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INDONESIA
ODONTO Dental Journal
Published by Universitas Islam Sultan Agung
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Arjuna Subject : -
Articles 13 Documents
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Search results for , issue "Vol 12, No 3 (2025): December 2025" : 13 Documents clear
The Importance Of Oral Health Care Optimization In Bedridden Medicocompromised Patients: A Case Series Zahra, Faradina Siti; Parlindungan, Faisal; Aini, Muhammad Hafiz; Wardhany, Indriasti Indah
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.346-353

Abstract

Background: Bedridden patients were highly susceptible to oral complications due to prolonged immobilization, impaired oromotor function, and limited capacity for self-care. The accumulation of debris and reduced salivary flow can become pathological, leading to infection in the oral cavity. This case report aims to describe two cases of medico-compromised bedridden inpatient highlighting the importance of optimizing oral health care. Case Report: Two bedridden inpatients were reffered to Oral Medicine Division, Universitas Indonesia hospital from internist. First case, was a 59-year-old female inpatient with stage IV breast carcinoma and bone metastasis. The second case, was a 68-year-old male inpatient with acute encephalopathy and multiple comorbidities. Both patients shows decreased consciousness, severe oral dryness with high Clinical Oral Dryness Scores (CODS), poor oral hygiene with a abundant plaque and debris, inflamed periodontal tissue and lip lesion. Oral health care maintenance by cleaning and wipping teeth and oral mucosa using sterile gauze moistened in 0.9% NaCl was done and demonstrated to caregiver to be done daily. Petroleum Jelly was perscribe for  the lips lesions. Both patients showed improved mucosal hydration, debris reduction, and greater comfort.  Discussion: Oral cavity infection is one of the factors that plays an important role in accomplishing the successful overall treatment while bedridden patients had increased risks of oral infection due to limited abilities. Cleaning and wipping with 0,9% NaCl was a safe choice for patient with high risk of aspiration, had a mild antiseptic properties and maintain mucosal hydration. Conclusion: Optimization of oral care in bedridden patients begin with the selection of oral health care maintenance methods by considering the patient's systemic condition.
Effect of Final Irrigation Materials and Techniques on Apical Sealing Ability of Bioceramic Sealer Monika, Asteria; Ratih, Diatri Nari; Hadriyanto, Wignyo
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.300-309

Abstract

Background: One crucial function of root canal irrigation is eliminating smear layer, thus increasing apical sealing ability of endodontic sealers. This study was conducted to compare the effect of final irrigation using 17% EDTA, novel silver citrate, and 0.2% chitosan nanoparticles agitated manually, sonically, and ultrasonically on apical sealing ability of bioceramic sealers in the apical third.Method: Forty-five mandibular premolars were prepared and randomly divided into three experimental groups (n=15). Group 1 used 17% EDTA as the final irrigation, group 2 used novel silver citrate, and group 3 used 0.2% nanoparticle chitosan. Each group was divided into three subgroups (n=5), with subgroup A was using manual agitation, subgroup B using sonic, and subgroup C using ultrasonic. All teeth were obturated using single cone and bioceramic sealers. Observations were made using 120x magnification SEM. The sealer's apical sealing ability was measured by comparing cross-sectional area of obturation area with cross-sectional area of preparation area in the apical third.Result: Results of two-way ANOVA showed that there was a significant difference in final irrigation material (p<0.05), but there was no significant difference in technique and interaction of final irrigation material and technique (p>0.05).Conclusion: Irrigation materials affected the apical sealing ability of bioceramic sealers in the apical third, and 0.2% chitosan nanoparticles produced the highest apical sealing ability than other groups. There is no difference in effect of final irrigation technique and the interaction of materials and final irrigation technique on apical sealing ability of bioceramic sealers in the apical third.
Antibacterial Effectiveness Of Green Shell Nanocitosan (Perna Viridis) On The Growth Of The Bacteria Prevotella Intermedia (In Vitro Study) Widyastuti, Noor Hafida; Cahyani, Cahyani
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.251-257

Abstract

Background: Green mussel shell nanochitosan is a size modification of chitosan obtained from green mussel shells that have been processed with specific standards. Nanochitosan from green mussel shells has not been researched for its anti-bacterial properties against Prevotella intermedia  bacteriaPurpose: This study aims to determine the antibacterial effect on the growth of Prevotella intermedia bacteria. Method: This research is laboratory research using a posttest only control group design.Method: This research is laboratory research using a posttest only control group designResult: Nanochitosan with concentrations of 0.5%, 1%, 1.5% and 2% was able to inhibit the growth of Prevotella intermedia bacteria. The test results using the One Way ANOVA test obtained a value of p = 0.000 so that p < 0.5 and it was stated that there was a significant difference between treatment groups on the growth inhibition value of Prevotella intermedia bacteriaConclusion: There is an anti-bacterial effect and there is an inhibitory zone in the culture of Prevotella intermedia bacteria that has been incubated within 24 hours with 37°C. The greater the concentration used, the more effective the antibacterial agent is 
The Effect of Sonic Activation Tip Placement and Root Canal Irrigants On Smear Layer Removal Karnady, Josephine Amanda; Iskandar, Bernard Ongki; Prahasti, Anastasia Elsa; Sjahruddin, Loes Djimahit
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.310-316

Abstract

Background: Root canal preparation produces smear layer. Smear layer removal is mandatory before obturation, which could be achieved by using root canal irrigants such as EDTA 17% and maleic acid 7%. As reported in previous research, irrigant solutions combined with sonic irrigation systems can remove the smear layer. This study aims to assess the effectiveness of irrigation solution with sonic activation tip placement at 2 mm and 4 mm from working length within 30 seconds in eliminating the smear layer in the apical third of the root canal.Method: 120 extracted single-rooted premolars decoronated and prepared with reciprocating file (#25/06), then randomly divided into six groups for final irrigation. Group 1: EDTA 17% + activation tip 2 mm from working length, Group 2: Maleic acid 7% + activation tip 2 mm from working length, Group 3: Distilled water + activation tip 2 mm from working length, Group 4: EDTA 17% + activation tip 4 mm from working length, Group 5: Maleic acid 7% + activation tip 4 mm from working length, Group 6: Distilled water + activation tip 4 mm from working length. Teeth were split into half using chisel and mallet and observed by Scanning Electron Microscope with 1000x magnification.Result: Kruskal-Wallis test showed significant differences among the groups (p<0.001).Conclusion: Sonic activation tip placement influences the cleanliness of the apical third of the root canal
Knowledge And Practice Of Dental Clinic Students In Preventing The Transmission Of Covid-19 Melinia, Rika Cahya; Nurullita, Ulfa; Sholekhah, Nur Khamilatusy; Fatkhurrohman, Fuad
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.258-268

Abstract

Background: There is a risk of Covid-19 cases occurring between dental practitioners and patients during dental procedures. The inhaled aerosol contains the Covid-19 virus causes dentists, dental nurses or dental clinic students to have a significant risk of transmitting Covid-19. It is important for dental clinic students to have good knowledge and practice in preventing the transmission of Covid-19, especially in dental practice. One of the problems with implementing the prevention of transmission of Covid-19 is the application of standard precautions hand washing which are still often overlooked/ignored. Method: This research is descriptive study with cross sectional approach to describe of the knowledge and practice of dental students in the prevention of Covid-19 transmission in the new normal era at RSGM Unimus. The population was the total of all dental clinic students at RSGM Unimus after deducting the samples that were used as respondents in the validity and reliability test that is 137 people. The sampling technique is simple random sampling with the results of 64 respondents. The variables studied were age, gender, years of practice, knowledge and practice in preventing Covid-19 transmission. Result: As many as 73.4% of respondents had good knowledge and as many as 82.8% of respondents had sufficient practice in preventing the transmission of Covid-19 in the new normal era. Conclusion: Most of the respondents had good knowledge and sufficient practice in preventing the transmission of Covid-19 in the new normal era.
Correlation Between Level of Knowledge And Tooth Brushing Practices With Oral Hygiene Among Elementary School Students Auditra, Farhan; Rosidi, Ali; Sholekhah, Nur Khamilatusy
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.317-323

Abstract

Background: Poor oral health has a significant impact on a person's quality of life, as seen in Ministry of Health data, especially in Semarang City which recorded an increase in cases from year to year. Children aged 10-12 years are at high risk due to lack of knowledge and poor oral hygiene behavior, such as brushing tooth properly and correctly has been proven to be effective in preventing plaque, calculus, and other periodontal diseases. One way to assess the level of oral and dental hygiene is to use the Simplified Oral Hygiene Index (OHI-S). This study aim to analyze the correlate between the level of knowledge of oral health and tooth brushing practices on the oral hygiene of grade V students of SD Islam Tunas Harapan Semarang.Method: This study uses an observational study, namely a cross-sectional study approach. The population was 111 grade V students at Islamic Elementary Shool Tunas Harapan Semarang. The sample was 82 children using the total sampling technique. Data were obtained from questionnaires filled out by students, observation sheets, and oral hygiene assessment sheets.Result: The data were analyzed using the Spearman test. The value significant was ρ=0.000 (ρ<0.05) for the knowledge level and oral hygiene in children and the significant value was ρ=0.000 (ρ<0.05) for the tooth brushing practice and oral hygiene in children.
Replantation as an Alternative for Multiple Impacted Anterior Teeth After Failed Exposure Surgery Prasetya, Denta Aditya; Arum, Dena Kusuma
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.324-331

Abstract

Impacted of anterior teeth are generally treated with orthodontic treatment and exposure surgery. This treatment can be performed on anterior teeth with certain inclinations and requires a certain period of time. This case report presents an alternative treatment for impacted of lateral incisive and canine maxillary by dental replantation procedure. Dental replantation is a method of dental treatment that is often performed in dental trauma cases, especially avulsion teeth. This treatment aims to maintain natural teeth that have been lost so that they can be used according to their function. In this case report, anterior teeth of central incisive and canine maxillary had undergone previous orthodontic treatment and exposure surgery, but did not provide significant results. Dental replantation was then chosen as an alternative treatment. The odontectomy procedure was carried out previously by extracted incisive and canine maxillary completely. Treatment continued with interdental fixation using an arch bar and administration of synthetic bone grafts around the roots of lateral incisive and canine maxillary. Replantation is carried out by placing lateral incisive and canine maxillary in the space between the central incisive and premolar maxillary in an underocclusion position. Observation was carried out for 60 days and the one-year evaluation showed satisfactory results. Dental replantation can be used as an alternative treatment for impacted teeth with several requirements in order to get a good final result.
Evaluation of Titanium Alloy Surface Roughness After Phosphoric Acid Etching Wijaya, Livia; Suwandi, Trijani; Eddy, Eddy; Tjandrawinata, Rosalina; Erawati, Jeti; Pratiwi, Deviyanti
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.280-291

Abstract

ABSTRACT Background: Tooth loss can be caused by periodontal disease, caries, and other factors. Dental implants made of titanium are a common solution to replace tooth loss. Titanium grade 5 (Ti-6Al-4V) is often chosen for an implant. Modern commercial implant surface roughness (Ra) ranges from 1 to 2 μm. Surface roughness has an important role in osseointegration. The acid etching method can be used to improve surface roughness. This study evaluates titanium alloy surface roughness after etching with varying concentrations of H3PO4 acid.Method: A laboratory experiment with a pre-test and post-test group design. 25 titanium alloy samples were divided into 5 groups (n=5) and treated with saline, HCl 37%, and H3PO4 acid 38%, 48%, and 58%. Surface roughness was measured using a surface roughness tester, while EDS and SEM tests analyzed titanium composition and surface characteristics.Result: The titanium used in this study is a titanium alloy. Surface roughness modification using acid had a higher roughness compare to saline with significant different (p<0.05). Surface roughness in the group H3PO4 48% and 58% had a lower roughness compared to HCl 37% but no significant different (p>0.05). Referring to the SEM results, each acid showed morphological changes on the surface and for saline there were no morphological changes.Conclusion: Varying concentrations of H3PO4 acid can effectively improve the surface roughness of titanium alloys, with solutions at 48% and 58% demonstrating similar effectiveness to 37% HCl acid.
Synthetic Coral Scaffold and Platelet Rich Plasma for Bone Remodelling after Tooth Extraction Mahanani, Erlina Sih; Putri, Ferly Aulia; Rahma, Zalfa Kamila Siti; Salsabila, Rismananda Putri; Ramadhanti, Tamara Istna; Puspita, Sartika
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.231-240

Abstract

Background: The human body can self-repair. However, if the damage occurs excessively or reaches a critical defect, it requires material substitution to restore its shape and function. Tissue engineering is developed based on the principle of reconstructing damaged tissues due to critical defects to restore, maintain, and repair damaged tissues or organs by applying three main components: scaffolds, signaling molecules, and cells. This study aims to investigate the ability of synthetic coral scaffold incorporated with Platelet Rich Plasma in bone remodeling after tooth extraction. Method: This study was conducted as in vivo experimental laboratory study with a post-test control group design. The 48 male Rattus norvegicus rats were divided into 4 treatment groups. Firstly, the rats’ teeth were extracted, then, on the tooth extraction area, it was treated with povidone-iodine (control group), curaspon, scaffold only, and scaffold-incorporated Platelet Rich Plasma. Result: The results of the Kruskall-Wallis test showed no significant difference (p > 0.05) between the four treatment groups. articleConclusion: The PRP-incorporated synthetic coral scaffold had the highest score of collagen formation density and significantly accelerated collagen formation in the bone remodeling process compared to other treatment materials.
Challenges in Managing Oral Manifestations of Anticonvulsant-Induced Drug Reaction with Eosinophilia and Systemic Symptoms Syndrome Fajrin, Fildzah Nurul; Wardhany, Indriasti Indah; Rahmayanti, Febrina; Ikhsan, Muhammad; Pangeran, David
Odonto : Dental Journal Vol 12, No 3 (2025): December 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.3.332-345

Abstract

Background : Antiepileptic drugs were common causative agents for DRESS syndrome, which was a severe, idiosyncratic drug hypersensitivity reaction characterized by a prolonged latency period, fever, rash, and marked eosinophilia. The oral manifestations present a diagnostic challenge due its similarity to other hypersensitivity reactions as well as its comprehensive management. Objective: This case report aims to describe the challenges in comprehensive management of DRESS syndrome severe oral manifestations, highlighting the  challenges from diagnosis to management for patient with complex comorbidities. Case: A 19-year-old female inpatient was referred to Oral Medicine division, Dental and Oro-maxillofacial unit of Universitas Indonesia Hospital  (RSUI) for severe oral sores after treated with phenytoin and lamotrigine for her temporal lobe epilepsy and bipolar affective disorder. Patient shows general weakness and clinical examination revealed multiple intra oral erosions, lips erosions with exfoliation and haemorrhagic crust, generalized maculopapular rash, facial oedema, tender lymphadenopathy, and. Laboratory findings confirmed a severe hyper-eosinophilia (32%) and lymphopenia (13.5%), while liver function was normal. A diagnosis of DRESS syndrome was finally established. Case management were immediate withdrawal of phenytoin and lamotrigine, followed by multidisciplinary care including intra vena and topical corticosteroids. The patient's condition significantly improved after collaborative comprehensive treatment. Conclusion: Definitive diagnosis decisions requires careful consideration on the correlation of clinical findings, medication history, and hallmark laboratory results, especially in patients with complex comorbidities and intraoral clinical features with characteristics similar to other hypersensitivity reactions. Comprehensive collaborative management, including patient’s and other healthcare professionals collaboration, is crucial for successful treatment.

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