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All Journal Dental Journal (Majalah Kedokteran Gigi) Padjadjaran Journal of Dentistry Padjadjaran Journal of Dental Researchers and Students Jurnal Health Sains

Ratna Indriyanti, Ratna

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Author-ID : 631513

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

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Immunological parameters of dental alloy corrosion; A study of gingival inflammation after placement of stainless steel crown Indriyanti, Ratna
Padjadjaran Journal of Dentistry Vol 20, No 3 (2008): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

The dental alloy is widely used in many fields of dentistry as a restoration material, orthodontic, prosthodontic, oral surgery and endodontic treatments. Naturally, most of the metallic materials without exception to stainless steel alloy will experience a process of corrosion in a form of electrochemical reaction to achieve thermodynamic equilibrium. The corrosion process in the oral cavity is due to the reaction of metal with saliva as an oral cavity electrolyte fluid. SSC has preformed restoration material conform with dental anatomy, manufactured from stainless steel alloy which is formable and adaptable to the teeth. Stainless Steel Crown generally made of austenitic stainless steel 18/8 of AISI 304 group contain chrome 18% and Nickel 8%, can be used as a restoration for teeth with excessive caries, crown fracture, email hypoplasia, or restoration after endodontic treatment. The toxic effect of Ni+2 released due to corrosion process may cause an inflammation of the gingiva and periodontal tissue. Laboratorically this condition indicated by the expression of pro-inflammation cytokines as immunological parameters such as IL-6, IL-8, TNF and IL-1Î² whose main role is to initiate and enhance any inflammation responses. The presence of pro-inflammation cytokines can be detected as soon as 1 hour after placement of SSC by examination of gingival crevicular fluid (GCF) by ELISA technique. The magnitude of the toxic effect depends on corrosion rate and ions release which is influenced by metal chemical composition, environment temperature and pH, metal wear due to abrasion and friction, soldering if any, and elongation of the metal. Conclusion: The release of Ni+2 during corrosion process after placement of SSC cause gingival inflammation which is indicated by the change of the immunological parameters.

An illustration of speech articulation impairment in children with cerebral palsy tested by the Goldman-Fristoe method Rusmarini, Ade Pungky; Haroen, Edeh Rolleta; Indriyanti, Ratna
Padjadjaran Journal of Dentistry Vol 21, No 1 (2009): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Seventy percent of children with cerebral palsy were found to suffer from speech articulation impairment. The purpose of this research was to obtain an illustration of speech articulation impairÂment in children with cerebral palsy tested by the Goldman-Fristoe method at the SLB-D School for DisÂabled Children Bandung in 2007. This was a descriptive research. Sampling was carried out by purposive sampling. The speech articulation impairment test was carried out on the basis of the Goldman-Fristoe method, that is, an articulation test which places the consonant at the beginning, middle, and at the end of a word, to test speech articulation impairment in children with cerebral palsy. Research results indicated that speech articulation impairment in the bilabial consonants /p/,/b/, and /m/ is the average 85.51%. Speech articulation impairment of the labiodental consonants /f/ and /v/ is an average 89.13%. Speech articulation impairment of the alveolar or dental consonants /t/ and /d/ is an average of 80.43%. Speech articulation impairment in the palatal consonants /c/ is an average of 82.60%. Speech articulation impairment in velar consonants /k/ and glottal consonants /h/ is an average of 86.96%. ReÂsearch results indicated that more than three-fourths of children with cerebral palsy at the SLB-D School for Disabled Children Bandung in 2007 suffered from speech articulation impairment.

Connection of Oral Health Related Quality of Life with Caries in Children with Stunting: descriptive study Rafilia, Yuanne Nisrina; Sukmasari, Susi; Setiawan, Arlette Suzy; Indriyanti, Ratna
Padjadjaran Journal of Dental Researchers and Students Vol 8, No 2 (2024): Juni 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v8i2.54179

ABSTRACTIntroduction: Stunting is one of the growth and development problems that causes a child's body to become shorter or very short in accordance with his/her age and exceeds the Standard Deviation (SD) set by the World Health Organization (WHO), namely < -2 SD. The condition of stunting also inhibits the development of the oral cavity which causes children suffering from stunting to be more susceptible to caries. Caries experienced by children will have a negative impact on a child's daily life and can affect the quality of his/her life. This research aimed to analyze the relationship between caries status of a child with stunting and his quality of life. Methods: The type of research used was a quantitative the descriptive research with correlational research method using correlational survey method with questionnaires conducted in Ciapus Village, Banjaran District, Bandung Regency. Samples were taken using purposive sampling technique with a sample size of 60 people. The time range used in this research was December 2023 – January 2024. The questionnaire used was The Early Childhood Oral Health Questionnaire. The Impact Scale (ECOHIS) was used to measure quality of life and the def-t index was used to measure the child's caries status. Results: The def-t index of stunted children in Ciapus Village was 6.46 which was considered as high in the category. Total percentage of ECOHIS questionnaire answers showed a value of 46.41% and was in the category of quite impactful. The results of the Spearman rank correlation calculation = 0.475, which meant that there was a fairly significant relationship. Conclusion: There is a weak relationship between oral health related quality of life and caries conditions in the oral cavity of stunted children, because poor quality of the child's oral cavity does not have a direct impact on the occurrence of caries.KEYWORDS: stunting, caries, children's quality of life, children's oral healthHubungan Oral Health Related Quality of Life dengan Karies pada Anak Stunting: studi deskriptif ABSTRAKPendahuluan: Stunting adalah salah satu permasalahan tumbuh kembang yang menyebabkan tubuh anak menjadi lebih pendek atau sangat pendek tidak sesuai dengan usia nya dan melewati Standar Deviasi (SD) yang ditetapkan World Health Organization (WHO) yaitu < -2 SD. Kondisi stunting juga menghambat perkembangan rongga mulut yang menyebabkan anak yang mengalami stunting lebih rentan terkena karies. Karies yang dialami oleh anak akan berdampak buruk terhadap kehidupan anak sehari-hari dan dapat mempengaruhi kualitas hidupnya. Penelitian ini bertujuan untuk menganalisis hubungan antara status karies anak stunting dengan kualitas hidupnya. Metode: Jenis penelitian yang digunakan yaitu penelitian deskriptif kuantitatif dengan metode penelitian korelasional menggunakan metode survei dengan kuesioner yang dilakukan di Desa Ciapus, Kecamatan Banjaran, Kabupaten Bandung. Sampel diambil dengan menggunakan teknik purposive sampling dengan jumlah sampel 60 orang. Rentang waktu yang digunakan dalam penelitian ini adalah bulan Desember 2023 – Januari 2024. Kuesioner The Early Childhood Oral Health. Impact Scale (ECOHIS) digunakan untuk mengukur kualitas hidup dan indeks def-t digunakan untuk mengukur status karies anak. Hasil: Indeks def-t dari anak stunting di Desa Ciapus adalah sebesar 6,46 yang termasuk kategori tinggi. Persentase total jawaban kuesioner ECOHIS menunjukkan nilai sebesar 46,41% dan termasuk kedalam kategori cukup berdampak. Hasil perhitungan korelasi rank spearman = 0,475 yang memiliki arti memiliki hubungan cukup signifikan. Simpulan: Terdapat hubungan yang lemah antara oral health related quality of life dengan kondisi karies pada rongga mulut anak stunting, karena kualitas rongga mulut anak yang buruk tidak memiliki dampak secara langsung terhadap terjadinya karies.KATA KUNCI: stunting, karies, kualitas hidup anak, kesehatan mulut anak

Penggunaan alat miofungsional pada anak dengan kebiasaan tongue thrusting: ulasan sistematik Rafa', Nadiya Fathya; Indriyanti, Ratna; Chemiawan, Eka
Padjadjaran Journal of Dental Researchers and Students Vol 8, No 2 (2024): Juni 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v8i2.54138

ABSTRAKPendahuluan: Tongue thrusting adalah kebiasaan parafungsional yang umum terjadi ketika lidah berkontak dengan gigi anterior saat menelan. Alat miofungsional, atau alat fungsional, merupakan salah satu alat ortodonti yang dapat digunakan untuk menangani tongue thrusting. Tujuan tinjauan sistematik ini bertujuan untuk mengetahui efektivitas penggunaan alat miofungsional pada anak dengan kebiasaan tongue thrusting. Metode: Prosedur penelitian dalam tinjauan sistematik ini mengikuti pedoman PRISMA. Pencarian artikel dilakukan dengan memasukkan kata kunci (myofunctional appliance OR functional appliance) AND (mixed dentition) AND (tongue thrust OR tongue thrusting) pada database PubMed, ScienceDirect, Scopus, EBSCOhost, dan Google Scholar dalam rentang waktu 2013-2023. Kriteria inklusi mencakup studi yang membahas penggunaan alat miofungsional pada anak di tahapan mixed dentition yang memiliki kebiasaan tongue thrusting. Artikel yang memenuhi kriteria inklusi dievaluasi kualitasnya menggunakan JBI critical appraisal tools. Hasil: Sebanyak 5 artikel yang memenuhi kriteria inklusi menunjukan bahwa alat miofungsional dapat menghilangkan kebiasaan tongue thrusting pada anak dengan mengoreksi pola menelan yang tidak normal (atypical swallowing) dan memperbaiki posisi lidah. Simpulan: Kebiasaan tongue thrusting pada anak dapat dihilangkan menggunakan alat miofungsional. Keberhasilan perawatan bergantung pada sikap kepatuhan dan kooperatif pada anak.KATA KUNCI: Alat miofungsional, alat fungsional, tongue thrusting, mixed dentitionThe use of myofunctional appliance on children with tongue thrusting habit: a systematic reviewABSTRACTIntroduction: Tongue thrusting is a common parafunctional habit that occurs when the tongue comes into contact with the anterior teeth during swallowing. Myofunctional appliance, or functional appliance, are orthodontic devices that can be used to treat tongue thrusting. This systematic review aims to determine the effectiveness of using myofunctional appliances in children with tongue thrusting habits. Methods: The research procedures for this systematic review followed PRISMA guidelines. Articles were searched using the keywords (myofunctional appliance OR functional appliance) AND (mixed dentition) AND (tongue thrust OR tongue thrusting) in databases including PubMed, ScienceDirect, Scopus, EBSCOhost, and Google Scholar, covering the period from 2013 to 2023. The inclusion criteria were studies discussing the use of myofunctional appliances in children in the mixed dentition stage with tongue thrusting habits. Articles meeting the inclusion criteria were evaluated for quality using the JBI critical appraisal tools. Results: A total of 5 articles meeting the inclusion criteria indicated that myofunctional appliance can eliminate tongue thrusting habits in children by correcting atypical swallowing patterns and improving tongue positioning. Conclusion: Tongue thrusting habits in children can be eliminated using myofunctional appliances. The success of the treatment depends on the child’s compliance and cooperation.KEYWORDS: Myofunctional appliance, functional appliance, tongue thrusting, mixed dentition

Kebiasaan buruk oral yang dapat memengaruhi pertumbuhan dan perkembangan kraniofasial anak: ulasan sistematik Suherlyas, Calla Aurelia; Indriyanti, Ratna; Musnawirman, Iwan Ahmad
Padjadjaran Journal of Dental Researchers and Students Vol 8, No 2 (2024): Juni 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v8i2.54097

ABSTRAK Pendahuluan: Tumbuh kembang kraniofasial merupakan proses yang penting bagi anak karena dapat memengaruhi fungsional dan penampilan anak. Kebiasaan buruk oral dapat memengaruhi masa pertumbuhan dan perkembangan kraniofasial serta dapat menyebabkan penyimpangan seperti maloklusi. Jika tidak segera dilakukan perawatan, maloklusi pada usia anak dapat semakin berkembang ke arah yang buruk. Tinjauan sistematik dilakukan untuk mengetahui kebiasaan buruk oral apa saja yang dapat memengaruhi pertumbuhan dan perkembangan kraniofasial anak pada usia sekolah dan penyimpangan yang cenderung terjadi akibat kebiasaan buruk oral, baik secara skeletal ataupun dental. Metode: Artikel yang didapatkan dari 4 database elektronik dianalisis dengan panduan PRISMA 2020. Penilaian risk of bias dilakukan dengan menggunakan QUADAS -2. Hasil: Terdapat 8 artikel yang digunakan sebagai referensi pada tinjauan sistematik ini. Kebiasaan buruk oral pada anak usia sekolah yang diteliti dari beberapa artikel tersebut adalah mouth breathing, atypical swallowing/ tongue thrusting, menggigit kuku, menggigit pena, mengisap ibu jari, mengisap bibir, dan mengisap dot. Secara keseluruhan, penyimpangan yang cenderung terjadi pada anak yang memiliki kebiasaan buruk oral adalah penyimpangan pada gigi geligi. Pada anak dengan kebiasaan bernafas melalui mulut, mengisap ibu jari, dan mengisap bibir, penyimpangan yang cenderung terjadi adalah penyimpangan secara dentoskeletal. Simpulan: Penyimpangan yang cenderung terjadi pada anak dengan kebiasaan buruk oral adalah secara dental berupa maloklusi molar kelas I, sementara penyimpangan secara skeletal cenderung hanya terjadi pada anak dengan kebiasaan bernafas melalui mulut, mengisap ibu jari, dan mengisap bibir. Tinjauan sistematik ini diharapkan dapat menjadi salah satu acuan tatalaksana pada anak dengan kebiasaan buruk oral yang memengaruhi pertumbuhan dan perkembangan kraniofasial. Oral bad habit that can affect children’s craniofacial growth and development: a systematic reviewIntroduction: Craniofacial growth and development is an essential process for children as it impacts both mastication and children's appearance. Bad oral habits can interfere with this process and cause deviations in craniofacial growth and development, such as malocclusion. If not treated promptly, childhood malocclusion can worsen over time. This systematic review aimed to discover the oral habits that can affect craniofacial growth and development in school-aged children and to determine the skeletal and dental deviations that tend to occur due to these habits. Methods: The article obtained from 4 electronic databases was analyzed following the PRISMA guidelines. The risk of bias was assessed using QUADAS -2. Results: Eight articles were used in this systematic review. The bad oral habits of school-aged children examined in these studies include mouth breathing, atypical swallowing/ tongue thrusting, onychophagia, biting pen, thumb sucking, lip sucking, and pacifier sucking. In general, dental malocclusion tends to occur in children with these bad oral habits. In children with mouth-breathing habits, thumb sucking, and lip sucking, both dental and skeletal malocclusions tend to occur. Conclusion: The deviations that tend to occur in school-aged children with bad oral habits are primarily dental, often manifesting as Angle Class I molar malocclusion. Skeletal deviations are more likely to occur only in children with mouth-breathing, thumb-sucking, and lip-sucking habits. This systematic review is expected to serve as a useful reference for treating children with bad oral habits that may affect craniofacial growth and development.

Enhancing pediatric endodontic treatment: Intraosseous anesthesia with computer-controlled delivery system Suciati, Khomsah; Indriyanti, Ratna; Gunawan, Kirana Lina
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 3 (2024): September
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v57.i3.p228-233

Background: Pain control during endodontic treatment is essential but challenging, particularly in pediatric dentistry. Intraosseous anesthesia (IO) ensures adequate areas are anesthetized for endodontic treatment of the primary tooth with only a single injection site and a small amount of anesthetic solution required. Anesthesia should be delivered slowly to enhance the success rate, minimize pain and, for the IO technique, minimize risk of osteonecrosis. The IO anesthesia delivery system that meets such criteria is computer-controlled local anesthetic delivery (CCLAD). Purpose: To describe the enhancement of pediatric endodontic treatment with minimum risk intraosseous anesthesia using CCLAD. Case: An 8-year-old male patient came to the Pediatric Dentistry Clinic at Padjadjaran University Dental Hospital reporting pain on the lower right second molar deciduous teeth, indicated for vital pulpectomy. Case Management: The procedure of vital pulpectomy was done under local anesthesia. Patient was given intraosseous injection with CCLAD prior to opening access. The point of injection was at two mm apical from distal interdental papillae of the lower right second molar deciduous teeth. The patient remained calm throughout the local injection and vital pulpectomy procedure. Conclusion: Intraosseous anesthesia is beneficial when used for pain control during pediatric endodontic therapy. The use of CCLAD gives comfort to the patient while lowering the risk of necrotizing alveolar bone.

Antibacterial test of Peperomia pellucida (L.) Kunth extract against Porphyromonas Gingivalis as a potential herb for periodontitis: a laboratory experiment Nasution, Dewi Lidya Ichwana; Tjahajawati, Sri; Indriyanti, Ratna; Amaliya, Amaliya; Fadilah, Rina Putri Noer; Mutiara, Rahman
Padjadjaran Journal of Dentistry Vol 35, No 3 (2023): November 2023
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no3.47856

ABSTRACTIntroduction: Periodontitis is a multifactorial inflammatory disease which is generally caused by plaque accumulation. Many studies have shown that Porphyromonas gingivalis (Pg) is the main etiological agent that contributes to chronic periodontitis. Scaling and root planing (SRP) is the gold standard for periodontitis treatment. The use of antibiotics as additional agents accompanying the SRP procedure has limitations that can cause resistance to subgingival periodontal pathogens. Peperomia pellucida (L.) Kunth i.e betel leaf is a natural ingredient that contains anti-inflammatory, antibacterial and antioxidant properties. This study aimed to analyze the inhibition of Peperomia pellucida (L.) Kunth extract against Pg bacteria. Methods: The type of study used was an experimental laboratory with a Post-Test Control Group Design research design which was divided into 6 treatment groups using the disk diffusion method with concentrations of Peperomia pellucida (L.) Kunth extract 25, 50, 75 and 100%, sterile aquades as a negative control and Chlorhexidine as a positive control. Data analyses of One Way Anova and Post Hoc Tukey were used Results: Peperomia pellucida (L.) Kunth extract concentrations of 25, 50, 75, and 100% had an effect on reducing the growth of Porphyromonas gingivalis (p≤0,05), the average inhibition response was 14.40 mm at 25% concentration, 16.58 mm at 50% concentration and 19.30 mm at 75%, 21.88 mm at 100% concentration.Conclusion: Peperomia pellucida (L.) Kunth extract has an antibacterial effect against Porphyromonas gingivalis which has the potential to be used as a periodontitis herb.Keywords: Betel leaf extract Peperomia pellucida (L.) Kunth, periodontitis, Porphyromonas gingivalis.

Prevalence of delayed first permanent molar eruption among children 7 to 9 years old Hamsin, Noor Hamiza Hani; Indriyanti, Ratna; Musnamirwan, Iwan Ahmad
Padjadjaran Journal of Dentistry Vol 26, No 1 (2014): March 2014
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol26no1.26758

Introduction: Eruption is the moment of tooth emergence into the oral cavity. The emergence of the first permanent molar was followed by shedding of the deciduous incisors and as for permanent incisors eruption; it was taken as a point where the transition from primary dentition to permanent dentition begins with. The aim of this research is to determine the prevalence of delayed first permanent molar tooth eruption that occur among the children from 7 to 9 years old in Sekolah Dasar Negeri (SDN) Cisitu 1, SDN Coblong 4 and SDN Sekeloa 1. Methods: The method of choosing sample was simple random sampling. Out of 547 children from three Sekolah Dasar Negeri (SDN), only 71 children were selected randomly according to their ages, 7 to 9 years old. The method of this research was descriptive with surveying method. A clinical examination was done to determine the tooth eruption and data information was taken. Results: Out of 547 children from SDN Sekeloa 1, SDN Cisitu 1 and SDN Coblong 4 only 71 children were selected to take part in this research. They were randomly selected according to their age from 7 to 9 years old from each school Conclusion: This research shows that the delayed first permanent molar eruption among children in these samples of population were rarely happen.

Dental anxiety level of children patient during dental treatment using CFSS-DS questionnaire Yuwannisa, Mutiara; Runkat, Jakobus; Indriyanti, Ratna
Padjadjaran Journal of Dentistry Vol 25, No 1 (2013): March 2013
Publisher : Universitas Padjadjaran

The anxiety during dental treatment is an obstacle for both adult and children patients. The aim of this study was to describe data of the dental anxiety experienced by 6 - 9 year old patients grouped by their age and gender. The type of this study was descriptive observational and the samples were collected using incidental sampling method. The total number of sample were 63 patients who came to Dental Hospital of Faculty of Dentistry Universitas Padjadjaran Bandung during August 2011. This research was using the CFSS-DS questionnaire to measure the patient’s anxiety. This research was conducted by interviewing the patients about how they feel during the dental treatment. The result of this study showed that the 7-years-old boy patients seem to have higher anxiety levels than the 6-years-old, or younger ones. Meanwhile, in 6-years-old and younger girl patients showed higher anxiety level than the older (7, 8, and 9-year-old) ones. The anxiety level of children patients during dental treatment were different based on their age and gender.

Effect of acidulated phosphate fluoride application on microhardness of glass ionomer cement Izzudin, Mohammad Azrul; Karlina, Elin; Indriyanti, Ratna
Padjadjaran Journal of Dentistry Vol 27, No 2 (2015): July 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol27no2.26675

Introduction: Acidulated phosphate fluoride (APF) gels are commonly used as preventive caries materials in paediatric dentistry while glass ionomer cements (GICs) are widely used as a restorative material. The purpose of this study was to determine the effect of acidulated phosphate fluoride application towards the microhardness of GIC. Methods: This study was an experimental laboratory study where ten specimens were prepared from high viscosity GIC, which was Fuji IX. Specimens were stored in 50 ml distilled water at first 24 hours at 37°C, and then specimens were divided into fluoride group which was immersed in 25 ml of 1.23 % APF gel and control group which was stored 25 ml distilled water for 24 hours at 37°C. The Micromet II Microhardness Tester, Buehler, IL, USA that was standardised for Vickers hardness test was used to test the specimens at 100-gram load. Data were analysed using the t-test comparison test. Results: The level of microhardness of the fluoride group (14.34) was much lower compared to the control group (43.21) with a highly significant difference (p<0.01). Conclusion: The application of 1.23% APF gel on high viscosity GIC reduces the microhardness level compared to the control group.

Co-Authors Ade Pungky Rusmarini, Ade Pungky Amaliya Amaliya Andiesta, Niekla Survia Ani Melani Maskoen Arlette Suzy Puspa Pertiwi Bahasuan, Haniyah Kamal Damayanti, Nur Widya Edeh Rolleta Haroen, Edeh Rolleta Efendi, Sjarief Hidajat Eka Chemiawan Elin Karlina Eriska Riyanti Hamsin, Noor Hamiza Hani Hanifa, Mulia Ayu Irna Sufiawati Iwan Ahmad Musnamirwan Izzudin, Mohammad Azrul Jakobus Runkat, Jakobus Kirana Lina Gunawan Maulani, Intan Megan, Felisia Flaviana Musnawirman, Iwan Ahmad Mutiara, Rahman Nasution, Dewi Lidya Ichwana Rafa', Nadiya Fathya Rafilia, Yuanne Nisrina Rina Putri Noer Fadilah, Rina Putri Noer Risti Saptarini Primarti Rudy Hartanto Sari, Nadya Novia Sri Tjahajawati, Sri Suciati, Khomsah Suherlyas, Calla Aurelia Sukmasari, Susi Yahya, Nur Hanis Adibah Yuwannisa, Mutiara

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