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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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Search results for , issue "Vol. 47 No. 2 (2014): June 2014" : 11 Documents clear
Paparan zat besi pada ekspresi protein spesifik extracellular polymeric substance biofilm Aggregatibacter actinomycetemcomitans Marchella Hendrayanti W; Indah Listiana K
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (511.358 KB) | DOI: 10.20473/j.djmkg.v47.i2.p103-109

Abstract

Background: The study of biofilms bacteria could be an alternative of preventive treatment in reducing prevalence of aggressive periodontitis in the community, because biofilm protects the bacteria from environmental conditions, including the attack of immune system and antimicrobial. Aggregatibacter actinomycetemcomitans is a major cause of bacterial aggressive periodontitis. Purpose: This study aims to examine the iron exposure to specific protein expression of extracellular polymeric substance (EPS) of Aggregatibacter actinomycetemcomitans biofilm. Methods: Protein containing EPS biofilm was isolated from cultures of A.actinomycetemcomitans. The protein was processed through several procedures: electrophoresis , electroelution , immunization of rabbits , serum isolation , and purification of antibodies. After the Western blotting procedure the antibody was used. Protein containing EPS biofilms exposed to iron, then once again isolated from cultures of A. actinomycetemcomitans. The electrophoresis and Western blotting were done on the isolated protein. Results: The result showed that the the expression of specific proteins in EPS biofilm decreased in response to iron exposure. Conclusions: Iron exposure could influenced the specific protein expression in EPS biofilm of Aggregatibacter actinomycetemcomitans.Latar belakang: Penelitian terhadap bakteri biofilm dapat menjadi alternatif perawatan preventif dalam menurunkan prevalensi periodontitis agresif di masyarakat, karena biofilm melindungi bakteri terhadap kondisi lingkungan, termasuk serangan sistem imun dan antimikroba. Aggregatibacter actinomycetemcomitans merupakan bakteri penyebab utama periodontitis agresif. Tujuan: Studi ini bertujuan meneliti paparan zat besi terhadap ekspresi protein spesifik extracellular polymeric substance (EPS) Aggregatibacter actinomycetemcomitans. Metode: Protein yang mengandung EPS biofilm diisolasi dari kultur A. actinomycetemcomitans. Protein yang diisolasi ini kemudian melalui beberapa prosedur: elektroforesis, elektroelusi, imunisasi pada kelinci, isolasi serum, dan purifikasi antibodi. Pada prosedur Western blotting di sesi penelitian berikutnya antibodi ini digunakan. Protein yang mengandung EPS biofilm dipapar dengan zat besi, kemudian diisolasi sekali lagi dari kultur A. actinomycetemcomitans. Protein yang diisolasi dilakukan elektroforesis dan Western blotting. Western blotting. Hasil: Penelitian ini menunjukkan hasil berupa penurunan ekspresi protein spesifik biofilm EPS sebagai respon terhadap paparan zat besi. Simpulan: Paparan zat besi memberi pengaruh ekspresi protein spesifik biofilm EPS Aggregatibacter actinomycetemcomitans.
Surgical exposure dan perawatan ortodontik pada impaksi gigi insisif sentral rahang atas (Surgical exposure and orthodontic treatment on labially impacted maxillary central incisor) Bingah Fitri Melati; Teguh Budi Wibowo; Betadion Rizki
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (595.609 KB) | DOI: 10.20473/j.djmkg.v47.i2.p77-81

Abstract

Background: As a clinician we have to concern for an unerupted teeth especially in mixed dentition. Eruption failure can also be caused by early loss of deciduous teeth. Purpose: To report a case of unerupted maxillary central incisor caused by early loss of deciduous teeth due to trauma and the combination of excisional and orthodontic treatment. Case: A 8-years-old girl in mixed dentition phase came to Universitas Airlangga Dental Hospital with chief complaint of unerupted right maxillary central incisor while the left central incisor and both lateral incisor had erupted already. She had trauma when she was 1 year old and loss mostly her primary maxillary central incisors. An intraoral examination revealed lack of space in #11 region with root retained of #51, bulge was palpated in vestibulum and periapical radiograph showed that a delayed eruption upper central incisor without presence of disturbance. Case management: The exposure of the tooth was under local anesthesia a year after the orthodontic performed to make enough space for traction the tooth. A button was placed at palatal and used elastic strait to traction the tooth. After 3 months, bracket placed at labial to positioning until leveled and aligned with adjacent teeth. Conclusion: A simple excisional and orthodontic treatment were succesfully treated the labially impacted teeth.Latar belakang: Sebagai seorang klinisi kita harus memperhatikan apabila terdapat gigi yang belum erupsi terutama pada fase gigi pergantian. Kegagalan erupsi gigi juga dapat disebabkan karena tanggal premature gigi sulung. Tujuan: Melaporkan kasus impaksi gigi insisif sentral rahang atas yang disebabkan kehilangan premature gigi sulung karena trauma dengan kombinasi eksisi sederhana dan perawatan ortodontik. Kasus: Anak perempuan usia 8 tahun pada fase gigi pergantian datang ke Rumah Sakit Gigi dan Mulut Universitas Airlangga dengan keluhan gigi insisif sentral kanan rahang atasnya (#11) belum erupsi meskipun gigi insisif sentral kiri #21 dan kedua insisif lateralnya #22 sudah erupsi. Pasien tersebut pernah terjatuh saat masih usia 1 tahun dan hampir kehilangan seluruh gigi sulung insisif sentral rahang atasnya. Pada pemeriksaan klinis tampak ruang yang sempit pada region #11 dan terdapat sisa akar gigi #51, jaringan keras teraba pada palpasi daerah vestibulum dan pemeriksaan radiografi periapikal tampak impaksi gigi insisif sentral rahang atas tanpa adanya penghalang. Tatalaksana kasus: Exposure gigi dilakukan dibawah anestesi lokal 1 tahun setelah perawatan ortodontik untuk membuka space bagi #11. Button diletakkan di palatal gigi 11 dan digunakan elastic strait untuk traksi gigi tersebut. Setelah 4 bulan bracket dipasang untuk memposisikan gigi pada lengkung yang benar. Simpulan: Teknik eksisi sederhana dan perawatan ortodontik berhasil merawat gigi impaksi yang terletak di labial.
Topical applications effect of casein phospho peptide-amorphous calcium phosphate and sodium fluoride on salivary Mutans Streptococci in children Fajriani Fajriani; Aini Dwi Handini
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (266.94 KB) | DOI: 10.20473/j.djmkg.v47.i2.p110-114

Abstract

Background: Dental caries is one of the major human diseases caused by Mutans Streptococci (MS). Topical application casein phosphopeptide–amorphous calcium phosphate (CPP-ACP) dan Sodium fluoride are often use in children and play a role in the caries prevention. Purpose: The aim of study was to determine the effect of casein phosphopeptide–amorphous calcium phosphate (CPP-ACP) and Sodium fluoride topical applications to the number of salivary MS colonies in children. Methods: This study using cross-over design with quase experiment time-series. The subjects were 30 children in range of age 6-12 years old that obtained with simple random sampling. The saliva samples of subjects were collected 3 times. First, saliva samples were taken before the treatment; second, after CPP-ACP topical application; third, after sodium fluoride topical application. Between the CPP-ACP and sodium fluoride treatments there was a one week wash-out period. After each treatment, saliva samples were taken twice, 15 and 30 minutes after topical applications respectively. After cultivation on specific agar, the colony number of salivary MS was determined by colony counting (Colony Forming Units-CFU). Results: There was no significant difference between topical application casein phosphopeptide – amorphous calcium phosphate (CPP-ACP) and Sodium fluoride in reducing the number of Streptococcus mutans. But topical application of Sodium fluoride tended to show more reduction than CPP-ACP. Conclusion: The topical application of CPP-ACP and Sodium fluoride could reduce the number of salivary MS in children. The effect of Sodium Fluoride was somewhat greater than CPP-ACP.Latar belakang: Karies gigi merupakan salah satu penyakit manusia utama yang disebabkan oleh Streptococcus Mutans (MS). Topikal aplikasi kasein phosphopeptide - amorf kalsium fosfat (CPP-ACP) dan sodium fluoride sering digunakan pada anak-anak dan berperan dalam pencegahan karies. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh aplikasi kasein phosphopeptide - amorf kalsium fosfat (CPP-ACP) dan Sodium fluoride secara topikal terhadap jumlah koloni MS pada saliva anak. Metode: Penelitian ini menggunakan desain cross-over dengan percobaan Quase time-series. Subjek penelitian ini adalah 30 anak dalam rentang usia 6-12 tahun yang diperoleh dengan simple random sampling. Sampel saliva subjek dikumpulkan 3 kali. Pertama, sampel saliva diambil sebelum perlakuan; kedua, setelah aplikasi topikal CPP-ACP; ketiga, setelah aplikasi topikal sodium fluoride. Antara aplikasi CPPACP dan sodium fluoride ada periode wash-out satu minggu. Setelah perlakuan, sampel saliva yang diambil dua kali, 15 dan 30 menit setelah masing-masing aplikasi topikal. Setelah ditumbuhkan pada media agar yang spesifik, jumlah koloni MS ditentukan dengan cara hitung koloni (Colony Forming Unit-CFU). Hasil: Tidak ada perbedaan yang signifikan antara topikal aplikasi kasein phosphopeptideamorf kalsium fosfat (CPP-ACP) dan sodium fluoride dalam mengurangi jumlah Streptococcus mutans. Tetapi aplikasi topikal Sodium fluoride cenderung menunjukkan penurunan lebih banyak dari CPP-ACP. Simpulan: Aplikasi topikal dari CPP-ACP dan Sodium fluoride dapat mengurangi jumlah MS pada saliva anak. Pengaruh Sodium Fluoride sedikit lebih besar dari CPP-ACP.
Penurunan jumlah Streptococcus mutans pada saliva anak dengan ortodonti cekat setelah konsumsi yoghurt (Reduction of salivary Mutans Streptococci in children with fixed orthodontic appliance after yoghurt consumption) Dewi Anggreani Bibi; Udijanto Tedjosasongko; Irmawati Irmawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (501.169 KB) | DOI: 10.20473/j.djmkg.v47.i2.p82-86

Abstract

Background: Orthodontic treatment using fixed appliances in children increases with the case of malocclusion in Indonesia. The patients with fixed orthodontics have higher risks of caries. Purpose: The study was aimed to examine the influences short term daily consumption fruit-flavored yoghurt on salivary mutans Streptococci in pediatric patients during orthodontic treatment with fixed appliances. Methods: This was an experimental laboratory study with a double-blind randomized crossover design. The subjects were 26 children in range of age 11 to 15 years old who were under orthodontic treatment using fixed appliances. Subjects were divided into 2 (two) groups which consist of 13 children each. Group A were asked to consumed a 150 ml of yoghurt Bifidobacterium bifidum and Lactobacillus acidophilus once a day for 2 weeks, while group B were asked to consumed milk once a day for the same period of time. After “washout” period for 2 weeks, the subjects of group A and B crossed over the drink, group A was asked to consumed milk and group B was asked to consumed yoghurt for another 2 weeks. Before and after consuming yoghurt or milk, the subject’s saliva samples were taken and the colonies of mutans Streptococci were counted on TYC media. Results: Statistical analysis showed that on subjects who consumed yoghurt the colony number of mutans Streptococci reduced significantly (p < 0.05). Conclusion: Short-term daily consumption of the probiotic yoghurt containing Bifidobacterium bifidum bacteria and Lactobacillus acidophilus could reduce the number of salivary mutans streptococci in pediatric patient during orthodontic treatment with fixed appliances.Latar belakang: Kebutuhan perawatan ortodonti menggunakan alat cekat pada anak-anak meningkat seiring bertambahnya jumlah kasus maloklusi di Indonesia. Namun faktanya penggunaan piranti ortodonti cekat berisiko terjadinya karies disekitar bracket. Tujuan: Penelitian ini bertujuan meneliti pengaruh konsumsi yoghurt buah dalam jangka pendek terhadap jumlah Streptococcus mutans pada saliva anak pemakai ortodonti cekat. Metode: Jenis penelitian ini eksperimental laboratoris dengan desain penelitian double blind randomized crossover design. subjek penelitian adalah 26 anak berusia 11-15 tahun yang sedang menjalani perawatan ortodonti dengan piranti cekat. subjek dibagi dalam 2 kelompok dengan masing-masing 13 anak. Kelompok A diminta untuk mengkonsumsi 150 ml yoghurt Bifidobacterium bifidum dan Lactobachillus acidophillus sekali sehari selama 2 minggu, sedang kelompok B diminta untuk mengkonsumsi susu sekali sehari selama 2 minggu. Setelah periode “washout” selama 2 minggu, kedua kelompok bertukar minuman, kelompok A mengkonsumsi susu sedang kelompok B mengkonsumsi yoghurt selama 2 minggu. Setiap sebelum dan sesudah mengkonsumsi yoghurt dan susu, sampel saliva subjek diambil dan dilakukan penghitungan jumlah koloni Streptococcus mutans pada media TYC. Hasil: Analisa statistik menunjukkan bahwa setelah mengkonsumsi yoghurt jumlah koloni Streptococcus mutans dalam saliva subjek berkurang secara signifikan (p < 0,05). Simpulan: Konsumsi probiotik yoghurt yang mengandung Bifidobacterium bifidum dan Lactobachillus acidophillus dapat mengurangi jumlah koloni Streptococcus mutans dalam saliva anak selama perawatan ortodontik cekat.
Karakterisasi stem cell pulpa gigi sulung dengan modifikasi enzim tripsin (The characterization of stem cells from human exfoliated deciduous teeth using trypsin enzym) Tri Wijayanti Puspitasari; Tania Saskianti; Udijanto Tedjosasongko
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (329.465 KB) | DOI: 10.20473/j.djmkg.v47.i2.p115-119

Abstract

Background: Now a days, treatment in dentistry, using tissue regeneration that based on the stem cells from human exfoliated deciduous teeth (SHED), grows rapidly. For several reason, the isolated and cultured SHED is difficult to be applied in Indonesia, therefore the modification is needed. This difficulties were caused by the pulp anatomy, the heterogeneous populations in the pulp chamber and the limitations of tools and materials at the laboratory. Purpose: This research was aimed to examine that the modifications of isolation and culture technique of SHEDs for characterization by using the marker of CD105. Methods: The research was experimental laboratory with the cross sectional design. The samples were the human exfoliated deciduous teeth from the children patients of Pediatric Dentistry Department of Universitas Airlangga Dental Hospital which matched the criteria. Dental pulps were isolated and cultured by using the modifications of Trypsin enzymes. Results: The healthy SHEDs could be produced from the modifications of isolation and culture and positively shown the expression of marker CD105 which were indicated by the fluorencent microscope. Conclusion: SHED which isolated and cultured by using the modified techniques, positively characterized by using marker CD105.Latar Belakang: Pengobatan kedokteran gigi berkembang dengan pesat terutama di bidang regenerasi jaringan berbasis Stem Cells from Human Exfoliated Deciduous Teeth (SHED). Di Indonesia, isolasi dan kultur SHED sulit sehingga perlu dilakukan modifikasi. Kendala ini muncul karena jaringan pulpa yang kecil, heterogen dan keterbatasan alat dan bahan di laboratorium. Tujuan: Penelitian ini bertujuan untuk meneliti modifikasi pada cara isolasi dan kultur SHED untuk karakterisasi menggunakan maker CD105. Metode: Jenis penelitian ini adalah eksperimental laboratoris dengan rancangan cross sectional. Sampel penelitian adalah gigi sulung dari pasien anak di Klinik Kedokteran Gigi Anak, Rumah Sakit Gigi dan Mulut Universitas Airlangga yang telah memenuhi kriteria. Pulpa gigi diisolasi dan dikultur dengan modifikasi enzim Trypsin. Hasil: SHED yang sehat hasil dari modifikasi teknik isolasi dan kultur positif menunjukkan ekspresi marker CD105 dengan berfluoresensi berwarna hijau dilihat melalui mikroskop fluoresen. Simpulan: SHED yang dikultur dan diisolasi dengan teknik modifikasi positif dikarakterisasi dengan marker CD105.
Aplikasi teori belajar sosial dalam penatalaksanaan rasa takut dan cemasan anak pada perawatan gigi (Application of social learning theory in the management of children dental fear and anxiety) Arlette Suzy Setiawan
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (215.084 KB) | DOI: 10.20473/j.djmkg.v47.i2.p87-91

Abstract

Background: Dental anxiety is a prevalent problem faced by dentists till nowadays, especially in treating child patients. Several methods in managing anxiety are available, but there is no single method can be applied extensively. Purpose: This article was aimed to describe the application of social learning theory in preventing or reducing dental anxiety in children. Literature review: Anxiety and fear are psych feelings that is experienced by a person. A child developed these feelings by learning from their own past experienced or by information obtained from their environment. If fear and anxiety can be learned by a child, thus the opposite term which is preventing the feelings is assumed can be also offered to learned. This application actually being applied in the field of dentistry as modeling, but the exploration of how this process is due is often being ignored. Conclusion: Social learning theory provides an easy preventive approach and effective intervention that can be applied to children in 4-9 years old to reduce dental anxiety.Latar belakang: Kecemasan pada perawatan gigi merupakan hal yang paling sering dijumpai dan merupakan masalah yang dihadapi oleh dokter gigi sampai saat ini, terutama pada pasien anak. Berbagai metode penatalaksanaan kecemasan banyak tersedia, namun tidak satu pun metode yang dapat diterapkan secara luas. Tujuan: Makalah ini disusun untuk membahas mengenai aplikasi teori belajar sosial dalam mencegah kecemasan pada anak saat perawatan gigi. Tinjauan pustaka: Rasa cemas dan takut merupakan perasaan psikis yang dialami seorang individu. Perasaan ini pada seorang anak lebih banyak didapat dari proses belajar dalam menyerap informasi berdasarkan pengalaman pribadi ataupun informasi dari lingkungan sekitar. Bila rasa cemas dan takut dapat dipelajari oleh seorang anak, maka diasumsikan bahwa menghindari timbulnya perasaan ini dapat pula diajarkan pada anak. Aplikasi hal tersebut sebenarnya telah diterapkan di bidang Kedokteran Gigi melalui modeling, namun eksplorasi bagaimana proses pembelajaran ini berlangsung sering kali terabaikan. Simpulan: Teori belajar sosial memberikan pendekatan preventif yang mudah dan intervensi yang efektif yang dapat digunakan pada anak usia 4-9 tahun untuk mengurangi kecemasan anak saat perawatan gigi.
Evaluasi karakteristik abu sekam padi dengan kitosan molekul tinggi nanopartikel sebagai bahan dentinogenesis (Characteristic evaluation of rice husk ash with chitosan high molecule nanoparticle as dentinogenesis material) Pretty Farida Sinta Silalahi; Trimurni Abidin; Harry Agusnar
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (741.33 KB) | DOI: 10.20473/j.djmkg.v47.i2.p63-66

Abstract

Background: Mineral trioxide aggregate (MTA) and resin modified glass ionomer cement (RMGIC) are the material used for indirect and direct pulp capping due to biocompatibility, but these materials have many shortcomings. Mineral trioxide aggregate contains a little amount of arsenic and has long setting time, while HEMA containing RMGIC are cytotoxic. Rice husk ash nanoparticles (RHAn) is a potential source of silica. High molecular chitosan nanoparticles (HMCn) can stimulate the formation of reparative dentin. Combination of these two materials is biocompatible and have good sealing ability. Purpose: This study was aimed to study RHAn + HMCn used as biomaterials for prevention of pulpodentinal complex by examined at the microstructure of dentin surfaces applied with RHAn + HMCn. Methods: Twenty-four mandibular premolar teeth extracted for orthodontic purposes, were made cavity class I preparation with 3 mm depth above the cemento-enamel junction (CEJ). Then each tooth was cut in bucco-lingual direction and each part was cut using a cervical disc bur. Samples were divided into 3 groups, group I the teeth were applied with MTA; group II the teeth were applied RMGIC; group III the teeth were apllied with RHAn + HMCn. Characterization was done by using Scanning Electron Microscopy (SEM) on the interface between test material and dentin adjacent to the pulp to see surface microstructure. Results: Material microstructure of RHAn + HMCn applied to the dentine showed tags like structure which was more significant than MTA. RHAn + HMCn showed to have better sealing ability than MTA. Porosity of ASPn + HMCn was less than MTA and RMGIC. Conclusion: The study suggested that the combined RHAn + HMCn biomaterials could be used as an active biomaterial that can maintain the integrity of pulp dentinal complex.Latar belakang: Mineral trioksida agregat (MTA) dan semen ionomer kaca modifikasi resin (SIKMR) adalah bahan yang digunakan untuk pulp capping langsung dan tidak langsung karena biokompatibel, namun bahan ini memiliki banyak kekurangan. Trioksida Mineral agregat mengandung sejumlah kecil arsenik dan setting time-nya lama, sementara HEMA dalam SIKMR bersifat sitotoksik. Abu sekam padi nanopartikel (ASPn) merupakan sumber potensial dari silika. Kitosan molekul tinggi nanopartikel (KMTn) dapat merangsang pembentukan dentin reparatif. Kombinasi dari kedua bahan tersebut memiliki sifat biokompatibel dan memiliki kemampuan pelapisan yang baik. Tujuan: Penelitian ini bertujuan untuk menganalisa karakteristik mikrostruktur hubungan permukaan abu sekam padi dengan kitosan molekul tinggi nanopartikel pada jaringan dentin untuk melindungi jaringan pulpodential kompleks. Metode: Dua puluh empat gigi premolar mandibula yang diekstraksi untuk tujuan ortodontik digunakan sebagai sampel, gigi dibuat preparasi kavitas klas I dengan kedalaman 3 mm di atas cemento enamel junction (CEJ). Kemudian masing-masing gigi dibelah dua arah bucco-lingual dan setiap bagian dipotong menggunakan disc bur servikal. Sampel dibagi 3 kelompok, kelompok I diaplikasikan MTA, kelompok II diaplikasikan SIKMR, kelompok III diaplikasikan ASPn + KMTn. Karakterisasi dilakukan dengan menggunakan Scanning Electron Microscopy (SEM) pada interface antara bahan uji dan dentin berdekatan dengan pulp untuk melihat struktur mikro permukaan. Hasil: Microstructure bahan ASPn + KMTn yang diaplikasi pada dentin menunjukkan struktur seperti tag yang lebih signifikan daripada MTA. ASPn + KMTn menunjukkan kemampuan pelapisan yang lebih baik dari MTA. Porositas ASPn + KMTn lebih sedikit dari MTA dan SIKMR. Simpulan: Penelitian ini menunjukkan bahwa kombinasi biomaterial ASPn + KMTn dapat digunakan sebagai biomaterial aktif yang dapat menjaga integritas pulpa.
Koreksi gigitan terbalik posterior dan anterior dengan alat cekat rapid maxillary expansion dan elastik intermaksila Retno Dewati; Teguh Budi Wibowo; Masyithah Masyithah
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (591.263 KB) | DOI: 10.20473/j.djmkg.v47.i2.p98-102

Abstract

Background: Children with anterior and posterior crossbite usually have a complaint in aesthetic and masticatory function. It could caused by bad habits and hereditary factors which made worse condition. Purpose: The purpose of this case report was to report the use of orthodontic appliance rapid maxillary expansion (RPE) and intermaxillary elastic to correct posterior and anterior crossbite in teenage patient. Case: A fourteen years-old teenage female patient came to Dental Hospital Dentistry Universitas Airlangga with case of anterior posterior cross bite and unerupted permanent teeth. Case management: The case was treated using orthodontic fixed appliance rapid maxillary expansion (RPE) and followed by intermaxillary elastics. The posterior cross bite treatment took 4 weeks used of orthodontic fixed appliance RPE, while, treatment of anterior cross bite which used intermaxillary elactic was done within three month to achieved normal occlusion. Conclusion: This case report showed that the orthodontic appliance rapid maxillary expansion (RPE) and intermaxillary elastic could be used to correct posterior and anterior crossbite.Latar belakang: Anak dengan gigitan terbalik anterior dan posterior pada umumnya mempunyai keluhan dalam hal estetik dan fungsi pengunyahan. Kondisi gigitan terbalik biasanya disebabkan oleh adanya kebiasaan buruk dan faktor keturunan yang semakin memperparah keadaan tersebut. Tujuan: Laporan kasus ini melaporkan pemakaian alat cekat rapid maxillary expansion (RPE) dan elastik intermaksila untuk mengkoreksi gigitan terbalik posterior dan anterior pada anak remaja. Kasus: Pasien remaja perempuan berusia 14 tahun datang ke Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Airlangga Surabaya dengan kasus gigitan terbalik anterior posterior dan terdapat gigi permanen yang tidak tumbuh. Tatalaksana kasus: Perawatan yang dilakukan adalah koreksi gigitan terbalik dengan menggunakan alat ortodonsia cekat rapid maxillary expansion (RPE) dan dilanjutkan dengan pemasangan elastik intermaksila. Perawatan koreksi gigitan terbalik posterior memerlukan waktu 4 minggu menggunakan alat ortodonti cekat RPE, sedangkan koreksi gigitan terbalik anterior dilakukan dalam 3 bulan untuk mencapai oklusi normal. Simpulan: Laporan kasus ini menunjukkan bahwa pemakaian alat cekat rapid maxillary expansion (RPE) dan elastik intermaksila dapat mengkoreksi gigitan terbalik posterior dan anterior.
The relationship determination between menarche and the peak of skeletal maturation using hand wrist and cervical vertebrae index Endah Mardiati; Soemantry ES; Haroen ER; Thahar B; Sutrisna B
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (427.823 KB) | DOI: 10.20473/j.djmkg.v47.i2.p67-71

Abstract

Background: Menarche and skeletal maturation indices are physiological maturation indicators that can be used to establish the maturation stage of individual patient in orthodontic treatment, especially in orthodontic growth modification and orthognatic surgery. Purpose: The purpose of this study was to determine the relationship between menarche and the peak of skeletal maturation using hand-wrist and cervical vertebrae indexes. Methods: This was an observational diagnostic research with 220 female of Deutero-Malay Indonesian subjects aged 8-17 years from Dental Hospital Faculty of Dentistry Universitas Padjadjaran, and some privates orthodontic practice in Bandung. All subjects had hand-wrist radiograph and lateral cephalogram. Menarche data were collected through interview with the subjects and their parents. There were 89 subjects who already had menarche but only 84 of them remembered the month and year of their menarche. The stage of hand-wrist skeletal maturation was analyzed using Fishman method and cervical vertebrae maturation was analyzed using Baccetty et.al., method. Results: The result indicates that the menarche age of Indonesian DeuteroMalay subject were 12.47 ± 0.73 year. The youngest age of were 10.92 ± 0.0 year and the oldest were 13.83 ± 0.23 year. Conclusion: Menarche could be used as an indicator that the pubertal growth peak has been exceeded and to predict the end of the pubertal growth. This study showed that 0.49 years after MP3cap stage of hand-wrist skeletal maturation index and 0.69 years after CVMS2 stage of cervical vertebrae skeletal maturation index, the subject of Indonesian Deutero-Malay will have their menarche. Latar belakang: Menarke dan indeks maturasi skeletal merupakan indikator maturasi fisologis yang dapat digunakan untuk menentukan tahap maturasi pasien pada perawatan ortodonti modifikasi pertumbuhan dan bedah ortognati. Tujuan: Tujuan penelitian ini adalah menentukan hubungan antara menarke dengan puncak pertumbuhan skeletal dengan menggunakan indikator maturasi handwrist dan vertebra servikal. Metode: Penelitian ini merupakan penelitian diagnostik obeservasional dengan 220 subjek perempuan umur 8-17 tahun yang datang ke Rumah Sakit Gigi dan Mulut Universitas Padjadjaran Bandung. Seluruh subjek penelitian mempunyai foto rontgen hand-wrist dan sefalogram lateral. Data menarke diperoleh melalui wawancara kepada pasien dan orang tuanya. Subjek yang telah mengalami menarke sebanyak 89 orang tetapi hanya 84 subjek yang ingat dengan tepat bulan dan tahunnya. Tahap maturasi hand-wrist dianalisis dengan menggunakan metode Fishman dan tahap maturasi vertebra servikal ditentukan dengan menggunakan metode Baccety dkk. Hasil: Hasil penelitian menunjukkan bahwa rata-rata umur menarke terjadi pada umur 12.47 ± 0,73 tahun, dengan umur termuda pada10,92 ± 0,0 tahun dan tertua pada umur13,83 ± 0,23 tahun. Simpulan: Menarke dapat digunakan sebagai indikator untuk menentukan bahwa puncak pubertas telah terlampaui dan untuk memprediksi akhir pertumbuhan pubertal. Studi ini menunjukkan bahwa 0,49 tahun setelah MP3cap stage dari maturasi skeletal pergelangan tangan dan 0,69 tahun setelah CVMS2 maturasi skeletal vertebra leher anak perempuan Indonesia deutero melayu akan memasuki masa haid.
Koreksi dimensi vertikal oklusal dengan modifikasi restorasi mahkota logam pada kasus severe early childhood caries (Correcting occlusal vertical dimension using modified stainless steel crown restoration in severe early childhood caries case) Amrita Widyagarini; Sarworini B Budiardjo
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
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 (739.038 KB) | DOI: 10.20473/j.djmkg.v47.i2.p92-97

Abstract

Background: Severe early childhood caries (SECC) describes progressively dental caries in primary dentition among children aged less than 3 to 5-year-old. Loss of Occlusal Vertical Dimension (OVD) with deep bite in clinical feature found 2.5 times more often in s-ecc children than others. It leads discrepancies of vertical development of permanent dentition, hence creates malocclusion. Purpose: The aim of this paper was to report consideration and correction of OVD in SECC child. Case: A 5-year-old girl was accompanied by her mother came to pediatric dental clinic Faculty of Dentistry Universitas Indonesia. Patient’s chief complaint was decay on all her teeth. Clinical examination revealed caries on all primary dentition, tooth #16, #46 have not yet been occluded, 26 erupted partially and it occluded with 36, anterior deep bite. Diagnose was anterior deep bite caused by SECC. Case management: Operative-rehabilitative treatment restores OVD to prevent malocclusion by modifying height of ssc in primary molars. Correcting deep bite using stainless steel crown (SSC) modified in posterior was done. First, restoration with glass-ionomer cement for raising the bite followed by a week evaluation to observe masticatory function and functional analysis of temporomandibular joint. Second, ssc were placed in primary molars. Conclusion: Modifying height of ssc in primary molars could corrected OVD in SECC child. Permanent first molars eruption could be guided to completely occlusion and prevent early malocclusion.Latar belakang: Severe early childhood caries (SECC) menunjukan pola karies gigi sulung yang progresif dan menyeluruh pada anak usia di bawah 3 hingga 5 tahun. Kehilangan dimensi vertikal oklusal (DVO), dengan gambaran gigitan dalam pada periode gigi sulung dilaporkan terjadi 2,5 kali lebih banyak pada anak SECC. Hal ini dapat menyebabkan gangguan perkembangan vertikal gigi permanen yang nantinya menyebabkan maloklusi. Tujuan: Laporan kasus ini melaporkan mengenai pertimbangan dan koreksi dimensi vertikal pada anak SECC. Kasus: Anak perempuan, 5 tahun, diantar ibunya ke klinik gigi anak Fakultas Kedokteran Gigi Universitas Indonesia dengan keluhan semua giginya karies. Klinis, seluruh gigi sulung karies, #16, #46 belum mencapai oklusi, #26 erupsi sebagian dan beroklusi dengan #36, gigitan dalam regio anterior. Diagnosis adalah gigitan dalam regio anterior karena SECC. Tatalaksana kasus: Perawatan operatif-rehabilitatif bertujuan mengembalikan DVO guna mencegah maloklusi, antara lain dengan memodifikasi restorasi mahkota logam gigi posterior. Dilakukan koreksi gigitan dalam regio anterior dengan modifikasi restorasi mahkota logam gigi posterior. Tahap pertama, restorasi glass-ionomer cement dengan meninggikan gigitan gigi posterior. Adaptasi gigitan selama 1 minggu dan pengamatan fungsi pengunyahan serta analisa fungsional temporomandibular joint. Kedua, restorasi mahkota logam gigi molar, dengan mempertahankan tinggi gigit tahap pertama, dilanjutkan restorasi mahkota untuk gigi anterior. Simpulan: Modifikasi tinggi restorasi mahkota logam seluruh gigi molar sulung kasus SECC, dapat mengembalikan DVO, sehingga erupsi empat gigi molar satu permanen dapat mencapai oklusi sempurna, dan mencegah maloklusi dini.

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