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Antibacterial Effect of Lime (Citrus aurantifolia) Peel Extract in Preventing Biofilm Formation Jeffrey Jeffrey; Mieke H Satari; Dikdik Kurnia
Journal of Medicine and Health Vol. 2 No. 4 (2019)
Publisher : Universitas Kristen Maranatha

The routine and long term use of chemicals to maintain oral and dental health have the potency to result in the emergence of side effects; therefore another strategy is needed as an alternative such as using antimicrobial agents extracted from plants. The purpose of this study is to review the effectiveness of lime (Citrus aurantifolia) peel extract as an antibacterial in preventing biofilm formation. Biofilm is a component consisting of bacteria in a self-produced polymeric matrix, attached to an inert surface, alive, and can survive because of its ability to capture nutrients and withstand adverse environmental conditions. Lime peel contains flavonoids which are the largest group of polyphenol compounds that can work as antioxidants and antibacterial by denaturing bacterial cell proteins and damaging bacterial cells. Flavonoids can also inhibit glucosyltransferase (GTF) activity of Streptococcus mutans to prevent biofilm formation. Lime peel extract inhibits the formation of the activity of the enzyme Streptococcus mutans. As a conclusion lime peel extract contains compounds with therapeutic potential and has the effect of inhibiting the formation of the activity of the enzyme Streptococcus mutans so that it can be used to inhibit the formation of biofilms. Keywords: antibacterial, biofilm, Citrus aurantifolia

Retreatment Saluran Akar pada Gigi Anterior Rahang Atas dengan Follow Up Mahkota Komposit Indirek Irfan Fathon; Jeffrey Jeffrey
e-GiGi Vol. 11 No. 2 (2023): e-GiGi
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/eg.v11i2.46434

Abstract: Endodontic treatment aims to eliminate infection, pain, and maintain teeth in the oral cavity. This case report discussed the indication, risks, and case management of root canal retreatment of tooth 61 in a five-year-old patient at the Dental and Oral Teaching Hospital, Cimahi, Indonesia. We reported a five-year-old girl with complaint of a large cavity in her upper anterior tooth since a year ago. She had a root canal treatment but the filling fell out. The treatment was root canal retreatment of maxillary anterior teeth followed by an indirect composite crown replacement. After completion of the treatment, there were no complaints in tooth 61 and the indirect composite crown had well adapted. In this case, retreatment was needed to prevent the risk of infection and pain due to marginal leakage that could occur due to the release of the restoration. Therefore, it was expected that due to pulpal treatment, the primary teeth could be maintained in their position. This aimed to prevent growth and development disorders of the jaw arch, so, it could function properly. In conclusion, retreatment of the root canal in this case aimed to prevent the occurrence of infection caused by the release of restoration on the tooth that had previous endodontic treatment. The ultimate goal of retaining the primary teeth in the oral cavity was to maintain the jaw arch’s esthetics and masticatory function. Keywords: retreatment; root canal; aesthetics; mastication Abstrak: Perawatan endodontik bertujuan untuk mengeliminasi infeksi, rasa nyeri, dan memper-tahankan gigi dalam ronga mulut. Laporan kasus ini membahas mengenai indikasi, risiko, dan penatalaksanaan kasus dari retreatment saluran akar gigi 61 pada pasien anak di Rumah Sakit Gigi dan Mulut Pendidikan (RSGMP). Kasus seorang anak perempuan, 5 tahun dengan keluhan gigi depan atas berlubang besar sejak 1 tahun lalu, pernah dilakukan perawatan saluran akar namun tambalannya terlepas. Perawatan yang dilakukan ialah retreatment saluran akar pada gigi anterior rahang atas dengan follow up mahkota komposit indirek. Setelah selesai dilakukan perawatan, tidak ada keluhan pada gigi 61 dan mahkota komposit indirek telah beradaptasi dengan baik. Retreatment diperlukan pada kasus ini dengan tujuan untuk mencegah terjadinya risiko infeksi dan nyeri akibat kebocoran marginal yang dapat terjadi akibat terlepasnya restorasi. Dengan perawatan pulpa gigi sulung, gigi dapat dipertahankan pada posisinya. Hal ini bertujuan agar tidak terjadi gangguan tumbuh kembang pada lengkung rahang dan dapat berfungsi sebagaimana mestinya. Simpulan kasus ini ialah retreatment saluran akar bertujuan untuk mencegah terjadinya infeksi akibat terlepasnya restorasi pada gigi yang telah dilakukan perawatan endodontik sebelumnya, dengan tujuan akhir mempertahankan gigi sulung di rongga mulut untuk menjaga lengkung rahang, estetika, dan fungsi mastikasi. Kata kunci: retreatment; saluran akar; estetik; mastikasi

Antibacterial Effect of Lime (Citrus aurantifolia) Peel Extract in Preventing Biofilm Formation Jeffrey Jeffrey; Mieke H Satari; Dikdik Kurnia
Journal of Medicine and Health Vol 2 No 4 (2019)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v2i4.1841

The routine and long term use of chemicals to maintain oral and dental health have the potency to result in the emergence of side effects; therefore another strategy is needed as an alternative such as using antimicrobial agents extracted from plants. The purpose of this study is to review the effectiveness of lime (Citrus aurantifolia) peel extract as an antibacterial in preventing biofilm formation. Biofilm is a component consisting of bacteria in a self-produced polymeric matrix, attached to an inert surface, alive, and can survive because of its ability to capture nutrients and withstand adverse environmental conditions. Lime peel contains flavonoids which are the largest group of polyphenol compounds that can work as antioxidants and antibacterial by denaturing bacterial cell proteins and damaging bacterial cells. Flavonoids can also inhibit glucosyltransferase (GTF) activity of Streptococcus mutans to prevent biofilm formation. Lime peel extract inhibits the formation of the activity of the enzyme Streptococcus mutans. As a conclusion lime peel extract contains compounds with therapeutic potential and has the effect of inhibiting the formation of the activity of the enzyme Streptococcus mutans so that it can be used to inhibit the formation of biofilms. Keywords: antibacterial, biofilm, Citrus aurantifolia

Penatalaksanaan Komprehensif Early Childhood Caries: Pendekatan Preventif, Terapeutik, dan Edukasi Orang Tua – Laporan Kasus Faiqa Aliifah; Jeffrey Jeffrey
e-GiGi Vol. 15 No. 1 (2027): e-GiGi
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/tm4t9951

Abstract: Early childhood caries (ECC) is a multifactorial, rapidly progressing dental disease that significantly affects young children's oral health and quality of life. Comprehensive management is essential to control infection, restore function, and prevent recurrence. This case report describes the integrated management of ECC in a pediatric patient through preventive, restorative, and educational approaches. We reported a 4-year-old girl presented with multiple carious lesions in the primary dentition, associated with pain and difficulty in mastication. Clinical and radiographic examinations confirmed extensive caries involvement without systemic complications. Treatment included caries risk assessment, behavior management, restorative procedures, pulp therapy where indicated, topical fluoride application, and parental education focusing on oral hygiene practices and dietary modification. Follow-up evaluation demonstrated satisfactory clinical outcomes, improved oral hygiene status, and enhanced parental compliance. In conclusion, this case highlights the importance of a comprehensive approach combining clinical intervention with caregiver education to achieve long-term success in early childhood caries management. Keywords: comprehensive management; caries prevention; early childhood caries; parental education Abstrak: Early childhood caries (ECC) merupakan penyakit gigi multifaktorial yang berkembang cepat dan secara nyata memengaruhi kesehatan rongga mulut serta kualitas hidup anak usia dini. Penatalaksanaan yang komprehensif sangat penting untuk mengendalikan infeksi, mengembalikan fungsi, dan mencegah kekambuhan. Laporan kasus ini menggambarkan penatalaksanaan ECC secara terintegrasi pada pasien seorang anak perempuan berusia 4 tahun melalui pendekatan preventif, restoratif, dan edukatif. Pasien datang dengan lesi karies multipel pada dentisi sulung yang disertai nyeri dan kesulitan dalam mengunyah. Pemeriksaan klinis dan radiografis mengonfirmasi keterlibatan karies yang luas tanpa komplikasi sistemik. Perawatan meliputi penilaian risiko karies, manajemen perilaku, prosedur restoratif, terapi pulpa sesuai indikasi, perawatan pit and fissure sealant, serta edukasi kepada orang tua yang berfokus pada praktik kebersihan mulut dan modifikasi pola makan. Evaluasi tindak lanjut menunjukkan hasil klinis yang memuaskan, peningkatan status kebersihan mulut, serta kepatuhan orang tua yang lebih baik terhadap anjuran preventif. Simpulan kasus ini ialah pentingnya pendekatan komprehensif yang mengintegrasikan intervensi klinis dan edukasi pengasuh untuk mencapai keberhasilan jangka panjang dalam penatalaksanaan early childhood caries. Kata kunci: penatalaksanaan komprehensif; pencegahan karies; early childhood caries; edukasi orang tua

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