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Dental Journal (Majalah Kedokteran Gigi)
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 950 Documents
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Estimation of children’s age based on dentition via panoramic radiography in Surabaya, Indonesia Agung Sosiawan; An'nisaa Chusida; Beshlina Fitri Widayanti Roosyanto Prakoeswa; Arofi Kurniawan; Maria Istiqomah Marini; Beta Novia Rizky; Tito Krisna Gianosa; Najminoor Ramadhani Ridlo; Mumtaz Ramadhani Putra Pesat Gatra; Aspalilah Alias
Dental Journal Vol. 55 No. 3 (2022): September 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v55.i3.p161-164

Abstract

Background: Age may be estimated using tooth eruption sequence and/or calcification stage. Because many factors may affect the time of eruption, the tooth calcification stage shows higher accuracy than the time of tooth eruption. Demirjian’s and Willems’ methods have been most commonly used for dental age estimation. Both Willems and Demirjian use the calcification stage as an indicator. Studies comparing these methods have shown varied results, as they have been performed on different populations. Purpose: This paper aims to analyse the estimation of children's age based on dentition via panoramic radiography in Surabaya, Indonesia. Methods: This is a cross-sectional study using a purposive sampling method. One hundred digital panoramic radiographs of children between 6 and 15 years that match the inclusion criteria from the Airlangga University dental hospital in Surabaya, Indonesia were evaluated. One researcher analysed estimated dental age (EDA) three times in a one-week time-lapse using Demirjian’s and Willems’ methods. Statistical analysis was carried out using a Paired t-test and Wilcoxon signed-rank test. EDA was calculated using both Demirjian’s and Willems’ methods. Results: The mean chronological age (CA) was 10.57 ± 2.70 for males and 10.73 ± 2.84 for females. The mean difference between CA and EDA using the Demirjian and Willems methods was -0.57 ± 1.17 and 0.10 ± 0.96 for males and 0.58 ± 1.40 and 0.44 ± 0.94 for females. Conclusion: The results suggest that Willems’ method is more precise than Demirjian’s method in males and females and more suitable for children in Surabaya, Indonesia.
A case study of informed consent in Indonesian Law Number 29, 2004 Agung Sosiawan; Vera Rimbawani Sushanty; Dian Agustin Wahjuningrum; Fery Setiawan
Dental Journal Vol. 56 No. 1 (2023): March 2023
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i1.p1-6

Abstract

Background: Informed consent is an agreement between the doctor/the provider of medical services and the patient/the recipient of medical services. This relationship between these parties has changed from a paternalistic to a contractual relationship due to technological shifts. Doctors are obliged to notify the patient of all the risks and benefits of a procedure while respecting their autonomy by not intervening the decision-making process. This article will look at three government and academic hospitals in Surabaya, as informed consent has to be practiced in all medical settings. Purpose: This study aims to review the role of informed consent according to Law Number 29, 2004. Review: This study aims to discuss the characteristics of informed consent under Law Number 29, 2004, because there are too few articles addressing this issue. It also explains the roles of the patient and the doctor/dentist in informed consent according to this piece of legislation. Conclusion: According to Article 184, informed consent provides vital evidence that can be used to hold doctors and dentists legally accountable because it contains information about standard operating procedures (SOPs) that medical professionals are legally required to follow. Guidelines for informed consent are given in Law Number 29, 2004, Article 45, paragraph 2.
The Effectiveness of telemedicine approach as a treatment to reduce severity of temporomandibular disorders Ricca Chairunnisa; Siti Dyah Fadilla
Dental Journal Vol. 55 No. 4 (2022): December 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v55.i4.p204-208

Abstract

Background: Temporomandibular disorder (TMD) is the most common pain in the maxillofacial area. Overall prevalence of TMD was approximately 31% for adults/elderly and 11% for children/adolescents. TMD is considered a multifactorial disorder. There are various treatments for TMD, one of which is jaw exercises therapy which is the most widely used initial treatment to relieve signs and symptoms. Currently, conventional therapy for TMD patients has been difficult to control patient compliance. Hence, this therapy can be done at home independently through telemedicine as an alternative tool to rehabilitateate the patients that can be accessed via smartphone. Purpose: To determine the severity of TMD before and after jaw exercises and the effect of telemedicine approach using jaw exercises via smartphone apps on dental students. Methods: This study used a quasi-experimental method with a one-group pretest post-test design using Fonseca anamnestic index (FAI) questionnaire to measure the severity before and after two weeks of jaw exercises on 35 dental students using purposive sampling based on inclusion and exclusion criteria. Wilcoxon signed-rank test was used to analyze the data (p<0.05). Results: Before jaw exercises, 21 people (60%) had mild TMD, 14 people (40%) had moderate TMD, and none had severe TMD. After jaw exercises, the severity of 9 people (42.8%) in the mild TMD group has decreased (p=0.007), and the severity of 11 people (78.5%) in the moderate TMD group has decreased (p=0.003). Conclusion: There was positive effect that decreased the level of severity of TMD through telemedicine approach after jaw exercises via smartphone apps on dental students.
Management of a complete denture in the flat mandibular ridge using a semi-adjustable articulator along with an effective suction method Muhammad Dimas Aditya Ari; Harry Laksono; Valerian Laksono; Real Akbar Aucky Sanjaya; Tasya Regita Pramesti; Ratri Maya Sitalaksmi
Dental Journal Vol. 55 No. 3 (2022): September 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v55.i3.p179-185

Abstract

Background: Complete dentures can improve the quality of life of edentulous patients. The selection of a suitable articulator and an impression technique is important to construct a stable and retentive complete denture with good occlusion. The use of a semiadjustable articulator ensures that the dentures can be constructed such that their movement closely resembles the patient’s physiological movements. The effective suction method can ensure the development of the border seal according to the patient’s anatomical condition. The use of a semi-adjustable articulator along with an effective suction method is expected to provide good results in the construction of a complete denture. Purpose: This report aimed to describe the management of individual complete dentures in the flat mandibular ridge using a semi-adjustable articulator along with an effective suction method. Case: A 69-year-old female patient came with a chief complaint of her old dentures being unusable and wanted new dentures made. The patient’s general condition was good, and the last extraction was done three months prior to the patient’s arrival. The mandibular posterior alveolar ridge showed dextral tapering and sinistral flatness. Case Management: A complete denture with an acrylic base was fabricated using a semi-adjustable articulator along with an effective suction method. Conclusion: Flat ridge case management using a semi-adjustable articulator with an effective suction method can improve complete denture retention and stability.
Interdisciplinary management of Class III malocclusion with cleft lip and palate Retno Iswati; Cendrawasih Andusyana Farmasyanti; Aulia Ayub; Anne Marie Kuijpers-Jagtman; Ananto Ali Alhasyimi
Dental Journal Vol. 56 No. 1 (2023): March 2023
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i1.p7-12

Abstract

Background: A cleft lip and palate (CLP) is one of the most common birth defects of the face. Individuals with CLP often have a significant growth disturbance of the maxilla along three dimensions, resulting in skeletal Class III malocclusion and cross bite. Oral rehabilitation can be complicated. Purpose: The purpose of this case study was to highlight the necessity of sequential interdisciplinary management to improve facial esthetics and correct functional disturbances for a patient with CLP. Case: The patient was a 20-year-old woman complaining of the unpleasant appearance of her upper front teeth. She had a concave profile with Class III skeletal patterns (SNA: 78O; SNB: 82O; ANB: -4O), cleft lip and palate, and an anterior and posterior crossbite. Case Management: A combined orthodontic, endodontic, conservative, periodontic, and prosthetic approach was proposed to achieve normal occlusion, function, and a harmonious profile. The combination of rapid maxillary expansion and fixed orthodontics (standard edgewise appliance) established good general alignment and a Class I relationship. After 15 months of treatment, both the posterior and anterior crossbite had been completely corrected. In order to address the gingival margin differences, the patient was instructed to make another appointment with the periodontist and was referred to the restorative dentist for veneer restorations and the prosthodontist for fabrication of a removable retainer with obturator. Conclusion: This interdisciplinary approach greatly improved both esthetics and function. The patient was satisfied with the results achieved.
Knowledge of orofacial pain in students of the Dental Professional Program Faculty of Dental Medicine, Universitas Airlangga Desvia Nuzela Qurzani Hariyadi; Ari Hapsari Tri Wardani; Saka Winias; Fatma Yasmin Mahdani; Adiastuti Endah Parmadiati; Nurina Febriyanti Ayuningtyas; Meircurius Dwi Condro Surboyo
Dental Journal Vol. 56 No. 1 (2023): March 2023
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i1.p36-40

Abstract

Background: Orofacial pain is associated with the hard and soft tissues of the head, face, and neck. Knowledge of orofacial pain helps in getting information on clinical symptoms, trigger factors, and risks of orofacial pain, as well as clinical and supportive examinations for identifying the pain. The dental professional students’ knowledge influences the ability to diagnose and decide on an appropriate treatment plan. This knowledge is seen from the intelligence level in obtaining information about orofacial pain. Purpose: To describe the level of knowledge of orofacial pain in the students of the Dental Professional Program, Faculty of Dental Medicine, Universitas Airlangga, based on intelligence level. Methods: This research was a descriptive study. Data was taken using a questionnaire on google form with a simple random sampling data technique and was analyzed using SPSS version 25. Results: The majority understand the general description of postherpetic neuralgia (PHN), as well as the risk factors and triggers (93.4% and 87.8%, respectively) associated with it. Further, 90.6% understand burning mouth syndrome (BMS) and the clinical symptoms of PHN. BMS based on clinical examination and support is understood by 96.1%, and 82.9% know how to manage trigeminal neuralgia (TN). Intelligence level is divided into three categories, namely source of knowledge (55.8% are from lectures, journals, and textbooks), material repetition (77.3% never repeated), and retention of material (65.2% no retention). Conclusion: Students’ knowledge of orofacial pain is good, but the relationship between the level of intelligence and knowledge is not yet known.
Chitosan’s effects on the acidity, copper ion release, deflection, and surface roughness of copper-nickel-titanium archwire Ika Devi; Erliera Sufarnap; Finna; Eric Rionaldi P Pane
Dental Journal Vol. 56 No. 1 (2023): March 2023
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i1.p41-47

Abstract

Background: Chitosan has an antimicrobial effect in oral hygiene control. Orthodontists sometimes prescribe mouthwash to adolescent patients. Copper-nickel-titanium (CuNiTi) orthodontic archwire is widely used in orthodontic treatment. Chitosan’s effects on the CuNiTi properties of orthodontic archwire are not generally known. Purpose: This study aimed to measure the acidity, copper ion release, deflection, and surface roughness of CuNiTi orthodontic archwire immersed in artificial saliva and 2% chitosan. Methods: This study comprised experimental laboratory research. Forty-two CuNiTi orthodontic archwires were divided into three groups. Group A consisted of 18 archwires immersed in artificial saliva, Group B consisted of 18 archwires immersed in 2% chitosan, and Group C was six archwires for the baseline sample. The two intervention groups (A and B) were divided into three subgroups of six samples and were subjected to different immersion times—i.e., two, four, and six weeks. Acidity, copper ion release, deflection, and surface roughness were measured using pH meters, atomic absorption spectrophotometry (AAS), a universal testing machine (UTM), and a scanning electron microscope (SEM). Results: The results showed that Group A was more alkaline than Group B, and it was significantly different only in Week 2. Group B’s copper ion release was significantly lower than Group A for all the time observations (p<0.05), and the deflection analysis showed no significant difference in any of the groups (p>0.05). Furthermore, the SEM images showed CuNiTi in Group A at Week-6 had the most porosities and defects. Conclusion: The chitosan produces buffer effects on the pH; it also exhibits lower copper ion release, no differences in unloading forces, and subjectively has better surface roughness.
Prevalence of dental anomalies in pediatric patients at Dental and Oral Hospital of Universitas Muhammadiyah Yogyakarta Laelia Dwi Anggraini; Denna Idryareza Augustyana; Nurrofi Sekarjati
Dental Journal Vol. 56 No. 1 (2023): March 2023
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i1.p63-67

Abstract

Background: A dental abnormality is a deviation from the normal shape and structure of the teeth due to interference during growth and development. Various kinds of abnormalities occur, such as anomalies in the size, shape, position, number, and structure of the teeth. These conditions cause problems in the arch length and occlusion of the maxilla and mandible. Purpose: This study aimed to describe the prevalence of developmental dental anomalies in pediatric patients at the Dental and Oral Hospital of Universitas Muhammadiyah Yogyakarta (UMY) and its networks (Qatrunnada Kindergarten, Budi Mulia Dua Taman Siswa Kindergarten, and Muhammadiyah Sapen Pusat Primary School). Methods: A descriptive observational study with a cross-sectional design was conducted. There were 10,714 pediatric patients included. Results: The prevalence of developmental dental anomalies in pediatric patients at Dental and Oral Hospital, UMY and its network was 0.30%. The prevalence of mesiodens, hypodontia, and fusion dental anomalies were 0.14%, 0.056%, and 0.028%, respectively. There was a 0.019% prevalence of microdontia, peg tooth, and amelogenesis imperfecta. The prevalence of taurodontia and gemination was 0.009%. Conclusion: Dental anomalies occurred more frequently in male pediatric patients, and mesiodens was the most prevalent.
Physical characterization and analysis of tissue inflammatory response of the combination of hydroxyapatite gypsum puger and tapioca starch as a scaffold material Amiyatun Naini; Dessy Rachmawati
Dental Journal Vol. 56 No. 1 (2023): March 2023
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i1.p53-57

Abstract

Background: Cases of bone damage in the oral cavity are high, up to 70% of which consist of cases of fracture, tooth extraction, tumor, and mandibular resection. The high number of cases of bone damage will cause the need for bone graft material to increase. The bone graft material that we have developed is a combination of hydroxyapatite gypsum puger (HAGP) and tapioca starch (TS) scaffold. Purpose: This study analyzes the physical characterization and tissue inflammatory response of the combination of HAGP+TS as a scaffold for bone graft material. Methods: Eighteen Wistar rats were used. HAGP+TS were installed into the molar 1 socket for 7 and 14 days. First, HAGP was evaluated using XRF and SEM before setting up the in vivo experiment. A blood sample was drawn and then tested for TNF-α levels using ELISA. Results: The XRF revealed that the main constituents of hydroxyapatite were Ca and P. Next, SEM characterization on the HAGP+TS showed an average pore size of 112.42 µm2, which is beneficial for cell activity to grow as new bone tissue. In addition, TNF-α on days 7 and 14 on the HAGP+TS scaffold did not elicit an inflammatory response. Conclusion: The combination of HAGP+TS contains a high amount of Ca and also has excellent interconnectivity between pores. It also does not trigger an inflammatory response in the tissue; therefore, it is a good candidate as an alternative bone graft material.
Properties of nanocellulose and zirconia alumina on polymethylmethacrylate dental composite Eva Febrina; Angela Evelyna; Andrie Harmaji; Bambang Sunendar
Dental Journal Vol. 56 No. 1 (2023): March 2023
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i1.p30-35

Abstract

Background: Polymethylmethacrylate (PMMA) is one of the synthetic polymers generally used for temporary jacket crown restorations because of its good translucency, making its aesthetic value higher, but its mechanical properties, such as hardness and flexural strength are lower than composite resins. Hence, adding zirconia and cellulose filler is necessary to enhance its mechanical properties. Purpose: This is an experimental laboratory study to make nanocomposites with PMMA as a matrix with crystalline nanocellulose, zirconia, and alumina added as fillers. Methods: The crystalline nanocellulose filler was synthesized by acid hydrolysis. Zirconia and alumina were synthesized using the sol-gel technique and then characterized by transmission electron microscope and X-ray diffraction. The Micro Vickers hardness test and three-point bending tested mechanical properties. The analysis was carried out with a one-way analysis of variance, followed by a post hoc Tuckey’s test with a P < 0.05 taken as statistically significant. Results: The Micro Vickers hardness test showed the highest hardness in the group with a ratio of PMMA and zirconia-alumina filler of 50%: 2%: 48% (12.73 VHN). The results of the three-point bending test showed that the highest flexural strength was found in the control group (19.4 MPa). Conclusion: The addition of crystalline nanocellulose, zirconia, and alumina increase the hardness of the nanocomposite, while the flexural strength was lower than PMMA without filler addition.

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