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 aesthetic management of a midline diastema with direct composite using digital smile design, putty index and button shade technique: A case report
Nirawati Pribadi;
S. Sukaton;
Galih Sampoerno;
S. Sylvia;
Hendy Jaya Kurniawan;
Maya Safitri;
Rahmadanty Mustika
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p44-48
Background: A diastema is the distance or space between two or more adjacent teeth. This abnormality can interfere with the aesthetics of a patient, and 97% of diastemas occur in the maxilla. Various treatments can be performed for diastema closure in patients, one of which is composite resin restoration. Purpose: To explain the aesthetic procedure for diastema closure. Case: A 20-year-old female patient presented with complaints of the distance between her anterior teeth (Class I Angle occlusion with normal overjet and overbite). The labial frenum associated with the diastema was normal in size and position. The patient was not amenable to invasive procedures. Case Management: Management of midline diastema closure using the direct composite technique with DSD, the putty index method and button shade technique. Conclusion: The closure of a midline diastema with direct composite using DSD, the putty index method and button shade technique provides aesthetic results with less cost and time due to the absence of laboratory procedures.
Association between age, gender and education level with the severity of periodontitis in pre-elderly and elderly patients
Pitu Wulandari;
Dody Widkaja;
Aini Hariyani Nasution;
Armia Syahputra;
Gebby Gabrina
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p16-20
Background: As individuals grow older, they may be more susceptible to chronic diseases, which can affect their overall health. Periodontitis, for instance, is one of the most common oral diseases that result from prolonged exposure to pathogens. The main etiology of periodontitis is dental biofilms, but several risk factors may also affect the progression of the disease. Purpose: The study aimed to determine whether there was an association between age, gender and education level and the severity of periodontitis using the 2017 American Academy of Periodontology (AAP) classification. Methods: A retrospective analytical study was used to determine the stage and grade of periodontitis in relation to age, gender and education level. Secondary data in the form of medical record status was analysed using software applications. Results: The distribution of periodontitis was 66.7% in pre-elderly patients (45–59 years), 61.5% in male subjects and 39.7% in individuals with middle education levels. Using chi-square analysis, the severity of periodontitis showed a statistically significant correlation with age (p=0.01) and gender (p=0.003). In contrast, the level of education was not statistically correlated to the severity of periodontitis (p=0.887). The percentage of stage IV grade B was highest in elderly patients (65.38%), while stage IV grade C was the highest in male subjects (41.67%). Conclusion: The study showed that age and gender significantly influenced the occurrence and severity of periodontitis, while education level showed the opposite.
Management of patients with aphthous-like ulcers related to aplastic anaemia in the COVID-19 pandemic era through teledentistry: A case report
Lani Berlina Talahatu;
Bima Ewando Kaban;
Nurina Febriyanti Ayuningtyas;
Intan Noha Brilyanti;
Adiastuti Endah Parmadiati;
Desiana Radithia;
Aulya Setyo Pratiwi
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p49-55
Background: Aplastic anaemia is a disease that occurs when the body fails to produce enough blood cells. Oral lesions, such as canker sores, are often used as an early marker of this disease condition. In the COVID-19 pandemic era, a teledentistry method is expected to assist in the management of patients with various diseases including aplastic anaemia. Purpose: This case report discusses the management of patients with aphthous-like ulcers related to aplastic anaemia in a 34-year-old woman, based on history, clinical examination, and blood tests through teledentistry. Case: The patient complained of a bleeding wound on the inner left cheek and corner of the left lip that appeared one month ago. There was an ulcer lesion that was bleeding easily in the buccal mucosa sinistra and the angular sinistra, as well as macules lesion on her hand and foot. The complete blood count test exhibits a low platelet level. Case management: The diagnosis was an aphthous-like ulcer related to aplastic anaemia. Patient was treated with topical antiseptic and anti-inflammatory mouthwashes for the oral lesions, as well as collaboration with the medical team. The lesions improved after the patient received a blood transfusion and drug therapy from the internist while she was hospitalized, but the lesions reappeared in other locations in the oral cavity when the platelet level dropped. Conclusion: Management of oral manifestations in patients with aphthous-like ulcers related to aplastic anaemia in the COVID-19 pandemic era can be done through teledentistry. However, this requires sensitivity from the dentist, patient compliance in following instructions, and the involvement of a multidisciplinary approach, such as collaboration with internists to achieve recovery. Delay in detecting and treating aplastic anaemia will lead to death, as in this case.
The effect of brotowali (Tinospora crispa L.) stem ethanolic extract on the inhibition of Candida albicans biofilm formation
Suryani Hutomo;
Christiane Marlene Sooai;
Maria Silvia Merry;
Ceny Gloria Larope;
Haryo Dimasto Kristiyanto
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p21-25
Background: Candida albicans (C. albicans) is an opportunistic pathogen that can be found in the oral cavity and other parts of the body. This species is the main cause of oral candidiasis and forms a biofilm as its virulence factor. Due to increasing cases of antifungal resistance, research is needed on methods to control Candida biofilm formation. Brotowali (Tinospora crispa L.) is known to be antifungal, antiseptic and antiparasitic. Purpose: The purpose of this study is to analyse the ability of brotowali stem extract to inhibit Candida biofilm formation. Methods: The susceptibility of C. albicans to this extract was examined by a minimum inhibitory concentration (MIC) test using the broth microdilution method. A bacterial adherence assay was performed by similar methods of the MIC assay. A brotowali stem extract of various concentrations were incubated in a yeast peptone dextrose broth medium and stimulated with a C. albicans suspension. The 0.1% crystal violet was used to stain the adherent fungi and measured using a microplate reader at 595 nm. Scanning electron microscopy (SEM) was performed to provide a general overview of the biofilm formation. Results: The MIC value for the brotowali stem extract was at a concentration of 5,000 μg/ml. Moreover, this extract inhibited fungal adherence starting at a concentration of 250 μg/ml. Observation using SEM confirmed these results. Statistical analysis using one-way analysis of variance demonstrated a significant difference of C. albicans adherence following stimulation with brotowali extract (p < 0.005). Conclusion: Brotowali stem extract can inhibit C. albicans biofilm formation at an optimal concentration of 1,000 μg/ml.
Addition of gourami (Osphronemus goramy) fish scale powder on porosity of glass ionomer cement
Erawati Wulandari;
Farah Rachmah Aulia Wardani;
Nadie Fatimattuzahro;
I Dewa Ayu Ratna Dewanti
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p33-37
Background: Porosity is one of the disadvantages of glass ionomer cement (GIC) restorative materials, as it causes a reduction in strength and durability; the greater the porosity, the lower the strength of the restorative material and vice versa. As gourami fish scales contain calcium and phosphate, they have the potential to reduce the porosity of GIC. Purpose: This study aimed to analyse the effect of adding gourami fish scale powder (GFSP) on the pore size and porosity level of the GIC. Methods: This experimental research included a post-test-only control. The GFSP was fabricated using the freeze-drying method. Sixteen Fuji IX Extra sample cylinders with a diameter of 5 mm and a height of 3 mm were divided into four groups: K0, which comprised GIC without the addition of GFSP; K1, which contained GIC powder + 2.5% GFSP (by weight); K2, which comprised GIC powder + 5% GFSP (by weight), and K3, which contained GIC powder + 10% GFSP (by weight). The samples were observed using scanning electron microscopy and measured using ImageJ software. Data were analysed using a one-way analysis of variance (ANOVA) test. Results: The addition of 2.5% GFSP (by weight) produced the smallest pore size and lowest porosity, while the one-way ANOVA test results were significant among all groups at p = 0.000. There was no significant difference in pore sizes between K0 and K1 (p = 0.359), but a significant difference was found in the level of porosity (p = 0.024). Conclusion: The addition of GFSP affected the porosity of the GIC; the pore size and porosity level of the GIC were reduced by the addition of 2.5% GFSP.
Progressivity analysis of pleomorphic adenoma toward carcinoma ex pleomorphic adenoma
Mei Syafriadi;
Dina Zakiyatul Ummah;
Aisyah Izzatul Muna;
Maria Evata Krismawati Surya
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p1-6
Background: Pleomorphic adenoma (PA) is a benign salivary gland tumour with high incidence and recurrence after treatment. It may recur with the same appearance or develop toward malignancy, namely as carcinoma ex pleomorphic adenoma (CXPA). Howthis tumour can transform into a CXPA remains unclear. Purpose: The aim of this study was to analyse the possibility of pathogenesis and progressivity of PA to CXPA. Methods: Twenty-four samples of PA and three control samples of CXPA were stained with haematoxylin and eosin (HE), Mallory’s trichrome, and Periodic acid–Schiff (PAS). All of the PA cases were identified through different kinds of stroma, tumour cells types, morphologic patterns, or else through atypical appearance of the PA similar to the CXPA. Results: Twenty-four samples of PA demonstrated that the most dominant stroma was myxofibrous, and the dominant tumour cell type was plasmacytoid cells with a trabecular pattern. Additionally, in the pleomorphic histological picture of adenomas we found several patterns of malignant tumour behaviour, including pseudopodia, metaplasia and hyalinisation, and cholesterol crystals that are thought to come from fat cell necrosis derived from adipose metaplasia. Conclusions: PA displays several atypical characteristics that have the potential to develop into malignancies such as CXPA, due to capsular infiltration, necrosis, hyalinization and high mitotic activity of cells, but all these atypical characteristics that we observed still cannot be clearly classified as CXPA because they require other specific examinations.
Tumor necrosis factor-α and osterix expression after the transplantation of a hydroxyapatite scaffold from crab shell (Portunus pelagicus) in the post-extraction socket of Cavia cobaya
Irvan Salim;
Michael Josef Kridanto Kamadjaja;
Agus Dahlan
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p26-32
Background: Socket preservation using bone graft is one way to minimise resorption and maximise the bone formation process. Tumor necrosis factor-α (TNF-α) is an inflammatory cytokine that affects bone regenerating osteoblast activity, while osterix (Osx) is an osteoblast-specific transcription factor that activates gene receptors during pre-osteoblast differentiation. The hydroxyapatite (HA) scaffold from crab shells (Portunus pelagicus) has osteoconduction properties. Purpose: To analyse the decrease of TNF-α expression and the increase of Osx expression and the correlation between these two in the post-extraction socket after the transplantation of a crab shell HA scaffold. Methods: The lower left incisors of Cavia cobaya (n = 24) were extracted and divided into four groups: the first and second groups were control groups on Day 7 and Day 14 (K7 and K14), the third and fourth groups were treatment groups (P7 and P14). The statistical analysis used was a multivariate analysis of variance (MANOVA) with a significance level of 0.05. Results: A MANOVA test showed that the use of crab shell HA scaffolds led to a significant difference (p < 0.05) in TNF-α expression (p = 0.01) and Osx expression (p = 0.01). A Pearson correlation test result showed a strong inverse correlation between TNF-α and Osx expressions (p = 0.00 and r = -0.78). Conclusion: The transplantation of HA scaffolds from crab shells can decrease TNF-α expression but increase Osx expression in the post-extraction socket of C. cobayas. Furthermore, an inverse correlation was found between TNF-α and Osx.
Exercise as a method to reduce the risk of oral cancer: A narrative review
Anis Irmawati;
Lia Aulia Rachma;
S. Sidarningsih;
Muhammad Naufal Hatta;
Ira Arundina;
Mohammed Aljunaid
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p56-61
Background: Cancer is a major cause of death worldwide. One of the most common forms of cancer is oral cancer, which can occur due to exposure to carcinogenic factors, such as tobacco cigarettes, alcohol, betel-nut chewing, ultraviolet rays or human papillomavirus infection. Physical exercise is known to have many benefits and can contribute to reducing the risk of cancer, minimising the side-effects of treatment and increasing the curative effect of cancer treatment. Purpose: This study aimed to explain the role of exercise as a method to reduce oral cancer risk. Reviews: Studies examining the impact of exercise on reducing oral cancer risk are currently limited due to a lack of research on this subject. However, according to several laboratory experimental research studies on Mus musculus test subjects, moderate-intensity exercise contributes to suppressing the proliferation and development of oral squamous epithelial cells, which can subsequently become cancer cells. Exercise can also increase intracellular proteins that can induce apoptosis in cells (e.g. wild protein p53, the ratio of Bax/Bcl-2, and caspase-3), and can also decrease p53 mutant expression and transformed cells that can trigger cancer. Exercise must be optimally performed to prevent or control cancer symptoms, although the exact duration and intensity of exercise required to reduce cancer risk in humans have not been established. Conclusion: Exercise plays a role in reducing oral cancer risk by inducing apoptosis and preventing the development of transformed cells that can lead to developing cancer.
The effect of an 8% cocoa bean extract gel on the healing of alveolar osteitis following tooth extraction in Wistar rats
I. Isnandar;
Olivia Avriyanti Hanafiah;
Muhammad Fauzan Lubis;
Lokot Donna Lubis;
Adzimatinur Pratiwi;
Yeheskiel Satria Yoga Erlangga
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p7-12
Background: Alveolar osteitis is a well-known complication that occurs following a tooth extraction when the clot within the socket breaks down too early, causing increased localised inflammation and extreme pain. Alveolar osteitis delays the wound healing process of the socket. The polyphenols in the cocoa bean (Theobroma cacao L.) can stimulate the wound healing process. Purpose: The aim of this study was to analyse the effect of an 8% cocoa bean extract gel on the healing of alveolar osteitis following a tooth extraction. Methods: This study is an in vivo experiment with a posttest-only control group design. Thirty-six male Wistar rats were divided into three groups: a negative control, positive control and an 8% cocoa bean extract gel. A tooth extraction was performed on the mandibular incisor, and alveolar osteitis was induced by the application of adrenaline using a paper point on the socket. On the 3rd, 7th and 14th days, the clinical wound size of the extraction socket was measured, and the rats were sacrificed to observe the number of macrophages, fibroblasts and osteoblasts microscopically. A two-way analysis of variance test and post hoc least significant difference test were used to analyse the data (p < 0.05). Results: The data analysis showed a significant difference in the clinical wound size of the extraction socket and the number of macrophages, fibroblasts and osteoblasts between the 8% cocoa bean extract gel and the control groups (p = 0.000). Conclusion: An 8% cocoa bean extract gel stimulates the healing of alveolar osteitis following tooth extraction in Wistar rats.
The effects of unilateral posterior crossbite toward the superficial masseter and anterior temporalis on muscle activity during mastication: A surface electromyographic study
Agnes Imelda Izach;
C. Christnawati;
Darmawan Susantyo
Dental Journal (Majalah Kedokteran Gigi) Vol. 55 No. 1 (2022): March 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v55.i1.p38-43
Background: Adapted patterns of mastication caused by unilateral posterior crossbite require early orthodontic treatment to prevent permanent muscle change. Stable orthodontic results depend on the harmonious contraction of the occlusion and masticatory muscles. Purpose: Using surface electromyography, this study aimed to analyse the effects of unilateral posterior crossbite on the superficial masseter as well as anterior temporalis muscle activity on the crossbite and non-crossbite sides during chewing soft and hard foods. Methods: A cross-sectional study was conducted on 20 subjects with at least two posterior teeth who had a unilateral posterior crossbite without mandible shifting. Surface electromyography was used to measure activity amplitudes for the superficial masseter and the anterior temporalis muscles while chewing soft and hard foods. An independent t-test was used to determine the mean difference between chewing soft and hard foods through the superficial masseter and anterior temporalis muscles. Results: Results showed a significant difference in amplitude mean between crossbite and non-crossbite sides of the superficial masseter and anterior temporalis muscles with both soft and hard food chewing (p < 0.05). The study also revealed a decrease in the activities of superficial masseter and anterior temporalis muscles when masticating soft and hard foods on the crossbite sides as compared to the non-crossbite sides. Conclusion: A unilateral posterior crossbite results in a decrease in the superficial masseter and the anterior temporalis muscle activity when masticating both soft and hard foods on the crossbite side.