Fatimah Maria Tadjoedin
Department Of Periodontics, Faculty Of Dentistry, Universitas Indonesia, Jakarta, Indonesia

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Correlation of clinical and radiographic severity of periodontitis with furcation involvement: Evaluation of periapical radiographs and Cone-beam Computed Tomography Syurri Innaddinna Syahraini; Hanna Huzaima Bachtiar Iskandar; Bramma Kiswanjaya; Fatimah Maria Tadjoedin
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 7 No 2 (2023): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v7i2.1070

Abstract

Objectives: To analyze the correlation of clinical and radiographic features in periodontitis with furcation involvement. Materials and Methods: Cross-sectional analytic study of 30 mandibular molars from 13 patients (8 males and 5 females), who had periodontitis with furcation involvement, with purposive sampling. Clinical, periapical and CBCT examination were then carried out . Assessment for clinical dan CBCT based on modified Glickman classification. Correlation test was performed with Kendall's Tau_b. Results: There was a significant difference between subjects of non CBCT group (clinical (p=0,01) and periapical (p=0,026)), with subjects examined by CBCT. However there was no difference between the clinical and periapical group. There is a correlation between furcation involvement on CBCT and periapical group (r=0,528; p=0,003). Conclusion: There was no correlation between furcation involvement on clinical examination with periapical radiographs and CBCT. The correlation is only seen between periapical radiographs and CBCT.
LASER-ASSISTED CROWN LENGTHENING: CLINICAL EFFICACY AND ADVANTAGES OVER CONVENTIONAL TECHNIQUES (SYSTEMATIC REVIEW) Rachmasari Rieska; Tadjoedin Fatimah Maria
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 1 (2024): 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.v20i1.7864

Abstract

Introduction: Crown lengthening is a widely recognized dental procedure with both aesthetic and functional purposes. It involves the reduction of periodontal hard and soft tissues to obtain supracrestal tooth length, resulting in longer clinical crowns and adequate supracrestal tissue attachment. Laser therapy has emerged as a promising alternative that is currently developing in the field of periodontics and offers several advantages. This review aims to synthesize the current research on the clinical efficacy of laser-assisted crown lengthening procedures and highlight their advantages over conventional methods. Review: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search was conducted in electronic databases PubMed, Scopus, Embase, and Google Scholar for human studies published from 2017 to April 2023. Out of 213 identified and screened studies, three original articles were included in the analysis. Two clinical trial studies used Er,Cr:YSGG while one study used Er:YAG for crown lengthening procedures involving gingiva and alveolar bone reduction, with a 3-month follow-up period. Compared to conventional crown lengthening, the laser-assisted approach showed comparable increases in clinical crown length. However, the laser-assisted group demonstrated better gingival margin stability, improved soft tissue healing, and minimal damage to adjacent tissues. Furthermore, there was a statistically significant lower bacterial load and less post-surgery pain with laser-assisted crown lengthening compared to the conventional method. Conclusion: In cases where both gingival and bone reduction are required, laser-assisted crown lengthening using Er,Cr:YSGG and Er:YAG can be considered a minimally invasive alternative with several advantages over conventional procedures.
Combination of Platelet-rich Fibrin (PRF) in Advanced Periodontitis Stage Treatment Nadhia Anindhita Harsas; Fatimah Maria Tadjoedin; Benso Sulijaya; Dimas Ilham Hutomo; Melinda Rabekka Purba; Cahyaning Wulan Sasri
Journal of Indonesian Dental Association Vol. 6 No. 2 (2023): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v6i2.1075

Abstract

Introduction: The treatment of advanced periodontitis has been a challenge for clinicians. Platelet-rich fibrin (PRF) is a second-generation platelet concentrate that contains various growth factorss and cytokines that promote tissue regeneration. The use of PRF in combination with other regenerative materials and techniques has been shown to be effective in the treatment of intrabony defects. This case series aims to evaluate the efficacy of PRF combinations in the regenerative treatment of patients with advanced periodontitis. Case report: Two patients diagnosed with advanced periodontitis (stage III/IV grade C) were selected for this study. After the completion of periodontal initial therapy, there were still pockets with a probing depth ≥ 5 mm (5–10 mm). Therefore, surgical interventions were planned. The first case used the combination of PRF with bone graft and guided tissue regeneration (GTR), while open flap debridement (OFD) with the addition of PRF and bone graft to create sticky bone was done in the second case. Three to five months of follow-up showed favorable outcomes, as evidenced by reductions in probing depth (PD), gains in clinical attachment level, and filling of bone defects, as well as improvements in patient comfort and rapid wound healing. Conclusion: The combination of PRF with grafting material and/or GTR has been shown to be a beneficial therapeutic approach for periodontal regenerative therapy. Platelet-rich fibrin in periodontal surgery may accelerate the tissue healing process.
Staging and Grading of Periodontitis in Relation to Hypertension: A Retrospective Study in Indonesia Herlis Rahdewati; Dewi Ayuningtyas; Dimas Ilham Hutomo; Zahrani Rahma Lukman; Fatimah Maria Tadjoedin
Journal of Indonesian Dental Association Vol. 8 No. 1 (2025): April
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v8i1.1350

Abstract

Introduction – Pendahuluan: Hypertension (HT), a leading cause of cardiovascular morbidity and mortality, affects a significant portion of the global population and is a major public health concern. Periodontitis is a multifactorial chronic inflammatory disease involving tooth-supporting structures Objective – Tujuan: This study aims to evaluate the relationship between the severity of periodontitis and the prevalence of hypertension in an adult population. Methods – Metode: A retrospective cross-sectional study from medical records was conducted in this study. Data taken from medical records were age, gender, blood pressure, bleeding on probing, anti-hypertension drugs consumed by the patient, periodontitis diagnosis based on the 2017 classification, and history of other systemic diseases. This study involved 144 adult patients diagnosed with periodontitis, classified by staging (I-IV) and grading (A-C) Results – Hasil: Hypertension's impact on periodontitis severity becomes more evident with advancing age. HT group exhibited a higher prevalence of severe periodontitis (Stages III and IV) compared to normotensive patients (p=0.000), particularly among older age groups (45-60 years (p=0.029) and >60 years (p=0.038)). HT groups are more likely to exhibit Grade C periodontitis(p=0.04). HT patients demonstrate worse periodontal parameters that could contribute to accelerated disease progression and more severe outcomes. Conclusion – Kesimpulan: There is an association between the staging and grading of periodontitis and hypertension. These findings underscore the importance of a multidisciplinary approach in the management of periodontal and cardiovascular health to improve overall health outcomes. Keywords – Kata Kunci: Periodontitis, blood pressure, hypertension.