Interdental Jurnal Kedokteran Gigi (IJKG)
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Oral Management of Herpes-Associated Erythema Multiforme in A Microcytic Anaemia Patient
No full textIntroduction: One acute and self-limiting hypersensitivity reaction affecting the skin and/or other mucous membranes is known as Erythema Multiforme (EM). EM is considered to be associated with infections or medications. Infection with Herpes Simplex Virus types 1 and 2 (HSV-1 and HSV-2) is a well-known predisposing factor and the most prevalent cause of EM, also referred to as Herpes Associated Erythema Multiforme (HAEM).
Case: A 31-year-old female patient presented to RSGM Universitas Airlangga with red-black crusts, erosion, and bleeding on her lips, as well as erosion and sloughing of the oral mucosa. She had experienced fever and chills for a week, and three days later, lesions appeared on the lips and oral mucosa. The symptoms progressively worsened despite treatment.
Case Treatment: At the first visit, the patient was referred for serology tests, complete blood count, IgM and IgG Anti-HSV 1 and Anti-HSV 2, and total IgE. Positive serology for IgG Anti-HSV 1 confirmed the diagnosis, and microcytic anaemia was also detected. The patient was treated with steroid orabase and oral elixir, administered four times daily.
Discussions: The first line in treatment management is using antiviral therapy. Early treatment with oral antivirals may lessen the number and duration of lesions. Topical steroids can be given in dosage form, paste in orabase, ointment or elixir according to the involvement of the lesion area.
Conclusion: Management of HAEM must determine the etiology and symptoms. A prompt and correct diagnosis following by the right approach to oral management not only cure but also prevent recurrence and improve the quality of life
Comparison of Alveolar Bone Loss in First Molars Based on Age and Sex: Study on Panoramic Radiographs
Get PDFIntroduction: Alveolar bone loss (ABL) is a condition of osseous defect caused by periodontal disease or trauma from occlusion, cumulatively leading to weakening of the tooth-supporting structures and affecting tooth mobility. The first molars are among the most vulnerable teeth to ABL. Radiographically, alveolar bone loss occurs when the distance between the cementoenamel junction (CEJ) and the alveolar crest is more than 2 mm. This study aims to determine the differences in ABL between the first maxillary and mandibular molars on panoramic radiographs among various age and sex groups.
Material and Methods: This analytical observational study utilized 100 digital panoramic radiographs from our dental hospital, which met the criteria and were grouped according to age: age group 1 (21-30 years), age group 2 (31-40 years), age group 3 (41-50 years), age group 4 (51-60 years), and age group 5 (>60 years). Each age group comprised 20 samples (10 males and 10 females). ABL measurements were carried out using Vatech's EzDent-I software.
Results and Discussions: The mean ABL of first molars in the age group 1 to age group 5 were 0.03 ± 0.05 mm; 0.16±0.19mm; 0.35 ± 0.35 mm; 0.67 ± 0.46 mm; 1.00 ± 0.61 mm, respectively. The mean ABL of first molars in male and female groups were 0.45 ± 0.54 mm and 0.43 ± 0.50, respectively. The result of the Kruskal-Wallis test followed by the Mann-Whitney post hoc test showed a significant difference (p<0.05) in the ABL of first molars between all age groups, except the age group 4 with the age group 5. Meanwhile, the Mann-Whitney U test result reveals no significant difference in the ABL of first molars between males and females.
Conclusion: Panoramic radiographs show a difference in the ABL of the first molars among age groups below 60-51. This difference is not influenced by sex
Treatment of Burning Mouth Syndrome Accompanied With Xerostomia and Dysgeusia in Diabetes Mellitus Patients
No full textIntroduction: Burning mouth syndrome is pain in the oral mucosa with or without signs of or without specific signs of lesions. The manifestations of Diabetes in the oral cavity are xerostomia, dysgeusia and burning mouth syndrome. Purpose of this case report is to describe the management of Burning mouth syndrome cases accompanied by Xerostomia and Dysgeusia in patients with Diabetes.
Case: A 65-year-old woman presented with complaints of pain felt was a burning sensation on the tongue. patient felt the burning pain during a day but also at night for the past 2 weeks.
Case Treatment: The diagnosis in this case is Burning mouth syndrome accompanied by Xerostomia due to Diabetes. Patient was given oxyfresh® for 3x 10 ml and Becomzet® 1x1. The patient had DL, GDP (110), GD2PP (145), HbA1C (7.2), SGOT (27), and SGPT (29) and Sialometry (0.3ml). Patient accepted the treatment and followed the instructions given. Patient was healed on the third visit.
Discussions: Burning mouth syndrome is a burning and uncomfortable or stinging feeling with a normal clinical feature. Xerostomia and Dysgeusia are often concurrent symptoms so it is called the triad symptom of burning mouth syndrome. Treatment with oxyfresh® which contains xylitol as an antimicrobial that reduces the risk of caries, zinc acetate which is effective in maintaining oral moisture and aloe is useful for reducing irritation, pain and inflammation so as to reduce pain in burning mouth syndrome.
Conclusion: Treatment in this case was successful with good cooperation from the patient to accelerate healing
Examination and Treatment Plan for Comprehensive Patient: Case Report
Get PDFIntroduction: The basis of diagnosis is history and examination. The process of diagnosis begins with the collection of patient information and data. An accurate diagnosis can determine an appropriate treatment plan. The purpose of this case report is to describe the treatment plan and the course of treatment in a comprehensive patient case. Case: A 45-year-old male patient complained of pain in the lower back right tooth when chewing. The complaint has been felt since 2 days ago with a pain scale of 6. The tooth previously had a large cavity and gradually decayed on its own. Previously there was no spontaneous pain or swollen gums. The pain is aggravated when chewing food and nothing alleviates the condition. A dentist had never seen the complaint. The patient's dental condition has root residues on teeth 18, 21, 22, 24, 26, 28, 38, and 44, pulp necrosis on teeth 12 and 48,
dentin caries on teeth 11 and 23, enamel caries on teeth 17, 16, 27, 34, and 35. There are missing teeth 37, 46, and 47. The Oral Hygiene Index (OHI) has a score of 6.3, and the Plaque Index (PI) has a score of 53.5%.
Case Treatment: This patient received Dental Health Education (DHE), medication and extraction of tooth 48, scaling and root planning, dental restoration for tooth 11, and control with evaluation.
Results: Treatment was carried out over several appointments, starting with extraction of tooth 48 using inferior alveolaris nerve block technique, scaling and root planning and tooth 11 restoration with class IV GV black using composite at the last visit.
Conclusion: The treatment plan was organized and sequenced based on the urgency and chief complaint of the patient. Communication between dentist and patient is necessary to build a good relationship in the long treatment process
The Relationship Between Patients' Knowledge, Attitude, and Actions With The Utilization of Dental and Oral Health Services at RSUD Taman Husada Bontang
No full textIntroduction: The issue of dental and oral health has been recognized as a significant health concern in Indonesia. Based on the 2018 Riskesdas report, the proportion of oral health problems in the community in Bontang was 57.26% while only 20.51% received treatment from dental medical personnel. The purpose of this study was to determine the relationship between knowledge, attitudes, and patient actions with the utilization of oral health services at RSUD Taman Husada Bontang.
Material and Methods: This study used purposive sampling technique with a cross-sectional study design. In this study there were 96 respondents selected as samples who were utilizing oral health services at the Dental Polyclinic of RSUD Taman Husada Bontang. This study used a questionnaire to measure patient behavior in utilizing oral health services.
Results and Discussions: The results showed that patient knowledge and attitudes (99%) were in the good category, patient actions (94.8%) were in the good category, and oral health service utilization (97.9%) was in the good category. The results of the chi-square test on knowledge and attitudes with the utilization of oral health services showed p = 0.000 (p < 0.05), and the chi-square test on the action category with the utilization of oral health services showed p = 0.004 (p < 0.05).
Conclusion: The results showed a relationship between knowledge, attitudes, and patient actions with the utilization of oral health services at RSUD Taman Husada Bontang
Presence of Klebsiella Pneumoniae on Black Hairy Tongue as Oral Microbiome Dysbiosis
No full textIntroduction: Black hairy tongue (BHT) is a benign condition characterized by discoloration and elongation of filiform papillae. Although asymptomatic, it can trap microorganisms, potentially contributing to oral dysbiosis. The pathogenesis is still unclear, but smoking, drugs, alcohol, or excessive coffee/tea consumption trigger it. Diagnosis relies on history-taking, clinical assessment, and occasionally microscopic evaluation. This case report aims to show an interesting finding in the microbiological examination of black hairy tongue.
Case: A 33-year-old male smoker and coffee drinker presented with black tongue discoloration. Any medication use and a history of systemic diseases are denied, but he had a habit of smoking, staying up late, and heavy coffee consumption.
Case Management: Clinical assessment and microbiological swab analysis for bacterial and fungal identification were conducted. Microbiological examination revealed the presence of Klebsiella pneumoniae, a colonizing opportunistic pathogen.
Discussion: The patient reported no systemic diseases or medication use, with lifestyle factors identified as potential triggers. This case underscores the role of lifestyle factors and oral hygiene in the development of BHT and its association with microbial dysbiosis.
Conclusion: The detection of K. pneumoniae emphasizes the need for microbial evaluation in persistent cases to prevent potential systemic effects
Combination Of Betel Leaf Extract and Collagen as Liquid Anti-Inflammatory for Dental and Oral Tissue Treatment
Get PDFIntroduction: Based on Riskesdas (Basic Health Research) data in 2018, the prevalence of oral and dental problems in Indonesia reached 57.6% with periodontal disease reaching 74.1%. Mouthwash can help reduce the number of bacteria that cause infections in the oral cavity. Natural ingredients that are often used are collagen membranes and betel leaves are commonly used as antiseptics. The purpose of this literature review is to discuss in detail the functions, applications, and challenges of using collagen membranes and betel leaves in dentistry, as well as to deepen the latest research related to incorporating these two materials.
Review: Based on recent research, there is a combination of collagen membrane and betel leaf extract in dental treatment, especially to regenerate periodontal tissue. Collagen membrane coupled with betel leaf extract not only provides a scaffold to regenerate tissue but also as protection from bacteria, and microbes, as an anti-inflammatory, to accelerate the healing process, and as a prevention of infection. Collagen membrane and betel leaf have great potential in dentistry when combined, especially in tissue regeneration and infection prevention. Their combination may pave the way for the development of more effective and natural therapies in the treatment of dental and oral tissues.
Conclusion: Collagen modification and betel leaf use in dental care offer great potential for improving oral health. Collagen supports tissue regeneration and wound healing, while betel leaf provides antimicrobial and anti-inflammatory benefits. The integration of these two ingredients in dental care products can improve the effectiveness of treatment and provide a more natural and effective solution to a variety of dental and gum problems.
Kata kunci: Perawatan Gigi, Gigi dan Mulut, Kolagen, Daun Sirih, Modifikasi Kolage
Effectiveness Extract Gel of Kemangi Leaves (Ocimum basilicum L.) To The Level of Fibroblast For Incision Wound Healing of Wistar RATS (Rattus norvegicus)
No full textIntroduction: Wound healing using herbal plants is considered safer than chemical drugs. One of the plants that can be used for wound healing is basil leaves (Ocimum basilicum L.). The purpose of this study was to evaluate the effectiveness of administering basil leaf extract gel on the number of fibroblast cells in the healing process of incision wounds in Wistar rats.
Research method: This study used an experimental post-test only control group design using 24 male Wistar rats. The research sample was divided into four groups, namely the negative control group (CMC-Na gel), the group given basil leaf extract gel with concentrations of 70%, 80%, and 90%. In vivo testing was carried out by making an incision wound with a length of 20mm and a subcutaneous depth on the back of the rat. The extract was given twice a day for one week, then decapitation was carried out on the 8th day.
Research results: Basil extract gel with concentrations of 70%, 80%, and 90% was effective in healing incision wounds. One Way Anova test showed significant differences between the four groups (ρ<0.05).
Conclusion: Basil leaf extract gel with a concentration of 80% is more effective in accelerating wound healin
Integration of Gamification and Health Belief Model to Promote Dental Health in School Children: A Narrative Review for Digital Intervention Development
No full textIntroduction: Dental caries is one of the most common health problems among school-aged children and can have long-term impacts on their quality of life. Most oral health promotion interventions to date remain conventional and are often unappealing to children. On the other hand, advancements in digital technology offer significant opportunities for developing more interactive and engaging educational approaches.
Review: This literature review aims to analyze the relevance and effectiveness of integrating the Health Belief Model (HBM) with gamification in the development of digital interventions for school-aged children in the field of oral health. The literature findings indicate that HBM-based interventions are effective in enhancing children’s perceptions of susceptibility, benefits, and self-efficacy in maintaining oral health. Gamification has been shown to improve engagement and motivation through game elements such as points, challenges, and rewards. Several studies conclude that, although each approach has its own strengths, the strategic integration of HBM and gamification can address their respective limitations—particularly in achieving long-term behavior change.
Conclusion: However, most digital interventions have not yet explicitly incorporated all components of the HBM, nor have they adequately addressed local contexts such as culture, technological access, and the role of teachers and parents. Therefore, there is a need for the design of digital intervention applications based on HBM and gamification through a co-design approach. This concept holds potential as a direction for further research in developing sustainable and evidence-based oral health promotion solutions in Indonesia
