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Oral Health Care Management in Atypical Oral and Cutaneous Bullous Pemphigoid Widowati, Kharinna; Dewanthy P, Sri; Lukisari, Cane; Nafi’ah; Setianingtyas, Dwi; Rahman, Kurnia Hayati; Libriansyah; Riyanto, Eko; Damaiyanti, Dian W; Ayuningtyas, Nurina F.
Denta Journal Kedokteran Gigi Vol 20 No 1 (2026): February
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i1.4

Abstract

Background: Bullous Pemphigoid (BP) is the most common subepidermal bullous autoimmune disease, typically presenting as tense bullae. Atypical presentations of bullous pemphigoid often mimic TEN or impetigo, creating diagnostic ambiguity. Effective management of these cases requires integrated strategies to address systemic health factors and extensive oral mucosal involvement. Objective: This report highlights the Oral Health Care Management of atypical oral and cutaneous manifestations of Bullous Pemphigoid. Case: A 58-year-old woman with a history of Diabetes Mellitus and heart disease was referred with extensive bullae, erosions, and "honey-like" crusts involving over 30% of her body surface area. Her condition worsened despite two weeks of treatment with acyclovir, which was administered for suspected herpes. The presentation was highly suggestive of TEN and impetigo. Case Management: Management of the oral and perioral lesions focused on infection prevention and pain relief. Debridement was performed using sterile gauze soaked in normal saline and 0.2% chlorhexidine. This was followed by the application of Aloevera extract gel/spray. Comprehensive systemic therapy, including corticosteroids and immunosuppressants, was coordinated by a multidisciplinary team to control the autoimmune disease and its comorbidities. Conclusion: The presence of comorbidities, such as diabetes, further complicates systemic management and heightens the risk of secondary infections, requiring meticulous wound care. A multidisciplinary diagnostic algorithm, supported by supplementary examinations, is crucial for differentiating atypical BP from TEN and impetigo infection. Adequate management of associated oral and perioral manifestations is an integral component of comprehensive patient care.
Risk based management of carious lesions in conservative dentistry: an evidence-informed review Eveline Yulia Darmadi; Yessy Andriani Fauziah; Diana Soesilo; Dwi Setianingtyas; Cindy Hendrawan; Dian Agustin Wahjuningrum
Conservative Dentistry Journal Vol. 16 No. 1 (2026): January-June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v16i1.2026.23-27

Abstract

Background: Carious lesions remain one of the most prevalent chronic oral diseases and continue to represent a major indication for operative intervention in conservative dentistry. Variability in diagnostic interpretation and treatment thresholds may compromise long-term outcomes when lesion activity and patient-related risk factors are not systematically considered. Contemporary clinical practice increasingly emphasises risk-based management strategies to enhance biological preservation and improve restorative predictability. Purpose: This evidence-informed review aims to examine current concepts and clinical implications of risk-based diagnostic assessment and treatment planning in the management of carious lesions within conservative dentistry. Reviews: The literature indicates that integration of lesion activity evaluation, individualised caries risk profiling, structured diagnostic systems, and adjunct digital technologies contributes to more consistent and minimally invasive treatment decisions. Risk-oriented approaches support preservation of remineralizable tissues, reduce unnecessary operative procedures, and enhance restoration longevity when combined with preventive reinforcement. Contemporary frameworks encourage a shift from procedure-centred intervention toward patient-centred disease control based on susceptibility and biological criteria. Conclusion: Risk-based management provides a rational and biologically grounded foundation for treating carious lesions in conservative dentistry. Incorporation of individualised risk assessment and lesion activity evaluation into routine clinical protocols strengthens treatment predictability, promotes tissue preservation, and supports sustainable restorative outcomes.
EFEKTIVITAS EDUKASI KESEHATAN GIGI DENGAN METODE TRAIN THE TRAINERS DALAM MENINGKATKAN PENGETAHUAN GURU DAN WALI MURID SD YAPITA SURABAYA: EFFECTIVENESS OF DENTAL HEALTH EDUCATION USING THE TRAIN THE TRAINERS METHOD IN IMPROVING THE KNOWLEDGE OF TEACHERS AND PARENTS OF YAPITA ELEMENTARY SCHOOL SURABAYA Andriani, Dwi; Twi Agnita Cevanti; Nora Lelyana; Aprilia; Dianty Saptaswari; Bambang Sucahyo; Dwi Setianingtyas; Nafiah; Henu Sumekar; Arya Brahmanta; Shintya Rizki Ayu Agitha; Sularsih; Yufita Fitriani; Vivin Ariestania; Arifzan Razak
Jurnal Pengabdian Masyarakat Pesisir VOLUME 4 NOMOR 1
Publisher : Universitas Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/jpmp.v4i1.137

Abstract

Dental and oral problems in Indonesian children are caused by low knowledge, comprehension, and behavior that ignores dental and oral health maintenance, resulting in tooth and mouth damage. This activity is in partnership with SD Yapita which is a school supported by the Faculty of Dentistry, Hang Tuah University. The aim is to prepare parents and teachers of Yapita Elementary School students to become ambassadors for oral and dental hygiene so that they can become mentors for their children or students. This method is carried out online and offline from classes 1 to 6 using a simple random sampling technique. The results were statistically analyzed using the Paired T-test. The average pre-test score from the teacher was 60 and the parents were 56, while the post-test result from the teacher was 84 and the parents was 85. The results of the data analysis were normally distributed (p>0.05) followed by the Paired correlation test T-test. The results show a relationship between the pre and post-test of teachers and parents. This shows that this educational activity can increase the knowledge of teachers and parents so that they can become ambassadors of oral and dental hygiene to their children or students.
Chlorine Dioxide as an Adjunctive Oral Rinse for Burning Mouth Syndrome: A Case Series Rahman, Kurnia Hayati; Lukisari, Cane; Nafiah, Nafiah; Setianingtyas, Dwi; Priambodo, Nur Tsurayya; Widowati, Kharinna; Bhawal, Ujjal K.
Denta Journal Kedokteran Gigi Vol 20 No 2 (2026): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i2.4

Abstract

Background: Burning Mouth Syndrome (BMS) is a chronic orofacial pain disorder characterized by a persistent burning sensation of the oral mucosa in the absence of clinically observable lesions. BMS is classified into primary (idiopathic), often associated with neuropathic or psychogenic factors, and secondary forms linked to identifiable local or systemic conditions. Objective: This report describes a case of BMS with overlapping etiologies and evaluates the role of chlorine dioxide as a supportive agent in symptom management. Case: A patient with type 2 diabetes mellitus presented with a persistent burning sensation in the oral cavity without any clinical abnormalities. The condition was diagnosed as a combination of primary BMS with a psychogenic component and secondary BMS associated with diabetic neuropathy. Case Management: Management focused on symptomatic relief and improving oral mucosal comfort. Chlorine dioxide was administered as supportive therapy to enhance oral hydration and provide a soothing effect on the mucosa. The patient reported improvement in burning symptoms following its use. Discussion: BMS is a multifactorial condition requiring comprehensive evaluation of neuropathic, systemic, and psychological factors. In this case, the coexistence of psychogenic components and diabetic neuropathy highlights the complexity of diagnosis and management. Supportive therapy using chlorine dioxide may contribute to symptom alleviation through its hydrating and soothing properties, although its mechanism and efficacy remain insufficiently established. Therefore, a multidisciplinary approach is essential for the effective management of BMS, and further studies are needed to validate the clinical benefits of chlorine dioxide in BMS management.
Potential Effects Of Astaxanthin Gel On The Diameter Measurement Of Oral Cavity Ulcers In A Diabetic Rat Model Siti Shofia Hidayati; Dwi Andriani; Dwi Setianingtyas
Jurnal Medali Vol 8, No 2 (2026): Media Dental Intelektual : August 2026
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.8.2.180-187

Abstract

Background: Diabetes mellitus causes complications, prolongs the wound-healing phase, and manifests in the oral cavity as Recurrent Aphthous Stomatitis (SAR). Astaxanthin is a natural compound with antioxidant and anti-inflammatory properties that support ulcer healing in diabetes. This study aims to determine the effect of 1% astaxanthin gel, compared with commercial 0.2% hyaluronic acid gel, on the diameter of oral ulcers on days 3, 5, and 7 in rats with diabetes mellitus.Method: The experimental animals were 18 Wistar Rattus norvegicus rats, randomly divided into 3 research groups, induced with STZ, followed by ulcer creation in the oral cavity. The treatment groups were K1 (gel base group), K2 (0.2% hyaluronic acid gel group), and P (1% astaxanthin gel group). Ulcers were measured with digital calipers. Data were analyzed on days 3 and 5 using the Kruskal-Wallis test followed by the Mann-Whitney test, and on day 7 using one-way ANOVA with the LSD post hoc test. Result: The Kruskal-Wallis test showed a significant difference (p<0.05) in ulcer diameter on days 3 and 5. The One-Way ANOVA showed a significant difference (p<0.05) in ulcer diameter on day 7.Conclusion: Both treatments with gel astaxanthin 1% and commercial hyaluronic acid 0,2% affected the diameter of oral ulcers in rats with diabetes mellitus on days 3, 5, and 7. Astaxanthin gel had the best effects compared to all groups.
Radiographic Dental Treatment Patterns On Panoramic Radiographs as Supportive Markers for Forensic Human Identification Yessy Andriani Fauziah; Eveline Yulia Darmadi; Dwi Setianingtyas; Emy Khoironi; Fuad Al-Sabri; Farouk Al-Ghazaly; Cindy Hendrawan; Wahyuni Dyah Parmasari
Dentino: Jurnal Kedokteran Gigi Vol 11, No 2 (2026)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v11i2.26268

Abstract

Background: Panoramic radiographs provide comprehensive visualization of dental structures and treatment findings that may support forensic human identification through antemortem and postmortem comparisons.Purpose: This study aimed to evaluate radiographic dental treatment patterns on panoramic radiographs and their potential role as supportive markers for forensic human identification. Methods: This retrospective observational study evaluated 100 digital panoramic radiographs of subjects aged 21–40 years obtained from a dental radiology database. Radiographic variables including missing teeth, dental caries, dental restorations, impacted teeth, endodontic treatment, residual roots, and periapical lesions were assessed using standardized radiographic interpretation procedures. Descriptive statistics and Chi-square analysis were performed to evaluate associations between radiographic dental treatment patterns, age group, and sex. Results:Impacted teeth represented the most frequent radiographic finding (84.0%), followed by missing teeth (60.0%) and dental caries (52.0%). Significant associations were identified between age group and dental caries (p=0.048), dental restorations (p=0.036), and impacted teeth (p=0.006). Subjects aged 31–40 years demonstrated higher frequencies of dental caries and dental restorations, whereas impacted teeth were more prevalent among subjects aged 21–30 years. No statistically significant association was identified between sex and radiographic dental treatment patterns (p>0.05). Frequency combination analysis demonstrated considerable variation in radiographic dental treatment combinations among individuals. Conclusion: Panoramic radiographic dental treatment patterns may provide supportive forensic information in human identification because combinations of radiographic findings and previous dental treatment history may demonstrate considerable individual variation.
DETERMINANTS OF DELAYED DENTAL CARIES TREATMENT IN CONSERVATIVE DENTISTRY Eveline Yulia Darmadi; Yessy Andriani Fauziah; Cindy Hendrawan; Diana Seosilo; Dwi Setianingtyas
HEARTY Vol 14 No 5 (2026): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i5.24034

Abstract

Dental caries is a frequent concern in conservative dentistry because untreated lesions can progress from early enamel or dentin involvement to pulpal disease and extensive tooth structure loss. In many adult patients, dental care is postponed until pain, visible cavitation, or functional discomfort appears, limiting the opportunity for minimally invasive treatment. This review aims to analyze the determinants of delayed dental caries treatment in conservative dentistry. A literature review was conducted using peer-reviewed journal articles published between 2017 and 2026 from PubMed, ScienceDirect, Google Scholar, Garuda, BMC Oral Health, MDPI, PLOS ONE, and other open-access databases. The reviewed literature focused on dental caries, delayed treatment, oral health literacy, dental anxiety, perceived need for care, socioeconomic barriers, and access to dental services. The findings indicate that delayed treatment is commonly associated with limited understanding of caries progression, fear of dental procedures, low perceived urgency, treatment costs, and barriers to dental service utilization. These determinants may increase the risk of advanced carious lesions and reduce the effectiveness of conservative dental management. Early diagnosis, patient-centered education, and better access to conservative dental care are needed to support timely treatment and preserve natural tooth structure.
Dental Treatments Patterns as Radiogrpahic Markers for Forensic Identification Yessy Andriani Fauziah; Eveline Yulia Darmadi; Ida Bagus Adhiana Wijaya; Christian Victor Budikusuma; Dwi Setianigtyas; Cindy Hendrawan; Adrianto Budiharjo
PROMOTOR Vol. 9 No. 5 (2026): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i5.3205

Abstract

Forensic dental identification is primarily based on the comparison of antemortem and postmortem dental records to identify characteristics that may support individual recognition. Dental treatments can strengthen this comparison because their location, distribution, configuration, radiographic characteristics, and combinations may produce patterns that are relatively distinctive for each person. This narrative review evaluates the forensic significance of dental restorations as radiographic markers, focusing on morphological comparison, the radiographic visibility of restorative materials, changes associated with treatment over time, three dimensional imaging, and developing computational methods. Current evidence indicates that restorative findings have greater forensic value when assessed together with the overall dental profile rather than considered independently. Conventional dental radiographs remain particularly valuable because they are commonly available in antemortem clinical records, while cone beam computed tomography and postmortem computed tomography can provide additional spatial and structural information. Advances in artificial intelligence and image analysis may further facilitate the detection and comparison of treatment features. Nevertheless, their direct forensic application still requires further validation. Therefore, dental restorations are best interpreted as complementary comparative evidence supported by reliable records, concordant dental findings, and professional assessment.
Potential Effects Of Astaxanthin Gel On The Diameter Measurement Of Oral Cavity Ulcers In A Diabetic Rat Model Siti Shofia Hidayati; Dwi Andriani; Dwi Setianingtyas
Media Dental Intelektual Vol. 8 No. 2 (2026): Media Dental Intelektual : August 2026
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.8.2.180-187

Abstract

Background: Diabetes mellitus causes complications, prolongs the wound-healing phase, and manifests in the oral cavity as Recurrent Aphthous Stomatitis (SAR). Astaxanthin is a natural compound with antioxidant and anti-inflammatory properties that support ulcer healing in diabetes. This study aims to determine the effect of 1% astaxanthin gel, compared with commercial 0.2% hyaluronic acid gel, on the diameter of oral ulcers on days 3, 5, and 7 in rats with diabetes mellitus.Method: The experimental animals were 18 Wistar Rattus norvegicus rats, randomly divided into 3 research groups, induced with STZ, followed by ulcer creation in the oral cavity. The treatment groups were K1 (gel base group), K2 (0.2% hyaluronic acid gel group), and P (1% astaxanthin gel group). Ulcers were measured with digital calipers. Data were analyzed on days 3 and 5 using the Kruskal-Wallis test followed by the Mann-Whitney test, and on day 7 using one-way ANOVA with the LSD post hoc test. Result: The Kruskal-Wallis test showed a significant difference (p<0.05) in ulcer diameter on days 3 and 5. The One-Way ANOVA showed a significant difference (p<0.05) in ulcer diameter on day 7.Conclusion: Both treatments with gel astaxanthin 1% and commercial hyaluronic acid 0,2% affected the diameter of oral ulcers in rats with diabetes mellitus on days 3, 5, and 7. Astaxanthin gel had the best effects compared to all groups.
Co-Authors Ade Puspa Sari Adrianto Budiharjo Afryla Femilian Aprilia Arifzan Razak Arya Brahmanta Arya Brahmanta Arya Brahmanta, Arya Astrid P Aulia, Della Ayu A, Shintya Rizki Ayuningtyas, Nurina F. Bagus Soebadi Bambang Sucahyo Bhawal, Ujjal K. Bunga Fauzia Caecilia Indarti Cane Lukisari Cane Lukisari Cane Lukisari, Cane Christian Victor Budikusuma Cindy Hendrawan Cindy Hendrawan Damayanti, Desak Made Feby Desiana Raditya Dewanthy P, Sri Dian Agustin Wahjuningrum Dian Mulawarmanti, Dian Dian W Damaiyanti, Dian W Diana Seosilo Diana Soesilo Dimas Iman Dwi Andriani Dwi Andriani, Dwi Elidasari, Monika Emy Khoironi Erni Marlina Eveline Yulia Darmadi Farouk Al-Ghazaly Fauzia, Bunga Felicia Eda Haryanto Felicia Eda Haryanto Femilian, Afryla Fitria Rahmitasari Fuad Al-Sabri Hartono, Mardiyanto Riski Henu Sumekar Ida Bagus Adhiana Wijaya Iman, Dimas Irmawati, Ari Rosita Isidora KS Iwan Hernawan Kharinna Widowati, Kharinna Kristanti Parisihni Kurnia Hayati Rahman Kusumawardani, Chaterina Diyah Nanik Laihad, Fanny M. Lestari, I.G.A.M Oka Lestari, Oka Libriansyah Mintarsih Djamhari K Mintarsih Djamhari K N. Nafiah Nafi'ah Nafi'ah . Nafi?ah, Nafi?ah Nafiah Nafiah Nafiah Nafiah, Nafiah Nafi’ah Nafi’ah Nafi’ah Nafi’ah, Nafi’ah Neken Prasetyaningtyas Nina Nilawati Nora Lelyana Oka Lestari Panky Hermawan Pargaputri, Agni Febrina Paulus Budi Teguh Priambodo, Nur Tsurayya Puguh Bayu Prabowo, Puguh Bayu Putra, Ramadhan Hardani Rima Parwati Sari, Rima Parwati Riyanto, Eko Saptaswari, Dianty Saptaswari, Dianty Setya i Wardan Setya Wardani Shintya Rizki Ayu Agitha Siti Shofia Hidayati Sularsih Syamsulina Revianti Tantra, Ivan Twi Agnita Cevanti Vivin Ariestania W, Widyastuti Wahyuni Dyah Parmasari, Wahyuni Dyah Widyasri Prananingrum Yemy Ameliana Yessy Andriani Fauziah Yoyada, Novendy Yudhistira Prawira Utama Yufita Fitriani Yulie Emilda, Yulie