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DENTA JURNAL KEDOKTERAN GIGI Jl. Arief Rahman Hakim No.150, Keputih, Kec. Sukolilo, Kota Surabaya, Jawa Timur 60111 Gedung F6 Fakultas Kedokteran Gigi Telp. 031-5945864
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Denta: Jurnal Kedokteran Gigi
Published by Universitas Hang Tuah
ISSN : 19075987     EISSN : 26151790     DOI : https://doi.org/10.30649/denta.v16i1
Core Subject : Health,
Dentistry
The Denta (Jurnal Kedokteran Gigi) accepts original manuscripts relating to the field of dentistry, including: research reports, case reports and literature reviews. The spread of dental fields comprise: -Dental material -Endodontics -Forensic dentistry -General dentistry -Oral and maxillofacial surgery -Oral biology -Oral medicine -Oral pathology -Orthodontics -Pediatric dentistry -Periodontics -Prosthodontics -Public health dentistry -Radiographic dentistry -Biomarine Science in Dental field
Arjuna Subject : Kedokteran Gigi - Kedokteran Gigi (Lain-Lain)
Articles 222 Documents
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Smart Odontogram on Preventive Dentistry: A Managerial and Policy Review at Nala Husada Dental Hospital Surabaya Indarti, Caecilia; Arya Brahmanta; Rizal, Moh. Basroni; Pinasti, Restika Anindya
Denta Journal Kedokteran Gigi Vol 20 No 1 (2026): February
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i1.7

Abstract

Background: Digital transformation in dental healthcare has brought forward Smart Odontogram systems that offer structured, electronic, and real-time documentation of dental conditions. This tool is particularly valuable for early detection, monitoring, and prevention of oral diseases. However, its success relies heavily on management readiness and policy.  Objective: This study aimed to review the implementation of the Smart Odontogram application from a managerial and policy perspective in supporting preventive dentistry. Methods: This study used a mixed-methods approach. The sample consisted of 12 selected individuals using purposive sampling. Inclusion criterion was involvement in Smart Odontogram implementation for at least six months. Primary data were obtained from interviews and questionnaires, focusing on organizational readiness, human resource competency and training, and managerial challenges and policies. Results: The hospital management has implemented both the hardware and software of Smart Odontogram, but not much (33.3%) integrated with Electronic Medical Record (EMR) system. Only one participant reported a lack of mentoring (8,3%), and only a few received basic training on Smart Odontogram (16,7%).  Only one experienced an oversight of data input (8,3%), and a few reported about the lack of quality of data system control (16,7%). Most participants considered Smart Odontogram to be a significant support of preventive dentistry, particularly in the early identification of caries and periodontal diseases (83,3%). Conclusion: The implementation of Smart Odontogram, supported by sound managerial strategies and policies, significantly enhanced preventive dentistry at Nala Husada Dental Hospital.
Physical Characterization of Micro-Porosity in Decellularized Gambier Leaf for Potential Use as a Plant-Based Scaffold Adenina, Syarinta; Ar Rahmat, Muhammad Firdzi; Mozartha, Martha; K, Trisnawaty; Tamzil, Nia Savitri; Adnindya, Msy Rulan; Hanifah, Masayu Nabila; Alfajri, Fariz
Denta Journal Kedokteran Gigi Vol 20 No 1 (2026): February
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i1.5

Abstract

Background: Scaffolds represent biomaterials designed to provide structural support for cellular adhesion and growth factor sequestration, emulating the extracellular matrix (ECM) to promote tissue regeneration. Plant-based tissues have garnered attention as viable scaffold alternatives owing to their architectural homology with human extracellular structures. Gambier leaves (Uncaria gambir) stand out for their inherent porous, trabecular morphology, where microporosity is pivotal in facilitating cell attachment, proliferation, and differentiation. Objective: This study aims to elucidate the microporous characteristics of decellularized gambier leaves via scanning electron microscopy (SEM). Method: Fresh leaves were meticulously cleaned, cryopreserved at −20°C, and fashioned into five circular discs employing a biopsy punch. Decellularization entailed submersion in 10% sodium dodecyl sulfate (SDS) for five days, succeeded by distilled water lavage. Subsequent cyclic treatment with Tween-20 and NaClO solutions, applied every 24 hours, continued until optical translucency was achieved. Processed tissues underwent thorough washing, overnight fixation, serial ethanol dehydration, hexamethyldisilazane (HMDS) treatment, 50 nm gold sputter-coating, and SEM evaluation across three magnifications. Results: Microscopy revealed surface wrinkling and partial architectural collapse in multiple specimens, likely due to dehydration-induced artifacts. Conversely, a single intact sample exhibited pronounced microporosity, as evidenced by pore diameters of 0.689 µm and 0.5512 µm. Conclusion: These observations affirm the microporous potential of decellularized gambier leaves for cellular anchorage and nutrient permeation, bolstering their candidacy as plant-derived scaffolds in tissue engineering. Nonetheless, inter-sample variability underscores the need for refined decellularization/dehydration methods and expanded quantitative assessments to ensure reproducible structural integrity.
Enhancing Dental Health Knowledge Through The Combination of Storytelling and Interactive Activities at TK Sepuluh November Maharani, Aulia Dwi; Paramita, Ayulistya; Lestari, Gunarti Dwi; Bunga Fauzia
Denta Journal Kedokteran Gigi Vol 20 No 1 (2026): February
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i1.3

Abstract

Background: Dental health in preschool children is an important aspect that should be introduced early. However, cognitive limitations and short attention spans at this age require educational methods appropriate to their developmental stage. Pojok Sikat Gigi is an activity that consists of various health promotion and preventive strategies carried out at TK Sepuluh November Surabaya, targeting teachers, parents, and students. One strategy is dental health education through storytelling, using hand puppets and interactive activities. Objective: This study aimed to determine the effectiveness of dental health education with storytelling and interactive activities on improving preschool students’ knowledge of dental health. Method: 34 students aged between 5-7 were the sample in this research. This was a pre-experimental research with a pre- and post-test design. The pretest score was measured through a Q&A session before education. The posttest score was measured by asking students to write down their answers on a piece of paper, guided by the researcher who read the same questions. The pre- and post-test knowledge scores were compared using the Wilcoxon statistical test to assess whether there was a significant difference after the educational intervention. Results: The mean pretest score was 2.24, and the posttest score was 5 (maximum score was 5). The Wilcoxon test value was sig=0.00<0.05, meaning that there was a significant difference between the scores before and after education. Conclusion: The storytelling method and interactive activities are effective in improving preschool students’ knowledge of dental health.
Cinnamomum zeylanicum Essential Oil as an Antibacterial Agent and Dental Caries Prevention Rizal, Moh. Basroni; Cevanti, Twi Agnita; Revianti, Syamsulina; Azmanu, Aulia Alam
Denta Journal Kedokteran Gigi Vol 20 No 1 (2026): February
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i1.2

Abstract

Background: The prevalence of dental caries in Indonesia reaches 88.8%. Chlorhexidine, although effective, has side effects such as tooth discoloration. Cinnamomum zeylanicum is rich in cinnamaldehyde and eugenol, with antibacterial activity that makes it a natural alternative. Objective: To assess the effectiveness of Cinnamomum zeylanicum essential oil against Streptococcus mutans inoculated in Wistar rats (Rattus norvegicus) in preventing dental caries. Method: This study used 20 male Wistar rats, divided into five groups: negative control, positive control, and three treatment groups with Cinnamomum zeylanicum essential oil concentrations of 6.25%, 10%, and 12.5%. Streptococcus mutans (S. mutans) was inoculated orally in 0.2 ml using a pipette for three consecutive days. During the study, rats were fed a diet mixed with a sucrose solution (600 mg of sucrose dissolved in 1 liter of Aquadest) at a 1:500 ml-to-pellet ratio to induce caries. After 20 days of treatment, data were collected using a bacterial inhibitory zone assay by disk diffusion and salivary pH measurement. Data analysis was performed using one-way analysis of variance (ANOVA), Tamhane’s post-hoc test, and the Wilcoxon signed-rank test. Results: One-way ANOVA test showed no significant differences in the inhibitory zone (p>0.05). Post-hoc tests showed that all groups were not significant (p>0.05). The Wilcoxon signed-rank test showed significant differences in salivary pH before and after treatment (p<0.05). Conclusion: Cinnamomum zeylanicum essential oil has potential as an antibacterial agent and natural alternative in preventing dental caries against S. mutans, and is able to change the salivary pH to alkaline.
Effect of Modified Snakes and Ladders Game for on Dental Caries Knowledge among Fifth- Grade Students at SDN 10 Sungai Sapih Padang Salsabila, Silvi; Yandi, Satria; Zia, Hanim Khalida; Ferdina, Resa; Surya, Leny Sang
Denta Journal Kedokteran Gigi Vol 20 No 2 (2026): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i2.7

Abstract

Background: Dental caries is one of the most common dental health problems in Indonesia, with a high prevalence in school-aged children. One of the main causes is the lack of knowledge about how to maintain oral health. To overcome this, educational media was developed in the form of a modified snake and ladder game designed to increase student knowledge through an interactive and fun approach. Objective: This study aimed to determine whether the use of a modified snakes and ladders game can improve the understanding of dental caries among fifth-grade students at SDN 10 Sungai Sapih, Padang. Materials and methods: This study used a one-group pretest-posttest design based on previous experimental research. Using a selection approach, 21 fifth-grade students from SDN 10 Sungai Sapih, Padang were became the research sample. The intervention was carried out with dentition cards, and data were collected using ‘RoMu (Rongga Mulut / Oral Cavity) question cards’ as a survey. The Marginal Homogeneity of Test was used to analyze the data, and a significance threshold of p≤0.05 was used. Results: The results showed that the implementation of modified snakes and ladders game media significantly improved students' caries knowledge. The average knowledge score increased from 8.00 before the intervention to 9.33 after the intervention. This score is the average number of correct answers obtained by respondents in the knowledge questionnaire. The results of the Marginal Homogeneity test showed that the increase was statistically significant (p < 0.001). However, the implementation of the media still requires improvements, especially in explaining the game rules and user guides to make them easier for participants to understand, and thus make the learning process more effective. Conclusion: The modified snakes and ladders game media has the potential to be an effective dental health education medium if accompanied by improvements in the aspects of user instructions and game mechanics.
KEBERHASILAN APEKSIFIKASI PASCA-TRAUMA PADA GIGI PERMANEN MUDA MENGGUNAKAN MTA: PERIODE KONTROL LIMA BULAN Sudjatmoko, Abshari Rizky; Agni Febrina Pargaputri
Denta Journal Kedokteran Gigi Vol 20 No 2 (2026): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i2.8

Abstract

Background: The management of permanent teeth with pulp necrosis and an open apex presents a significant challenge in endodontics because the thin dentinal walls elevate the risk of root fracture and make it difficult to achieve an adequate apical seal without material extrusion. Apexification remains a reliable treatment option for immature permanent teeth with pulpal necrosis before root development is complete. Objective: This report outlines the clinical outcomes of Mineral Trioxide Aggregate (MTA) as a material in apexification for immature permanent teeth with pulpal necrosis and incomplete root formation. Case: A 9-year-old boy presented with pulpal necrosis and incomplete root development of the maxillary central incisor after dental trauma. Case Management: Apexification was completed over three clinical visits, including root canal preparation and disinfection, followed by mineral trioxide aggregate (MTA) placement to create an apical barrier. After the MTA had adequately set, the root canal was obturated, and the tooth was restored with direct composite restoration. At the five-month follow-up, clinical and radiographic examinations demonstrated favorable outcomes, with no patient-reported symptoms and evidence of apical barrier formation. Discussion: MTA apexification remains a reliable and biocompatible treatment option for immature permanent teeth with pulpal necrosis and open apex. This procedure promotes apical barrier formation; however, long-term follow-up is essential to monitor healing and treatment outcomes. Conclusion: MTA apexification is a reliable treatment option for immature permanent teeth in children, providing favorable outcomes and functional restoration.
Antibacterial Activity of Low-Concentration Ethyl Acetate Fraction of Tridax procumbens Against Streptococcus mutans Widyawati, Widyawati; Rahmania, Anggun; Pascawinata, Andries
Denta Journal Kedokteran Gigi Vol 20 No 2 (2026): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i2.3

Abstract

Background: Streptococcus mutans is a major cariogenic bacterium involved in dental plaque formation and enamel demineralization. Although chlorhexidine is widely used as an antibacterial agent, its long-term use may cause adverse effects, prompting the search for natural alternatives. Tridax procumbens L. (T. procumbens) contains bioactive compounds with potential antibacterial properties. Objective: To evaluate the antibacterial activity of the ethyl acetate fraction of T. procumbens against Streptococcus mutans. Materials and Methods: An in vitro experimental study with a post-test-only control group design was conducted using six groups: ethyl acetate fractions of T. procumbens at concentrations of 2%, 4%, 6%, and 8%, a 0.2% chlorhexidine positive control, and a negative control. Each group consisted of four replicates. Antibacterial activity was evaluated using the agar disk diffusion method by measuring inhibition zone diameters. Data were analyzed using the Kruskal–Wallis test, followed by the Mann–Whitney test. Results: All tested concentrations exhibited antibacterial activity against S. mutans. The 8% ethyl acetate fraction produced the largest mean inhibition zone among the tested concentrations and showed an inhibitory effect comparable to that of 0.2% chlorhexidine. Statistical analysis revealed significant differences between treatment groups (p < 0.05). However, no significant differences were observed among the 2%, 4%, 6%, and 8% concentrations. Conclusion: The ethyl acetate fraction of T. procumbens exhibited antibacterial activity against Streptococcus mutans. The 8% concentration produced the greatest inhibitory effect, although increasing the concentration from 2% to 8% did not significantly enhance antibacterial activity. These findings indicate its potential as a natural antibacterial agent against S. mutans.
Age, Gender, and Khat (Catha edulis) Chewing: an Assessment of Periodontal Status among Yemeni Adults Alyamani, Khleg; Fauziah, Munaya; Purnamawati, Dewi; Dihartawan, Dihartawan; Al- wesabi, Mohammed Ali; Al- Sanaani, Saba Awadh; Al- Sanaani, Safa Awadh
Denta Journal Kedokteran Gigi Vol 20 No 2 (2026): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i2.1

Abstract

Background: Periodontal disease is a major global public health problem affecting billions of people worldwide and remains highly prevalent in low-resource settings, including Yemen. Disease progression is influenced by biological and behavioral factors, including age, gender, and region-specific habits, such as khat chewing, which is widely practiced in the Yemeni population. Objective: This study aimed to examine the relationship between khat chewing, age, gender, and periodontal status. Materials and Methods: This cross-sectional study included 570 Yemeni adult patients who attended outpatient dental clinics at the University of Science and Technology–Aden (UST), using data obtained from clinical records. Data were analyzed using descriptive statistics, chi-square tests, and multiple logistic regression. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were calculated, and statistical significance was set at p< 0.05.Results: In the adjusted model, khat chewing was independently associated with periodontitis (AOR = 2.06; 95% CI: 1.36–3.15; p <  0.001). Participants aged >35 years had significantly higher odds of periodontitis (AOR = 3.93; 95% CI: 2.64–5.84; p< 0.001). No significant association was found between gender and periodontal status after adjustment. Conclusion: Khat chewing and older age were independent predictors of periodontitis, whereas gender showed no significant association.
Chlorine Dioxide as an Adjunctive Oral Rinse for Burning Mouth Syndrome: A Case Series Rahman, Kurnia Hayati; Lukisari, Cane; Nafiah, Nafiah; Setianingtyas, Dwi; Priambodo, Nur Tsurayya; Widowati, Kharinna; Bhawal, Ujjal K.
Denta Journal Kedokteran Gigi Vol 20 No 2 (2026): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i2.4

Abstract

Background: Burning Mouth Syndrome (BMS) is a chronic orofacial pain disorder characterized by a persistent burning sensation of the oral mucosa in the absence of clinically observable lesions. BMS is classified into primary (idiopathic), often associated with neuropathic or psychogenic factors, and secondary forms linked to identifiable local or systemic conditions. Objective: This report describes a case of BMS with overlapping etiologies and evaluates the role of chlorine dioxide as a supportive agent in symptom management. Case: A patient with type 2 diabetes mellitus presented with a persistent burning sensation in the oral cavity without any clinical abnormalities. The condition was diagnosed as a combination of primary BMS with a psychogenic component and secondary BMS associated with diabetic neuropathy. Case Management: Management focused on symptomatic relief and improving oral mucosal comfort. Chlorine dioxide was administered as supportive therapy to enhance oral hydration and provide a soothing effect on the mucosa. The patient reported improvement in burning symptoms following its use. Discussion: BMS is a multifactorial condition requiring comprehensive evaluation of neuropathic, systemic, and psychological factors. In this case, the coexistence of psychogenic components and diabetic neuropathy highlights the complexity of diagnosis and management. Supportive therapy using chlorine dioxide may contribute to symptom alleviation through its hydrating and soothing properties, although its mechanism and efficacy remain insufficiently established. Therefore, a multidisciplinary approach is essential for the effective management of BMS, and further studies are needed to validate the clinical benefits of chlorine dioxide in BMS management.
Antibacterial Activity and Cytotoxicity Evaluation of Eucheuma spinosum Extract Against Porphyromonas gingivalis and BHK-21 Cells Kurniawan, Hansen; Saptaswari, Dianty; Yoyada, Novendy; Hendro, Onge Victoria; Widyastuti, Widyastuti; Nilawati, Nina; Wedarti, Yoifah Rizka; Elidasari, Monika; Soesilo, Diana; Az-Zahra, Hilaliya Rosyadah; Najwa, Naura Salsabilah; Rizal, Moh. Basroni
Denta Journal Kedokteran Gigi Vol 20 No 2 (2026): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i2.2

Abstract

Background: Porphyromonas gingivalis (P. gingivalis) is a major pathogenic bacterium that causes periodontitis, with diverse virulence factors and resistance to conventional therapies. Therefore, the search for natural antibacterial agents is important. One potential candidate is Eucheuma spinosum (E. spinosum), which contains bioactive compounds such as flavonoids, alkaloids, and terpenoids. Objectives: This study aimed to evaluate the antibacterial activity and cytotoxic effects of E. spinosum extract against P. gingivalis and BHK-21 fibroblast cells. Materials and Methods: A true experimental laboratory study was conducted using ethanol extract of E. spinosum at concentrations of 12.5%, 25%, and 50%. Antibacterial activity was assessed by disc diffusion on Mueller-Hinton agar, while cytotoxicity was evaluated by the MTT assay in BHK-21 cells. Statistical analysis was performed using Kruskal–Wallis and Mann–Whitney tests. Discussion: The results showed that E. spinosum extract exhibited significant antibacterial activity against P. gingivalis, with inhibition zones increasing in a concentration-dependent manner (10.31, 13.57, and 15.41 mm, respectively), categorized as strong inhibition. However, cytotoxicity testing revealed reduced cell viability across all concentrations (40.49%, 36.58%, and 36.53%), indicating toxic effects in accordance with ISO 10993-5. Statistical analysis confirmed significant differences between groups (p < 0.05). Conclusion: E. spinosum extract demonstrates promising antibacterial properties against P. gingivalis, but its cytotoxic effects on fibroblast cells limit its direct clinical application. Further research is required to optimize safe concentrations and improve biocompatibility for periodontal therapy.

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