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Agus Ardinansyah
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Yarsi Dental Journal
Published by Universitas Yarsi
ISSN : 30259614     EISSN : 30262542     DOI : 10.33476/ydj
Core Subject : Health,
Dentistry
The first edition of YDJ will be launched by the Faculty of Dentistry, University of YARSI, in 2023. YDJ is a biannually published scientific journal. YDJ is an open-access, peer-reviewed journal that supports all topics in Painless Dentistry, Oral and Maxillofacial Sciences, including Biomedics, Conservative Dentistry, Endodontics, Dental Materials, Dental Radiology, Microbiology, Histology, Oral Anatomy, Oral Biology, Oral Surgery, Oral Medicine, Oral Pathology, Orthodontics, Pedodontics, Periodontology, Dental Pharmacology, Prosthodontics, Dental Education, Preventive Dentistry, and Dental Public Health.
Arjuna Subject : Kedokteran Gigi - Kebersihan Gigi
Articles 42 Documents
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The RENDEMEN HIDROKSIAPATIT DARI TULANG IKAN CAKALANG (Katsuwonus pelamis) DENGAN LAMA WAKTU 12, 24, 36, 48 JAM DENGAN METODE PRESIPITASI Syamsiah Syam; Mila Febriany; Indrya Kirana Mattulda; Husnah Husein; Ilham Abbas
YARSI Dental Journal Vol. 3 No. 2 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v3i2.308

Abstract

Background: Skipjack tuna (Katsuwonus pelamis) bone waste in South Sulawesi has high potential as a natural hydroxyapatite (HA) source due to its calcium–phosphate content. However, the effect of precipitation duration on HA yield and phase composition remains unclear. Research Objective: To evaluate the effect of precipitation time (12, 24, 36, and 48 hours) on hydroxyapatite yield and phase composition from skipjack tuna bone. Methods: Experimental laboratory study using precipitation method. Bone-derived CaO was reacted with 0.6 M H₃PO₄ under controlled pH using NaOH 1 M. The precipitate was aged for 12–48 hours, dried, calcined, and weighed to determine yield. Phase composition was analyzed using XRD. Results: The highest yield was obtained at 24 hours (97.807%). Longer durations (36 and 48 hours) reduced yield. XRD showed Whitlockite dominance at 12 hours (84.5%), increased Hydroxyapatite at 24 hours (46.1%), Whitlockite re-dominance at 36 hours (50.4%), and Fluorapatite dominance at 48 hours (49.7%). Conclusion: A 24-hour precipitation time produced the highest HA yield with balanced phase composition. Prolonged precipitation altered mineral phases and reduced efficiency.
Restorasi Direk Kelas IV Komposit dengan Palatal Putty Index pada Gigi Insisif Sentral Atas Fajria Maulidina; Denny Nurdin
YARSI Dental Journal Vol. 3 No. 2 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v3i2.337

Abstract

Introduction: More than 75% of tooth fracture cases occur in the maxillary area, and nearly half of these involve the incisors. Fractures in these teeth not only impair function but also significantly affect the patient’s aesthetics. In restoring the shape and function of the central incisors, there is a high demand for both precision and aesthetics. One approach that can be used is the palatal putty index technique. The aim of this case report is to discuss Class IV direct composite restoration treatment on teeth 11 and 21 using a putty index to achieve optimal anatomical form, which is often difficult to accomplish with a free-hand placement technique. Case Report: An 18-year-old male patient came to the conservative dentistry clinic at RSGM Unpad with a complaint of fractured upper front teeth due to physical trauma during a concert. Examination revealed fractures on teeth 11 and 21 extending to the dentin. Treatment was performed using Class IV direct composite restoration with the aid of a putty index. The procedure included tooth preparation, impression taking, wax-up fabrication on a working model, and the creation of a putty index to guide the restoration. Discussion: The putty index allows the operator to form restorations that are precise, aesthetic, minimally invasive, and cost-effective. This technique is especially beneficial in cases of significant anterior tooth structure loss, particularly when the palatal structure, contour, and tooth shape are compromised. Conclusion: The use of a putty index has proven effective in achieving precise and aesthetic tooth contours in a minimally invasive manner, especially in cases with considerable structural loss.
Comparison of The Accuracy of Smartimu and Images Applications in Determining The Grade of Bone Loss As Seen On Periapical Radiographs Amanah Pertiwisari; Yusrini Selviani; Nur Rahmah Hasanuddin; Taufan Lauddin; Audy Anugrah
YARSI Dental Journal Vol. 3 No. 2 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v3i2.347

Abstract

Introduction: Periodontal disease is one of the most common oral health problems with significant global prevalence. Periapical radiography is used as the primary tool for diagnosing alveolar bone loss in periodontal disease. In the digital era, software such as smarTimu and ImageJ offer innovative methods for accurately determining the grade of bone loss. Objective: This study aims to compare the accuracy of smarTimu and ImageJ applications in determining the grade of bone loss based on periapical radiograph analysis. Materials and Methods: This study used an analytical observational method with a cross-sectional design with a sample of internship students at the RSIGMP FKG Universitas Muslim Indonesia who met the inclusion criteria. Periapical radiographic data were analyzed using smarTimu and ImageJ. Measurement accuracy was compared with the gold standard. Results: The Mann-Whitney test showed a p-value of 0.000, which is less than 0.05, indicating a significant difference in the measurement grades between the smarTimu and ImageJ applications. Conclusion: There is a comparison of the accuracy of the smarTimu application with ImageJ in determining bone loss grades based on periapical radiographs.
Keberhasilan Kumur Doksisiklin sebagai Terapi Awal pada Kasus Periodontitis Stadium III Grade C Ernie Maduratna Setiawatie; Ferlina Diah Ayu Yosi Pramita Asano; Esi Yuniza Fitrina
YARSI Dental Journal Vol. 3 No. 2 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v3i2.388

Abstract

Introduction: Periodontitis progressively destroys tooth-supporting tissues. Conventional oral therapies often cause systemic side effects and fail to reach therapeutic levels in periodontal pockets. Doxycycline, studied for its local antimicrobial and anti-inflammatory effects, was used here as a 0.1% gargle. Case report: A 58-year-old woman presented with upper left tooth mobility, chewing pain, discomfort, and bleeding on brushing. Treatment included education, scaling/root planing, splinting, and twice-daily 0.1% doxycycline gargle post-brushing. After 2 months, gingival consistency had firmed, color had normalized, tooth mobility had reduced, and pocket depths had decreased. Discussion: Doxycycline inhibits subgingival pathogens and binds to dentin for sustained bacteriostatic action. It also suppresses collagenases (MMPs) from neutrophils and bacteria. Conclusion: In this case, 0.1% doxycycline gargle reduced gingival inflammation and improved clinical parameters as initial therapy before surgery, suggesting potential as a low-cost adjunct.
Rekonstruksi Jaringan Lunak Periodontal dengan Pembatasan Gerak Jaringan Smile Elevator untuk Koreksi Gummy Smile: Laporan Kasus aulia adia; Shalahuddin Maulidi; Agung Krismariono
YARSI Dental Journal Vol. 3 No. 2 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v3i2.392

Abstract

Introduction : In the modern era, dental esthetics has become an important consideration, particularly in cases of gummy smile, which may significantly reduce a patient’s self-confidence. A gummy smile is defined as excessive gingival display of more than 3 mm in the vertical dimension of the maxillary anterior region during smiling. The etiology of gummy smile is multifactorial and may include hyperactivity of the upper lip elevator muscles, vertical maxillary excess, and delayed passive eruption. Case Report: A 32-year-old woman presented with the chief complaint of excessive gingival display during smiling and dissatisfaction with poorly fabricated veneers, which negatively affected her confidence. She also reported halitosis following veneer placement performed at a non-clinical setting. Intraoral examination of the maxillary and mandibular anterior regions revealed poor-quality veneers, hyperemic and edematous gingival margins, and abnormal gingival texture. Discussion: A pleasant smile requires harmony among tooth shape, color, size, gingival health, and an appropriate amount of gingival display during smiling. This case report describes a surgical approach combining periodontal soft tissue reconstruction with smile elevator tissue containment for the correction of gummy smile. The technique aims to reduce excessive gingival display by limiting the excessive retraction of the smile elevator muscles. Conclusion: Periodontal soft tissue reconstruction in combination with smile elevator tissue containment represents an innovative surgical technique for the correction of gummy smile.
Gnatoplasti Bilateral dengan Bantuan Cangkok Tulang pada Gnatoskisis: Laporan Kasus Annisa basyira; Irwansyah Manurung
YARSI Dental Journal Vol. 3 No. 2 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v3i2.409

Abstract

Introduction: Gnatoschizis (alveolar cleft), is a developmental defect of the maxillary alveolar bone, occurring in up to 75% of patients with cleft lip and palate. This condition may impair mastication and cause persistent oronasal fistulas if it is left untreated. Gnatoplasty with bone grafting is a reliable procedure to restore alveolar continuity and oral function. This report describes the management of bilateral gnatoschizis with bilateral gnatoplasty and bone graft reconstruction. Case Report: A 25-year-old female presented with nasal fluid leakage during meals. Two small openings were foung in the upper labial mucosa, forming oronasal communications. OPG and 3D CT scan confirmed anterior maxillary defects directly communicating with the nasal cavity. The patient treated by bilateral gnatoplasty under general anesthesia. Closure of nasal and oral mucosa were performed to seal the fistulas. Bone grafting followed without membrane coverage using AmGraft® (freeze-dried dentin matrix, allograft) and Bonefill Ortho® (bovine hydroxyapatite, xenograft). Postoperative CBCT demonstrated well-positioned grafts completely filling the defects and patient reported no nasal leakage and regained normal mastication. Discussion: This case highlights the effectiveness of gnatoplasty with bone grafting performed without membranes. This approach simplifies the procedure while still achieving both anatomical repair and functional rehabilitation. Conclusion: Bilateral gnatoplasty with bone graft reconstruction is effective for closing oronasal communication and restoring oral function, without using membranes, making this approach practical for patients with residual cleft defects.
Restorasi Komposit Pada Insisif Sentral Amelogenesis Imperfekta Tipe Hipokalsifikasi: Laporan Kasus Aulia Jihan Nabilah; Siti Utami Dewi; Runi Oktayani; Rasda Diana
YARSI Dental Journal Vol. 4 No. 1 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Amelogenesis imperfecta (AI) is a hereditary genetic disorder that affects development and structure of dental enamelcharacterized by enamel hypoplasia or hypomineralization, resulting in abnormally shaped, fragile teeth that are prone to fracture and caries. This condition affects both primary and permanent dentitions. Amelogenesis imperfecta includes several subtypes, each with distinct clinical characteristics depending on the underlying genetic mutation. Patients with AI typically experience significant enamel loss and require restorative treatment to protect the remaining tooth structure and improve asthetics. This article aims to discuss the etiology, pathophysiology, clinical manifestations, diagnosis, and management of Amelogenesis Imperfecta. Composite resin is the one of preferred restorative material for anterior and posterior teeth due to its favorable aesthetic properties, low thermal conductivity, ease of manipulation, sufficient durability for anterior application, and insolubility in oral fluids. Application of resin composite improves the aesthetics of anterior teeth affected by amelogenesis imperfecta and reduces the risk of caries.
Fluoride vs Nanohydroxyapatite for Remineralization of Post-Orthodontics White Spot Lesions Ega Calvina Putri
YARSI Dental Journal Vol. 4 No. 1 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v4i1.411

Abstract

Introduction: White spot lesion (WSL) represents the earliest sign of enamel demineralization, with a prevalence up to 68.4% among patients after fixed orthodontic treatment. WSL may progress into caries or cause aesthetic concerns. Fluoride remains the gold standard for remineralization in WSL, but recently nanohydroxyapatite (n-HA) has emerged as a biomimetic alternative, claimed to occlude enamel micropores and release Ca²⁺/PO₄³⁻ ions for remineralization. This review aims to evaluate clinical evidence regarding the effectiveness of n-HA compared to fluoride in remineralizing WSL in post-orthodontic patients. Review: This review analyzed evidence from randomized controlled trials, in vivo, and in-vitro studies comparing n-HA with fluoride in managing post-orthodontic WSL. The review was conducted following the PRISMA flow method, with 345 articles initially identified from PubMed, Scopus, and Google Scholar. Following duplicate removal, screening, and eligibility assessment, 7 articles were included, comprising 3 randomized controlled trials (RCTs) and 4 in vivo/in-vitro studies. Findings suggest that n-HA has remineralization potential comparable and in some trials superior to, certain fluoride formulations with additional advantages in improving enamel gloss and decrease sensitivity. Several studies reported significant lesion regression with the use of n-HA toothpaste or mouthrinse. However, most studies were limited by small sample sizes, methodological heterogeneity, and short follow-up durations. Conclusion: Cumulative findings indicate that n-HA demonstrates promising remineralization effects and, in some small-scale clinical trials, performs comparably or even better than certain fluoride formulations. Given the current limitations of the evidence, well-designed, long-term multicenter studies are still needed to establish the effectiveness, safety, and cost-effectiveness of n-HA for post-orthodontic WSL management.
Age Estimation in Palembang Population Using the Atlas of Dental Development in the Indonesian Population Siti Faradillah Noor Isnah; Shanty Chairani; Ibnu Ajiedarmo
YARSI Dental Journal Vol. 4 No. 1 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v4i1.454

Abstract

Abstract  Introduction: Individual identification methods can involve dental examinations, which can be visualized through radiography. There is a method for estimating individual age using an atlas specifically developed for the Indonesian population, known as The Atlas of Dental Development in the Indonesian Population. Objective: The purpose of this study was to assess the accuracy of estimating the age of individual between 6 and 12 years using the Atlas of Dental Development in the Indonesian Population method with panoramic radiographs in the Dental Hospital (RSKGM) of South Sumatra Province. Material and Methods: This research employed an observational analytical approach, utilizing a cross-sectional design involving 360 panoramic radiographs of patients aged between 6 and 12 years. The data was collected from January 2020 to June 2023 at RSKGM in South Sumatra Province. Dental age estimation was conducted based on panoramic radiographs, focusing on the developmental progress of teeth on one side. The statistical analysis was carried out using the Wilcoxon test. Results: The results of the Wilcoxon test indicated that there were no significant differences between dental age and chronological age within the age range of 9-12 years (p-value>0.05). However, significant differences were observed in the age range of 6-8 years (p-value<0.05).  Conclusion: The Atlas of Dental Development in the Indonesian Population method can be employed for age estimation using panoramic radiographs at RSKGM of South Sumatra, and it is more effective for estimating ages within the 9-12 years range.
Combined Endodontic Treatment and Periodontal Flap Surgery for an Endo-Periodontal Lesion of a Maxillary Central Incisor with 8-Month Follow-up: A Case Report Yuvitri Ayu Prastyafani; Chaerita Maulani
YARSI Dental Journal Vol. 4 No. 1 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v4i1.470

Abstract

Introduction: Simultaneous pulpal and periodontal inflammation is referred to as an endo-periodontal lesion. (EPL). These lesions present severe diagnostic and therapeutic challenges due to their complex pathways of communication through dentinal tubules, lateral canals, and apical foramina. Standardized classification under the 2018 World Workshop framework is crucial to determining the localized prognosis, appropriate treatment sequencing, and long-term tooth preservation, especially for esthetically critical anterior teeth in young patients. Case Report: A 19-year-old male presented with severe localized periodontal destruction, dental carries, and masticatory discomfort in tooth #21. The tooth exhibited a lingering, non painful response to cold testing, was highly sensitive to percussion, and demonstrated Miller Grade 2 mobility. Deep site-specific periodontal pockets measuring 9 mm were recorded on both the mesial and buccal aspects. Radiographic examination revealed vertical bone destruction exceeding 80% of the root length. The patient-level diagnosis was Periodontitis Stage III, Grade B, with tooth #21 classified as an EPL Grade 3 (without root damage). Treatment was sequentially executed starting with Phase I periodontal therapy to resolve generalized inflammation and improve the Oral Hygiene Index Simplified (OHIS) from poor to good and endodontic treatment of tooth #21 (shaping, 2.5% NaOCl irrigation with passive ultrasonic activation, intracanal Ca(OH)2 medication for 14 days, hermetic lateral obturation, and composite coronal restoration). This was followed by Phase II Four weeks post-obturation, periodontal flap surgery was performed on the localized 3-wall intrabony defect, involving meticulous debridement, sterile saline irrigation, and localized topical application of 25% metronidazole dental gel. Discussion: At the 8-month follow-up, tooth #21 remained completely asymptomatic, and periodontal probing depths were significantly reduced to 3-4 mm on all aspects. Tooth mobility reverted to physiological levels (Grade 1), and the patient maintained excellent plaque control. Standardized periapical radiography confirmed substantial bone fill (increased radiopacity) in the vertical defect. The use of regenerative materials (bone grafting) was not necessary due to the osteogenic potential of the 3-wall defect geometry and the thorough elimination of the primary endodontic infection source. Conclusion: For complex EPL Grade 3 lesions associated with pulpal pathology, a coordinated, sequentially timed approach consisting of root canal disinfection followed by surgical flap debridement can achieve stable bone healing and successful long-term tooth preservation, avoiding the need for extraction in young individuals.

Page 4 of 5 | Total Record : 42

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