Ni Putu Dian Cipta Dewi
Department Of Maxillofacial And Oral Surgery, Faculty Of Dentistry, Universitas Mahasaraswati Denpasar, Bali - Indonesia

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Effects of Chitosan Membrane on Osteogenesis and Oral Wound Healing: A Literature Review Ni Putu Dian Cipta Dewi; Ni Putu Sulistiawati Dewi
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 2 (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.v20i2.8632

Abstract

Introduction: Chitosan is a compound produced from processed shrimp shell waste that has an important role in the medical industry. Chitosan is a straight-chain amino polysaccharide compound consisting of glucosamine monomers (poly-1,4-D- glucosamine) linked through (1-4) β-glycosidic bonds, derived from deacetylated chitin. In dentistry, chitosan plays an important role in wound healing and bone formation (osteogenesis). Review: This literature aims to further explain the effectiveness of chitosan membranes in bone formation and wound healing in the oral cavity. Osteoblasts are new bone-forming cells, including the process of breaking down old bone and replacing it with new, healthier bone. Chitosan membranes can reduce osteoclast activity and prevent further bone resorption. Chitosan membrane plays a role in reducing the production of prostaglandin E2 and inflammatory cytokines namely Interleukin-1, Interleukin-6, and Tumor Necrosis Factor-α which play a role in the differentiation and activation of osteoclast cells directly through the activator of kβ ligand receptors. The wound healing process is dynamic and complex through systematic steps such as hemostatic, inflammatory, proliferative, and regenerative phases. Many studies have shown that chitosan membranes can accelerate wound healing by increasing the productivity of inflammatory cells. Conclusion: Chitosan membrane is very effective in promoting osteoclastogenesis, because it can stimulate macrophage cells to reduce the production of prostaglandin E2 (PGE2) mediators, resulting in osteoclast cellular activity can be inhibited and osteoblast formation can be increased. Chitosan membrane plays an important role in accelerating wound healing by increasing the production of inflammatory mediators such as macrophages, fibroblasts, polymorphonuclear leukocytes (PMN), and osteoblasts.
Combination Of Betel Leaf Extract and Collagen as Liquid Anti-Inflammatory for Dental and Oral Tissue Treatment Ni Putu Dian Cipta Dewi
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.v21i1.9989

Abstract

Introduction: Based on Riskesdas (Basic Health Research) data in 2018, the prevalence of oral and dental problems in Indonesia reached 57.6% with periodontal disease reaching 74.1%. Mouthwash can help reduce the number of bacteria that cause infections in the oral cavity. Natural ingredients that are often used are collagen membranes and betel leaves are commonly used as antiseptics. The purpose of this literature review is to discuss in detail the functions, applications, and challenges of using collagen membranes and betel leaves in dentistry, as well as to deepen the latest research related to incorporating these two materials. Review: Based on recent research, there is a combination of collagen membrane and betel leaf extract in dental treatment, especially to regenerate periodontal tissue. Collagen membrane coupled with betel leaf extract not only provides a scaffold to regenerate tissue but also as protection from bacteria, and microbes, as an anti-inflammatory, to accelerate the healing process, and as a prevention of infection. Collagen membrane and betel leaf have great potential in dentistry when combined, especially in tissue regeneration and infection prevention. Their combination may pave the way for the development of more effective and natural therapies in the treatment of dental and oral tissues. Conclusion: Collagen modification and betel leaf use in dental care offer great potential for improving oral health. Collagen supports tissue regeneration and wound healing, while betel leaf provides antimicrobial and anti-inflammatory benefits. The integration of these two ingredients in dental care products can improve the effectiveness of treatment and provide a more natural and effective solution to a variety of dental and gum problems. Kata kunci: Perawatan Gigi, Gigi dan Mulut, Kolagen, Daun Sirih, Modifikasi Kolagen