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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 Dentomaxillofacial Science Journal of Indonesian Dental Association Padjadjaran Journal of Dental Researchers and Students Interdental Jurnal Kedokteran Gigi (IJKG) Journal of Health and Dental Sciences Cakradonya Dental Journal Jurnal of Syiah Kuala Dentistry Society

Ira Komara

Departemen Periodonsia, Fakultas Kedokteran Gigi, Universitas Padjadjaran

Author-ID : 573734

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Published : 28 Documents Claim Missing Document

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Photodynamic Therapy As Adjunctive Therapy In Patients With Periodontitis Accompanied By Diabetes. A Scoping Review Nida Ul Azkiya; Hanna Adianita; Ira Komara; Chandra Andi Bawono
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 1 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i1.9531

Introduction: Periodontitis is a multifactorial disease that causes inflammation and affects the tooth-supporting tissues, characterized by loss of periodontal tissue attachment and bone destruction. The main cause of periodontitis is periopathogenic bacteria, but systemic conditions can be risk factors for the development and severity of periodontal disorders. This study aimed to describe the effect of photodynamic therapy as an adjunctive therapy for periodontitis patients with diabetes. Review: Diabetes mellitus (DM) and periodontitis are complex diseases with a bidirectional relationship, and can increase the risk of periodontitis and periodontal inflammation affecting glycemic control. This study is a literature review using the scoping review method, with a systematic approach to map, analyze, and summarize previous research evidence. The article search used Pubmed, ScienceDirect, EBSCOhost, Researchgate, and Taylor and Francis Online databases from 2013 to 2023 with the inclusion criteria of articles from 2013 to 2023 that discussed the effect of photodynamic therapy as an adjunctive therapy in cases of periodontitis accompanied by diabetes mellitus. Five databases were used for the search method and four relevant studies were identified that stated that photodynamic therapy as an adjunctive therapy has a positive effect on the management of periodontitis in diabetic patients based on clinical and biochemical parameters. Conclusion: Photodynamic therapy showed positive results as adjunctive therapy in many cases of periodontitis with diabetes.

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 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

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

Socket preservation Nurhaeini, Caecilia Susetya Wahyu; Komara, Ira
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Faculty of Dentistry Universitas Padjadjaran

Alveolar ridge will commonly decrease in volume and change morphologically, as a result of a tooth loss. These changes are usually clinically significant and can make placement of a conventional protesa or an implant more difficult. Socket preservation after tooth extraction can minimize ridge resorption. By using socket preservation techniques, it is possible to preserve the height and width of the ridge. Socket preservation can be done by atraumatic tooth extraction, placement of bone graft material, membrane, combination of bone graft and membrane, and connective tissue graf.

Dentin hypersensitive: Ethiology and treatment Utami, Nuryanni Dihin; Komara, Ira
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Universitas Padjadjaran

Dentin hypersensitivity is a response in exposed dentine with a symptom of clinically sharp and short pain. This condition may occur to exposed dentine due to gingival recession or enamel loss. Dentin hypersensitivity treatment aimed to either occlude the open dentinal tubules or block the neural response of the pulp. Invasive treatment are pulpectomy, restoration or surgery, while non invasive treatment are usually done by using tooth paste or mouthwash which is added by desensitizing agent

Hard tissue augmentation for alveolar defects before implant placement Rochmawati, Mutia; Komara, Ira
Padjadjaran Journal of Dentistry Vol 28, No 1 (2016): March 2016
Publisher : Faculty of Dentistry Universitas Padjadjaran

Background. Often when planning implant therapy, there is a need to augment or replace bone that has been lost. The alveolar defects may occur as a result of tooth loss due to extraction, advanced periodontal diseases or trauma, long term use of removable appliances, dehiscence and fenestration defects, developmental defects/clefts, congenitally missing teeth and odontogenic cysts and tumors. Insufficient bone volume can be brought about by hard tissue augmentation. This techniques have led to increased predictability in reconstruction of alveolar ridge defects and functional implant placement. Purpose. To describe the methods of hard tissue augmentation which can be done with block grafts (autografts and allografts), particulate grafts (cortical and cancellous), xenografts, or synthetic materials. Review. The reconstruction of a normal alveolar housing, in height and width, is imperative to achieve a harmonious balance between biology, function, and aesthetics. Depending on the size and morphology of the defect, horizontal or vertical, various augmentation procedures can be used. Soft tissue management is a critical aspect of hard tissue augmentation procedures. Incisions, reflection, and manipulation should be designed to optimize blood supply and wound closure. The design and management of mucoperiosteal flaps must consider the increased dimensions of the ridge after augmentation as well as esthetics and approximation of the wound margins. The surgical procedure needs to be executed with utmost care to preserve the maximum vascularity to the flap and minimize tissue injury. Conclusion. Alveolar ridge defects can be classified by using Seibert’s classification or HVC System. The treatment of alveolar ridge defect before implant placement can be done with hard tissue augmentation.

Dietary habit of chronic periodontitis patients based on Balanced Nutrition Guidelines from the Ministry of Health of the Republic of Indonesia Kono, Ghinda Nevithya; Hendiani, Ina; Komara, Ira
Padjadjaran Journal of Dentistry Vol 33, No 1 (2021): March 2021
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no1.15404

Introduction: Prevalence of the periodontal disease in Indonesia is 73.1%; one of them is periodontitis. Periodontitis is an inflammation of the tooth-supporting tissue caused by specific microorganisms or a specific group of microorganisms, destroying the periodontal ligament and alveolar bone with increased of clinical attachment loss. Chronic periodontitis patients generally have a poor dietary habit. This study was aimed to describe the dietary habit of chronic periodontitis patients at Universitas Padjadjaran Dental Hospital. Methods: The research method used was descriptive survey research. This study's population was diagnosed with chronic periodontitis based on medical records at the Clinics of Periodontics Specialist Program of Universitas Padjadjaran Dental Hospital. The research sample was taken by purposive sampling. The number of samples in this study was taken through the Lemeshow formula A total of 43 research respondents who met the inclusion and exclusion criteria. Respondents were asked to fill out a questionnaire regarding their diet. Results: This study showed that the study respondents were averagely consumed three portions of staple food, two portions of side dishes, one portion of vegetables, and one portion of fruits. Conclusion: Dietary habit of chronic periodontitis patients are mostly not following the Balanced Nutrition Guidelines from the Ministry of Health of the Republic of Indonesia regarding the types of staple foods, side dishes, vegetables, and fruits.

Association between Handgrip Strength and Oral Hygiene Skills Among The Older People in Rural Area: A Pilot Study Sari, Kartika Indah; Rizki, Friska Nur; Komara, Ira; Ong, Paulus Anam; Purba, Ambrosius; Widyaputra, Sunardhi
Journal of Indonesian Dental Association Vol 4 No 2 (2021): October
Publisher : Indonesian Dental Association

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

Introduction: The aging process is characterized by a decrease in muscle mass and muscle strength. It causes the deterioration of handgrip muscles. Diminishing handgrip strength can impact the activities of daily life, including the maintenance of oral hygiene. A toothbrush handle must be gripped firmly enough to remove plaque. Objectives: The aim of this study was to examine handgrip muscle strength and oral hygiene skills in the elderly. Methods: This study was a correlational analysis using a cross-sectional study design with a consecutive sampling technique of the elderly. The study was conducted in the rural village of Sinartanjung, Banjar, West Java, Indonesia. Handgrip strength was measured twice using an Electronic Hand Dynamometer Camry EH 101. Oral hygiene skills were assessed using the O'Leary plaque index to measure plaque control. Data were presented in tables and as percentages. A non-parametric statistical Spearman rank test was used to measure the correlation between handgrip strength and oral hygiene skill. Results: Forty-two the elderly people participated in this study, 31 females (73.80%) and 11 males (26.19%). The average handgrip strength was in the normal category (19.80 ± 7.2) kg and the average plaque index was in the moderate category (0.34 ± 0.16). The Spearman rank correlation test showed a significant correlation between handgrip strength and oral hygiene skills, r=0.521, p=0.000 (p <0.05). Conclusion: Maintained handgrip strength in the elderly ensures an adequate toothbrush grip, thereby improving oral hygiene skills and increasing the amount of plaque that can be removed.

Co-Authors Agus Susanto Alwani, Rania Putri Ambrosius Purba Andi Supriatna Annisa Ghea Faruchy Banowati, Aulia Puti Nuraini Belly Sam Budhi Cahya Prasetyo Caecilia Susetya Wahyu Nurhaeini, Caecilia Susetya Wahyu Chandra Andi Bawono Dyah Nindita Carolina Endah Mardiati Fahmi Oscandar Faruchy, Annisa Ghea Hanna Adianita Ida Ayu Astuti Ina Hendiani Ina Hendiani Ina Hendiani Ina Hendiani Ina Hendiani, Ina Indra Mustika Setia Pribadi Indra Mustika SP, Indra Izzati Chatyarianti CHANAL Kono, Ghinda Nevithya Mohamad Yoga W Mutia Rochmawati Nevada Vijayanti Savira Nida Ul Azkiya Nita Nurniza Nunung Rusminah Nuryanni Dihin Utami, Nuryanni Dihin Nuzulul Ismi Ong, Paulus Anam Prajna Metta Rahmi Dwi Lestari Rista D Soetikno Ristaniah R. Effendy Rizki, Friska Nur Sari, Kartika Indah Savira, Nevada Vijayanti Setyawan Bonifacius Siti Sopiatin Siti Sopiatin Soertini E Lambri Suhardjo Sitam Suhardjo Sitam, Suhardjo Sunardhi Widyaputra Whildy A. Rifdah Yulia Santi

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