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Dental Journal (Majalah Kedokteran Gigi)

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Published by Universitas Airlangga

ISSN : 19783728 EISSN : 24429740 DOI : -

Core Subject : Health,

Dentistry

The Dental Journal (Majalah Kedokteran Gigi) (e-ISSN:2442-9740; p-ISSN:1978-3728) is published by the Faculty of Dental Medicine, Universitas Airlangga. Its diciplinary focus is dental science and dental hygiene. The Dental Journal (Majalah Kedokteran Gigi) is published in English on a quarterly basis with each 50-60 page edition containing between nine and eleven scientific articles on research, study literature and case studies. Contributors to the Dental Journal (Majalah Kedokteran Gigi) included: dental researchers, dental practitioners, lecturers, and students drawn from Indonesia and a wide range of other countries.

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Articles 964 Documents

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The expressions of NF-kb and TGFb-1 on odontoblast-like cells of human dental pulp injected with propolis extracts Ira Widjiastuti; Ketut Suardita; Widya Saraswati
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

Background: Propolis is known to have beneficial effects, namely anti- bacterial, anti-viral, anti-inflammatory, antioxidant, and immunomodulatory. Propolis extracts with anti-inflammatory properties are expected to be useful in treating inflamed pulp tissue with a diagnosis of reversible pulpitis. The inflammation of pulp tissue is caused by bacteria, namely Lactobacillus acidophilus. This research used odontoblast like cells derived from pulp tissue of human third molars. Odontoblast like cells exposed to Lactobacillus achidophilus were used as a model of proinflammatory cytokine signaling. This research examined the effects of propolis extracts on odontoblast like cells exposed to Lactobacillus acidophilus. Purpose: This research was aimed to determine the effectiveness of propolis extracts on the activities of odontoblast-like cells exposed to Lactobacillus acidophillus by measuring the expressions of NFkb and TGF- b1. Methods: First, pulp odontoblast cultures were derived from human dental pulp tissues of impacted third molars removed by using digestion method. Next, odontoblast-like cells exposed to inactive Lactobacillus acidophilus bacteria were given propolis extract. Finally, the activities of odontoblast-like cells were monitored by measuring the expressions of NF-kb and TGFb-1 with immunocytochemistry technique. Results: A decline NF-kb expression and on increase of TGFb-1 expression on odontoblast like cells exposed to inactive Lactobacillus acidophilus. Conclusion: Propolis extracts inhibit the expression of NF-kb, and increase the expression of TGF-b1 in pulp odontoblast-like cells exposed to inactive Lactobacillus acidophillus.Latar belakang: Propolis dilaporkan mempunyai efek menguntungkan yaitu bersifat anti bakteri, anti virus, anti inflamasi, anti oksidan, dan imunomodulator. Ekstrak propolis dengan sifat anti inflamasi diharapkan bermanfaat untuk mengobati jaringan pulpa yang mengalami inflamasi dengan diagnosis pulpitis reversibel. Inflamasi jaringan pulpa disebabkan oleh bakteri diantaranya adalah Lactobacillus acidophilus. Pada penelitian ini digunakan Odontoblast like cells yang berasal dari jaringan pulpa dari gigi molar ke tiga manusia. Odontoblast like cells dipapar Lactobacillus acidophilus digunakan sebagai model signaling sitokin proinflamasi. Studi ini, meneliti pengaruh pemberian ekstrak propolis pada odontoblast like cells yang dipajan Lactobacillus acidophilus. Tujuan: Penelitian untuk mengetahui efektifitas ekstrak propolis terhadap aktifitas odontoblast like cells yang dipajan Lactobacillus acidophillus dengan mengukur ekspresi NF-kb dan TGF-b1. Metode: pembuatan kultur odontoblas pulpa berasal dari jaringan pulpa gigi Molar ke tiga impaksi yang dicabut menggunakan metode digesti. Odontoblast like cells dipajan bakteri Lactobacillus acidophilus inaktif, diberi ekstrak propolis dan aktifitas dari odontoblast like cells diukur melalui ekspresi NF-kb dan TGFb-1 secara imunositokimia. Hasil: Terjadi penurunan ekspresi NF-kb, dan peningkatan ekspresi TGFb-1 pada kultur odontoblas yang dipapar bakteri Lactobacillus acidophilus inaktif. Simpulan: Ekstrak propolis menghambat ekspresi NF-kb, dan meningkatkan ekspresi TGF-b1 pada odontoblast like cells pulpa yang dipajan bakteri Lactobacillus acidophillus inaktif

The activity of Stichopus hermanii extract on triglyceride serum level in periodontitis Rima Parwati Sari; Syamsulina Revianti
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

Background: The level of triglyceride can be used as a parameter of hypercholesterolemia. Periodontitis can make the condition of hypercholesterolemia worse. Stichopus hermanii extract is a source of saturated fatty acid containing omega-3 which can decrease triglyceride blood level. Purpose: The aim of this research was to investigate the effect of Stichopus hermanii extract in triglyceride blood level of wistar rats which got periodontitis. Methods: The samples of this research were 30 rats divided into 5 groups, namely group K(–) as negative control group (without treatment), group K(+) as positive control group (induced with periodontopathogen mix), group P1 as treatment group1 (induced with periodontopathogen and Stichopus hermanii extract mix, 0.09 ml/kgW), Group P2 (induced with periodontopathogen and Stichopus hermanii extract mix, 0,18 ml/kgW), and group P3 (induced with periodontopathogen and Stichopus hermanii extract mix, 0,36 ml/kgW). Then, all of those rats were sacrificed and all serum was measured for their level of triglyceride. Results: All data was analyzed with ANOVA test showing a significant result. LSD test showed a significant different between group K(–) and group K(+), and between group K(+) and group P2 and P3. Conclusion: Stichopus hermanii extract can decrease the triglyceride blood level in wistar rats with periodontitis.Latar belakang: Kadar trigliserida dalam darah dapat digunakan sebagai parameter hiperkolesterolemia. Periodontitis dapat memperburuk kondisi hiperkolesterolemia. Stichopus hermanii ekstrak mengandung asam lemak jenuh terutama omega-3 yang dapat berfungsi menurunkan kadar trigliserida dalam darah. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui pengaruh ekstrak Stichopus hermanii terhadap kadar trigliserida dalam darah tikus wistar yang mengalami periodontitis. Metode: Sampel penelitian ini adalah 30 ekor tikus wistar yang dibagi dalam 5 kelompok. Kelompok K(–) sebagai kelompok kontrol negatif (tanpa perlakuan), kelompok K(+) sebagai kelompok kontrol positif (tikus diinduksi periodontopatogen campuran), kelompok P1 sebagai kelompok perlakuan 1 (tikus diinduksi periodontopatogen campuran dan Stichopus hermanii ekstrak 0,09 ml/kgW), kelompok P2 (tikus diinduksi periodontopatogen campuran dan Stichopus hermanii ekstrak 0,18 ml/kgW) dan P3 (tikus diinduksi periodontopatogen campuran dan Stichopus hermanii ekstrak 0,36 ml/kgW). Kemudian semua tikus dikorbankan dan diukur kadar trigliserida serumnya. Hasil: Semua data dianalisis dengan uji ANOVA dan menunjukkan hasil yang signifikan, dan uji LSD menunjukkan terdapat perberbedaan yang bermakna antara kelompok K(–) dengan K(+) dan kelompok K(+) dengan P2 dan P3. Kesimpulan: Ekstrak Stichopus hermanii dapat menurunkan kadar trigliserida darah pada tikus wistar yang mengalami periodontitis.

Prevotella intermedia and Porphyromonas gingivalis in dental caries with periapical granuloma Risya Cilmiaty; Afiono Agung Prasetyo; Khilyat Ulin Nur Zaini; Mandojo Rukmo; Suhartono Taat Putra; Widya Asmara
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

Background: Dental caries with necrotic pulp is a multifactorial disease that attacks enamel involving tooth pulp. The anaerobic bacteria infection in the pulp chamber could induce the formation of periapical granuloma. However, the presence of the most frequently anaerobic bacteria identified in apical periodontitis, Porphyromonas gingivalis and Prevotella intermedia, in periapical granuloma have not been confirmed. Purpose: The aims of study were to determine the presence of Porphyromonas gingivalis and Prevotella intermedia in dental caries with necrotic pulp and to determine its relation to periapical granuloma. Methods: Thirty-six patients of dental caries with necrotic pulp in Dr. Moewardi General Hospital in Surakarta, Indonesia were involved and classified into two groups, the group of patients with periapical granuloma and the group of patients without periapical granuloma. The caries tooth was extracted, and the chronic periapical tissue was swabbed and cultured on blood agar medium in anaerobic condition. The bacterial DNA was extracted from the positive cultures and subjected for Polymerase Chain Reaction (PCR). Results: Periapical granuloma was more likely found in women (OR 5.5, 95% CI=1.277-23.693; RR 2.5, 95% CI= 1.025-6.100). Black colonies bacteria were associated with periapical granuloma (OR 2.2, 95% CI=0.517-9.594; RR 1.5, 95% CI=0.655-3.623). Porphyromonas gingivalis and Prevotella intermedia were detected in group with or without periapical granuloma, however, only Prevotella intermedia was associated with periapical granuloma (OR 1.6, 95% CI=0.418-5.903; RR 1.3, 95% CI=0.653-2.393). Conclusion: The presence of Porphyromonas gingivalis and Prevotella intermedia in periapical granuloma were confirmed, however, only Prevotella intermedia were associated with periapical granuloma.Latar belakang: Karies gigi dengan pulpa nekrosis adalah penyakit multifaktorial yang menyerang enamel hingga ruang pulpa gigi. Infeksi bakteri anaerob di pulpa nekrosis dapat menginduksi pembentukan granuloma periapikal. Namun, keberadaan bakteri anaerob yang paling banyak ditemukan di periodontitis apikal, Porphyromonas gingivalis dan Prevotella intermedia, di granuloma periapikal masih perlu diteliti . Tujuan: Penelitian ini bertujuan meneliti keberadaan bakteri Porphyromonas gingivalis dan Prevotella intermedia, di karies gigi dengan pulpa nekrosis dan menganalisis kaitannya dengan granuloma periapikal. Metode: Tiga puluh enam pasien karies gigi dengan pulpa nekrosis di Rumah Sakit Umum Dr. Moewardi di Surakarta Indonesia dilibatkan dan diklasifikasikan dalam dua kelompok yaitu kelompok pasien dengan granuloma periapikal dan kelompok pasien tanpa granuloma periapikal. Gigi karies diekstraksi dan jaringan periapikal kronis diusap dan dikultur di media agar darah dalam kondisi anaerob. DNA bakteri diekstrak dari kultur yang positif dan dilakukan pemeriksaan dengan Polymerase Chain Reaction (PCR). Hasil: Granuloma periapikal lebih banyak ditemukan pada wanita (OR 5,5, 95% CI= 1,277-23,693; RR 2,5, 95% CI= 1,025-6,100). Koloni bakteri berwarna hitam diasosiasikan dengan granuloma periapikal (OR 2,2, 95% CI= 0,517-9,594; RR 1,5, 95% CI= 0,655-3,623). Porphyromonas gingivalis dan Prevotella intermedia terdeteksi di jaringan karies dental dengan atau tanpa granuloma periapikal, namun hanya Prevotella intermedia yang diasosiasikan dengan granuloma periapikal (OR 1,6, 95% CI= 0,418-5,903; RR 1,3, 95% CI= 0,653-2,393). Simpulan: Porphyromonas gingivalis dan Prevotella intermedia ditemukan di granuloma periapikal, namun hanya Prevotella intermedia yang terkait langsung dengan granuloma periapikal.

Biocompatibility and osteoconductivity of injectable bone xenograft, hydroxyapatite and hydroxyapatite-chitosan on osteoblast culture Bachtiar EW; Bachtiar BM; Abas B; Harsas NA; Sadaqah NF; Aprilia R
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

Background: Bone graft in the form of injectable paste gives several advantages over the powder form as it could be placed in the defect area that has limited accessibility. Purpose: The purpose of this study was to assess biocompatibility and osteoconductivity of an injectable bone xenograft (IBX), injectable hydroxyapatite (IHA) and injectable hydroxyapatite-chitosan (IHA-C) on osteoblastic cell line (MG-63). Methods: Three concentrations (0.25%, 0.5% and 1.0%) of IBX, IHA and IHA-C were supplemented with DMEM culture medium. The viability cells were measured by MTT assay 4 hour after incubation. ALP activity was measured at day 1, 3, 5 and 7. Calcium deposition was tested at day 3 and day 7 by means of Von Kossa staining. Results: MTT assay showed that the viability cells of all the test groups were above 100% compared to the control group. The cell viability of the 0.25% IHA paste was significantly higher (115.02% ± 4.37%, p < 0.05) compared with IBX paste and IHA-C in all concentrations tested. The highest level of ALP secretion of all test groups was found on the fifth day of exposure. The highest level of ALP in the IBX paste group was 0.25% concentration while the highest level of ALP in the IHA-C and IHA paste group was 1% and 0.25%, respectively. In addition, the highest calcium deposition was shown on IHA 1% at day 7 (p > 0.05). Conclusion: It was suggested that adequate biocompatibility and osteoconductivity was evident for all injectable pastes tested.Latar belakang: Bahan tandur tulang dalam bentuk pasta injeksi memiliki kelebihan dibandingkan bila bahan tersebut berupa bubuk, karena lebih mudah diaplikasikan pada daerah yang sulit dijangkau. Tujuan: Penelitian ini bertujuan untuk mengamati sifat biokompatibilitas dan osteokonduktifitas biomaterial tandur tulang dalam bentuk injectable bone xenograft (IBX), injectable hydroxyapatite (IHA) dan injectable hydroxyapatite-chitosan (IHA-C) pada galur sel osteoblas (MG-63). Metode: Bahan tandur tulang IBX, IHA and IHA-C masing-masing dengan konsentrasi 0,25%, 0,5% dan 1,0% dipaparkan dalam larutan medium kultur sel DMEM yang telah disebari sel MG 63. Selanjutnya setelah 4 jam inkubasi maka viabilitas sel diukur dengan cara uji MTT, sedangkan aktifitas fosfatase alkali (ALP) diukur pada hari ke-1 (24 jam), hari ke-3, 5 dan 7. Deposisi kalsium diukur pada hari ke-3 dan ke-7 dengan metoda pewarnaan Von Kossa. Hasil: Uji MTT menunjukkan bahwa pemberian semua jenis bahan pasta injeksi tandur tulang meningkat di atas 100% dibandingkan kontrol. Viabilitas sel pada pemberian 0,25% pasta IHA tampak paling tinggi dibandingkan pasta IBX dan IHA-C pada semua konsentrasi yang diuji. Sekresi ALP tertinggi pada semua kelompok eksperimen terjadi pada hari ke lima setelah paparan bahan injeksi tandur tulang. Sekresi ALP tertinggi pada tiap jenis pasta terjadi pada pemberian IBX 0,25%, IHA-C 1% dan IHA 0.25%. Sedangkan deposisi kalsium tertinggi terjadi pada pemberian 1% IHA setelah 7 hari kultur sel. Kesimpulan: Semua bahan injeksi tandur tulang yang diuji pada kultur osteoblas bersifat biokompatibel dan berpotensi osteokonduktif

Gambaran densitas kamar pulpa gigi sulung menggunakan cone beam CT-3D (Description of pulp chamber density in deciduous teeth using cone beam CT-3D) Herdiyati Y; Epsilawati L; Oscandar F; Nurianingsih R
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

Background: Dental caries is the most common chronic diseases. Detection of caries is needed, especially on the deciduous teeth. An examination such as radiological examination is essential. The radiographic figures distinguish radiolucent of the crown. Digital radiography cone beam computed tomography (CBCT) is able to show a more detailed picture. Purpose: This study was aimed to get value of the density of pulp chamber of caries and non caries deciduous teeth using CBCT radiographs. Methods: The study was conducted by using simple descriptive. The samples were all the data CBCT of pediatric patients aged 7-10 years who visited the Dental Hospital of the Faculty of Dentistry, University of Padjadjaran. The samples were teeth with single and double root. Results: The results showed that the value of the normal pulp density is 422.56 Hu, while the condition of caries decreased becomes -77.89 Hu. Conclusion: The tooth with caries showed a lower density than the non caries/tooth.Latar belakang: Karies gigi merupakan penyakit kronis yang sering terjadi. Deteksi terhadap karies sangat diperlukan terutama pada gigi decidius. Pemeriksaan penunjang berupa pemeriksaan radiologis sangat diperlukan. Secara umum gambaran radiografi dapat membedakan karies berupa gambaran radiolusent pada mahkota. Radiografi digital cone beam computed tomografi (CBCT), merupakan jenis radiografi yang mampu memperlihatkan gambaran yang lebih detail. Tujuan: Penelitian ini bertujuan mendapatkan nilai densitas kamar pulpa gigi sulung yang karies dan non karies menggunakan radiografi CBCT. Metode: Penelitian dilakukan dengan metode simple deskriptif. Sampel penelitian adalah semua data CBCT dari pasien anak berusia 7 - 10 tahun yang berkunjung ke RSGM Fakultas Kedokteran Gigi Universitas Padjadjaran. Gigi yang dianalisa meliputi gigi berakar tunggal dan berakar ganda. Hasil: Hasil penelitian menunjukkan bahwa nilai densitas pulpa normal adalah 422,56 Hu, sedangkan pada kondisi karies terjadi penurunan menjadi -77,89 Hu. Simpulan: Pada gigi dengan karies menunjukkan densitas yang lebih rendah dibanding gigi yang tidak karies.

Enamel defect of deciduous teeth in small gestational age children Willyanti S Syarif; Roosje R. Oewen; Sjarif H. Effendi; Bambang Sutrisna
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 2 (2010): June 2010
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Enamel defect could be caused by genetic and environmental factors in prenatal period. Meanwhile, prenatal malnutrition could also cause small gestational age (SGA). Small Gestational Age is the term used for a neonatal baby with birthweight below the -2SD normal value or 10th percentile on the intrauterine Lubchenco curve. This condition is due to intra-uterine growth restriction, and eventually ends up with several developmental defects of organs, including teeth. In fact, deciduous tooth development has a critical phase within this development period. Purpose: The aim of this study is not only to find out the incidence of enamel defect in SGA children, but also to know the percentage of SGA risk factor to develop enamel defect. Method: This was a epidemiology research with consecutive admission technique. It consisted of 153 SGA children aged 9–48 months. Next, the Ponderal index was used to assign SGA types, symmetrical or asymmetrical one-in this study 59 and 94 respectively. On the other hand, three hundred and ninety Appropriate for Gestational Age (AGA) children aged 4–48 months were also included in the study as a control group. Enamel defect then was determined by intraoral examination, classified into hypoplasia and hypocalcifications. Chi-square test was finally used to determine the relative risk ratio between the SGA and the control AGA children. Result: The result of this research showed that incidence of enamel defect in SGA children was 86.92%, meanwhile, that in AGA children was 23.08%, 66.00% of which were commonly suffered from hypocalcification. With p<0.05 it is also known that SGA children has the risk of enamel defect with hypocalcification, about 79% higher than AGA children. Conclusion: It could be concluded that 79% of SGA children had the risk of deciduous tooth enamel defect with hypocalcification as the most.Latar belakang: Defek email dapat terjadi karena faktor genetik dan lingkungan sistemik yang terjadi saat prenatal. Adanya malnutrisi prenatal dapat mengakibatkan kelahiran bayi dengan kecil masa kehamilan. Kecil masa kehamilan (KMK) adalah bayi dengan berat badan lahir di bawah -2SD nilai normal atau dibawah persentil 10 kurva pertumbuhan intra uterin Lubchenco. Kondisi ini terjadi sebagai akibat intra uterine growth restriction (IUGR) yang mengakibatkan defek perkembangan organ tubuh, termasuk gigi sulung karena masa kritis pertumbuhan dan perkembangan gigi sulung terjadi pada periode prenatal. Tujuan: Tujuan penelitian ini adalah untuk mengetahui insidensi defek email gigi sulung pada anak KMK dan mengetahui besarnya risiko KMK untuk terjadinya defek email pada gigi sulungnya. Metode: Disain penelitian adalah epidemiologi dengan consecutive admission. Sample terdiri dari 153 anak KMK berusia 9–48 bulan. Diperoleh 59 tipe simetri dan 94 tipe asimetri dengan indeks Ponderal. Sebagai kontrol diperiksa 390 anak Sesuai masa kehamilan (SMK) berusia 4–48 bulan. Pemeriksaan intra oral dilakukan untuk melihat ada tidaknya defek. Tipe defek adalah hipoplasia dan hipokalsifikasi. Uji Chi-kuadrat digunakan untuk menguji risiko relatif defek email pada anak KMK dan SMK. Hasil: Hasil penelitian menunjukkan insidensi defek email pada anak KMK sebesar 86,92% dan pada anak dengan sesuai masa kehamilan (SMK) sebesar 23,08%, dengan jumlah defek terbanyak adalah hipokalsifikasi sebanyak 66,60%. Dengan p < 0,05 anak KMK berisiko 79% untuk mengalami defek email gigi sulung. Kesimpulan: Dari penelitian ini disimpulkan bahwa anak KMK berisiko 79% mengalami defek email gigi sulung dengan tipe defek terbanyak adalah hipokalsifikasi.

Unidentified angular recurrent ulceration responsive to antiviral therapy Rahmi Amtha; Siti Aliyah Pradono
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

Background: Recurrent ulcer on angular area is usually called stomatitis angularis. It is caused by many factors such as vertical dimension reduce, vitamin B12, and immune system deficiency, C. albicans and staphylococcus involvement. Clinically is characterized by painful fissure with erythematous base without fever. Purpose: to describe an unidentified angular ulcer proceeded by recurrent ulcers with no response of topical therapy. Case: An 18-years old male came to Oral Medicine clinic in RSCM who complained of angular recurrent ulcers since 3 years ago which developed on skin and bleed easily on mouth opening. Patient had fever before the onset of ulcers. Large, painful, irregular ulcers covered by red crustae on angular area bilaterally. Patient has been treated with various drugs without improvement and lead to mouth opening limitation. Intra oral shows herpetiformtype of ulcer and swollen of gingival. Case management: Provisional diagnosis was established as viral infection thus acyclovir 200 mg five times daily for two weeks and topical anti inflammation gel were administered. Blood test for IgG/IgM of HSV1 and HSV2 were non reactive, however ulceration showed a remarkable improvement. The ulcers healed completely after next 2 weeks with acyclovir. Conclusion: The angular ulceration on above patient failed to fulfill the criteria of stomatitis angularis or herpes labialis lesion. However it showed a good response to antiviral. Therefore, unidentified angular ulceration was appointed, as the lesion might be triggered by other type of human herpes virus or types of virus that response to acyclovir.Latar belakang: ulser rekuren pada sudut mulut biasanya disebut stomatitis angularis. Kelainan ini disebabkan oleh banyak faktor seperti berkurangnya dimensi vertikal, defisiensi vitamin B12 dan sistem kekebalan tubuh, infeksi C. albicans serta staphylococcus. Secara klinis kelainan ini ditandai dengan fisur sakit pada sudut mulut dengan dasar eritematus tanpa disertai demam. Tujuan: Melaporkan kasus ulser sudut mulut rekuren yang tidak biasa, tanpa respon terhadap terapi topikal yang biasa diberikan. Kasus: Seorang lakilaki berusia 18 tahun datang ke klinik Penyakit Mulut RSCM dengan keluhan ulser rekuren pada sudut mulut yang meluas ke kulit sekitarnya sejak 3 tahun yang lalu. Ulser mudah berdarah saat pasien membuka mulut dan demam sebelum lesi timbul. Ulser membesar, bilateral, sakit, tepi tidak teratur, ditutupi oleh krusta merah. Pasien telah diobati dengan berbagai obat, namun tidak menunjukkan perbaikan. Intra oral tampak ulser jenis herpetiformis pada gingiva disertai dengan pembengkakan. Tatalaksana kasus: Diagnosis awal ditegakkan sebagai infeksi virus, oleh karena itu pasien diberikan acyclovir 200 mg lima kali sehari selama dua minggu dan gel anti radang topikal. Walaupun hasil darah IgG/IgM HSV1 dan HSV2 non reaktif, namun ulserasi menunjukkan penyembuhan yang luar biasa dengan anti virus yang diberikan. Ulser sembuh sempurna setelah pemakaian acyclovir 2 minggu berikutnya. Kesimpulan: ulserasi sudut mulut pada pasien di atas gagal memenuhi kriteria stomatitis angularis atau herpes labialis. Namun ulser menunjukkan respon yang amat baik terhadap antivirus. Diagnosis ditetapkan sebagai ulserasi sudut mulut yang tidak teridentifikasi. Kemungkinan lesi dipicu oleh virus herpes manusia jenis lain atau jenis virus yang memberikan respon terhadap asiklovir.

Mozart effect on dental anxiety in 6–12 year old children Arlette Suzy Setiawan; Hilnia Zidnia; Inne Suherna Sasmita
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

Background: Children anxiety in dental treatment often becomes a barrier for dentist to perform optimum dental treatment procedure. Various methods to manage anxiety and fear in children have been applied including listening to classical music during dental treatment. One of the classical music usually used is music by Mozart. Purpose: This study is aimed to discover the role of classical music by Mozart in dental anxiety changes. Method: This study was a quasi experimental study using purposive sampling method. The samples consist of 30 children between 6-12 years old group who were treated at the Pediatric Dentistry Clinic, Dental Hospital, Faculty of Dentistry Padjadjaran University. The anxiety data was collected using Visual Analogue Scale (VAS) before and after listening on the classical music during treatment. Result: The result of this study showed that there were 23 children (76.67% of subjects) who present decreased anxiety, 7 children (23.33% of subjects) did not present decreased anxiety and none of of subjects showed increased anxiety. Conclusion: It was concluded that listening to music by Mozart during dental treatment can reduce anxiety in 6-12 year old children.Latar belakang: Kecemasan pada anak saat perawatan gigi seringkali merupakan penghalang bagi dokter gigi untuk melaksanakan prosedurperawatan gigi yang optimal. Berbagai metode untuk mengatasi kecemasan dan rasa takutpada anak telah dilakukan termasuk mendengarkan musik klasik selama perawatan gigi. Salah satu musik klasik yang banyak digunakan adalah music oleh Mozart. Tujuan: Penelitian ini ditujukan untuk menemukan peran music klasik Mozart dalam perubahan kecemasan pada perawatan gigi. Metode: Penelitian ini adalah kuasi eksperimental menggunakan metode pengambilan sampel purposif. Sampel terdiri dari 30 anak antara 6-12 tahun yang dirawat di Klinik Kedokteran Gigi Anak, Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Padjadjaran. Data kecemasan diambil dengan Visual Analogue Scale (VAS) sebelum dan setelah mendengarkan music klasik selama perawatan. Hasil: Hasil menunjukkan bahwa terdapat 23 anak (76,67% dari subjek) yang menunjukkan penurunan kecemasan, 7 anak (23,33%) tidak menunjukanperubahan kecemasan dan tidak ada (0 anak atau 0%) yang menunjukkanpeningkatan kecemasan. Kesimpulan: Disimpulkan bahwa mendengarkan musik Mozart selama perawatan gigi dapat menurunkan kecemasan di antara anak- anak usia 6-12 tahun.

The benefit of differential moment concept in managing posterior anchorage and avoiding bite deepening Harryanto Wijaya; Joko Kusnoto
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

Background: Anchorage is one of the major concerns in orthodontic space closure. Various methods have been proposed to enhance posterior anchorage in space closure such as headgear, Nance holding appliance, and micro implant as temporary anchorage devices. However, several issues such as patient's compliance, appliance effectiveness, and cost of the device become many clinicians concern. The differential moment concept in segmented arch is a technique that requires no patient compliance but can effectively manage posterior anchorage and avoid bite deepening by careful application of forces and moments. Purpose: The purpose of this case report is to show the use of differential moment concept in segmented arch technique to manage posterior anchorage and to avoid bite deepening. Case: A 21 years old female patient with protrusive teeth as her chief complaint was treated using fixed orthodontic appliance. Case management: The treatment included four first bicuspid extraction and space closure utilizing differential moment concept in segmented arch. Conclusion: It can be concluded that application of differential moment concept in segmented arch technique is a non invasive, compliance independent, effective, and cost efficient method to manage posterior anchorage and to avoid bite deepening.latar belakang: Penjangkaran merupakan salah satu aspek yang sering kali menjadi masalah dalam penutupan ruang pada perawatan ortodonti. Berbagai metode disarankan untuk memperkuat penjangkaran posterior dalam penutupan ruang seperti headgear, piranti penahan Nance, dan implan mikro sebagai alat penjangkar sementara. Namun demikian, beberapa hal seperti kerjasama pasien, efektivitas piranti, dan biaya dari alat-alat tersebut sering menjadi perhatian/pertimbangan bagi klinisi. Konsep momen diferensial pada segmented arch adalah suatu cara yang efektif untuk memperkuat penjangkaran dan menghindari pendalaman gigitan tanpa memerlukan kerjasama pasien. tujuan: Laporan kasus ini bertujuan untuk menunjukkan penggunaan konsep momen diferensial pada segmented arch untuk mengatasi masalah penjangkaran posterior dan pendalaman gigitan. Kasus: Seorang perempuan usia 21 tahun dengan keluhan utama gigi-gigi anterior protrusif dilakukan perawatan dengan alat ortodonti cekat. tatalaksana kasus: Perawatan yang dilakukan meliputi pencabutan 4 premolar pertama dan penutupan ruang dengan konsep momen diferensial pada segmented arch. Kesimpulan: Dapat disimpulkan bahwa penggunaan konsep momen diferensial pada segmented arch efektif untuk mengatasi masalah penjangkaran posterior dan pendalaman gigitan.

Pulpal inflammation after vital tooth bleaching with 38% hydrogen peroxide Ardiny Andriani; Juni Handajani; Tetiana Haniastuti
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

Background: In-office vital tooth bleaching is a treatment to remove tooth stains. Tooth sensitivity is one of side effect commonly complained by patients receiving this treatment. Purpose: The aim of this study was to examine histological inflammatory cells infiltration of dental pulp after application of 38% H2O2 as a vital tooth bleaching agent. Methods: Under informed consent, a total of 15 premolars from 8 healthy subjects scheduled for orthodontic extraction were used in this study. Thirty eight percent H2O2 was applied on the buccal surface of the treated group. The treated teeth were extracted after 1 hour, 5, 8, and 15 days. All specimens were embedded in paraffin wax, sectioned serially and stained with Hematoxyllin Eosin. Histological specimens were then observed under a light microscope. Results: All treated groups showed a slight disorganization of odontoblasts layer and slight inflammation in the pulp tissue adjacent to the 38% H2O2 application site. The number of polymorphonuclear leukocytes (PMN) had increased significantly 1 hour after application of 38% H2O2 (p<0.05), while macrophages had significantly increased 5 days after the application (p<0.05). The most intense PMN and macrophages infiltration was found 5 days after the application and gradually decreased 8 days after application of38% H2O2. Conclusion: Application of 38% H2O2 as a vital tooth bleaching agent induces acute inflammation in human dental pulp; however, the inflammation will decrease 8 days after the application.Latar belakang: Perawatan pemutihan gigi vital metode in-office merupakan tindakan untuk menghilangkan pewarnaan pada gigi. Salah satu efek samping yang sering dikeluhkan oleh pasien yang menjalani perawatan ini adalah sensitivitas gigi. Tujuan: Penelitian ini bertujuan untuk mengamati infiltrasi sel inflamasi pada pulpa gigi setelah aplikasi H2O2 38% sebagai bahan pemutih gigi. Metode: Sampel penelitian ini berupa 15 gigi premolar yang berasal dari 8 subjek sehat yang akan melakukan pencabutan gigi untuk perawatan ortodontik. Seluruh subjek telah menandatangani informed consent. Hidrogen peroksida 38% diaplikasikan pada permukaan bukal gigi kelompok perlakuan. Gigi kemudian dicabut 1 jam, 5, 8, dan 15 hari setelah aplikasi H2O2 38%. Seluruh spesimen kemudian ditanam dalam parafin, dipotong secara serial dan diwarnai dengan Hematoxillin Eosin. Pengamatan preparat histologis dilakukan dengan menggunakan mikroskop cahaya. Hasil: Hasil penelitian ini menunjukkan gangguan pada lapisan odontoblas dan peradangan pada jaringan pulpa di bawah daerah aplikasi H2O2. Jumlah PMN meningkat secara signifikan (p<0,05) 1 jam setelah aplikasi H2O2 38% sedangkan jumlah makrofag meningkat secara signifikan 5 hari setelah aplikasi hidrogen peroksida 38%. Infiltrasi PMN dan makrofag paling banyak ditemukan 5 hari setelah aplikasi dan menurun secara bertahap 5 dan 8 hari setelah aplikasi H2O2 38%. Kesimpulan: Aplikasi H2O2 38% sebagai bahan pemutih gigi vital dapat menginduksi inflamasi akut pada pulpa gigi manusia, namun, inflamasi akan mereda 8 hari setelah aplikasi.

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Contact Name
Saka Winias

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Jawa timur

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