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Combined Vitamin D and Magnesium Supplementation Improves Insulin, HOMA Indices, Blood Glucose, and Oxidative Stress Markers in Diabetic Rats Azzahra, Balqis Faizah; Yueniwati, Yuyun; Permatasari, Happy Kurnia; Rahayu, Rachmi Fauziah; Tifani, Amara Syifa; Fauzi, Adam
The Indonesian Biomedical Journal Vol 18, No 1 (2026)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v18i1.3905

Abstract

BACKGROUND: Diabetes mellitus (DM) is characterized by disturbances in glucose homeostasis, chronic low-grade inflammation, and heightened oxidative stress. Alterations in vitamin D status and magnesium homeostasis are frequently observed in DM and have been implicated in impaired insulin secretion, decreased insulin sensitivity, and dysregulated antioxidant responses. Although both micronutrients have independently demonstrated potential benefits on glycaemic regulation and oxidative balance, the synergistic therapeutic effects of combined vitamin D and magnesium supplementation remain insufficiently elucidated in experimental models of type 2 DM. Therefore, this study was conducted to determine the effects of combined vitamin D and magnesium supplementation on insulin dynamics, glycaemic control, and oxidative stress markers in streptozotocin-induced diabetic rats.METHODS: Twenty-four male Wistar white rats were divided into 4 groups: normal control, diabetic control, metformin group, and vitamin D + magnesium group. DM was induced using streptozotocin–nicotinamide injection. Glycaemic parameters including insulin, homeostasis model assessment for insulin resistance (HOMA-IR), and homeostatis model assessment of β-cell function (HOMA-β), were evaluated from fasting serum using immunoassay-based analyses; while oxidative stress markers including superoxide dismutase (SOD) and malondialdehyde (MDA) were measured from plasma using colorimetric spectrophotometric methods.RESULTS: Vitamin D and magnesium combination achieved the greatest reduction in blood glucose. The mean insulin level and HOMA-β index in the vitamin D + magnesium group were significantly higher than in both the diabetic control and metformin groups (p<0.001). In the same group, HOMA-IR and MDA levels were significantly lower, whereas SOD activity was significantly higher compared with diabetic group and metformin group (p<0.001).CONCLUSION: The combination of vitamin D and magnesium increases insulin and HOMA-β level and decreases HOMA-IR, SOD, and MDA expressions in diabetic Wistar rats.KEYWORDS: diabetes mellitus, magnesium, vitamin D, insulin resistance, inflammation
Analysis of failure rates among calcium hydroxide, biodentine, and mineral trioxide aggregate in direct pulp capping procedures: a systematic review Tifani, Amara Syifa; Nugraeni, Yuli; Rachmawati, Ranny; Huang, Haw-Ming; Fauzi, Adam
Padjadjaran Journal of Dentistry Vol 38, No 1 (2026): March 2026
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol38no1.66578

Abstract

Introduction: Direct pulp capping is a conservative treatment approach aimed at preserving pulp vitality following pulp exposure. Calcium hydroxide (Ca(OH)₂), mineral trioxide aggregate (MTA), and Biodentine are commonly used materials for this procedure. This systematic review aimed to compare the clinical, radiographic, and histological outcomes associated with these materials in direct pulp capping procedures. Method: A systematic literature search was conducted in PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2015 and 2025. Only in vivo human clinical studies involving permanent teeth treated with Ca(OH)₂, MTA, or Biodentine were included. Study selection followed PRISMA guidelines. Data extraction focused on clinical success, pulp vitality, dentin bridge formation, and follow-up outcomes. Due to heterogeneity among the included studies, results were synthesized narratively. Results: Six clinical studies met the inclusion criteria and were included in the qualitative synthesis. Reported success rates for Ca(OH)₂ ranged from 13% to 37% in long-term follow-up. MTA demonstrated success rates exceeding 80% in studies with follow-up durations of at least 12 months. Biodentine showed comparable or slightly higher success rates than MTA in short- to medium-term observations. Radiographic and histological outcomes indicated more continuous dentin bridge formation in the MTA and Biodentine groups compared to Ca(OH)₂. Conclusion: Based on the available evidence, calcium silicate–based materials such as MTA and Biodentine appear to provide more favorable clinical and biological outcomes than calcium hydroxide for direct pulp capping procedures. Material selection should consider both biological performance and clinical handling characteristics to optimize treatment outcomes.