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Majalah Kedokteran Gigi Indonesia

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Published by Universitas Gadjah Mada

ISSN : 24600164 EISSN : 24422576 DOI : https://doi.org/10.22146/majkedgiind.36959

Core Subject : Health,

Dentistry

Arjuna Subject : -

Articles 556 Documents

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Kontrasepsi Hormonal Meningkatkan Kadar α-Amylase Saliva Juni Handajani; Rini Maya Puspita; Rizki Amelia
Majalah Kedokteran Gigi Indonesia Vol 21, No 1 (2014): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Salivary α-amylase atau α-amylase saliva (SAA) adalah salah satu enzim dalam saliva yang berperan penting pada inisiasi digesti karbohidrat dan fungsi interaksi bakteri. Kontrasepsi hormonal sangat populer di Indonesia untuk mencegah kehamilan. Penelitian ini bertujuan untuk mengetahui kadar SAA wanita pemakai kontrasepsi pil dan suntik. Subjek penelitian sebanyak 30 perempuan usia 20-35 tahun. Prosedur penelitian telah mendapat persetujuan dari Komite Etik Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta. Subjek dibagi menjadi 3 kelompok (pemakai kontrasepsi pil, suntik, dan kontrol), masing-masing 10 perempuan. Kriteria subjek antara lain subjek sehat, tidak menggunakan alat ortodontik, protesa atau mahkota, serta menggunakan kontrasepsi hormonal lebih dari 3 bulan. Sampel saliva dikumpulkan pada sore hari (16.00-18.00 WIB) selama 1 menit dengan metode tanpa stimulasi. Kadar tingkat SAA diukur menggunakan ELISA kit (Salimetrics LLC) dengan Optical Density (OD) pada 405 nm. Data dianalisis menggunakan ANOVA (p<0,05). Hasil penelitian menunjukkan kadar SAA tertinggi pada perempuan pemakai kontrasepsi pil dan ada perbedaan yang signifikan diantara tiga kelompok. Disimpulkan bahwa kontrasepsi hormonal meningkatkan kadar SAA.Hormonal Contraceptive Increased The Level of Salivary Α-Amylase. Salivary α-amylase (SAA) is one of the most important enzymes in saliva. This enzyme was mainly involved in the initiation of the digestion of starch in the oral cavity and has significant bacterial interactive function. Hormonal contraceptives are very popular in Indonesia to avoid pregnancy. This study aimed to evaluate the level of SAA in woman who taking pill and by injection contraceptives. Thirty women were in subjects, 20-35 years old, approval ethical clearance from Ethic Committee Medical Faculty of Gadjah Mada University, Yogyakarta Indonesia. Subjects were divided into three groups (taking pill contraceptive, by injection contraceptive and control). Each group consisted ten women. Criteria for issue were medication free, healthy, no orthodontic treatment, no prosthesis or crown and took hormonal contraceptives more than three months. Saliva samples were collected at afternoon (16.00-18.00 pm) for 1 minute using unstimulating method. The level of SAA was measured by ELISA kit (Salimetrics LLC). Optical Density was read on a standard plate at 405 nm. Data for level SAA were analyzed using ANOVA (p<0.05). Results showed the highest level of SAA in woman who takes pill contraceptive, and there were significant differences between the three groups. This study is suggesting that the hormonal contraceptive increased the level of SAA.

Pengaruh Lama Perendaman terhadap Absorpsi Tetrasiklin pada Adsorben Limbah Sisik Ikan Gurami (Osphronemus Gouramy) Sabrina M Pratama; Ghiza J.K. Barqly; Retno Widyastuti; Rizka N Wardani; Dear F Sielma; Al Munawir
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Influence of Immersion Length on Tetracycline Absorption on Gourami (Osphronemus Gouramy) Scales as Adsorbent. Gourami (Osphronemus Gouramy) scales are one of the natural sources of collagen. This fish scale’s collagen has functional properties, such as bio-degradable (easily decomposed), bio-compatible (compatible with surrounding tissue), and potential as bio-adsorbent. The absorbent properties of collagen are currently used as a transport material in local drug delivery for periodontal disease treatment, which is known as tetracycline chip. However, this chip is made of synthetic collagen so it is not absorbable by the body’s system. The price is also expensive. This study’s aim is to prove the potency of Gourami scales as a source of collagen in medical treatment, especially as a transport material of tetracycline for periodontal disease treatment. The gourami scale was obtained from seafood restaurant in Jember, Jawa Timur. About 500 mg of gourami scales was immersed into 20 ml tetracycline solution in beaker glass. About 200 μl solution from the beaker glass was taken with micropipette after 1-hour, 2-hour, 4-hour, 12-hour and 24-hour after immersed. After that, the solution was collected into an eppendorf for each time. The absorbance was measured with spectrophotometer at 450 nm wave length. This procedure was repeated five times. The lowest absorbance occured at 1-hour time (160,6 μg/μl). The result from light and inverted microscope examination shows a bond between collagen from gourami scales with tetracycline. Gourami scale has the ability to absorb the highest rate of tetracycline at 1-hour immersed time by forming a bond between collagen and tetracycline.

Peningkatan Jumlah Mikronukleus pada Mukosa Gingiva Kelinci Setelah Paparan Radiografi Panoramik Rurie Ratna Shantiningsih; Suwaldi Suwaldi; Indwiani Astuti; Munakhir Mudjosemedi
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Mikronukleus merupakan salah satu tanda awal terjadinya kerusakan DNA yang ditemukan pada mukosa gingiva manusia setelah paparan radiografi dental panoramik. Peningkatan jumlah mikronukleus terjadi paling tinggi pada hari ke-10 dan selanjutnya mengalami penurunan sampai dengan hari ke-14. Kelinci memiliki karakter dan periode turn-over mukosa gingiva yang hampir sama dengan manusia berkisar antara 10-12 hari. Tujuan penelitian ini untuk mengevaluasi apakah peningkatan jumlah mikronukleus pada mukosa gingiva kelinci setelah paparan radiografi panoramik. Sembilan ekor kelinci dibagi menjadi 3 kelompok untuk mewakili hari ke-3, 6 dan 9 setelah paparan radiografi panoramik. Sebelum dan sesudah diberikan paparan radiografi panoramik, setiap hewan coba dilakukan apusan pada mukosa gingiva anterior rahang bawah menggunakan cervical brush. Hasil apusan dilakukan pewarnaan dengan modifikasi Feulgen-Rossenbeck dan dihitung jumlah mikronukleus menggunakan mikroskop yang disambungkan dengan optilab. Analisis statistik dilakukan menggunakan paired t-test. Analisis statistik menunjukkan adanya perbedaan yang signifikan (p<0,05) antara jumlah mikronukleus sebelum dan 9 hari sesudah paparan radiografi panoramik. Akan tetapi tidak ditemukan perbedaan yang signifikan (p>0,05) antara sebelum paparan dibandingkan hari ke-3 dan ke-6 setelah paparan radiografi panoramik. Kesimpulang dari hasil penelitian ini sejalan dengan penelitian sebelumnya pada manusia bahwa peningkatan jumlah mikronukleus terjadi pada hari ke-9 setelah paparan radiografi panoramik. Hasil ini mengindikasikan bahwa pada kelinci juga menunjukkan peningkatan jumlah mikronukleus di mukosa gingiva akibat paparan radiografi panoramik.Micronucleus Increase After Panoramic Radiography Exposure In Rabbit’s Gingival Mucosa. Micronucleus is one of the early states of DNA damage found in human gingival mucosa after dental panoramic radiography exposure. The increasing amount of micronucleus will reach a peak in the tenth day after the exposure, and it will continuously decrease right after the fourteenth day. Rabbit has almost the same gingival mucosa and turn-over period with human for about 10-12 days. The purpose of this research is to evaluate the increasing amount of micronucleus in rabbit’s gingival mucosa after panoramic radiography exposure. A total of nine New Zealand rabbits were divided into 3 groups to represent day of 3rd, 6th and 9th after the panoramic radiography exposure. The mandibular anterior gingival mucosa of each animals was swabbed using a cervical brush before and after panoramic radiography exposure. The samples were stained with Feulgen-Rossenbeck modification, and the amount of micronucleus was counted using a microscope that is connected to Optilab. Statistical analysis was performed using paired t-test. The statistical analysis showed that there was significant difference (p <0.05) between the number of micronucleus before exposure and 9th day after panoramic radiography exposure. Moreover, there was no significant difference (p> 0.05) between the amount of micronucleus before exposure compared with 3rd and 6th day after panoramic radiography exposure. Based on the experiment, it is concluded that the result is consistent with previous studies conducted in human that there was increasing amount of micronucleus at the 9th day after panoramic radiography exposure. This result indicates that rabbit performs the increasing amount of micronucleus in gingival mucosa because of panoramic radiography exposure

Perawatan Teknik Begg Pada Maloklusi Klas I Dengan Kaninus Impaksi dan Insisivus Lateral Agenesis Kristina Wijaya Gunawan; Wayan Ardhana; Christnawati Christnawati
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Impaksi kaninus maksila sering dijumpai pada sisi palatal daripada labial. Agenesis adalah anomali pertumbuhan akibat tidak ada satu atau lebih benih gigi. Laporan kasus ini bertujuan memaparkan kemajuan perawatan kasus Maloklusi klas I dengan kaninus impaksi dan insisivus lateral agenesis menggunakan alat cekat teknik Begg. Seorang pasien usia 20 tahun datang mengeluhkan gigi-gigi depan atas dan bawah yang berjejal sehingga mengganggu penampilan. Perawatan bertujuan untuk koreksi Maloklusi Angle klas I tipe dentoskeletal dengan deepbite, crossbite gigi 25 terhadap 35, pergeseran midline dental maksila dan mandibula ke kanan sebesar 2,5 mm dan 3,0 mm, 13 impaksi vertikal pada sisi labial, 42 agenesis, dan edentulous parsial regio 36. Koreksi dilakukan dengan pencabutan 14, 25, pemanfaatan ruang bekas pencabutan 36 dan exposure gigi kaninus yang impaksi. Tahap pertama teknik Begg adalah leveling, unraveling, dan bite opening, diikuti dengan koreksi midline dan penutupan sisa ruang bekas pencabutan. Kesimpulan: perawataan ortodontik menggunakan teknik Begg yang dilakukan simultan dengan exposure kaninus impaksi labial dengan closed eruption technique dapat memberikan hasil yang memuaskan.Treatment for Class I Malocclusion with Impacted Canine and Agenesis Lateral Incisor Using Begg Technique. Maxillary canine impaction occurs commonly on the palatal than labial side. Agenesis is a developmental anomaly condition because of the absence of one or more tooth buds. This case report aims to explain the treatment progress of class I malocclusion with impacted canine and agenesis lateral incisor using fixed appliance through Begg technique. A 20-year-old female patient complained about her upper and lower anterior dental crowding that disturbed her appearance. The treatment aims to correct the Angle class I malocclusion dentoskeletal types with deepbite, crossbite 25 to 35, maxillary and mandibulary dental midline shift to the right by 2.5 mm and 3.0 mm, 13 labially vertical impacted, 42 agenesis, and partial edentulous 36. The correction was obtained through extraction 14 and 25, and the use of former space from extraction 36 and exposure of impacted canine. The first step of treatment using Begg technique is to leveling, unraveling, and bite opening. The second step is midline correction and space closure. Finally, it can be concluded that orthodontic treatment using Begg technique which is done simultaneously and exposure of labial- canine impaction with closed eruption technique can give satisfactory results.

Korelasi Jumlah Streptococcus mutans (S. mutans) dan Level Ekspresi Interlukin 8 (IL-8) pada Severe Early Childhood Caries Muhammad Luthfi; Retno Indrawati; Ira Arundina; Yoes Prijatna Dachlan
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Correlation of Streptococcus mutans (S. mutans) Level and Interleukin 8 (IL-8) Expressions of Salivary Neutrophils in Severe Early Childhood Caries. Early childhood caries is a very serious health problem because it is a chronic infectious disease that is contagious. Dental caries begins after the primary teeth grow and develop on the tooth surface very quickly and progressively. In recent years the views of neutrophils have changed dramatically. Neutrophils not only act as a microbe killer through phagocytosis, the release of reactive oxigen species (ROS) and its antimicrobial peptide, but neutrophil activation also helps regulate the immune response. To analyze the relationship between the amount S. mutans and IL-8 expression of salivary neutrophils in severe early Childhood caries. Two groups, namely Isolation of S. mutans were performed on saliva samples taken from 20 caries-free and 20 severe early childhood caries and samples Nacl 1,5% mouthwash results of 20 caries-free and 20 severe early childhood caries salivary neutrophils that were analysis of IL-8 expression by flow cytometry. Based on the average value, it is known that S. mutans level in early Childhood caries-free is lower (513.500,00 +185.565,28 CFU/ml) in comparison to the severe early Childhood caries (977.000,00 +222.500,15 CFU/ml), but the expression of IL-8 neutrophil salivary neutrophils in early Childhood caries-free is higher (3,31+0,50) in comparison to the severe early Childhood caries (2,95+0,56). The increased S. mutans level is probably caused by the decrease in the expression of IL-8 salivary neutrophils in severe early childhood caries.

Perawatan Satu Kunjungan Restorasi Pasak Fiber Reinforced Composite Pada Gigi Insisivus Atas Ria Ariani; Wignyo Hadriyanto
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Perawatan saluran akar satu kali kunjungan memberikan keuntungan antara lain memperkecil resiko kontaminasi mikroorganisme dan menghemat waktu perawatan. Pasak fiber reinforced composite memiliki ikatan yang baik dengan dentin menggunakan semen resin dan inti dari resin. Penggunaan pasak bisa mengurangi risiko fraktur. Tujuan penulisan laporan kasus ini adalah untuk mengevaluasi hasil restorasi gigi 11 nekrosis pulpa pasca perawatan saluran akar disertai restorasi dengan pasak fiber reinforced composite. Pasien wanita, 22 tahun datang ke Klinik Konservasi RSGM FKG UGM untuk merawat gigi depan atas kanan yang berlubang. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis gigi 11 nekrosis pulpa. pasca perawatan saluran akar gigi Gigi direstorasi dengan resin komposit dan pasak fiber reinforced composite. Kesimpula dari hasil evaluasi klinis saat kontrol tidak ada keluhan rasa sakit dan pasien merasa puas.One Visit Treatment of Fiber Reinforced Compositerestoration in Maxillary Right First Incisivus. One visit root canal treatment is advantageous to minimize the risk of microorganism contamination. It saves time and more tolerable for the patients. Fiber reinforced composite post is fabricated, and it has been known to have a good bond with dentinal wall of root space, resin cement and composite resin core. The use of this post could decrease the risk of fracture. The purpose of this paper is to report the results of dental restoration 11 pulp necrosis after root canal treatment with resin composite restorations and post fiber reinforced composite. A 22 year-old female patient who came to Faculty of Dentistry UGM complained about her maxillary right incisor teeth which decayed and needed a treatment. Based on the subjective, objective and radiograph examinations, it was diagnosed that the pulp was necrotic. After one visit root canal treatment and based on clinical evaluation, it is concluded that the right upper incisor that was restored using fiber reinforced composite post and composite resin showed no pain, and patient was satisfied.

Perawatan Maloklusi Angle Klas I dengan Gigi Depan Crowding Berat dan Cross Bite Menggunakan Teknik Begg pada Pasien dengan Kebersihan Mulut Buruk Sri Wahyuningsih; Soekarsono Hardjono; Sri Suparwitri
Majalah Kedokteran Gigi Indonesia Vol 21, No 2 (2014): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Gigi depan crowding/berjejal parah dan cross bite adalah kasus yang sering dijumpai pada perawatan ortodontik. Gigi crowding dapat menyulitkan membersihkan mulut pada area gigi crowding sehingga dapat menyebabkan masalah periodontal. Salah satu keuntungan perawatan ortodontik cekat dengan teknik Begg adalah menghasilkan gaya yang ringan dalam megkoreksi gigi berjejal dan cross bite dapat memberikan kenyamanan pada pasien. Tujuan perawatan ini adalah untuk mengkoreksi gigi berjejal dan cross bite dalam waktu yang singkat menggunakan teknik Begg. Seorang pasien wanita umur 24 tahun dengan maloklusi Angle klas I dan skeletal klas III protrusif mandibula, gigi depan crowding berat dan cross bite, konstraksi lengkung pada kedua rahang, pergeseran median line rahang atas dan bawah disertai, gingivitis berat dan karies. Skaling, perawatan saluran akar dan pencabutan gigi non vital dilakukan sebelum perawatan ortodontik dilakukan. Koreksi dengan teknik Begg memerlukan waktu selama 6 bulan untuk mengkoreksi gigi crowding dan cross bite semuanya dalam waktu yang sama. Koreksi kasus gigi depan crowding berat dan cross bite disertai masalah periodontal dapat dilakukan dengan teknik Begg dalam waktu yang singkat dengan kemajuan yang bagus. Treatment of Class I Angle Malocclusion with Severe Crowding and Crossbite of Anterior Teeth Using Begg Technique in Bad Oral Hygiene Patient. The severe crowding and cross bite of anterior teeth were very common type cases in orthodontic. Crowding teeth compromised the oral hygiene due to the difficulty in oral cleansing on the crowding area that cause periodontal problem. One of advantages of fixed orthodontic treatment using Begg technique produced the light forces in correcting crowding and cross bite could give convenience to patients. The purpose of this treatment is to correct crowding and cross bite in a short period of time using Begg technique. A 24 years old female patient with Class I Angle malocclusion and class III skeletal pattern mandible protrusion, severe crowding and cross bite of anterior teeth, constricted dental arch on both jaws, mid shifting on the upper and lower arch compromised with severe gingivitis as well as caries. Scaling, root canal treatment and extraction of the non vital teeth were done before starting orthodontic treatment. The correction using Begg technique took 6 months to correct all the crowding and cross bite at the same time. The correction of the severe crowding case with cross bite of anterior teeth as well as periodontal problem can be done with Begg technique in short period of time with a good improvement.

Karakteristik dan Aktivitas Antibakteri Scaffold Membran Cangkang Telur yang Diaktivasi Karbonat Apatit Mirantini Aprilisna; Catur Aditya Ramadhany; Bambang Sunendar; Haris Budi Widodo
Majalah Kedokteran Gigi Indonesia Vol 1, No 1 (2015): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Struktur tulang yang hilang akibat penyakit periodontal dan trauma dapat ditanggulangi dengan pemasangan graft. Pemasangan graft rentan akan adanya invasi bakteri sehingga alternatifnya dibuat scaffold dengan aktivitas antibakteri. Teknik jaringan berupa pembuatan scaffold harus memiliki sifat biokompatibel, biodegradasi, dan bioaktif. Penelitian inimenggunakan membran cangkang telur, larutan alginat dan kitosan, karbonat apatit dan larutan SBF Kokubo. Penelitian ini bertujuan mengetahui karakteristik dan aktivitas antibakteri scaffold membran cangkang telur yang diaktivasi karbonat apatit. Penelitian ini menggunakan metode eksperimental laboratoris dengan jumlah kelompok sampel sebanyak lima kelompok, yaitu sampel A membran cangkang telur, sampel B membran cangkang telur + karbonat apatit, sampel Cmembran cangkang telur + karbonat apatit + SBF selama 7 hari, sampel D membran cangkang telur + karbonat apatit + SBF selama 14 hari, dan sampel E membran cangkang telur + karbonat apatit + SBF selama 21 hari. Uji sampel yaitu karakterisasi menggunakan ATR FTIR dan SEM, serta uji aktivitas antibakteri menggunakan metode difusi. Hasil karakterisasi SEM menunjukkan pori-pori serat 10-20μm pada semua sampel, ATR FTIR sampel B, C, D, E menunjukkan peningkatan gugus apatit dibanding sampel A. Pengujian antibakteri terhadap Staphylococcus aureus menunjukkan zona bening pada setiap sampel. Perhitungan jumlah koloni setiap sampel yaitu terbanyak koloninya sampel A ±78x105 CFU/ml, dan paling sedikit koloninya sampel B ±14x105 CFU/ml. Kesimpulan penelitian ini yaitu karakteristik dan aktivitas antibakteri scaffold membran cangkang telur yang diaktivasi karbonat apatit mengandung bahan bioaktif, bersifat biodegradasi dan menunjukkan aktivitas antibakteri. Characteristic And Antibacterial Activity Of Egg-Shell Membrane Scaffold Activated By Carbonate Apatite. The loss of bone structure that can be caused by periodontal disease and trauma can be treated by installation of graft. The installation of graft is vulnerable to bacterial invasion, so that the alternative is to make a scaffold with antibacterial activity. Scaffold manufacturing in engineering system must have biocompatible, biodegradable, and bioactive properties. This research used egg-shell membrane (ESM) as scaffold template, alginate, chitosan, carbonate apatite, and SBF solution. The purpose of this research is to know the characteristics, and antibacterial activity of eggshell membrane scaffold which is activated by carbonate apatite. This research used laboratory experimental method by dividing the samples into five groups that were ESM as sample A, ESM with carbonate apatite as sample B, ESM with carbonate apatite soaked in SBF sol for 7days as sample C, ESM with carbonate apatite soaked in SBF sol for 14 days as sample D, and ESM with carbonate apatite soaked in SBF sol for 21days as sample E. Then the testing on each sample was conducted: the test for characteristics used ATR FTIR and SEM, while the antibacterial activity test used diffusion method. The results of SEM charaterization from all samples show that the size of pores is 10-20μm. ATR FTIR results of sample B, C, D and E show an increase in functional groups of apatite compared to sample A. Antibacterial testing on Staphylococcus aureus shows inhibition zone. Based on the calculation of colony number the highest number is sample A (±78x105 CFU/ml), and the least is sample E ±14x105 CFU/ml. The conclusion of this research is that the characteristic and antibacterial activity test of egg-shell membrane scaffold activated by carbonate apatite have bioactive and biodegradable material, and show antibacterial activities.

Perawatan Maloklusi Klas II Divisi 1 Disertai Crowding dan Openbite menggunakan Teknik Begg Heri Susilo Winarti; Pinandi Sri Pudyani; Soekarsono Hardjono; Sri Suparwitri
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Maloklusi Angle Klas II divisi I dapat disertai dengan crowding, open bite dan deep bite. Tujuan perawatan adalah untuk mengoreksi crowding, open bite anterior, diastemata rahang bawah, memperoleh overjet dan overbite normal, serta hubungan oklusal yang stabil. Pasien laki-laki berumur 19 tahun, dengan keluhan gigi-gigi rahang atas berjejal dan maju sehingga sulit menutup mulut, serta gigi-gigi rahang bawah renggang. Pasien didiagnosis Maloklusi Angle klas II divisi I dengan hubungan skeletal klas II disetai open bite, crowding dan protrusif gigi-gigi anterior rahang atas, diastemata gigi-gigi rahang bawah, molar pertama bawah kanan dan kiri telah dicabut, dan impaksi gigi kaninus kanan bawah. Perawatan menggunakan teknik Begg yang diawali dengan pencabutan kedua gigi premolar pertama rahang atas. Tahap pertama perawatan menggunakan multiloop arch wire 0,014” dan elastik intermaksiler klas II. Kesimpulan dari hasil perawatan setelah 16 bulan, crowding dan open bite anterior terkoreksi, diastemata menutup, dan pasien sudah tidak kesulitan dalam menutup mulut. Pasien masih dalam tahap penyelesaian perawatan.

Pengaruh Penusukan Tunggal Titik Akupunktur Telinga Ciao Kan terhadap Tekanan Darah dan Frekuensi Denyut Jantung Yanti Ivana Suryanto
Majalah Kedokteran Gigi Indonesia Vol 21, No 2 (2014): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Dalam praktek klinis kedokteran gigi, seringkali pasien datang dengan tekanan darah yang tinggi meskipun ia tidak memiliki riwayat hipertensi sebelumnya. Pada kondisi ini, tingginya tekanan darah seringkali dipengaruhi oleh tingkat kecemasan pasien yang nantinya akan mempengaruhi sistem saraf otonom. Akupunktur merupakan suatu metode pengobatan dengan penusukan jarum tanpa memasukkan bahan kimia ke dalam tubuh pasien. Penelitian ini bertujuan untuk mengkaji pengaruh penusukan tunggal titik akupunktur telinga Ciao Kan terhadap tekanan darah dan frekuensi denyut jantung. Hipotesis yang diajukan adalah penusukan tunggal titik akupunktur telinga Ciao Kan menyebabkan terjadinya penurunan tekanan darah dan frekuensi denyut jantung. Penelitian ini merupakan penelitian eksperimental dengan mempergunakan rancangan penelitian pre-post test design. Subjek penelitian adalah laki-laki berusia 25–35 tahun dengan tekanan sistolik lebih atau sama dengan 130 mmHg yang memenuhi kriteria inklusi dan eksklusi. Subjek menjalani orthostatic stress test, penusukan titik akupunktur telinga Ciao Kan, pengukuran tekanan darah dan frekuensi denyut jantung. Metode statistik yang dipergunakan adalah uji t, uji korelasi Pearson, dan uji ANOVA satu jalur. Uji t dilakukan pada data yang telah ditransformasi. Tekanan sistolik turun signifikan pada subyek penelitian selama perlakuan (p<0,05) namun kemudian naik kembali. Frekuensi denyut jantung juga mengalami penurunan signifikan (p<0,05) selama perlakuan dan naik kembali. Uji korelasi Pearson dilakukan untuk melihat korelasi antara tekanan arteri rata-rata dengan frekuensi denyut jantung. Hasil uji korelasi menunjukkan adanya korelasi positif antara tekanan arteri rata-rata dan frekuensi denyut jantung (r =0,373). Uji ANOVA satu jalur menunjukkan tidak adanya perbedaan nilai tekanan sistolik, tekanan diastolik, tekanan arteri rata-rata, dan frekuensi denyut jantung antar kelompok dengan respon terhadap orthostatic stress test normal, hipertonus, maupun hipotonus (p >0,05). Dengan demikian dapat dikatakan bahwa penusukan tunggal titik akupunktur telinga Ciao Kan menyebabkan terjadinya penurunan tekanan darah dan frekuensi denyut jantung. The Effect of Single Acupuncture on Ciao Kan Ear Acupoint on Blood Pressure and Heart Rate In dental clinical practice. Patient sometime come with high blood pressure even though they have no history of hypertension. In this condition, high blood pressure could be influenced by anxiety that will have an effect on autonomic nerve system. Acupuncture is a healing method with needle puncture without giving chemical substance to patient’s body. This research aimed at evaluating the effect of a single acupuncture on Ciao Kan ear acupoint on blood pressure and heart rate. Hypothesis of this research was single acupuncture on Ciao Kan ear acupoint could decrease blood pressure and heart rate. This was a pre-post test design experiment. Subjects were men, 25 – 35 years old with systolic blood pressure equal or more than 130 mmHg who met the inclusion and exclusion criteria. Subject did orthostatic stress test, acupuncture on Ciao Kan ear acupoint, blood pressure measurement, and heart rate measurement. T test was done on the transformed data. Systolic blood pressure decreased significantly (p < 0.05) during acupuncture and then increased afterward. Heart rates also decreased significantly (p < 0.05) during acupuncture and then increased afterward. Pearson correlation test was done to see the correlation between mean arterial pressure and heart rate. The results showed a positive correlation between mean arterial pressure and heart rate (r = 0.373). One way ANOVA showed no systolic, diastolic, mean arterial pressure, and heart rate differences between groups in response to orthostatic stress test normal, hyper tone, or hypo tone (p > 0.05). It could be said that single acupuncture on Ciao Kan ear acupoint could decrease blood pressure and heart rate.

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Home Page

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Editorial Team

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Reviewer

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Abstract

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Contact Name
-

Contact Email
-

Phone
-

Journal Mail Official
-

Editorial Address
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Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA