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Removable dental prosthesis as periodontal treatment method Adenan, Aprilia; Rusminah, Nunung
Padjadjaran Journal of Dentistry Vol 19, No 3 (2007): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

The objectives of prostheses are to restore mastication force, improve esthetics and maintain gingival health. The construction and function of prosthesis restoration are mutually interdependent with condition of periodontal tissues. A properly constructed prosthesis is an integral phase of complete treatment of periodontal disease in order to maintain periodontal tissues health. This paper reports case of a man aged 47 years who came to Dental Specialist Clinic in Oral and Dental Hospital Faculty of Dentistry Universitas Padjadjaran with chief complaint of mobility in almost all his teeth and they seems to look longer. The patient has no systemic disease and did not want his teeth to be extracted. Clinical and panoramic radiographic and laboratoris examinations has been done. During treatment, oclusal adjustment and splinting had been done on tooth 33,34,35 and tooth 44,43 also tooth 43,42 splinting with composite. The following treatment was the acrylic removable partial denture for upper jaw while mandible was fitted a frame denture which functioned as a semi permanent splint. One month post treatment, patien felt comfort and the denture was well functioning.

Analysis of submerged implant towards mastication load using 3D finite element method (FEM) Ritonga, Widia Hafsyah Sumarlina; Rusjanti, Janti; Rusminah, Nunung; Miranda, Aldilla; Dirgantara, Tatacipta
Padjadjaran Journal of Dentistry Vol 28, No 3 (2016): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Introduction: The surgical procedure of dental implant comprising one stage surgery for the non-submerged implant design and two stages for submerged. Submerged design is frequently used in Faculty of Dentistry Padjadjaran University as it is safer in achieving osseointegration. This study has been carried out to evaluate resistant capacity of an implant component design submerged against failure based on location and the value of internal stress during the application of mastication force using the 3D Finite Element Method (FEM). Methods: The present study used a CBCT radiograph of the mandibular patient and Micro CT Scan of one submerged implant. Radiograph image was then converted into a digital model of 3D computerized finite element, subsequently inputted the material properties and boundary condition with 87N occlusion load applied and about 29N for the shear force. Results: The maximum stress was found located at the contact area between the implant and alveolar crest with stress value registered up to 193.31MPa located within an implant body where is understandable that this value is far below allowable strength of titanium alloy of 860 MPa. Conclusion: The location of the maximum stress was located on the contact area between the implant-abutment and alveolar crest. This implant design is acceptable and no failure observed under mastication load.

The efficacy of miswak (Kayu sugi) containing toothpaste on dental plaque accumulation Rusminah, Nunung; Pribadi, Indra Mustika Setia; Thillainathan, Komala
Padjadjaran Journal of Dentistry Vol 30, No 1 (2018): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Introduction: Salvadora persica, also known as miswak (Kayu sugi), has been used as natural toothbrushing compound for centuries. Many research suggested that it contains medically beneficial properties such as abrasives, antiseptics, astringent, detergent, enzyme inhibitors, and fluoride. The objective of this study was to assess the efficacy of miswak containing toothpaste on dental plaque accumulation. Methods: The total of 30 subjects consisted of male students of Bandung Institute of Technology, aged between 18 â 26 years old. The plaque value was measured using the Turesky Gilmore & Glickman Index Modification of Quigley & Hein at baseline (day 0), day 1, day 3, and day 7. Commercial toothpaste (PepsodentÂ®) was used as the control group in this pre and post-test designed, single-blind study. Results: After analysed using the paired t-test, the data showed that the mean plaque index of respondents using miswak and non-miswak containing toothpaste from baseline until day 7, were 1.70/1.19 and 1.61/1.44 respectively (p < 0.05). The mean plaque index reduction of respondents using miswak and non-miswak containing toothpaste from baseline until day 7, were 0.39 and 0.25 respectively (p = 0.00). Conclusion: Both kinds of toothpaste were able to reduce plaque, but miswak containing toothpaste was found to be more effective in reducing dental plaque accumulation.

Perbandingan efektifitas pasta gigi yang mengandung sodium bikarbonat dan sodium monofluorofosfat terhadap plak dan gingivitisComparison of the effectiveness between toothpaste contained sodium bicarbonate and sodium monofluorophosphate against plaque and gingivitis Duwisda, Beta; Rusminah, Nunung; Susanto, Agus
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 28, No 3 (2016): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Sodium bikarbonat dan sodium monofluorofosfat merupakan bahan aktif yang digunakan dalam pasta gigi dan memiliki fungsi tertentu. Penelitian ini dilakukan dengan tujuan untuk membandingkan efektifitas kedua bahan tersebut dalam pasta gigi terhadap plak dan gingivitis. Jenis penelitian ini deskriptif dengan desain pre dan post-test. Metode: Sampel berjumlah 30 orang dibagi menjadi dua kelompok, masing-masing mendapat perlakuan penyikatan gigi dengan pasta gigi yang mengandung sodium bikarbonat dan pasta gigi yang mengandung sodium monofluorofosfat. Subjek diminta menyikat gigi dua kali sehari selama 14 hari. Penilaian menggunakan Indeks Plak menurut Sillness dan Loe dan Indeks Gingiva menurut Loe dan Sillness. Data dianalisis dengan uji t dan uji Mann-Whitney. Hasil: Pasta gigi yang mengandung sodium bikarbonat maupun sodium monofluorofosfat tidak memiliki perbedaan yang signifikan dalam menurunkan indeks plak dengan nilai p-value 0,983 (p> 0,05). Kedua pasta gigi memiliki efektifitas dalam menurunkan indeks gingiva dengan nilai p-value 0,044 (p<0,05). Pasta gigi yang mengandung sodium bikarbonat lebih efektif dalam menurunkan indeks gingiva dilihat dari penurunan rata- ratanya. Simpulan: Kedua pasta gigi tidak efektif menurunkan plak namun efektif dalam menurunkan gingivitis dimana pasta gigi yang mengandung sodium bikarbonat lebih efektif menurunkan gingivitis dibandingkan dengan sodium monofluorofosfat.ABSTRACTIntroduction: Sodium bicarbonate and sodium monofluorophosphate are active ingredients used in toothpaste and have certain functions. This study was conducted with the aim to compare the effectiveness of the two ingredients in toothpaste against plaque and gingivitis. This type of research is descriptive with pre and post-test design. Methods: A sample of 30 people was divided into two groups, each of which was treated with toothpaste with toothpaste containing sodium bicarbonate and toothpaste containing sodium monofluorophosphate. Subjects were asked to brush their teeth twice a day for 14 days. Assessment uses the Plaque Index according to Sillness and Loe and the Gingiva Index according to Loe and Sillness. Data were analyzed by t-test and Mann-Whitney test. Results: Toothpaste containing sodium bicarbonate and sodium monofluorophosphate did not have a significant difference in reducing plaque index with p-value of 0.983 (p > 0.05). Both toothpastes have effectiveness in lowering the gingival index with a p-value of 0.044 (p < 0.05). Toothpaste containing sodium bicarbonate is more effective in lowering the gingival index as seen from the decrease in average. Conclusion: Both toothpastes are not effective in reducing plaque but are effective in reducing gingivitis where toothpaste containing sodium bicarbonate is more effective in reducing gingivitis compared to sodium monofluorophosphate.Keywords: Gingivitis, toothpaste, plaque, sodium bicarbonate, sodium monofluorophosphate.

PENGARUH BERKUMUR EKSTRAK BUAH DELIMA TERHADAP TERAPI GINGIVITIS Pribadi, Indra Mustika Setia; Rusminah, Nunung; Komara, Ira
Dentika: Dental Journal Vol. 19 No. 1 (2016): Dentika Dental Journal
Publisher : TALENTA

Delima merupakan salah satu buah yang kaya antioksidan. Kandungan flavonoid dalam delima berkhasiat dapat mencegah gingivitis. Penelitian ini bertujuan untuk mengetahui perbandingan efek ekstrak buah delima yang dibuat dalam bentuk obat kumur dengan konsentrasi 5 dan 10% sebagai obat kumur terhadap penurunan skor gingiva. Penelitian ini dilakukan dengan metode eksperimental semu menggunakan desain single blind, pre and post study. Sampel sebanyak 30 orang diambil secara purposive sampling. Subyek penelitian dibagi menjadi 2 kelompok, yaitu kelompok A berkumur dengan ekstrak buah delima 5% dan kelompok B berkumur dengan ekstrak buah delima 10%. Subyek diminta berkumur 2 kali sehari selama 15 hari dibandingkan hasilnya dengan menggunakan indeks gingiva Loe and Silness. Hasil penelitian menunjukkan bahwa berkumur dengan ekstrak delima konsentrasi 10% menyebabkan penurunan skor gingiva sebesar 48% pada minggu pertama dan 77% pada minggu ke-2 sedangkan penurunan skor gingiva dengan ekstrak delima konsentrasi 5%, sebesar 11% pada minggu pertama dan 27% pada minggu ke-2. Sebagai kesimpulan, peningkatan konsentrasi ekstrak obat kumur buah delima lebih efektif menurunkan tingkat keparahan gingivitis.

Perawatan bedah regeneratif periodontal pada kasus periodontitis Dyah Nindita Carolina; Ina Hendiani; Agus Susanto; Nunung Rusminah
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 5, No 3 (2019)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.65726

Kerusakan tulang alveolar pada kasus periodontitis membutuhkan perawatan bedah regeneratif periodontal dengan bahan bone graft untuk merangsang pertumbuhan tulang alveolar, dikombinasikan dengan Platelet Rich Fibrin (PRF) atau membran alloplastik sebagai Guide Tissue Regeneration (GTR). Studi kasus ini bertujuan untuk menunjukan perawatan koreksi defek tulang alveolar pada kasus periodontitis dengan bedah regeneratif periodontal. Pasien wanita berusia 50 tahun mengeluhkan gigi belakang rahang atas kanan dan kiri terasa goyang dan sakit. Temuan klinis dan radiograf terdapat poket dengan rata-rata kedalaman 7 dan 8 mm pada bagian bukal mesial dan distal pada gigi 16, 15 dan 26, kegoyangan gigi derajat 1, dan kerusakan tulang vertikal mencapai 1/3 tengah akar gigi 16,15 dan 26. Pasien mendapatkan perawatan scaling inisial, penghalusan akar, dan penyesuaian oklusi, dilanjutkan bedah periodontal gigi 16, 15 dan 26. Pada prosedur flap dilakukan debridemen poket dan eliminasi jaringan granulasi dilanjutkan pemberian bone graft dengan PRF pada gigi 16, 15 dan pemberian bone graft dengan membran alloplastik (periosteum) pada gigi 26. Penutupan flap dengan penjahitan interdental interrupted. Bedah periodontal regeneratif dilakukan untuk menghasilkan terbentuknya pertumbuhan jaringan periodontal yang baru dan mengembalikan perlekatan jaringan ikat pada gigi. Evaluasi sesudah bedah regeneratif periodontal terlihat bahwa pada kombinasi bone graft dengan PRF atau membran alloplastik (periosteum) menunjukkan penurunan Clinical Attachment Loss (CAL) dan radiograf menunjukkan bertambahnya ketinggian tulang alveolar. Perawatan bedah regeneratif periodontal kombinasi bone graft dengan PRF atau membran alloplastik (periosteum) dapat meningkatkan perlekatan jaringan periodontal pada kasus periodontitis.

Keberhasilan terapi fase inisial periodontal pada gingival enlargement pasien anak dengan hidrosefalusThe success of initial periodontal therapy phase in gingival enlargement paediatric patient with hydrocephalus Nunung Rusminah; Zavani Nur Hikmah; Fahmi Oscandar
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2020): Desember 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.28240

Pendahuluan: gingival enlargement umumnya terjadi akibat inflamasi kronis yang disebabkan oleh faktor lokal, seperti induksi plak pada gingiva dan faktor sistemik seperti pengaruh hormon dan obat-obatan sistemik tertentu. Hidrosefalus merupakan kondisi yang diakibatkan adanya volume cerebrospinal fluid (CSF) berlebih yang tidak terserap sempurna, dalam jumlah yang sangat tinggi pada ventrikel di otak dan terkadang juga terdapat di ruang subarachnoid, yang menyebabkan terjadinya dilatasi ventrikel secara progresif. Kondisi ini menghasilkan peningkatan tekanan intrakranial dan sering merusak jaringan di sekitarnya. Pasien hidrosefalus menunjukkan pembesaran kepala dan mengalami keterlambatan pertumbuhan. Tujuan penelitian laporan kasus ini adalah menjelaskan keberhasilan terapi fase inisial perawatan periodontal pada gingival enlargement pasien anak dengan hidrosefalus. Laporan kasus: Pasien hidrosefalus laki-laki berusia 12 tahun, mengalami pembesaran gingiva pada rahang atas, sering berdarah pada saat tersentuh sikat gigi ataupun terkena sentuhan lainnya, terjadi kurang lebih sejak dua bulan yang lalu, pasien tidak mengonsumsi obat-obatan secara sistemik. Hasil pemeriksaan klinis dan radiologis dapat ditegakkan diagnosis inflammatory gingival enlargement rahang atas disertai periodontitis kronis gigi 27, dengan diagnosis banding periodontitis kronis. Gingival enlargement merupakan faktor predisposing pembentukan plak. Gingival enlargement pada pasien ini dirawat dengan terapi inisial yaitu Oral hygiene Instruction (OHI), scaling, root planing, dan kontrol. Simpulan: Terapi fase inisial periodontal berupa OHI, scaling, root planing, dan kontrol, berhasil menghilangkan gingival enlargement pada pasien anak dengan hidrosefalus.Kata kunci: Gingival enlargement, hidrosefalus, perawatan inisial periodontal. ABSTRACTIntroduction: Gingival enlargement generally occurs due to chronic inflammation caused by local factors, such as plaque induction on the gingiva and systemic factors such as hormonal influences and certain systemic drugs. Hydrocephalus is a condition that results from the incompletely absorbed excess volume of cerebrospinal fluid (CSF), with very high amounts in the ventricles in the brain and sometimes also in the subarachnoid space, leading to progressive dilation of the ventricles. This condition results in increased intracranial pressure and often damages surrounding tissue. Hydrocephalus patients show head enlargement and growth delay. This case report was aimed to describe the success of the initial phase of periodontal therapy in gingival enlargement of paediatric patients with hydrocephalus. Case report: A 12-year-old male hydrocephalus patient, had enlarged maxillary gingiva, often bled when touched by a toothbrush or when exposed to other touches, occurred for about two months prior, and the patient did not take any medication systemically. The clinical and radiological examination results can confirm the diagnosis of inflammatory maxillary gingival enlargement with chronic periodontitis in tooth #27, with a differential diagnosis of chronic periodontitis. Gingival enlargement is a predisposing factor for plaque formation. Gingival enlargement in this patient was treated with initial therapy, namely oral hygiene instruction (OHI), scaling, root planing, and control. Conclusion: The initial periodontal therapy phase in the form of OHI, scaling, root planing, and control, succeeded in eliminating gingival enlargement in paediatric patients with hydrocephalus.Keywords: Gingival enlargement, hydrocephalus, initial periodontal therapy.

Tunneling connective tissue graft sebagai prosedur perawatan resesi gusi kelas I MillerTunnelling connective tissue graft as a treatment procedure for Miller Class I gingival recession Prajna Metta; Heni Puspitadewi; Aldilla Miranda; Nunung Rusminah
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 2 (2020): November 2020 (Suplemen 1)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.18042

Pendahuluan: Resesi gusi pada regio anterior rahang atas seringkali menjadi perhatian dari segi estetik, bentuk dan fungsi. Resesi dapat terjadi pada satu atau beberapa gigi dan pada satu atau beberapa permukaan, sehingga menyebabkan kehilangan perlekatan dan terbukanya permukaan akar. Tujuan laporan kasus ini mempresentasikan keberhasilan perawatan resesi gusi kelas I Miller menggunakan teknik tunneling connective tissue graft. Laporan kasus: Pasien wanita, 37 tahun, datang dengan keluhan hipersensitifitas pada gigi depan dan belakang rahang atas serta gigi-gigi terasa lebih memanjang. Pemeriksaan klinis menunjukkan resesi gusi yang bervariasi sebesar 2-4 mm tanpa melibatkan mucogongival junction yang meluas dari gigi 15 sampai 25. Terdapat tambalan glass ionomer pada daerah servikal gigi 22 sampai 24. Hasil pengukuran lebar gusi berkeratin lebih dari 3 mm. Diagnosa dari kasus ini adalah kelainan mucogingival multipel Kelas I Miller. Rencana perawatan yang akan dilakukan adalah prosedur tunneling connective tissue graft pada regio anterior labial rahang atas 22 sampai 24. Prosedur dilakukan dengan menutup bagian akar yang terbuka menggunakan connective tissue dari daerah palatal area premolar yang kemudian difiksasi dengan teknik jahitan anchorage. Perawatan ini menunjukkan hasil berupa penambahan ketebalan gusi berkeratin dan pengurangan sensitifitas akar tanpa adanya kekambuhan setelah enam bulan pasca bedah. Simpulan: Teknik tunneling dengan connective tissue graft dapat menjadi pilihan pada perawatan resesi gusi kelas I Miller dalam kasus ini berhasil menutup seluruh permukaan akar yang terbuka dan tidak terjadi relaps setelah enam bulan.Kata kunci: Connective tissue graft, resesi, penutupan akar, tunneling.. ABSTRACTIntroduction: Gingival recession in the maxillary anterior region is often becoming aesthetical, shape, and functional concern. Recession can occur on one or several teeth and one or more surfaces, causing attachment loss and the root surface opening. This case report was aimed to present the successful treatment of Miller Class I gingival recession with the tunnelling connective tissue graft technique. Case report: Female patient, 37 years old, presented with complaints of hypersensitivity in the front and back of the maxilla and elongated-teeth sensation. Clinical examination showed gingival recession varying by 2-4 mm without involving the mucogingival junction extending from teeth 15 to 25. A glass ionomer filling was performed in the cervical area of teeth 22 to 24. The measurement result was keratinised gingival width of more than 3 mm. The case diagnosis was multiple Miller Class I mucogingival abnormalities. The treatment plan performed was the tunnelling connective tissue graft procedure in the maxillary anterior labial region 22 to 24. The procedure was performed by covering the exposed root using the connective tissue from the palatal area of the premolar area, which was then fixed with an anchorage suture technique. This treatment increase in keratinised gingival thickness and reduction in root sensitivity without recurrence after six months after surgery. Conclusion: Tunneling connective tissue graft can become an option in the treatment of Miller Class I gingival recession. In this case, it succeeded in covering the entire exposed root surface and does not relapse after six months.Keywords: Connective tissue graft, recession, root coverage, tunneling.

Perbandingan efektifitas pasta gigi yang mengandung sodium bikarbonat dan sodium monofluorofosfat terhadap plak dan gingivitisComparison of the effectiveness between toothpaste contained sodium bicarbonate and sodium monofluorophosphate against plaque and gingivitis Beta Duwisda; Nunung Rusminah; Agus Susanto
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 28, No 3 (2016): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Sodium bikarbonat dan sodium monofluorofosfat merupakan bahan aktif yang digunakan dalam pasta gigi dan memiliki fungsi tertentu. Penelitian ini dilakukan dengan tujuan untuk membandingkan efektifitas kedua bahan tersebut dalam pasta gigi terhadap plak dan gingivitis. Jenis penelitian ini deskriptif dengan desain pre dan post-test. Metode: Sampel berjumlah 30 orang dibagi menjadi dua kelompok, masing-masing mendapat perlakuan penyikatan gigi dengan pasta gigi yang mengandung sodium bikarbonat dan pasta gigi yang mengandung sodium monofluorofosfat. Subjek diminta menyikat gigi dua kali sehari selama 14 hari. Penilaian menggunakan Indeks Plak menurut Sillness dan Loe dan Indeks Gingiva menurut Loe dan Sillness. Data dianalisis dengan uji t dan uji Mann-Whitney. Hasil: Pasta gigi yang mengandung sodium bikarbonat maupun sodium monofluorofosfat tidak memiliki perbedaan yang signifikan dalam menurunkan indeks plak dengan nilai p-value 0,983 (p> 0,05). Kedua pasta gigi memiliki efektifitas dalam menurunkan indeks gingiva dengan nilai p-value 0,044 (p<0,05). Pasta gigi yang mengandung sodium bikarbonat lebih efektif dalam menurunkan indeks gingiva dilihat dari penurunan rata- ratanya. Simpulan: Kedua pasta gigi tidak efektif menurunkan plak namun efektif dalam menurunkan gingivitis dimana pasta gigi yang mengandung sodium bikarbonat lebih efektif menurunkan gingivitis dibandingkan dengan sodium monofluorofosfat.Kata kunci: Gingivitis, pasta gigi, plak, sodium bikarbonat, sodium monofluorofosfat. ABSTRACTIntroduction: Sodium bicarbonate and sodium monofluorophosphate are active ingredients used in toothpaste and have certain functions. This study was conducted with the aim to compare the effectiveness of the two ingredients in toothpaste against plaque and gingivitis. This type of research is descriptive with pre and post-test design. Methods: A sample of 30 people was divided into two groups, each of which was treated with toothpaste with toothpaste containing sodium bicarbonate and toothpaste containing sodium monofluorophosphate. Subjects were asked to brush their teeth twice a day for 14 days. Assessment uses the Plaque Index according to Sillness and Loe and the Gingiva Index according to Loe and Sillness. Data were analyzed by t-test and Mann-Whitney test. Results: Toothpaste containing sodium bicarbonate and sodium monofluorophosphate did not have a significant difference in reducing plaque index with p-value of 0.983 (p > 0.05). Both toothpastes have effectiveness in lowering the gingival index with a p-value of 0.044 (p < 0.05). Toothpaste containing sodium bicarbonate is more effective in lowering the gingival index as seen from the decrease in average. Conclusion: Both toothpastes are not effective in reducing plaque but are effective in reducing gingivitis where toothpaste containing sodium bicarbonate is more effective in reducing gingivitis compared to sodium monofluorophosphate.Keywords: Gingivitis, toothpaste, plaque, sodium bicarbonate, sodium monofluorophosphate.

Removable dental prosthesis as periodontal treatment method Aprilia Adenan; Nunung Rusminah
Padjadjaran Journal of Dentistry Vol 19, No 3 (2007): November 2007
Publisher : Faculty of Dentistry Universitas Padjadjaran

The objectives of prostheses are to restore mastication force, improve esthetics and maintain gingival health. The construction and function of prosthesis restoration are mutually interdependent with condition of periodontal tissues. A properly constructed prosthesis is an integral phase of complete treatment of periodontal disease in order to maintain periodontal tissues health. This paper reports case of a man aged 47 years who came to Dental Specialist Clinic in Oral and Dental Hospital Faculty of Dentistry Universitas Padjadjaran with chief complaint of mobility in almost all his teeth and they seems to look longer. The patient has no systemic disease and did not want his teeth to be extracted. Clinical and panoramic radiographic and laboratoris examinations has been done. During treatment, oclusal adjustment and splinting had been done on tooth 33,34,35 and tooth 44,43 also tooth 43,42 splinting with composite. The following treatment was the acrylic removable partial denture for upper jaw while mandible was fitted a frame denture which functioned as a semi permanent splint. One month post treatment, patien felt comfort and the denture was well functioning.

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