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Patricia Wulandari
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INDONESIA
Crown: Journal of Dentistry and Health Research
Published by Phlox Institute: Indonesian Medical Research Organization
ISSN : 30261473     EISSN : 30261473     DOI : https://doi.org/10.59345/crown
Core Subject : Health, Science,
Dentistry Health Professions Medicine & Pharmacology Neuroscience Public Health
Focus Crown: Journal of Dentistry and Health Research (Crown) focused on the development of dentistry sciences and health research for human well-being. Scope Crown: Journal of Dentistry and Health Research (Crown) publishes articles which encompass all aspects of dentistry and health research , especially all type of original articles, case reports, review articles, narrative review, meta-analysis, systematic review, mini-reviews and book review.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 5 Documents
 1 
Search results for , issue "Vol. 2 No. 2 (2024): Crown: Journal of Dentistry and Health Research" : 5 Documents clear
Comparison of the Efficacy and Safety of Composite Dental Filling Materials (Nano-Hybrid and Microhybrid): A Double Randomized Clinical Study in Ulan Bator Hospital, Mongolia Byamba, Daava
Crown: Journal of Dentistry and Health Research Vol. 2 No. 2 (2024): Crown: Journal of Dentistry and Health Research
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/crown.v2i1.117

Abstract

Introduction: Composite dental filling materials are widely used for dental restoration because of their aesthetic properties and durability. However, the choice of appropriate filling material is still a matter of debate. The aim of this study was to compare the effectiveness and safety of nano-hybrid and microhybrid composite dental filling materials in a double-blind randomized clinical study at Ulan Bator Hospital, Mongolia. Methods: A total of 60 patients with posterior dental caries were recruited and randomly assigned to receive nano-hybrid or microhybrid composite dental fillings. Patients were clinically evaluated at 6 months, 12 months, and 24 months after patching to assess patch retention, color change, sensitivity, and other complaints. Results: The patch retention rates in the two groups were not significantly different (p>0.05). The color change in the nano-hybrid group was less than that in the microhybrid group (p<0.05). Tooth sensitivity in the two groups was not significantly different (p>0.05). No other complaints were reported by the patient. Conclusion: Nano-hybrid and microhybrid composite dental filling materials have equivalent effectiveness and safety within a period of 24 months. However, nano-hybrid showed less color change compared to microhybrid.
Formulation and Evaluation of Toothpaste Combining Clove Flower Extract (Syzygium aromaticum L.) and Chamomile Flower Essential Oil (Matricaria chamomilla) Elmaria; Paramawidhita, Risqika Yuliatantri; Rika Arfiana Safitri
Crown: Journal of Dentistry and Health Research Vol. 2 No. 2 (2024): Crown: Journal of Dentistry and Health Research
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/crown.v2i2.145

Abstract

Introduction: Herbal remedies like clove and chamomile have been traditionally used for their potential oral health benefits. This study aimed to formulate and evaluate a toothpaste combining clove flower extract (Syzygium aromaticum L.) and chamomile flower essential oil (Matricaria chamomilla) for its efficacy in promoting oral hygiene. Methods: Clove flower extract was obtained through ethanol extraction, while chamomile essential oil was procured commercially. Various toothpaste formulations (F1-F3) were prepared with varying concentrations of the herbal extracts, alongside a control formulation (F0) without the extracts. The formulations underwent comprehensive evaluation, including organoleptic assessment, pH determination, homogeneity testing, and foam height analysis. Additionally, antimicrobial activity against common oral pathogens (Streptococcus mutans and Staphylococcus aureus) was assessed using the agar well diffusion method. Results: All formulations (F0-F3) exhibited acceptable organoleptic properties, pH levels within the safe range for oral use, and homogeneity. However, foam height varied among formulations, with F1-F3 showing lower foam compared to the control (F0). Notably, F2 and F3 demonstrated significant antimicrobial activity against both S. mutans and S. aureus, suggesting their potential in combating oral pathogens. Conclusion: The combination of clove flower extract and chamomile essential oil in toothpaste formulations holds promise for enhancing oral hygiene due to their antimicrobial properties. Further research is warranted to optimize foam height and explore the long-term clinical effects of this herbal toothpaste.
Successful Management of Dry Socket with Alveogyl Following Posterior Mandibular Tooth Root Extraction: A Case Report Arsheilla Ika Maulida; Kusumastiwi, Rr. Pipiet Okti
Crown: Journal of Dentistry and Health Research Vol. 2 No. 2 (2024): Crown: Journal of Dentistry and Health Research
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/crown.v2i2.159

Abstract

Introduction: Dry socket, or alveolar osteitis (AO), is a prevalent post-extraction complication characterized by intense pain and delayed healing. The etiology is multifactorial, often linked to trauma, infection, and lifestyle factors. Alveogyl, a medicated dressing containing iodoform, butamben, and eugenol, is commonly employed in dry socket management due to its analgesic, antiseptic, and healing properties. This case report presents the successful treatment of dry socket with Alveogyl following the extraction of retained mandibular third molar roots. Case presentation: A 22-year-old female patient presented with severe, radiating pain four days after the extraction of retained mandibular third molar roots. Clinical examination revealed an open socket with exposed bone and localized inflammation, indicative of dry socket. The patient's medical history was unremarkable, and she denied any contributing factors such as smoking or oral contraceptive use. The socket was irrigated with saline, and Alveogyl dressing was applied. Conclusion: The patient reported complete pain resolution and demonstrated significant healing at the one-week follow-up. This case underscores the efficacy of Alveogyl in managing dry socket, providing pain relief, and promoting healing. The prompt diagnosis and treatment of dry socket are crucial in mitigating patient discomfort and ensuring optimal healing outcomes. The use of Alveogyl as part of a comprehensive treatment approach can contribute to successful dry socket management.
Biological Pathways of Oral Health Inequality: A Longitudinal Analysis of Stunting, Enamel Defects, and Salivary Immunity on Caries Trajectories in Indonesian Children Firman Hadi; Moon Kaeun; Fatimah Mursyid; Venny Melinda
Crown: Journal of Dentistry and Health Research Vol. 2 No. 2 (2024): Crown: Journal of Dentistry and Health Research
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/crown.v2i2.239

Abstract

Introduction: The syndemic of stunting and Early Childhood Caries (ECC) constitutes a major public health crisis in developing nations. While an association is established, the specific biological mechanisms remain poorly quantified. This study aimed to longitudinally determine the direct and indirect effects of early childhood stunting on caries increment, testing the mediating roles of enamel hypoplasia and salivary immunity after controlling for key confounders. Methods: We conducted a 3-year prospective cohort study of 542 two-year-old children in West Java, Indonesia. Stunting at baseline was defined as a height-for-age Z-score (HAZ) < -2 SD. The primary outcome was the 3-year increment in decayed, missing, and filled primary tooth surfaces (Δdmfs). Putative mediators—enamel hypoplasia and salivary secretory immunoglobulin A (s-IgA) and lactoferrin—were assessed. Longitudinal mixed-effects models and structural equation modeling (SEM) were used to analyze the pathways, adjusting for socio-demographic factors and fluoride exposure. Results: At baseline, 31.4% of children were stunted. After adjusting for confounders including fluoride exposure, stunting remained a powerful predictor of accelerated caries increment (an additional 1.95 surfaces/year; p<0.001). SEM analysis revealed the total effect of stunting on Δdmfs was substantial (Standardized β=0.45, p<0.001). This effect was significantly mediated by enamel hypoplasia (indirect effect β=0.17, accounting for 37.8% of total effect) and suppressed salivary s-IgA levels (indirect effect β=0.10, accounting for 22.2% of total effect). The direct effect of stunting, independent of these mediators, remained significant (β=0.18, p<0.001). Conclusion: Stunting in early life is a critical determinant of a high future caries burden, an effect that persists even after accounting for fluoride exposure. This relationship is substantially driven by two major biological pathways: compromised tooth structure (enamel hypoplasia) and impaired oral mucosal immunity (suppressed s-IgA). Public health strategies must integrate nutritional support within the first 1,000 days of life with oral health promotion to disrupt these pathways and combat the dual burden of stunting and ECC.
The Epidemiology of Oral Carcinogenesis in the Indonesian Archipelago: A Cross-Sectional, Population-Based Analysis of Oral Cancer and Potentially Malignant Disorders Driven by Kretek Smoking and Betel Quid Chewing Mariana Alifah; Sudarto Sudarto; Khalil Jibran; Theresia Putri Sinaga; Lisye Tiur Simanjuntak; Priscilla Kapoor
Crown: Journal of Dentistry and Health Research Vol. 2 No. 2 (2024): Crown: Journal of Dentistry and Health Research
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/crown.v2i2.240

Abstract

Introduction: Indonesia faces a severe but poorly quantified epidemic of oral cancer (OC) and oral potentially malignant disorders (OPMDs), driven by culturally endemic habits of kretek (clove cigarette) smoking and betel quid chewing. The absence of robust, large-scale epidemiological data has critically hampered the development of targeted public health interventions. This study aimed to determine the prevalence of OC and OPMDs and to quantify their association with these specific cultural practices in a large, geographically diverse Indonesian population. Methods: A multi-center, cross-sectional study was conducted across the Indonesian archipelago, enrolling 17,850 adults aged ≥30 years through a stratified, multi-stage cluster sampling design at community primary health centers (Puskesmas). Participants completed a structured questionnaire and underwent a standardized oral examination by calibrated dental professionals. All statistical analyses, including bivariate tests and multivariable logistic regression, were performed using survey-specific methods to account for the complex sampling design (stratification, clustering, and weighting) to produce nationally representative estimates. Results: The overall, nationally-weighted prevalence of the combined OC/OPMD outcome was 5.7% (95% CI: 5.2% - 6.2%). The prevalence was 4.9% for OPMDs and 0.8% for OC. After adjusting for confounders in a survey-weighted multivariable logistic regression model, current kretek smoking (Adjusted Odds Ratio [AOR]: 6.15; 95% CI: 4.98 - 7.59) and current betel quid chewing (AOR: 9.22; 95% CI: 7.31 - 11.63) were the most powerful factors associated with the presence of OC/OPMDs. A significant, non-linear dose-response relationship was observed for both habits. Conclusion: The burden of oral cancer and its precursors in Indonesia is substantial and is overwhelmingly associated with the culturally embedded habits of kretek smoking and betel quid chewing. These findings provide definitive, population-level evidence underscoring the urgent necessity for culturally-tailored public health strategies focused on cessation, regulation, and systematic early detection to mitigate this preventable cancer epidemic.

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