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Contact Name
Diah Ayu Maharani
Contact Email
diah.ayu64@ui.ac.id
Phone
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Journal Mail Official
jdentistry@ui.ac.id
Editorial Address
Faculty of Dentistry Universitas Indonesia Jl. Salemba Raya No. 4, Jakarta 10430
Location
Kota depok,
Jawa barat
INDONESIA
Journal of Dentistry Indonesia
Published by Universitas Indonesia
ISSN : 16939697     EISSN : 23554800     DOI : 10.14693/jdi
Core Subject : Health,
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
Articles 333 Documents
Endodontic Management of Mandibular First Molar with Four Roots - A Rare Case Report with Clinical Management Guidelines Shahbaz, Shaikh; Iftekhar, Huma; Alam, Sharique; Shavez, Zehra
Journal of Dentistry Indonesia Vol. 29, No. 1
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Abstract

Mandibular molar is usually two rooted with one mesial and one distal root. Additional roots are rare which requires accurate diagnosis and a methodical and scrupulous endodontic treatment. Objective: This paper aims to report the endodontic management of an unusual case of a mandibular permanent first molar with four roots (two mesial & two distal) and provide a clinical guideline to detect and manage these variant cases. Case report: A 15-year-old boy reported with a deep carious lesion in the lower left first molar (#36). The apical root contour of #36 on an intraoral periapical radiograph taken in different angulations suggested the presence of extra roots. A Spiral Computed Tomographic scan with multiplanar three-dimensional reconstructed images confirmed a fourrooted mandibular molar. Endodontic treatment of #36 was planned based on a diagnosis of pulpal necrosis with symptomatic apical periodontitis. The pulp chamber floor was assiduously explored along the developmental root fusion line (DRFL) to guide a trapezoidal access cavity and expose two mesial and two distal orifices. Conclusion: The present case report highlights the successful endodontic treatment of an atypical four rooted mandibular first molar by following a systematic approach from diagnosis to its clinical management.
Management of Severe Localized Periodontal Destruction Associated with A Cemental Defect: A Case Report Nik Azis, Nik Madihah; Mohd, Nurulhuda
Journal of Dentistry Indonesia Vol. 29, No. 1
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This case involved the management of a possible cemental tear, which resulted in poor response to nonsurgical periodontal therapy. This case was managed by exploratory surgery, along with the intention to surgically reduce the periodontal pocket. Exploratory surgery revealed a localized cemental defect. The periodontium healed with pocket closure after exploratory surgery and open-flap debridement. The difficulty in clinically diagnosing a localized periodontal destruction and the lack of consensus on managing these cases were highlighted. The possibility of an undiagnosed cemental defect in a tooth with localized periodontitis should be considered in cases not responding to periodontal therapy.
Fractal Analysis of Subchondral Cyst at Mandibular Condyle Detected on Panoramic Radiograph in A Group of Thai Population Wijanarko, Aloysius Putut; Srimawong, Preeyaporn; Pornprasertsuk-Damrongsri, Suchaya; Janhom, Apirum
Journal of Dentistry Indonesia Vol. 29, No. 2
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Objectives: This study aimed to analyze subchondral cyst on the mandibular condyle using fractal dimension (FD) measurement on a panoramic radiograph. Methods: This retrospective study examined 15 patients aged 24 to 75 years who had undergone panoramic radiography and cone-beam computed tomography on both sides of the mandibular condyles, between January 2013 and November 2017, in the Oral and Maxillofacial Radiology Clinic, Dental Hospital, Mahidol University. These 15 patients, all of whom had a subchondral cyst on one side of the mandibular condyle, constituted both the study and control groups: the 15 affected sides constituted the study group, and the 15 unaffected sides constituted the control group. The FD of both groups was calculated by two investigators using ImageJ version 2.0x. Results: The average age of the subjects was 47.47 ± 15.99 years. The mean FD value was 1.306 ± 0.133 in the study group and 1.409 ± 0.858 in the control group. The FD values were significantly different between these groups (p-value 0.016). Conclusion: The FD values of mandibular condyle were lower in patients with subchondral cysts than in healthy patients. The fractal analysis provided clinicians with extra information regarding the condition of the subchondral cyst as an early sign of osteoarthritis on panoramic radiographs.
The Effect of Disc Displacement on Temporomandibular Joint Morphology in Patients with Disc Displacement Yurttaş, Melike; Bozdemir, Esin; Evrimler, Şehnaz
Journal of Dentistry Indonesia Vol. 29, No. 2
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Objective: To examine the morphological properties of temporomandibular joint structures by magnetic resonance imaging (MRI) on patients with and without disc displacement (DD). Methods: Thirty-eight patients with disc displacement and 13 patients without disc displacement were included. Age, gender, and clinical findings such as pain, joint sounds of patients were recorded. The patients were classified as anterior disc displacement with reduction (ADDWR) group, anterior disc displacement without reduction (ADDWoR) group, and control group on MRI. Disc morphology was categorized as biconcave, hemiconvex, biconvex, biplanar, or folded. Condyle morphology was characterized as convex, angled, flat, or rounded. Articular eminence morphology was classified as sigmoid, flattened, box, or deformed. A one-way analysis of variance was used to establish the differences between the values. Results: Biconcave disc and sigmoid articular eminence were the greatest incidence both in ADDWR and control group, folded disc and deformed articular eminence were the most in ADDWoR group. The most frequent types of condyle in DD and control group were flattened and convex, respectively. Statistical difference was found between pain and articular eminence morphology (p=0.02). The statistical difference regarding articular disc (p=0.001) and articular eminence morphology (p=0.02) was determined among the groups. A significant difference between condyle morphology and the presence of self-reported bruxism was detected (p= 0.03). Conclusion: The morphological characteristics of the articular disc and articular eminence are related to DD. It can be said that the morphological changes of temporomandibular joint structures point to DD.
Electromyographic Activity of Masticatory Muscles in Asymptomatic Young Adults Wieczorek, Aneta; Pihut, Malgorzata; Loster, Jolanta E.
Journal of Dentistry Indonesia Vol. 29, No. 2
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Introduction: The masseter and the anterior part of the temporalis are the muscles mainly responsible for the clenching function. Clenching patterns and the activity of these muscles are not expected to differ between male and females, nor between different occlusal classes. Objective: The aim of this study was to determine whether the activity index of the masseter and temporalis muscles is related to occlusal class and gender. Methods: This study involved 145 eighteen-year-old Caucasian volunteers who underwent surface electromyography. The sEMG was analyzed at the moment of 100% occlusal contact. Occlusal classes were determined used plaster casts. Results: The Class I group contained 34 males and 63 females, while Class II had 11 males and 25 females. Comparison of the AcI data showed an insignificant relation between the genders in the activity indices of Classes I and II. Significant relation between male gender and predominance of the masseter muscles, as well as between female gender and an almost equal balance between the muscles, though with a tendency towards a predominance of the temporalis anterior. Conclusion: The activity of masseter muscles during clenching the teeth is bigger in the male than in the female group. Activity index is related to gender.
The Practices of Treating Deep Carious Lesions Compared with the Dental Curriculum in Turkish Dentistry Kerimova, Leyla; Karabulut, Erdem; Yamanel, Kivanç; Arhun, Neslihan
Journal of Dentistry Indonesia Vol. 29, No. 2
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Objective: The aim of this cross-sectional study is to investigate Turkish dentists’ opinions and preferences regarding the management of deep carious lesions and compare them with modern dental education concepts as provided by dental schools. Methods: Questionnaire 1 and Questionnaire 2 were sent separately to dental practitioners via the Turkish Dental Association and to university department heads of restorative dentistry. The data obtained were analyzed using chi-square tests and one-way ANOVA tests (p < 0.05). Results: Regarding Questionnaire 1, most of the dentists (89.3%) responded that caries lesions should be removed completely up to the hard cut-off condition of the cavity floor. There was a statistically significant difference between female and male dentists’ preferences on less invasive treatment (p < 0.05). Female dentists prefer less invasive treatment compared with male dentists (p = 0.002). Relatively older dentists (mean age = 41.8) are more inclined towards complete caries removal even if pulp exposure is likely (p = 0.040). The results of Questionnaire 2 reveal that there is no association between the time spans of education at dental schools and their caries removal approach curriculum (p > 0.05). Most department heads of restorative dentistry prefer to apply complete caries removal (78.5%, n = 51). Conclusion: Despite today’s curriculum encouraging less invasive caries removal techniques, most dentists prefer more invasive treatment options. Continuous education of contemporary dentistry could update these clinical treatment attitudes of dentists and improve their clinical practice.
The Effect of Melatonin on Implant Stability and Marginal Bone Level around The Implant Ravella, Hemanth; Rao, Mulpuri Venkata Ramoji; Manthena, Sathish; Koneru, Suneetha; Preethi, Penubolu Lakshmi; Anumolu, Venkata Naga Sri Harsha
Journal of Dentistry Indonesia Vol. 29, No. 2
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Dental implants have been used for missing teeth replacement with a high success rate. Melatonin is an antioxidant and acts as a free radical scavenger. It retards the resorption of bone by regulating RANKL and OPG synthesis, and increases the BIC (Bone to implant contact) and also bone perimeter and bone mineralization. Objective: The aim of the study was to assess if topical melatonin application at the osteotomy site has any influence on the stability and marginal bone level around the implant Methods: In this split mouth double blind randomized control trial 30 implants were placed on either side of the mandible in which test sites were irrigated with melatonin solution prior to the implant placement and the control site on the other side was irrigated with normal saline. Crestal bone level and implant stability assessment was done at baseline and 3 months. Results: A significant difference was observed between the groups with respect to crestal bone loss scores at 3 months. Regarding implant stability a significant difference(p<0.05) was observed within the groups at baseline and 3 months and also between the groups at 3 months only. Conclusion: Melatonin showed a statistically significant reduction in crestal bone loss and an increase in implant stability.
Selection of Commercially Available Membrane between Resorbable and Nonresorbable Materials for Guided Bone Regeneration Rakhmatia, Yunia Dwi; Ayukawa, Yasunori; Furuhashi, Akihiro; Koyano, Kiyoshi
Journal of Dentistry Indonesia Vol. 29, No. 2
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Objective: This study aims to evaluate the commercially available membranes used for treatment in Guided Bone Regeneration (GBR). Methods: Four membranes resorbable and non-resorbable were used and a critical size defect in six-week-old Wistar rats was created for membrane application. Meanwhile, the defect without membrane treatment was used as the control (C). Results: After 4 and 8 weeks, all rats were euthanized and block biopsies of calvaria including membrane were excised and analysed using microcomputed tomography (micro-CT). The sections were dehydrated with graded ethanol, embedded in resin, and cut for histologic evaluation. After 4 weeks, all membrane groups and the control showed different degrees of bone volume (BV) and mineral density (BMD). Titanium mesh (TM) was observed with higher bone volume but lower BMD compared to the control, Cytoplast (CP), Biomend (BM), and GC membranes. The results showed that newly formed bone adjacent to the original filled the defect area. Conclusion: TM was the stiffest among the commercially available membranes used and increased the abundance of bone formation at 4 weeks. The selection of membranes used in GBR needs to consider the treatment requirement and the patient’s point of view.
Effects of Lime (Citrus aurantifolia Swingle) Peel Extract Addition to Periodontal Dressing on the Number of Blood Vessels in the Gingival Wound Healing Process Fauzia, Malianawati; Oktaviana, Savira Pratista
Journal of Dentistry Indonesia Vol. 29, No. 2
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Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of K1(n=4) and K2(n=4) periodontal dressings were applied without the addition of lime peel extract. Meanwhile, the treatment groups P1(n=4) and P4(n=4), P2 (n=4) and P5(n=4), and P3(n=4) and P6(n=4), 5%, 10%, and 15% lime peel extract, respectively, were added to the periodontal dressing. Groups K1, P1, P2, and P3 were scarified after 3 days, whereas groups K2, P4, P5, and P6 were scarified after 5 days. Histological observations of tissue by Hematoxylin Eosin (HE) staining were carried out to count the number of blood vessels. Result: The results of the statistical tests show that group P5 had the highest number of new blood vessels. Conclusion: The addition of lime peel extract to periodontal dressing can increase the number of blood vessels in the gingival wound healing process.
The Impact of The Labial Flange and Artificial Teeth on Lip Support in Elderly Patients with Maxillary Complete Dentures Rajali, Aiemeeza; Mustafa, Nor Wati @ Nur Atikah; Zulkiflee, Muhamad Zafir Ashman; Abd Rahman, Ain Najihah; Ahmad, Rohana
Journal of Dentistry Indonesia Vol. 29, No. 2
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Both maxillary complete denture’s labial flange and anterior artificial teeth play important roles in re-establish major support for the upper lip of elderly patients. However, whether the labial flange can be removed and still perceived as aesthetic remain unclear. Objective: To determine the perception of young adults toward the effect of a labial flange and anterior teeth on lip support of an elderly with maxillary complete dentures. Methods: A total of 64 young adults were recruited to evaluate the lip support for facial aesthetics of 30 full-face photographs in 3 different states: with an original complete denture (CD), with a flangeless duplicated denture and without the complete denture. They were rated using a Visual Numerical Scale (VNS) of 10, with 1 being the least attractive and 10 being the most attractive and repeated twice in random order. Soft-tissue profile analysis was performed to determine which facial anatomical landmarks were most important for lip support and aesthetics. Results: The overall VNS rating with CD (6.33 ± 0.58) was significantly higher (p < 0.001) than images with flangeless (5.58 ± 1.01) or without CD (5.23 ± 1.30). The landmarks that showed the most significant changes were in the subnasale area and NLA with original CD (p=0.060, p=0.072) and in frontal lip thickness with flangeless (p=0.082). There are strong correlations between subnasale and NLA and the mean total aesthetic VNS rating of images with CD, but not statistically significant (r=0.708; p=0.118, r=-0.835; p=0.078). Conclusion: The labial flange of a maxillary complete denture plays an important role in lip support and results in the aesthetic perception of the dentures wearer. The anterior teeth alone provide fullness to the lips, but not enough for labial support.