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Dental Journal (Majalah Kedokteran Gigi)
Published by Universitas Airlangga
ISSN : 19783728     EISSN : 24429740     DOI : -
Core Subject : Health,
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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Articles 964 Documents
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.
Management of horizontal crown fracture caused by traumatic injury with endorestoration treatment Nanik Zubaidah
Dental Journal (Majalah Kedokteran Gigi) Vol. 44 No. 3 (2011): September 2011
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 (562.06 KB) | DOI: 10.20473/j.djmkg.v44.i3.p154-158

Abstract

Background: Traumatic injuries of teeth are the main cause of emergency treatment in dental practice. The horizontal crown fracture more frequently observed usually occurs in maxillary anterior region and young male patients. The most common type of coronal fracture is in the middle third, followed by root and apical part. Purpose: The aim of this case report is to present the management of crown fracture of teeth with pulp exposure caused by dental trauma with endorestoration treatment in order to reconstruct the shape and the function of the teeth. Case: A 22 years old male with horizontal crown fracture of anterior teeth. The patient asked for aesthetic dental treatment both for its form and function. Case management: This horizontal crown fracture of anterior teeth with pulp exposure caused by dental trauma still could be reconstructed, mainly by endorestoration treatment. The endodontic treatment with post and core insertion in the root canal then would increase its retention. Later, the porcelain crown would aesthetically recover its original form and function, therefore, it would improve the patient’s confidence and teeth function. Conclusion:  Endorestoration treatment on anterior teeth with harizontal crown fractures and pulp exposure is able to recover the normal function, aesthetic, and self-confidence.Latar belakang: Trauma pada gigi merupakan penyebab utama perawatan darurat dalam praktek dokter gigi. Fraktur mahkota horisontal pada umunya terjadi pada gigi anterior rahang atas dan terjadi pada penderita pria muda. Jenis yang paling sering dari fraktur mahkota adalah pada sepertiga tengah, daerah akar dan apical. Tujuan: Laporan kasus ini menjelaskan penatalaksanaan fraktur mahkota gigi dengan pulpa terbuka akibat trauma dengan perawatan endorestorasi untuk mengembalikan bentuk dan fungsi gigi. Kasus: Penderita pria umur 22 tahun dengan fraktur mahkota horizontal pada gigi anterior. Penderita tersebut menginginkan perawatan estetik untuk mengembalikan bentuk dan fungsi giginya. Tatalaksana kasus: Fraktur akar horisontal gigi anterior dengan pulpa terbuka oleh karena trauma gigi dapat direstorasi dengan perawatan endorestorasi. Perawatan endodontic dengan pasak dan inti dimasukkan ke dalam saluran akar dapat meningkatkan retensi. Kemudian mahkota porselen dapat mengembalikan bentuk dan fungsinya, karena itu dapat meningkatkan percaya diri pasien dan fungsi giginya. Kesimpulan: Perawatan endorestorasi pada gigi anterior dengan fraktur mahkota harizontal dan pulpa terbuka dapat mengembalikan fungsi estetik dan percaya diri pasien.
The effect of soda immersion on nano hybrid composite resin discoloration M. Chair Effendi; Yuli Nugraeni; Rizki Widya Pratiwi
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 1 (2014): March 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 (276.088 KB) | DOI: 10.20473/j.djmkg.v47.i1.p37-40

Abstract

Background: Composite resin is the tooth-colored restorative material which most of the people are fond of due to their aesthetic value. The composite resin discoloration may happen because of the intrinsic and extrinsic factors. Soda water is one of the beverages which can cause the composite resin discoloration. Purpose: The study was aimed to determine the effect of soda immersion on nano hybrid composite resin discoloration. Methods: The study was an experimental laboratory study using 100 shade A3 nano hybrid composite resin specimens with the diameter of 5 mm and density of 2mm. The samples were divided into 5 groups, each group was immersed in different beverages. The beverages were mineral water; lemon-flavored soda; strawberry-flavored soda; fruit punch-flavored soda; and orange-flavored soda for 3, 7, 14 and 21 days respectively, in the temperature of 37o C. The discoloration measurement utilizes Spectrophotometer, Vita Easy Shade, and uses CIEL*a*b* method. Results: The result showed that the duration of immersion in soda had an effect on the Nano hybrid composite resin discoloration. Strawberry and fruit punch- flavored soda were the most influential components toward the discoloration. Nevertheless, the generally-occurred discoloration was clinically acceptable (∆E ≤ 3,3). Conclusion: The study suggested that the soda immersion duration has effect on Nano hybrid composite resin discoloration.Latar belakang: Resin komposit adalah material sewarna gigi yang diminati masyarakat karena memiliki nilai estetik yang baik. Perubahan warna resin komposit dapat terjadi karena faktor intrinsik dan ekstrinsik. Minuman soda merupakan salah satu minuman yang dapat menyebabkan perubahan warna pada resin komposit. Tujuan: Tujuan dari penelitian ini untuk meneliti perubahan warna resin komposit nanohibrida akibat perendaman dalam minuman soda. Metode: Metode yang digunakan pada penelitian ini adalah eksperimental laboratorik dengan menggunakan 100 spesimen resin komposit nanohibrida shade A3 berdiameter 5 mm dan tebal 2 mm. Sampel dibagi dalam 5 kelompok, masing-masing kelompok direndam dalam minuman yang berbeda, yaitu direndam dalam air mineral, soda lemon, soda strawberi, soda fruitpunch, dan soda jeruk selama 3, 7, 14 dan 21 hari, dalam suhu 37o C. Pengukuran perubahan warna menggunakan Spectrophotometer, Vita Easy Shade dengan metode CIEL*a*b*. Hasil: Hasil penelitian menunjukkan bahwa lama perendaman pada minuman soda berpengaruh terhadap perubahan warna resin komposit nanohibrida. Soda yang paling berpengaruh terhadap perubahan warna adalah soda strawberi dan soda fruitpunch. Namun perubahan warna yang terjadi secara umum masih dapat diterima secara klinis (∆E ≤ 3,3). Simpulan: Hasil penelitian ini menunjukkan bahwa lamanya waktu perendaman mempengaruhi perubahan warna pada resin komposit nanohibrida.
Calcium hydroxide as intracanal dressing for teeth with apical periodontitis Sari Dewiyani
Dental Journal (Majalah Kedokteran Gigi) Vol. 44 No. 1 (2011): March 2011
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 (333.116 KB) | DOI: 10.20473/j.djmkg.v44.i1.p12-16

Abstract

Background: Root canal infection and periapical diseases are caused by bacteria and their products. Long term infection may spread bacteria throughout the root canal system. Apical periodontitis caused by infectious microbe that persistent in root canals can cause radiographic and histopathology periapical changes. Chemomechanical preparation and intracanal dressing then are recommended to be conducted and used in between visits to eliminate microbes in root canals. Calcium hydroxide (Ca(OH)2) can be used as intracanal dressing since it can be used as musical physical defense barrier to eliminate re-infection in root canal and to disturb nutrition supply for bacterial development. Purpose: The aim of this study is observe the effectiveness of Ca(OH)2 in treating endodontic teeth with apical periodontitis. Cases: Case 1 and 3 are about patients whose left posterior mandibular teeth had spontaneous intermittent pain. Case 2 is about a patient whose left posterior maxillary teeth had gingival abscess and fracture history. Based on the radiographic examination, it was known that the filling of root canal was incomplete and there was radiolucency in the apical area. Case management: The cases were treated with triad endodontics, which involves preparation, disinfection by using 2.5% NaOCl as irrigation substance and calcium hydroxide as intracanal dressing, and then the filling of root canal with gutta percha and endomethasone root canal cement. Evaluations were conducted one month, 12 months, and 24 months after the treatment. Conclusion: Calcium hydroxide is effective to be used as intracanal dressing in apical periodontitis cases.Latar belakang: Infeksi saluran akar dan penyakit periapeks disebabkan oleh mikroba dan produknya. Infeksi yang berlangsung lama memungkinkan bakteri masuk ke dalam seluruh sistem saluran akar. Periodontitis apikal disebabkan oleh infeksi persisten mikroba di dalam sistem saluran akar disertai perubahan radiografik dan histopatologik periapeks. Preparasi kemomekanis dan penggunaan obat saluran akar antar kunjungan sangat dianjurkan untuk mengeleminasi mikroba dalam saluran akar. Kalsium hidroksida merupakan obat saluran akar karena dapat berperan sebagai barrier pertahanan fisik, mencegah infeksi ulang dan mengganggu suplai nutrisi untuk perkembangan bakteri. Tujuan: Untuk membuktikan efektifitas kalsium hidroksida pada perawatan gigi dengan periodontitis apical yang disertai dengan keluhan sakit dan adanya gambaran radiolusensi di periapikal. Kasus: Kasus 1 dan 3 adalah penderita dengan keluhan gigi belakang bawah kiri sakit dengan nyeri spontan hilang timbul, kasus 2 adalah penderita yang gigi depan atas terdapat benjolan di gusi dan riwayat fraktur. Pada pemeriksaan radiografis terlihat pengisian saluran akar yang tidak sempurna dan gambaran radiolusensi di apikal. Tatalaksana kasus: Pada kasus ini dilakukan tindakan triad endodontik, yaitu preparasi saluran akar, desinfeksi dengan larutan irigasi NaOCl 2,5% dan obat intrakanal kalsium hidroksida disertai dengan pengisian saluran akar dengan gutta percha dan semen saluran akar endomethason. Evaluasi dilakukan 1 bulan, 12 bulan, dan 24 bulan. Kesimpulan: Kalsium hidroksida efektif sebagai obat intrakanal pada kasus periodontitis apikal.
Peran kalsium sebagai prevensi terjadinya hipoplasia enamel (The role of calcium on enamel hypoplasia prevention) Soegeng Wahluyo
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 3 (2013): September 2013
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 (731.067 KB) | DOI: 10.20473/j.djmkg.v46.i3.p113-118

Abstract

Background: Fluoride is a trace element found in many natural and commonly consumed by humans in the form of fluoride salts such as Sodium Fluoride (NaF). The impacts that are most often caused by the intake of fluoride is a damage of enamel tooth/enamel hypoplasi or fluorosis. The manifestations of these effects are defects in teeth with whitish colour, brown to black colour effected on the aesthetic. So that the prevention of fluorosis is required. Purpose: The aim of this study was to analyze the effect of calcium as prevention against tooth enamel fluorosis in Wistar rats caused by exposure to fluoride through indicators of Amelogenin, Calbindin- 28kDa protein expression, the matrix of tooth enamel density and distance between ameloblast cell. Methods: This was an experimental studies, post-test only control group design. This study used three groups of rats. Group 1 (Control) was induced by sterile destilled water, group 2 (treatment 1) was induced by fluoride and group 3 (treatment 2) was induced by combination of fluoride and calcium. Each induction was done through sonde for 28 days. results: The results showed that the induction of fluoride causes the increased expression of Amelogenin protein; decreased expression of Calbindin-28kDa protein; a decrease in the density of the enamel matrix and widen the distance between cells ameloblast, while the result of the combination induced by fluoride and calcium showed increased protein expression of Calbindin-28kDa and increased density of the enamel matrix. Conclusion: Calcium can be used as an alternative preventive against the occurrence of enamel hypoplasia due to exposure of fluoride in Wistar rats.latar belakang: Fluorida adalah salah satu trace element yang ada dialam dan sering dikonsumsi manusia dalam bentuk garam fluorida yaitu sodium fluoride (NaF). Paparan fluorida biasanya berkaitan dengan asupan fluorida yang dapat membahayakan enamel gigi yaitu terjadinya hipoplasia enamel atau fluorosis. Manifestasi efek ini memberikan gambaran berupa defect pada enamel gigi ditandai dengan perubahan warna dari kecoklatan hingga kehitaman dan penyebab estetik yang tidak baik, maka diperlukan usaha pencegahan fluorosis tersebut. tujuan: Studi ini adalah menganalisis efek kalsium terhadap prevensi terjadinya fluorosis pada tikus Wistar yang terpapar fluorida, dengan indikator ekspresi protein Amelogenin, Calbindin-28kDa, densitas matriks enamel dan jarak antar sel ameloblas. Metode: Studi ini merupakan studi eksperimental dengan desain Post Test Only Control Group, yang menggunakan 3 kelompok tikus. Kelompok-1 (kontrol) di induksi dengan aquadest steril, kelompok-2 (treatmen-1) diinduksi dengan fluorida dan kelompok-3 (treatmen-2) diinduksi dengan kombinasi antara fluorioda dan kalsium. Induksi dilakukan selama 28 hari melalui sonde. hasil: Menunjukkan bahwa induksi dengan fluorida menyebabkan peningkatan ekspresi protein Amelogenin dan terjadi penurunan ekspresi protein Calbindin-28kDa, dan penurunan kepadatan matriks enamel serta pelebaran jarak antar sel. Tetapi bila diinduksi dengan kombinasi fluorida dan kalsium maka terjadi peningkatan ekspresi Calbindin-28kDa dan peningkatan densitas matriks enamel. Simpulan: Kalsium dapat digunakan sebagai alternative terhadap terjadinya hipoplasia enamel akibat paparan fluorida pada tikus Wistar.
Multidisciplinary management of a mandibular buccal plate perforation Yuli Nugraeni; Chiquita Prahasanti
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 4 (2010): December 2010
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 (526.172 KB) | DOI: 10.20473/j.djmkg.v43.i4.p195-200

Abstract

Background: Endodontists often have difficulty in the management of endo-perio cases, because they cannot visually detect the condition of outer root surfaces, especially in bucco-lateral roots. The bone defect is rare and its treatment needs collaboration of endodontists and periodontists. An endodontist treats cases based on dental history, radiograph of root canals to measure root canals, to uncover abnormalities and to diagnose, but as the endodontists cannot directly see the affected parts, the unseen portion of the tooth could only be seen after flap surgery. Purpose: This case presents the importance of multidisciplinary approach by the endodontist and periodontitis to treat bucal plate perforations in endo-perio cases. Case: The first patient, a 47-year-old female had endodontic treatment and a porcelain crown restoration; however, after several months she felt pain. The second patient, a 45 year-old female had endodontic treatment and after six months she feel painful. Case management: The first patient, was referred to a periodontist. The opening flap surgery has been done, a bone defect was found in tooth 45. Subsequently, the exposed crater was filled with a bone graft and the pain disappeared. The second patient, with improper endodontic treatment. The flap surgery was conducted, there was found a bone defect in tooth 36. The last treatment, a bone graft has been covered and then the pain was not present. Conclusion: Proper diagnosis and treatment of perforations on the buccal aspect of a root was able to eliminate pain and avoid tooth extraction.Latar belakang: Endodontis sering mengalami kesulitan dalam menangani kasus endo-perio karena secara visual kondisi ini tidak tampak diluar permukaan akar, khususnya pada akar bukolateral. Defek tulang sangatlah jarang dan perawatannya membutuhkan kolaborasi endodotis dan periodontis. Seorang endodontis merawat kasus-kasus berdasarkan riwayat gigi, radiografis saluran akar untuk melihat saluran akar, melihat abnormalitas dan diagnosis, tetapi ketika endodontis tidak dapat secara langsung melihat bagian yang terlibat, bagian gigi yang tidak terlihat ini hanya dapat dilihat setelah dilakukan bedah flap. Tujuan: Kasus ini menunjukkan pentingnya pendekatan multidisipliner oleh endodontis dan periodontis dalam menangani perforasi aspek bukal akar pada kasus endoperio. Kasus: Pasien pertama, seorang wanita 47 tahun telah mendapatkan perawatan endodontik dan restorasi mahkota porselen, akan tetapi selama beberapa bulan pasien tersebut mengeluh nyeri. Pasien kedua, seorang wanita 45 tahun telah mendapatkan perawatan endodontik dan setelah 6 bulan juga mengeluh nyeri pada gigi tersebut. Tatalaksana kasus: Pasien pertama dirujuk ke periodontis. Bedah pembukaan flap dilakukan dan ditemukan defek tulang pada gigi 45, kemudian crater yang terbuka diisi graft tulang dan nyeri berangsur hilang. Pada pasien kedua ditemukan perawatan endodontik yang kurang baik. Pada pasien ini ilakukan bedah flap dan ditemukan defek tulang pada gigi 36, pada akhir perawatan graft tulang dipasang dan nyeri berangsur hilang. Kesimpulan: Diagnosa dan perawatan perforasi yang tepat pada aspek bukal akar dapat menghilangkan nyeri dan menghindari ekstraksi gigi.
Treatment of non-vital primary molar using lesion sterilization and tissue repair (LSTR 3Mix-MP) Tania Saskianti; Udijanto Tedjosasongko; Irmawati Irmawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 2 (2013): June 2013
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 (315.402 KB) | DOI: 10.20473/j.djmkg.v46.i2.p80-84

Abstract

Background: Root canal preparation and anatomic variations of deciduous teeth often cause the child patient uncooperative and sometimes the treatment failure. the non-threatening treatment and non-invasive approaches is needed to obtain a good cooperation from child patient. Purpose: The study was aimed to clinically evaluate the use of 3Mix-MP- a combination of antibacterial drugs, i.e. metronidazole, minocycline and ciprofloxacin (3Mix), and macrogol and propylene glycol (MP) - as pulp medicament on a necroses primary molar. Methods: Subject were the children patients of Pediatric Dental Clinic Universitas Airlangga Dental Hospital. Eight primary molars with pulp necroses due to dental caries were selected as samples. The treatment was done based on the concept of lesion sterilization and tissue repair (LSTR) therapy. A slice of 3 Mix-MP pastes was placed in the cavity and then sealed with glassionomer cement. Subjects were asked for recall visit in 1, 3 and 6 months post treatment, for clinical and radiographic evaluation. The antibacterial effect of 3 Mix-MP was compared with tempophore on mixed bacteria of pulp cavity which was isolated prior to therapy. The antibacterial effect was determined by measuring the inhibition zone after 24 hours anaerobe incubation. Results: Seven out of 8 subjects on recall visit showed no acute or chronic clinical symptoms, such as fistulae, abscess, purulent exudates, swelling or feel any pain during mastication. Microbiological test result showed LSTR 3Mix-MP had antibacterial effect higher than tempophore (p<0.001). Conclusion: The study revealed that 3Mix-MP treatment showed clinical and radiographic positive response on necrose primary molar.Latar belakang: Preparasi saluran akar dan variasi anatomi gigi sulung seringkali menyebabkan pasien anak tidak kooperatif dan kadang menyebabkan kegagalan perawatan. Perawatan yang tidak menakutkan dan non-invasif diperlukan untuk mendapatkan kerjasama yang baik dari pasien anak. Tujuan: Penelitian ini bertujuan untuk evaluasi klinis penggunaan 3Mix - MP- kombinasi obat antibakteri, yaitu metronidazole, minocycline dan ciprofloxacin (3Mix), dan makrogol dan propilen glikol (MP) – sebagai pengobatan pulpa pada gigi molar sulung yang nekrose. Metode: Subjek adalah pasien anak dari Klinik Kedokteran Gigi Anak Rumah Sakit Gigi & Mulut Universitas Airlangga. Delapan gigi molar sulung dengan nekrosis pulpa akibat karies gigi dipilih sebagai sampel. Pengobatan dilakukan berdasarkan konsep lesion sterilization and tissue repair (LSTR). Selapis pasta 3 Mix - MP ditempatkan di kavitas gigi dan kemudian ditumpat dengan semen glass-ionomer. Subjek diminta untuk kontrol untuk evaluasi klinis dan radiografi 1, 3 dan 6 bulan pasca perawatan. Efek antibakteri 3 Mix - MP terhadap bakteri campuran rongga pulpa yang diisolasi sebelum terapi dibandingkan dengan tempophore . Efek antibakteri ditentukan dengan mengukur zona hambat setelah 24 jam inkubasi anaerob. Hasil: Tujuh dari 8 subjek pada saat kontrol tidak menunjukkan gejala klinis akut atau kronis, seperti fistula, abses, eksudat purulen, bengkak atau merasa sakit selama pengunyahan. Hasil uji mikrobiologi menunjukkan LSTR 3Mix - MP memiliki efek antibakteri yang lebih tinggi daripada tempophore (p<0,001). Simpulan: Hasil penelitian menunjukkan bahwa penggunaan 3Mix - MP memberikan respon positif pada perawatan molar sulung yang nekrotik secara klinis dan radiografis.
The correlation between immunoexpression of estrogen receptor and the severity of periodontal disease Yuliana Mahdiyah Da’at Arina; S. Sunardhi Widyaputra; Koeswadji Koeswadji
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (649.628 KB) | DOI: 10.20473/j.djmkg.v43.i3.p117-121

Abstract

Background: The decreased level of estrogen during menopause may be one of the risk factors of periodontal disease. The influence of estrogen to periodontal tissue disturbance is mediated by the presence of estrogen receptor on tissue. The precise mechanism how the estrogens mediate this effect is still unclear. Purpose: The aim of this study was to determine the correlation between estrogen receptor α and ß on the periodontal pocket of women who had severe chronic periodontitis measured based on the periodontal pocket depth. Methods: Twenty four periodontitis patients from menopausal and productive women according to the criteria were examined upon her periodontal status and immunoexpression of estrogen receptor α and ß on their periodontal pocket wall. Results: The result showed that in the menopausal and productive women, immunoexpression of estrogen receptor α and ß was not correlated with the periodontal pocket depth (p>0.05). However, the pocket depth seemed to show higher correlation with immunoexpression of estrogen receptor α than that with estrogen receptor ß, r=0.37 vs. r=0.12 for menopausal women, and r=41 vs. r=0.11 for productive women. Conclusion: It was concluded that no significant correlation was found between the estrogen receptor and periodontal pocket depth both on menopausal and productive women, presumed that estrogen has little role in the severity of periodontitis based on periodontal pocket depth. However, the estrogen receptor α has valuable effect on the severity of periodontal disease more than the estrogen receptor ß.Latar belakang: Berkurangnya kadar estrogen pada masa menopause merupakan salah satu faktor resiko penyakit periodontal. Peran estrogen dalam kerusakan jaringan periodontal dimediatori oleh reseptor estrogen α dan ß yang terdapat dalam jaringan. Akan tetapi, mekanisme estrogen mempengaruhi efek ini sampai saat ini masih belum jelas. Tujuan: Penelitian ini bertujuan untuk menentukan korelasi antara reseptor estrogen pada poket periodontal wanita menopause penderita periodontitis kronis dengan keparahan periodontitis yang ditentukan berdasarkan kedalaman poket. Metode: Dilakukan pemeriksaan status periodontal dan immunoekspresi reseptor estrogen α dan ß pada dinding poket periodontal dari 24 wanita menopause dan belum menopause penderita periodontitis yang sesuai dengan kriteria yang telah ditetapkan. Hasil: Hasil mendapatkan bahwa immunoekspresi reseptor estrogen α dan ß tidak berkorelasi dengan kedalaman poket periodontal wanita menopause dan belum menopause (p>0,05). Meskipun demikian, kedalaman poket periodontal tampak lebih berkorelasi dengan reseptor estrogen α daripada dengan reseptor estrogen ß, dengan nilai r=0,37 vs r=0,12 pada wanita menopause, dan r=0,41 vs r=0,11 pada wanita belum menopause. Kesimpulan: Dapat disimpulkan bahwa tidak terdapat korelasi yang signifikan antara reseptor estrogen dan kedalaman poket periodontal wanita menopause dan belum menopause sehingga diduga bahwa estrogen mempunyai sedikit pengaruh pada keparahan periodontitis. Meskipun demikian, reseptor estrogen α tampak lebih berperan terhadap keparahan penyakit periodontal dibandingkan reseptor estrogen ß.
Effect of Citrus aurantifolia swingle essential oils on methyl mercaptan production of Porphyromonas gingivalis Anindya Prima Yusinta; Ivan Arie Wahyudi; Anne Handrini Dewi
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 1 (2013): March 2013
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 (168.288 KB) | DOI: 10.20473/j.djmkg.v46.i1.p50-54

Abstract

Background: Halitosis is a term used to describe an unpleasant odors emanating timely from oral cavity. The unpleasant smell of breath most common caused from volatile sulphure compound (VSC). Methyl mercaptan is the major component of VSC. P. gingivalis produced large amount of methyl mercaptan. The essential oils of Citrus aurantifolia swingle contain antibacterial component. Purpose: The purpose of this study was to determine the effect of essential oil of Citrus aurantifolia swingle on the production of methyl mercaptan compounds in P. gingivalis. Methods: Bacterial suspension of P. gingivalis in TSB medium with 108 CFU/ml concentration cultured in a microplate and added by the essential oils of Citrus aurantifolia swingle with 1%, 2%, 3% and 4% concentration. Distilled water was used as negative control and 0.2% Chlorhexidine mouthwash was used as a positive control. Microplate was incubated anaerobically for 48 hours. After the periode of incubation, 0.6% methionine as the exogenous substrate and 0.06% DTNB as a reagen for determining methyl mercaptan concentration were added to each wells. The microplate was futher incubated for 12 hours. Concentration of methyl mercaptan produced by the P. gingivalis was measured spectrophotometrically using microplate reader at 415 nm. Results: One-way ANOVA showed that the essential oil of Citrus aurantifolia swingle take effect on the concentration of methyl mercaptan produced by P. gingivalis. LSD test results indicated that there was a significant difference of methyl mercaptan concentration between treatment groups of the essential oils of Citrus aurantifolia swingle and distilled water that used as negative control. Conclusion: The essential oil of Citrus aurantifolia swingle has decreased the production of methyl mercaptan produced by P. gingivalis.Latar belakang: Halitosis adalah istilah yang digunakan untuk menggambarkan bau tidak sedap yang berasal dari rongga mulut. Penyebab utama halitosis adalah senyawa volatile sulphur compound (VSC) dan metil merkaptan merupakan komponen VSC yang paling dominan menyebabkan halitosis. P. gingivalis dapat memproduksi metil merkaptan dalam jumlah banyak. Minyak atsiri kulit jeruk nipis (Citrus aurantifolia swingle) memiliki kandungan antibakteri di dalamnya. Tujuan: Untuk mengetahui pengaruh minyak atsiri kulit jeruk nipis terhadap produksi senyawa metil merkaptan pada bakteri P. gingivalis. Metode: Suspensi bakteri P. gingivalis dalam media TSB dengan konsentrasi 108 CFU/ml dibiakkan dalam microplate. Selanjutnya dilakukan penambahan minyak atsiri kulit jeruk nipis konsentrasi 1%, 2%, 3%, dan 4%. Obat kumur chlorhexidine 0,2% digunakan sebagai kontrol positif dan akuades sebagai kontrol negatif. Microplate diinkubasi selama 48 jam untuk selanjutnya dilakukan penambahan metionin 0,6% dan DTNB 0,06% dan diinkubasi kembali selama 12 jam. Konsentrasi senyawa metil merkaptan yang diproduksi oleh bakteri P. gingivalis dihitung dengan menggunakan microplate reader pada panjang gelombang 415 nm. Hasil: ANOVA satu jalur menunjukkan bahwa minyak atsiri kulit jeruk nipis berpengaruh terhadap konsentrasi metil merkaptan yang diproduksi oleh bakteri P. gingivalis. Hasil uji LSD menunjukkan adanya perbedaan yang signifikan antara kelompok perlakuan minyak atsiri kulit jeruk nipis dengan akuades sebagai kontrol negatif. Kesimpulan: Minyak atsiri kulit jeruk nipis dapat menurunkan produksi senyawa metil merkaptan yang dihasilkan oleh bakteri penyebab halitosis P. gingivalis.
Special considerations for orthodontic treatment in patients with root resorption Haru S. Anggani
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 1 (2010): March 2010
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 (282.097 KB) | DOI: 10.20473/j.djmkg.v43.i1.p35-39

Abstract

Background: Orthodontic treatment needs good consideration especially when there are unfavorable conditions for orthodontic treatment, such as periodontal diseases or tooth with root resorption. Root resorption should not become worse due to orthodontic treatment., All risk factors should be eliminated before orthodontic treatment is started. Otherwise, the goal of orthodontic treatment could be difficult to achieve because of poor dental and or oral health. Purpose: The purpose of this study was to learn more about mechanical factors that could worsen the root resorption that has already been there or even provoke root resorption to develop during orthodontic treatment. Reviews: Resorption of dental root surface is the condition in which cementum is depraved and the damage could also include dentin of dental root. It can occur either physiologically or pathologically due to some causes. The occurrence of the root resorption is suspected because of the biological factor, the tooth condition, the supportive tissue and the mechanical factors. Panoramic x-ray which routinely used to support diagnose in orthodontic cases, can detect root resorption in general, although sometimes periapical x-ray with parallel technique is needed to enhance the diagnosis. Before starting a treatment, the risk factors that suspected as the causes of root resorption should be eliminated, thus the mechanical treatment can be calculated. Conclusion: Orthodontic treatment in patient with root resorption should not escalate the root resorption which already occurs. The treatment should be done effectively by using optimal forces. Giving discontinued forces and avoiding intrusion and torque movements could reduce the risk factors of root resorption.Latar belakang: Keadaan gigi dan jaringan pendukung yang kurang menguntungkan bagi perawatan ortodontik hendaknya membutuhkan perhatian ekstra para klinisi. Kondisi tersebut misalnya adanya penyakit periodontal ataupun adanya gigi dengan resorpsi akar. Perawatan ortodontik yang dilakukan hendaknya tidak menambah parah resorpsi akar yang telah ada sebelumnya. Sebelum memulai perawatan, seluruh faktor yang diduga sebagai faktor resiko dihilangkan terlebih dahulu. Sebaliknya, tujuan perawatan ortodontik akan sulit dicapai akibat buruknya keadaan gigi dan jaringan pendukungnya. Tujuan: Mempelajari lebih jauh mengenai faktor mekanik yang dapat menyebabkan resorpsi akar atau bahkan memperparah terjadinya resorpsi akar yang telah ada akibat perawatan ortodontik. Tinjauan pustaka: Resorpsi permukaan akar gigi adalah kondisi rusaknya jaringan sementum akar gigi yang dapat berlanjut hingga ke jaringan dentin akar gigi. Resorpsi akar dapat terjadi secara fisiologis atau patologis. Terjadinya resorpsi akar ini diduga karena adanya faktor biologis, kondisi gigi dan jaringan pendukung serta adanya faktor mekanik. Foto ronsen panoramik yang rutin digunakan sebagai penunjang diagnosa pada perawatan ortodontik dapat mendeteksi secara umum adanya resorpsi akar, meskipun terkadang dibutuhkan foto ronsen periapikal teknik paralel untuk memperjelasnya. Sebelum memulai perawatan, faktor resiko yang diduga sebagai penyebab terjadinya resorpsi akar hendaknya dihilangkan lebih dahulu, baru kemudian mempertimbangkan biomekanika perawatan ortodontik. Kesimpulan: Perawatan ortodontik pada pasien dengan resorpsi akar hendaknya tidak memperparah resorpsi akar yang telah ada. Perawatan yang dilakukan haruslah seefektif dan seefisien mungkin dengan menggunakan gaya yang optimal. Selain itu pemberian gaya secara diskontinyu dan menghindaripemberian gaya intrust dan torquing dapat mengurangi terjadinya resorpsi akar gigi.

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