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All Journal International Journal of Integrated Health Sciences Dentika Dental Journal MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Journal of Indonesian Dental Association Padjadjaran Journal of Dental Researchers and Students Journal of Health and Dental Sciences Cakradonya Dental Journal Jurnal of Syiah Kuala Dentistry Society
Ira Komara, Ira
Universitas Padjadjaran
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Relationship between Periodontal Disease Index and Low Birth Weight Babies in Pregnant Women with Periodontitis Ira Komara; Soertini E Lambri; Ina Hendiani
International Journal of Integrated Health Sciences Vol 4, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.909 KB)

Abstract

Objective: To identify the relationship between periodontitis in pregnant women through the periodontal disease index (PDI) and low birth weight babies.Methods: A case-control study was conducted to determine the relationship between periodontitis in pregnant women through the periodontal disease index (PDI) and the low birth weight babies (LBW). The participants were mothers with periodontitis and non-periodontitis mothers aged 20–35 years who gave birth in the Department of Obstetrics and Gynecology-Dr. Hasan Sadikin General Hospital, Bandung in the period of December to January 2005. Results: Based on the chisquare test results a highly significant relationship between periodontitis and low birth weight (p=0.002) was found. The Odd’s ratio showed that the risk of low birth weight in pregnant women with periodontitis was 15.58 times higher compared to those who did not suffer from periodontitis. The periodontal disease index has an accuracy of 88.6% in predicting the incidence of LBW. It strongly influenced the incidence of LBW with a high Odd’s ratio of 28.0. Pregnant women who suffer from periodontitis with a PDI > 3.25, have 19.2 times higher risk for delivering babies with LBW compared to the non-periodontitis mothers. Conclusions: The loss of attachment affects the possibility of delivering LBW babies.Keywords: Periodontitis, periodontal disease index, low birth weight DOI: 10.15850/ijihs.v4n1.681 
Perawatan ortodonti dan bedah open window impaksi gigi insisif permanen pertama rahang atasOrthodontic treatment and open window surgery of impacted maxillary first permanent incisor Endah Mardiati; Ira Komara; Ida Ayu Astuti
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 3 (2021): Desember 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i3.35696

Abstract

Pendahuluan. Impaksi gigi insisif sentral rahang atas merupakan kasus yang sering menjadi keluhan estetika pasien.  Impaksi gigi insisif setral  rahang atas memerlukan perawatan multidipliner oleh ortodontis, spesialis bedah mulut dan periodontis. Perawatan bedah dapat dilakukan secara open window atau closed window bergantung kasus. Laporan kasus: seorang anak perempuan  umur 11 tahun,10 bulan   diantar ibunya datang  ke klinik pribadi dengan keluhan gigi seri rahang atas kanan tidak keluar. Pasien merasa malu karena terlihat tidak bergigi. Pemeriksaan ekstra oral, wajah normal, simetris, profil cembung. Pemeriksaan intra oral, gigi insisif pertama permanen kanan rahang atas (11) tidak ada, pergeseran garis median rahang atas garis ke kanan, deep bite, gigi berjejal di rahang bawah, relasi kaninus dan M1 kelas 1. Pemeriksaan radiografi panoramik, memperlihatkan impaksi gigi 11, odontoma dibawah permukaan servikal gigi 11. Analisis sefalometri: maloklusi dento-skeletal kelas 1. Diagnosis: maloklusi dento-skeletal kelas 1, disertai impaksi gigi insisif 11, odontoma di tepi servikal gigi 11, penyempitan ruang gigi 11, garis median rahang atas bergeser ke kanan, deepbite dan  gigi rahang bawah berjejal. Perawatan: dilakukan dengan alat ortodonti cekat untuk mengembalikan ruang gigi 11,  bedah open window dilanjutkan dengan meretraksi gigi 11 ke dataran oklusal, debonding dan pemasangan alat ortodonti retainer. Kesimpulan: Perawatan  impaksi  gigi insisif 11 menggunakan alat ortodonti cekat dan bedah open window berhasil menarik gigi 11 mencapai dataran oklusal, gigi 11 tetap vital, jaringan periodontal normal, pasien dan orang tuanya merasa sangat puas dengan estetika wajah yang tercapai.
Kondisi periodontal penderita diabetes mellitus tipe IPeriodontal condition of type I diabetes mellitus patients Nevada Vijayanti Savira; Ina Hendiani; Ira Komara
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 2 (2017): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.028 KB) | DOI: 10.24198/jkg.v29i2.18588

Abstract

Pendahuluan: Diabetes mellitus merupakan suatu penyakit gangguan metabolisme karbohidrat, lemak, dan protein yang ditandai dengan hiperglikemia akibat gangguan pada pankreas untuk menghasilkan insulin, terganggunya aktivitas insulin pada tubuh, atau keduanya. Diabetes mellitus berhubungan dengan penyakit periodontal dan berperan sebagai faktor risiko dari gingivitis dan periodontitis. Risiko terjadinya gingivitis dan periodontitis meningkat pada penderita Diabetes mellitus yang tidak terkontrol. Tujuan penelitian untuk mengetahui kondisi periodontal penderita Diabetes mellitus tipe I di beberapa rumah sakit di Kota Bandung. Penelitian ini dilakukan pada 12 penderita Diabetes mellitus tipe I yang berusia antara 21-48 tahun menggunakan indeks CPITN. Metode: Jenis penelitian deskriptif dengan metode survei dilakukan di tiga rumah sakit, yaitu RSUP Dr. Hasan Sadikin, RSUD Ujung Berung, dan RS Al Islam Bandung. Hasil: 50% penderita Diabetes mellitus tipe I menderita gingivitis dan 50% lainnya menderita periodontitis. Simpulan: Penderita Diabetes mellitus tipe I pada penelitian ini seluruhnya menderita penyakit gingivitis dan periodontitis.Kata kunci: Kondisi periodontal, gingivitis, periodontitis, diabetes mellitus tipe I. ABSTRACTIntroduction: Diabetes mellitus is a disease of metabolism of carbohydrates, fats, and proteins characterized by hyperglycemia due to disturbances in the pancreas to produce insulin, disruption of insulin activity in the body, or both. Diabetes mellitus is associated with periodontal disease and acts as a risk factor for gingivitis and periodontitis. The risk of gingivitis and periodontitis increases in patients with uncontrolled diabetes mellitus. The aim of the study was to determine the periodontal condition of type I diabetes mellitus patients in several hospitals in Bandung City. Methods: This study was conducted on 12 patients with type I diabetes mellitus aged between 21-48 years using the CPITN index. The type of descriptive research with survey method was carried out in three hospitals, namely Dr. Hasan Sadikin Hospital, Ujung Berung Hospital, and Al Islam Hospital Bandung. Result: 50% of patients with type I diabetes mellitus suffer from gingivitis and 50% suffer from periodontitis. Conclusion: Patients with type I diabetes mellitus in this study all suffered from gingivitis and periodontitis.Keywords: Periodontal condition, gingivitis, periodontitis, type I diabetes mellitus.
Pengaruh aplikasi gel teh hijau (Camellia sinensis) terhadap kadar total antioxidant capacity (TAOC) sebagai perawatan tambahan dari skeling dan root planing pada pasien dengan periodontitis kronisEffect of green tea (Camellia sinensis) gel application on the total antioxidant capacity (TAOC) levels as adjunct to scaling and root planing in patients with chronic periodontitis Nita Nurniza; Ina Hendiani; Ira Komara
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 2 (2020): Agustus 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i2.27771

Abstract

Pendahuluan: Mekanisme peradangan periodontitis kronis menghasilkan reaksi oksidasi, diketahui melalui kadar total antioxidant capacity (TAOC) cairan sulkus gingiva. Teh hijau dapat menghambat bakteri patogen periodontal sehingga kerusakan jaringan periodontal tidak bertambah parah. Tujuan penelitian adalah menganalisis kadar TAOC sebelum dan sesudah skeling dan root planing disertai gel teh hijau sebagai antioksidan. Metode: Jenis penelitian eksperimen semu, rumus ukuran sampel untuk menguji perbedaan dua rata-rata data tidak berpasangan, setiap subyek memiliki poket ≥ 5 mm, dikelompokkan sisi uji (n=14) dan sisi kontrol (n=14) (split mouth). Pengambilan cairan sulkus gingiva dilakukan pada hari ke-0, 15, dan 30, menggunakan metode absorbing paper strip dengan cara intracrevicular. Kedua sisi dilakukan skeling dan root planing, sisi uji diberikan gel. Hasil: Perbandingan kadar TAOC antara sisi kontrol dan sisi uji pada hari ke-0 (p=0,986), hari ke-15 (p=0,836), dan hari ke-30 (p=0,371) menunjukkan tidak terdapat perbedaan bermakna (p-value>0,05). Perbandingan rerata selisih kadar TAOC dalam kedua kelompok antara hari ke-0 dengan ke-15 (p=0,946), hari ke-0 dengan hari ke-30 (p=0,504), serta hari ke-15 dengan hari ke-30 (p=0,811) jugwa menunjukkan tidak terdapat perbedaan bermakna. Simpulan: Tidak terdapat pengaruh aplikasi gel teh hijau (Camellia sinensis) terhadap kadar total antioxidant capacity (TAOC) pada perawatan periodontitis kronis berupa skeling dan root planing.Kata kunci: Gel teh hijau, periodontitis kronis, skeling dan root planing, total antioxidant capacity (TAOC). ABSTRACTIntroduction: The inflammatory mechanism of chronic periodontitis produces an oxidation reaction, measured through the level of total antioxidant capacity (TAOC) of the gingival crevicular fluid. Green tea can inhibit periodontal pathogenic bacteria so that periodontal tissue damage will not worsen. This study was aimed to analyse the levels of TAOC before and after scaling and root planing with green tea gel as an antioxidant. Methods: The research was quasi-experimental. The sample size formula was used to test the difference between two unpaired data means. Each subject has a pocket ≥ 5 mm, grouped by the test side (n = 14) and the control side (n = 14) (split-mouth). The gingival crevicular fluid was collected on days 0, 15, and 30, using the intracrevicular method with absorbing paper strips. Both sides were treated with scaling and root planing, and the test side was administered with the green tea gel. Results: Comparison of TAOC levels between the control side and the test side on day 0 (p = 0.986), day 15 (p = 0.836), and day 30 (p = 0.371) showed no significant difference (p-value > 0.05). Comparison of the mean difference of the TAOC levels in two groups between day 0 with day 15 was p = 0.946, day 0 with day 30 was p = 0.504, and day 15 with day 30 was p = 0.811; which also showed no significant difference. Conclusion: There is no effect of green tea gel (Camellia sinensis) application on the Total Antioxidant Capacity (TAOC) level in chronic periodontitis treatment in the form of scaling and root planing.Keywords: Green tea gel, chronic periodontitis, scaling and root planing, total antioxidant capacity (TAOC).
FRENECTOMY WITH Z PLASTY TECHNIQUE FOR HIGH ABERRANT FRENUM (FRENEKTOMI DENGAN TEKNIK Z-PLASTY PADA ABERANSIA FRENULUM YANG TINGGI Andi Supriatna; Ira Komara
Journal of Health and Dental Sciences Vol. 1 No. 3 (2022): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.255 KB)

Abstract

An aberrant frenum can cause gingival recession and plaque accumulation due to a muscle pull. It also presents an aesthetic problem and inhibits the orthodontic result in a case with midline diastema, thus causing a recurrence after the treatment. This case report describes how periodontal surgery can accomplish such an aberrant frenum like a frenectomy procedure. This case report shows the abnormal maxillary labial frenum removal in a 21-year-old through the Z-plasty technique. The Z Plasty was made with an angulation of about 60° on the left and right sides of the vertical incision to obtain a double rotational flap. The two flaps were then transposed to the opposite side of the apex of each flap for relief of soft tissue tension. This pattern has shown uneventful healing and minimized scar formation, which was favorable in aesthetics. DOI : 10.54052/jhds.v1n3.p309-316
GINGIVEKTOMI PEMBESARAN GINGIVA PASIEN ORTODONTIK (Laporan Kasus) Siti Sopiatin; Ira Komara; Ina Hendiani; Indra Mustika Setia Pribadi
Cakradonya Dental Journal Vol 13, No 1 (2021): Februari 2021
Publisher : FKG Unsyiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (610.619 KB) | DOI: 10.24815/cdj.v13i1.20914

Abstract

Pembesaran gingiva merupakan keadaan yang sering dijumpai pada pasien yang sedang menggunakan piranti ortodonti cekat. Pada pasien tertentu, penggunaan piranti ortodonti cekat dapat memicu terjadinya pembesaran gingiva yang dapat menyulitkan pemeliharaan kebersihan mulut sehingga menimbulkan terjadinya inflamasi gingiva serta mengganggu fungsi estetik. Pasien wanita usia 18 tahun datang ke Klinik Periodonsia Rumah Sakit Gigi dan Mulut Universitas Padjadjaran dengan keluhan utama gingiva membesar pada seluruh regio rahang bawah sejak ± 1 tahun yang lalu, tidak ada riwayat mengecil, dan tidak terasa sakit. Pada saat pemeriksaan intra oral, gusi rahang atas juga terlihat menutupi sebagian permukaan gigi meskipun tidak tampak membengkak, tetapi menyebabkan gigi terlihat lebih pendek. Pasien menggunakan piranti ortodonti cekat sejak ± 3 tahun yang lalu. Gingivektomi efektif dalam mengatasi pembesaran gingiva pada pasien yang sedang menggunakan piranti ortodonti cekat. Terapi tersebut bertujuan untuk menghilangkan poket gingiva, mencegah inflamasi dan penyakit periodontal tahap lanjut, serta mengembalikan fungsi estetik.
Application of Cameriere Method for Age Determination in the Deutero-Malay Population: Akurasi Metode Cameriere untuk Estimasi Usia pada Populasi Ras Deutero Melayu di Indonesia Sam, Belly; Soetikno, Rista D; Sitam, Suhardjo; Komara, Ira; Banowati, Aulia Puti Nuraini; Alwani, Rania Putri; Oscandar, Fahmi
Dentika: Dental Journal Vol. 25 No. 1 (2022): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v25i1.7368

Abstract

Cameriere introduced a method for determining human age based on the length and width of the open apex from seven permanent left mandibular teeth on a panoramic radiograph. Therefore, this study aims to produce a formula for age determination using Cameriere’s method on panoramic radiographs in the Deutero-Malay subrace population. It was conducted using an analytical design on seven left permanent mandibular teeth from 240 panoramic radiographs with predetermined inclusion and exclusion criteria. The tooth length was measured from the incisal edge/cusp to the tip of the apex (L1-7), then the width of the open apex was measured (A1-7) in millimeters (mm) using open-source Fiji ImageJ. Furthermore, the value of  was obtained by dividing the width of the open apex (A1-7) and tooth length (L1-7), while s was obtained from the sum of  to . N0 is tooth with an apex tip that had closed perfectly. Data were collected and tabulated by gender (g) while the analysis was performed using a linear regression test with IBM statistical software, also, observer reliability was evaluated to determine the variability. The results showed a strong correlation between chronological age and Cameriere’s method variables g, , N0, s, and s*N0 (R=0.899) with the formula AGE = 10,845 + 0,140.g + 1,421.  + 0,297.N0 – 1,284.s – 0,10.s*N0, R2=0.807 and SEE=0.756. Based on the results, Cameriere’s method can be used for age determination in the Deutero-Malay subrace population with panoramic radiographs.
GINGIVEKTOMI PEMBESARAN GINGIVA PASIEN ORTODONTIK (Laporan Kasus) Siti Sopiatin; Ira Komara; Ina Hendiani; Indra Mustika Setia Pribadi
Cakradonya Dental Journal Vol 13, No 1 (2021): Februari 2021
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v13i1.20914

Abstract

Pembesaran gingiva merupakan keadaan yang sering dijumpai pada pasien yang sedang menggunakan piranti ortodonti cekat. Pada pasien tertentu, penggunaan piranti ortodonti cekat dapat memicu terjadinya pembesaran gingiva yang dapat menyulitkan pemeliharaan kebersihan mulut sehingga menimbulkan terjadinya inflamasi gingiva serta mengganggu fungsi estetik. Pasien wanita usia 18 tahun datang ke Klinik Periodonsia Rumah Sakit Gigi dan Mulut Universitas Padjadjaran dengan keluhan utama gingiva membesar pada seluruh regio rahang bawah sejak 1 tahun yang lalu, tidak ada riwayat mengecil, dan tidak terasa sakit. Pada saat pemeriksaan intra oral, gusi rahang atas juga terlihat menutupi sebagian permukaan gigi meskipun tidak tampak membengkak, tetapi menyebabkan gigi terlihat lebih pendek. Pasien menggunakan piranti ortodonti cekat sejak 3 tahun yang lalu. Gingivektomi efektif dalam mengatasi pembesaran gingiva pada pasien yang sedang menggunakan piranti ortodonti cekat. Terapi tersebut bertujuan untuk menghilangkan poket gingiva, mencegah inflamasi dan penyakit periodontal tahap lanjut, serta mengembalikan fungsi estetik.
Association between severity of periodontitis and rheumatoid arthritis Izzati Chatyarianti CHANAL; Agus SUSANTO; Ira KOMARA
Journal of Syiah Kuala Dentistry Society Vol 6, No 2 (2021): December 2021
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v6i2.24192

Abstract

ABSTRACT Many studies have shown a correlation between periodontitis and rheumatoid arthritis, and both areinflammatory diseases that cause damage to their surrounding tissues and have similar characteristics. Periodontitiscan cause an increased erythrocyte sedimentation rate and C-reactive protein in rheumatoid arthritis (RA) patientsand can cause systemic inflammation in RA. This review aims to assess the association between the severity ofperiodontitis and rheumatoid arthritis. The method of this study is scoping review. PRISMA method is used as aguideline for searching and selecting articles using four electronic databases with criteria (P: Population)periodontitis and rheumatoid arthritis patients, (C: Concept) Relationship between periodontitis and rheumatoidarthritis, (C: Context) periodontal medicine. Articles selection based on the inclusion criteria: journals published in2011-2020, research methods using case-control, cohort, or RCT, subjects diagnosed with RA and Periodontitis, andsubjects age at least 18 years old and exclusion criteria are subjects were pregnant and issues diagnosed with otherdiseases. Six articles included one cohort study and five case-control studies. The result showed a positivecorrelation between periodontitis and RA. There is an association between the severity of periodontitis andrheumatoid arthritisKEYWORDS: Periodontitis, periodontal disease, rheumatoid arthritis
The Z-Plasty Technique on the Frenectomy Approach of the Aesthetic Gingival Recession In Frenulum Labial Mandibular Case Nuzulul Ismi; Ira Komara
Journal of Syiah Kuala Dentistry Society Vol 5, No 2 (2020): December 2020
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v5i2.20018

Abstract

The frenulum is an anatomical structure in the oral cavity. Its formed folds of mucosa membranes attach the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. Abberansia frenulum is one of the causes of aesthetic and functional problems such as gingival recession, which occurs either due to plaque control or muscle pull issues. One of the treatment options for the anomaly of the frenulum case is by performing a frenectomy procedure. This paper aimed to explain using the z-plasty technique in abberansia frenulum treatment with hypertrophy frenum associated with midline diastema and short vestibule. A 36-year-old female patient came to Periodontic Clinic in Oral dan Dental Hospital, Universitas Padjajaran, Bandung, Indonesia, with chief complaint pain in 41 teeth, and clinically the gingiva appears recession and short vestibule. This situation is alarming in terms of aesthetics and functionality. The treatment of frenectomy with the z-plasty technique is an indication for this case. The frenectomy with the z-plasty method has shown favorable results in aesthetics and functional appearance. The z-plasty technique helped in reducing soft tissue tension so that it can minimize scar formation
Co-Authors Agus Susanto Alwani, Rania Putri Ambrosius Purba Andi Supriatna Annisa Ghea Faruchy Banowati, Aulia Puti Nuraini Belly Sam Caecilia Susetya Wahyu Nurhaeini, Caecilia Susetya Wahyu Dyah Nindita Carolina Endah Mardiati Fahmi Oscandar, Fahmi Faruchy, Annisa Ghea Ida Ayu Astuti Ina Hendiani Ina Hendiani Ina Hendiani Ina Hendiani, Ina Indra Mustika Setia Pribadi Indra Mustika Setia Pribadi Indra Mustika SP, Indra Izzati Chatyarianti CHANAL Kono, Ghinda Nevithya Mohamad Yoga W Mutia Rochmawati Nevada Vijayanti Savira Nita Nurniza Nunung Rusminah Nuryanni Dihin Utami, Nuryanni Dihin Nuzulul Ismi Ong, Paulus Anam Rahmi Dwi Lestari Rista D Soetikno Rizki, Friska Nur Sari, Kartika Indah Savira, Nevada Vijayanti Setyawan Bonifacius Siti Sopiatin Soertini E Lambri Suhardjo Sitam, Suhardjo Sunardhi Widyaputra Yulia Santi