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Saka Winias
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saka.winias@gmail.com
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dental_journal@yahoo.com
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Kota surabaya,
Jawa timur
INDONESIA
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.
Arjuna Subject : -
Articles 964 Documents
Herbal-induced Stevens-Johnson syndrome with oral involvement and management in an HIV patient S. Suniti; Irna Sufiawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (439.31 KB) | DOI: 10.20473/j.djmkg.v51.i3.p153-157

Abstract

Background: Stevens-Johnson syndrome (SJS) is an immune complex-mediated hypersensitivity reaction affecting the skin and mucous membranes. Patients infected with human immunodeficiency virus (HIV) are at increased risk of developing SJS which is predominantly caused by an adverse reaction to medications, including herbal varieties. In recent years, the consumption of herbal medicines has increased, while their safety remains a matter for investigation. Purpose: The purpose of this case report is to explain the occurrence of SJS caused by herbal medicine. Case: A 43-year-old male patient with body-wide skin erosion was referred to the Department of Oral Medicine and subsequently diagnosed with Stevens-Johnson syndrome due to his consumption of a herbal medicine containing zingiber rhizoma, coboti rhizoma, asari herbal and epimedi. The patient’s chief complaints included difficulty when opening the mouth, dysphagia and excessive production of saliva continuously contaminated with blood and sputum. Extraoral examination showed a sanguinolenta crust on the lips. Intra oral examination of oral mucous showed erosive lesions with bleeding and pain. A HIV test performed at a Clinical Pathology Laboratory was positive for antibodies against HIV with a CD4 cell count of 11 cells/ml. Case management: Treatment consisted of the administering of NaCl 0.9 %, hydrocortisone 0.1% and Chlorhexidine digluconate 0.12% for 12  days. Conclusion: SJS can be caused by herbal medicine and it is essential to be aware of the latter’s potential adverse effects, especially in immunocompromised patients. Symptomatic management of oral lesions should be planned as an early intervention in order to decrease morbidity and mortality in SJS patients.
Potential immunomodulatory activity of Phyllanthus niruri aqueous extract on macrophage infected with Streptococcus sanguinis Hutomo, Suryani; Putri, Denise Utami; Suryanto, Yanti Ivana; Susilowati, Heni
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (407.935 KB) | DOI: 10.20473/j.djmkg.v51.i3.p124-128

Abstract

Background: Streptococcus sanguinis is an oral commensal bacterium commonly found in periodontal lesions and deep abscesses that are usually dominated by anaerobic bacteria. As an important causative agent of systemic diseases, and with the increasingly numerous cases of antimicrobial resistance, some means of modulating the immune response to bacterial infection is thus necessary. Phyllanthus niruri Linn is widely used as a medicinal herb to both prevent and treat disease and demonstrates immunomodulatory properties. Purpose: This study aimed to observe the potential for aqueous extract of Phylanthus niruri to induce macrophage proliferation and NO production following S. sanguinis infection. Methods: Macrophages were isolated from the peripheral blood of healthy subjects, stimulated with P. niruri aqueous extract in graded doses and infected with S. sanguinis ATCC 10556 bacterial suspension. Cell proliferation and nitric oxide release was observed at 24 and 48 hours to determine macrophage activities. Results: NO production and cell proliferation started to increase upon 50 and 100µg/ml P niruri respective stimulation. Statistical analysis using One-way Anova demonstrated a significant difference of cell proliferation after stimulation with P. niruri aqueous extract at various doses (p<0.05). Conclusion: P. niruri aqueous extract induced macrophage proliferation and NO secretion upon S sanguinis infection, showing potential antibacterial and immunomodulatory activities. At the same concentrations, NO production and macrophage were higher at 48 hours than at 24 hours.
Cytoxicity test of NaOCl and Mangosteen (Garcinia Mangostin L.) peel extract used as an irrigation solution in human periodontal ligament fibroblast cells (HPdLFc) Tamara Yuanita; Dina Ristyawati; Karlina Samadi
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (398.227 KB) | DOI: 10.20473/j.djmkg.v51.i3.p133-137

Abstract

Background: Root canal irrigation is an important stage in root canal treatment as it is requires to eliminate necrotic and debris tissue as well as root canal wetting. Unfortunately, root canal irrigation can cause the material utilised to pass into the apical foramen leading to periapical complications. Consequently, the irrigation solution should have low toxicity. Sodium hypochlorite (NaOCl) is a commonly used irrigation solution since it has antibacterial properties. Moreover, NaOCl is also known to have the ability to dissolve necrotic tissue, vital pulp tissue and organic components of dentin and biofilms. Nevertheless, it can still cause damage when coming into contact with periapical tissues. On the other hand, Mangosteen peel extract (Garcinia mangostana L.), also has antibacterial activities. Hence, Mangosteen peel extract is assumed to be employable as an alternative irrigation solution. Purpose: This research aimed to reveal the toxicity levels of NaOCl and Mangosteen peel extract (Garcinia mangostin L.) used as irrigation solution in human periodontal ligament fibroblast cells (HPdLFc). Methods: HPdLFc were obtained from periapical tissues taken from one third of the first premolar teeth cultured. These cells were subsequently divided into several groups exposed to NaOCl and Mangosteen peel extract at certain concentrations. A toxicity test was then conducted using MTT assay. The results were analyzed with an Elisa reader. Cell deaths and LC50 were then calculated. Results: NaOCl became toxic at a concentration of 0.254 µl/ml or 0.025%, while Mangosteen peel extract became so at one of 2.099 ug/ml or 0.209%. Conclusion: NaOCl can be toxic at a concentration of 0.254 µl/ml or 0.025% and Mangosteen peel extract at one of 2.099 μg/ml or 0.209%.
The effect of various concentrations of HA-TCP derived from cockle shell synthesis on scaffold porosity Reyhan Alvaryan Ferdynanto; Priska Evita Setia Dharmayanti; Putu Tahlia Krisna Dewi; Widyasri Prananingrum
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (702.932 KB) | DOI: 10.20473/j.djmkg.v51.i3.p114-118

Abstract

Background: Porosity is an important property that must be possessed by scaffold due to its role in new bone growth. Hydroxyapatite is a scaffold material with a composition resembling that of bone that can be synthesized from cockle shell (Anadara granosa). Purpose: This research aimed to determine the effects of various HA-TCP concentrations (wt%) derived from cockle shell synthesis on scaffold porosity. Methods: HA-TCP was synthesized from cockle shells using a hydrothermal method at 200o C with a 12-hour sintering process period. An XRD test was subsequently carried out to determine the composition of hydroxyapatite (HA) and tricalcium phosphate (TCP) compounds. Eighteen scaffold samples (n=6) were then produced using a freeze dry method and divided into three groups, namely; Group 1 (K1) treated with 5% HA-TCP, Group 2 (K2) treated with 25% HA-TCP and Group 3 (K3) treated with 50% HA-TCP. Thereafter, a scaffold porosity test was conducted using liquid displacement method. Scaffold porosity was observed by means of an SEM image. A One-Way ANOVA test was subsequently performed, followed by an LSD Post-Hoc test (p <0.05). Results: The results of the XRD test showed that the percentage of HA was 51.5%, while TCP was 16.8%. The porosity of the scaffolds was within the range of 67.24% - 80.17%. The highest porosity was found in Group 1, while the lowest occurred in Group 3. There were significant differences in all groups. Conclusion: The concentration of HA-TCP derived from the synthesis of cockle shells affects the porosity of scaffold. The lower the concentration of HA-TCP, the higher the scaffold porosity.
Socioeconomic status and orthodontic treatment need based on the Dental Health Component Hilda Fitria Lubis; Hilda Paula Laturiuw
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (272.996 KB) | DOI: 10.20473/j.djmkg.v51.i3.p119-123

Abstract

Background: The dental health component (DHC) is used to assess different malocclusions by evaluating the number of teeth, overjet, overbite and contact points of each tooth. This index is subjectively influenced by socioeconomic factors. Purpose: This study aimed to determine the overview of the socioeconomic status and orthodontic treatment need based on the DHC of State 15 Medan Junior High School students. Methods: This study represented a descriptive research featuring cross-sectional design. The subjects of this study consisted of 100 high school students. This study was conducted by making dental impressions and distributing questionnaires. Data analysis was conducted with SPSS 17.0 software using a descriptive statistical test and presented in a distribution and frequency table. Results: 89% of subjects demonstrated DHC levels of 1-2. 66.3% of subjects with parents of secondary education level had DHC grades 1-2, followed by 31.5% with parents of higher education level and 2.2% with parents of basic education level. The majority of subjects with DHC grades 1-2 had parents occupying class 2 jobs and the lowest number of students had parents holding class 4 jobs. The majority of the subjects with DHC grades 1-2 (77.5%) were of low income parents.  Conclusion: The largest distribution of orthodontic treatment need based on DHC among students of State 15 Junior High School occurred at levels 1-2 which either required or did not require minor orthodontic treatment. The majority of the students with DHC grades 1-2 have parents of secondary education level, a class 2 job and a low monthly income.
The effects of breadfruit leaf (Artocarpus Altilis) extract on fibroblast proliferation in the tooth extraction sockets of Wistar rat Darin Hulwani Rinaldi; David B. Kamadjaja; Ni Putu Mira Sumarta
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (390.131 KB) | DOI: 10.20473/j.djmkg.v51.i3.p143-146

Abstract

Background: A prolonged tooth extraction socket healing process can affect the well-being of the patient and increase the risk of infection. Fibroblast proliferation in the proliferation phase is an important stage in the healing process. Fibroblast formed from extracellular matrix and collagen fibers support bone formation in the socket. Breadfruit leaves, extremely common in Indonesia, contain polyphenol, flavonoid, tannin and alkaloid substances which accelerate the wound healing process because of their anti-inflammatory, anti-bacterial and anti-oxidant properties. A previous study showed that 16% breadfruit leaf gel extract administered to Wistar rats produced an encouraging anti-inflammatory effect, but its capacity for increasing fibroblast proliferation remains to be fully understood. Purpose: The aim of this study was to observe the effect of applying breadfruit leaf extract on fibroblast proliferation on the healing process in tooth extraction sockets. A preliminary phytochemical study was undertaken. Methods: 24 Wistar rats were divided into four groups: two control groups and two experimental groups. 16% breadfruit leaf gel extract was applied to the experimental groups, while none was applied to the control groups. The number of fibroblasts was counted on both the third and fifth days post-extraction. Data was analyzed statistically using an independent T-test. Results: There were significant differences in the number of post-extraction fibroblasts in Wistar rat tooth sockets on day 3 (p=0.000; p < α=0.05) and day 5 (p=0.000; p < α=0.05). Conclusion: Breadfruit leaf gel extract application increases fibroblast proliferation during the healing process in the tooth extraction sockets of Wistar rats.
Antibacterial potential of Ocimum sanctum oils in relation to Enterococcus faecalis ATCC 29212 Diani Prisinda; Ame Suciati Setiawan; Fajar Fitriadi
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (758.543 KB) | DOI: 10.20473/j.djmkg.v51.i3.p104-107

Abstract

Background: Enterococcus faecalis is a Gram-positive cocci present in the root canal due to the failure of endodontic treatment and  pulp tissue necrosis. The ideal root canal medicine offers biocompatible properties, ease of cleaning, absence of tooth staining and non-disruption of the root canal filling process. Basil (Ocimum sanctum) is one of the herbs widely used in salads which produces anti-bacterial, anti-fungal and anti-viral effects. The antibacterial effect of basil results from the eugenol which represents a main component demonstrating antibacterial properties. Basil essential oil has an antibacterial effect on both gram positive and gram-negative bacteria. Purpose: This study aimed to determine whether the essential oils contained in basil leaves offer any antibacterial potential with regard to the growth of Enterecoccus faecalis ATCC 29212. Methods: The research was experimental in nature incorporating a simple random sampling technique. In this study, groups of active substance compounds contained in basil leaves were extracted by distillation in order to obtain the essential oil. Preparation of the test solution involved essence of basil leaf oil at concentrations of 5,000 ppm, 10,000 ppm and 20,000 ppm in methanol solvent. A phytochemical test of basil was subsequently conducted in order to identify the content of the compound. The bacteria in this study was tested utilizing a disc diffusion method (Kirby and Bauer test) by measuring the diameter of the clear zone (clear zone) which is indicative of the bacterial growth inhibition response of antibacterial compounds in the extract. Results: The results of the research into the phytochemical test showed that basil contains phenolic flavonoids, triterpenoids, saponins, tannins which produce a negative result on steroids. The results of this study showed that the basil essential oil inhibition zone present in the Enterecoccus faecalis growth had a diameter of 11.70 mm at a concentration of 20,000 ppm. This concentration therefore proved most effective in relation to Enterococcus faecalis than other concentrations. Conclusion: It can be concluded that essential oils of basil leaves demonstrate anti-bacterial inhibitory properties with regard to Enterococcus faecalis.
Cytotoxicity test of binjai leaf (Mangifera caesia) ethanol extract in relation to Vero cells Fifi Dwidhanti; Irham Taufiqurrahman; Bayu Indra Sukmana
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 3 (2018): September 2018
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 (487.804 KB) | DOI: 10.20473/j.djmkg.v51.i3.p108-113

Abstract

Background: Binjai leaves (Mangifera caesia) constitute one part of a medicinal plant from South Borneo that contains potential anticancer and antioxidant flavonoids. Before using medicinal plants as adjuvant therapy material, a cytotoxicity test of a material extract needs to be conducted in order to establish the safety of natural ingredients that will be used in the production of medicinal products. Purpose: This research aimed to determine whether the ethanol extract of binjai leaves proved cytotoxic to Vero cells and determine the value of IC50 after the administering of ethanol extract of Binjai leaves by means of an MTT assay method. Methods: This research incorporated a true experimental method with posttest-only control design that consisted of ten groups. The Binjai leaf ethanol extract of varying concentrations was administered to eight groups, namely;1.25µg/mL, 62.5µg/mL, 125µg/mL, 250µg/mL, 500µg/mL, 1000µg/mL, 2000µg/mL and 4000µg/mL. The control groups consisted of two groups, one cell control group and one media control group. The cell viability percentage was calculated by an absorbent of ELISA reader. Results: The probit analysis result had an IC50 value of 2498.48µg/mL (IC50>1000µg/mL constituted a non-toxic category). Conclusion: Ethanol extract of Binjai leaves is not cytotoxic to Vero cells as shown by an assay MTT method which produced an IC50 value of 2498.48µg/mL.
A study of cytotoxicity and proliferation of Cosmos caudatus Kunth leaf extract in human gingival fibroblast culture Zhafira Nur Shabrina; Ni Putu Mira Sumarta; Coen Pramono
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 4 (2018): December 2018
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 (1047.628 KB) | DOI: 10.20473/j.djmkg.v51.i4.p179-184

Abstract

Background: Post-extraction dental sockets clinically resolve within a period of 3-4 weeks. However, complete healing and bundling of gingival fibers may require several months. Medication is therefore required to accelerate the healing process. Cosmos caudatus (C. caudatus), a local plant with antioxidant properties and high calcium content, has the potential to promote wound healing while also reportedly capable of strengthening bone. Previous studies have demonstrated the effectiveness of C. caudatus as an alternative treatment for post-menopausal osteoporosis by investigating the dynamic and cellular parameters of bone histomorphometry. Purpose: The study aimed to examine the citotoxicity and proliferation of human gingival fibroblast cells culture after the application of C. caudatus extract. Methods: Cultures of human gingival fibroblast cells with 5x104 cell density were divided into two groups and placed in a 30-well culture dish. The control group contained human gingival fibroblast cell culture without extract, while the experimental group consisted of human gingival fibroblast cells culture with extract. The concentrations of extract were 1200 μg/ml, 600 μg/ml, 300 μg/ml, 150 μg/ml, and 75 μg/ml. A toxicity test was conducted and the optimum concentration evaluated using an MTT assay, while fibroblast numbers on were calculated days 1 and 2 by means of a hemocytometer. Research data was analyzed using a one-way ANOVA test. Results: No toxicity was found. The optimum concentration was 600 μg/ml and fibroblast proliferation was significantly higher in the experimental group compared to the control group, p=0.002 (P<0.05). Conclusion: C. caudatus leaf extract is non-toxic and increases the proliferation of human gingival fibroblast culture at an optimum concentration of 600 μg/ml.
Contrasting perceptions of male and female dental students regarding smile aesthetics based on their gingival display Yessy Josephine Sijabat; C. Christnawati; Dyah Karunia
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 4 (2018): December 2018
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 (193.456 KB) | DOI: 10.20473/j.djmkg.v51.i4.p200-204

Abstract

Background: Perception consists of personal opinion in relation to an object. In terms of aesthetics, perception normally differs from one individual to another based on several factors such as gender. When expressing emotion, a smile is the most important facial expression whose aesthetics are constructed from a number of components, including gingival display. Purpose: This study aimed to establish the comparative perceptions of the smile aesthetics of male and female dental students based on their gingival display. Methods: 36 dental students, divided equally according to gender, were enrolled in this study. Photographic images of the smile of each subject were taken from a frontal direction with a Canon EOS 700D digital camera and subsequently printed. Assessments were conducted by comparing the photographs of subjects from the perspective of smile references based on the gingival display, followed by subject scoring on the basis of smile classification. Assessments were conducted twice within a two-week period to confirm test reliability. The data collected was analyzed by means of kappa statistic and U-Mann Whitney tests. Results: The test results indicated that all subjects demonstrated a coincidence in their analysis (κ=0.84). Statistical analysis showed that a score of 0.902 (p>0.05) had been produced by a U-Mann Whitney test. Conclusion: It can be concluded that no difference exists between male and female students in the perception of smile aesthetics based on the gingival display.

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