Calvin Kurnia
Universitas Kristen Maranatha

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Maxillary Implant Placement in a Limited Residual Bone Height Kurnia, Calvin; Wibisono, Jane Amelia V.; Sumantri, Dominica Dian S.
Journal of Dentistry Indonesia Vol. 28, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The limitation of residual bone height (RBH) and vital structures such as sinuses in the maxillary often make the implant placement procedure becomes complicated. Clinicians may perform sinus elevation prior to implant placement to accommodate the length of the implant fixture. Sinus elevation is an invasive procedure and complication may occur during the surgery including the most frequent complication is perforation of Schneiderian membrane. Objectives: To discuss a comprehensive management of implant placement and its complication step by step from surgical procedures to crown placement. Case Report: 67-year-old female patient with partial edentulism in the right maxillary region, presence of sinus septum, and RBH was 4mm. The patient was planned to do sinus elevation surgery prior to implant placement, perforation of the Schneiderian membrane occurred while surgery performed and pericardium membrane was attached around the perforation site. Sinus re-entry and implant placement were performed after 3 months followed by prosthetics procedures in the next 6 month. Conclusion: Dental implant is a complicated treatment and complication may occur during the placement, thus a comprehensive management is very essential to minimize the risk of complications.
Aktivitas antibakteri ekstrak kulit jeruk nipis (Citrus aurantifolia) terhadap bakteri Prevotella intermediaAntibacterial activity of lime (Citrus aurantifolia) peel extract towards Prevotella intermedia Velia Agatha; Calvin Kurnia; Vinna Kurniawati Sugiaman
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 2 (2021): Agustus 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i2.33226

Abstract

Pendahuluan: Prevotella intermedia merupakan salah satu bakteri utama pada penyakit periimplantitis. Periimplantitis merupakan inflamasi jaringan lunak dan keras disekitar implan yang dapat dicegah menggunakan ekstrak tanaman antibakteri. Salah satunya yaitu kulit jeruk nipis, yang dapat menghambat proses inflamasi karena mengandung alkaloid, steroid, saponin, flavonoid, tanin sebagai senyawa antibakteri. Penelitian ini bertujuan untuk mengetahui peranan antibakteri kulit jeruk nipis dengan mengukur Konsentrasi Hambat Minimal (KHM) dan Konsentrasi Bunuh Minimal (KBM) ekstrak kulit jeruk nipis terhadap pertumbuhan bakteri Prevotella intermedia. Metode: Eksperimental laboratorium dengan rancangan penelitian post test only control group design. Pengujian KHM dan KBM dilakukan dengan metode dilusi, kulit jeruk nipis dimaserasi menggunakan pelarut etanol 70% sehingga didapatkan ekstrak kulit jeruk nipis dengan konsentrasi 0,78, 1,56, 3,125, 6,25, 12,5, 25, 50, dan 100% dengan chlorhexidine sebagai kontrol positif dan akuades sebagai kontrol negatif. Media kultur bakteri menggunakan Tripton Soya Agar. Hasil: Berdasarkan analisis statistik menggunakan Kruskal Wallis menunjukkan perbedaan penurunan jumlah koloni bakteri yang signifikan (p=0,0001) pada KBM dan KHM dari berbagai konsentrasi ekstrak kulit jeruk nipis terhadap pertumbuhan bakteri Prevotella intermedia, uji lanjutan Mann Whitney  menunjukkan perbedaan penurunan jumlah koloni bakteri yang signifikan (p=0,021) antar masing-masing konsentrasi dan kelompok kontrol. Simpulan: Konsentrasi hambat minimal ekstrak kulit jeruk nipis terhadap bakteri Prevotella intermedia 12,5%, konsentrasi bunuh minimalnya 25%. Kata kunci: agen antibakteri; ekstrak jeruk nipis; Prevotella intermediaABSTRACTIntroduction: Prevotella intermedia is one of the main bacteria in periimplantitis. Periimplantitis is inflammation of the soft and hard tissues around the implant that can be prevented using antibacterial plant extracts. One of them is lime peel, which can inhibit the inflammatory process due to its alkaloids, steroids, saponins, flavonoids, and tannins as antibacterial compounds. This study was aimed to determine the antibacterial activity of lime peel by measuring the Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) of lime peel extract on the growth of Prevotella intermedia. Methods: Experimental laboratory with post-test only control group design. The MIC and MBC tests were performed by the dilution method. The lime peel was macerated using 70% ethanol solvent to obtain lime peel extract with concentrations of 0.78, 1.56, 3.125, 6.25, 12.5, 25, 50, and 100% with chlorhexidine as a positive control and aquadest as a negative control. Bacterial culture media using Tripton Soy Agar. Results: Based on statistical analysis using Kruskal Wallis showed a significant difference in the decrease of the number of bacterial colonies (p=0.0001) in MBC and MIC from various concentrations of lime peel extract on the growth of Prevotella intermedia bacteria. Furthermore, the Mann Whitney follow-up test showed differences in the decrease of the number of bacterial colonies, which was significant (p=0.021) between each concentration and control group. Conclusions: The minimum inhibitory concentration of lime peel extract towards the growth of Prevotella intermedia was 12.5%, with the minimum bactericidal concentration of 25%. Keywords: antibacterial agent; citrus extracts; Prevotella intermedia
PERANAN AIR PERASAN JERUK NIPIS (Citrus aurantifolia) SEBAGAI ANTIMIKROBA TERHADAP Prevotella intermedia PADA PENCEGAHAN PERIIMPLANTITIS (SECARA IN-VITRO) Akane Kitayama; Calvin Kurnia; Vinna Kurniawati Sugiaman
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.v9i2.1176

Abstract

Introduction: One of the complications of using implants in patients is peri-implantitis which occurs due to the invasion of Prevotella intermedia bacteria. Therefore, we need an agent that can play a role in inhibiting the growth of these bacteria, including lime juice. Lime (Citrus aurantifolia) is an herbal plant that is often used by the community in traditional medicine because it contains antibacterial compounds. The purpose of this study was to determine whether lime juice has antibacterial activity against the growth of Prevotella intermedia by measuring the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC). Method: This research is a laboratory experimental study with a post-test-only control group design approach. The method used in this research is microdilution with 10 treatments. Results: The results of the antibacterial test were carried out by counting the number of bacterial colonies on the agar media, and the data were analyzed by using the One-way ANOVA statistical test. The results showed that the least number of bacterial colonies was found at a concentration of 3.125%, namely 8.75. Conclusion: Lime juice (Citrus aurantifolia) has an antibacterial effect by inhibiting the growth of Prevotella intermedia at a concentration of 3.125% and can kill the growth of Prevotella intermedia at a concentration of 6.25%.
Antibacterial Effectiveness of Lemon (Citrus limon (L.) Osbeck) Peel Extract against Porphyromonas gingivalis Azkya D. M. Latupeirissa; Calvin Kurnia; Vinna K. Sugiaman
e-GiGi Vol. 10 No. 2 (2022): e-GiGi
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/eg.v10i2.39786

Abstract

Abstract: Periodontitis is an inflammatory disease caused by microorganisms resulting in progres-sive damage of periodontal tissue. One of the main pathogens is Porphyromonas gingivalis. Periodontal disease can be treated with antibiotics but they have side effects and cause bacterial resistance. Herbal plants that can be used as alternative medicine, inter alia, lemon peel (Citrus limon (L.) Osbeck). Its active compounds such as flavonoids, tannins, steroids, and triterpenoids have antibacterial effects. This study aimed to determine the antibacterial effectiveness of the ethanolic extract of lemon peel (Citrus limon (L.) Osbeck) against Porphyromonas gingivalis in several concentrations of 0.625%, 1.25%, 2.5%, 5%, and 10%.  The method used in this study was the broth microdilution test to determine the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) based on the Clinical and Laboratory Standards Institute (CLSI). The results showed that MIC was at a concentration of 2.5% with an inhibition result of 75.80% and MBC at a concentration of 10% with an inhibition result of 99.53%. In conclusion, lemon peel extract (Citrus limon (L.) Osbeck) had antibacterial effectiveness against Porphyromonas gingivalis.Keywords: lemon peel extract (Citrus limon (L.) Osbeck; periodontitis; Porphyromonas gingivalis Abstrak: Periodontitis merupakan penyakit inflamasi yang disebabkan oleh mikroorganisme sehingga terjadinya kerusakan progresif pada jaringan periodontal. Salah satu patogen utama ialah Porphyromonas gingivalis. Penyakit periodontal dapat diobati dengan antibiotik namun memiliki efek samping dan resistensi bakteri. Tumbuhan herbal yang dapat digunakan sebagai pengobatan alternatif ialah kulit jeruk lemon (Citrus limon (L.) Osbeck) yang memiliki senyawa aktif seperti flavonoid, tanin, steroid dan triterpenoid yang mengandung efek antibakteri. Penelitian ini bertujuan untuk mengetahui efektivitas antibakteri ekstrak etanol kulit jeruk lemon (Citrus limon (L.) Osbeck) terhadap Porphyromonas gingivalis pada konsentrasi 0,625%, 1,25%, 2,5%, 5%, dan 10%. Metode yang digunakan ialah uji broth microdilution untuk menentukan konsentrasi hambat minimum (KHM) dan konsentrasi bunuh minimum (KBM) berdasarkan Clinical and Laboratory Standards Institute (CLSI). Hasil penelitian pada berbagai konsentrasi yang diujikan menunjukkan bahwa KHM berada pada konsentrasi 2,5% dengan hasil inhibisi 75,80% dan KBM pada konsentrasi 10% dengan hasil inhibisi 99,53%. Simpulan penelitian ini ialah ekstrak kulit jeruk lemon (Citrus limon (L.) Osbeck) memiliki efektivitas antibakteri terhadap Porphyromonas gingivalis.Kata kunci: ekstrak kulit jeruk lemon (Citrus limon (L.) Osbeck; periodontitis; Porphyromonas gingivalis
Efek Antibakteri Ekstrak Etanol Bunga Telang (Clitoria ternatea) terhadap Bakteri Porphyromonas gingvivalis Sinaga, Nadya Atalia; Kurnia, Calvin; Sugiaman, Vinna Kurniawati
E-Prodenta Journal of Dentistry Vol 8 No 1 (2024)
Publisher : Fakultas Kedokteran Gigi UB

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.eprodenta.2024.008.01.2

Abstract

Pendahuluan: Periodontitis merupakan penyakit inflamasi yang disebabkan oleh infeksi jaringan pendukunggigi. Salah satu bakteri yang terdapat dalam penyakit periodontitis adalah Porphyromonas gingivalis (P.gingivalis) yang dapat menghancurkan jaringan pendukung gigi. Bunga telang (Clitoria ternatea) memilikikandungan biologi aktif seperti flavonoid, saponin, steroid, triterpenoid, dan tanin yang memiliki sifatantibakteri, antioksidan, antidiabetes, dan antiinflamasi. Tujuan: untuk mengetahui efek antibakteri ekstraketanol bunga telang terhadap P. gingivalis. Metode: Penelitian ini menggunakan metode difusi cakram padamedia Mueller Hinton Agar (MHA) yang dibagi menjadi 9 kelompok perlakuan, kemudian dilakukan pengukurandiameter zona hambat menggunakan jangka sorong. Analisis statistik pada penelitian ini dilakukanmenggunakan Analisys of Vanians (ANOVA). Hasil: rata-rata daya hambat pertumbuhan P. gingivalis tertinggipada kelompok kontrol positif sebesar 27,70mm dan berbeda signifikan dengan daya hambat pada konsentrasi25%, 50%, 75%, dan 100%. Rata-rata tertinggi kedua terjadi pada kelompok dengan konsentrasi 100%sebesar 23,70%, diikuti berturut-turut oleh kelompok dengan konsentrasi 75% sebesar 19,47mm, konsentrasi50% sebesar 16,72% dan konsentrasi 25%. Kesimpulan: ekstrak etanol bunga telang (Clitoria ternatea)dapat menghambat pertumbuhan P. gingivalis pada konsentrasi 100% dengan hasil rata-rata diameter zonahambat sebesar 23,067%.
The influence of chlorhexidine gluconate and povidone iodine on the minimum inhibitory cencentration and quantitative of streptococcus mutans Apriani, Anie; Mandalas, Henry Yonatan; Kurnia, Calvin; Rahmawati, Dicha Yuliadewi; Lison, Thio; Mulyadi, Nabila
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.%p

Abstract

Background: An imbalance in the normal flora of the oral cavity can cause dental caries. The prevalence of caries in primary teeth in Indonesia which experiences caries is 90.2%, which shows that the prevalence of caries is still quite high. One way to prevent bacterial activity is using mouthwash. Chlorhexidine gluconate and Povidone Iodine are antibacterial agents that are effective in inhibiting bacterial growth, through bacteriostatic and bactericidal actions. This study aims to determine whether there is an inhibitory effect of chlorhexidine gluconate and povidone iodine on the growth of Streptococcus mutans (quantity).Method: This study used the broth microdilution method by treating Streptococcus mutans using  0.1 % chlorhexidine gluconate and  1% povidone iodine. The effect of inhibitory power was measured using the broth microdilution technique and the total plate count technique in the form of Colony Forming Units (CFU). Statistical calculations use the Shapiro-Wilk normality test, Levene's homogeneity test and Tukey's Post Hoc test to determine differences between treatments.Result: The results of the research showed that the treatment group in the form of 0.1% chlorhexidine gluconate and 1% povidone iodine had a very significant effect on the growth of bacterial colonies, which was very significant for the growth of Streptococcus mutans bacterial colonies.Conclusion: Chlorhexidine gluconate 0.1% and povidone iodine 1% were effective in reducing the growth of Streptococcus mutans bacteria.
The influence of chlorhexidine gluconate and povidone iodine on the minimum inhibitory cencentration and quantitative of streptococcus mutans Apriani, Anie; Mandalas, Henry Yonatan; Kurnia, Calvin; Rahmawati, Dicha Yuliadewi; Lison, Thio; Mulyadi, Nabila
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.%p

Abstract

Background: An imbalance in the normal flora of the oral cavity can cause dental caries. The prevalence of caries in primary teeth in Indonesia which experiences caries is 90.2%, which shows that the prevalence of caries is still quite high. One way to prevent bacterial activity is using mouthwash. Chlorhexidine gluconate and Povidone Iodine are antibacterial agents that are effective in inhibiting bacterial growth, through bacteriostatic and bactericidal actions. This study aims to determine whether there is an inhibitory effect of chlorhexidine gluconate and povidone iodine on the growth of Streptococcus mutans (quantity).Method: This study used the broth microdilution method by treating Streptococcus mutans using  0.1 % chlorhexidine gluconate and  1% povidone iodine. The effect of inhibitory power was measured using the broth microdilution technique and the total plate count technique in the form of Colony Forming Units (CFU). Statistical calculations use the Shapiro-Wilk normality test, Levene's homogeneity test and Tukey's Post Hoc test to determine differences between treatments.Result: The results of the research showed that the treatment group in the form of 0.1% chlorhexidine gluconate and 1% povidone iodine had a very significant effect on the growth of bacterial colonies, which was very significant for the growth of Streptococcus mutans bacterial colonies.Conclusion: Chlorhexidine gluconate 0.1% and povidone iodine 1% were effective in reducing the growth of Streptococcus mutans bacteria.