Journal of Dentistry Indonesia
Journal of Dentistry Indonesia (JDI) is a scientific journal that is published three times annually (April, August and December). This journal aims for continuous dissemination of updates in relation to dentistry and its related fields in the form of original articles, case reports and reviews. Its first publication was in 1993, under the name of Majalah Kedokteran Gigi Indonesia, published by the Faculty of Dentistry Universitas Indonesia. All submitted manuscripts are subjected for double-blind peer reviews and editorial reviews processes before being granted acceptance. The Editors welcome manuscripts in the following key thematic areas in oral and maxillofacial sciences: Cariology Community Dentistry and Oral Epidemiology Conservative Dentistry Dental Biomaterial Dental Education Dental Traumatology Endodontics Esthetic Dentistry Healthcare Economics Implant Dentistry Oral Biosciences Oral and Maxillofacial Surgery Oral Medicine Oral Microbiology Oral Pathology Oral Radiology Oral Rehabilitation Orthodontics Pediatric Dentistry Periodontology and Periodontal Medicine
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<![CDATA[Class III Malocclusion Camouflage Treatment Using a Conventional Orthodontic Appliance in a Non-Growing Patient ]]>
<![CDATA[Monika, Fransiska]]>;
<![CDATA[Widayati, Retno]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[The treatment of skeletal and dental Class III malocclusions is a challenge for orthodontists, and one of the treatment alternatives for a non-growing patient is orthodontic camouflage treatment. Different approaches may result in different outcomes; therefore, a proper diagnosis and treatment plan are needed to avoid undesirable effects. In this case, a 21-year-old female patient presented with a skeletal Class III malocclusion, with a normal maxilla, prognathic mandible, moderate crowding, and an acceptable facial profile. The treatment modality for orthodontic camouflage treatment was a conventional orthodontic appliance with the extraction of mandibular first premolars to resolve crowding. At the end of the treatment, a Class I canine and incisor relationship was achieved while maintaining a Class III molar relationship. After 25 months of treatment, the patient had a more pleasant smile with improved functional occlusion.]]>
<![CDATA[Do Nasal Anatomical Variations Affect the Maxillary Sinus? A CBCT Volumetric Analysis ]]>
<![CDATA[Mostafa, Raghdaa A.]]>;
<![CDATA[Samir, Sahar M.]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[Objective: This study aimed to determine the effect of the concha bullosa (CB) and the nasal septum deviation (NSD) on the volume of the maxillary sinuses using ITK-SNAP (http://www.itksnap.org/ download/snap/). Methods: A total of 70 CBCT scans were analyzed. Three groups were evaluated; control (absence of CB), unilateral CB, and bilateral CB. Moreover, scans were classified according to the NSD into control (no deviation), mild, moderate, and severe NSD deviation. The volume of each maxillary sinus was calculated using the ITKSNAP. Intra-observer reliability analysis was performed by paired-sample t-test. Analysis of variance ANOVA and t-test were used to compare the mean bilateral maxillary sinus volumes. Results: Intra-observer reliability for the maxillary sinus volume exhibited no significant difference for both sides (p > 0.05). The mean volume of the right and left maxillary sinuses were 12.98±4.90 cm3 and 13.18±4.99 cm3, respectively. No significant difference between the volumes of both sides (p > 0.05) was found. The results showed no significant differences between the CB or NSD groups on both sides (p > 0.05). Conclusion: The two anatomical variations have no effect on the maxillary sinus volume. The open-source software ITK-SNAP is a valuable tool for volumetric analysis.]]>
<![CDATA[A Two-Year Retrospective Evaluation of Cone Beam Computed Tomography Indications in Pediatric, Adolescent and Adult Patients ]]>
<![CDATA[Arslan, Zeynep Betül]]>;
<![CDATA[Tuğutlu, Esra Ceren]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[Objective: The objective was to evaluate cone-beam computed tomography (CBCT) indications and distribution in pediatric, adolescent and adult patients. Methods: A total of 1013 CBCT images were reviewed in detail from the electronic patient database. The patient’s age, gender, CBCT indications and acquisition sites, referral departments, reason for referral, incidental findings in the imaging field and the presence of artifacts in the CBCT images were all recorded. The European DIMITRA project recommendations were used to categorize CBCT indications in the children and the European Guidelines were used for adults. Results: From a total of 1013 images; 5.3% were from children, 9.2% were from adolescents and 85.5% from were adult patients. The most common indication was impacted permanent teeth in children (37%) and adolescents (34%) and impacted 3rd molars (28.7%) and implant dentistry (25.8%) in adults. While the most common regional image was taken from children (37%) and adolescents (43.4%), it was determined that CBCT was taken from the maxilla+mandible (37.7%) in adults. Conclusion: Our results show that while attention was paid to use CBCT in children and adolescents in accordance with clinical guidelines and taking into account radiation protection protocols, it was used in the adult patient group in cases where it is not superior to traditional methods.]]>
<![CDATA[A Prospective-Randomized Study: The Impact of Four Different Caries Removal Method on Pain and Clinical Evaluations ]]>
<![CDATA[Aydemir, Merve]]>;
<![CDATA[Bağlar, Serdar]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[Objective: There are many different methods for removing caries. In this study, to evaluate four caries removal methods in terms of patient comfort and to evaluate the clinical success of restorations according to modified-USPHS criteria. Methods: In 31 patients with at least 4 Class II caries in their posterior teeth, 4 teeth were randomly divided into four groups and 4 different methods (conventional method, Carisolv, Papacarie, Er-Cr:YSGG Laser) were used for caries removal. Pain formation during caries removal was determined by FACE Pain Scale questionnaire. The restorations were controlled with Modified-USPHS criteria in 3-6-12 months period. Mann-Whitney U test for two-group comparisons, Kruskal Wallis H test for comparison of three or more groups, Wilcoxon Sign test was used to examine the changes according to time (p < 0.05). Results: A significant difference was found between conventional methods and alternative methods in terms of pain tolerance. In the 1-year clinical evaluation of the restorations, there was a significant decrease in the postoperative sensitivity in all groups. A significant difference was detected in Carisolv and laser groups between 6-months and 12-months for marginal coloration. A significant difference was found between the conventional and laser groups between 6-months and 12-months in terms of color match. Conclusion: The success of restorations, efficacy and efficiency of the methods used in the evaluation of all groups were found to be successful. In terms of patient comfort, all alternative methods gave positive results.]]>
<![CDATA[Assessment of DNA Damage of Oral Mucosa due to Ceramic Bracket Using Comet Assay and Mutagenicity of Orthodontic Bonding System Using Ames Test ]]>
<![CDATA[Adham, Riaz]]>;
<![CDATA[Ab Rahman, Norma]]>;
<![CDATA[Ponnuraj, Kannan Thirumulu]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[Objective: The objective of this study was to determine the DNA damage caused by ceramic bracket (Clear II, SIA Orthodontic Manufacturer Srl, Italy) on human buccal mucosal cells using comet assay and the mutagenicity of orthodontic bonding system (Transbond XT; 3M Unitek) by Ames test. Methods: In this study, twenty orthodontic patients were recruited from Specialist Orthodontic Clinic, Hospital Universiti Sains Malaysia. The Buccal mucosal cell sample was obtained from each patient at three time points-before (TO), after one month (T1) and after two months (T2) of ceramic bracket placement for performing comet assay. The spot test version of Ames test was performed using four Salmonella Typhimurium (S. Typhimurium) tester strains (TA 98, TA100, TA1535 and TA1537) for mutagenicity testing. Total comet score (TCS) and damage frequency (DF) were used to determine the DNA damage using non-parametric Friedman test followed by multiple pairwise comparison. The Ames test was analysed by a non-statistical method based on revertant growth ring formation. Results: There was no significant change of both TCS and DF between T0 and T1, but both parameters increased significantly from T0 to T1 and from T1 to T2. Non-statistical analysis was carried out to evaluate the results of Ames test based on the formation of revertant colony growth ring. None of the S. Typhimurium tester strains showed any revertant growth ring formation around the light cure adhesive primer. Conclusion: Ceramic bracket does not cause any DNA damage on human buccal mucosal cells and light cure adhesive primer is non mutagenic under the present test conditions.]]>
<![CDATA[Treatment of Gingival Fenestration using Mucoperiosteal Flap with Connective Tissue Graft: A Report of Two Cases ]]>
<![CDATA[Jaglan, Swati]]>;
<![CDATA[Tewari, Shikha]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[Fenestration term is derived from the Latin word ‘fenestra’ means ‘window’. Gingival fenestration is not found in routine while its actual occurrence is assumed to be higher. Additionally, if these mucogingival defects persist for a longer duration it may lead to adverse outcomes like compromised esthetics, hypersensitivity, plaque and calculus deposition, and susceptibility to dental caries. Present cases of gingival fenestration were successfully treated by using full-thickness flap elevation with connective tissue graft placement. Two cases were presented with the accumulation of plaque and calculus and having gingival fenestration to the respective sites. After phase 1 therapy, full thickness flap was raised and a connective tissue graft was placed beneath the fenestrated area. The successful results were obtained in both cases in terms of complete closure of gingival fenestration defects and well-adapted margins with adjacent tissues at one year of follow-up. Full thickness flap with connective tissue graft procedure resulted in complete closure of gingival fenestration in both cases with no recurrence at one-year follow-up and can be used as a successful and predictable treatment modality for the management of such cases.]]>
<![CDATA[Treatment of Oral Vascular Malformations with Ethamolin: A Report of Two Cases ]]>
<![CDATA[Coelho Ferreira, Maria Clara de Moura Santos]]>;
<![CDATA[de Sales Lima, Marco Vinícius]]>;
<![CDATA[Almeida Barreto, Anna Laura]]>;
<![CDATA[Kitakawa, Dárcio]]>;
<![CDATA[Scherma, Alexandre do Prado]]>;
<![CDATA[Peralta, Felipe]]>;
<![CDATA[de Carvalho, Luis Felipe das Chagas e Silva]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[A hemangioma is a benign vascular neoplasm, relatively common in the head and neck. In the oral region, it affects the tongue, gums, mucosa, palate, and lip. Its size can vary from millimeters to centimeters, characterized as a purplish or reddish lesion. The present study aims to present two clinical cases of hemangiomas, the first of a male patient treated by sclerotherapy and the second of a female patient in which she was treated with ethamolin and later surgical treatment. It was concluded that sclerotherapy, in addition to being a safe treatment, managed to drastically reduce the initial size of the lesions present in this article.]]>
<![CDATA[Ramsay Hunt Syndrome with Oral Findings: A Rare Case ]]>
<![CDATA[Eninanç, İlknur]]>;
<![CDATA[Şahin, Büşra]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[Ramsay Hunt syndrome (RHS) is a disease that is caused by the varicella-zoster virus and is characterized by severe ear pain, auricular vesicular eruptions, and peripheral facial paralysis. Objective: The aim of this case report is to provide information about the clinical findings and treatment process of RHS, which is a rare case and may have oral findings and stress the importance of early diagnosis. Case Report: A 60-year-old male patient had previously consulted an otolaryngologist and a family physician with complaints of vesicular eruptions in the right ear auricle and on the mandible. The patient in whom a diagnosis could not be established presented to the Department of Oral and Maxillofacial Radiology after exacerbated lesions. White plaque-like and ruptured vesicular lesions were observed in the intraoral examination. All vesicular lesions were on one side of the face, and the patient was referred to the dermatology clinic with the diagnosis of RHS. Facial paralysis fully recovered in a short time after early diagnosis and treatment. It should be kept in mind that there may also be oral findings in RHS, and a patient’s intraoral and extraoral examination findings should be evaluated together. Conclusion: Early diagnosis and treatment are highly important in preventing complications such as permanent facial paralysis, vestibulocochlear dysfunction, and hearing loss]]>
<![CDATA[Students’ Experience, Self-Confidence, and Perception Toward Endodontic Learning: National Survey Among Malaysian Dental Schools ]]>
<![CDATA[Omar, Siti Hajar]]>;
<![CDATA[Alias, Aspalilah]]>;
<![CDATA[Baharin, Safura Anita]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[Objective: This study aimed to evaluate the first endodontic case experiences, self-confidence levels, and perceptions toward endodontic learning of final-year undergraduate students. Methods: An online questionnaire was emailed to 270 final-year dental students at 10 Malaysian dental schools. The questionnaire consists of 29 questions on students’ experience, self-confidence, and perception toward endodontic learning. Results: The response rate was 74.4%. The most frequently treated case was tooth diagnosed as nonvital associated with periapical periodontitis. Most of the students perceived working length determination as the most difficult stage and reported having low confidence in locating canal orifices in multirooted teeth and achieving satisfactory obturation. Overall, the students were satisfied with the endodontic knowledge taught by their respective faculties. Conclusion: Endodontic teaching in Malaysian dental schools was perceived as satisfactory by most dental students. Although endodontic treatment is perceived as difficult, students demonstrated high confidence in carrying out this treatment. However, they had limited ability in treating the complex root canal system.]]>
<![CDATA[Head and Neck Tumor Histopathological Image Representation with Pre- Trained Convolutional Neural Network and Vision Transformer ]]>
<![CDATA[Herdiantoputri, Ranny Rahaningrum]]>;
<![CDATA[Komura, Daisuke]]>;
<![CDATA[Ikeda, Tohru]]>;
<![CDATA[Ishikawa, Shumpei]]>
<![CDATA[ Journal of Dentistry Indonesia Vol. 30, No. 1 ]]>
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<![CDATA[Image representation via machine learning is an approach to quantitatively represent histopathological images of head and neck tumors for future applications of artificial intelligence-assisted pathological diagnosis systems. Objective: This study compares image representations produced by a pre-trained convolutional neural network (VGG16) to those produced by a vision transformer (ViT-L/14) in terms of the classification performance of head and neck tumors. Methods: W hole-slide images of five oral t umor categories (n = 319 cases) were analyzed. Image patches were created from manually annotated regions at 4096, 2048, and 1024 pixels and rescaled to 256 pixels. Image representations were classified by logistic regression or multiclass Support Vector Machines for binary or multiclass classifications, respectively. Results: VGG16 with 1024 pixels performed best for benign and malignant salivary gland tumors (BSGT and MSGT) (F1 = 0.703 and 0.803). VGG16 outperformed ViT for BSGT and MSGT with all magnification levels. However, ViT outperformed VGG16 for maxillofacial bone tumors (MBTs), odontogenic cysts (OCs), and odontogenic tumors (OTs) with all magnification levels (F1 = 0.780; 0.874; 0.751). Conclusion: Being more texture-biased, VGG16 performs better in representing BSGT and MSGT in high magnification while the more shape-biased ViT-L/14 performs better in representing MBT, OC, and OT.]]>
