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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
Maternal endotoxin-induced fetal growth restriction in rats: Fetal responses in toll-like receptor Banun Kusumawardani; Marsetyawan HNE. Soesatyo; Djaswadi Dasuki; Widya Asmara
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

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

Abstract

Background: Porphyromonas gingivalis as a major etiology of periodontal disease can produce virulence factor, lipopolysaccharide/LPS, which is expected to play a role in the intrauterine fetal growth. Trophoblast at the maternal-fetal interface actively participates in response to infection through the expression of a family of natural immune receptors, toll-like receptor (TLR). Purpose: the aims of study were to identify endotoxin concentration in maternal blood serum of Porphyromonas gingivalis-infected pregnant rats, to characterize the TLR-4 expression in trophoblast cells, and to determine its effect on fetal growth. Methods: Female rats were infected with live-Porphyromonas gingivalis at concentration of 2 x 109 cells/ml into subgingival sulcus area of the maxillary first molar before and/or during pregnancy. They were sacrified on 14th and 20th gestational day. Fetuses were evaluated for weight and length. Endotoxin was detected by limulus amebocyte lysate assay in the maternal blood serum. The TLR-4 expression in trophoblast cells was detected by immunohistochemistry. <span style="font-family: Tribune-Bold; font-size:
The application of lesion sterilization and tissue repair 3Mix-MP for treating rat's dental pulp tissue Raditya Nugroho; Ananta Tantri Budi; Sri Kunarti
Dental Journal (Majalah Kedokteran Gigi) Vol. 48 No. 1 (2015): March 2015
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 (292.447 KB) | DOI: 10.20473/j.djmkg.v48.i1.p12-15

Abstract

Background: Lesion sterilization and tissue repair (LSTR) 3Mix-MP are three broad-spectrum antibiotics, including metronidazole, ciprofloxacin and minocycline are mixed with propylene glycol or macrogol. There is the possibility ofthe healing process that marked proliferation ofnew blood vessels and proliferation offibroblasts in the treatment ofirreversible pulpitis by pulp capping LSTR 3MixMP because of  the principle of the method LSTR 3Mix-MP is to kill bacteria. Purpose: The purpose of this study to prove the effect of LSTR 3Mix-MP on chronic inflammation and the healing process in rat dental pulp tissue in vivo. Methods: Rattus norvegicus anaesthetized by using ketamine and xylazine dissolved in sterile isotonic saline solution (0.2 ml/50gr mm) on the upper right thigh. Cavity preparation class I to perforation by using a low speed tapered diamond round bur. In the treatment group, rats were treated 3Mix-MP at a dose of10 mg and then covered with glass ionomer cement for 7 days on the pulp that has been opened for 3 days. The control group treated with saline irrigation on the pulp that has been opened for 3 days. Rats were killed after seven days, and then made preparations pulp tissue to count the number oflymphocytes, macrophages, plasma cells, blood vessels, and fibroblasts Results: There is an increase in the average number ofmacrophage cells, plasma, and fibroblasts; and decreased lymphocytes and blood vessels in the treated group exposure LSTR 3Mix-MP. Conclusion:LSTR 3Mix-MP can reduce chronic inflammation process and enhance the healing process in rat dental pulp tissue.
Craniofacial morphology of children with complete unilateral cleft lip and palate following labioplasty and palatoplasty Sigit Handoko Utomo; Krisnawati Krisnawati; Benny M. Soegiharto
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 2 (2012): June 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.223 KB) | DOI: 10.20473/j.djmkg.v45.i2.p107-113

Abstract

Background: A complete unilateral cleft lip and palate generally results in asymmetry of the midface. The lack of continuity in the perilabial musculature through the midline contributes to a malpositioning of the underlying osseus structures which are often underdeveloped. Purpose: The purpose of this study was to determine whether there are differences in the craniofacial morphology among children with complete unilateral cleft lip and palate following labioplasty and palatoplasty as compared with children without cleft lip and palate at the same pubertal age. Methods: A series of 14 consecutively treated subjects with complete unilateral cleft lip and palate following labioplasty and palatoplasty were compared with 14 pubertal stage-matched controls with normal craniofacial structure. Pubertal stage was determined with cervical vertebral maturation (CVM) method improved by Baccetti et al, 2002. Lateral cephalograms were used for comparison. An unpaired t-test was run for 14 subjects with complete unilateral cleft lip and palate and 14 normal subjects. Results: There were significant cephalometric differences in anterior cranial base length (p = .002), cranial base length (p = .001), maxillary length (p = .000), mandibular length (p = .000), mandibular ramus height (p = .000), mandibular body length (p = .002), and upper anterior face height (p = .004). There was no significant cephalometric difference in posterior cranial base length (p = .051), lower anterior face height (p = .206), posterior face height (p = .865), growth pattern/ facial type (p = .202). Conclusion: There were craniofacial morphology differences between children with complete unilateral cleft lip and palate post labioplasty and palatoplasty and children without cleft lip and palate at the age of pubertal. Children with complete unilateral cleft lip and palate post labioplasty and palatoplasty had shorter length of the anterior cranial base, cranial base, maxilla, mandible, mandibular ramus height, mandibular body, and upper anterior face height as compared with children without cleft lip and palate at the age of pubertal.Latar belakang: Celah bibir dan langit-langit unilateral komplit umumnya menghasilkan asimetri wajah bagian tengah. Berkurangnya kontinuitas otot di sekitar bibir yang melewati garis tengah wajah mengakibatkan malposisi struktur tulang di bawahnya yang seringkali kurang berkembang. Tujuan: Tujuan penelitian ini adalah untuk menentukan apakah terdapat perbedaan morfologi kraniofasial anak dengan celah bibir dan langit-langit unilateral komplit pasca labioplasti dan palatoplasti dibandingkan anak tanpa celah bibir dan langit-langit pada usia pubertal. Metode Penelitian: Sejumlah subyek penelitian berupa 14 orang anak penderita celah bibir dan langit-langit pasca labioplasti dan palatoplasti dibandingkan dengan 14 orang anak yang normal pada masa pubertal yang sama. Masa pubertal ditentukan menggunakan metode cervical vertebral maturation (CVM) yang dikembangkan oleh Baccetti dkk, 2002. Dilakukan perbandingan hasil pengukuran sefalogram lateral dari kedua kelompok. Uji-t tidak berpasangan dilakukan untuk mengetahui perbedaan gambaran kraniofasial antara kelompok anak dengan celah bibir dan langit-langit unilateral komplit pasca labioplasti dan palatoplasti dan kelompok anak normal. Hasil: Terdapat perbedaan bermakna pada panjang basis kranium anterior (p = .002), panjang keseluruhan basis kranium (p = .001), panjang maksila (p = .000), panjang mandibula (p = .000), tinggi ramus mandibula (p = .000), panjang badan mandibula (p = .002), tinggi wajah anterior atas (p = .004). Tidak terdapat perbedaan bermakna pada panjang basis kranium posterior (p = .051), tinggi wajah anterior bawah (p = .206), tinggi wajah posterior (p = .865), pola pertumbuhan/tipe wajah (p = .202). Kesimpulan: Terdapat perbedaan morfologi kraniofasial antara anak dengan celah bibir dan langit-langit unilateral komplit pasca labioplasti dan palatoplasti dibandingkan anak tanpa celah bibir dan langit-langit pada masa pubertal. Anak dengan celah bibir dan langit-langit unilateral komplit pasca labioplasti dan palatoplasti memiliki panjang basis kranium anterior, panjang keseluruhan basis kranium, panjang maksila, panjang mandibula, tinggi ramus mandibula, panjang badan mandibula, dan tinggi wajah anterior atas yang lebih pendek dibandingkan anak tanpa celah bibir dan langit-langit pada masa pubertal.
Kekerasan mikro enamel gigi permanen muda setelah aplikasi bahan pemutih gigi dan pasta remineralisasi (Enamel micro hardness of young permanent tooth after bleaching and remineralization paste application) Budianto Liwang; Irmawati Irmawati; Els Budipramana
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 4 (2014): December 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 (296.485 KB) | DOI: 10.20473/j.djmkg.v47.i4.p206-210

Abstract

Background: Studies showed that bleaching agent had demineralization effect to enamel, and encourage use of remineralization paste after bleaching treatment especially in young permanent tooth which in post-eruptive enamel maturation. Purpose: The study ere aimed to determine the bleaching agent effect on enamel surface micro hardness, and to determine the effect of remineralization paste application on enamel surface micro hardness of young permanent tooth after bleaching treatment. Methods: Fourteen young permanent teeth were placed in a block of resin with a window on the buccal surface enamel. The initial enamel surface hardness was measured using Microvickers Hardness Tester. Then the application of hydrogen peroxide bleaching materials 30% was done three times for 15 minutes and followed by surface hardness of enamel measurement. Samples were divided into 2 groups; the first group was applied paste of Hydroxy apatite + NaF 1450ppm , and the second group was applied paste of CPP–ACP + NaF 900ppm. Each paste was applied for 30 minutes for 7 days, then the enamel surface hardness of samples were measured. Results: The enamel surface micro hardness decreased after bleaching from 333.09 ± 10.49 VHN to 299.15±5.70 VHN. Micro hardness after application of Hidroxy apatite + NaF 1450ppm was 316.61±5.87 VHN and after application of CPP-ACP + NaF 900ppm was 319.94±3.25 VHN, however the micro hardness still lower than initial micro hardness. Conclusion: Tooth bleaching agent caused a decrease of enamel surface micro hardness in young permanent tooth. The use of remineralization paste enabled to increase the enamel surface micro hardness young permanent tooth.Latar belakang: Penelitian-penelitian sebelumnya menunjukkan bahwa produk pemutih gigi memiliki efek demineralisasi enamel gigi, dan mendorong penggunaan pasta remineralisasi setelah pemutihan gigi terutama di gigi muda permanen yang enamelnya masih dalam proses maturasi pasca-erupsi. Tujuan: Penelitian ini bertujuan untuk meneliti kekerasan mikro permukaan email gigi permanen muda, dan efek aplikasi pasta remineralisasi setelah pemutihan gigi. Metode: Empat belas gigi permanen muda ditempatkan dalam blok resin dengan jendela pada enamel permukaan bukal dan dilakukan pengukuran kekerasan permukaan enamel sampel awal dengan menggunakan alat Microvickers Hardness Tester. Kemudian dilakukan aplikasi bahan bleaching hidrogen peroxide 30% sebanyak 3 kali masing-masing selama 15 menit. Setelah aplikasi bahan bleaching, kekerasan permukaan enamel sampel diukur kembali. Sampel dibagi 2 kelompok; kelompok pertama diaplikasi pasta remineralisasi Hidroksi apatit + NaF 1450ppm, dan kelompok kedua diaplikasi pasta CPP-ACP + NaF 900ppm. Masing-masing pasta tersebut diaplikasikan selama 30 menit 7 hari berturut-turut. Setelah aplikasi pasta remineralisasi, sampel diukur kembali kekerasan permukaan enamelnya. Hasil: Kekerasan mikro permukaan enamel menurun setelah aplikasi pemutih gigi, dari 333.09 ± 10.49 VHN ke 299,15 ± 5.70 VHN. Kekerasan mikro setelah aplikasi Hidroxy apatit + NaF "> 1450ppm adalah 316,61 ± 5.87 VHN dan setelah aplikasi CPP-ACP + NaF 900ppm adalah 319,94 ± 3,25 VHN, namun kekerasan mikro setelah aplikasi pasta remineralisasi masih lebih rendah dari kekerasan mikro awal. Simpulan: Bahan pemutih gigi menurunkan kekerasan mikro permukaan enamel gigi permanen muda secara signifikan. Aplikasi pasta remineralisasi dapat meningkatkan kembali kekerasan mikro permukaan enamel gigi permanen muda.
Analysis of importance level and quality achievement aspect in dental health service (A case study on Waru Sidoarjo Community Dental Health Service) Taufan Bramantoro; Retno Palupi
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 1 (2012): March 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.18 KB) | DOI: 10.20473/j.djmkg.v45.i1.p48-51

Abstract

Background: Patients as customers of health services actually have expectation and assessment of health services perceived. During the initial interview conducted at Waru Sidoarjo Community Dental Health Service (Waru Sidoarjo CDHS), it is known that one hundred percent of initial respondents were not satisfied with dental care service provided. All of those respondents assessed that Waru Sidoarjo CDHS still has not met their expectations of service quality factors considered to be important for them. It is even known that there is usually a gap between the expectations of quality dental care service and the assessment of services perceived. As a result, further researches are needed to be conducted regarding the level of importance and achievement-related with factors that affect the quality of health services. Purpose: The purpose of this study was to determine the level of importance and achievement of the quality aspects of the health service provided by Waru Sidoarjo CDHS. Methods: This study can be considered as a descriptive observational study. The instrument used in this study was measurement instruments of service quality. Respondents in the study were 200 patients who visited to dental care services in Waru Sidoarjo CDHS in July 2011. Results: All of the attributes had a mean value of dominant importance and assessments at four. The attributes of the appearance feasibility of medical staffs had the highest interest, about 4.780. Meanwhile, the mean value of the lowest importance was on the attributes of the service suitability, about 4.595. During the observation of the service value, it is also known that the highest mean value was on the non-discriminative services, about 4.600. Conclusion: It can be concluded that there were attributes considered to be important for patients, but still not being fully met by health services provided by the service provider or Community Dental Health Care. Those attributes involving waiting room comfort, service readiness and service preparation attributes which not only had high importance value, but also had a large percentage of respondents who were not satisfied.Latar belakang: Pasien sebagai pengguna jasa pelayanan kesehatan, memiliki harapan dan penilaian terhadap pelayanan kesehatan yang diterima. Pada wawancara awal yang dilakukan pada pasien Balai Pengobatan Gigi Puskesmas Waru Sidoarjo, didapatkan bahwa seratus persen responden awal merasa tidak puas dengan pelayanan kesehatan gigi. Seluruh responden awal menilai pihak BPG Puskesmas belum memenuhi harapan mereka terhadap faktor kualitas pelayanan yang mereka nilai penting. Terdapat kesenjangan antara harapan mereka terkait kualitas pelayanan kesehatan gigi yang mereka nilai penting dengan penilaian mereka terhadap pelayanan yang diterima, sehingga diperlukan penelitian lebih lanjut mengenai tingkat kepentingan dan pencapaian terkait faktor yang berpengaruh terhadap kualitas pelayanan kesehatan. Tujuan: Tujuan penelitian ini adalah untuk mengetahui tingkat kepentingan dan pencapaian aspek kualitas pelayanan yang diberikan Balai Pengobatan Gigi Puskesmas Waru Sidoarjo. Metode: Penelitian ini merupakan penelitian deskriptif observasional. Instrumen yang digunakan pada penelitian ini adalah instrumen pengukuran kualitas pelayanan jasa. Responden pada penelitian adalah 200 pasien yang berkunjung dan mendapatkan pelayanan kesehatan gigi di Balai pengobatan Gigi Puskesmas Waru Sidoarjo pada bulan Juli 2011. Hasil: Seluruh atribut memiliki rerata nilai kepentingan dan penilaian yang dominan pada nilai 4. Atribut kelayakan penampilan staf medis memiliki nilai kepentingan tertinggi sebesar 4,780. Rerata nilai kepentingan terendah pada atribut kesesuaian layanan sebesar 4,595. Pada pengamatan nilai penerimaan layanan, rerata nilai tertinggi pada atribut layanan yang tidak diskriminatif sebesar 4,600. Rerata nilai terendah didapatkan pada atribut kesiapan layanan sebesar 4,200. Kesimpulan: Disimpulkan bahwa terdapat atribut yang dinilai penting tetapi belum sepenuhnya terpenuhi oleh pelayanan kesehatan yang diberikan oleh penyedia layanan atau Puskesmas. Atribut kenyamanan ruang tunggu, kesigapan layanan, dan kesiapan layanan, memiliki nilai kepentingan yang tinggi, tetapi memiliki nilai persentase yang besar pada jumlah responden yang merasa tidak puas.
Penatalaksanaan impaksi caninus permanen rahang atas dengan surgical exposure (The management of impacted permanent canine with surgical exposure) Syeh Brata Wijaya; Rinaldi Budi Utomo
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 3 (2014): September 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 (1610.16 KB) | DOI: 10.20473/j.djmkg.v47.i3.p158-163

Abstract

Background: Impacted tooth is often unidentified because there is no symptom. It is found when patient is examined by dentist. The maxillary canine should be retained for strength masticatory function, esthetics and child development. Purpose: The article was aimed to report treatment options of impacted canine in the 13 years old child. Case: Thirteen years-old girl came to the Universitas Gadjah Mada Dental Hospital with complaints of the upper right permanent canine had not erupted, with no history of pain. Periapical radiograph showed the impacted position of tooth #13 mesioangular. The shift sketch technique radiograph showed the impacted canine located at the palatal site. Case management: surgical exposure the upper right maxillary canine was done, followed by orthodontic treatment to direct tooth position into occlusal line. Fixed orthodontic appliance used was Roth bracket with straight wire technique. After surgery and orthodontic treatment, #13 was in normal occlusion. Conclusion: The surgical exposure followed by orthodontic treatment could be done successfully with special consideration to the patient’s age, the dental space, location of dental crowns, dental inclination, the apical root form of impacted tooth and patient cooperation.Latar belakang: Terjadinya gigi impaksi biasanya diketahui setelah melakukan pemeriksaan ke dokter gigi karena jarang menimbulkan keluhan. Gigi caninus rahang atas sebaiknya dipertahankan untuk kekuatan fungsi pengunyahan, estetik dan tumbuh kembang anak. Tujuan: Artikel ini bertujuan untuk melaporkan perawatan impaksi gigi kaninus atas pada anak 13 tahun. Kasus: Anak perempuan usia 13 tahun datang ke Rumah sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Gadjah Mada dengan keluhan gigi kaninus permanen kanan atas yang belum erupsi, tanpa ada riwayat sakit di area tersebut. Hasil radiografi periapikal menunjukkan posisi gigi #13 impaksi mesioangular. Hasil radiografi dengan teknik shift sketch menunjukkan gigi kaninus yang impaksi terletak di palatal. Tatalaksana kasus: Dilakukan perawatan exposure surgical pada gigi #13, dilanjutkan dengan perawatan ortodontik untuk menempatkan posisi gigi ke arah oklusal. Alat ortodontik cekat yang digunakan adalah braket Roth dengan teknik straight wire. setelah dilakukan tindakan bedah dan penarikan ortodontik, gigi #13 berada pada ruang yang telah disediakan dan sudah masuk pada posisi oklusi. Simpulan: surgical exposure yang dilanjutkan perawatan ortodontik dapat dilakukan dengan sukses dengan perhatian khusus pada usia pasien, ruang gigi, letak mahkota gigi, inklinasi gigi dan bentuk apeks akar gigi yang impaksi.
Treatment of lingual traumatic ulcer accompanied with fungal infections Sella Sella; Mochamad Fahlevi Rizal
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 (666.302 KB) | DOI: 10.20473/j.djmkg.v44.i3.p132-136

Abstract

Background: Traumatic ulcer is a common form of ulceration occured in oral cavity caused by mechanical trauma, either acute or chronic, resulting in loss of the entire epithelium. Traumatic ulcer often occurs in children that are usually found on buccal mucosa, labial mucosa of upper and lower lip, lateral tongue, and a variety of areas that may be bitten. To properly diagnose the ulcer, dentists should evaluate the history and clinical description in detail. If the lesion is allegedly accompanied by other infections, such as fungal, bacterial or viral infections, microbiological or serological tests will be required. One of the initial therapy given for fungal infection is nystatin which aimed to support the recovery and repair processes of epithelial tissue in traumatic ulcer case. Purpose: This case report is aimed to emphasize the importance of microbiological examination in suspected cases of ulcer accompanied with traumatic fungal infection. Case: A 12-year-old girl came to the clinic of Pediatric Dentistry, Faculty of Dentistry, University of Indonesia on June 9, 2011 accompanied with her mother. The patient who had a history of geographic tongue came with complaints of injury found in the middle of the tongue. The main diagnosis was ulcer accompanied with traumatic fungal infection based on the results of swab examination. Case management: This traumatic ulcer case was treated with Dental Health Education, oral prophylaxis, as well as prescribing and usage instructions of nystatin. The recovery and repair processes of mucosal epithelium of the tongue then occured after the use of nystatin. Conclusion: It can be concluded that microbiological examination is important to diagnose suspected cases of ulcer accompanied with traumatic fungal infection. The appropriate treatment such as nystatin can be given for traumatic fungal infection.Latar belakang: Ulkus traumatic merupakan bentuk umum dari ulserasi rongga mulut yang terjadi akibat trauma mekanis baik akut maupun kronis yang mengakibatkan hilangnya seluruh epitel. Ulkus traumatic sering terjadi pada anak-anak, biasanya ditemukan pada mukosa bukal, mukosa labial bibir atas dan bawah, lateral lidah, dan berbagai daerah yang mungkin dapat tergigit. Untuk mendiagnosis ulkus dengan tepat, dokter gigi harus mengevaluasi riwayat dan gambaran klinis secara detil dan jika lesi tersebut diduga disertai infeksi lainnya seperti fungal, bakteri atau virus maka diperlukan tes mikrobiologi atau serologi. Salah satu terapi awal jika diketahui adanya keterlibatan fungal dapat digunakan nystatin untuk mendukung pemulihan dan perbaikan jaringan epitel pada ulkus traumatic tersebut. Tujuan: Laporan kasus ini bertujuan untuk menekankan pentingnya pemeriksaan mikrobiologi pada kasus ulkus traumatic yang diduga disertai infeksi fungal. Kasus: Seorang anak perempuan usia 12 tahun datang ke klinik Ilmu Kedokteran Gigi Anak Fakultas Kedokteran Gigi Universitas Indonesia pada tanggal 9 Juni 2011 diantar ibunya. Pasien dengan riwayat geographic tongue datang dengan keluhan terdapat luka di bagian tengah lidah. Diagnosis utama adalah ulkus traumatic yang disertai infeksi fungal. Penegakan diagnosis ditetapkan dari hasil pemeriksaan swab. Tatalaksana kasus: Kasus ulcus traumatic ini diatasi dengan Dental Health Education, oral profilaksis, pemberian resep dan instruksi pemakaian nystatin. Terjadi pemulihan dan perbaikan epitel mukosa lidah setelah penggunaan nystatin. Kesimpulan: Pemeriksaan mikrobiologi penting dilakukan untuk menegakkan diagnosa ulkus traumatic yang diduga disertai infeksi fungal. Pengobatan yang tepat seperti pemberian nystatin dapat diberikan pada kasus ulkus traumatic yang disertai infeksi fungal.
The role of Hsp0, CD-8 and IFN-γ in immunopathobiogenesis of periapical granuloma in dental caries Risya Cilmiaty; Mandojo Rukmo
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 (605.351 KB) | DOI: 10.20473/j.djmkg.v47.i1.p7-12

Abstract

Background: The incidence of dental caries with periapical granulomas in Indonesia is quite high. However, the mechanism of the formation of periapical granulomas in dental caries caused by bacterial infection in immunopathobiogenesis cannot be explained completely. Thus, this explanation is necessary in order to be used as a basis for diagnostic, preventive and therapeutic measures. Purpose: This research was aimed to determine the role of Hsp60, CD-8 and IFN-γ in immunopatobiogenesis of periapical granuloma in dental caries. Methods: This research was an analytic observational study with cross sectional approach. Samples of this research were 36 teeth of patients with dental caries, consisting of 18 caries teeth with periapical granulomas and 18 caries teeth without periapical granulomas. The variables observed in this research were Hsp60, CD-8 and IFN-γ. Measurements were conducted by using immunohistochemical methods on periapical tissue. Results: The mean of Hsp60, CD-8 and IFN-γ in granuloma group was significantly higher than those in non granuloma group (p<0.05). The positive role of IFN-γ on the incidence of granulomas appeared to be more prominent. Conclusion: The study suggested that in immunopathobiogenesis of periapical granuloma in dental caries, Hsp60, CD-8 and IFN-γ played important roles, but the role of IFN-γ was found to be more prominent.Latar belakang: Angka kejadian gigi karies dengan granuloma periapikal di Indonesia cukup tinggi, Namun mekanisme terbentuknya granuloma periapikal pada gigi karies yang disebabkan oleh infeksi bakteri secara imunopatobiogenesis belum dapat dijelaskan secara tuntas. Adanya penjelasan ini diperlukan agar dapat digunakan sebagai dasar pengembangan diagnosis, langkah preventif dan terapinya. Tujuan: Penelitian ini bertujuan untuk mengetahui peran Hsp60, CD-8 dan IFN-γ dalam immunopatobiogenesis dari granuloma periapikal karies gigi. Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Sampel dari penelitian ini adalah 36 gigi pasien dengan karies, yang terdiri dari 18 karies gigi dengan granuloma periapikal dan 18 karies gigi tanpa granuloma periapikal. Variabel yang diamati adalah Hsp60, CD-8 dan IFN-γ. Pengukuran dilakukan dengan menggunakan metode imunohistokimia pada jaringan periapikal. Hasil: Rerata Hsp60, CD-8 dan IFN-γ pada kelompok granuloma secara signifikan lebih tinggi dibanding kelompok non granuloma (p <0,05). Peran positif dari IFN-γ terhadap kejadian granuloma tampaknya lebih menonjol. Simpulan: Studi ini menunjukkan bahwa dalam imunopatobiogenesis dari granuloma periapikal karies gigi, Hsp60, CD-8 dan IFN-γ memainkan peran penting, tetapi peran IFN-γ ditemukan lebih menonjol.
Orthodontic treatment with skeletal anchorage system Arya Brahmanta; Jusuf Sjamsudin
Dental Journal (Majalah Kedokteran Gigi) Vol. 44 No. 2 (2011): June 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 (784.108 KB) | DOI: 10.20473/j.djmkg.v44.i2.p101-105

Abstract

Background: Correction of class I malocclusion with bimaxillary dental protrusion and unilateral free end right upper ridge in adult patient is one of difficult biomechanical case in orthodontics. Due to this case that needs proper anchorage for upper incisor retraction with missing teeth in the right posterior segment. Purpose: The aim of this study to find an effective therapy for correction of bimaxillary protrusion with unilateral free and ridge. Case: A female patient, 36 year old complaining for the difficulty of lip closure due to severe bimaxillary protrusion with incompetence lip. Case management: Firstly correction of the maxillary and mandibular incisor proclination were done by extraction of the mandibular first premolar, the maxillary second premolar on left side and finally placement of miniplates implant in the zygomatic process on right side as an absolut anchorage. Conclusion: Skeletal anchorage system (SAS) can be considered as an effective therapy for corection of bimaxillary protrusion with unilateral free end ridge.Latar belakang: Koreksi dari maloklusi klas I dari penderita dewasa yang disertai protrusi bimaksiler dengan kehilangan gigi posterior pada regio kanan atas merupakan salah satu kasus sulit untuk dikerjakan terutama berhubungan dengan biomekanik pergerakan giginya dalam perawatan ortodonti. Tujuan: Tujuan dari penulisan artikel ini adalah untuk menemukan terapi yang efektif untuk perbaikan protrusi bimaksiler dan kehilangan gigi posterior pada satu sisi. Kasus: Seorang penderita wanita usia 35 tahun datang dengan keluhan utama kesulitan untuk menutup mulut oleh karena gigi rahang atas dan rahang bawahnya maju dan bibirnya tidak kompeten. Tatalaksana kasus: Koreksi pada gigi insisivus rahang atas dan insisivus rahang bawah yang protrusi dilakukan dengan melakukan pencabutan terlebih dahulu pada gigi premolar pertama dirahang bawah sisi kanan dan sisi kiri serta pencabutan pada gigi premolar kedua di rahang atas sisi kiri dan pemasangan miniplate implant di regio prosesus zigomatikus di sisi kanan sebagai penjangkar absolut. Kesimpulan: Sistem penjangkar absolut pada perawatan ortodonti merupakan pilihan terapi perawatan yang efektif pada kasus penderita dewasa dengan protrusi bimaksiler dan kehilangan gigi posterior pada regio kanan atas.
Sifat fisik hidroksiapatit sintesis kalsit sebagai bahan pengisi pada sealer saluran akar resin epoxy (Physical properties of calcite synthesized hydroxyapatite as the filler of epoxy-resin-based root canal sealer) Ema Mulyawati; Marsetyawan HNES; Siti Sunarintyas; Juni Handajani
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 4 (2013): December 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 (287.449 KB) | DOI: 10.20473/j.djmkg.v46.i4.p207-212

Abstract

Background: The filler addition to resin based sealers will enhance the physical properties of the polymer. Because of its biological properties, the synthetic hydroxyapatite (HA) has been proposed as filler for dental material such as composite resin. The calcite synthesized HA is the HA produced of calcite minerals that came from many Indonesian mining. Purpose: The aim of study was to determine the effect of different concentration of calcite synthesized HA as the filler of the epoxy-resin-based root canal sealer on the physical properties such as its contact angle, the film thickness and the microhardness. Methods: The crystal of the calcite synthesized hydroxyapatite with the size between 77.721-88.710 nm and the ratio of Ca/P 1.6886 were synthesized at Ceramic Laboratory, Mechanical Engineering, using wet method of hydrothermal microwave. The powders of the epoxy- resin were prepared by added the synthesized hydroxyapatite crystal in 5 different weight ratios (e.g.: HA-10%, HA-20%, HA-30%, HA-40% and HA-50%). Each of these was mixed with the paste of 3:1 ratio using spatula on a glass plate until homogen and then measuring the contact angle and the film thickness. Microhardness test was conducted after the mixture of experimental sealer was stored for 24 hrs at 37 oC to reach perfect polymerization. Results: All of contact angles were <90o and were not significantly different to each other (p= 0.510). All groups had a film thickness in accordance with ISO 6876 (<50 um) and with no statistical difference (p= 0.858). In the HA of 10%, 20%, 30% seen that the microhardness were increased, while in the HA-50% was decreased and in the HA-40% has the same microhardness to the control groups (HA-0%). Conclusion: Calcite synthesized HA as the filler did not affect contact angle and film thickness of the sealer. Microhardness of the epoxy-resin based sealer could be increased using maximum 30% of the calcite synthesized HA as the filler.Latar belakang: Penambahan bahan pengisi pada sealer berbahan dasar resin akan meningkatkan sifat fisik polimer. Karena sifat biologis bagus, hidroksiapatit (HA) sintetis digunakan sebagai bahan pengisi material kedokteran gigi seperti resin komposit. Hidroksiapatit sintesis kalsit merupakan HA yang hasilkan dari mineral kalsit berasal dari berbagai daerah pertambangan di Indonesia. Tujuan: Penelitian ini bertujuan untuk meneliti pengaruh berbagai konsentrasi HA sintesis kalsit sebagai bahan pengisi sealer berbahan dasar resin epoksi terhadap sifat fisiknya yaitu sudut kontak, ketebalan film dan kekerasan mikronya. Metode: Kristal HA sintesis kalsit yang berukuran 7,721-88,710 nm dengan rasio Ca/P 1,6886 diperoleh dari sintesis di Laboratorium Keramik, Teknik Mesin, Universitas Gadjah Mada menggunakan wet method dengan microwave hidrotermal. Serbuk resin epoksi dipersiapkan dengan menambahkan kristal HA sintesis kalsit dalam lima konsentrasi yang berbeda yaitu HA-10%, HA-20%, HA-30%, HA-40% dan HA-50% (dalam berat). Masing-masing serbuk diaduk dengan pasta resin epoksi dengan perbandingan 3:1 menggunakan spatula di atas glassplate hingga homogen, selanjutnya dilakukan pengukuran sudut kontak dan ketebalan film. Pengukuran kekerasan mikro dilakukan setelah sealer disimpan dalam inkubator 37 oC selama 24 jam sehingga mencapai polimerisasi sempurna. Hasil: Semua kelompok menunjukkan bahwa sudut kontak <90o dan menunjukkan tidak ada perbedaan yang signifikan (p=0,510). Semua kelompok menunjukkan bahwa ketebalan filmnya sesuai dengan ISO 6876 (<50 um) dan menunjukkan tidak ada perbedaan yang signifikan (p=0,858). Pada kelompok HA-10%, 20% dan 30% kekerasan mikronya meningkat, sedangkan pada HA-50% menurun dan HA-40% kekerasannya sama dengan kelompok kontrol (HA-0%). Simpulan: Penambahan hingga 50% HA sintesis kalsit sebagai bahan pengisi sealer resin epoksi tidak mempengaruhi sudut kontak dan ketebalan film. Kekerasan sealer dapat ditingkatkan dengan menambahkan HA sintesis kalsit maksimum hingga 30%.

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