Interdental Jurnal Kedokteran Gigi (IJKG)
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Management of Proximal Caries That Are Not Clinically Detectable
No full textIntroduction: Tooth decay is one of the most common dental diseases. Clinical examination alone is not sufficient to detect carious lesions. Additional diagnostic support, such as radiographic imaging, is necessary to aid in establishing an accurate diagnosis and appropriate treatment plan.
Case: A 21-year-old female patient came to the Conservative Dentistry clinic at RSGM Unpad with complaints of a cavity in her lower right molar, and sometimes food gets stuck in it. Additionally, the patient also complained of occasional sensitivity in the tooth when eating or drinking cold items, which quickly subsides.
Case Treatment: The treatment for the filling of tooth 46 was completed in four visits. The first visit included taking the patient's history and an initial examination. The second visit involved caries removal, Class I preparation, discovery of a distal-proximal lesion, further Class II preparation, and a trial placement of a sectional matrix. The third visit included the placement of the sectional matrix, Class II composite restoration, and polishing. The fourth visit covered the control of the Class II composite restoration and re-polishing.
Discussions: Proximal caries is a type of decay that is difficult to detect clinically. The bitewing radiographic technique is the standard method for detecting proximal caries through the radiolucent image, which indicates the presence of demineralization in the tooth.
Conclusion and Suggestions: The importance of clinical examination, along with the supporting examination through bitewing radiography, is to detect proximal caries, thereby preventing errors in determining the treatment plan
Legal Protection Of Patients Regarding Healthcare Services at Unaccredited Private Dental Practices
No full textIntroduction: Accreditation of independent dental practices has become an important issue in dental health to ensure standards of quality and patient safety. Quality services, according to WHO dimensions (2018), require efforts for improvement both internally and externally, including accreditation every five years. The high incidence of patient safety events in various countries highlights the need for better protection. Accreditation is also implemented in other countries, such as Australia and Singapore, with significant support from local governments.
Methods: This study employs a descriptive legal analysis method to outline criminal responsibilities. Data were collected through documentation of laws and relevant regulations. The analysis used a qualitative approach, linking the data to applicable legal provisions. Conclusions were drawn deductively to achieve a comprehensive understanding of the issues.
Discussion: Patient safety has increasingly become a primary focus in managing healthcare facilities, especially due to the growing global attention to this issue. Data indicate that independent dental practices (TPMDG) can be high-risk facilities impacting patient safety. WHO (2009) identified four factors contributing to patient safety incidents: organizational, teamwork, environmental, and individual factors. Among these, organizational and teamwork factors significantly contribute to patient safety issues, including safety culture, leadership, and communication.
Conclusion: Accreditation of independent dental practice locations is crucial to ensure the quality and safety of healthcare services through the implementation of strict standards and external oversight. Legal protection for patients receiving services at non-accredited practices can be achieved through several means in accordance with the applicable legislation in Indonesia
Effect Of 8% Ethyl Acetate Fractionated Coriander Seed (Coriandrum sativum) Extract Gel on The Number of Neutrophils and Fibroblasts in The Healing Process of Gingivitis (in vivo Study on Wistar Rats)
No full textIntroduction: Gingivitis is inflammation of the gingiva and the initial stage of periodontal disease, which, if not treated, will become periodontitis. Coriander seeds (Coriandrum sativum) have anti-bacterial and anti-inflammatory properties. This study aimed to determine the effect of 8% ethyl acetate fractionated coriander seed extract gel on the number of neutrophils and fibroblasts in the healing process of gingivitis (in vivo) in Wistar rats.
Material and Method: Thirty-six rats were divided into 3 groups: the 8% ethyl acetate fractionated coriander seed extract gel group, the chlorhexidine gel group, and the placebo gel group. Gingivitis was induced by tying a silk ligation to the subgingival area of the lower incisor for 7 days. 0.05 ml of gel was applied twice a day in the gingivitis area. On days 1, 3, 5, and 7, three rats from each group were decapitated, histological preparations were made with HE staining, and the number of neutrophils and fibroblasts was counted using an Optilab microscope with 400x magnification. Healing assessment was measured based on the decrease in the number of neutrophils or the increase in the number of fibroblasts compared to the number of neutrophils or fibroblasts on the initial observation day.
Results and Discussions: A significant difference in neutrophil counts was found in the 8% ethyl acetate fractionated coriander seed extract gel group (45.43%) and the placebo gel group (51.67%) on days 3. A significant difference was also found in the number of fibroblast in the 8% ethyl acetate fractionated coriander seed extract gel group (5410%) and the placebo gel group (4470%) on days 5, and between the 8% ethyl acetate fractionated coriander seed extract gel group (8463.33%) and the placebo gel group (7953.33%) on days 7.
Conclusion: This research concludes that 8% ethyl acetate fractionated coriander seed extract gel can reduce the number of neutrophils and increase the number of fibroblasts in the gingivitis healing process
Comparison of Porosity in Thermoplastic Filling Using MTA with Ca(OH)2 and MTA with Nano Chitosan by using Scanning Electron Microscope (SEM)
No full textIntroduction: Porosity often occurs after root canal treatment. Various sealers are used to close all the gaps between the root canal system and the outer surface of the tooth. The currently used root canal sealers include MTA, Ca(OH)₂, and nano chitosan (NC). The purpose of this study was to determine the difference in porosity levels of root canals treated with MTA sealer combined with Ca(OH)₂ versus MTA sealer combined with NC.
Method: This study used 16 human adult incisor samples (tooth #11), divided into two groups. The first group received MTA sealer with Ca(OH)₂, and the second group received MTA sealer with NC, both applied using the thermoplastic filling technique. After treatment, the samples were examined using scanning electron microscopy (SEM) to measure porosity.
Results: The porosity measurements (in micrometers, μm) for the first group (MTA with Ca(OH)₂) were: 12.24, 7.98, 9.81, 8.19, 10.85, 7.87, 8.43, and 8.96. The second group (MTA with NC) showed porosity values of: 7.73, 2.48, 6.80, 3.85, 1.32, 4.66, 3.98, and 4.22. The mean porosity in the first group was 9.29 μm, while in the second group it was 4.38 μm.
Conclusion: Statistical analysis showed a t-value of 5.31 with p < 0.001, indicating a significant difference between the two groups (p < 0.05). This suggests that MTA sealer combined with nano chitosan results in significantly lower porosity and better root canal filling density compared to MTA sealer combined with Ca(OH)₂
Intrabony Periodontal Defects Using Guided Tissue Regeneration (GTR): A Literature Review
Get PDFIntroduction : Guided tissue regeneration (GTR) has many used for periodontal regeneration in damage intrabony and has been the accepted treatment modality for almost 30 years. Many clinical studies have demonstrated that GTR is a successful modality of treatment for periodontal reconstructive surgery and has become the accepted procedure in most periodontal practices. This GTR has undergone a number of changes, including the use of several different membrane barrier materials for the stability of the space under the GTR membrane.
Objective: This article aims to discussed periodontal treatment of intrabony defects using GTR.
Literature Review: Periodontal regeneration can be defined as the complete restoration of lost periodontal tissue to its original texture and function. The procedure used to regenerate bone defects around teeth is known as guided tissue regeneration (GTR).
Discussion: Treatment with GTR has been shown to be effective in preventing epithelial and gingival connective tissue cells from migrating to the root surface. The main results in the treatment of intrabony defects achieved by guided tissue regeneration are increased functional tooth support (clinical attachment and bone level), reduced pocket depth, and minimal gingival recession.
Conclusion: From this literature review it was concluded that periodontal treatment of intrabony defects using GTR provides clinical results in the form of a good and significant increase in PD and CAL
The Effect of Durian Seed Flour (Durio zibethinus Murr.) addition on Dimensional Stability of Alginate Impression Results
Get PDFIntroduction: Alginate is the most commonly used impression material in dentistry. Alginate impression materials have less dimensional stability if not immediately filled with gypsum. Durian seed flour has the potential to be mixed with alginate because it contains amylose and amylopectin, which play a role in mechanisms of syneresis and imbibition that can affect the dimensional stability of alginate. This research aimed to determine the effect of adding durian seed flour at concentrations of 20% and 40% on the dimensional stability of alginate impressions.
Material and Methods: This study was a laboratory experimental research with a pre-and post-test control group design. The total sample was 30. The samples were type III gypsum models made from pure alginate and alginate mixed with durian seed flour, measured at filling times of 0 minutes and 30 minutes. The research data consists of the difference between measurement results of gypsum models at 0 minutes and 30 minutes, which were analyzed by One-way ANOVA and Post Hoc LSD tests.
Results and Discussions: The percentage value of dimensional change of all sample groups showed a value below the standard limit of ANSI/ADA Specification No.18, which is 0.5%. One-way ANOVA test showed significant differences (p<0.05). Post Hoc LSD test indicated significant differences between all sample groups (p<0.05).
Conclusion: Adding durian seed flour affects the dimensional stability of alginate impressions. Alginate with 40% durian seed flour maintains the dimensional stability of alginate better than pure alginate and alginate with 20% durian seed flour
Frenectomy One Hemostat Technique in Patients Using Orthodontic Appliances
No full textIntroduction: Aberrant frenum in patients with orthodontic appliances installation often causes aesthetic problems and interferes with the movement of teeth during orthodontic activation, especially in cases of midline diastema which often causes relapse of the teeth. Frenectomy one hemostat technique treatment is carried out in this case.
Case: A 23-years-old female patient came to the periodontology department of RSGM Saraswati and was referred from the orthodontics department for frenectomy. On examination, it was found that the patient had a high frenum and fibrous tissue in the maxillary anterior midline.
Case Management: Asepsis and local anesthesia in the mucobuccal folds of the central and palatal incisors. The fibrous tissue was cut with scissors from the anterior to the palatal midline. Blunt dissection is performed to remove fibrous attachments. The frenum is clamped using the one hemostat technique. Incision of tissue with tissue scissors at the top and bottom of the hemostat. The detached tissue in the form of a triangle is discarded. The edges of the diamond shape wound were sutured with interrupted technique using 4-0 nylon thread. Periodontal dressing placement.
Discussion: One week post frenectomy showed the presence of redness and slight oedematus on the mucobuccal fold regio 11 21. At 1 month of follow-up, the healing was found with no tension at the frenum area and fibrous tissue is lost.
Conclusion: Frenectomy one hemostat technique can correct a high frenum and can help the success of orthodontic treatment
Aesthetic Complex Management of Four Upper Anterior Teeth
Get PDFIntroduction: Anterior teeth require special attention in terms of aesthetics. Complex aesthetic treatment becomes the main choice in cases of anterior teeth with more than one caries, deformities, malposition and in needs of root canal treatment.
Case: A 49-year-old female patient complained of broken upper right and left front teeth due to impact. Objective examination found that the lingual margins of teeth 11, 12 and 13 appeared reddish and bled easily, composite fillings with secondary caries at 21 dentin depths and 22 pulp depths, chipping at 11, 12 and 22. Percussion of tooth 22 (+), pressure test (-) and CE (+).
Case Treatment: One visit root canal treatment in 22, direct composite veneer in 11, 21, 22 and composite restoration in 12.
Discussions: Complex aesthetic treatment involves more than one anterior tooth that requires root canal treatment as well as correction of shape and position. Determination of shape, tooth proportion, color, position dimension, inclination, smile position and lip line, relationship between teeth, relationship of facial midline to lip midline are required in complex aesthetic treatment. Composite resin is chosen as a restorative material due to aesthetic considerations, faster procedure, low cost, does not take much of healthy tooth structure, easy to be repaired when there is damage and does not damage the opposing teeth. The use of palatal putty index can increase the efficiency of the work and maximize the final result.
Conclusion and Suggestions: Complex aesthetic treatment using direct composite veneer is a fast, low-cost treatment option that can provide good aesthetic results in cases of four malformed and malpositioned upper anterior teeth
Impact of Short-Duration Video Intervention to Improve Knowledge of Dental Malocclusion Among High School Students: Lessons from A Time-Constrained Study
No full textIntroduction: This study aimed to evaluate the effectiveness of a video-based educational intervention for improving knowledge of dental malocclusion among students at SMAN 39, Jakarta, and to examine the associations between knowledge levels and sociodemographic factors.
Materials and Methods: A quasi-experimental design involving 159 students was employed. Data were collected via structured pre-test and post-test questionnaires assessing students’ knowledge of dental malocclusion. Statistical analyses included the Wilcoxon signed-rank test, Mann–Whitney U test, and Spearman correlation coefficient to examine associations between variables.
Results and Discussion: All 159 participants completed both the pre-test and post-test. A statistically significant improvement in knowledge was observed following the intervention (p = 0.001). While sex, age, and socioeconomic status were not significantly associated with baseline knowledge, the post-intervention results indicated that female students, older age groups, and students from higher-income households demonstrated significantly greater knowledge retention (p-value < 0.05).
Conclusion: Video-based interventions effectively enhanced student’s knowledge of dental malocclusion; however, the extent of improvement varied across sociodemographic groups. These findings suggest that sex, age, and socioeconomic status may influence educational outcomes. Future oral health education initiatives should consider these factors to increase the effectiveness and inclusivity of digital learning interventions