex estimation employing morphometric examination on radiographs.