Interdental Jurnal Kedokteran Gigi (IJKG)
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    Early Loss of Primary Molars and Changes in Body Mass Index in Students Aged 7–9 Years

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    Introduction: The early loss of primary teeth denotes the loss of teeth in the oral cavity before the typical loss timeframe. The early loss of primary molars markedly impacts masticatory function. Children of elementary school age frequently encounter dental and oral health issues. This study aims to determine the correlation between the premature loss of primary molar teeth and variations in body mass index (BMI) among 7-9-year-old students at Public Elementary School (SDN) 003 Sungai Kunjang. Material and Methods: This study employed an analytical approach with a prospective cohort design. The demographic comprises students aged 7 to 9 years at SDN 003 Sungai Kunjang, Samarinda City, with 233 respondents. Sampling was conducted via a non-probability purposive sampling method. This study utilized oral diagnostic instruments, manual scales, stadiometers, stationery, identity questions, and examination forms. Results and Discussions: Bivariate data analysis employing the chi-square test on the early loss of primary molars and alterations in student BMI indicated that respondents with early loss of primary molars were 8.824 times more likely to exhibit a reduction in BMI than those without early loss of primary molars. Conclusion: The study finds that a correlation exists between the early loss of primary molars and alterations in BMI among 7-9-year-old students at SDN 003 Sungai Kunjan

    Management Of Ellis Class II Fracture Of Maxillary Anterior Tooth With Composite Resin Restoration

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    Introduction: Traumatic dental injury is a common dental health problem in society. Recovery from an anterior tooth fracture requires restoration that matches the appropriate color, anatomical shape, translucency, and alignment with the adjacent teeth in the arch. The restored tooth must adapt both aesthetically and functionally. Case: A 17-year-old female patient presented to the Udayana University Dental and Oral Hospital with a complaint of a broken front tooth. The tooth had been fractured approximately three years ago due to a collision. Clinical examination revealed crown fractures of teeth 11, 12, and 21. Vitality tests were positive, while percussion and mobility tests were negative. Case Treatment: Restoration was performed using A2 shade composite resin applied with an incremental technique. Finishing and polishing were carried out using a round-ended tapered fine finishing bur, Sof-Lex discs, and polishing strips for the proximal surfaces. Discussion: Crown fractures of anterior teeth are the most common type of trauma to permanent teeth, and they can result in aesthetic, psychological, social, and functional issues. Composite resin restorations are an appropriate treatment choice for such fractures due to their advantages, which include excellent esthetic outcomes, favorable physical and mechanical properties, and biocompatibility. Conclusion and Suggestions: Thorough examination and accurate diagnosis are essential for selecting the most appropriate treatment. Proper composite resin application techniques are crucial for the success of the restoration. Consequently, composite resin restorations can adapt well within the oral cavity, effectively restoring aesthetics, speech, and physiological function

    Differences in The Effects Of 15% Moringa Leaf (Moringa oleifera) Extract Gel and 70% Kecemcem (Spondias pinnata) Tree Bark Extract Gel on The Number of Gingiva Fibroblasts In Wistar Rats Postcurettage With Periodontitis Conditions

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    Introduction: Periodontitis is a prevalent global oral disease leading to increased dental tourism, including to Indonesia. One treatment for periodontitis is gingival curettage with adjuvant therapy to speed up wound healing. Studies suggest that moringa leaf extract and kecemcem tree bark contain active compounds with anti-inflammatory and antioxidant properties. This study compares the effects of 15% moringa leaf extract gel and 70% kecemcem tree bark extract gel on the number of gingival fibroblasts in Wistar rats after curettage under periodontitis conditions. Material and Methods: Wistar rats were divided into four groups: positive control (hyaluronic acid), negative control (CMC-Na), 15% moringa leaf treatment, and 70% kecemcem tree bark treatment. Periodontitis was induced by tying a silk thread to the mandibular side, followed by curettage with a Sub-Zero (Osung) curette. The rats were euthanized on days 3, 5, and 7. Histological preparations were made, and fibroblast counts were taken from three fields of view using a light microscope at 400x magnification. Results and Discussion: The average number of fibroblasts in the kecemcem tree bark treatment group was higher than in the moringa leaf treatment group. The Least Significant Difference Post Hoc test showed a significant difference (p < 0.05). Flavonoids, phenols, and β-sitosterol in kecemcem tree bark were more effective in increasing fibroblast numbers compared to moringa leaf extract, as indicated by the higher average fibroblast count. Conclusion: 70% kecemcem tree bark extract gel had a more significant effect than 15% moringa leaf extract gel in increasing gingival fibroblasts in Wistar rats after curettage with periodontitis

    The Relationship Between Halitosis and Anxiety in Medical Students Faculty of Medicine at Universitas Katolik Atma Jaya

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    Introduction: Halitosis is a common occurrence among people. Halitosis can be classified as genuine halitosis, where the sufferer genuinely has bad breath that can be smelled by people around them, or as delusional halitosis, where the sufferer believes that they have bad breath but it cannot be smelled by people around them. Halitosis can become a significant problem, especially when the sufferer is socializing with others, due to the anxiety that their bad breath might disturb their conversation partners. This condition can lead to poor communication skills and actions of isolation or withdrawal from others. Material & methods: This study seeks to explore the perceptions and knowledge of medical students at Universitas Katolik Atma Jaya about halitosis, as well as its impact on their anxiety levels. Utilizing a cross-sectional design, the research involved 150 students from the Faculty of Medicine and Health Sciences, class of 2020–2022. Halitosis, as the independent variable, was assessed using the Halitosis Consequences Inventory (ICH), while anxiety, the dependent variable, was measured through the Depression Anxiety Stress Scale (DASS-42). Data analysis was conducted using the Spearman Rank Correlation Coefficient test. Results: Results of the research are 34.7% of Faculty of Medicine at Universitas Katolik Atma Jaya’s students from the class 2020-2022 experience halitosis, while 65.3% experience anxiety. 76.9% of students with halitosis also experience anxiety. The results of the Spearman Rank Correlation Coefficient test indicate a weak positive correlation (rs = 0.321) that is statistically significant (p = 0.000) between halitosis and anxiety. In other words, there is a tendency that an increase in halitosis will affect the increase in anxiety levels. Conclusion Relation between halitosis and anxiety is a synergy (positive correlation).   Halitosis has a moderate positive influence on anxiety among the students of the Faculty of Medicine at Universitas Katolik Atma Jaya, class of 2020. This indicates that students experiencing halitosis are concerned about their bad breath, which affects their social communication. Therefore, the approach to treating halitosis should include both physical treatment (halitosis) and mental health care

    Differences in The Effectiveness of Lemon Juice (Citrus limon) and Apple Cider Vinegar (Malus pumila Mill) in Whitening Tooth Enamel

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    Background: The stability of tooth enamel colour can be affected by foods and beverages due to its fluid absorption properties. Dental bleaching could fix it, but chemical teeth whitening agents have irritating and sensitive effects, therefore, it’s needed to find alternatives for natural teeth whitening ingredients that are safer and affordable. Lemon juice (Citrus limon) and apple cider vinegar (Malus pumila Mill) contain malic acid, which are natural teeth whitening agents. To prove the effect of lemon juice and apple cider vinegar in changing the colour of tooth enamel. Methods: Thirty samples of permanent canine teeth, randomly divided into 3 groups, soaked for 5 days in lemon juice (n=10), apple cider vinegar (n=10), and distilled water (n=10). Measurements were taken using VITA Easyshade V to see the lightness value. Results:The lightness value of lemon juice has the highest significance (p=0,003) among all treatment groups. Conclusion: Lemon juice showed a better number of lightness which means it has better efficiency on teeth whitening rather than apple cider vinegar

    Photodynamic Therapy As Adjunctive Therapy In Patients With Periodontitis Accompanied By Diabetes. A Scoping Review

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    Introduction: Periodontitis is a multifactorial disease that causes inflammation and affects the tooth-supporting tissues, characterized by loss of periodontal tissue attachment and bone destruction. The main cause of periodontitis is periopathogenic bacteria, but systemic conditions can be risk factors for the development and severity of periodontal disorders. This study aimed to describe the effect of photodynamic therapy as an adjunctive therapy for periodontitis patients with diabetes. Review: Diabetes mellitus (DM) and periodontitis are complex diseases with a bidirectional relationship, and can increase the risk of periodontitis and periodontal inflammation affecting glycemic control.  This study is a literature review using the scoping review method, with a systematic approach to map, analyze, and summarize previous research evidence. The article search used Pubmed, ScienceDirect, EBSCOhost, Researchgate, and Taylor and Francis Online databases from 2013 to 2023 with the inclusion criteria of articles from 2013 to 2023 that discussed the effect of photodynamic therapy as an adjunctive therapy in cases of periodontitis accompanied by diabetes mellitus. Five databases were used for the search method and four relevant studies were identified that stated that photodynamic therapy as an adjunctive therapy has a positive effect on the management of periodontitis in diabetic patients based on clinical and biochemical parameters. Conclusion: Photodynamic therapy showed positive results as adjunctive therapy in many cases of periodontitis with diabetes

    Effectiveness Test of Sapodilla Leaf Extract (Manilkara Zapota L.) Concentration 75% and 85% as Root Canal Irrigation Material in Inhibiting The Growth of Bacteria Enterococcus Faecalis

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    Introduction: Root canal irrigation is an important step in supporting the success of root canal treatment. The most resistant microorganism and often found in case after root canal treatment is Enterococcus faecalis. Sapodilla leaf contain a secondary metabolites of flavonoids, saponins, tannins, phenol, alkaloids and steroids which act as antibacterial. Natrium hipoklorit with a concentration of 2,5% is used for effective root canal irrigation solution. The purpose of this study was to determine the inhibitory power present in sapodilla leaf seeds against Enterococcus faecalis. Material and Methods: This research is a experimental laboratory with Post Test Control Group Design. The sample used was a bacterial Enterococcus faecalis which was divided into 4 groups, namely the group treated with sapodilla leaf with concentrations of 75% and 85%, the group treated with NaOCl 2,5% as a positive control, and the group treated with aquadest as negative control, with 6 repetitions each. Sapodilla leaf extraction was carried out by maceration method using 96% ethanol solvent. Results and Discussions: Inhibition zone test was carried out using the Kirby Bauer method. Using aquadest as negative control and natrium hipochloride as positive control so the inhibition power produced at 75% extract concentration was 11,09 mm and at 85% concentration was 13,28 mm,which is the positive control as higher category. Conclusion: It can be concluded that the inhibitory power of sapodilla leaf extract (Manilkara Zapota L) with the most effective concentration in the treatment group containing sapodilla leaf with a concentration of 85%

    A Community-Based Approach to Self-Prevention Practices for Periodontal Disease Among Housewives in Derawan Island

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    Introduction: The prevalence of periodontal disease remains high in Indonesia. Lack of knowledge and limited access to healthcare services can lead to poor dental health status. The aim of this study is to enhance housewives' knowledge of self-prevention practices for periodontal disease on Derawan Island. Material and Methods: This study utilized a true experiment with a Randomized Pretest-Posttest Control Group Design involving 42 housewives. The intervention included knowledge enhancement using a module book and periodontal health education. Knowledge of periodontal health was assessed using questionnaires, while behavior in periodontal disease prevention was evaluated using the Oral Hygiene Index-Simplified (OHIS). The collected data were analyzed using the Wilcoxon signed-rank test and Spearman's rank correlation test. Results and Discussions: The majority of respondents had good knowledge (85,72%), while their oral hygiene was in the moderate category (54,55%). An increase in knowledge was observed in 19,05% of respondents. There was a significant difference in knowledge before and after the intervention (P<0,05). However, no significant correlation was found between knowledge and OHIS (P>0,05) Conclusion: Knowledge of periodontal disease prevention among housewives on Derawan Island has increased. Good knowledge among most housewives can serve as a foundation for independent periodontal disease prevention behaviors. This study is still ongoing to observe changes in self-prevention behavior

    Maxillofacial Injuries Due to Firearms (Ballistics)

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    Introduction: Maxillofacial injuries caused by firearms can vary in severity and tissue damage, with the severity determined by the characteristics and nature of the bullet and the anatomical structures involved. The extent of tissue damage is also influenced by the distance from the shot. Injuries from low-velocity firearms result in less extensive damage compared to those caused by high-velocity firearms, where tissue damage may involve extensive hard and soft tissues, marked by a zone surrounding the damaged tissue vulnerable to progressive necrosis due to disrupted blood supply and wound sepsis. Review: For a physician, basic knowledge about firearms, ammunition composition, and the mechanism of firearm discharge is essential for proper understanding and interpretation of the resultant injuries or trauma. Firearms can be grouped based on barrel length, such as short-barreled firearms like revolvers and pistols, and long-barreled firearms like shotguns and rifles. Firearms can also be categorized based on their rifling, with rifled and non-rifled barrel firearms. Furthermore, firearms can be classified based on their bullet velocity, categorized as low-velocity firearms and high-velocity firearms. Conclusion: Maxillofacial injuries can vary in severity and tissue damage caused by firearms. Injuries caused by high-velocity firearms exhibit a greater degree of severity and tissue damage compared to those caused by low-velocity firearms. Infection prevention should involve early administration of penicillin antibiotics and early wound control by sealing the mucosa with waterproof materials

    Effect of Bacterial Metabolites From Good Oral-Hygiene to Biofilm Formation From Poor Oral-Hygiene

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    Introduction: Microbial variations and oral hygiene (OH) status of an individual are related to the oral biofilm formation. The metabolite of microorganisms influences biofilm formation. This research aims to analyse the effect of bacterial isolates' metabolites from a good OH individual on the in vitro biofilm of bacterial isolates from a poor OH individual. Materials and Methods: Spent medium of bacteria isolated from a good OH individual tongue swab that contains different protein and nitrate concentrations was treated in vitro with biofilm from a poor OH individual tongue swab to evaluate the cell viability and in vitro biofilm mass under aerobic conditions. The methods used include the Bradford test, Griess test, Crystal Violet test, and Total Plate Count. Results and Discussions: There were significant differences in the cell viability of bacteria isolated from poor OH individual treated by spent medium isolated from good OH individual with different concentrations of protein and nitrate (p value <0.05), as well as biofilm mass of the sample that was treated with spent medium containing different nitrate concentration (p value < 0.05). Conclusion: The protein and nitrate content in the spent medium from a good OH tongue swab can influence cell viability and in vitro biofilm mass from a poor OH individual tongue swab

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    Interdental Jurnal Kedokteran Gigi (IJKG)
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