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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 575 Documents
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Effect of 10% lemongrass (Cymbopogon citratus) and 3% hydrogen peroxide solution immersion on the dimensional stability of alginate impression Indriani, Lenni; Habar, Ike Damayanti; Sonda, Angelitha Patricia
Majalah Kedokteran Gigi Indonesia Vol 10, No 3 (2024): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.98582

Abstract

Pathogenic bacteria can easily spread through impression materials, especially alginate. One of the chemicals disinfection agents used is hydrogen peroxide and natural disinfection alternatives, such as the decoction of lemongrass leaves. The aim of this study is to determine the effect of immersing Alginate impression in a disinfection solution of lemongrass (Cymbopogon citratus) and 3% hydrogen peroxide on the dimensional stability. The samples of this research consisted of 27 alginate impression samples of the upper jaw teeth prepared by manipulating alginate powder with water according to the manufacturer’s ratio and a lemongrass solution prepared by boiling 300 grams of lemongrass leaves 3000 ml of distilled water to obtain 300ml of lemongrass leaf decoction. The 27 samples were divided into three groups: the control group soaked in aquadest, one group soaked in 3% hydrogen peroxide, and one group soaked in 10% lemongrass decoction. The dimensional stability was measured by using a caliper for the horizontal dimension and then analyzed by using the Kruskal-Wallis test. This statistical analysis found a p-value of <0.05 in the horizontal dimension, indicating a difference in the horizontal dimensional stability of the alginate impression after immersion among the hydrogen peroxide, lemongrass leaves (C. citratus), and control groups. Further comparisons among the groups by using the Mann-Whitney Test resulted in a p-value of <0.05 for all the comparisons among the horizontal dimension of the groups. The dimensional changes of the alginate impression were slightly larger in the immersion of 10% lemongrass solution compared to the 3% hydrogen peroxide solution.
Endodontic Care for Patients with Polycythemia: Clinical Considerations and Case Analysis Nugroho, Dian Lestari Putri; Nugraheni, Tunjung; Imandini, Aldila; Rinastiti, Margareta
Majalah Kedokteran Gigi Indonesia Vol 10, No 3 (2024): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91425

Abstract

Polycythemia is a myeloproliferative neoplasm characterized by uncontrolled proliferation of red blood cells due to mutations in early hematopoietic cells, often linked to Janus kinase 2 (JAK2) gene mutations. Polycythemia vera (PV), the primary form of the disease, leads to increased blood viscosity and stasis, raising the risk of thrombotic events such as stroke and myocardial infarction. Secondary polycythemia results from hypoxic conditions, stimulating erythropoietin production. Diagnosis is confirmed through hemoglobin and hematocrit levels, with treatment aimed at reducing thrombosis and hemorrhage risks. Low-risk patients are treated with aspirin and phlebotomy, while high-risk cases may require cytoreductive therapies like hydroxyurea.In our case, a patient presented with necrosis and horizontal bone loss in tooth 36, complicated by polycythemia. Due to the increased risk of bleeding and inflammation, the decision was made to prioritize endodontic treatment, avoiding periodontal surgery. The patient, considered low-risk for PV complications due to the absence of thrombosis history, was managed conservatively. Preoperative coordination with hematologists was essential to optimize hematologic parameters and minimize potential risks.The goal of endodontic treatment was to disinfect and seal the root canal, reducing inflammation in the surrounding periodontal tissues and preventing reinfection. This approach allowed for effective management of the patient's oral condition while minimizing systemic risks. This case highlights the importance of a multidisciplinary approach in managing dental treatment for patients with polycythemia, ensuring both local and systemic complications are effectively addressed.
Cherubism with peripheral reparative giant cell granuloma in the mandible and maxilla Sukawijaksa, Hendra; Arindra, Pingky Krisna; istadi, Didit; Haryosuwandito, Erdananda; Lutfianto, Muhammad Bakhrul
Majalah Kedokteran Gigi Indonesia Vol 10, No 3 (2024): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91469

Abstract

Cherubism is an autosomal dominant disease that causes abnormal osteoblast-osteoclast function, resulting in progressive enlargement around the maxillofacial area due to replacement of normal bone with fibrous tissue and immature bone. The clinical and radiographic signs of cherubism include bilateral radiolucent multi-ocular lesions of the mandible and maxilla, causing bilateral cheek swelling. A 9-year-old boy came to the Oral Surgery of Sardjito Hospital, Yogyakarta, with a complaint of enlargement of both cheeks nine months ago. The patient complained that the swelling on the maxilla enlarged and felt disturbing for his appearance. The enlargement was painless, not easy to bleed, hard, and disturbing when eating and sleeping. Radiograph examination demonstrated bilateral maxillary and mandibular multi-ocular-radiolucent lesions. Three stages of surgery were performed: biopsy-incision with the histopathological result being benign fibrous histiocytoma, curettage-reshaping of the mandible 1 month after biopsy, and curettage-reshaping of the maxilla 9 months after the mandible surgery. The histopathological test of the lesions in the maxilla and mandible showed the same result: peripheral reparative giant cell granuloma. Twelve months postoperatively, the patient had no complaints, showed no disturbances in eating and sleeping, and regained a symmetrical face. The patient's initial curettage and reshaping resolved the masticatory complaints, improved facial aesthetics, and reduced lesions' expansion at the bilateral mandibular and maxillary bones.
Combined techniques of buccal fat pad and buccal advancement flap for revision of failed oroantral fistula closure treatment Setjadiningrat, Raden Sonny Aditya Santosa; Istadi, Didit; Arindra, Pingky Krisna; Rosanto, Yosaphat Bayu
Majalah Kedokteran Gigi Indonesia Vol 10, No 3 (2024): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91493

Abstract

Oroantral fistula (OAF) is a complication of dental extraction that is defined as open pathological communication between oral cavity and sinus of the maxillary with the involvement of epithelization of a canal. Oroantral fistula will cause infection, impaired healing, and chronic sinusitis. This article reports a case of OAF in tooth 16 which occurred after 11 months following unsuccessful sinus closure treatment. Many approaches are widely used for the closure of OAF, such as using a buccal fat pad (BFP), buccal advancement flap (BAF), or a combination. This study aims to describe the combined techniques of BFP and BAF in OAF closure of large defects with a history of previous closure failure. A 31-year-old male patient came to our hospital for the presence of OAF for 2-3 weeks. The patient underwent OAC closure at another hospital 11 months prior, but the complaint recurred. Diagnosis of OAF was carried out using the Valsalva test. A combination of BFP and BAF techniques was done to close the OAF after the removal of the epithelial. Evaluation of the treatment after 30 days showed adequate healing and full closure of OAF. OAF closure with the combined techniques of BFP and BAF displays promising results for the revision of failed OAF closure treatment.
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.
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.

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