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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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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.
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.
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 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.
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.

Page 55 of 58 | Total Record : 575

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