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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 12 Documents
 1   2 
Search results for , issue "Vol 11, No 2 (2025): August" : 12 Documents clear
Comparison of the arch perimeter discrepancy in Javanese class I malocclusion: modified kesling vs. lundström analysis method at Dental Hospital Universitas Airlangga 2018-2024 Winoto, Ervina Restiwulan; Alida, Alida; Dinda, Prasherly Anura
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.106970

Abstract

Creating orthodontic treatment more efficiently in Indonesia requires the population's facial and jaw characteristics recognition as influenced by ethnic and gender characteristics. Myriad study model analysis methods are needed to evaluate a malocclusion’s treatment plan, such as modified kesling and lundström analysis which calculate Jaw Arch Perimeter (JAP) and Dental Arch Perimeter (DAP). Prior studies of different ethnicities and genders across global populations have demonstrated variations in results. Therefore, it is necessary to compare those two methods to ascertain the final result of arch perimeter discrepancy in Javanese class I malocclusion.  This study aims to prove the disparity in comparison of the arch perimeter discrepancy in Javanese class I malocclusion by modified kesling vs. lundström analysis method at Dental Hospital Universitas Airlangga 2018-2024. Applied inclusion criteria: Javanese ethnicity, age 18–25 years, permanent dentition (first molar to first molar), and no prior orthodontic treatment. It results in 53 samples. In lundström analysis, JAP is obtained by enumerating segmentally measuring pairs of teeth using a caliper. In the modified kesling, JAP is obtained by tracing the model on plastic mica. Then, continue by making pre-correction JAP with a marker and making post-correction JAP by measuring the ideal arch using a 0.1 mm copper wire. This study identifies a statistically significant final value difference between those two methods. This study identified statistically significant differences in arch perimeter values using modified kesling method and lundström analysis, whilst no significant differences in arch circumference by gender.
Exploring the potential of bromelain in orthodontic treatment Estuningtyas, Maria Felicitas Ajeng; Karunia, Dyah; Retnaningrum, Yanuarti
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.109296

Abstract

Bromelain, a proteolytic enzyme derived from pineapple, has attracted significant attention in both medicine and dentistry due to its diverse therapeutic properties. It has been widely studied for its anti-inflammatory, digestive, and wound-healing effects. In dentistry, bromelain has been investigated for applications such as reducing postoperative pain, facilitating enamel deproteinization, aiding in caries removal, and serving as an endodontic irrigant. In orthodontics, its potential lies in deproteinizing enamel to improve the bond strength of orthodontic brackets during placement. Studies suggest that applying bromelain prior to acid etching can enhance bracket bond strength, providing a safer and more efficient alternative to sodium hypochlorite. It has also shown promise in reducing plaque accumulation and gingivitis, particularly in patients with fixed orthodontic appliances. Bromelain’s antibacterial and anti-inflammatory properties support its role in maintaining oral hygiene and promoting healing. However, most existing evidence comes from in vitro or short-term clinical studies. Long-term clinical trials are needed to confirm its safety and efficacy in routine orthodontic practice.
Fiber reinforced direct composite for endodontic treated tooth in one year follow-up Satrio, Fajar; Mulyawati, Ema; Rinastiti, Margareta
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91558

Abstract

After root canal treatment, tooth will be more fragile due to loss of tooth structure integrity as a result of the caries process, access preparation, reduced water, and or tooth fracture. This is the main consideration for determining the material and restoration technique for endodontic treated tooth (ETT). Fiber reinforcement direct composite can maintain the remaining tooth structure and increase fracture resistance. This case report aims to evaluate the 1-year follow-up of fiber reinforcement direct composite in molar tooth after root canal treatment. The first case was a 28-year-old man, who came to RSGM to maintain his left lower right molar which had been filled for about 10 years. On the radiograph, there was a radiopaque filling to the pulp and apical radiolucency. The results of clinical examination obtained previously initiated therapy, asymptomatic apical periodontitis. The second case, a 27-year-old woman, complained pain on biting in the lower left molar for a week. On the radiograph, there was a radiopaque filling at the occlusal side, a non-hermetic obturation material in the root canals, and apical radiolucency. From the clinical examination, previously treated, symptomatic apical periodontitis was obtained. One-visit endodontic treatment was given followed by a direct restoration with composite resin, short-fiber filler, and fiber ribbond. The endodontic treated tooth restored with fiber reinforcement direct composite obtained good results after 1 year follow-up.
The effect of supernatants of Lactobacillus casei against Porphyromonas gingivalis Zainina, Iris Amelinda; Kusumawardani, Banun; Sari, Desi Sandra
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.101506

Abstract

Periodontitis is an inflammatory disease of the periodontal tissues primarily caused by Porphyromonas gingivalis (P. gingivalis). In recent years, probiotics have been proposed as a potential bacteriotherapeutic approach for periodontitis. Probiotic bacteria such as Lactobacillus casei (L. casei) are known to produce antibacterial compounds, which can be found in their culture supernatants. The ability of L. casei to grow and synthesize these substances depends on environmental factors, including pH. Based on preliminary findings, a pH of 6.5 was used in this study. This study aimed to evaluate the antibacterial activity of L. casei supernatant against P. gingivalis in vitro. The research employed an experimental post-test-only group design. Two control groups were included: a negative control (aquadest) and a positive control (0.2% chlorhexidine). The treatment groups received L. casei supernatant at volumes of 20 µl, 50 µl, and 80 µl, with incubation periods of 6, 12, and 24 hours. The results demonstrated that the L. casei supernatant exhibited the highest antibacterial activity against P. gingivalis at a volume of 80 µl after 12 hours of incubation. The Shapiro–Wilk test indicated that the data were normally distributed, while Levene’s test revealed a lack of homogeneity. Post hoc analysis showed significant differences among all treatment groups at the 12-hour incubation point. In conclusion, the supernatant of L. casei exhibits in vitro antibacterial activity against P. gingivalis.
Differences in bone quality and condylar head shape between patients with type 2 diabetes mellitus and non-diabetic patients Amalia, Rahmi; Harqad, Teuku; Epsilawati, Lusi; Damayanti, Merry; Nursin, Rohmat
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.103504

Abstract

This study aimed to compare bone quality—assessed through mandibular bone density—and condylar head shape between patients with type 2 diabetes mellitus (DM) and non-diabetic (non-DM) individuals, using bone histogram values derived from panoramic radiographs. An observational descriptive design with a cross-sectional approach was employed. The study population comprised all panoramic radiographic records collected during the study period. The sample consisted of 25 radiographs: 11 from male patients (DM and non-DM) and 14 from female patients (DM and non-DM), aged 40–60 years. Bone density was measured using a histogram analysis within a 4 × 4 mm region of interest (ROI) in the condylar head area, and the condylar head shape was also evaluated. Statistical analysis was subsequently performed. The findings revealed no statistically significant difference in mandibular bone density in the condylar area between DM and non-DM patients (p > 0.005). Similarly, the condylar head shape was predominantly oval in both groups. While individuals with type 2 DM tended to exhibit lower bone density values than non-DM individuals, the difference was not statistically significant. No significant differences in bone density were observed between the left and right condylar heads. However, variations in condylar head morphology were noted.
Comprehensive gummy smile correction: a case report on combined lip repositioning and crown lengthening Nurbaiti, Mentari Salma; Murdiastuti, Kwartarini; Karina, Vincensia Maria
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.104349

Abstract

A gummy smile, or excessive gingival display (EGD), is a clinical condition in which more than 3–4 mm of gingiva is visible during smiling. This condition often raises aesthetic concerns and may negatively affect self-esteem. This report presents the clinical management of a 26-year-old male patient whose gummy smile was attributed to altered passive eruption, compounded by hyperactivity of the upper lip elevator muscles. To address these issues, a combined surgical approach was employed: crown lengthening and lip repositioning. Crown lengthening was performed on teeth 12, 11, and 22 to establish an appropriate tooth–gingiva ratio, while lip repositioning was carried out to limit excessive elevation of the upper lip. Postoperative evaluations revealed a significant correction of the gingival display and improved tooth dimensions. These results highlight the effectiveness of a combined periodontal and soft tissue surgical approach in achieving harmonious and predictable smile aesthetics.
The impact of varying concentrations of hyaluronic acid gel on the enhancement of VEGF and angiogenesis expression Fauzia, Malianawati; Kumala, Ega Lucida Chandra; Aufani, Maulida; Syalisha, Addini Zoya; Wahyu, Adellia; Mukhlis, Muhammad Maulana Zikrullah
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.104632

Abstract

Periodontal dressings can contribute to plaque accumulation, which in turn may cause inflammation, irritation of healing tissues, bacteremia, and difficulties in eating. Advances in knowledge and technology have improved the materials used in these dressings, aiming to enhance effectiveness and minimize complications. High-molecular-weight hyaluronic acid (HMW-HA) is a promising dressing material because of its anti-inflammatory properties and its ability to promote epithelial regeneration. This study aimed to determine whether different concentrations of HMW-HA gel influence vascular endothelial growth factor (VEGF) expression and angiogenesis during gingival wound healing in white rats (Rattus norvegicus) of the Wistar strain. A total of 42 rats were divided into seven groups: a negative control group (K1), a positive control group (K2) treated with 0.2% Gengigel®, and five treatment groups (P1–P5) receiving HMW-HA gel at concentrations of 0.2%, 0.4%, 0.6%, 0.8%, and 1%, respectively. Standardized 2 mm wounds were created with a punch biopsy on the lower anterior jaw of each rat. Treatments were administered twice daily for seven days. VEGF expression and angiogenesis were evaluated using immunohistochemical and hematoxylin–eosin staining. The group treated with 1% HA gel (P5) showed the highest average VEGF expression and angiogenesis compared with the negative control and lower-concentration treatment groups. These findings suggest that topical application of HMW-HA gel may enhance gingival wound healing in periodontal surgery by promoting angiogenesis and increasing VEGF expression.
The effect of activated charcoal and bentonite toothpaste on extrinsic tooth discoloration Melaniwati, Melaniwati; Putri, Naura Belinda; Ratnasari, Dina; Dwisaptarini, Ade Prijanti
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.104679

Abstract

Tooth discoloration is categorized into intrinsic and extrinsic types, with the latter caused by external staining agents such as pigmented beverages (e.g., black tea). Whitening toothpastes are commonly used to address extrinsic discoloration, though chemical-based formulations may lead to side effects. Consequently, natural alternatives, including activated charcoal and bentonite, are gaining attention as whitening agents. This study aimed to evaluate the effects of activated charcoal and bentonite toothpaste on extrinsic tooth discoloration. A control group pretest-posttest design was employed, involving 48 premolar teeth divided into four groups. Samples were stained by immersion in a black tea solution (400 mL water, 4 tea bags) for 4 hours daily over 13 days, simulating 7 months of tea consumption. Color measurements were conducted using a spectrophotometer before and after brushing. Brushing was carried out using an electric toothbrush with 0.5 g of toothpaste and 1 mL of distilled water for 2 minutes, twice daily, over 10 days. Repeated ANOVA analysis revealed significant differences in ΔE, ΔL, and ΔC values (p < 0.05). Activated charcoal toothpaste produced a marked lightening effect and increased color intensity, although no change was observed at the cervical region of the teeth. These findings suggest that activated charcoal may serve as an effective natural agent for managing extrinsic discoloration while further research is needed to clarify its long-term effects and clinical applications.
Effectiveness of Catharanthus roseus L. extract gel on TNF-α and IL-1β in the healing process of oral lesions Dewi, Tri Purnami; Canisca Putri, Ni Putu Ayu Mas Mitha; Mertayasa, Dewa Kadek
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.105363

Abstract

The global incidence of oral lesions ranges from 5% to 66%, with an average of 20%. To date, no scientific research has investigated the effects of Catharanthus roseus L. (tapak dara) leaf extract on the expression of proinflammatory cytokines in oral lesion healing. This study aimed to evaluate the effectiveness of tapak dara leaf extract gel in reducing the expression of the proinflammatory cytokines TNF-α and IL-1β during oral lesion healing. A total of 30 mice (Mus musculus) were divided into five groups: four treatment groups and one control group, each housed separately. The gel formulation was prepared by mixing diluted extract solutions (5%, 10%, and 20%) into a 2% CMC-Na solution, heated and stirred for 10 minutes, and then cooled to achieve a gel consistency. Phytochemical screening was performed to qualitatively identify flavonoids, tannins, saponins, phenolics, alkaloids, steroids, and terpenoids. Expression levels of TNF-α and IL-1β were measured using an ELISA kit. ANOVA results showed that tapak dara leaf extract gel at 5%, 10%, and 20% significantly reduced TNF-α and IL-1β expression (p = 0.001). Tukey’s post hoc test indicated that the positive control (K+) group had the lowest expression of both TNF-α and IL-1β compared to other groups (p = 0.001). In conclusion, tapak dara leaf extract gel effectively reduces TNF-α and IL-1β expression, supporting its potential role in the healing process of oral lesions.
Orthodontic management of angle Class III malocclusion with severe anterior crowding Retyoningrum, Gita; Paskalin, Zenith; Sayuti, Elih; Laviana, Avi; Evangelina, Ida Ayu; Mardiati, Endah
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.105794

Abstract

Dental malocclusion Class III is a challenging condition characterized by a Class III molar relationship, and it has a specific anterior condition according to Dewey classification. In some cases, Class III dental malocclusion with skeletal Class I may present with a convex rather than a concave profile. Several methods are available to correct a convex profile, including extraction, full arch distalization using TADs, intermaxillary elastic Class II, anterior segment retraction, and others. Combining more than one of these methods can be effective in correcting a convex profile. An 18 year-old woman presented to RSGM Universitas Padjadjaran with a diagnosis of Angle Class III dental malocclusion, skeletal Class I with a convex profile, normal maxillary incisor inclination, asymmetric profile, severe anterior crowding in both arches, minimal overjet, anterior crossbite, upper midline shift, clockwise rotation and high-angle mandible, and lingual inclination of the mandibular incisors. The patient was treated with a Roth prescription fixed orthodontic appliance. Maxillary and mandibular first premolars were extracted to create space, and lacebacks were applied to the canines to correct severe anterior crowding]. Bilateral intermaxillary Class III elastics were used to maintain the facial profile and prevent it from becoming concave. Treatment was completed in 18 months, achieving a Class I molar relationship, midline correction, optimal overbite and overjet, and preservation of the facial profile. This case report presents the orthodontic management of Angle Class III malocclusion with skeletal Class I and severe anterior crowding, successfully treated with first premolar extractions while maintaining a convex profile.

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