e-Journal Persatuan Dokter Gigi Indonesia (PDGI)
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Characteristics of Orthodontic Appliance Users based on Demographics, Self-Perception, Psychosocial, and Oral Disorders (Study Among Undergraduate Students in West Jakarta)
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Introduction: Awareness of malocclusion and the importance of orthodontic treatment continue to increase, in order to improve dentofacial appearance, psychosocial factors, and quality of life. Orthodontic treatment can be done using conventional fixed appliances, or removable appliances called clear aligners, that has an upsurge in demand recently. Previous studies have evaluated the advantages and disadvantages of orthodontic treatment types, yet there are still lack of findings regarding the characteristic of user. Objective: This study aims to describe the characteristics of orthodontic appliances users based on demographics, self-perception, psychosocial, and oral disorders, among undergraduate student in West Jakarta. Methods: This cross-sectional study was conducted in October until December 2022. The study population covered 7 universities located in West Jakarta. Sample consist of 201 undergraduate students taken by purposive sampling. Self-administered questionnaire, that had been validated was used to obtain sociodemographic data and factors that can affect the preference of orthodontic appliances. Results: The most common orthodontic appliances used is fixed orthodontic appliances (79.6%) that was installed by orthodontists (58.8%). Most students using orthodontic appliances were female (76.2%), aged 17-25 years (99.4%), and currently undergoing study in non-medical faculty (71.9%). Students were highly aware of their dental arrangement (90.5%). They thought that their facial and dental aesthetics (97.5%) and social interaction (66.2%) will improve after orthodontics treatment, though they were not sure about getting better career opportunities (51.7%). Conclusion: Fixed orthodontic appliances still become the main preference among undergraduate university students in West Jakarta. Awareness and dissatisfaction of their dental arrangements were substantial as well as the desire that facial and dental appearance will improved after treatment. Orthodontic treatment was considered as way to enhance social interaction social attractiveness
Bilateral bifid condyle mandibula features in panoramic radiography: a case report
No full textObjectives: The aim of this case report is to describe radiographically the specific features of bifid mandibular condyle that frequently found incidentally on panoramic radiographs.
Case Report: A 24-year-old man came to the Installation of Dental Radiology RSGM UNPAD brought a referral letter for a panoramic photograph. From anamnesis is known patient have complaints of pain in the jaw joints left and right at the time of open mouth. Panoramic radiographs show mesioangular dental impaction of 48, and edentulous tooth 36 and presence of bifid condyle on the right and left condyle. Bifid condyle usually becomes incidental finding on routine panoramic radiographic examination. Bifid condyle features can be shown by depression or notch on the superior surface of condyle. Bifid condyle can provide a "heart-shaped" from the frontal view. For a definite feature can be seen with other modality such as CBCT. Sometimes there is also a change in the mandibular fossa to compensate the morphological changes of the condyle.
Conclusion: Bifid condyle mandible is a variation in the shape of the condyle whose cause is not known with certainty. The bifid condyle gives the "heart-like" appearance that is often found on accidental panoramic radiographs. Generally, cases of BMC do not require treatment unless they cause symptoms
Differences in Antegonial Index values in type II diabetes mellitus patients using panoramic radiography: A review based on the duration of suffering at Ulin General Hospital Banjarmasin
No full textObjectives: This research is aimed to analyze the value of the antegonial index in patients with type II diabetes mellitus using panoramic radiography.
Materials and Methods: This research is using stratified random sampling study with unpaired numerical comparative formula. The research sample was patients who were visiting and diagnosed with type II diabetes mellitus for ≤ 5 years and > 5 years by doctors at the Internal Diseases Polyclinic at Ulin General Hospital, Banjarmasin. Mandibular cortical thickness can be seen in the results of panoramic radiographs using radiomorphometric measurements with mandibular cortical index measurements, which is called as antegonial index. Antegonial index measurement as a screening tool can detect either the patient is positive or negative for having bone resoption.
Results: The result showed average value of mandibular cortical thickness in patients with diabetes mellitus type II with a period of disease ≤ 5 years does not match the normal limit of > 3.2 mm, which is 2.57 ± 1.41 and the average value of mandibular cortical thickness in the group of patients with long period of disease > 5 years is 2.19 ± 0.76.
Conclusion: Mandibular cortical thickness in patients with type II diabetes mellitus for ≤ 5 years and > 5 years is not within normal limits
Differences of Gonial Index value in male and female hypertension patients using panoramic radiography: Review of hypertension patients consuming Amlodipine at Ulin General Hospital, Banjarmasin
No full textObjectives: This study is aimed to measure the Gonial index (GI) value in male and female hypertensive patients using panoramic radiography.
Materials and Methods: This is a comparative analytical research. The sampling technique used was the purposive sampling technique. The sample of this study was primary data from panoramic radiographs of hypertensive patients who had been X-rayed at the Radiology Installation of Ulin General Hospital, Banjarmasin.
Results: There was no significant difference in the gonial index (GI) values between men (17.83 mm) and women (19.17 mm), with the size of the right region of the female 20.33 mm and the left of the female 16.67 mm and the size of the right region of the male is 17.03 mm and the left male is 19.97 mm.
Conclusion: There was no significant difference between the gonial index (GI) values ​​between women and men, although the decrease of bone density in women is higher than in men
Antibiofilm of Arumanis Mango Leaves (Mangifera indica L.) Ethanol Extract Against Staphylococcus aureus in vitro
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Introduction: Staphylococcus aureus is a pathogen bacteria that forms biofilm and induces acute inflammation associated with dentoalveolar abscess, which needs antibiotics such as amoxicillin for the treatment. Due to antibiotic resistance and various side effects, natural ingredients are needed as an alternative treatment. Arumanis mango leaves (Mangifera indica L.) contains mangiferin, flavonoid, and tannin which are expected to inhibit the growth of Staphylococcus aureus and its biofilm formation. Objective: The aim of this study was to determine the antibacterial and antibiofilm effects of Mangifera indica L. leaves against Staphylococcus aureus in vitro. Methods: This study was in vitro laboratory experiment with post test only control group design. Antibacterial test was carried out by plate count method and antibiofilm test was carried out by microtiter plate biofilm assay method. Staphylococcus aureus ATCC 25923 was cultured in BHI broth in 37oC for 24h with anaerobic condition. The present study used ethanol extract of Mangifera indica L. leaves in 6 different concentrations: 3,125%, 6,25%, 12,5%, 25%, 50%, and 100%. Amoxicillin was used as positive control and DMSO 10% used as negative control. Data was analyzed with Shapiro-wilk test, One-way ANOVA test, and post hoc Tukey HSD test with p<0,05 as the level of significance. Results: The most effective concentration to inhibit the growth of Staphylococcus aureus was 100% extract compared to negative control (p<0,05). The most effective concentration against Staphylococcus aureus biofilm formation was 100% extract in 3hr incubation compared to negative control (p<0,05). Conclusion: Ethanol extract of Mangifera indica L. leaves has been shown in vitro to have antibacterial and antibiofilm properties against Staphylococcus aureus
Distribution Of Clinical Cases of Referral Patients for CBCT-3D Radiographic Examinations at RSKGMP Universitas Airlangga
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Introduction: CBCT-3D (Cone Beam Computed Tomography) is an advanced radiographic imaging technology that is currently being developed and utilized in dentistry, with the advantages of accurately depicting three-dimensional (3D) tissue structures, minimal distortion, and low radiation dose. RSKGMP Universitas Airlangga is an educational dental hospital and one of the few hospitals in Surabaya city and also East Java Province that provides CBCT-3D examination services for various cases- thus becoming a referral center for the radiographic examination in the region. A lot of clinical case referrals have been recorded, but no one has researched the distribution of clinical cases referred for CBCT-3D examination. Objective: This study is aimed to determine the distribution of clinical cases referred for CBCT-3D radiographic examination at RSKGMP Universitas Airlangga based on origin, age, and gender. Methods: This study is a descriptive study with a sample of all clinical case medical records, CBCT-3D examination reference data at RSKGMP Universitas Airlangga from July 2015 to March 2020, which met the sample criteria. Furthermore, the data is tabulated and displayed using pie charts and bar charts. Results: Most referrals for CBCT-3D radiography came from internal referrals of RSKGMP Universitas Airlangga (78%). The elderly patients (46 years and over) had the most referrals (59%) of all age groups with the most indication for implant cases (78.9%). Female patients slightly more dominated the total referrals (57.5%) than male patients (42.5%). Conclusion: Most of the clinical cases of referral for CBCT-3D radiographic examination were implants and came from internal RSKGMP Universitas Airlangga, with the most referral age category being elderly and dominated by female patients
MID (Minimal Intervention Dentistry) by Pediatric Dentist Specialist in City of Surabaya during the COVID-19 Pandemic
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Introduction: COVID-19 pandemic that has occurred worldwide due to the rapid spread of the SARS-CoV-2 virus requires adaptation, including in dentistry. Changes in dental care services have occurred in Indonesia, including closing practices, using PPE up to level 4, types of procedures that can be given, duration of treatment, and criteria for pediatric patients companion. Minimal Intervention Dentistry (MID) is defined as a principle in dentistry that aims to maintain oral tissue and prevent the development of a more severe disease. This technique is child-friendly because it does not involve various dental instruments that tend to increase anxiety. MID also produces small amounts of aerosols resulting minimal spread of COVID-19. Objective: This study aims to raise awareness about the application of MID by pediatric dentists specialist in the city of Surabaya during the COVID-19 pandemic. Methods: The study utilized a questionnaire as the primary research instrument to gather data from a sample of 33 respondents out of a population of 60 pediatric dentists in Surabaya. The questionnaire covered various aspects, including the location and type of practice, years of practice, experience with practice closures, and data on actions taken by respondents regarding the implementation of MID measures during the pandemic. Results: Pediatric dentistry during the COVID-19 pandemic experienced a series of changes in its implementation, including closing practices for a period of several days, weeks and months, in 18.87%, 24.53%, 56.6% respectively. MID procedures have been widely used by pediatric dentists since before pandemic (80%) are fissure sealants with HVGIC ingredients (80%), Preventive Resin Restoration (82.8%), GIC restorations (83.9%), and SSC Hall Technique (77.3%). There were variations in the number of MID procedures performed by pediatric dentists the city of Surabaya during the COVID-19 pandemic, some of which had increased (26.67%), decreased (33.33%) and remained constant (40%). Conclusion: The implementation of the MID advantages in pediatric dentistry is very useful and has been applied before and during the COVID-19 pandemic and is recommended for future use
Diagnostic accuracy of periapical radiolucency using periapical radiography and cone-beam computed tomography
No full textObjectives: This research is aimed to compare the accuracy of periapical radiography in detecting periapical radiolucency with that of Cone-beam Computed Tomography (CBCT) and to assess the additional information that CBCT provides.
Materials and Methods: 96 patients with a primary diagnosis of endodontic problem had been studied retrospectively. Each root was examined for the presence or absence of periapical lesions according to the Periapical Index (PAI) Score. Roots and root canals identified through perapical radiography and CBCT were recorded. Additional information from CBCT regarding effects of lesions in cortical bone and maxillary sinus was also noted. Sensitivity, specificity, positive predictive value, and negative predictive value were analyzed.
Results: The result showed that accuracy of periapical radiography as expressed by its sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) was 0.65, 0.90, 0.86, 0.75, respectively.
Conclusion: Periapical radiography has a low sensitivity in detecting periapical lesions compared to CBCT. CBCT also provides more detailed information that is useful in endodontic treatment
Radiographic imagery of aggressive plexiform-type ameloblastoma in the mandible: a case report: A rare case report
No full textObjectives: This case report aims to describe the radiographic characteristics of plexiform ameloblastoma and its impact on surrounding tissues in a middle-aged female patient using panoramic radiography and CBCT, along with case management.
Case Report: A 43-year-old female patient presented to the Dental Radiology Unit of RSGMP UNHAS with a panoramic referral letter, diagnosed clinically with anterior mandibular ameloblastoma. Extraoral examination revealed an asymmetrical facial appearance with anterior mandibular enlargement. Intraoral examination showed mucus membrane enlargement in the anterior mandible region (teeth 37-45), soft consistency, absence of crepitus, no palpation tenderness, and mobility in several anterior mandibular teeth. The first panoramic radiograph (March 16, 2022) exhibited a unilocular radiolucent lesion, well-defined, with scalloped margins in the anteroposterior mandibular region. The second panoramic examination (May 23, 2022) indicated a more aggressive lesion expansion, with evidence of root resorption and destruction of the inferior mandibular cortex approaching the mandibular angle. CBCT findings demonstrated a hypodense/radiolucent lesion extending anteroposteriorly, superiorly, and inferiorly, leading to displacement, root resorption, and destruction of the inferior mandibular cortex in the inferior direction.
Conclusion: Based on the characteristics and structure of the lesion observed through various radiographic examinations, a unilocular ameloblastoma was suspected. Histopathological examination confirmed the plexiform-type ameloblastoma
Analysis of Clinical Oral Manifestation of Patients with Antihypertensive Therapy in South Kalimantan
No full textBackground: Hypertension is generally defined as systolic and diastolic pressures of more than 140/90 mmHg. Hypertension can be treated in various ways, either by using traditional herbs or scientific treatment with medicine. Antihypertensive medicine sometimes causes some side effects such as xerostomia and gingival enlargement. Objective: The purpose of this research is to analyze the correlation between age, type of medicine, amount of medicine consumption, and duration of treatment with clinical manifestations of the oral cavity in patients with antihypertensive therapy. Materials and Method: This research is an observational analytic study with a cross-sectional design. Data were obtained from medical records, anamnesis, and clinical oral examination. Results: The research was taken with a purposive sampling technique of 41 samples. It showed that the hypertension patients were mostly in the age of 46-55 years (53.7%), the type of medicine that mainly consumed was calcium channel blocker (34.2%), hypertension patients were found to consume only one type of medicine (75.6%), the duration of treatment was more than one year (85.4%) and the prevalence of oral manifestations presented was 70.7% with the most frequent manifestation of xerostomia (79.3%). The analysis test results showed that there was no correlation in both age and type of medicine with clinical oral manifestations (p>0.05), while there was a correlation in the amount of medicine consumption and duration of treatment with clinical oral manifestations in patients with antihypertensive therapy (p<0.05). Conclusions: There is a correlation in both the amount of medicine consumption and duration of treatment with clinical oral manifestations in patients with antihypertensive therapy