Adam Mardiana
Lecture of Periodontology department, faculty of dentistry, Hasanuddin university, Indonesia

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STRES DAN PENYEMBUHAN LUKA PERIODONTAL Azizah Azizah; Adam Mardiana
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 8, Nomor 2, September 2021 (Special Edition)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v8i2.890

Abstract

Introduction: A periodontal treatment includes surgical and nonsurgical therapy which the successful wound healing after periodontal treatment is influenced by many local and systemic factors. One systemic factor that influences healing is stress. Recent studies have shown that stress plays a role in predicting the severity of pain, periodontal disease, and can even inhibit wound healing. This article aims to review how stress inhibits periodontal wound healing. Review: Stress can occur as a result of stressors or external pressures in the form of household conflicts, financial problems, the death of the closest person referring to emotional and physiological reactions, exceeding one's ability to deal effectively with the situation. The process of healing periodontal tissue is divided into two processes, namely regeneration, and repair. Wound healing in periodontal tissue is the same process that occurs in other parts of the body. Research on the effects of stress on healing periodontal wounds has been carried out. Stress induces glucocorticoid production. Increased cortisol hormone can inhibit the formation of collagen, thinning capillary blood vessels and preventing the formation of new bone. Psychological stress is associated with increased interleukin IL-1β and IL-6 in the gingival crevicular fluid. Other studies have shown that increased stress causes the development of periodontal inflammation due to an increase in IL-1, IL-4, and IL-8 which results in greater periodontal damage. Conclusion: From this literature review it can be concluded that stress inhibits periodontal wound healing.
Diabetes Mellitus as a risk factor for dental implant placement Sri Wahyu Putri; Adam Mardiana
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 8, Nomor 2, September 2021 (Special Edition)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v8i2.891

Abstract

Introduction: Currently dental implants are a prosthetic treatment that many patients are interested in replacing missing teeth because they are considered to be more stable in restoring the function of rehabilitation mastication. The success of implant treatment is determined by various factors, one of which is systemic disease. Diabetes mellitus (DM) is a chronic disease that is accompanied by hyperglycemia and causes various side effects, and is one of the risk factors that can have an impact on the installation of dental implants. Objective: To evaluate whether dental implants can be installed in patients with DM. Literature review: A literature search was conducted using Pubmed to find research and review articles on the use of implants in patients with DM published until September 2019. Searches were conducted during October 2019. Discussion: Patients with DM are more susceptible to periodontal disease compared to patients without DM. Patients with uncontrolled diabetes are more prone to complications after implant therapy than patients with controlled diabetes. Good glycemic control can increase osseointegration and implant success. Conclusion: Dental implant placement can be done in DM patients with good metabolic control as in patients without DM.