Interdental Jurnal Kedokteran Gigi (IJKG)
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Perceptual Differences Between Patients Who Received Orthodontic Treatment at Orthodontic Specialist, General Dentists, And Dental Technician In Denpasar
Get PDFIntroduction: The high prevalence of malocclusion in Indonesia, which is as much as 80% of the total population in Indonesia causes the level of Orthodontic treatment to increase. The need for orthodontic treatment in the community is inseparable from the perception of the community in choosing orthodontic treatment and operators. The purpose of this study was to determine differences in perceptions between patients who received orthodontic treatment at orthodontic specialist dentists, general dentists, and dental technician in Denpasar.
Method: This study was an observational study with a cross sectional study design with a sample of 108 respondents who received orthodontic treatment at three different operators. Respondents were given a questionnaire with closed questions to determine differences in perceptions between respondents who received orthodontic treatment at all three operators. The data obtained were then analyzed by bivariate and univariate with cross sectional approach with chi square analysis.
Results and Discussions: As many as 77.8% of respondents were female and male as many as 22.2%, dominated by respondents aged 21-25 years as many as 33.3% of respondents. Good perception of orthodontic treatment 85.2% and bad as much as 14.8%. With details as many as 36 respondents in orthodontic specialist dentists and general dentists produce good perceptions and 20 respondents in dental technician produce good perceptions, while 16 bad perceptions are found in dental technician.
Conclusion: It was concluded that there were differences in perception between patients who received orthodontic treatment at specialist dentists, general dentists, and dentists in Denpasar
Evaluation of Temporomandibular Joint After Orthognathic Surgery with First Orthognathic Surgery Method: Scoping Review
Get PDFIntroduction: Dentoskeletal anomalies are defined as aberrations of the maxillofacial complex that negatively impact the dental and skeletal relation. Orthognathic surgery is a treatment option to rehabilitate dentoskeletal anomalies. Surgery first orthognathic is one of the orthognathic surgeries conducted prior to the orthodontic treatment. One of the problems that might occur following the surgery first orthognathic is related to temporomandibular joint disorder (TMD). This study aimed to map the published articles about the clinical evaluation of temporomandibular joint post-surgery first orthognathic. This study used the scoping review method, following the PRISMA-ScR guideline. The search engines utilized in this study were PubMed, ScienceDirect, and Scopus, using keywords as follows, ((surgery first orthognathic) OR (surgery first orthognathic approach)) AND (temporomandibular joint).
Review: A total of eight articles suit the inclusion criteria. 119 patients underwent orthognathic surgery using the surgery first orthognathic method. Post-surgery, 25.2% of patients experienced TMD improvement, 70.6% experienced no change in the normal temporomandibular joint, and 4.2% experienced TMD impairment worse than before the surgery.
Conclusion: Based on the analysis results of the studies, it can be concluded that surgery first orthognathic inclines to preserve the normal condition of the patient’s temporomandibular joint before the surgery. In some cases, surgery first orthognathic yielded opportunities to relieve the TMD symptoms. However, there is a slight risk following the surgery first orthognathic, i.e., worsening of the TMD and generating new onset of TMD
Lip Repositioning with Internal Suturing and Crown Lengthening in a Single Visit: Case Report
Get PDFIntroduction: A gummy smile becomes one of the esthetic problems for patients, especially when smiling or laughing. Etiology-based treatment should be considered to fulfill the patient’s needs. In this case report, we performed treatment focused on both extraoral and intraoral etiology: lip repositioning with smile elevator muscle sutures and crown lengthening respectively.
Case: A 27 year old female patient presented with the chief complaint of excessive appearance of gingiva when especially laughing. The patient has a gummy smile and a disharmonious gingival line on the anterior maxilla. The diagnosis in this case was excessive gingival display et causa hyperactive upper lip and altered passive eruption.
Case treatment: To achieve the esthetic goal, crown lengthening was performed with ostectomy to correct the gingival line and zenith, followed by lip repositioning with partial thickness flap with smile elevator muscle suturing. Six months postoperative follow-up showed pink gingiva with harmonious gingival line contour.
Discussion: Lip repositioning has a high risk of relapse in cases of hyperactive upper lip. Lip reposition surgery with sutures on the smile elevator muscle along with a crown lengthening procedure is a predictable alternative treatment in this case.
Conclusion: The surgical procedure for handling gummy smile cases provides good treatment results, especially in cases of multiple etiologies of hyperactive upper lip and altered passive eruption
The Use of Nano Bio Fusion Gingival Gel as Adjuvant Therapy in The Treatment of Periodontal Disease: A Literature Review
Get PDFIntroduction: There are various types of adjuvant agents used in periodontal treatment, one of which is Nano Bio Fusion (NBF) Gingival Gel. Numerous studies have assessed the use of NBF gel in the treatment of periodontal disease. This paper attempts to review the literature on the efficacy of utilizing NBF gel to treat periodontal disease.
Review: Nano-Bio Fusion Gingival Gel contains propolis extract in the form of nanoemulsion, vitamin C, vitamin E, sodium monofluorophosphate, aloe, and green tea extract. NBF gel is used for protection and prevention in various oral conditions, such as gingival and periodontal disease; ulcerated conditions, erosions, xerostomia, white lesions of the mucosa, denture stomatitis; mucosal protection after radiation therapy or chemotherapy; dry lips or cheilitis, lip inflammation; and post-surgical conditions such as tooth extraction, alveolitis, after implant placement, flap surgery, periodontal abscess treatment, and others. In eight studies, NBF gel was found to be effective in the treatment of periodontal disease. The parameters used were plaque index, papillary bleeding index, pocket depth, clinical attachment level, gingival index, pain perception, signs of inflammation, sulcular bleeding index, and colony forming unit. The best results were seen in the use of NBF gel after scaling. In comparison to other adjuvants, such as tetracycline fiber and hyaluronic acid (Gengigel), the results of the parameters obtained with NBF gel are not as excellent as those obtained with the other two substances.
Conclusion: NBF gel can be an effective adjuvant treatment following scaling
Bioactivity of Kemangi (Ocimum sanctum L.) Flower Infusa Against Candida albicans In Vitro
Get PDFIntroduction: The surface of acrylic resin denture, which attaches to the oral mucosa, has microporosity, a place for bacterial plaque and Candida albicans to accumulate if not cleaned properly. An increase in Candida albicans colonies on the surface of dentures can cause denture stomatitis. Dentures can be cleaned mechanically with a soft-bristled brush, or chemically using cleaning agents. Denture cleaning materials on the market are sold in limited quantities at expensive prices. Natural ingredients can be alternative denture cleaning agents. This study aims to determine the difference in the bioactivity of basil and green betel leaf infusion on the growth of Candida albicans in vitro.
Materials and Methods: This research is a laboratory experimental study using a post test only control group design method, divided into 4 groups, group 1 as a negative control using aquadest, group 2 as a positive control using polident denture cleanser, group 3 using 50% green betel leaf infusa, and group 4 using 50% basil leaf infusa. Each group consisted of 6 acrylic resin plates as a medium for Candida albicans attachment. Differences in the mean number of colonies in the groups were analyzed using Mann-Whitney test.
Results and Discussions: Statistical analysis showed that there was a significant difference in the mean number of colonies between all groups regarding the growth of Candida albicans colonies with a p-value of 0.001 (p < 0.05).
Conclusion: The results showed that basil leaf infusion had lower bioactivity potential than green betel leaf infusion against Candida albicans in vitro
Subacute Toxicity Test of Cocoa Bean Extract (Theobroma cacao L.) on Mice (Mus musculus L.)
Get PDFIntroduction: Cocoa is one of the plants that is believed to have many health benefits and is used in herbal medicine so it is necessary to test the safety of its use. The purpose of the study was to determine abnormalities in the hepatic histopathology of mice that occurred after repeated administration of the test preparation.
Materials and Methods: The research used in vivo laboratory experiments with the post-test only control group approach. The samples used were 25 consisting of 5 groups, namely the group of mice given cocoa bean extract at a dose of 4500 mg/kgBB, 5500 mg/kgBB, 6500 mg/kgBB, 7500 mg/kgBB, and the control group was given distilled water, and for the allergy test was given 32% cocoa bean extract gel. Oral administration of the test preparation was carried out every day for 28 days, once a day. Observations included toxic symptoms by looking at hepatic organ histopathology. Data analysis used Kruskal Wallis test followed by Mann Whitney test for subacute toxicity test.
Results and discussion: showed that the administration of cocoa bean extract at doses of 4500 mg/kgBB, 5500 mg/kgBB, 6500 mg/kgBB, and 7500 mg/kgBB had an effect on subacute toxicity at the time of administration to mice which caused the death of mice and affected the hepatic histopathology of mice.
Conclusion: The conclusion is that cocoa bean extract at certain doses has an effect on subacute toxicity in mice
The Effect of Probiotic Yogurt and Fermented Skim Milk Beverages on The Reduction of Streptococcus Mutans In Children's Dental Caries
Get PDFIntroduction: Dental caries is the most common dental and oral problem in children, with a prevalence of 90.2% in children under 6 years old . Streptococcus mutans is considered one of the most virulent caries-causing microorganisms due to its ability to colonize and initiate plaque formation on tooth surfaces. Probiotic yogurt and skim milk-based fermented drinks, which are popular with children, can potentially inhibit the growth of pathogenic oral bacteria. This study aimed to determine the effect of these probiotic drinks on reducing Streptococcus mutans counts in pediatric dental caries.
Materials and Methods: This in vitro laboratory study used a post-test only control group design. Streptococcus mutans colonies obtained from human dental plaque were immersed in artificial saliva with yogurt for 4 minutes, skim milk-based fermented drinks for 2 minutes, or distilled water (negative control) for 2 or 4 minutes. Bacterial growth was observed and analyzed statistically.
Results: Both probiotic yogurt drinks and skim milk-based fermented drinks reduced the number of Streptococcus mutans bacteria.
Conclusion: Skim milk-based fermented beverages showed a greater reduction in Streptococcus mutans compared to yogurt. Poor oral hygiene practices, cariogenic diets, and low socioeconomic status are reported risk factors for dental caries in children. Regular tooth brushing and limiting sugar consumption can help prevent caries development
Management of Aesthetic Crown Lengthening After Orthodontic Treatment: A 6 Month Evaluation Case Report
Get PDFIntroduction: Three interrelated elements are responsible for creating an ideal smile: teeth, gingiva, and lips. The current concept of aesthetics focuses not only on the teeth but on the gingiva as well, thus make these two elements important and related to one another. Maintaining the healthy condition of periodontal tissue around the teeth is vital for functional and aesthetic aspects. Crown lengthening is a surgical procedure to increase the length of clinical crowns to achieve an ideal crown to gingival ratio with or without bone reduction. Crown lengthening procedures require a good understanding of biological width and how to achieve it. This case report aims to demonstrate the success of crown lengthening with ostectomy for the treatment of excessive gingival display in post orthodontic treatment patients.
Case: A 25-year-old female patient came to the periodontic clinic on referral from an orthodontic, for correction of a disproportionate dental condition after braces treatment was completed. Treatment: Clinical examination showed disproportionate length and width of crowns due to excessive gingival display and gingival enlargement in the region of teeth 33 to 43.
Case Management: In this case report, crown lengthening treatment was performed from teeth 13 to 23 with open flap for ostectomy and flap was restored with sling suture, contact point repair on teeth 12 and 22, and gingivectomy on mandibular anterior teeth.
Conclusion: Aesthetic crown lengthening surgery results in a high satisfaction level of the patient and predictable and stable results
Combination of Periodontal and Aesthetic Surgery in Cases of Periodontal Tissue Abnormalities
Get PDFIntroduction: A high superior labial frenulum causes a gap in the incisors and in the long term will lead to periodontal disease such as gingival enlargement. And pigmentation abnormalities that usually appear physiologically on the gingiva which disturb the aesthetic aspect of the patient. Anatomical abnormalities and abnormalities that occur due to periodontal disease if not treated will result in the severity of periodontal disease progression.
Case: A 20-year-old female patient complained of enlargement of her gums and the color of her gums was slightly dark.
Case Management: Intra oral examination revealed a high frenulum, gingival enlargement and gingival pigmentation.
Discussion: Surgical procedures performed at one visit to overcome the patient's problem, periodontal surgery was performed in the form of gingivektomi, frenectomy and for aesthetic surgery in the form of gingival depigmentation in sequence with a surgical blade.
Conclusion: Conventional surgical procedures in this case can be performed with sequential stages in one visit for the efficiency of patient visits and time. So that patients are more comfortable without having to repeat periodontal surgery
Biological Mechanism of Orthodontic Movement in The Treatment of Skeletal Class II Malocclusion Using Twin Block: English
Get PDFIntroduction: Patients of growing age with dentoskeletal class II malocclusion are often found in the clinic, to avoid further severity it is recommended to use functional appliance in cases involving skeletal.
Review: Functional appliances have been widely used since activators were introduced by Andersen, but the use of activators has many disadvantages such as the shape that blends between the maxilla and mandible making it difficult for patients to open their mouths, speak and eat, then the large shape makes patients uncomfortable and causes facial changes. Clark developed the twin block to answer the previous shortcomings, which is a simple and separate design between the mandible and maxilla causing patients to be more comfortable in speaking and eating so that it is comfortable to use for a long time. Twin block is a functional appliance used to reposition the mandible forward in cases of class II malocclusion with retrognathic mandible.
Conclusion: This paper describes the design and use of twin block and its effectiveness in skeletal correction. In addition, its use was found to improve facial shape, reduce overjet and overbite, corrected molar relationships and alleviated patient complaints