e-Journal Persatuan Dokter Gigi Indonesia (PDGI)
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Bone height and width evaluation before dental implant placement on panoramic radiographs: a scoping review
No full textObjectives: The aim of this study is to evaluate the bone height and its width on panoramic radiography prior to dental implant placement.
Review: This study was carried out using scoping review methods. The referenced articles were published between 2010-2021 in English or Indonesian. The search was performed using PubMed and PMC database with keywords “(((Evaluation) AND (Presurgical)) AND (Dental Implant)) AND (Radiograph)) AND (Panoramic)†and Science Direct with keywords "presurgical evaluation dental implant in panoramic radiograph". Preferred Reporting Items for Systematic Review and Meta-analysis Scoping Review (PRISMA-Scr) was utilized to perform the article finding process. It is found that the height of alveolar bone after being assessed by panoramic radiograph is between 7.95-23.42 mm while the alveolar bone width is between 7.04-10.41 mm.
Conclusion: Panoramic radiograph can be performed to evaluate bone height and width before the dental implant placement procedure
Synthesis and Physical Characterization of Nano-Hydroxyapatite-Collagen-Epigallocatechin-3-Gallate Hydrogel Composite
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Introduction: Most commonly used vital pulp therapy material is calcium hydroxide (Ca(OH)2) but it has several disadvantages. Previous studies found that nano-hydroxyapatite might induce reparative dentin with no tunnel defect and adding collagen can improve hydroxyapatite mechanical properties. The collagen can also increase pulp cell proliferation and differentiation. The addition of Epigallocatechin-3-Gallate (EGCG) to collagen gel can be beneficial in reducing pulp inflammation.
Objective: The purpose of this study is to synthesize and analyze the physical characteristics of the nano-Hydroxyapatite-collagen-Epigallocatechin-3-Gallate hydrogel composite.
Methods: Nano-hydroxyapatite from chicken egg shells, 0,2 g/mL collagen type I, and 10 mmol/L EGCG each dissolved in 2 mL deionized water with various ratio of nano-hydroxyapatite:collagen, 40:60 (group 1), 50:50 (group 2), and 60:40 (group 3). Each solution was mixed together then 2% HPMC was added into the mixture. In present study, we observed hydrogel composite pH value, gelation time, and injectability analysis.
Results: The pH value in 1 hour stirring for each group was 8,05 ± 0,05, 8,43 ± 0,02, and 8,71 ± 0,04. All samples had 1 hour gelation time. Injectability for each group was 90,67%, 91,93%, and 95,03%.
Conclusions: The nanohydroxyapatite, collagen and EGCG hydrogel composite has a potential physical characterization to be used as a vital pulp therapy material based on its pH value and injectable ability but further study should be considered in determining ideal gelation time.
ABSTRAK
Pendahuluan: Bahan perawatan pulpa vital yang paling umum digunakan adalah kalsium hidroksida (Ca(OH)2), tetapi bahan tersebut memiliki beberapa kekurangan. Penelitian sebelumnya menunjukkan nano-hidroksiapatit mampu merangsang pembentukan dentin reparatif tanpa tunnel defect dan penambahan kolagen mampu meningkatkan sifat mekanik hidroksiapatit. Penambahan Epigallocatechin-3-Gallate (ECGC) pada gel kolagen bermanfaat dalam mengurangi respon inflamasi pulpa.
Tujuan: Penelitian ini dilakukan untuk mensintesis dan melakukan uji karakteristik fisik komposit hidrogel nano-hidroksiapatit-kolagen-Epigallocatechin-3-Gallate.
Metode: Nano-hidroksiapatit dari cangkang telur ayam dilarutkan dengan 0,2 g/mL kolagen tipe I, dan 10 mmol/L EGCG masing-masing ke dalam air deionisasi dengan perbandingan rasio nano-hidroksiapatit dan kolagen, 40:60 (kelompok 1), 50:50 (kelompok 2), dan 60:40 (kelompok 3). Seluruh larutan dicampurkan dan ditambahkan HPMC 2%, lalu dilakukan uji karakteristik gel berupa uji pH, waktu gelasi, dan uji injektabilitas.
Hasil: Nilai pH 1 jam setelah pengadukan secara berurutan adalah 8,05 ± 0,05, 8,43 ± 0,02, dan 8,71 ± 0,04 dengan waktu gelasi selama 1 jam. Injektabilitas secara berurutan adalah 90,67%, 91,93%, dan 95,03%.
Kesimpulan: Bahan komposit hidrogel nano-hidroksiapatit, kolagen, dan EGCG memiliki karakteristik fisik yang berpotensi untuk digunakan sebagai bahan terapi pulpa vital jika dilihat dari nilai pH dan kemampuan injektabilitas yang diperoleh
Multiple hypercementosis – a case report of an incidental finding on panoramic radiograph
No full textObjectives: This case report is aimed to describe radiographic features of multiple hypercementosis in an incidental case.
Case Report: A 38-year-old man came to the Dental Hospital of Padjadjaran University with a complaint that he had lost some of his teeth and wanted to make dentures because he found it difficult to chew food. Then the patient was referred for a radiographic examination, the results of a panoramic radiograph found abnormalities in the form of thickening of the cementum at the apex of the remaining teeth. The teeth were in vital condition and there were no clinical signs.
Conclusion: Based on the examination results, it was concluded that the panoramic radiograph showed excessive cementum thickening and root enlargement on the remaining teeth. This case leads to a radiological diagnosis suspect of multiple hypercementosis or cementum hyperplasia
Alternative tools as a guide for measuring the vertical dimensions of teeth on periapical radiographs
No full textObjectives: This research is aimed to find out the advantages of alternative tools as a guide for measuring the vertical dimensions of teeth on periapical radiographs and comparing the lengths of vertical dimensions of teeth on periapical radiographs with the actual lengths.
Materials and Methods: This research is using analytical observational study with a cross-sectional study design. The research data were primary data from 30 periapical radiographs of two maxillary central incisors, which were photographed using a periapical projection with bisecting technique and a periapical film that had been attached with wire on the outer layer of the film wrap. The data were analyzed by a paired T-Test using SPSS software.
Results: The p-value of ALT (Actual Length of the Tooth) for tooth 11 was 0.53 and for tooth 21 was 0.140. These results show a p-value > 0.05.
Conclusion: There is no statistically significant difference between the calculation of tooth length on periapical radiographs using alternative tools and the calculation of actual tooth length so that alternative tools can be used as a guide for measuring the vertical dimensions of teeth on periapical radiographs
Lateral cephalometric radiograph analysis on obstructive sleep apnea patients
No full textObjectives: This review article is aimed to investigate changes in anatomical factors in Obstructive Sleep Apnea (OSA) patients through means of a cephalometric radiograph, which covers relation and size.
Review: This literature review used online databases (PubMed and Scopus) discussing obstructive sleep apnea (OSA) in adults aged 18-80 years, using cephalometric analysis, and several keywords such as “obstructive sleep apnea and cephalometry†were employed to do the literature search. The search was limited to full-text articles written in English and published during the 2011-2021 period. Articles were selected by complying with literature review guidelines.
Conclusion: Dentists can detect OSA early through lateral radiograph, which is originally an early screening tool, by paying attention to patients’ position during exposure, irradiation condition (kV, mA and Sec) and patient position in OSA diagnosis in regards to hard and soft tissue being evaluated. The specific craniofacial morphological variable could be a reliable parameter in determining the existence of OSA
The effectivity of Cone Beam Computed Tomography (CBCT) in dentigerous cyst management: a literature review
No full textObjectives: This review aims to understand the effectiveness of Cone Beam Computed Tomography (CBCT) in the management of dentigerous cysts by looking at the advantages and disadvantages based on the quality of the resulting radiographic images.
Review: Based on the literature review that has been carried out on 10 journals were eliminated from 22 journals that had the criteria according to the topic but there was a duplication in the identification results of the initial 50 journals from Pubmed, Google Scholar, ScienceDirect, and EuropePMC, with a range of 2012-2022 using the Boolean Operator Strategy with inclusion criteria developed from PICOS framework, it was found that the CBCT radiographic method is the most widely used method in the management of dentigerous cysts because of the predominance of advantages over disadvantages. This radiographic method is able to produce three-dimensional radiographic images without overlapping structures, distortions, and amplifications at a low cost, although it has weaknesses.
Conclusion: CBCT 3D may assess dentigerous cyst lesions effectively by taking into account several considerations and the accuracy of the SOP in its use. This radiography method can provide clear radiographic images without structural overlap, distortion, and amplification at a low cost to confirm the diagnosis and determine the appropriate treatment plan despite the drawbacks as a new result of development technologies in dental radiography
Effect of Glycerin Application on Discoloration of Nanofiller Composite in Instant Coffee
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Introduction: Most modern society assumes that an attractive appearance is a necessity, including the aesthetics of dental restorations. Nanofiller composite resins are widely used because they can reduce polymerization shrinkage and produce a smooth surface that improves aesthetics. Composite resins can change color due to extrinsic factors such as exposure to exogenous materials, one of which is instant coffee and intrinsic factors such as disruption of the polymerization process. Composite resins can experience polymerization disturbances when their surfaces are exposed to air before being irradiated, thereby disrupting the polymerization process. This is indicated by the formation of an oxygen inhibitor layer (OIL) this layer can reduce the quality of the restoration. This layer cannot be completely removed but the application of glycerin can reduce the formation of the layer.
Objectives: To determine the degree of discoloration of nanofiller composite resin coated with glycerin and not due to immersion in instant coffee solution.
Methods: The composite resin sample was in the form of a disc with a diameter of 10 mm and a thickness of 2 mm, coated and uncoated with glycerin before irradiation. Samples were immersed in the instant coffee solution for 37 hours and 61 hours. Color changes were observed using the Minolta CR-10 Color Reader.
Results: The most obvious color change was in the nanofiller composite resin group that was not coated with glycerin, with an E value of 1.04 with an immersion time of 61 hours. The least color change in the glycerin-coated nanofiller composite resin group, with an E value of 0.91. there was a significant difference in the color changes of the sample group with glycerin and non-glycerin applications.
Conclusion: There was color change in the nanofiller composite resin coated with glycerin and non-glycerin. The least color change was in the glycerin-coated group.
ABSTRAK
Pendahuluan: Sebagian masyarakat modern beranggapan bahwa penampilan yang menarik merupakan suatu kebutuhan, termasuk estetik restorasi gigi. Resin komposit nanofiller banyak digunakan karena dapat mengurangi polymerization shrinkage dan menghasilkan permukaan yang halus sehingga meningkatkan estetik. Resin komposit dapat mengalami perubahan warna akibat faktor ekstrinsik seperti terpapar bahan eksogen salah satunya adalah kopi instan dan faktor intrisik seperti terganggunya proses polimerisasi. Resin komposit dapat mengalami gangguan polimerisasi ketika permukaannya terpapar udara sebelum disinar, sehingga menyebabkan terganggunya proses polimerisasi. Hal ini ditandai dengan terbentuknya lapisan oxygen inhibitor layer (OIL) lapisan ini dapat mengurangi kualitas restorasi. Lapisan ini tidak dapat sepenuhnya dihilangkan tetapi aplikasi gliserin dapat mengurangi pembentukan lapisan tersebut.
Tujuan: Mengetahui tingkat perubahan warna resin komposit nanofiller dengan dan non gliserin akibat perendaman larutan kopi instan.
Metode: Sampel resin komposit berbentuk cakram diameter 10 mm tebal 2 mm, dengan dan non gliserin sebelum disinar. Sampel direndam dalam larutan kopi instan selama 37 jam dan 61 jam. Perubahan warna diamati dengan menggunakan alat Color Reader Minolta CR-10.
Hasil: Perubahan warna terbesar pada kelompok resin komposit nanofiller non gliserin, dengan nilai ΔE 1,04 dengan waktu perendaman 61 jam. Perubahan warna terkecil pada kelompok resin komposit nanofiller yang dilapisi gliserin, dengan nilai ΔE 0,91 dengan waktu perendaman 61 jam. Terdapat perbedaan bermakna pada kelompok sampel dengan dan non gliserin.
Kesimpulan: Terjadi perubahan warna pada resin komposit nanofiller yang dilapisi gliserin dan non gliserin. Perubahan warna yang terkecil terjadi pada kelompok yang dilapisi gliserin
Analysis of peri-implant tissue post-implantation using periapical radiograph: a scoping review
No full textObjectives: This review article is aimed to review various studies evaluating changes in peri-implant height and bone density post-implantation using periapical radiographs.
Review: This scoping review was carried out according to Preferred Reporting Items for Systematic Review and Meta-analysis for Scoping Review (PRISMA-Scr) by reviewing literatures related to the evaluation of peri-implant bone post-implantation using periapical radiographs. PRISMA-ScR is a guide for writing a scoping review to increase the relevance and transparency of methodological and research findings. Literature searches were performed on PubMed NCBI, Science Direct, EBSCOHost, and Clinicalkey databases with the keywords “((dental implant) AND (periapical radiograph)) AND (peri-implant) OR (alveolar bone))â€. Literature screening was carried out based on the predetermined inclusion and exclusion criteria that have been set in journals published in 2016-2020. A total of 18 eligible studies were included in this study. The data from the included studies was then synthesized, and the literatures were reviewed.
Conclusion: Peri-implant bone generally experiences a decrease in height (marginal bone loss) and an increase in density during the process of bone adaptation to functional loading. The design and placement techniques of the implants have an impact on the extent of the change in bone height
Mandibular quality assessment in women aged 40-60 years using mandibular cortical index and antegonial index on panoramic radiographs
No full textObjectives: This study aimed to describe the cortical quality of the mandible in women aged 40-60 years by analyzing the mandibular cortical index and antegonial index on panoramic radiographs.
Materials and Methods: This study was a cross-sectional analytic descriptive study, population, and sample using secondary data on panoramic radiographs of women aged 40-60. The descriptive analysis technique used in this study was the average value (mean), standard deviation, and thickness of the mandibular cortex in radiographs of female patients aged 40-60 years.
Results: This study observed variations in mandibular cortical bone quality on panoramic radiographs, with increasing age, bone quality tends to decrease, and there is an effect of gender involvement. Women tend to have lower bone quality, one of which is due to hormonal factors. This study observed variations in mandibular cortical bone quality on panoramic radiographs, with increasing age, bone quality tends to decrease, and there is an effect of gender involvement. Women tend to have lower bone quality, one of which is due to hormonal factors. The age group at risk of osteoporosis had the lowest mandibular cortex width value in the age group of 51-60 years.
Conclusion: This study produced a variety of panoramic radiographs of the mandibular cortical bone quality. The value of the width of the mandibular cortex gradually decreases with age. The value of mandibular cortex width is higher in the younger generation
Panoramic radiography features of complex odontoma in impacted teeth: a scoping review
No full textObjectives: This review article is aimed to determine panoramic radiograph images of complex odontoma images involving impacted teeth.
Review: This study is a scoping review consisting of English or Indonesian articles of complex odontoma in impacted teeth and published in 2010 – 2021. The article search databases used were PubMed, Science Direct, EbscoHost, and Clinical Key with the keyword “(((Complex Odontoma) AND Impacted teeth) AND panoramic radiograph).†The selected articles were screened by checking the publication year, duplicating articles, reading the titles and abstracts, and the entire article's contents. The total search results for articles based on keywords obtained were 621 articles, then 11 articles were used. In all articles covered, the number of impacted teeth is 45, dominated by 32 maxillary and mandibular molars. The majority of lesions formed on the maxillary and mandibular posteriors were not associated with other abnormalities. The majority of the lesions affect the growth of the surrounding teeth and extend to the surrounding jawbone.
Conclusion: Panoramic radiographs of Complex Odontoma involving impacted tooth in the form of a homogeneous radiopaque lesion with an oval or irregular shape with a lesion density more significant than bone and surrounding tissue. A well-defined radiolucent lesion surrounds this radiopaque lesion in the form of a connective tissue capsule.