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INDONESIA
Majalah Kedokteran Gigi Indonesia
Published by Universitas Gadjah Mada
ISSN : 24600164     EISSN : 24422576     DOI : https://doi.org/10.22146/majkedgiind.36959
Core Subject : Health,
Dentistry
Arjuna Subject : -
Articles 10 Documents
 1 
Search results for , issue "Vol 11, No 1 (2025): April" : 10 Documents clear
Development of a surgical guide using open-source software for a dental implant placement Mayasari, Dita Ayu; Kurniatie, Menik Dwi; Prasetyanto, Wisnu Adi; Fadhila, Shafa Salsa; Wicaksono, Bonifasius Primario; Hendrawan, Reza Dony
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.96091

Abstract

Dental technology has advanced significantly in recent years, particularly with regard to the placement of dental implants to replace lost teeth. One such technology is the use of a dental implant guide as a tool to assist with implant installation. The primary purpose of a dental implant guide is to assist the dentist in placing implants with accuracy and precision to maximize operation success and minimize risk of problems. Dental implant guides customized to each patient’s unique tooth and jaw architecture are made possible in large part by digital dentistry. To ensure that the implant is positioned optimally in relation to the patient’s teeth and jaw anatomy, customization is important. Using the AutoDesk meshmixer for modeling and manufacturing, a 3D slicer to segment the mandible using a 3D segmentation approach and 3D printing using resin and filament are all part of the dental implant guide design process. To improve precision and customization in the placement of dental implants, this comprehensive strategy makes use of digital dentistry.
Effect of 35% sodium ascorbate combined with 0.4% surfactant on resin tag length in composite restorations following intracoronal bleaching Arlini, Rakhmalita; Nugraheni, Tunjung; Mulyawati, Ema
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.94170

Abstract

The application of 35% hydrogen peroxide in intracoronal bleaching generates free radicals that shorten resin tags and weaken the bond strength of composite resin restorations. Although 35% sodium ascorbate can neutralize free radical residues, its molecular instability limits its effectiveness. The addition of surfactants may enhance both the penetration ability and stability of sodium ascorbate. This study aimed to investigate the effect of adding 0.4% surfactant to 35% sodium ascorbate on the length of resin tags in composite resin restorations following intracoronal bleaching. Thirty mandibular premolars were prepared with standardized Class I cavities measuring 2.7 mm in diameter and 6 mm in depth. A 35% hydrogen peroxide gel was applied to the cavities for five consecutive days. After bleaching, the samples were randomly assigned to three groups of ten teeth each. The first group was stored in an incubator for seven days before undergoing composite resin restoration. The second group received an application of 35% sodium ascorbate, which was then rinsed off before immediate composite restoration. The third group received an application of 35% sodium ascorbate combined with 0.4% surfactant, followed by rinsing and immediate composite restoration. Histological preparations were made using hematoxylin-eosin staining and observed under a light microscope at 400× magnification. Resin tag lengths were measured using the Image Raster application. The one-way ANOVA test revealed a statistically significant difference among the groups (p = 0.000). Post-hoc LSD analysis showed that resin tag lengths in the third group were significantly greater than those in both the first and second groups (p = 0.000 for both comparisons). These results indicate that the combination of 35% sodium ascorbate with 0.4% surfactant significantly increases resin tag length and may enhance the bonding performance of composite restorations following intracoronal bleaching.
The effect of video modeling and tell-show-do on anxiety during dental radiographic examinations among children Tania, Laura; Yanuaryska, Ryna Dwi; Wardani, Putri Kusuma
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.97994

Abstract

Dental procedure anxiety refers to the fear experienced before and during dental treatment. To reduce anxiety levels in children undergoing radiographic examinations, non-pharmacological behavioral management techniques such as tell-show-do and modeling can be employed. This study aimed to compare the effectiveness of video modeling and the tell-show-do technique in reducing anxiety in children aged 5–7 years undergoing dental radiographic examinations at RSGM Prof. Soedomo, UGM. This quantitative study used a pretest–posttest control group design. The participants were children aged 5–7 years who underwent radiographic examinations at the Radiology Department of RSGM Prof. Soedomo, UGM, between September and December 2023. The sample was divided into three groups: Group A received the video modeling intervention, Group B received the tell-show-do intervention, and Group C served as the control group. Data were collected using the Modified Dental Anxiety Scale (MDAS) questionnaire and physiological anxiety measurements (blood pressure and pulse rate) using an Omron HEM-6161 digital tensiometer. MDAS scores were analyzed using the Kruskal-Wallis test, while blood pressure and pulse rate were analyzed using one-way ANOVA. A total of 146 participants were included. Significant differences were observed in MDAS scores, blood pressure, and pulse rate from pretest to posttest among all groups (p < 0.05). The tell-show-do group showed the greatest reduction in anxiety (3.74 ± 2.62), followed by the video modeling group (3.33 ± 2.30), and the control group (0.92 ± 2.33). Both the tell-show-do technique and video modeling are effective in reducing dental anxiety in children aged 5–7 years undergoing radiographic examinations at RSGM Prof. Soedomo, UGM.
Fibrous epulis: a case report on the management of a massive benign tumor on the right mandible with local anaesthesia Aji, Bayu Anggoro; Mulato, Agus; Sejati, Bramasto Purbo; Widiastuti, Maria Goreti
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91763

Abstract

Epulis is a gingival hyperplasia that originates from the connective tissue of the periodontal membrane, caused by chronic irritation. Fibrous epulis presents clinically with or without a stalk; has a pale color, a resilient consistency, well-defined borders, firm texture; does not easily bleed; and does not cause pain. When epulis reaches a significant size, it can interfere with oral cavity function and the patient's nutritional intake. An 82-year-old female patient presented at the oral surgery clinic of RSPAU Hardjolukito with a complaint of a lump on the right mandible. The patient reported that the lump had appeared since the last several months and caused difficulties eating and speaking. Clinical examination revealed a mass with resilient consistency, well-defined borders, firm texture, no tendency to bleed, and no pain, measuring 4.5 x 2.5 x 2.5 cm on the right mandible, preventing the patient from chewing and closing her mouth. The lesion was removed surgically under local anesthesia and histopathological examination findings showed fibromyxoid connective tissue, confirming the definitive diagnosis of fibrous epulis without signs of malignancy. No complications occurred, and the patient reported a significant improvement in the oral cavity function and facial aesthetics. This case highlights the importance of early identification and appropriate management to achieve good outcomes with minimal risk. Excision with local anesthesia is a safe option to avoid the risks associated with general anesthesia.
Apicoectomy and root canal treatment of a maxillary right central incisor with discoloration, class IV ellis fracture, and radicular cyst Elitasari, Denti; Wijaya, Meliana Ganda; Kristanti, Yulita; Mulyawati, Ema
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91793

Abstract

In cases of pulp necrosis, infection products can spread into the periapical tissues, triggering an inflammatory response that stimulates the proliferation of the epithelial cell rests of Malassez. As the epithelial mass enlarges, the central cells—farther from the nutritional supply, undergo necrosis, leading to fluid accumulation. The cyst continues to expand due to cyst wall proliferation and increased hydrostatic pressure in the lumen. This pressure causes the accumulated fluid to spread and compress the epithelial lining of the fibrous capsule. This report presents the successful management of a radicular cyst in the maxillary anterior region through apicoectomy. The patient, who sustained a traumatic injury and fractured the tooth at the age of 10, later experienced pain and gingival swelling. Clinical examination revealed a Class IV Ellis fracture and discoloration of tooth 11. Radiographic evaluation showed a well-defined, rounded radiolucency approximately 20 mm in diameter in the periapical region of teeth 11 and 12, extending toward tooth 13. The treatment plan included disinfection and healing enhancement (DHE), root canal therapy, apicoectomy, and intracoronal bleaching. Apicoectomy proved to be a reliable treatment with a favorable prognosis for anterior teeth.
Complex management of multiple facial traumas using a bottom-up approach Wijaya, Wilson; Sjamsudin, Endang; Sylvyana, Melita
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.94436

Abstract

Blunt trauma, particularly from traffic accidents, is a leading cause of multiple facial fractures. Managing such injuries can be extremely challenging for surgeons, especially when multiple facial regions are involved. Inadequate stabilization of fractured bones may result in permanent deformities. This case report outlines the principles and techniques of managing complex facial trauma, focusing on achieving harmonious bone alignment and balanced occlusion through proper segmental reduction. We present the case of a 28-year-old male with multiple facial fractures sustained in a traffic accident. Clinical and radiological examinations revealed fractures of the left orbital rim, Le Fort I level, left zygomaticomaxillary complex, mandibular symphysis, and right parasymphysis, accompanied by tooth avulsion. The patient underwent open reduction and internal fixation (ORIF) under general anesthesia using a bottom-up approach, followed by four weeks of intermaxillary fixation. This resulted in improved facial contour and satisfactory intermaxillary relationship. Effective management of multiple facial fractures requires comprehensive planning and meticulous technique to restore facial aesthetics, mastication, and anatomical landmarks. This can be achieved through either a top-down or bottom-up approach, depending on the stability of the fractured segments. In this case, ORIF was initiated with mandibular fixation due to the relative stability of the mandibular fragments, supporting the use of a bottom-up strategy. Thorough planning and precise execution are crucial to achieving optimal anatomical and functional outcomes and preserving the patient’s quality of life.
Effect of adhesive type, application technique, and immediate dentin sealing on the shear bond strength of lithium disilicate Seantiga, Viera; Untara, Tri Endra; Ratih, Diatri Nari
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.94806

Abstract

Immediate dentin sealing (IDS) is a technique involving the application of adhesive material to freshly prepared dentin for indirect restorations. This method prevents contamination by saliva, debris, and bacteria from penetrating dentinal tubules, which could otherwise compromise the bonding strength of restorative materials. This study aimed to evaluate the effects of different adhesive types and application techniques in IDS on the shear bond strength (SBS) of lithium disilicate. The adhesive systems investigated included an eighth-generation adhesive and a universal adhesive, each applied using both total-etch and self-etch techniques. Twenty-eight upper premolars were divided into four groups, with buccal crown surfaces prepared for IDS treatment as follows: Group I – eighth-generation adhesive with total-etch; Group II – eighth-generation adhesive with self-etch; Group III – universal adhesive with total-etch; and Group IV – universal adhesive with self-etch. Lithium disilicate was cemented onto the dentin surfaces treated with IDS and then immersed in distilled water for 24 hours prior to SBS testing. The results showed that both adhesive type and application technique significantly influenced SBS (p < 0.05). No significant differences were observed among Groups II, III, and IV. However, Group I demonstrated the lowest SBS. In conclusion, the findings indicate that both the choice of adhesive and application technique in IDS significantly affect the shear bond strength of lithium disilicate.
Primary tooth eruption in preterm low birth weight children Palupi, Nadia Putri; Amalia, Rosa; Priyono, Bambang; Hanindriyo, Lisdrianto; Santoso, Aloysia Supartinah
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.96603

Abstract

Primary teeth play a vital role as masticatory organs that support the digestive process in children. Preterm low birth weight (PTLBW) is a significant public health concern in many countries and may adversely affect children’s overall health. Understanding the patterns and timing of primary tooth eruption in PTLBW children is important, as it can provide valuable insights for clinical management, including the monitoring of dental development and the implementation of early interventions. This study presents a comprehensive scoping review of the literature on PTLBW and primary tooth eruption. The review followed the framework proposed by Arksey and O’Malley and was further refined using the Joanna Briggs Institute (JBI) methodology for scoping reviews. Literature searches were conducted in electronic databases, including Scopus and PubMed, covering publications from the past 10 years. Eight studies met the inclusion criteria and were analyzed in this review. The findings indicate that PTLBW children experience delayed eruption of primary teeth. Future prospective studies are needed to identify potential biomarkers or predictive indicators for delayed eruption, as well as to evaluate the effectiveness of early treatment interventions on dental development and oral health outcomes in this population.
Chicken bone hydroxyapatite enhances collagen density and osteoblast cell number during bone formation of post-extraction socket wound healing process (an in vivo study) Humani, Maria Bonita Cerebrina; Kintani, Dayinta Sekar; Arindra, Pingky Krisna; Karina, Vincensia Maria; Haniastuti, Tetiana
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.103626

Abstract

Tooth extraction is a common dental procedure. Osteoblasts (bone-forming cells) and collagen are key indicators of wound healing following tooth extraction. Hydroxyapatite is a calcium-rich material that promotes the secretion of Fibroblast Growth Factor (FGF), Platelet-Derived Growth Factor (PDGF), and Transforming Growth Factor Beta (TGF-β)—all of which play critical roles in the wound healing process. Chicken bones, a natural source of hydroxyapatite, contain approximately 85% calcium phosphate minerals. This study aimed to determine the effect of chicken bone-derived hydroxyapatite on osteoblast cell count and collagen density in post-tooth extraction wounds in Wistar rats. Thirty male Wistar rats were randomly divided into treatment and control groups. Tooth extraction was performed on the lower left incisor of each rat. Hydroxyapatite was prepared by calcining chicken bones at 700 °C to remove organic material. The resulting hydroxyapatite powder was implanted into the tooth sockets of rats in the treatment group, while the control group received no implantation. Both groups were sutured and treated with povidone-iodine. Three rats from each group were sacrificed on days 3, 5, 7, 10, 14, and 21. Histological samples were prepared using hematoxylin-eosin and Mallory’s Trichrome staining. Osteoblast cells (100× magnification) and collagen density (400× magnification) were examined using a light microscope and Optilab Viewer, across five fields of view per sample. Two-way ANOVA showed significant differences in both osteoblast cell counts and collagen density between groups and across observation days (p < 0.05). Least Significant Difference (LSD) post hoc analysis also revealed significant differences between groups on all observation days (p < 0.05). In conclusion, chicken bone-derived hydroxyapatite significantly increases osteoblast numbers and collagen density during the post-extraction wound healing process in Wistar rats.
Comprehensive therapies for severe facial pain related to temporomandibular disorder in a patient with mental instability Huri, Stevani Gracela; Ismiyati, Titik; Barunawati, Sri Budi; Alhasyimi, Ananto Ali; Ruspita, Intan
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.104377

Abstract

The etiology of temporomandibular disorders (TMDs) is multifactorial and often associated with biopsychosocial factors. Stress, anxiety, and depression contribute to the psychological conditions that may accompany TMD. This case study aims to describe the treatment of severe facial pain associated with TMD in a patient experiencing mental instability. A 28-year-old female presented to a dental hospital with severe pain in the right facial region. The patient had previously worn a stabilizing occlusal splint six months prior, but had since lost it, resulting in the recurrence of pain. The pain originated in the right temporomandibular joint and radiated to the ear, eye, and temporal region. The pain was exacerbated by mouth opening, chewing hard food, and emotional stress. Clinical examination revealed missing lower first molars and an anterior crossbite. The patient reported frequent clenching episodes during periods of anxiety and depression. A panoramic radiograph showed both condyles to be normal in shape and size. A transcranial X-ray revealed the right condyle positioned within the glenoid fossa, while the left condyle was located anterior and inferior to the articular eminence. Treatment included a comprehensive approach: pharmacologic therapy, elimination of parafunctional habits, self-management strategies, a stabilizing splint, partial dentures, psychiatric intervention, and orthodontic treatment. The masticatory muscles showed significant relaxation following treatment, resulting in pain reduction. Orthodontic correction of the malocclusion and increased vertical dimension of occlusion led to improved quality of life and the resolution of TMJ symptoms.

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