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Dr. drg. Munifah Abdat, M.A.R.S., FISDPH, FISPD
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Cakradonya Dental Journal
Published by Universitas Syiah Kuala
ISSN : 2085546X     EISSN : 26224720     DOI : https://doi.org/10.24815/cdj.v18i1.624
Core Subject :
Cakradonya Dental Journal (CDJ) aims to publish original research articles relevant to dental care, oral health, general dentistry, dental materials, medicine, and public health. It also publishes conceptual articles and case reports.
Arjuna Subject : -
Articles 20 Documents
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Minimally Invasive Laser Surgery for Functional and Aesthetic Preservation in Maxillary Anterior Epulis: A Case Report Christian Oliver Wijaya; Rezmelia Sari; Raja Azman Raja Awang
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.800

Abstract

Epulis often presents an aesthetic concern due to its location in the anterior region. The treatment involves eliminating any irritating factors, followed by surgical removal of the lesion. In young patients, a minimally invasive approach using a diode laser effectively reduces bleeding, accelerates healing, and alleviates discomfort. This report presents a 14-year-old male with the chief complaint of enlarged gums, which he had noticed three months prior. Intraoral examination showed the lesion to be localized in the interdental papilla between teeth 21 and 22, where a provisional diagnosis of epulis was established. The treatment was initiated with dental hygiene education, full mouth scaling, and polishing followed by epulis removal one week later using a diode laser, along with a diagnostic biopsy. Fourteen days postoperatively, an intraoral examination showed no residual epulis, a defined gingival margin, a pointed papilla, and a color blended with its surrounding tissue. The use of a diode laser for epulis removal in young patient proved to be an effective and minimally invasive treatment option. The results showed no evidence of residual epulis through normal probing depth and the absence of bleeding on probing. The patient expressed satisfaction with the treatment outcome.
Changes in Salivary Cortisol and Chromogranin A Level Before and After Academic Examinations in Dental Students Abdul Gani Soulissa; Lia Hapsari Andayani; Tri Erri Astoeti; Mita Juliawati; Komariah
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.1604

Abstract

Dental students experience significant stress due to academic demands, with examinations being a primary acute stressor. Academic stress activates the hypothalamic-pituitary-adrenal (HPA) axis and sympathetic nervous system (SNS), leading to cortisol and chromogranin A (CgA) secretion. This study investigated the changes in salivary cortisol and chromogranin A levels in dental students before and after examinations. A pre-experimental one-group pre-test and post-test design was conducted with 32 dental students in May-June 2025. Saliva samples were collected one hour before and two days after the examination. Cortisol and Chromogranin A concentrations were analysed using Enzyme-Linked Immunosorbent Assay (ELISA). Subjective stress was assessed with a 46-item academic stress self-report questionnaire comprising eight domains and demonstrating established validity and reliability. Results showed higher mean salivary cortisol levels before the examination (11.03 ng/mL) compared to after (10.64 ng/mL). Similarly, mean Chromogranin A levels were elevated prior to the examination (34.63 pg/mL) versus post-examination (33.32 pg/mL). Paired t-test analysis confirmed a significant difference (p < 0.001) in both cortisol and Chromogranin A levels between the pre- and post-examination periods. These findings suggest that examinations induce acute stress, leading to increased cortisol and Chromogranin A levels.
Antibacterial and Antibiofilm Activities of Moringa oleifera Leaf Extract Against Treponema denticola and Aggregatibacter actinomycetemcomitans Dicky Hardi; Meiny F Amin; Rosita Stefani; Dikdik Kurnia
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.1643

Abstract

Endodontic infections involving Treponema denticola and Aggregatibacter actinomycetemcomitans are highly resistant due to biofilm formation, requiring an effective and biocompatible irrigant alternative. This study aimed to evaluate the antibacterial and antibiofilm activities of Moringa oleifera leaf extract against these bacteria using in vitro and in silico approaches. The dilution method was used to determine the minimum inhibitory concentration, biofilm assays were performed using crystal violet staining, and molecular docking was conducted to predict interactions between moringa leaf bioactive compounds and bacterial target proteins. Results showed that an 80% concentration of M. oleifera extract demonstrated the highest antibacterial and antibiofilm activities, significantly reducing bacterial colonies and optical density (OD) values, with effectiveness comparable to 5.25% sodium hypochlorite. In silico analysis confirmed strong binding affinity and favorable ADMET properties. It is concluded that M. oleifera extract has potential as a natural alternative root canal irrigant to inhibit bacterial growth and disrupt biofilm. Further in vivo studies are recommended to evaluate clinical safety and long-term effectiveness.
Effect uf Injectable Platelet-Rich Fibrin (i-PRF) as Regenerative Periodontal Biomaterials: A Systematic Review Ardian Sari Rakhmawati; Ahmad Syaify; Zurairah Binti Berahim; Kwartarini Murdiastuti
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.1707

Abstract

Injectable platelet-rich fibrin (i-PRF) is a liquid autologous platelet concentrate that may enhance periodontal healing and facilitate the delivery of graft particles or locally administered drugs. This systematic review evaluated the clinical and biological effectiveness of i-PRF for periodontal regeneration and compared it with conventional therapy and other regenerative materials. Following PRISMA 2020, Google Scholar, PubMed, and the Cochrane Library were searched for controlled human, in vivo, and in vitro studies published from 2018 to 2025. Fourteen studies met the eligibility criteria: 12 human clinical studies, one animal study, and one in vitro study. Adjunctive i-PRF generally improved probing pocket depth, clinical attachment level, bleeding indices and radiographic defect fill when combined with scaling and root planing, minimally invasive surgery, open-flap debridement or bone grafts. Reported clinical improvements included PPD reductions of approximately 2.80 - 4.20 mm and CAL gains of approximately 2.40 - 3.80 mm. Experimental evidence also supported anti-inflammatory activity, osteogenic responses and favorable cytocompatibility. No major safety concerns were reported. i-PRF is a promising and practical adjunct for periodontal regeneration, but standardized preparation protocols, larger samples, longer follow-up, and direct comparative trials are warranted before universal superiority can be concluded.
Chronic Persistent Oral Ulcer Associated with Suspected Microbiota Dysbiosis in An Industrial Worker: A Case Report Yeni Puspitasari; Ayu Lidya; Selviana Rizky; Hakim Zulkarnain; Bandaru Rahmatari
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.1834

Abstract

Oral ulcer are lesion involving epithelial damage beyond the basement membrane and commonly accompanied by pain and a burning sensation. Oral ulcers may result from various local and systemic factors, including trauma, nutritional deficiencies, immune-mediated conditions, malignancy, infections, and alterations in the oral microbial environment. A 37-year-old factory worker presented with pain on swallowing and persistent ulcers on the throat and left lower lip for four months. Clinical examination revealed an ulcer on the left uvula measuring 12×6mm and another on the left lower lip measuring 8×15mm, with a yellowish-white base, irregular borders, and erythematous margins. Microbiological examination using a swab and Gram staining showed Gram-positive cocci and bacilli. Based on the microbiological findings, the clinical diagnosis was chronic persistent oral ulceration with bacterial involvement. Treatment consisted of amoxicillin, methylprednisolone, Aloe Vera gel, and antiseptic mouthwash. The ulcers healed at the second follow-up on day 10. These findings raised the possibility that alterations in the oral microbial environment may have contributed to the persistence of the oral ulcer. Alterations in the oral microbial environment should be considered in chronic oral ulcers. Clinical and microbiological assessment supports appropriate therapy and recurrence prevention through education regarding occupational risk factors, oral hygiene, and lifestyle.
Development of The "Yansidalu" Documentation Model in Dental and Oral Health Services at Dr. Cipto Mangunkusumo Hospital Siti Rahayu; Bedjo Santoso; Diyah Fatmasari
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.1850

Abstract

The complexity of manual recording poses a significant barrier to maintaining standardized dental documentation. Structured, complete, and accurate documentation improves diagnostic accuracy, treatment planning, and compliance with professional standards. This study aimed to develop and evaluate the feasibility and effectiveness of the "YANSIDALU" documentation model in improving dental care standards at Dr. Cipto Mangunkusumo Hospital. A Research and Development (R&D) design was employed, combined with a posttest-only control group quasi-experimental setup. Total sampling was applied to recruit 30 dental and oral therapists at Dr. Cipto Mangunkusumo Hospital. Content validity and expert feasibility were assessed using Aiken's V index and Intraclass Correlation Coefficients (ICC). Intervention effects on therapist performance and documentation quality were evaluated using validated observational checklists and analyzed via the Mann-Whitney test. Expert validation test for the development of dental and oral health care models (mean Aiken's V 0.86; mean value 89.4%; ICC 0.710), and its application was effective on the performance of oral therapist (mean control: 82.97; intervention: 95.47; mean difference  (Δ) 12.50; p-value 0.000) and quality of documentation (mean control: 77.70; intervention: 89.80; mean difference  (Δ) 12.10; p-value 0.000). Development of the "YANSIDALU" documentation model is feasible and its effective application to dental and oral health care service standards.
Analysis of Inpatient Care Cost Under Indonesia’s National Health Insurance Program (JKN) for Low-Income Families: Estimating Hospital Inpatient Capitation Rates Munifah Abdat; Wachyu Sulistiadi; Ronnie Rivany
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.1983

Abstract

Indonesia's National Health Insurance Program (JKN) aims to achieve universal health coverage, including subsidized care for low-income populations. Sustainable inpatient financing remains vital for access. This study aimed to estimate average inpatient service costs, utilization rates, and capitation values for JKN low-income in East Jakarta using hospital claim data. A descriptive quantitative study was conducted using 1,343 inpatient claims from five hospitals. Key variables included patient volume, length of stay (ALOS), diagnoses, and claim costs. The average length of stay was 7.21 days, with a utilization rate of 6.9 admissions per 1,000 population annually. The mean cost per patient was IDR 3,359,799, with public hospitals averaging IDR 2,484,366 and private hospitals IDR 7,244,316. The estimated annual inpatient expenditure was IDR 33,638,311,570, resulting in a capitation rate of IDR 191,063 per person per year (IDR 15,922 per month). Ultimately, capitation may enhance financial predictability for inpatient services; however, implementation should include risk adjustment, quality monitoring, and updated datasets to ensure equitable and efficient healthcare delivery.
Associations of Health Insurance Type and Wealth Status Quintiles with Dental Care Utilization Among Indonesian Adults Pemmika Intato; Fadli Alwi
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.2173

Abstract

Dental care utilization remains low in Indonesia, structured by complex socioeconomic gradients. This cross-sectional study investigated the independent and interactive associations of health insurance type and wealth status quintiles with dental care utilization among Indonesian adults aged ≥ 25 years. Overall survey-weighted prevalence of dental care utilization was 8.27% [95% CI: 8.10, 8.43]. Compared with being uninsured, all health insurance types were significantly associated with higher utilization, led by private/other insurance (PR = 1.96; 95% CI: 1.79–2.13), government non-subsidized insurance (PR = 1.46; 95% CI: 1.39–1.54), and government subsidized insurance (PR = 1.24; 95% CI: 1.18–1.31). The highest quintile exhibited double the utilization of the lowest stratum (PR = 2.22; 95% CI: 2.06–2.40). Across all four insurance types, absolute risk differences between the highest and lowest wealth quintiles persisted (ranging from +7.00% to +19.68%), although formal multiplicative interaction terms were not statistically significant. Health insurance coverage and wealth status are independently associated with higher dental care utilization. Nevertheless, wealth-related differences in visits persist across all insurance types, indicating that targeted policy interventions addressing broader socioeconomic barriers remain essential.
The Effect of Small White Ginger (Zingiber officinale var. Amarum) Paste as Denture Cleanser Against Denture’s Bacteria Debby Saputera; Tri Nurrahman; Aulia Azizah; Aminullah Majedi; Delfa Rizqi Fajrina; Indah Ismawarni; Chesilia Kaselmia Putri Pardede
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.2251

Abstract

On the denture base, various bacteria form plaque that leads to caries and halitosis. Small white ginger (Zingiber officinale var. Amarum) containing gingerol and shogaol as antibacterial agents, can be an alternative to a denture cleanser paste. This research was analyze the effect of small white ginger paste against denture’s bacteria on heat-cured acrylic resin. True Experimental Study with a control group using post-test only. Ninety heat-cured acrylic resin plates were divided into three groups. Antibacterial activity was tested using the dilution method and bacterial colonies were counted using a colony counter. Data were analyzed using Kruskal–Wallis and Mann–Whitney U tests. The treatment group using small white ginger paste showed no bacterial colony growth. Under the conditions of this study, both the 100% small white ginger extract paste and the positive control showed 0 CFU/mL after treatment. No statistically significant difference in colony counts was observed between the two groups; however, these findings should not be interpreted as evidence of equivalence, as the study employed a post-test-only design and did not include baseline measurements. The results prove that small white ginger paste showed antibacterial action against the denture’s bacteria.
Factors Associated with Dental Floss Use among Adults Surveyed in DKI Jakarta: A Cross-Sectional Study Helwiah Umniyati; Ridhayani Hatta; Adzkia Dheyatika; Mondastri Korib Sudaryo; Fumihiko Yokota
Cakradonya Dental Journal Vol. 18 No. 2 (2026): August
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v18i2.2376

Abstract

Dental caries and periodontal disease are common oral diseases associated with dental plaque accumulation, particularly on interproximal surfaces that are difficult to clean by toothbrushing alone. Dental floss helps remove plaque from these areas. This study aimed to identify factors associated with dental floss use among adults in DKI Jakarta. An analytic cross-sectional study was conducted among 480 adults. Data were collected using an online questionnaire assessing sociodemographic characteristics, dental floss knowledge, and oral hygiene practices. Data were analyzed using chi-square tests and logistic regression. Most respondents were aged 18–25 years (71.7%). Although 90.4% brushed their teeth twice daily, only 18.8% followed the recommended brushing schedule. Toothpicks were used by 43.1% of respondents, while 5.2% used sharp objects for food debris removal. Despite 64.8% having good dental floss knowledge, only 38.8% had ever used dental floss and 6.7% used it regularly. Age, income, toothbrushing practices, dental visits, and dental floss knowledge were significantly associated with floss use. Regular dental floss use among adults in DKI Jakarta remains low, therefore, education and professional guidance on interdental cleaning practices are needed to improve preventive behaviors at oral and dental diseases.

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