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Root coverage using modified tunneling technique with acellular dermal matrix for treatment of gingival recession associated with orthodontic treatment: A case report Rosa Pratiwi; Irma Dewi Ratnawati; Agung Krismariono
Odonto : Dental Journal Vol 10 (2023): Special Issue 1. October 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.10.0.47-53

Abstract

Background: Gingival recession has a number of causes, including orthodontic therapy. The degree and extent of gingival recession and orthodontic therapy are strongly correlated. Care must be taken in choosing the best soft tissue grafting technique. Development of a number of new and improved surgical techniques, including the modified tunneling technique. Case Management: A-24-year-old female patient came to Periodontic Clinic Dental Hospital of Airlangga University with a chief complain of gingival recession in mandibular central incisors since 6 months ago. The patient complained about dental sensitivity. The dental history revealed that she had undergone fixed orthodontic therapy for 7 years. She revealed the fixed orthodontic appliance was put off since 8 months ago. The patient concern about her appearance and aesthetic problem. Gingival recession on buccal surface tooth 31 and 41 extending 1,5-2 mm apical of the incisors was found in clinical assessment. This case classified as Miller class III. The doctor planned root coverage procedure using modified tunnel technique. Acellular dermal matrix (Surederm®) was chosen as a gingival graft. Discussion: Creating a "tunnel" through the buccal mucosa to treat gingival recession enables coronal repositioning of the soft tissue with predictable root coverage and a pleasing appearance. Tissue graft implantation is made possible by a horizontal incision. Conclusion: In brief, root coverage using modified tunnel technique is effective and predictable treatment modality. Comparing with other root coverage method it give quite satisfying result. The use of Acellular Dermal Matrix (ADM) considered as an alternative to Connective Tissue Graft (CTG).
Conventional gingivectomy for chronic gingival enlargement in orthodontic treatment: a case report Irma Dewi Ratnawati; Rosa Pratiwi
Odonto : Dental Journal Vol 10 (2023): Special Issue 1. October 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.10.0.69-75

Abstract

Background: Gingival enlargement, also known as gingival overgrowth, is an enlargement of the gum tissue. There are many possible causes for enlarged gums. Gingival enlargement is general feature of gingival diseases. It is common note to chronic inflammatory gingival enlargement was caused by poor of oral hygiene. Orthodontic braces can interfere with good oral hygiene, contributing to the development of the inflammatory process. One of the most common soft tissue problems related to fixed orthodontic appliances is gingival hypertrophy or hyperplasia. Maintaining oral hygiene is hindered in cases of gingival hypertrophy due to orthodontic appliances. The most widely used surgical method to treat gingival hypertrophy is gingivectomy. Case Report : A 27-year-old patient was referred to the periodontal clinic of Airlangga University Dental Hospital because of primary gingival swelling with gingival bleeding during brushing in the anterior mandibular region. On intra oral examination showed excessive gingival with probing depth was range 4 mm on teeth 42-32, revealing the presence of pseudopockets. Clinical examination revealed generalized gingival enlargement as well as generalized bleeding on examination. After explaining the condition and treatment to the patient, he was registered for phase I treatment. After evaluating phase I therapies, phase II treatment with gingivectomy and gingivoplasty were required using a scalpel. Conclusion: Conventional gingivectomy gives satisfactory result in treating the inflammatory gingival enlargement.
Alfa Mangostin Extract (Garcinia Mangostana L) Effectiveness on the Biofilm Thickness Growth of Streptococcus Sanguinis. Rahmawati Sri Praptiningsih; Rosa Pratiwi; tazkia Yustisiani Nurafifah
Odonto : Dental Journal Vol 10 (2023): Special Issue 1. October 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.10.0.7-14

Abstract

Background: Periodontal disease is caused by the accumulation of bacteria from biofilms in the periodontal tissues. Streptococcus sanguinis is one of bacteria lives in biofilm. One of the herbal ingredients that can be used as an antibacterial is the mangosteen fruit (Garcinia mangostana L.), especially the rind of the mangosteen fruit. The main compound in the mangosteen rind is known as alfa-mangostin, the compound alfa-mangostin has anti-bacterial benefits. The purpose of this research is to determine the effectiveness usage of alpha mangostin toward Streptococcus sanguinis biofilm thickness growth. Method: Experimental research design, with post-test only control group design with a sample size of 27. The treatment group consisted of alpha mangostin 3.125, 6.25, and 12.5 g/ml and the control group were distilled water. Measurement of Streptococcus sanguinis biofilm thickness was carried out by ELISA-reader. The statistical test was carried out using the One Way Anova test. Results: The results showed the lowest average thickness of Streptococcus sanguinis with the addition of -mangostin 12.5 g/ml was 0.371, while the thickness of Streptococcus sanguinis with the addition of chlorhexidine was the highest at 1.860. One Way Anova test obtained a significance number of 0.001 (p
PROPOLIS EXTRACT AS ANTI-CORROSIVE AGENT INHIBITS METAL IONIC RELEASE FROM ORTHODONTIC BRACKETS Aditya, Grahita; Wardhana, Erdianto Setya; Hutami, Islamy Rahma; Christiono, Sandy; Pratiwi, Rosa
Dentino: Jurnal Kedokteran Gigi Vol 9, No 1 (2024)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v9i1.18868

Abstract

Background: A combination of nickel (Ni), chromium (Cr), and iron (Fe) can be found in the stainless steel orthodontic bracket. Ion release takes place as a result of the chemical interaction between metals and the oral environment, which leads to the potential of hypersensitivity during fixed orthodontic treatment. Propolis contains phytochemicals that have the ability to reduce corrosion, making it a potential treatment option. Purpose: to determine the release of Ni, Cr, and Fe in metal brackets in an 8.2% propolis solutionMethod: Four sets of six brackets were made from 24 brackets. Artificial saliva, sodium fluoride, sterilized distilled water (aquabidest), and 8.2% propolis were applied to these brackets. After incubating at 37°C for seven days, ICP EOS measured the metal ions Ni, Cr, and Fe. The analysis revealed significant differences (p<0.05) in ionic release of Ni, Cr, and Fe among groups exposed to sterilized distilled water (aquabidest) and an 8.2% propolis solution. Additionally, the Mann-Whitney test showed substantial Ni ion release differences (p<0.05) between 8.2% propolis solution and sterilized distilled water. The 8.2% propolis solution and sodium fluoride solution released Cr ions differently. Fe ion levels differed between propolis solution 8.2%, sodium fluoride solution, sterilized distilled water, and fake saliva. Conclusion:  Propolis affects metal bracket ionic release of Ni, Cr, and Fe. Keywords : Cr and Fe, ions of Ni, propolis solution, Stainless steel bracket
INCREASED KNOWLEDGE ABOUT PLAQUE AND TARTAR IN ELEMENTARY SCHOOL STUDENTS IN KESAMBI VILLAGE, TEGAL REGENCY Ratnawati, Irma Dewi; Pratiwi, Rosa; Mayangsari, Regilia Shinta; Nurazky, Savira; Indrawati, Silvia Vera; Dimas P. P., Muhammad
Jurnal Pengabdian Masyarakat DentMas Vol 1, No 1 (2023): Juni 2023
Publisher : Faculty of Dentistry Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/dentmas.1.1.15-20

Abstract

Background: Dental and oral hygiene is a special concern for school-age children. Children who are not used to keeping their teeth and mouth clean will tend to experience dental problems. This problem begins when an imbalance of mineralization and demineralization in children causes microorganisms to enter the mouth. These microorganisms will stick to and develop on the teeth which begins with the appearance of plaque and tartar in children. Riskesdas 2018 data shows that 93% of children in Indonesia experience cavities. The data shows that the level of awareness to maintain dental and oral hygiene is still low, so educational efforts are needed to increase children's knowledge. This study provides media interventions in the form of posters, 3D media, and video playback to children to attract children's attention to understand and improve dental and oral hygiene behavior. Method: This research method uses an experimental method that is directly given to elementary school students in Kesambi Village, Tegal Regency. The number of students who participated in this was 55 people with an age range of 9 - 12 years. This research started by giving a questionnaire, then giving the material, and filling out the questionnaire. The results of the questionnaire will be processed and entered into the SPSS data. Result: Knowledge before and after the extension intervention has increased as evidenced by a significant increase. This is in accordance with the results of the p-value which shows 0.000, which means that there is a significant difference before and after penuluhan. Conclusion: Based on the results of the study, it can be concluded that counseling about children's plaque and tartar conducted on elementary school students in Kesambi Village is effective because it gets significant results.
Pengaruh Kepuasan Kerja terhadap Kinerja Karyawan pada PT Cakrawala Citramega Multifinance Kota Palembang Pratiwi, Rosa; Yusuf, Muhammad; Rini, Rini
Jurnal Terapan Ilmu Ekonomi, Manajemen dan Bisnis Vol. 3 No. 3 (2023): Jurnal Terapan Ilmu Ekonomi, Manajemen dan Bisnis Desember 2023
Publisher : Politeknik Negeri Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.10418603

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With this research, researchers have a goal of knowing job satisfaction on employee performance at PT CCM Palembang City. Research method is quantitative with a total of 35 employees as respondents using a simple linear regression analysis technique. Data collection techniques through interviews and questionnaires. Based on the research conclusions, job satisfaction at PT CCM Palembang City has a positive effect with a Tcount = 6.725 > Ttable = 1.690 and a significant value of 0.00 <0.05 and shows an R Square number of 0.565 on employee performance. The simple linear regression equation yields Y = 14.644 + 0.572X, indicating that job satisfaction at PT Cakrawala Citramega Multifinance Palembang City has a positive and significant effect on employee performance. Keywords: satisfaction, performance, employee
The Effect Of Soybean Extract Nanoemulgel (Glycine max (L.) Merill) On The Number Of Fibroblasts In The Healing Process Of Traumatc Ulcers (In Vivo Study on White Wistar Rats) Anjani, Fabela Artha; Feranisa, Anggun; Pratiwi, Rosa
Jurnal Medali Vol 7, No 1 (2025): Media Dental Intelektual February 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.7.1.1-11

Abstract

Background: Traumatic ulcers are a common oral lesioncharacterized by epithelial damage caused by trauma. They can healspontaneously within 7-10 days but may develop into chronic ulcers ifuntreated. Current treatments like hyaluronic acid gels are effective but costlyand can cause hypersensitivity reactions. This study aimed to analyze the effectof soybean extract (Glycine max (L.) Merill) formulated as a nanoemulgel onfibroblast proliferation during traumatic ulcer healing.Method: An in vivo study using male Wistar rats was conducted. Thirty ratswere divided into five groups: nanoemulgel soybean extract at concentrationsof 50%, 60%, and 70%, a positive control group (hyaluronic acid gel), and anegative control group (gel base). Treatments were applied daily for five days,after which fibroblast proliferation was evaluated histologically. Statisticalanalyses included Shapiro-Wilk, Levene's test, One-Way ANOVA, and Posthoc tests.Results: The 50% nanoemulgel soybean extract group showed the highestfibroblast count among treatment groups, indicating its potential in promotingulcer healing. However, hyaluronic acid gel outperformed other groups.Variability in nanoemulsion preparation likely influenced the fibroblast count.Conclusion: Nanoemulgel soybean extract demonstrates promising effects onfibroblast proliferation in traumatic ulcer healing, particularly at 50%concentration. Despite limitations in preparation, the results highlight itspotential as an alternative to conventional treatments. Further studies shouldoptimize the formulation and assess its toxicity.
EVALUATION OF PHYSICAL STABILITY OF BOESENBERGIA ROTUNDA EXTRACT FORMULATED IN NANOEMULGEL Pratiwi, Rosa; Sari, Rina Kartika; Amanda, Shania Dwika
Jurnal Medali Vol 7, No 1 (2025): Media Dental Intelektual February 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.7.1.36-44

Abstract

Background: Pinostrobin compounds from extracts of Boesenbergia rotunda have broad spectrum for bacteriostatic activity. The nanoemulgel preparation was chosen because it can penetrate well and quickly into the mucosa thereby increasing absorption. Physical stability tests need to be carried out to ensure the quality, safety and benefits of the gel meet the expected specifications and stability during storage. This study aims to determine which concentration has the most stable physical stability of pH and viscosity which were observed for 28 days.Method: 30 samples nanoemulgel preparation was used and then divided into 3 groups 45%, 67.5%, and 90%, Physical stability tests which is pH and viscosity tests was done for 28 days and stored in the Climatic Chamber with observation for every seven days. Data analysis used the One Way Repeated Measure Anova test followed by post hoc test was carried out. Result: The results showed most stable preparation was 45% and the least stable was 90% concentration. The mean values of the pH test 45% and 90% at baseline were 4.43 and 4.46 and at H+28 the values were 4.49 and 4.56. The average value of the viscosity test 45% and 90% at baseline was 1550 and 1210 and the values were 1600 and 1240 at h+28. Post hoc Wilcoxon test results for 45% concentration were p>0.05, indicating that there was no difference in pH and viscosity. It means pH value and viscosity of the 45% concentration were relatively constant from baseline to H+28.Conclusion: In conclusion, the results pH test and viscosity test of nanoemulgel preparations that were observed for 28 days showed that most stable preparation was concentration of 45%.
Efektivitas nanoemulsi gel daun sirih hijau (Piper betle l.) terhadap penurunan ketebalan biofilm bakteri Staphylococcus aureus ATCC 6538: eksperimental laboratoris Maliky, Zaid; Abdul Kodir, Ade Ismail; Agusmawanti, Prima; Pratiwi, Rosa
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 3 (2024): Desember 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i3.57721

Abstract

Pendahuluan: Penyakit periodontal adalah infeksi pada rongga mulut yang diakibatkan oleh bakteri dengan persentase kasus 74,1%. Salah satu bakteri yang berperan adalah Staphylococcus aureus. Bakteri ini merupakan salah satu bakteri gram positif yang berperan pada kolonisasi awal. Sirih hijau merupakan tanaman herbal yang memiliki kandungan senyawa antibakteri seperti flavonoid, alkaloid, tanin dan saponin. Teknologi nanoemulsi gel memiliki keunggulan untuk mempermudah penghantaran obat karena ukuran partikelnya yang sangat kecil. Penelitian ini bertujuan untuk menganalisis efektivitas nanoemulsi gel daun sirih hijau terhadap penurunan ketebalan biofilm bakteri Staphylococcus aureus. Metode: Metode penelitian ini menggunakan eksperimental laboratorium in vitro yang berjumlah 25 sampel dibagi menjadi 5 kelompok yang terdiri dari nanoemulsi gel daun sirih hijau konsentrasi 30%, 40%, 50%, gel metronidazole dan aquadest. Pembacaan hasil uji ketebalan biofilm diukur dengan Optical Density menggunakan ELISA-reader. Hasil: Hasil rerata nilai optical density pada kelompok formulasi nanoemulsi gel daun sirih hijau, konsentrasi 50% memiliki nilai terendah (2,732) dibandingkan 30% (3,478) dan 40% (3,352) yang artinya konsentrasi 50% paling efektif dibandingkan konsentrasi 30% dan 40%. Hasil uji One Way Anova didapatkan hasil p<0,05 menunjukkan adanya pengaruh nanoemulsi gel daun sirih hijau terhadap penurunan ketebalan biofilm bakteri Staphylococcus aureus. Simpulan: Formulasi nanoemulsi gel daun sirih hijau efektif dalam menurunkan ketebalan biofilm bakteri Staphylococcus aureus.The effectiveness of green betel leaf (piper betle l.) nanoemulsion gel on reducing of staphylococcus aureus ATCC 6538 biofilm thickness: laboratory experimentalIntroduction: Periodontal disease is an infection in the oral cavity caused by bacteria, with a case prevalence of 74.1%. One of the bacteria involved is Staphylococcus aureus. This bacterium is a Gram-positive organism that plays a role in early colonization. Green betel (Piper betle) is a medicinal plant that contains antibacterial compounds such as flavonoids, alkaloids, tannins, and saponins. Nanoemulsion gel technology has the advantage of enhancing drug delivery due to its very small particle size. This study aims to analyze the effectiveness of green betel leaf nanoemulsion gel in reducing the biofilm thickness of Staphylococcus aureus bacteria. Methods. This research used an in vitro laboratory experimental method involving 25 samples divided into 5 groups, consisting of green betel leaf nanoemulsion gel at concentrations of 30%, 40%, 50%, metronidazole gel, and aquadest. The thickness of the biofilm was measured using an ELISA reader by reading the optical density. Results. The average optical density values in the green betel leaf nanoemulsion gel formulation group showed that the 50% concentration had the lowest value (2.732) compared to 30% (3.478) and 40% (3.352), indicating that the 50% concentration was the most effective among the three tested concentrations. The One-Way ANOVA test results showed p < 0.05, indicating that the green betel leaf nanoemulsion gel had a significant effect on reducing the biofilm thickness of Staphylococcus aureus bacteria. Conclusion. It can be concluded that the green betel leaf nanoemulsion gel formulation is effective in reducing the biofilm thickness of Staphylococcus aureus bacteria.
Comprehensive Analysis of Oral Health-Related Quality of Life (OHRQoL) in Periodontitis Patients: Evaluating the Impact of Non-Surgical and Surgical Periodontal Therapy Ratnawati, Irma Dewi; Rizky, Novi Sagita; Styaningrum, Yunita; Rahman, Erwid Fatchur; Aditya, Grahita; Putri, Nabella Devyanna; Pratiwi, Rosa
Jurnal Medali Vol 7, No 2 (2025): Media Dental Intelektual August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.7.2.84-90

Abstract

Introduction: Periodontitis is a chronic inflammatory condition that affects the supporting structures of the teeth. Due to its often asymptomatic progression in early stages, timely diagnosis is frequently challenging.Objective: This study aimed to assess the impact of non-surgical and surgical periodontal treatments on the Oral Health-Related Quality of Life (OHRQoL) among individuals diagnosed with periodontitis.Methods: An observational analytic study with a cross-sectional design was conducted using a pre-test and post-test group approach. The study involved 100 patients aged 18–60 years who met predefined inclusion and exclusion criteria and underwent periodontal therapy either non-surgical or surgical at Sultan Agung Islamic Dental and Oral Hospital (RSIGM) between August and December 2024. The OHIP-14sp questionnaire was used to measure OHRQoL across seven domains using a Likert scale. Data were analyzed using descriptive statistics and paired t-tests to evaluate differences between pre- and post-treatment scores.Results: A marked reduction in OHIP-14sp scores was observed across all domains following treatment. The most pronounced improvements occurred in the domains of social disability (−46.2%) and functional limitation (−45.1%). Overall, the total OHIP-14sp score improved by 43.9%. All domains exhibited statistically significant differences between baseline and follow-up scores (p < 0.001). Conclusion: The findings indicated that both non-surgical and surgical periodontal therapies contributed significantly to enhancing patients’ quality of life by alleviating physical discomfort and improving psychological and social well-being.