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Saka Winias
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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 950 Documents
Parents' satisfaction with the teledentistry method during the COVID-19 pandemic: A study in Java and Bali Sujatmoko, Prisninda Prilyan Geraldine; Laksmiastuti, Sri Ratna
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 1 (2024): March
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.v57.i1.p15-21

Abstract

Background: The coronavirus (COVID-19) pandemic situation in Indonesia has caused increased anxiety, especially among parents trying to provide health services for their children. The concerns are about cross-contamination through aerosol splashes and contamination by the virus on instruments and in dental offices. Therefore, the government urges the public to use telemedicine. Telemedicine is a digital-based remote health service. The service utilizes information and communication technology. Purpose: This study aims to assess the satisfaction of parents of pediatric dental patients in using teledentistry during the COVID-19 pandemic. Methods: An analytic observational study with a cross-sectional approach was arranged. Data was gathered through questionnaires distributed to parents who live in Java and Bali using the Google Forms platform, consisting of 15 questions with 6 domains of questions. Results: The results showed that 201 respondents were parents of pediatric dental patients, including 123 female respondents and 78 male respondents. The average age of respondents is dominated by the age group 36–40, which included 68 respondents. Two hundred and one respondents were satisfied with dental health services using teledentistry. Conclusion: Parents of pediatric dental patients are generally satisfied with the quality of dental and oral health services using the teledentistry method.
Desensitizing agents' post-bleaching effect on orthodontic bracket bond strength Pamungkas, Gufa Bagus; Karunia, Dyah; Suparwitri, Sri
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 1 (2024): March
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.v57.i1.p45-49

Abstract

Background: Nowadays, many patients wanting to bleach and do orthodontic treatment simultaneously, in-office bleaching is more favorable because of the instant results. However, in-office bleaching procedures result in severe enamel surface demineralization and decreasing the attachment of the orthodontic bracket. Applying a desensitizing agent after in-office bleaching can remineralize the enamel surface. There are two types of desensitizing agents: Fluoride-based and non-fluoride-based. Purpose: This study aims to analyze the effect of applying fluoride-based and non-fluoride-based desensitizing agents after in-office bleaching on orthodontic brackets. Methods: Twenty-seven post-extraction upper premolars were divided into three groups (n=9): Control group, fluoride-based group, and non-fluoride-based group. The samples were subjected to an in-office bleaching procedure before a fluoride desensitizing agent was applied to the fluoride group and a non-fluoride desensitizing agent was applied to the non-fluoride group. Then, a brackets bonding procedure was performed on all samples. The samples were tested for shear bond strength (SBS), and the adhesive remnant index (ARI) was measured. The data was analyzed by a one-way analysis of variance on the SBS test, while the ARI scores were analyzed by the Kruskal–Wallis test. Results: The fluoride and non-fluoride groups showed a significantly increased SBS of the brackets after in-office bleaching (P < 0.05), with the fluoride-based desensitizing agent having the highest SBS score, while the ARI scores had an insignificant difference between all groups (P > 0.05). Conclusion: The application of desensitizing agents after in-office bleaching increased the metal brackets' SBS but could not change the ARI scores.
Degradation of chitosan–gelatin and chitosan–gelatin–β-tricalcium phosphate scaffolds Putri, Tansza Setiana; Pratiwi, Deviyanti; Margaretta, Dewi Liliany; Tjandrawinata, Rosalina; Shariff, Khairul Anuar
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 2 (2024): June
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.v57.i2.p87-90

Abstract

Background: Fabrication of the composite scaffold was carried out by combining chitosan, gelatin, and β-tricalcium phosphate (βTCP) derived from limestone. The extraction of βTCP was based on the abundance of limestone containing calcium carbonate, which can be a source of βTCP synthesis. Purpose: This study evaluates the degradation of the combination of chitosan–gelatin (ChG) and chitosan–gelatin–βTCP (ChG-βTCP) composite scaffolds. Methods: The freeze-drying method was used to obtain the composite scaffold, which was a mixture of chitosan, gelatin, and βTCP. Degradation was measured by immersing the samples in a simulated body fluid solution at 37°C for 3, 7, 14, and 21 days. For statistical analysis, one-way analysis of variance (ANOVA) and post hoc Fisher's least significant difference were performed. Results: The ChG scaffold shows better degradability than the ChG-βTCP scaffold. The ChG scaffold shows higher weight degradation than the ChG-βTCP scaffold up to 21 days. Conclusion: In conclusion, the scaffold containing βTCP has lower degradation than the ChG scaffold.
Effect of audiovisual distraction on pediatric dental anxiety: A cross-sectional study Padmanabhan, Vivek; Raidullah, Najma; Kamel, Balsam
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 1 (2024): March
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.v57.i1.p4-8

Abstract

Background: Children's oral health and clinical management are significantly affected by dental fear and anxiety. Purpose: This study investigates the effectiveness of audiovisual distraction in reducing the anxiety levels of children visiting for dental treatment. Methods: Sixty pediatric patients ages 6–10 years were included in this cross-sectional study. They were divided into two groups”a study group and a control group”of 30 patients each. The study group was provided with a tablet and headphones that played their favorite shows, and the control group was not provided with any gadgets. For both groups, anxiety levels were scored using the Facial Image Scale. A two-way repeated-measure ANOVA test was used to compare the levels of dental anxiety among the study and control groups at three intervals: before treatment, during treatment, and after treatment. For the tests, the statistically significant difference was assumed at a p â‰¤ 0.05. Results: The children of both study and control groups had the same anxiety levels (p > 0.05) before the treatment. The study group had reduced anxiety levels compared to the children in the control group during and after the treatment, with p < 0.05. Conclusion: A child's favorite show can be played using a tablet and headphones for the child, as it has been shown to be an effective and easy method to reduce anxiety in children visiting dentists for operative procedures. This technique of distraction also reduces post-operative stress on the pediatric dentist.
Bone formation and mineralization around the implant in osteoporotic animal models enhanced by mesenchymal stem cells Hendrijantini, Nike; Kuntjoro, Mefina; Agustono, Bambang; Ari, Muhammad Dimas Aditya; Kurdi, Abil; Mundiratri, Karina; Prasetyo, Eric Priyo; Hong, Guang
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 2 (2024): June
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.v57.i2.p91-96

Abstract

Background: Poor bone quality, sometimes caused by osteoporosis, can lead to dental implant failure. Human umbilical cord mesenchymal stem cells (hUCMSCs) can differentiate into osteoblasts and offer an alternative therapy for poor bone conditions. Purpose: This study aims to evaluate the effect of hUCMSCs induction on the extent of osseointegration by the new bone formation area of dental implants in osteoporotic animal models. Methods: The samples were divided into two groups, i.e., control and induced hUCMSCs groups at different times. An ovariectomy was performed to assess the osteoporosis condition. The control group was injected using gelatin, and the treatment group was administered hUCMSCs. Terminations were conducted at 2 and 4 weeks, respectively. The collected samples were then subjected to histological examination to analyze new bone formation and its proportion. In addition, alkaline phosphatase staining was also performed to evaluate the mineralization area. The data was analyzed using the one-way analysis of variance (ANOVA). Results: Both for new bone formation area as well as the proportion of new bone, it was observed that the best results were in the group with induction of hUCMSCs at 2 weeks. Alkaline phosphatase staining also confirmed that the highest mineralization was observed in the same group. Conclusion: hUCMSCs induced new bone formation in the implant placement in osteoporotic animal models.
Endodontic management of type I maxillary first molar with two palatal roots using cone-beam computed tomography Alghamdi, Nuha
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 1 (2024): March
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.v57.i1.p1-3

Abstract

Background: Understanding the anatomical variations in the root canal system is vital for the successful outcome of endodontic treatment. Anatomical variation with respect to palatal roots is rare compared with other roots of maxillary molars. Purpose: This case report describes a rare case of cone-beam computed tomography (CBCT)-guided endodontic treatment of a maxillary first molar with two palatal roots. Case: A 35-year-old Saudi woman complained of continuous pain in the right maxillary first molar. Past dental history revealed root canal treatment of the same tooth four weeks prior. Master cone radiographs recovered from her general dentist revealed a missing second palatal canal. Case Management: A CBCT image was taken to confirm if there were any aberrations in root canal morphology. Clinical exploration presented four distinct orifices: two palatal and two buccal. All the root canals were prepared and irrigated with 2.5% NaOCl and normal saline during instrumentation. All the canals were obturated with gutta-percha and AH 26 sealer using the continuous wave obturation technique. Conclusion: Clinical exploration of the pulpal floor, along with multiple angled radiographs, is needed to confirm any anatomic aberration.
Endodontic treatment of severely curved root canals – A case series Rosselle, Veronica Regina; Ongkowijoyo, Cendranata Wibawa; Setyabudi
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 2 (2024): June
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.v57.i2.p145-151

Abstract

Background: It is not uncommon for a dentist to encounter endodontic cases of severely curved root canals. Performing endodontic treatment on severely curved root canals can be a daunting task due to the notable risk of creating an iatrogenic error including ledge, perforation, or even instrument separation. Therefore, radiograph image analysis, proper endodontic treatment planning, selection of appropriate instruments and technique is essential to ensure success in endodontic treatment of severely curved root canals. Purpose: This case series aims to elaborate the instruments and technique to safely negotiate, clean, shape, and seal root canals with severe curvature. Cases: Three patients came to Universitas Airlangga Dental Hospital due to a severe toothache. After anamnesis and examination, diagnosis was established, and endodontic treatment was deemed necessary. During radiographic image analysis, it is visible that the root canal had a severe curvature. Case Managements: Access opening was performed to allow a straight-line access, orifices were preflared, root canals were negotiated, and glide path was established. Then, shaping, cleaning, and sealing can be performed conveniently until the root canal terminus. Subsequently, coronal restoration was fabricated to restore function and esthetics. Conclusion: With proper knowledge, case analysis, appropriate instruments and techniques, severely curved root canals can be safely and predictably negotiated, cleaned, shaped, and sealed.
The role of fibrinogen-like protein 1 in immune escape and tumor growth mechanism of Warthin's tumor Arifin, Grandissyaikhu Kamila; Indriana, Tecky; Kosasih, Jane; Dharmayanti, Agustin Wulan Suci; Syafriadi, Mei
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 2 (2024): June
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.v57.i2.p139-144

Abstract

Background: One of the benign tumors of the salivary glands is Warthin's Tumor (WT), which consists of cystic bilayer papillary epithelial cells accompanied by the presence of a lymphoid stroma. Several cases have been reported to turn malignant. One of the markers developed to identify tumor proteins is fibrinogen-like protein 1 (FGL1). Along with lymphocyte-activation gene 3 (LAG-3), FGL1 establishes an immune checkpoint pathway that plays a role in the mechanism of tumor immune escape. Not much has been reported regarding FGL1 expression in WT, but some studies have reported that its expression is associated with tumor growth. Purpose: This study aims to analyze the location of FGL1 expression in WT and its relation to the mechanism of tumor immune release through the interaction between FGL1 and LAG-3. Methods: Cases of WT (n = 11) and breast cancer (n = 1) were used as positive controls. All cases were stained with hematoxylin-eosin and Recombinant Anti-FGL1 antibody. The FGL1 expression was observed in the cell membrane, cytoplasm, and lymphoid stroma. The results are presented in the form of figures. Results: All cases of WT expressed FGL1 in the cell membrane, cytoplasm, and lymphoid stroma. Its expression in the cell membrane and cytoplasm is possibly related to the process of tumorigenesis and the increasing size of the lesion. Additionally, its expression is seen in the lymphoid stroma, which is closely related to immune escape by inhibiting lymphocytes against tumor cells. Conclusion: Warthin's tumor cells express FGL1, and this expression plays a role in tumor immune escape mechanisms and tumor growth.
Comparative evaluation of stress generation in primary teeth restored with zirconia and BioFlx crowns: A finite element analysis Deolikar, Sayali; Rathi, Nilesh; Mehta, Vini
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 2 (2024): June
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.v57.i2.p80-86

Abstract

Background: Maintaining the functional integrity of primary teeth is important, as these teeth are integral in vital functions such as mastication, speech development, and space maintenance for permanent teeth; hence, premature loss of primary teeth can affect a child's quality of life. Various restorative materials are available to restore the function of grossly decayed teeth. Stainless steel crowns and zirconia crowns are widely used in pediatric dentistry; however, there are certain disadvantages associated with these materials. Recently introduced BioFlx crowns provide acceptable esthetics with a conservative approach. Nevertheless, there is a lack of evidence regarding their strength and clinical acceptability. Finite element analysis measures the physical response of teeth and assesses the stress generation, which is important to estimate the integrity of the restorations and crowns. Purpose: The aim of this in vitro study was to evaluate and compare stress generation in primary teeth restored with zirconia and BioFlx crowns using finite element analysis. Methods: Models of extracted teeth restored with zirconia and BioFlx crowns were used for the study. The finite element analysis of these models was carried out through Analysis of Systems (ANSYS) software. The models were subjected to a simulated occlusal loading force of 245 N. Results: Von Mises stress generated in BioFlx crowns along with underlying dentin was much less compared to that which was generated in zirconia crowns. Conclusion: Restoring the functional integrity of carious teeth is essential. BioFlx crowns can be used as full coverage restorations and can be a suitable alternative to zirconia crowns and traditional stainless steel crowns.
Forces achieved by different material and type of intrusion arches applied in different horizontal levels Kılınç, Delal Dara
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 1 (2024): March
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.v57.i1.p9-14

Abstract

Background: Intrusion is one of the most needed movements in orthodontics. It is possible to achieve this with arch wires, miniscrews, and bite-blocks. Purpose: This in vitro study aimed to evaluate forces achieved by different types of intrusion arches made of different materials and anchored in two different horizontal levels by either miniscrews or molar teeth. Methods: An upper jaw typodont was applied different types of intrusion arches: intrusion and utility arches, made of different materials (nitinol, beta III titanium, stainless steel) and different wire sizes (0.016” x 0.022” and 0.017” x 0.025”) to the incisors, both anchoring from molars and miniscrews respectively. Each application was measured by a Correx gauge. Each wire was applied to both the auxiliary slot of the triple tube and the slot in the head of the miniscrew. One-way analysis of variance (ANOVA), Tukey's HSD test, and a paired two-sample t-test were used to analyze the data. Results: In the intrusion arches, the main effect of the material was found to be statistically significant on force values (p = 0.034) while the main effect of the size was not found statistically significant on force values (p = 0.083). In the utility arches, both the main effect of the material (p = 0.067) and the size (p = 0.140) were not found to be statistically significant on force values. Conclusion: Regardless of the anchorage unit level and size, nitinol was the material that applied the lowest forces among all materials. The material is the most effective factor in the force generated, while the anchorage unit level is the least.

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