e-Journal Persatuan Dokter Gigi Indonesia (PDGI)
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A Welcome Message from The President of ISPMI
I am extremely grateful that the Indonesian Association of Oral Medicine Specialists (ISPMI) hassuccessfully published the first scientific Journal of the Indonesian Oral Medicine Society (JIOMS)today.This is the first publication following The Oral Medicine Journal that has been once published by theIndonesian Oral Medicine Association in the 1990s but sadly was subsequently discontinued. JIOMS isan Oral Medicine profession journal that publishes case reports and research in the field. It isenvisioned that JIOMS will become a forum for professionals in Oral Medicine at ISPMI and from otherdisciplines, such as oral pathology, oral surgery, and other related fields. Approximately 200 specialistsor enthusiasts in oral medicine are currently distributed across 29 provinces, teaching in 28educational institutions, practiced in various public and private hospitals and private practices inIndonesia. So far, as a professional association, ISPMI has the largest membership in Southeast Asia.As a result, it is hoped that the contribution of colleagues in the form of papers and peer-reviewingwill be of great value and make a significant contribution to our professional development.I would like to thank the Indonesia Dental Association for their consistent support to ISPMI and thisjournal, which has enabled this publication. Thank you very much to the entire scientific division team,the public relations division, and all other divisions involved in bringing this journal to fruition. It isIt is hoped that this journal will become a positive platform for all of our professional development andwill ultimately improve the level of oral health in Indonesia.
Warm Regards,
All for One, One for All
Prof. drg. Rahmi Amtha, MDS, Sp.PM (K), PhD
President of the ISPMI (The Indonesian Association of Oral Medicine Specialists
Effect of Strawberry Juice (Fragaria Ananassa) on Mechanical Properties of Nanofilled Composite Resins
Introduction: Nanofilled composite resins have small filler particles size (1-100 nm). Its mechanical properties consist of hardness, surface roughness, and water absorption. Composite resins easily degraded by acid pH because it contains polymer with unstable bonds. Degradation can cause water absorption. It can be scratched more easily if they have low hardness. Rough surfaces can cause the risk of plaque formation, secondary caries, discoloration, damage to the surface of the patch, reduces resistance, accelerates abrasion, and can cause irritation to the surrounding soft tissue. Objective: To analyze the effect of mechanical properties (water absorption, hardness, and surface roughness) on nanofilled composite resins after strawberry juice (Fragaria ananassa) immersion. Methods: This research was a laboratory experimental with post-test and control group design. Forty cylindrical samples of nanofilled composite resins Filtek Z350XT (3M ESPE) (10mm x 2 mm) were divided into four groups: water absorption group, hardness tested group, surface roughness tested group, and control group. Surface roughness tested group and hardness tested group were immersed in strawberry juice each 10 mL for 2 hours a day and repeated for 12 days. After 10 and 12 days of immersion, hardness tested group, surface roughness tested group, and control group will be measured using surface roughness test and hardness test. Water absorption test will be carried out before immersion and after 10 and 12 days of immersion. Results: One Way ANOVA statistical test on surface roughness test showed a p-value of 0.001 (p<0.05) and the water absorption test show a p-value of 0.983 (p>0.05). Post Hoc Tukey test had significant difference of roughness tested on day 12 and control group with a p-value of 0.01 (p<0.05). Conclusions: Strawberry juice increases surface roughness of nanofilled composite resins after 2 hours immersion for 12 days in comparison with control group
A case report of incidental finding of compound odontoma on a panoramic radiograph
Objectives: The purpose of this case study was to report the compound odontoma’s founding in a panoramic radiograph.
Case Report: An 11-year-old female patient came with her parents to the pedodontics of Dental Hospital Padjadjaran Bandung with the chief complaint of a palatal bite with an unerupted left maxillary posterior tooth. Then the patient took the panoramic and cephalometry radiographs to confirm the diagnosis. The result from the panoramic radiograph was that there were multiple radioopaques with a tooth-like structure contained, surrounded by a radiolucent band, and the lesion had a corticated, well-defined border. Radiodiagnosis has been established as a compound odontoma associated with an unerupted maxillary second premolar.
Conclusion: Compound odontoma is a benign tumor that often occurs at the age of tooth development and often causes delayed tooth eruption. Panoramic radiographs as radiographic aids play a very important role in identifying these tumors
Correlation of clinical and radiographic severity of periodontitis with furcation involvement: Evaluation of periapical radiographs and Cone-beam Computed Tomography
Objectives: To analyze the correlation of clinical and radiographic features in periodontitis with furcation involvement.
Materials and Methods: Cross-sectional analytic study of 30 mandibular molars from 13 patients (8 males and 5 females), who had periodontitis with furcation involvement, with purposive sampling. Clinical, periapical and CBCT examination were then carried out . Assessment for clinical dan CBCT based on modified Glickman classification. Correlation test was performed with Kendall's Tau_b.
Results: There was a significant difference between subjects of non CBCT group (clinical (p=0,01) and periapical (p=0,026)), with subjects examined by CBCT. However there was no difference between the clinical and periapical group. There is a correlation between furcation involvement on CBCT and periapical group (r=0,528; p=0,003).
Conclusion: There was no correlation between furcation involvement on clinical examination with periapical radiographs and CBCT. The correlation is only seen between periapical radiographs and CBCT
Dentigerous cyst associated with impaction of right maxillary third molar on panoramic radiograph and CBCT: a case report
Objectives: The aim of this case report is to description of a dentigerous cyst associated with impaction of right maxillary third molar on panoramic radiographs and cone-beam computed tomography (CBCT).
Case Report: A 61-year-old male patient came to the Radiology Installation of RSGM Saraswati Denpasar to do perform a panoramic radiograph examination of tooth 15 which had cavities, pain and swelling of the upper right cheek. The results of panoramic radiograph examination showed tooth 15 had caries reaching the pulp and there was a radiolucent lesion at the apikal tooth 15, there was a radiolucent lesion from the mesio-distal CEJ on the crown of the maxillary right third molar that had not erupted, the borders were well-defined, corticated, unilocular, involving the apical of teeth 15,16 and 17. A few days later the patient came back to do CBCT to see more clearly the boundaries, diameter of the lesion and see the relationship of the lesion with surrounding structure.
Conclusion: Panoramic radiography and CBCT can be used as a supporting examination in making a diagnosis. The dentigerous cyst associated with impacted right maxillary third molar is clearly visible on the panoramic radiograph and CBCT so that it can assist in planning the appropriate treatment for the patient.
 
An Occurence of Oral Allergic Reactions in Patients with Illnes Anxiety Disorder: An Imaginary Illness Turns into Real Lesions
Background Allergic reaction affects up to 30% of the world’s population, with underlying pathophysiology involving immunoregulatory dysfunctions and the most common oral symptom is ulceration. Case Description A 33-year-old male patient did doctor shopping of Oral Medicine Specialists in Jakarta with the fear of having oral cancer and was diagnosed of hypochondriasis by psychiatrist. The patient noticed a small irregular red macule on the palate that grew wider every day. There was no pain, bleeding or migration of lesion reported. Hematology profile showed an increased level of Immunoglobulin E (IgE). The red macule completely resolved after administration of Loratadine 10 mg once daily for a month. The patient was educated for routine oral check-up and psychiatry consultation. Conclusion Hypochondriasis may cause immunoregulatory imbalance by modulating Th2 cytokines system that is responsible in IgE level and may produce the unspecific oral manifestation which gave positive response with antihistamine drug
Tooth-Supported Overdenture Retained with Ball Attachments and Custom-made Coping: A Case Report
Introduction: Tooth-supported overdentures is a simple and cost-efficient modality that helps preserve bone. This concept is completely supported by DeVan’s maxim: “Perpetual preservation of what is left is more important than the exact replacement of what is lost.†The preserved tooth structure beneath the denture base prevents alveolar ridge resorption, enhances proprioception, and improves denture support and stability. Additionally, using copings on the remaining teeth improves the denture’s retention.
Case Report: A 49-year-old female patient reported having the chief complaint of difficulty in chewing food due to missing teeth in the upper and lower arch. An intraoral examination revealed a partially edentulous maxillary arch with denture-induced stomatitis as the patient had a faulty maxillary removable partial denture for five years. The mandibular arch was also partially edentulous, and only mandibular left second premolar and right first and second premolar were present. The patient was advised to stop using maxillary removable partial denture (RPD) altogether and was given an antifungal tablet as well as a multivitamin tab and topical clotrimazole. This case report describes prosthodontic rehabilitation of a mandibular’s partially edentulous arch with tooth-supported overdenture using ball attachments and custom-made coping.
Conclusion: For edentulous patients with few remaining teeth, a mandibular tooth-supported overdenture is one of the best and most practical, feasible, and comfortable treatment alternatives. The patient was satisfied with the treatment outcome