e-Journal Persatuan Dokter Gigi Indonesia (PDGI)
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Oral Squamous Cell Carcinoma in A Younger Woman with Lack of Known Risk Factors
No full textBackground: Oral ulcer is a common oral mucosal lesion and arguably the most challenging one to manage because of its various predisposing factors. The public refers to all types of ulcers in the oral cavity as stomatitis, although it can lead to various diagnoses, including malignancy. Case Presentation: This case report aims to discuss obstacles in diagnosis for a case formerly underdiagnosed as stomatitis in a young adult woman with a definitive diagnosis at the end as squamous cell carcinoma of the left tongue. Case management: Initial therapy involves eliminating the infection, which is achieved through local therapy using antiseptic mouthwash combined with chlorine dioxide gel to reduce the size of the lesion and alleviate the pain. During the second visit, there was a significant improvement in the ulcer size, but the area of induration persisted. The patient was then educated and informed about the suspicion of malignancy and referred for a biopsy. Conclusion: Oral ulcer presented with induration should be managed immediately, including referral for biopsy of the lesion and symptomatic relief. Although the ulcer significantly improved in size after infection control, the induration presented should raise suspicion of malignancy, and a biopsy is mandatory to obtain a definitive diagnosis without delay
Atrophic glossitis and recurrent aphthous stomatitis in patients with anemia and abdominal tuberculosis
Get PDFPendahuluan: Anemia merupakan kondisi penurunan jumlah eritrosit dan kadar hemoglobin, yang dapat disebabkan oleh tuberkulosis (TB) abdomen melalui beberapa mekanisme. Tuberkulosis abdomen disebabkan bakteri Mycobacterium tuberculosis, melibatkan saluran pencernaan, peritoneum, mesenterika, hati, dan limpa. Penderita anemia sering mengalami masalah rongga mulut. Tujuan: Menguraikan manifestasi klinis dan manifestasi oral pada pasien anemia dan TB abdomen. Studi Kasus: Pasien laki-laki berusia 34 tahun dirawat inap di RSUD Margono Soekarjo mengeluhkan perut membesar, kembung, sulit buang angin dan buang air besar sejak 1 bulan. Nafsu makan menurun. Pasien didiagnosis tuberkulosis abdomen dan anemia. Terdapat lesi ulcer pada gingiva bukal rahang atas dan bawah, serta atrofi papilla lidah sehingga pasien didiagnosis stomatitis aftosa rekuren dan atrofik glossitis. Pembahasan: Anemia dapat disebabkan oleh tuberkulosis abdomen melalui perdarahan, gangguan penyerapan nutrisi, dan efek sistemik. Fungsi usus terganggu sehingga menghambat penyerapan nutrisi seperti zat besi dan vitamin B12 yang penting dalam pembentukan eritrosit. Penderita anemia sering mengalami masalah rongga mulut seperti stomatitis dan glossitis. Glossitis yaitu atrofi pada papilla dorsum lidah ditandai sensasi terbakar. Stomatitis aftosa rekuren dapat terjadi karena transportasi oksigen dan nutrisi terganggu sehingga menghambat diferensiasi dan pertumbuhan sel epitel. Kesimpulan: Anemia salah satunya dapat disebabkan oleh tuberkulosis abdomen dan menimbulkan manifestasi pada oral seperti glossitis dan stomatitis aftosa rekuren. Penegakan diagnosis yang baik dapat menentukan pengobatan yang tepat
Antibiofilm Activity of Secang Wood (Caesalpinia sappan) Ethanol Extract Against Cariogenic Streptococcus sanguinis
No full textStreptococcus sanguinis merupakan bakteri pioneer colonizers yang berperan dalam perkembangan biofilm penyebab penyakit karies gigi. Ekstrak etanol kayu secang memiliki potensi antibiofilm yang dapat dikembangkan sebagai terapi alternatif obat kumur untuk pencegahan karies gigi. Penelitian bertujuan untuk mengetahui aktivitas antibiofilm ekstrak etanol kayu secang (Caesalpinia sappan L.) terhadap Streptococcus sanguinis penyebab karies gigi. Aktivitas antibiofilm menggunakan dua uji, uji pertama degradasi biofilm dan uji kedua penghambatan biofilm lanjutan dengan MtP Assay dan pewarnaan kristal violet 1% yang densitas optiknya dibaca pada panjang gelombang 620 nm. Data hasil degradasi penelitian dianalisis menggunakan One-Way ANOVA dan post-hoc LSD. Hasil menunjukkan terdapat perbedaan bermakna seluruh konsentrasi ekstrak dengan kontrol negatif. Konsentrasi efektif degradasi biofilm yaitu konsentrasi 1,56 mg/mL dan konsentrasi efektifpenghambatan pertumbuhan biofilm pada konsentrasi 0,39 mg/mL. Simpulan dari penelitian ini adalah terdapat aktivitas antibiofilm ekstrak etanol kayu secang terhadap Streptococcus sanguinis penyebab karies gigi
Analysis of four periapical inflammatory lesions findings on periapical radiographs: a case report
No full textObjectives: To analyze four periapical inflammatory lesions on periapical radiographs.
Case Report: A 20-year-old male patient came to RSIGMP-UMI, the results of the intraoral clinic examination showed that there was a crown restoration in the area of 13 to 23 that the patient had been using since ± 5 years ago. Discussion: Radiographs are a necessary supporting examination, especially after anamnesis and clinical examination for lesions involving bone tissue and its surrounding structure, periapical inflammatory lesions are the most commonly found pathological condition, defined as the local response of the bone around the dental apical.
Conclusion: Periapical radiographic examination is very helpful in determining the exact diagnosis and treatment plan as well as evaluating the treatment results of a case, especially in cases of periapical inflammatory lesions
Potensi Resin Damar Mata Kucing dengan Resin Damar Batu Berdasarkan Perbedaan Nilai Kekerasan: Difference Hardness Value of Resin Damar Mata Kucing and Resin Damar Batu
No full textIndonesia is one of the world’s resin producers with high species variability. During this time, natural resins that are widely used and circulating in the market are resin damar mata kucing and resin damar batu. Both of these resins damar come from different types of trees and harvesting methods. The research aims to determine the differences in the value of the hardness of the two resins, so that it can be considered of the resin damar uses as basic materials in dentistry. Hardness test was performed on 16 resin samples of resin damar mata kucing and 16 resin samples of resin damar batu using the Shore Hardness Tester (Shore D Durometer) method based on ASTM D2240. From the results of the study obtained an average value of resin damar mata kucing hardness is 35 Hard Durometer, while the average value of resin damar batu hardness is 43 Hard Durometer. Its can be caused by different types of trees and how they are harvested. Resin damar batu are fossilized sap and obtained from Shorea eximia trees by means of collection from the ground. In general, resin damar batu is blackish brown. Meanwhile, yellowish-clear resin damar mata kucing is a resin damar that has less ash and dirty content, because of the way of harvesting is done by tapping directly on the Shorea javanica trees. So, resin damar batu have a higher hardness value than resin damar mata kucing. It can be concluded that resin damar mata kucing and resin damar batu have different values of hardness, which have potentiality as basic materials in dentistry
Prediction Model of Pre, Peri-, and Postnatal Factors for Early Childhood Caries in Stunted Children of Juwiring, Central Java, Indonesia: (A Life Course Approach)
No full textIntroduction: The life course approach highlights how early life, beginning with fetal growth, influences future disease risk. Oral health studies in Indonesia using this approach are still limited. This study examined the relationship between ECC status and retrospective data on stunted children under three and their mothers’ pregnancy history at Juwiring District Community Health Center. Objective: This study aims to examine the influence of pre, peri-, and postnatal factors on ECC occurrence in stunted children in Juwiring Regency, Central Java. Methods: Secondary data of pre, peri-, and postnatal information from 265 stunted children were obtained from the medical records. Oral examination was assisted by local dentists from the health center. Multiple logistic regression analysis was performed to construct a prediction model and determine the factors with the greatest influence on dental caries in stunted children in Juwiring District. Results: The prevalence of dental caries was 69.1% in 246 subjects. The variables in the final prediction model for factors related to ECC were the mother's perception of her child's dental problems, the mother's education level, the mother’s knowledge of dental caries, and the child’s stunting status. The most influential factor was the mother's perception of her child's dental problem, with the highest odds ratio (OR) of 5.1 (1.83–14.23). Conclusion: This study revealed that prenatal factors related mothers’ education level and postnatal factors related to mothers’ perceived dental problems, poor knowledge of dental caries and children’s stunting status were included in the ECC prediction model for the stunted children of Juwiring District
Root Canal Irrigation NaOCl plus Nano Chitosan as an Antibacterial Pseudomonas Aeruginosa
No full textChitosan tilapia scales is one of the chitosans which has benefits as an antibacterial in dental root canal, the physical size of chitosan can be converted into smaller particle sizes in the form of nanoparticles. For the material of root canal irrigation as a gold standard is sodium hypochlorite 0.5% -5.25%. One of the bacteria found in the root canal is Pseudomonas aeruginosa. The purpose of this study was to determine the effectiveness of nano chitosan tilapia scales plus 1.5% and 2.5% NaOCl in inhibiting Pseudomonas aeruginosa. This research is a laboratory experimental study with the research design used is the Post Test Only Control Group Design antibacterial test Kirby Bauer. The sample used was the bacterium Pseudomonas aeruginosa which was divided into 4 groups: group 1 was the treatment group given nano chitosan of tilapia scales plus 1.5% NaOCl, group 2 was the treatment group given nano chitosan of tilapia scales plus 2.5% NaOCl, group 3 of the treatment group was given a positive control with Chlorhexidine and group 4 of the treatment group was given a negative control of aquadest with 6 repetitions for each. The results of statistical tests using the Least Significant Difference (LSD) test showed that there were significant differences in the inhibition zone between nano chitosan of tilapia scale plus 1.5% and 2.5% NaOCl with a value of r <0.05. The average inhibition power of nano chitosan of tilapia scales plus 1.5% NaOCl was 21.33 mm and nano chitosan of tilapia scales plus 2.5% NaOCl was 24.83. It can be concluded that nano chitosan of tilapia scale plus 1.5% NaOCl and nano chitosan of tilapia scale plus 2.5% NaOCl have very strong inhibition against Pseudomonas aeruginosa. Nano chitosan of tilapia scales plus 2.5% NaOCl is more effective in inhibiting Pseudomonas aeruginosa.
Keywords: Root canal irrigation NaOCl 2.5%, Nano Chitosan, Antibacterial
 
Description of length, height, and mandibular gonial angle of Kennedy classification class I, II, III, and IV patients: Reviewed using panoramic radiograph at Ulin Regional Hospital and Gusti Hasan Aman Oral and Dental Hospital Banjarmasin
No full textObjectives: This study aimed to describe the length, height, and mandibular gonial angle of Kennedy classification class I, II, III, and IV patients using panoramic radiographs at Ulin Regional Hospital and GHA Oral and Dental Hospital Banjarmasin.
Materials and Methods: This study was descriptive with a cross-sectional design. Sampling used the purposive sampling technique. The research sample was an archive of digital panoramic radiographs of Ulin Regional Hospital and GHA Oral and Dental Hospital Banjarmasin patients aged 30-70 with Kennedy classification, recorded in the Radiology Installation from January 2018 to January 2024.
Results: The results from 108 samples of Kennedy classification patients showed that the smallest length of the mandible on the left and right sides is in class I Kennedy. The measurement of mandibular height at points II-R is the smallest in class IV, and the smallest at III-L is in class II. At point II-R, the smallest mean is in class IV, and the smallest at II-L is in class I. The largest measurement of the gonial angle on the left and right sides is in class IV.
Conclusion: The mandibular length most likely to cause the temporomandibular disorder is Kennedy class I on the left side in 18 samples (17%). The height and gonial angle of the mandible that most likely causes temporomandibular disorder are on the right side for height and the left side for gonial angle in Kennedy class IV as many as 18 samples (17%)
Calcifying epithelial odontogenic tumor or compound odontoma: a case report in the left maxilla of a child with panoramic and CBCT imaging
No full textObjectives: The aim of this case report is to describes the importance of advanced imaging such as CBCT 3D to make diagnosis rather than just a panoramic radiography.
Case Report: A 12-year-old girl patient came for the third time with her parents to the radiology installation after being referred from the oral surgery clinic at RSIGM SA due to complaints of swelling on the right side of the face that had not healed. The patient was initially diagnosed as a calcifying epithelial odontogenic tumor This is based on hematological and histopathological examinations. At the second visit patient had marsupialization and panoramic examination performed. The panoramic results show that the lesion is still developing as seen from the change in the distance between the lesion to the surrounding tissue. The image of the radiopaque lesion is surrounded by radiolucency in the maxillary region from the apical of teeth 53 to 17, the lesion is multiple, unilateral, and irregular with ill-defined boundaries so that the appropriate radiodiagnosis is Calcifying Epithelial Odontogenic Tumor before doing CBCT 3D imaging on third visit.
Conclusion: CBCT 3D was more accurate and reliable in diagnosing type of odontogenic tumor
Characteristics and position of maxillary canine impaction using panoramic radiograph at RSGMP UNHAS: a retrospective study
No full textObjectives: To analyze cases of maxillary canine impaction, emphasizing characteristics, positional forms, and radiographic features.
Materials and Methods: This descriptive study utilized a retrospective and cross-sectional design approach. Samples were obtained through purposive sampling. Secondary data from the Dental Hospital and Education Clinic (RSGMP) at Hasanuddin University from January to December 2023 were used. A total of 43 clinically and radiographically diagnosed cases were included in this study.
Results: This study revealed that patients with maxillary canine impaction were predominantly in the age group of 10–19 years (46.5%), with females comprising 62.8% and males comprising 37.2%, resulting in a male-to-female ratio of 1:1.68. Type II maxillary canine impaction (Yamamoto classification) was the most common case, accounting for 53%.
Conclusion: Radiography was a crucial aid for diagnosing various types of oral lesions, especially those involving bones.
Keywords: Maxillary, maxillary canine impaction, prevalence, radiographic appearanc