Dental Journal (Majalah Kedokteran Gigi)
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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The difference between Begg and Straightwire appliances on molar position, occlusal plane angle, and anterior and posterior facial height changes
Dewi Sartika Santoso;
C. Christnawati;
Cendrawasih Andusyana Farmasyanti
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p223-228
Background: Bimaxillary and bidental protrusion Class I Angle malocclusions have a characteristic convex facial profile and protrusion lips due to the labial inclination of the anterior teeth. Extraction of the first four premolars is the most common choice for orthodontic treatment of these cases when all the permanent teeth are complete and in good condition. Orthodontic treatment can be performed using the Begg or Straightwire techniques. Purpose: This study aims to investigate the difference in the effect of orthodontic treatment with Begg and Straightwire appliances on molar position, occlusal plane, and anterior and posterior facial height. Methods: Sixty pairs of lateral cephalograms before and after the treatment of patients with bimaxillary and bidental protrusive Angle malocclusion Class I, aged 18–35 years old, who underwent orthodontic treatment using the Begg and Straightwire techniques with the extraction of all first premolars that met the inclusion criteria. Data analysis was performed using two-way repeated analysis of variance (p<0.05) and Pearson correlation (p<0.05). Results: Molar position, occlusal plane angle, and anterior and posterior facial heights increased significantly after the Begg technique treatment and decreased significantly after the Straightwire technique treatment (p<0.05), but there were no significant differences between the four variables in the two techniques (p>0.05). Medium correlation was found between variables in both the Begg and Straightwire techniques. Conclusion: Molars were extruded and mesialized and the occlusal plane angle and height of the anterior and posterior faces increased after the Begg appliances treatment. The molars moved mesially and occlusally and there was a decrease in the occlusal plane angle, as well as the height of the anterior and posterior faces, after treatment with the Straightwire appliances. However, there was no difference between the two techniques.
Effect of different final irrigation solutions on push-out bond strength of root canal filling material
R. Rahmatillah;
Isyana Erlita;
Buyung Maglenda
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p181-186
Background: The adhesion of root canal filling material to dentin is one of the crucial factors in determining the success of endodontic treatment. However, the smear layer that forms during instrumentation serves as an interface that impedes the bonding mechanism of the filling material. A proper irrigation solution is required to remove the smear layer and provide a dentin surface that supports the bonding mechanism of the filling material in establishing good adhesion. Purpose: This study aims to evaluate and compare the bond strength of filling material with different final irrigation solutions. Methods: Mandibular premolars were prepared by a crown down, pressure-less technique and divided into three final irrigation groups (2.5% NaOCl, 17% EDTA and 20% citric acid). The root canal of each tooth was obturated using epoxy sealer and gutta-percha. A two-millimetre-thick section of the apical third portion of each group was arranged for the push-out assessment using a universal testing machine in an apical to coronal direction at 1 mm/min crosshead speed. Results: A one-way ANOVA test indicated the difference in push-out bond strength among the groups (p<0.05). A post hoc Bonferroni test presented a statistically significant difference in the bond-strength value between the 2.5% NaOCl group compared with the 20% CA group (p<0.05). Conclusion: The push-out bond strength of root canal filling material is increased by applying a chelating agent as the final irrigation solution where 20% of CA presents the highest push-out bond strength.
Electronic application for oral health school programme enhances the quality of the information in dental health data records
Nurul Fatikhah;
Gilang Yubiliana;
Fedri Ruluwedrata Rinawan
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p206-211
Background: Dental and oral health problems among elementary students can be resolved through an oral health programme in schools. The main factor that inhibited this scheme was that the recording and reporting still employed a manual system, making it less effective and efficient. The electronic application of this programme can help managers to complete both of these tasks. Purpose: This study’s aim is to assess the effectiveness of the electronic application that is utilised in the oral health school programme to increase the quality of the information relating to the recording of dental health data in schools. Methods: This study used a pre-test and post-test one-group design, and the sample consisted of 37 oral health programme managers in schools who were chosen via simple random sampling. The data in this study was analysed using the Wilcoxon signed-rank test. Results: The results showed that the use of the electronic application as part of the oral health scheme influenced the quality of the information when details were recorded and reported. This can be seen in the rise in the standard of the information that was noted and disclosed when comparing data before and after using the electronic application; the average value of 1.54 (standard deviation=1.45) increased to an average value of 3.58 (standard deviation=2.84) with a significance level of 0.000 (p<0.05). Conclusion: The electronic application used in conjunction with the oral health programme was effective in raising the quality of dental health records in schools.
Maxillary anterior root resorption in Class II/I malocclusion patients post fixed orthodontic treatment
Fransiska Rima Tallo;
Ida Bagus Narmada;
I. G. A. Wahju Ardani
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p201-205
Background: Previous studies on root resorption were reviewed by panoramic radiographs. Cone-beam computed tomography (CBCT) showed that 41.5% of teeth experienced resorption when panoramically examinated, while 68% of teeth experienced resorption when the examination method used was CBCT. Root resorption occurs in the maxillary central incisor (as much as 74%) and in the maxillary lateral incisor (as much as 82%). The maxillary canines have the most resorption, followed by the lateral maxillary incisors. Purpose: The aim of this study was to determine the differences of apical resorption in anterior maxillary teeth before and after orthodontic treatment in skeletal Class I/II cases of extraction. Methods: Samples from this study were the results of panoramic photographs of 50 patients treated by fixed orthodontic appliances at the Dental and Oral Hospital Airlangga University. These were selected according to the sample criteria. The evaluation method consists of measuring root and crown lengths with a digital application (RadiAnt DICOM Viewer). Subsequently, the measurements were evaluated using CBCT images. Results: The data were statistically analysed using normality tests with Shapiro–Wilk and Kolmogorov–Smirnov tests. Based on the results of paired sample tests, it was found that every treatment group had significant differences in the average length of the crowns and roots, with a result of p=0.000 (p<0.05). Conclusion: The use of CBCT is considered quite effective and accurate in evaluating root resorption compared to panoramic photographs.
Burning mouth syndrome caused by xerostomia secondary to amlodipine
Tengku Natasha Eleena binti Tengku Ahmad Noor
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p187-190
Background: Xerostomia, generally referred to as dry mouth, has been identified as a side effect of more than 1,800 drugs from more than 80 groups. This condition is frequently unrecognised and untreated but may affect patients’ quality of life and cause problems with oral and medical health, including burning mouth syndrome (BMS). Purpose: The purpose of this case is to discuss how to manage a patient with BMS caused by xerostomia secondary to medication that has been taken by the patient. Case: We reported that a 45-year-old male military officer from the Royal Malaysian Air Force came to Kuching Armed Forces Dental Clinic with dry mouth and a burning sensation since he started taking 10 mg of amlodipine due to his hypertension. After a thorough physical and history examination, we made a diagnosis of burning mouth syndrome (BMS) caused by xerostomia secondary to amlodipine. Case Management: Oral hygiene instructions, diet advice and prescription of Oral7 mouthwash has been given to reduce the symptoms of BMS. The patient has been referred to the general practitioner to reduce his amlodipine dosage from 10 mg to 5 mg (OD) in order to prevent xerostomia, and oral hygiene instructions have been given. A review after two weeks showed significant changes in the oral cavity, and the patient was satisfied as he is no longer feeling the burning sensation and can enjoy his food without feeling difficulty in chewing and swallowing. Conclusion: Adverse drug events are normal in the oral cavity and may have a number of clinical presentations such as xerostomia. Xerostomia can cause many implications as saliva helps in maintaining oral mucosa and has a protective function. The signs of adverse drug incidents in the oral cavity should be identified to oral health care professionals.
Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion
Fransiska Monika;
Retno Widayati
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p191-195
Background: The treatment options for adults with skeletal Class III malocclusion can be dentoalveolar compensation, also known as orthodontic camouflage, or orthognathic surgery. Camouflage treatment can be carried out with teeth extractions, distalisation of the mandibular dentition, and use of Class III intermaxillary elastics. However, intermaxillary elastics as anchorage has its own risk–benefit. Purpose: To explain that camouflage treatment with teeth extractions can be performed in a mild to moderate skeletal Class III malocclusion using intermaxillary anchorage with elastics, while minimising the deleterious effects and achieving a satisfactory treatment outcome. Case: Our patient was a 25-year-old female who had a skeletal Class III pattern, with normal maxilla and a protruded mandible. She had a straight facial profile with a Class III canine and molar relationship on her right and left sides. Anterior crossbite was also present with crowding on both the maxilla and the mandible. Case Management: The treatment plan was carried out with dentoalveolar compensation by extracting teeth. Extraction of the lower first premolars was conducted to eliminate the crowding and correct the anterior crossbite. The mandibular incisors were retroclined and the maxillary incisors were proclined with dentoalveolar compensation. Passive self-ligating system was used with standard torque prescription, intermaxillary anchorage, and no additional appliances for anchorage control. Class I canine and incisor relationship were both achieved at the end of the treatment, while maintaining the Class III molar relationship. Conclusion: Orthodontic camouflage treatment in an adult patient using a passive self-ligating system and intermaxillary anchorage can improve facial profile and improve dental occlusion.
The relationship between dental fear, anxiety and sociodemography in Jakarta, Indonesia
Lisa Prihastari;
Rima Ardhani Iswara;
Ghina Al Afiani;
Fajar Ramadhan;
Mega Octaviani;
Willy Anugerah Hidayat;
Muhammad Al Faqih;
Ahmad Ronal
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p175-180
Background: The anxiety associated with dental visits is one of the obstacles preventing dentists from improving oral health and is also a significant predictor of dental visit evasion, which is frequently observed in Indonesia. Purpose: To identify the level of dental fear and anxiety in the population of Jakarta, Indonesia and establish the relationship with sociodemographic factors. Methods: A cross-sectional method was used with a sample size of 1811 respondents aged 17–65 years old who were asked to complete the validated Indonesian versions of modified dental anxiety scale (MDAS) and dental fear scale (DFS) questionnaires. The data obtained was then analysed using nonparametric and chi-square tests. Results: The prevalence of subjects with moderate to high dental anxiety and fear was 16.3% (295 respondents) and 36.1% (654 respondents), respectively. The primary sources of dental fear and anxiety were dental drilling and anaesthesia before tooth extraction. The results of the nonparametric and chi-square tests show that both are significantly related to gender, age, educational status, income level, insurance and history of dental visits (p = < 0.05). Conclusion: Several sociodemographic factors are associated with dental fears and anxiety among the participants in Jakarta, Indonesia.
Combining 10% propolis with carbonated hydroxyapatite to observe the RANKL expression in a rabbit’s alveolar bone
Nungky Devitaningtyas;
Ahmad Syaify;
Dahlia Herawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p212-216
Background: Periodontitis causes an increased receptor activator level in the nuclear factor-κβ ligand (RANKL), which is one of the inflammatory mediators that plays a role in osteoclastogenesis. The open flap debridement (OFD) technique is the preferred treatment when accompanied by regenerative periodontal treatment using guided tissue regeneration (GTR) and guided bone regeneration (GBR). Carbonated hydroxyapatite is a GBR material that serves as a scaffold and has strong osteoconductive properties for bone regeneration. Propolis is natural product that can decrease osteoclastogenesis in periodontitis by decreasing the RANKL expression. Purpose: To investigate the RANKL expression after open flap debridement by applying carbonated hydroxyapatite to 10% propolis in the alveolar bone of rabbits. Methods: Nine induced-periodontitis rabbits (Oryctolagus cuniculus) were divided into three treatment groups of Group A OFD, Group B OFD followed by the application of carbonated hydroxyapatite, and Group C OFD followed by application of 10% propolis-carbonated hydroxyapatite. Each group was selected one to euthanised on the seventh, 14th and 28th day, respectively, and prepared using histology slides. The data was analysed using a two-way ANOVA followed by a post-hoc LSD test (p<0.05). Results: The RANKL expression in each group showed significant differences (p=0.00; p<0.05) on the seventh, 14th and 28th day. The post-hoc LSD test showed that the RANKL expression in the treatment group with carbonated hydroxyapatite-10% propolis had significant differences (p<0.05) in the intergroup analysis at different time points. Conclusion: Combining 10% propolis with carbonated hydroxyapatite in OFD treatment can decrease the RANKL expression in a rabbit’s alveolar bone.
Acceleration of post-tooth extraction socket healing after continuous aerobic and anaerobic physical exercise in Wistar rats (Rattus norvegicus)
Aqsa Sjuhada Oki;
Moch Febi Alviansyah;
Christian Khoswanto;
Retno Pudji Rahayu;
Muhammad Luthfi
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p196-200
Background: Physical exercise has been proven to accelerate wound healing. Physical training itself consists of aerobic (continuous training) and anaerobic (interval training) exercise. The effectiveness of continuous physical exercise on post-tooth extraction wound healing is the focus of this study. Purpose: This study aims to investigate the differences in post-tooth extraction wound healing in Wistar rats (Rattus norvegicus) after aerobic and anaerobic exercise based on the number of fibroblasts and neovascularisation. Methods: Wistar rats were divided into three groups: the control group (K1); K2 undertook continuous aerobic exercise, swimming at 50% maximum swimming capacity (MSC) with an additional 3% bodyweight load; K3 undertook anaerobic continuous exercise, swimming at 65% MSC with a 6% load. The rats swam three times per week for six weeks. The number of fibroblasts and neovascularisation were examined three days after tooth extraction. Data was analysed using the one-way analysis of variance (ANOVA) and Least Significant Difference (LSD) tests (p<0.05). Results: There was a significant difference in the number of fibroblasts between the K2 and K3 groups. There was no significant difference between K2 and K3 in the amount of neovascularisation. Conclusion: There were differences in the number of fibroblasts but not neovascularisation after tooth extraction in Wistar rats given aerobic and anaerobic continuous training.
Lemuru fish oil gel as host modulation therapy in periodontal ligaments induced with Porphyromonas gingivalis
W. Widyastuti;
Dian Widya Damaiyanti;
Dian Mulawarmanti;
Cindy Aprilia Sari;
Diah Ayu Siwi
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v53.i4.p229-234
Background: Periodontitis affects approximately 20%–50% of the global population and is caused by gram-negative bacteria, such as Porphyromonas gingivalis (P. gingivalis). Host modulation therapy (HMT) is part of a periodontal therapy that is used as an adjunct to conventional periodontal treatment to reduce tissue damage. Lemuru fish oil containing EPA and DHA can reduce the formation of MMPs and will further increase the number of fibroblasts there by stimulating collagen formation. Purpose: To determine the effect of lemuru fish oil gel on the collagen density and width of the periodontal tissue induced by P. gingivalis and the correlation between these parameters. Methods: Thirty male Wistar rats were divided into five groups. Induction of P. gingivalis was carried out first, then lemuru fish oil gel was applied to the gingival sulcus for 14 days, according to collagen scores in histological preparations using Masson's trichrome (MT). The width of the periodontal ligament was measured with an image raster program in µm. The data were analysed using statistics to test hypotheses using SPSS version 24. Results: Significant differences in the results of the collagen density were observed between groups K- and K+ and groups K+ and P2. Meanwhile, no significant difference was observed between groups K- and P2, P3, P2 and P3 and K+ and P1. The mean values of the periodontal ligament widths were K- (299.61 ± 51.82µm), K+ (425.85 ± 61.54µm), P1 (346.93 ± 33.53µm), P2 (370.15 ± 49.42µm) and P3 (379.6 ± 49.26). Conclusion: Lemuru fish oil can affect the width of the ligament and the collagen density with an optimal concentration of 20%. The correlation between the collagen density and the periodontal ligament width was negative and not significant.