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Dental Journal (Majalah Kedokteran Gigi)
Published by Universitas Airlangga
ISSN : 19783728     EISSN : 24429740     DOI : -
Core Subject : Health,
Dentistry
The Dental Journal (Majalah Kedokteran Gigi) (e-ISSN:2442-9740; p-ISSN:1978-3728) is published by the Faculty of Dental Medicine, Universitas Airlangga. Its diciplinary focus is dental science and dental hygiene. The Dental Journal (Majalah Kedokteran Gigi) is published in English on a quarterly basis with each 50-60 page edition containing between nine and eleven scientific articles on research, study literature and case studies. Contributors to the Dental Journal (Majalah Kedokteran Gigi) included: dental researchers, dental practitioners, lecturers, and students drawn from Indonesia and a wide range of other countries.
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Analgesic effect of coconut shell (Cocos nucifera L) liquid smoke on mice Meircurius Dwi C.S; Tantiana Tantiana; Ira Arundina
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.814 KB) | DOI: 10.20473/j.djmkg.v45.i3.p156-160

Abstract

Background: Drugs can be used to eliminate pain by inhibiting the activity of conversing arachidonic acid into prostaglandin. The chemical compositions of coconut shell are cellulose, pentosan, lignin, solvent extraction, uronat anhydrous, nitrogen, and water. One active ingredient in coconut shell is phenyl propanoid (consisting in lignin structure) and guaicol. Phenyl propanoid and guaicol are phenolic compounds that can be used as antioxidant, antiseptic, anti-inflammatory, anesthetic and analgesic. Liquid smoke of coconut shell (Cocos nucifera L) contains phenolic compound is believed able to bind a component conversing arachidonic acid into prostaglandin. Purpose: The study was aimed to examine the analgesic effect of liquid smoke of coconut shell (Cocos nucifera L). Methods: The study was a laboratory experimental research, conducted on 2-3 months old male mice (Mus musculus) with 20-30 grams of weight. There were control group and treatment groups each of which had seven mice. Control group was orally given 0.01 ml/weight (ml/gr) of distilled water, after 30 minutes 0.01 ml/weight (ml/gr) of acetic acid 0.6% was delivered via intraperitoneal injection. The treatment groups were given liquid smoke of coconut shell (Cocos nucifera L) with the concentrations of 25%, 50%, and 100% respectively. The analgesic effect was then determined by decreasing of writhing reflex on mice recorded every 5 minutes for 30 minutes. Results: There were significant differences of writhing reflexes in the treatment groups given liquid smoke of coconut shell with the concentrations of 25%, 50%, and 100%. The higher concentration of liquid smoke the higher its analgesic effect. Conclusion: Liquid smoke of coconut shell (Cocos nucifera L) has analgesic effect.Latar belakang: Salah satu mekanisme obat yang digunakan untuk menghilangkan rasa nyeri adalah menghambat aktivitas konversi asam arakhidonat menjadi prostaglandin. Komposisi kimia tempurung kelapa terdiri dari selulosa, petosan, lignin, solvent, uronat unhidrat, nitrogen dan air. Salah satu bahan aktif dalam tempurung kelapa adalah phenyl propanoid (terdapat dalam struktur lignin) dan guaiakol. Phenyl propanoid dan guaiakol adalah suatu senyawa fenol yang mempunyai sifat sebagai antioksidan, antiseptic, anti-inflamasi, anastesi dan analgesik. Liquid smoke tempurung kelapa (Cocos nucifera L)mengandung senyawa fenol yang dapat mengikat komponen dalam konversi asam arakhidonat menjadi prostaglandin. Tujuan: Studi ini bertujuan untuk meneliti efek analgesik dari liquid smoke tempurung kelapa (Cocos nucifera L). Metode: Penelitian ini adalah eksperimental laboratoris dengan jenis post test only control group design pada mencit (Mus musculus) jantan usia 2-3 bulan dengan berat badan 20-30gram. Kelompok kontrol dan perlakuan terdiri dari 7 hewan coba. Kelompok kontrol diberi aquades 0.01ml/bb (ml/gr) (po) dan setelah 30 menit diberi asam asetat 0.6% 0.01ml/bb (ml/gr) (ip). Kelompok perlakuan diberi liquid smoke tempurung kelapa (Cocos nucifera L) dengan konsentrasi 25%, 50% and 100%. Efek analgesik ditentukan dengan melihat penurunan writhing reflex (liukan atau geliat tubuh hewan coba) yang dihitung setiap 5 menit selama 30 menit. Hasil: Terdapat perbedaan yang bermakna jumlah writhing reflex pada pemberian liquid smoke tempurung kelapa konsentrasi 25%, 50% dan 100%. Semakin tinggi konsentrasi liquid smoke, semakin tinggi pula efek analgesic yang ditimbulkan. Kesimpulan: Liquid smoke tempurung kelapa mempunyai efek analgesik.
Henoch-Schönlein purpura in children: its relation to oral and to oral and oral and dental health Arlette Suzy Puspa Pertiwi
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (543.775 KB) | DOI: 10.20473/j.djmkg.v45.i3.p127-132

Abstract

> Background: Henoch-Schönlein purpura (HSP) is a rare systemic small vessel vasculitis, which commonly occur in childrenbetween 2 and 10 years of age. The course of the disease is often self-limiting, although may manifest long-term renal morbidity. Theseverity of renal involvement decides about the prognosis of this disease. Many factors can trigger the disease attack, which is the mostcommon is bacterial invasion. Since the oral cavity is often refer as infectious foci to other part of the body, it seemed rationally tobe part that contribute the course of disease, thus management of these infectious foci, if possible, gives rise to an astoundingly goodprognosis. Purpose: This paper will describe a review on HSP and the possible association with oral and dental health since it mightbe related to the prognosis of HSP. reviews: Rashes in children are common; they may develop a rash after prescription of antibiotics.Nevertheless there are some childhood diseases that may manifest a rash presentation, such as HSP. It is important for pediatric dentistto have knowledge about HSP and consider the possibility of dental treatment or disease as potential triggers. Conclusion: Oral anddental condition may be the trigger cause of HSP attack. Therefore, it is important for pediatric dental practitioner to be aware of thecourse of the disease in order to limit the expanding complications.> latar belakang: Henoch-Schönlein purpura (HSP) merupakan vaskulitis pembuluh darah kecil sistemik yang jarang terjadi danbiasanya menyerang anak usia 2 hingga 10 tahun. Penyakit tersebut seringkali dapat sembuh sendiri, tetapi pada jangka panjangdapat bermanifestasi dengan morbiditas ginjal. Keparahan keterlibatan ginjal menentukan prognosis penyakit. Banyak faktor yangdapat memicu serangan penyakit, tersering adalah invasi bakteri. Karena rongga mulut sering kali merupakan fokus infeksi terhadapbagian lain dari tubuh, maka mempunyai peluang sebagai faktor pemicu timbulnya penyakit, sehingga penatalaksanaan fokus infeksidalam rongga mulut, jika ada, dapat memberikan prognosis yang baik pada pasien. tujuan: Makalah ini akan menggambarkantinjauan mengenai HSP dan hubungannya dengan kesehatan gigi dan mulut berkaitan pengaruhnya terhadap prognosis HSP. tinjauanPustaka: Ruam sering terjadi pada anak; pasien anak dapat memperlihatkan gejala ruam setelah pemberian antibiotika. Selain itu,beberapa penyakit dapat bermanifestasi sebagai ruam, misalnya HSP. Merupakan hal yang penting bagi dokter gigi anak untuk memilikipengetahuan mengenai HSP dan mempertimbangkan perawatan atau penyakit gigi sebagai pemicu potensial. Kesimpulan: Keadaangigi dan mulut dapat merupakan pencetus serangan HSP, oleh karena itu penting bagi dokter gigi anak untuk memahami perjalananpenyakit sehingga dapat membatasi komplikasi yang terjadi.
Penetration effect of prostaglandin E2 gel on oral mucosa of rats Rafinus Arifin; Retno Widayati; Erni H Purwaningsih; Dewi Fatma S
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1311.3 KB) | DOI: 10.20473/j.djmkg.v45.i3.p161-166

Abstract

Background: Several researches reported that Prostaglandin E2 (PGE2) injection on buccal mucosa combined with orthodontic pressure can faster tooth movement but has disadvantages such as high alveolar bone and root resorption furthermore pain from injection needle. PGE2 gel was made to better replace the lacks of injectable PGE2. Purpose: This research was aimed to prove that PGE 2 gel can penetrate rat’s oral mucosa effecting the appearance of PMN cells. Methods: This research was an in vivo laboratory experiment using 36 Sprague Dawley rats which were divided into 3 groups: normal group, topical PGE2 gel group after 1, 2, 4, 8 hours (4 subgroups), and topical gel without PGE2 group after 1, 2, 4, 8 hours (4 subgroups). Each group consists of 4 rats, therefore the total sample for all research groups were 36 rats. Gel with 25 µg/mL of PGE2 and gel without PGE2 were applied on oral mucosa for 2 minutes. Then, the rats were sacrificed after 1 hour, 2 hours, 4 hours, and 8 hours application. After that, the samples were prepared for histological examination with Hematoxyllin and Eosin. The picture were taken with OptiLab View and PMN cells amount were counted with light microscope, set 400 times of magnification. Results: Penetration effect of PGE2 gel on rat’s oral mucosa result in PMN inflammation cells distribution. One-way ANOVA showed no significant difference on PMN cells count in rats’ lower jaws between groups of normal and gel without PGE2. There was significant difference between groups of PGE2 gel and gel without PGE2 (p=0,001). PGE2 gel application showed PGE2 as inflammatory media, even though administered topically. Conclusion: PGE2 gel can penetrate rat’s oral mucosa, effecting PMN cells 1, 2, 4 and 8 hours after application of PGE2 gel.Latar belakang: Beberapa penelitian melaporkan bahwa injeksi (Prostaglandin E2) PGE2pada mukosa bukal yang dikombinasikan dengan tekanan ortodonti dapat mempercepat pergerakan gigi, tapi mempunyai kekurangan berupa resorpsi yang besar pada tulang alveolar dan akar gigi, serta adanya rasa sakit akibat penggunaan jarum suntik. Gel PGE2 dibuat untuk mengatasi kekurangan pemberian PGE2 secara injeksi. Tujuan: Untuk membuktikan bahwa gel PGE2 dapat berpenetrasi pada mukosa mulut tikus dengan efek munculnya sel PMN. Metode: Jenis penelitian adalah eksperimental laboratorik in vivo, menggunakan 36 tikus Sprague Dawley yang dibagi menjadi 3 kelompok, yaitu kelompok normal; kelompok pengolesan gel PGE2 setelah 1 jam, 2 jam, 4 jam, 8 jam (4 sub kelompok); kelompok pengolesan gel tanpa PGE2 setelah 1 jam, 2 jam, 4 jam, 8 jam (4 sub kelompok). Masing-masing kelompok terdiri 4 sampel, sehingga total sampel seluruh kelompok penelitian 36 tikus. Gel PGE2 dosis 25 µg/mL dan gel tanpa PGE2 dioleskan pada mukosa mulut rahang bawah selama 2 menit. Tikus di sacrifice setelah 1 jam, 2 jam, 4 jam dan 8 jam pengolesan. Kemudian dibuat sediaan histologi dengan pewarnaan Hematoxylin dan Eosin. Foto preparat diambil menggunakan OptiLab View. Hitung jumlah sel-sel PMN menggunakan mikroskop cahaya dengan pembesaran 400x. Hasil: Efek penetrasi gel PGE2 pada mukosa mulut terlihat distribusi sel-sel inflamasi PMN. Uji one-way ANOVA menunjukkan tidak ada perbedaan jumlah sel PMN yang bermakna pada mukosa rahang bawah tikus antara kelompok gel tanpa PGE2 dan normal. Ada perbedaan bermakna antara jumlah sel PMN kelompok pengolesan gel PGE2 dengan gel tanpa PGE2. (p = 0,001). Hasil aplikasi gel PGE2 menunjukkan gel PGE2 sebagai media inflamasi, meskipun zat aktif diberikan secara topikal. Kesimpulan: PGE2 gel dapat berpenetrasi ke mukosa mulut tikus, dengan efek adanya sel-sel PMN pada 1 jam, 2 jam, 4 jam dan 8 jam setelah pengolesan gel PGE2.
Distribution of class ii major histocompatibility complex antigenexpressing cells in human dental pulp with carious lesions Tetiana Haniastuti
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (420.169 KB) | DOI: 10.20473/j.djmkg.v45.i3.p133-137

Abstract

Background: Dental caries is a bacterial infection which causes destruction of the hard tissues of the tooth. Exposure of the dentin to the oral environment as a result of caries inevitably results in a cellular response in the pulp. The major histocompatibility complex (MHC) is a group of genes that code for cell-surface histocompatibility antigens. Cells expressing class II MHC molecules participate in the initial recognition and the processing of antigenic substances to serve as antigen-presenting cells. Purpose: The aim of the study was to elucidate the alteration in the distribution of class II MHC antigen-expressing cells in human dental pulp as carious lesions progressed toward the pulp. Methods: Fifteen third molars with caries at the occlusal site at various stages of decay and 5 intact third molars were extracted and used in this study. Before decalcifying with 10% EDTA solution (pH 7.4), all the samples were observed by micro-computed tomography to confirm the lesion condition three-dimensionally. The specimens were then processed for cryosection and immunohistochemistry using an anti-MHC class II monoclonal antibody. Results: Class II MHC antigen-expressing cells were found both in normal and carious specimens. In normal tooth, the class II MHC-immunopositive cells were observed mainly at the periphery of the pulp tissue. In teeth with caries, class II MHC-immunopositive cells were located predominantly subjacent to the carious lesions. As the caries progressed, the number of class II MHC antigen-expressing cells was increased. Conclusion: The depth of carious lesions affects the distribution of class II MHC antigen-expressing cells in the dental pulp.Latar belakang: Karies merupakan penyakit infeksi bakteri yang mengakibatkan destruksi jaringan keras gigi. Dentin yang terbuka akibat karies akan menginduksi respon imun seluler pada pulpa. Kompleks histokompatibilitas utama (MHC) merupakan sekumpulan gen yang mengkode histokompatibilitas antigen-antigen permukaan sel. Sel-sel yang mengekspresikan molekul-molekul ini berpartisipasi dalam pengenalan awal substansi-substansi antigenik untuk selanjutnya diproses dan dipresentasikan pada permukaan sel. Tujuan: Penelitian ini bertujuan untuk mengetahui perubahan distribusi sel-sel yang mengekspresikan molekul MHC kelas II pada pulpa gigi manusia dengan meningkatnya keparahan karies. Metode: Penelitian ini menggunakan 15 gigi molar ketiga yang mengalami karies pada permukaan oklusal dengan berbagai tingkat kedalaman dan 5 gigi molar ketiga normal (tidak mengalami karies). Sebelum didekalsifikasi dengan larutan EDTA 10% (pH 7,4), seluruh sampel diamati dengan menggunakan micro-computed tomography untuk mengetahui kedalaman lesi karies secara tiga dimensi. Spesimen kemudian diproses untuk dilakukan cryosection dan dilakukan immunohistokimia dengan menggunakan monoklonal antibodi anti MHC kelas II. Hasil: Ekspresi MHC kelas II oleh sel-sel pada ruang pulpa dijumpai disemua spesimen baik pada kondisi normal maupun karies. Pada gigi normal, sel-sel yang mengekspresikan MHC kelas II terletak terutama pada tepi pulpa. Pada gigi-geligi yang mengalami karies, agregasi sel-sel yang mengekspresikan MHC kelas II terutama terletak di bawah lesi karies. Semakin dalam lesi karies, jumlah sel-sel yang mengekspresikan MHC kelas II semakin meningkat. Kesimpulan: Kedalaman lesi karies berpengaruh terhadap distribusi sel-sel yang mengekspresikan MHC kelas II pada pulpa.
Shear bond strength of self-adhering flowable composite on dentin surface as a result of scrubbing pressure and duration Ferry Jaya; Siti Triaminingsih; Andi Soufyan S; Yosi Kusuma Eriwati
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (722.954 KB) | DOI: 10.20473/j.djmkg.v45.i3.p167-171

Abstract

Background: Self-adhering flowable composite is a combination of composite resin and adhesive material. Its application needs scrubbing process on the dentin surface, but sometimes it is difficult to determine the pressure and duration of scrubbing. Purpose: This study was aimed to analyze the effect of scrubbing pressure and duration on shear bond strength of self-adhering flowable composite to dentin surface Methods: Fifty four mandibulary third molar were cut to get the dentin surface and divided into nine groups (n = 6). Dentin surface was scrubbed with 1, 2, and 3 grams of scrubbing pressure, each for 15, 20, and 25 seconds respectively. surface was scrubbed with 1, 2, and 3 grams of scrubbing pressure, each for 15, 20, and 25 seconds respectively. Composite resin was applied incrementally and polymerized for 20 seconds. All specimens were immersed in saline solution at 37º C for 24 hours. Shear bond strength was tested for all specimens by using Universal Testing Machine (Shimadzu AG-5000E, Japan) at a crosshead speed of 1 mm/minute and analyzed by ANOVA and Post Hoc Test Bonferonni. The interface between self-adhering flowable interface between self-adhering flowable composite and dentin was observed with a Scanning Electron Microscope (JEOL JSM 6510LA). Results: The highest shear bond strength was obtained by 3 grams scrubbing pressure for 25 seconds or equal to applying the brush applicator in 0º relative to dentin surface. Conclusion: Increasing the scrubbing pressure and duration will increase the shear bond strength of self adhering flowable composite resin to dentinal surface. The highest shear bond strength was obtained when the applicator in 0º relative to dentin surface. Latar belakang: Self-adhering flowable composite merupakan gabungan resin komposit dengan material adhesif yang dalam penggunaannya memerlukan teknik scrubbing pada permukaan dentin, namun sulit untuk menentukan besar tekanan yang tepat saat scrubbing. Tujuan: Tujuan dari penelitian ini adalah untuk menganalisa pengaruh tekanan dan lama scrubbing saat aplikasi selfadhering flowable composite terhadap shear bond strength pada permukaan dentin. Metode: 54 gigi molar-3 rahang bawah dipotong sampai permukaan dentin dan dibagi atas 9 kelompok (n = 6). Scrubbing pada permukaan dentin dilakukan dengan besar tekanan 1, 2, dan Scrubbing pada permukaan dentin dilakukan dengan besar tekanan 1, 2, dan 3 gram, masing-masing selama 15, 20, dan 25 detik. Resin komposit diaplikasikan secara inkremental dan dipolimerisasi dengan sinar selama 20 detik. Spesimen direndam dalam larutan salin dan disimpan dalam inkubator pada suhu 37º C selama 24 jam. Shear bond strength diuji menggunakan Universal Testing Machine. Analisa data melalui uji ANOVA diikuti Post Hoc Test Bonferonni. Antarmuka self-adhering flowable composite resin dan dentin diamati melalui Scanning Electron Microscope (SEM). Hasil: Shear bond strength tertinggi antara self-adhering flowable composite resin dan dentin diperoleh pada tekanan scrubbing 3 gram selama 25 detik atau kuas membentuk sudut 0º dengan permukaan dentin. Kesimpulan: Semakin besar tekanan dan lama waktu scrubbing akan meningkatkan shear bond strength material self-adhering flowable composite resin terhadap permukaan dentin. Kekuatan paling tinggi diperoleh bila kuas aplikator membentuk sudut 0º dengan permukaan dentin selama proses scrubbing.
Medication intake and its influence on salivary profile of geriatric outpatients in Cipto Mangunkusumo Hospital Yuniardini Septorini Wimardhani; Winanda Annisa; Febrina Rahmayanti
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (467.557 KB) | DOI: 10.20473/j.djmkg.v45.i3.p138-143

Abstract

Background: It has been well documented that several diseases or conditions and their related medications could be the risk factors for several ailments found in the oral cavity. Increased usage of medication in elderly could have impact on quality of saliva that affects oral health, eventually cause deterioration in quality of life. Purpose: examine the salivary pH, buffering capacity, stimulated- and unstimulated salivary flow rate profile in elderly using medications. Methods: Seventy-six elderly were consented and agreed to participate in this study. Interview and medical record analysis were performed to get data about their health status, chronic use of medications and complaints related to xerostomia. Collection of unstimulated and stimulated saliva samples were completed in parallel with measurement of salivary pH and buffering capacity. Results: The mean salivary pH was moderately acidic while having low salivary buffering capacity. The mean unstimulated salivary flow rate (USSFR) was 0.24 ± 1.8ml/min and 41of subjects (53%) were classified hyposalivation, while the stimulated salivary flow rate (SSFR) was 0.86 ± 0.49ml/min and 31 (40%) classified hyposalivation. Number of drugs-induced xerostomia intake significantly correlated with the reduction in the USSFR of subjects (p<0.0001), however it was not the case with salivary pH and buffering capacity (p>0.05). It also showed correlation with complaints related to xerostomia. The mean USSFR did not correlate with xerostomia complaints. Conclusion: Medications intake influenced salivary profile and had more effect in changes in xerostomia complaints and salivary quantity than to salivary pH and buffering capacity in Indonesian elderly population.Latar belakang: Telah lama diketahui bahwa beberapa penyakit atau kondisi sistemik dan medikasinya dapat menjadi faktor resiko terjadinya beberapa kelainan dalam rongga mulut. Meningkatnya penggunaan medikasi sistemik pada lansia dapat mempengaruhi kualitas saliva sehingga berpengaruh pada kesehatan mulut yang akhirnya menyebabkan menurunnya kualitas hidup. Tujuan: Mengetahui profil pH saliva, kapasitas dapar, laju aliran saliva terstimulasi (LAST) dan tanpa stimulasi (LASTS) pada lansia yang mendapatkan medikasi sistemik. Metode: Tujuh puluh enam lansia telah menandatangani inform consent dan setuju untuk berpartisipasi. Wawancara dan analsis rekam medis dilakukan untuk mendapatkan data tentang status kesehatan, penggunaan medikasi sistemik jangka panjang dan keluhan xerostomia. Pengumpulan saliva tanpa stimulasi dan terstimulasi dilakukan bersama-sama dengan pengukuran pH dan kapasitas dapar. Hasil: pH saliva subyek adalah berada dalam kelompok asam sedang dengan kapasitas dapar yang rendah. Rerata LASTS adalah 0,24 ± 1,8ml/menit dan 41 subyek (53%) mengalami hiposalivasi, sementara LAST adalah 0,86 ± 0,49ml/menit dan 31 subyek (40%) mengalami hiposalivasi. Jumlah medikasi yang dapat menginduksi xerostomia secara bermakna berhubungan dengan penurunan LASTS (p < 0,0001), namun tidak demikian dengan pH dan kapasitas dapar (p>0,05). Medikasi sistemik juga berhubungan dengan keluhan yang terkait xerostomia. Rerata LASTS tidak berhubungan dengan keluhan xerostomia. Kesimpulan: Medikasi sistemik pada populasi lansia Indonesia mempengaruhi profil saliva dan mempunyai pengaruh yang lebih besar pada keluhan xerostomia dan kuantitas saliva dibandingkan pH dan kapasitas dapar.
Facial reconstruction using polypropylene mesh after resection of maxillary ossifying fibroma R. Soesanto
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1296.363 KB) | DOI: 10.20473/j.djmkg.v45.i3.p172-176

Abstract

Background: Ossifying fibroma is a variant of fibrous dysplasia and catagorized as osteofibrosis lesion. It commonly affects long bones but occasionally involves jaws. Mandible affected more common than maxilla. The treatment of ossifying fibroma include excision and resection. Excision of lesion and resection of maxilla could cause facial defect which cannot be reconstructed with bone graft. Purpose: The aim of this case report is to report the potential use of polypropylene mesh in facial reconstruction after hemimaxillectomy in patients diagnosed with ossifying fibroma of the maxilla. Case: A 17-years-old female patient came to Oral and Maxillofacial Surgery clinic, Dental Hospital, Faculty of Dentistry, Airlangga University, with chief complaint of swelling in the upper left cheek of 2 years duration which was not related to any history of toothache. Patient also complained of the itchiness and pain on the swelling area occasionally as well as salty discharge from the mass. The FNA was done and the citology result indicated a benign mesenchimal tumor. Incisonal biopsy was subsequently performed and the histopathology report confirmed the diagnosis of cementifying fibroma. Case management: Left hemimaxillectomy was done, and post surgical defect in the facial and buccal aspect was immediately reconstructed using three layers of polypropylene mesh. On follow-up, eleven months post-operatively, the patient was well and there was no facial deformity or asymmetry. Conclusion: Polypropylene mesh is a potential material for facial reconstruction as it can reduce the risk of facial deformity after hemimaxillectomy of patients with tumor of the maxilla.Latar belakang: Ossifying fibroma merupakan varian dari fibrous dysplasia dan termasuk di dalam kategori lesi osteofibrosis. Umumnya mengenai tulang panjang tetapi dapat juga mengenai rahang dan lebih banyak menyerang tulang mandibula dibanding maksila. Perawatan ossifying fibroma dilakukan dengan eksisi atau reseksi. Perawatan eksisi atau reseksi tulang maksila dapat mengakibatkan deformitas wajah yang tidak dapat direkontruksi dengan bone graft. Tujuan: Laporan kasus ini bertujuan untuk melaporkan penggunaan polipropylene mesh pada rekonstruksi wajah setelah hemimaxillectomy pada pasien dengan diagnose ossifying fibroma pada maksila. Kasus: Penderita wanita berusia 17 tahun datang ke Klinik Bedah Mulut dan Maksilofasial, Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Airlangga, dengan keluhan utama pembengkakan pada pipi kiri atas yang muncul sejak 2 tahun yang lalu tanpa ada riwayat keluhan sakit gigi. Penderita mengeluh gatal, kadang sakit dan keluarnya cairan asin pada daerah benjolan. Hasil FNA dan test sitologi menunjukkan gambaran tumor jinak mesensimal. Pemeriksaan dengan biopsi dan histopatologi mengkonfirmasi diagnosa cementifying fibroma. Tatalaksana kasus: Dilakukan hemimaksilektomy pada sebelah kiri, dan defek pasca pembedahan pada sisi fasial dan bukal segera direkontruksi dengan pemasangan polipropylene mesh 3 lapis. Sebelas bulan setelah operasi kondisi pasien baik dan tidak ada deformitas atau asimetri wajah. Kesimpulan: Polypropylene mesh merupakan bahan yang potensial untuk rekonstruksi wajah karena dapat mengurangi terjadinya deformitas wajah setelah hemimaxillectomy pada pasien dengan tumor maksila.
Maternal endotoxin-induced fetal growth restriction in rats: Fetal responses in toll-like receptor Banun Kusumawardani; Marsetyawan HNE. Soesatyo; Djaswadi Dasuki; Widya Asmara
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (639.284 KB) | DOI: 10.20473/j.djmkg.v45.i3.p144-149

Abstract

Background: Porphyromonas gingivalis as a major etiology of periodontal disease can produce virulence factor, lipopolysaccharide/LPS, which is expected to play a role in the intrauterine fetal growth. Trophoblast at the maternal-fetal interface actively participates in response to infection through the expression of a family of natural immune receptors, toll-like receptor (TLR). Purpose: the aims of study were to identify endotoxin concentration in maternal blood serum of Porphyromonas gingivalis-infected pregnant rats, to characterize the TLR-4 expression in trophoblast cells, and to determine its effect on fetal growth. Methods: Female rats were infected with live-Porphyromonas gingivalis at concentration of 2 x 109 cells/ml into subgingival sulcus area of the maxillary first molar before and/or during pregnancy. They were sacrified on 14th and 20th gestational day. Fetuses were evaluated for weight and length. Endotoxin was detected by limulus amebocyte lysate assay in the maternal blood serum. The TLR-4 expression in trophoblast cells was detected by immunohistochemistry. <span style="font-family: Tribune-Bold; font-size:
Physical characteristic of brown algae (Phaeophyta) from madura strait as irreversible hydrocolloid impression material Prihartini Widiyanti; Siswanto Siswanto
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.021 KB) | DOI: 10.20473/j.djmkg.v45.i3.p177-180

Abstract

Background: Brown algae is a raw material for producing natrium alginates. One type of brown algae is Sargassum sp, a member of Phaeophyta division. Sargassum sp could be found in Madura strait Indonesia. Natrium alginate can be extracted from Sargassum sp. The demand of alginate in Indonesia is mainly fulfilled from abroad, meanwhile Sargassum sp is abundantly available. Purpose: The purpose of study were to explore the potency of brown alga Sargassum sp from Madura strait as hydrocolloid impression material and to examine its physical characteristic. Methods: The methods of research including extraction natrium alginate from Sargassum sp, synthesis of dental impression material and the test of porosity, density, viscosity, and water content of impression material which fulfilled the standard of material used in clinical application in dentistry. Results: Extraction result of Sargassum sp was natrium alginate powder with cream colour, odorless, and water soluble. The water content of natrium alginate was 21.64% and the viscosity was 0.7 cPs. The best porosity result in the sample with the addition of trinatrium phosphate 4% was 3.61%. Density value of impression material was 3 gr/cm3. Conclusion: The research suggested that brown algae Sargassum sp from Madura strait is potential as hydrocolloid impression material, due to its physical properties which close to dental impression material, but still need further research to optimize the physical characteristic.Latar belakang: Alga coklat adalah sumber bahan baku material natrium alginat. Salah satu jenis alga coklat adalah Sargassum sp yang merupakan anggota divisi Phaeophyta. Sargassum sp dapat ditemukan di Selat Madura Indonesia. Natrium alginat dapat diekstraksi dari Sargassum sp. Kebutuhan akan bahan ini di Indonesia sebagian besar dipenuhi dari impor, padahal ketersediaan Sargassum sp di Indonesia sangat melimpah. Tujuan: Penelitian ini bertujuan untuk mengeksplorasi potensi alga coklat Sargassum sp dari Selat Madura sebagai bahan cetak hidrokoloid dan meneliti karakteristik fisiknya. Metode: Tahap pertama adalah ekstraksi natrium alginat dari Sargassum sp, tahap kedua yaitu sintesis bahan cetak gigi dan menguji karakteristik bahan seperti porositas, densitas, viskositas, kadar air, bahan cetak yang memenuhi standar bahan yang digunakan dalam aplikasi klinis bidang Kedokteran Gigi. Hasil: Hasil ekstraksi berupa natrium alginat bubuk dengan warna krem, tidak berbau, dan dapat larut dalam air. Kadar air natrium alginat sebesar 21,64% dengan viskositas 0,7 cPs. Porositas terbaik dalam sampel dengan penambahan trinatrium fosfat 4% yaitu 3,61%. Nilai densitas bahan cetak 3 gr/cm3. Kesimpulan: Penelitian ini menunjukkan bahwa alga coklat Sargassum sp dari Selat Madura memiliki potensi sebagai bahan cetak hydrocolloid kedokteran gigi karena memiliki karakter fisik yang mirip dengan bahan cetak kedokteran gigi, namun masih memerlukan penelitian lebih lanjut untuk mengoptimalkan karakter fisiknya.
Novel development of carbonate apatite-chitosan scaffolds based on lyophilization technique for bone tissue engineering Maretaningtias Dwi Ariani
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (934.327 KB) | DOI: 10.20473/j.djmkg.v45.i3.p150-155

Abstract

Background: The natural biopolymer chitosan (Ch) is currently regarded as a candidate for bone tissue engineering. However, Ch is poor for cell adhesion and low bone formation ability. In order to enhance cell adhesion and bone formation ability, combination of Ch with carbonate apatite (CA) was developed. Purpose: The aim of this study was to make carbonate apatite-chitosan scaffolds (CAChSs) and evaluate its osteoconductivity in terms of cell proliferation. Methods: Chitosan scaffolds (ChSs) were made by the following procedure. Twenty-five, 50, 100, 200 and 400 mg Ch was dissolved into 5 ml of 2% acetic acid (CH3COOH), shaked for 15 min and neutralized with 15 ml of 0.1 M sodium hydroxide (NaOH) solution. After centrifugation, Ch gel was packed into the molds then frozen at -80°C for 2h and dried in a freeze dry machine for 24h. The sponges were subjected to UV radiation for 2h. To make CA-ChSs, 200 mg Ch was selected. After neutralization, 50 mg of 0.06 M CA were added into the 200 mg Ch gel. The structure of CA-ChSs was observed by scanning electron microscope (SEM). Mouse osteoblast-like cell (MC3T3-E1) proliferation in these scaffolds was investigated at 1, 7, 14 and 21 days. Results: Three dimensional porous structures of CA-ChSs were clearly observed by SEM. Proliferated cell numbers in CA-ChSs was significantly higher than those in ChSs (control) at each stage (p<0.05). Conclusion: It can be concluded that newly developed CA-ChSs had three-dimensional interconnected porous structure, good handling property and supporting ability of proliferation of osteoblasts. It is suggested that newly developed CA-ChSs could be considered as a scaffolds material for bone tissue enginearing.Latar belakang: Kitosan yang merupakan biopolimer alami dianggap sebagai salah satu kandidat untuk rekayasa jaringan tulang. Namun, kitosan memiliki kelemahan terhadap adhesi sel dan kurang mampu membentuk tulang yang cukup. Untuk meningkatkan adhesi sel dan kemampuan pembentukan tulang, telah dikembangkan suatu scaffolds yang menggabungkan kitosan dengan carbonate apatite (CA). Tujuan: Penelitian ini bertujuan untuk membuat carbonate apatite-chitosan scaffolds (CA-ChSs) serta mengevaluasi osteokonduktivitas CA-ChSs dari sudut pandang proliferasi sel. Metode: Chitosan scaffolds (ChSs) dibuat dengan prosedur berikut ini. Dua puluh lima, 50, 100, 200 dan 400 mg bubuk kitosan dilarutkan dalam 5 ml asam asetat (CH3COOH) 2%, dikocok selama 15 menit dan dinetralkan dengan 15 ml 0,1 M larutan sodium hidroksia (NaOH). Setelah sentrifugasi, gel kitosan dikemas ke dalam cetakan teflon kemudian dibekukan pada suhu -80°C selama 2 jam dan dikeringkan dalam mesin beku kering pada suhu -54°C selama 24 jam. Selanjutnya dilakukan radiasi ultraviolet pada ChSs selama 2 jam. Untuk membuat CA-ChSs, dipilih ChSs yang berisi 200 mg bubuk kitosan. Setelah dinetralisir, 50 mg dari 0.06 M CA ditambahkan ke dalam kitosan gel yang berisi 200 mg bubuk kitosan. Struktur CA-ChSs diamati dengan scanning electron microscope (SEM). Proliferasi mouse osteoblast-like cell (MC3T3-E1) dalam ChSs dan CA-ChSs dievaluasi pada hari ke-1, 7 dan 14. Hasil: CA-ChSs dengan struktur tiga dimensi yang berpori dapat diamati dengan jelas menggunakan SEM. Jumlah pertumbuhan dan perkembangan sel pada CA-ChSs secara signifikan lebih banyak dibandingkan pada ChSs (kontrol) pada setiap tahap pengamatan di hari ke-1, 7, 14 dan 21 (p<0.05). Kesimpulan: Dapat disimpulkan bahwa CA-ChSs mempunyai struktur tiga dimensi dengan pori-pori yang saling berhubungan satu sama lain dan dapat meningkatkan proliferasi osteoblast. Hal ini menunjukkan bahwa CA-ChSs adalah kandidat untuk rekayasa jaringan tulang.

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