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All Journal Interdental Jurnal Kedokteran Gigi (IJKG)
Dewi, Ni Putu Dian Cipta
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Biochemistry, Genetics & Molecular Biology Dentistry Medicine & Pharmacology Public Health

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Tooth Extraction Management Using the Open Method Extraction Technique for the Maxillary First Molar Sudiasih, Ni Luh; Dewi, Ni Putu Dian Cipta
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 3 (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.v21i3.11122

Abstract

Introduction: Extraction is the act of extracting teeth and tooth roots from sockets involving bone tissue and soft tissue in the oral cavity. The ideal tooth extraction is the extraction of an intact tooth or root without causing pain. There are two types of tooth extraction techniques in dentistry, namely the open method and the closed method. Tooth extraction with the open method technique is carried out because many parts of the crown structure are missing, so that the tooth cannot be held using pliers or other instruments, which makes it difficult for the tooth to be extracted. In young patients with cases of buried root residual teeth, extraction can be done using the open method technique. Case: A 47-year-old female patient came to RSGM Saraswati Denpasar with a complaint that her upper right jaw tooth only had a root left and wanted to be extracted immediately, and wanted to have a denture. Objective examination of the patient's physical condition is good, with blood pressure 125/88 mmHg. Intraoral examination showed that there were remaining roots 16. Radiographic examination found the remaining roots from tooth 16, which were clinically invisible. Case Management: Case management with extractions of teeth 16 with local anesthesia, accompanied by alveoloplasty, was performed in the Minor Oral Surgery Unit of Saraswati Dental Hospital, Denpasar. Conclusion: Minor surgical treatment in hypertensive patients can be done by considering the patient's medical history, so it can ensure the right modification for safe tooth extraction.
Moringa (Moringa oleifera L.) Leaf Extract Gel Is Able to Reduce TNF-α and IL-6 Post Tooth Extraction in Male Wistar Rats (Rattus norvegicus) Dewi, Ni Putu Dian Cipta; Jawi, I Made; Purnawati, Susy
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 22 No. 1 (2026): 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.v22i1.13611

Abstract

Background: Tooth extraction is a procedure that can cause injury to the soft tissue. The inflammatory phase that occurs during wound healing triggers a series of tissue changes mediated by the immune system and cytokines. TNF-α and IL-6 cytokine levels should decrease as the wound heals, but otherwise it will slow wound healing and lead to chronic inflammation. The purpose of this study was to determine the effect of the extract gel of Moringa leaves on the wound healing process Materials and Methods: This research was conducted on 24 Wistar rats, which were randomly divided into four groups, 70%, 90% Moringa leaf extract gel group 70% and 90%, the control (+) oxyfresh gel, and the control (-) CMC-Na 2%. The left central incisor tooth was extracted, resulting in an injury to the gingival socket, and was given topical treatment every day for 7 days. Blood sampling from the orbital sinus was carried out on the 4th and 7th day after injury, and the levels of TNF-α and IL-6 were measured by ELISA. The data obtained was tested with two-way ANOVA and Post Hoc LSD. Results: The lowest IL-6 was found in the 90% Moringa leaf extract gel group, with an average of 80.86 ± 1.91, while the lowest TNF-α was found in the 90% day 7 group with 80.56 ± 0.41. There were significant differences between the test groups and the observation time, with p <0.05. Conclusion: Topical application of moringa oleifera gel was effective in reducing TNF-α.and.IL-6 levels after tooth extraction in Wistar rats
Co-Authors I Made Jawi Sudiasih, Ni Luh Susy Purnawati