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Pelatihan Pemeliharaan Kesehatan Gigi dan Mulut dalam Mencegah Kepikunan pada Komunitas Pra-Lansia Rizal, Muhammad Ihsan; Djamil, Melanie Sadono; Wulansari, Selviana; Hayunintyas, Ria Aryani; Tadjoedin, Fatimah Maria
JURNAL ABDIMAS KESEHATAN TERPADU Vol. 3 No. 2 (2024): Jurnal Abdimas Kesehatan Terpadu
Publisher : Fakultas Kedokteran Gigi, Universitas Trisakti bekerjasama dengan Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jakt.v3i2.18140

Abstract

Dementia is described as a loss in cognitive abilities that leads daily tasks to become dysfunctional. Because this disease is a global health issue with no therapy, prevention and early detection are important priorities in its care. Periodontitis is one of the risk factors considered to be linked to dementia. Periodontitis is a complex chronic disease that causes destruction to the teeth's supporting tissues, specifically the alveolar bone, periodontal ligament, gingiva, and cementum. The buildup of dental biofilm because of poor oral hygiene is a risk factor for periodontal disease, which can proceed to periodontitis. Periodontitis is becoming more common as people become older, and it is one of the leading causes of tooth loss. By maintaining better oral hygiene, periodontal disease, a risk factor for dementia, can be reduced or prevented. It is anticipated that dental and oral maintenance education in the pre-elderly population will lower the risk of senility when people reach old age. Pre-elderly citizens (aged 45–59) in the Menteng Sukabumi region of Central Jakarta are the focus of promotion, education, and training in maintaining dental and oral hygiene. The pre-elderly residents will benefit from this training and counseling if they have a basic understanding of the connection between periodontal disease and senility and what can be done to avoid it. In conclusion, community service activities that focus on education and dental care are important steps to reduce the risk of dementia. Service activities must begin with raising awareness. Organizing free dental check-ups for the community, especially for those who cannot afford it, also needs to be encouraged.
Staging and Grading of Periodontitis in Relation to Hypertension Rahdewati, Herlis; Ayuningtyas, Dewi; Hutomo, Dimas Ilham; Lukman, Zahrani Rahma; Tadjoedin, Fatimah Maria
Journal of Indonesian Dental Association Vol 8 No 1 (2025): May
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.
Combination of Platelet-rich Fibrin (PRF) in Advanced Periodontitis Stage Treatment Harsas, Nadhia Anindhita; Tadjoedin, Fatimah Maria; Sulijaya, Benso; Hutomo, Dimas Ilham; Purba, Melinda Rabekka; Sasri, Cahyaning Wulan
Journal of Indonesian Dental Association Vol 6 No 2 (2023): October
Publisher : Indonesian Dental Association

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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.
UTILIZATION OF XENOGRAFT AS A BONE REGENERATION SCAFFOLD FOR RIDGE PRESERVATION: A CASE REPORT Putra, Mardikacandra Manggala; Tadjoedin, Fatimah Maria; Masulili, Sri Lelyati C.; Widaryono, Adityo
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 10, No 2 (2023): Vol 10 No 2, Desember 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v10i2.1492

Abstract

Introduction: Ridge preservation is a periodontal surgical treatment that has an important role in the long-term success of dental implants. An adequate alveolar bone dimension makes future implant placement more predictable. Xenograft is being used as filler material in ridge preservation following tooth extraction, due to osteoconductive and slow-resorbing properties. Patient’s dental impressions and radiographs pre- and post-treatment ridge preservation were used to evaluate the alveolar ridge dimensions. This case report aimed to evaluate of ridge preservation treatment using xenograft material in an open wound healing approach. Patient’s main concerns: A 58-year-old male patient referred from the conservation department was undergoing root canal treatment of his right lower molars and wanted to make a fixed denture. Important clinical findings: Tooth 46 had mobility grade 2, probing pocket depth of 12 mm, and clinical attachment loss of 11 mm. Primary diagnoses: Other conditions affecting the periodontium et causa endodontic-periodontal lesions. Interventions and outcomes: Tooth 46 were extracted with minimal tissue trauma and followed with ridge preservation using xenograft. The collagen membrane was immobilized with the combination figure of eight and simple interrupted suturing technique in open wound healing approach. The purpose of ridge preservation is to prevent of alveolar bone resorption and prepare alveolar dimension for dental implant placement. Xenograft plays an important role as a scaffold in regenerating alveolar bone. Conclusion: Xenograft effectively regenerates new bone in ridge preservation to prepare an implant placement. Periodic control and long-term evaluation are needed to evaluate the success of this treatment.
Relationship between the levels of awareness and knowledge of periodontitis in diabetic patients at a Dental Hospital during the COVID-19 pandemic Nathania, Irene; Harsas, Nadhia Anindhita; Natalina; Tadjoedin, Fatimah Maria
Dental Journal (Majalah Kedokteran Gigi) Vol. 56 No. 4 (2023): December
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.v56.i4.p243-250

Abstract

Background: Diabetes mellitus (DM) and periodontitis are the most prevalent human diseases. Diabetes worsens the periodontal condition, but periodontitis also hampers glycemic control in diabetic patients. Based on staging and grading, the latest periodontitis classification puts DM as one of the grade modifiers. Periodic periodontal maintenance prevents reinfection and could help people with diabetes maintain effective glycemic control. Dental health education and periodontal disease awareness are crucially needed for diabetic patients, especially during the pandemic. Purpose: This study aimed to examine the relationship between levels of awareness and knowledge of periodontitis in diabetic patients during the COVID-19 pandemic. Methods: A closed-ended questionnaire was distributed to new patients referred to the Periodontology Clinic of the Dental Hospital of Universitas Indonesia. Patients' data were collected during the COVID-19 pandemic from January to June 2021. Results: Eighty-four patients participated, of which 34.5 % were diabetic patients with periodontitis. Statistically, significant differences (P < 0.05) were found between levels of awareness and knowledge of periodontitis among diabetic patients and nondiabetic patients (both groups are suffering periodontitis). Awareness and knowledge of periodontitis are inversely correlated with their current clinical periodontal status, therefore patients with less awareness and knowledge have more severe periodontitis. Conclusion: Lack of awareness and knowledge of periodontitis was found among both nondiabetic and diabetic periodontitis patients. Dental health education is required to improve understanding and awareness of the relationship between periodontitis and DM.