e-Journal Persatuan Dokter Gigi Indonesia (PDGI)
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Non-syndromic multiple odontogenic keratocyst finding with Cone-beam Computed Tomography (CBCT): A rare case report
No full textObjectives: The aim of this case report is to describe the radiograph pattern of non-syndromic multiple odontogenic keratocyst (OKC). The oral and maxillofacial region was frequently affected by the developmental odontogenic cyst known as OKC, which develops from the dental lamina or its remnants. The nevoid basal cell carcinoma syndrome (NBCCS) or the Gorlin-Goltz syndrome was typically associated with multiple OKC; however, in about 5% of patients, there were many cysts without a concurrent syndromic presentation.
Case Report: A 38- year-old female came to the dental radiology installation of the Dental and Oral Hospital, Universitas Padjadjaran, who had been referred for a CBCT examination. She had a history with a dentist about 1 month ago, complaining of dislodged fillings on anterior mandible teeth and complaints of missing several posterior mandible teeth. The patient had a previous panoramic examination; multiple radiolucent lesions were found incidentally. She has no pain, and clinical features showed no evidence of swelling; then, the dentist recommended a CBCT examination with a suspect dental cyst on a posterior mandible dextra.
Conclusion: Based on the examination results, it was concluded that the cone beam computed tomography examination showed the radiolucent lesion, well-defined with a scallop border; this case was radiodiagnosis as suspected non-syndromic multiple odontogenic keratocyst
Incidental finding of impacted supernumerary teeth in cone-beam computed tomography 3D
No full textObjectives: To evaluate the value of cone-beam CT (CBCT) in the diagnosis and orientation of impacted supernumerary teeth in the dental arches.
Case Report: A 50 year old man came to the Udayana University Hospital with the chief complaint of missing bilateral posterior teeth of the mandible and wanted to make denture. Before the treatment begin, a panoramic radiographic examination was performed. The panoramic image shows an impacted supernumerary teeth on the inferior from lower right premolar. Due to the inability to determine the precise position of those teeth within the mandible and the possible vital structures surrounding, a CBCT imaging was taken. Examination of the images from the CBCT shows an impacted supernumerary teeth in the area of teeth 44 and 46.
Conclusion: The position of the supernumerary teeth is varied in the mandible, and often causes permanent dentition complications. In this case CBCT imaging two supernumerary teeth were found in the tooth area 44-45 and 45-46. apical of the two germ teeth appear to be fully formed. Supernumerary crowns between teeth 44-45 inclined buccally & between teeth 45-46 lingually. CBCT is crucial for exact localization, for treatment planning, and for the surgical approach in cases of multiple supernumerary teeth
Differences of bone quality in patients type II diabetes mellitus with mandibular cortical index analysis on panoramic radiograph
No full textObjectives: This study aims to determine the quality of the mandibular cortex in Type II diabetes mellitus patients by analyzing the Mandibular Cortical Index on panoramic radiography.
Materials and Methods: This type of research is unpaired comparative analytical design research using a cross-sectional stratified random sampling method and the Mann-Whitney statistical test. The subjects in this study were patients who visited and were diagnosed with type 2 DM for ≤ 5 years and > 5 years by doctors at the Endocrine Metabolic Internal Medicine Sub-Specialist Polyclinic, Ulin Hospital, Banjarmasin.
Results: Respondents who had suffered ≤ 5 years had the highest mandibular cortical C2 index value of 10 (58.8%). Respondents who suffered > 5 years had the highest mandibular cortical C3 index value of 10 (58.8%). Diabetes mellitus patients with mandibular cortical C3 index value were ranked highest out of a total of 34 samples and were found in patients suffering from diabetes mellitus > 5 years.
Conclusion: Patients with diabetes mellitus had poor bone quality, especially patients suffering from diabetes mellitus > 5 years
The Effectiveness of Education and Reminder Messages in Increasing OHI-S, Patient’s Behavior, and Oral Health Literacy in Dental Practice: A Systematic Review of Randomized Controlled Trials
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According to Basic Health Research, dental and oral health is still one of the main health problems that occur especially in small cities due to lack of accessibility. Poor oral hygiene scores can lead to complex diseases such as caries and periodontal disease. If this condition persists, it will have an impact on aspects of the patient's life such as disruption of productivity, and declining general health of patients, resulting in disruption of social aspects. Until now, no solution can improve the oral health of the community. Whereas Indonesia needs to prepare a competent and healthy workforce to reach Indonesia Gold 2045. Short messages sent by hospitals containing reminders and education have the potential to increase public awareness of the importance of compliance in maintaining dental and oral hygiene. To analyze the implementation of short messages in support of modification of reminders and education in dental practice. The main references were taken from the PubMed, Science Direct, and Wiley databases last accessed on 16 April 2022. 31 search results that had been filtered using PRISMA 2009 became the source with 5 main data that met the inclusion criteria. in the form of clinical studies in the form of randomized controlled trials that have been processed using the study tool from the NIH. From a systematic study, it was found that short messages can be used as reminders and education in the fields of public dental health, pediatric dentistry, orthodontics, and periodontics. This method is carried out with follow-up and evaluation for up to 6 months. Countries such as France, Italy, India, America, and Japan have used this method. The main outcome of this study was an improvement in the oral hygiene score (OHI-S), behavior, and oral health literacy. The use of reminders in the form of short messages has the potential to increase public awareness of the importance of compliance in maintaining dental and oral hygiene. The short message approach as a dental support service has proven to have many advantages and can be implemented in Indonesia
Combination of Platelet-rich Fibrin (PRF) in Advanced Periodontitis Stage Treatment
Get PDFIntroduction: The treatment of advanced periodontitis has been a challenge for clinicians. Platelet-rich fibrin (PRF) is a second-generation platelet concentrate that contains various growth factorss and cytokines that promote tissue regeneration. The use of PRF in combination with other regenerative materials and techniques has been shown to be effective in the treatment of intrabony defects. This case series aims to evaluate the efficacy of PRF combinations in the regenerative treatment of patients with advanced periodontitis. Case report: Two patients diagnosed with advanced periodontitis (stage III/IV grade C) were selected for this study. After the completion of periodontal initial therapy, there were still pockets with a probing depth ≥ 5 mm (5–10 mm). Therefore, surgical interventions were planned. The first case used the combination of PRF with bone graft and guided tissue regeneration (GTR), while open flap debridement (OFD) with the addition of PRF and bone graft to create sticky bone was done in the second case. Three to five months of follow-up showed favorable outcomes, as evidenced by reductions in probing depth (PD), gains in clinical attachment level, and filling of bone defects, as well as improvements in patient comfort and rapid wound healing. Conclusion: The combination of PRF with grafting material and/or GTR has been shown to be a beneficial therapeutic approach for periodontal regenerative therapy. Platelet-rich fibrin in periodontal surgery may accelerate the tissue healing process
Flap surgery with bone graft and periodontal membrane in generalized chronic periodontitis patient
No full textObjectives: The aim of this case report is to present a flap surgical procedure with bone graft and periodontal membrane in generalized chronic periodontitis patients.
Case Report: A 51-years-old male patient came to RSGM Saraswati bringing a referral from a colleague for dental and periodontal treatment. The patient came with complaints that the lower left gingiva often feels swollen, pain and mobility. Clinical examination revealed edema, sulcus exudate and positive percussion on tooth 36, the deepest pocket depth of 13 mm on the disto-buccal site. X-ray and blood laboratory examinations were carried out before surgery. Flap surgery is performed by internal bevel, sulcular and horizontal incisions with opening of the envelope flap, cleaning and smoothing of bone defects, application of collagen bone grafts and periodontal membranes, suturing with absorbable suture on the periodontal membrane and nylon on the gingiva flap.
Conclusion: Flap surgery with bone graft and periodontal membrane is one of the options for reconstructive surgery to repair periodontal tissue in cases of generalized chronic periodontitis. The results showed the repair of periodontal tissue both soft tissue and alveolar bone of tooth 36
Benang Jahit Operasi dalam Bidang Kedokteran Gigi: Suture in Dentistry
No full textThe surgical sutures is one of the main techniques used for wound closure. In the oral cavity, suture are often used after procedures such as tooth extraction, implant surgery, and various oral and periodontal treatment procedures. The purpose of this article is to provide knowledge to readers, especially dentists and academics regarding the function of sutures, general characteristics, as well as various materials of sutures. Suture which are used in dentistry are different from suture used in other areas of the body due to saliva, high vascularity, and other functions in oral cavity such as, speaking, chewing and swallowing. The ideal surgical suture depends on the type of surgery, the location of the wound, and the general condition of the patient. Suture threads that do not match the conditions of the surgical wound and the patient's condition will prolong the healing process and can cause infection. By improving the knowledge about surgical suture, dentists are expected to be able to choose the most appropriate surgical suture based on the patient's condition. In academic terms, by knowing the various choices of surgical suture materials, academics are expected to be able to know the advantages and disadvantages of the sutures which can also inspire them to improve the quality of existing sutures
The Activities of Torch Ginger Flower (Etlingera elatior) Ethanol Extract on Degradation of Porphyromonas gingivalis Biofilm as Periodontal Pathogen
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Introduction: Porphyromonas gingivalis is bacteria that can form biofilms as the main cause of periodontitis. Mouthwash therapy in long term can cause mucositis and even oral cancer. Antibacterial potential of torch ginger flower (Etlingera elatior) can be developed as an alternative adjuvant therapy for periodontitis. Objective: Aims of this research was to determine the effect of torch ginger flower ethanol extract against degradation of P. gingivalis biofilm. Methods: This research used ethanolic extract of torch ginger flower with concentrations 1.56 mg/mL, 3.125 mg/mL, 6.25 mg/mL, 12.5 mg/mL, 25 mg/mL, and 50 mg/mL. Chlorhexidine gluconate 0.2% was used as positive control and DMSO 1% was used as negative control. Measurement of P. gingivalis biofilm degradation used microtiter plate assay with crystal violet 1% staining which reads its optical density at wavelength of 450 nm. Data were analyzed by one way ANOVA and Post hoc LSD. Results: The percentage of P. gingivalis biofilm degradation with torch ginger flower ethanol extract sequentially were 12.47%, 30.56%, 57.12%, 71.36%, and 74.83%. The analysis showed that there was a significant difference (p<0,05) between treatment groups torch ginger flower ethanol extract, as well as between torch ginger flower ethanol extract with DMSO 1% and chlorhexidine gluconate 0.2%. Optimum concentration of ethanol extract of torch ginger flower on P. gingivalis biofilm degradation was 25 mg/mL and showed no significant difference with chlorhexidine gluconate 0,2% (p>0,05). Conclusion: Conclusion of this research is torch ginger flower (Etlingera elatior) ethanol extract has P. gingivalis biofilm degradation activity.biofil
Antibiofilm Effect of Rambutan Leaf Extract (Nephelium lappaceum L.) on Selected Periodontal Pathogens
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Introduction: In Indonesia, periodontal disease is one of the dental and oral diseases with the highest prevalence. Bacteria in subgingival plaque can cause periodontal disease, such as Porphyromonas gingivalis and Fusobacterium nucleatum. Herbal medicine has potential as an alternative in the treatment of periodontal disease, for example, rambutan leaves (Nephelium lappaceum L.) are known to have antibacterial properties because they contain flavonoids, tannins, and saponins. Objective: To determine the effects of rambutan leaf extract (Nephelium lappaceum L.) on development of Porphyromonas gingivalis and Fusobacterium nucleatum biofilms. Methods: This study was carried out using the biofilm assay method with crystal violet staining and rambutan leaf extract (Nephelium lappaceum L.) with concentrations of 100%, 50%, 25%, 12.5%, 6.25%, and 3.125% were used as the test material. A microplate reader with a wavelength of 490 nm was used to measure the biofilm density of Porpyromonas gingivalis ATCC 33277 and Fusobacterium nucleatum ATCC 25586. The data obtained were then analyzed statistically using one-way analysis of variance (ANOVA), with a significance level of p<0.05. Results: The most effective concentration of rambutan leaf extract for inhibiting biofilm development at 24 hours incubation was a 100% concentration with an average optical density (OD) of 0.147 against Porphyromonas gingivalis and a 100% concentration with an average OD of 0.077 against Fusobacterium nucleatum. Conclusion: Rambutan leaf extract (Nephelium lappaceum L.) is capable of inhibiting the development of Porphyromonas gingivalis and Fusobacterium nucleatum biofilms, respectively
Simultaneous Esthetic Crown Lengthening and Frenotomy Procedure for Smile Rejuvenation
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Introduction: Gingival tissue plays an important role in smile aesthetics, especially in the anterior maxillary region. A gummy smile (GS) is a gingival condition that appears excessive when the patient smiles. The prevalence of gummy smile in individuals aged from 20 to 30 is 10% of population. It is more common in women and can cause aesthetic problems. Gummy smile aetiology is multifactorial. This case report discusses gummy smile case caused by altered passive eruption (APE) and associated with the presence of aberrant frenum. Case Report: A 19-year-old female patient with chief complaints of the excessive gingival display. The diagnosis of the case was confirmed by clinically healthy gingiva in an intact periodontium with gummy smile due to the presence of altered passive eruption type I-B accompanied by an aberrant frenum. The final surgical plan was aesthetic crown lengthening (CL) with flap surgery and osteotomy simultaneous with a frenotomy. Conclusion: The aesthetic crown lengthening surgery and frenotomy can be performed simultaneously to correct the gummy condition and improve the patient’s smile profile. Appropriate examination, diagnosis, and treatment planning help achieve optimal patient outcomes