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Insisiva Dental Journal : Majalah Kedokteran Gigi Insisiva
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 22529764     EISSN : 26859165     DOI : 10.18196/idj
Core Subject : Health,
Dentistry
Insisiva Dental Jurnal memberikan informasi tentang ide, opini, perkembangan dan isu-isu di bidang kedokteran gigi meliputi klinis, penelitian, laporan kasus dan literature review.
Arjuna Subject : -
Articles 322 Documents
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The Dental Students’ Compliance To The Covid-19 Health Protocols In Private Universities In Indonesia: Cross-Sectional Survey Lisa prihastari; Rozalinda; Adzkia Dheyatika Asri; Riki Wira Laksana; Vio Nica Fisri; Sonya Priyadharsini
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 14 No. 1 (2025): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v14i1.25226

Abstract

The COVID-19 pandemic has brought about extensive changes in human lifestyles as individuals adopt preventive measures through health protocols. Dental students, playing a pivotal role in society, are particularly instrumental in implementing these protocols within their families and communities. This study aims to evaluate the compliance of dental students with COVID-19 protocols at five private universities in Indonesia and explore associated factors. This study was carried out by distributing validated online questionnaires to college students enrolled in undergraduate and professional dental programs. The questionnaire encompassed five questions assessing the adherence to COVID-19 preventive measures gained from 706 participants and was analyzed using statistical methods, including chi-square and multivariate logistic regression. Descriptive analysis revealed that 51.1% of students adhered to COVID-19 protocols. Notably, female students exhibited significantly higher compliance, with an odds ratio of 2.361 (p < 0.001). On the contrary, variables such as student group, academic year, parental education levels, family size, and the presence of vulnerable family members showed no significant associations (p ≥ 0.05). Gender and students' comorbid disease history emerge as influential factors affecting their compliance with COVID-19 protocols.
Centering Ability and Canal Transportation of Three Reciprocal Files in Moderately Curved Canals Indra Kanujaya; Wiena Widyastuti; Anastasia Elsa Prahasti; Johan Arief Budiman
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 14 No. 1 (2025): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v14i1.25807

Abstract

Assessing the complexity of the root canal’s curvature is one of the crucial factors for the root canal procedure to succeed. Iatrogenic complications can happen during the shaping procedure of the curved canal as it can deviate from the original anatomy, such as transportation and ledge. Therefore, maintaining the initial anatomy of the root canal’s curvature and its centering during instrumentation is essential during the shaping procedure. This ex vivo study aims to analyze the centering ability and canal transportation of three reciprocal file systems, with and without a glide path in moderately curved canals. Thirty-six root canals with moderate curvature from freshly extracted maxillary premolar with separated buccal and palatal root canals, first maxillary molar with separated mesiobuccal and distobuccal canals, and first mandibular molar with separated mesial canals were selected then distributed into six random groups (n=6) according to with and without glide path procedure (#15 K-file) before instrumentation with different reciprocal system (GP+WOG, GP+R, GP+RB, NGP+WOG, NGP+R, NGP+RB). The centering ability and transportation were evaluated by CBCT both before and after instrumentation. One-way Analysis of Variances was employed to analyze the data. (p<0.05).  There were significant differences in centering ability at the middle third (p<0.05) and transportation at the apical third and middle third (p<0.05). All techniques showed certain transportation, and none of them had perfect centering ability. Reciproc Blue had better canal centering and transportation compared to Reciproc when glide paths were used prior to instrumentation. All systems can shape the curved canal without iatrogenic complications.
Successful Camouflage Orthodontic Treatment of Class II Malocclusion with Maxillary Severe Crowding: A Case Report Leni Paramita Nurmalini; Debrinna Rezaumami; Avi Laviana
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 14 No. 1 (2025): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v14i1.26151

Abstract

There are some limitations of conventional orthodontic treatment in class II skeletal malocclusion. Ideally, skeletal malocclusion needs surgical orthodontic treatment, but mild to moderate class II skeletal malocclusion can be treated with camouflage orthodontic treatment. This report aims to present that the goal of camouflage treatment of skeletal class II is to disguise the unacceptable skeletal relationship by orthodontically moving teeth, such as extraction of upper premolars followed by anterior retraction. Confidence issues brought a 19-year-old female to RSGM Universitas Padjadjaran. She exhibits skeletal malocclusion symptoms such as a convex facial profile, SNA: 84°, SNB: 78° with ANB: 6°, moderate crowding in the mandibular arch, palatoversion and rotation of the second premolars, a deep overbite (5 mm), a large overjet (5,5 mm), and a shifted midline in the maxillary and mandibular, measuring 2 mm and 1.5 mm, respectively. The first course of therapy was removing the lower left second premolar and the upper two-second premolars—a prescription for braces with MBT 0.022 inch pre-adjustments. Anchorage was strengthened by placing TPA in the maxillary arch. Treatment was finished in 22 months. This case report presents the successful management of camouflage orthodontic treatment of class II skeletal malocclusion by extracting maxillary premolars and unilateral extraction of mandibular premolars to create space and relieve crowding teeth. This treatment was able to change the overbite, overjet, and convexity of the patient's profile to normal. The patient was delighted with the treatment results because she had more confidence when smiling.
Management of Angioedema and Mucositis as Oral Manifestations of Juvenile Systemic Lupus Erythematosus Manuel Dwiyanto Hardjo lugito
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 14 No. 1 (2025): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v14i1.26204

Abstract

Angioedema and mucositis are rare in juvenile systemic lupus erythematosus (jSLE) and increase morbidity and mortality in an individual under 18 years. This case report aims to describe the management of an 11-year-old female patient with a history of jSLE, presenting with swelling of her lip, difficulty in speaking, oral pain since a month ago, and self-medicating, which led to the swelling becoming worse. Full blood count, immunology, and antigen laboratory examination indicated anemia normocytic normochromic, leukopenia, hypoalbuminemia, vitamin D deficiency, proteinuria, neonatal lupus erythematosus, and Sjogren’s syndrome. Methylprednisolone, mycophenolate mofetil, and hydroxychloroquine sulfate were given by the pediatrician. Medications consisted of topical application of 0.1%triamcinolone acetonide in orabase for angioedema and mucositis, benzydamine hydrochloride oral rinse before meals, chlorhexidine gluconate and 0.025% hyaluronic acid mouthwash after meals and before bed. Oral complaints and lesions have improved within 10 days. High caution, specific examinations to determine the type of angioedema, collaboration with pediatric rheumatologists, and systemic treatment of SLE must be supported by topical therapy to treat AE and mucositis, which are oral manifestations of SLE.
Comparison of Oral Hygiene Status Between Mango Leaf Extract (Mangifera indica L.) and Povidone Iodine Mouthwash in Fixed Orthodontic Appliance Users Alamsyah, Yenita; Zia, Hanim Khalida; Kornialia; Mailiza, Fitria; Azipua, Muhammad Haikal
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 15 No. 1 (2026): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v15i1.25904

Abstract

Fixed orthodontic appliances are commonly used in the treatment of malocclusion; however, their complex components make it difficult for users to maintain oral hygiene. Cleaning can be performed mechanically and chemically, including using mouthwash. Natural ingredients, such as mango leaves (Mangifera indica L.), have potential as alternative mouthwash agents. This study aimed to determine the difference in oral hygiene status between mango leaf extract mouthwash and povidone-iodine mouthwash among users of fixed orthodontic appliances. This study used a pre-test and post-test control group design. The population consisted of 51 users of fixed orthodontic appliances, with 34 participants recruited using total sampling. The participants were divided into two groups: 17 who used mango leaf extract mouthwash and 17 who used povidone-iodine. Data were then analyzed using the Mann–Whitney test. The mean oral hygiene status in the mango leaf extract group decreased from 0.71 before rinsing to 0.09 after rinsing, with a mean difference of 0.62. In the povidone iodine group, the mean decreased from 0.72 to 0.07, with a mean difference of 0.65. In conclusion, there was no significant difference in oral hygiene status between mango leaf extract mouthwash and povidone-iodine mouthwash among users of fixed orthodontic appliances.
Differences in Mandibular Cortex Thickness in Pre-Menopause and Menopause Patients (Cross-Sectional Study at RSIGM Sultan Agung Semarang) Hapsari, Nikita Muthmainna; Yusuf, Moh; Putranto, R. Rama
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 15 No. 1 (2026): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v15i1.26686

Abstract

Radiographic examination in dentistry plays a role in determining a diagnosis in the oral cavity. Panoramic radiography is useful for detecting abnormalities in the hard tissues of teeth. Changes in the mandibular cortex are influenced by various factors, one of which is estrogen. Menopausal women, specifically, experience a decrease in estrogen levels, leading to changes in the thickness of the mandibular cortex. To determine the difference in thickness of the mandibular cortex in pre-menopausal and menopausal patients (cross-sectional study at RSIGM Sultan Agung Semarang). The research method is analytical. The research group was divided into two groups, including pre-menopausal and menopausal patients. Images would be analyzed using the panoramic mandibular index (PMI) method with ImageJ Version 1.53t. Group data was calibrated by researchers using Intraclass Correlation Coefficients (ICC) with three observers. Afterward, the radiographic analysis results for each sample would be processed in SPSS. The ICC test results scored 0.779 in pre-menopausal patients, and 0.794 in menopausal patients (k>0.75), which is in good agreement with the data. The results of the independent t-test revealed a significant difference in mandibular cortex thickness of 0.006 in the right region and 0.007 in the left region (p<0.05) in pre-menopausal and menopausal patients. There was a difference in mandibular cortical bone thickness between pre-menopausal and menopausal patients based on the panoramic mandibular index (PMI). This finding suggests that panoramic radiography, particularly PMI measurements, may serve as a supportive screening tool to detect reduced bone density in menopausal patients, thereby aiding early identification of individuals at risk for osteoporosis.
Effectiveness of Green Tea Extract in Maintaining Viability of Avulsed Tooth Fibroblasts in Rats Rahmawan, Dzanuar; Fharadiba, Alfinta Azzahra; Irawan, Rudi; Pertami, Sawitri Dwi Indah
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 15 No. 1 (2026): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v15i1.27541

Abstract

Tooth avulsion represents a severe traumatic dental injury in which a tooth is forcibly expelled from its alveolar socket, potentially resulting in significant damage to the surrounding periodontal structures. The success of replantation procedures is primarily determined by the condition and survivability of periodontal ligament (PDL) fibroblast cells. To maintain cellular integrity before replantation, the use of an appropriate storage medium is essential. Green tea (Camellia sinensis) is a herbal plant rich in flavonoid compounds that possess antioxidant and tissue-regenerative capabilities, particularly in stimulating fibroblast proliferation. A concentration of 70% green tea extract has been identified as the most beneficial for promoting wound recovery. This investigation sought to assess how effectively green tea extract could sustain fibroblast cell viability obtained from avulsed teeth of male Wistar rats. A total of thirty-six teeth harvested from male Wistar rats were allocated into one control group and two experimental groups, each subsequently subdivided based on immersion duration of 30 and 60 minutes. PDL-derived fibroblast cells were obtained through versene-trypsin isolation, followed by staining using 0.4% trypan blue solution and cell counting via hemocytometer under light microscopy. Results demonstrated that 30-minute immersion in 70% green tea extract yielded the highest fibroblast viability (90.35%; p = 0.004) relative to all other groups. Although both 70% and 100% concentrations successfully maintained fibroblast viability, the 70% concentration proved more effective across both observation time points.
The Effect of Singing with Audiovisual Media on Improving Toothbrushing Knowledge among Children: A Pre-Experimental Study Santoso, Ibriani Nathania Margaretha; Akwan, Yulie Emilda; Wardani, Istien
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 15 No. 1 (2026): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v15i1.28250

Abstract

Dental health problems remain prevalent among elementary school children, yet conventional oral health education methods often fail to maintain engagement. Although singing and audiovisual media are known to enhance motivation and memory, evidence on their combined effectiveness for improving children’s toothbrushing knowledge, particularly in Indonesia, remains limited. To evaluate the effect of a singing-based audiovisual education intervention on the toothbrushing knowledge of 8–9-year-old children. A pre-experimental, pretest–posttest, one-group design was conducted with 40 third-grade students at SD Hang Tuah 6 Surabaya. The intervention consisted of a researcher-composed educational song accompanied by an audiovisual demonstration. Knowledge was assessed using a validated questionnaire, and differences between pre- and post-test scores were analyzed using the Wilcoxon signed-rank test. Before the intervention, 65% of students demonstrated good knowledge, and 35% demonstrated poor knowledge. After the intervention, all participants (100%) achieved good knowledge. The mean knowledge score increased significantly from 8.35 ± 1.12 to 9.85 ± 0.36 (p < 0.001), confirming the positive effect of the singing-based audiovisual approach. The Wilcoxon test revealed a statistically significant difference in knowledge levels before and after the intervention (Z = –4.872, p < 0.001), indicating a positive impact of the method on students’ learning outcomes. The singing-based audiovisual intervention effectively enhanced children's knowledge of proper toothbrushing techniques and may serve as an engaging, practical strategy for school-based oral health promotion programs.
Big Soft Tissue Calcification in Posterior Ramus Mandibula Case Report: Radiograph Approach Ilmayah, Ilmayah; Epsilawati, Lusi; Medika, Chrisna Ardhya
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 15 No. 1 (2026): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v15i1.28997

Abstract

Sialolithiasis is a common salivary gland disorder characterized by calcified deposits within the salivary gland or ductal system and is often detected incidentally on radiographic examination. This case study reports findings of a calcified lesion in the posterior mandible, suspected to be a salivary gland stone (sialolith). This lesion was first identified on a panoramic radiograph and subsequently evaluated with Cone Beam Computed Tomography (CBCT). A 25-year-old female presented to the radiology department with a referral for a panoramic radiographic examination, and a well-defined, irregularly circumscribed radiopaque lesion was found in the periapical area of tooth 36. CBCT was recommended, and the lesion was found to be separated from the mandibular bone. The lesion was a radiopaque lesion with a higher density than the surrounding bone, located on the left submandibular gland, with a size of ± 11.6 x 16.3 mm. Sialolith is a lesion that tends to be asymptomatic, and this case was found accidentally during a radiographic examination. This case is a large sialolith in the submandibular gland, but the patient did not notice it. Panoramic radiography and CBCT play a role in detecting sialoliths and in their optimal, complete analysis.
Effect of Glide Path Preparation on Centering Ability and Canal Transportation of Blue-Treated Flat-Designed Single File Systems Hadrian, Gary; Suwartini, Tien; Ratnasari, Dina; Budiman, Johan Arief
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 15 No. 1 (2026): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v15i1.29089

Abstract

Maintaining the original root canal anatomy during shaping is crucial to prevent procedural errors, such as canal transportation and ledge formation. The development of heat-treated blue NiTi instruments can improve flexibility, resistance to cyclic fatigue, and the ability to maintain root canal curvature. This study aimed to evaluate the effect of glide path (GP) on canal centering and canal transportation using a single-file system of blue NiTi with a conventional S-shaped cross-section design (AF S) and a flat design (AF F). Forty J-shaped canal simulation resin blocks were randomly divided into four groups: AF F+GP, AF F, AF S+GP, and AF S (n = 10 each group). In the group using the glide path (AF F+GP and AF S+GP), ProGlider #16.02 was used before instrumentation. Pre- and post-instrumentation images were analyzed using Adobe Photoshop CS6 software to measure canal centering and transportation at the apical, middle, and coronal thirds. Data were analyzed using one-way ANOVA and Tukey’s post hoc test (p<0.05). Significant differences were found in canal centering and canal transportation in the apical and middle thirds (p<0.05), while no significant differences were found in the coronal third (p>0.05). The use of a glide path significantly improved centering ability and reduced transportation. Furthermore, the flat design of the Blue NiTi single-file system demonstrated better centering ability and reduced canal transportation than conventional S-shaped systems. All systems could shape curved simulated root canals without iatrogenic error.

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