Interdental Jurnal Kedokteran Gigi (IJKG)
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Effectiveness of Cengkeh Leaf Extract Ointment (Syzygium Aromaticum L.) on The Number of Fibroblast Cells on Healing of Injection Wistar Walls (Rattus norvegicus)
No full textIntroduction: An open wound is a condition where part of the body's tissue has been damaged from its normal state due to sharp or blunt trauma, changes in temperature, chemicals, explosions, electric shock, or animal bites. Clove leaves contain active ingredients such as eugenol, saponins, phenols, steroids, terpenoids, alkaloids, flavonoids, and tannins, as well as essential oils, which have the potential to be anti-inflammatory, antibacterial, and analgesic, inhibiting cell damage and accelerating the healing process in wounds.
Materials and Methods: This type of research is an in vivo laboratory experiment with a posttest-only control group design and sample grouping using a Completely Randomized Design (CRD). The treatment was carried out for 5 days by applying it to the mice's backs twice a day, then on the 6th day, decapitation was carried out, taking specimens to observe the number of fibroblast cells.
Results and Discussions: The research was analyzed using one-way ANOVA followed by the Least Significant Difference (LSD) test. The results of the study showed that administering cloveleaf extract ointment (Syzygium Aromaticum L.) with concentrations of 3%, 6% and 9% was effective in increasing the number of fibroblast cells in the healing process of incisional wounds on the backs of Wistar rats (Rattus norvegicus).
Conclusion: Giving cloveleaf extract ointment at a concentration of 3% is more effective in increasing the number of fibroblast cells in the healing process of incisional wounds in mice compared to concentrations of 6% and 9%
INCIDENCE OF ORAL CANDIDIASIS IN FIXED ORTHODONTIC APPLIANCES
Get PDFIntroductions: Oral candidiasis is most often caused by Candida albicans, followed by C. glabrata. In European countries, an analysis showed that more than half of candidiasis cases were caused by C. albicans and the infection rate caused by other candida strains was 14% for C. glabrata and C. parapsilosis, 7% for C. tropicalis and 2% for C. krusei. According to a study in Brazil, C. albicans accounted for 40.9% of cases followed by C. tropicalis (20.9%), C. parapsilosis (20.5%) and C. glabrata (4.9%). Meanwhile, in Indonesia, there is no national data regarding the epidemiology of oral candidiasis in Indonesia. Hospital Dr. Hasan Sadikin (RSHS) Bandung conducted research from 2010-2014 and found that during that period 49 patients had oral candidiasis. In general, side effects can be felt by patients who are in fixed orthodontic treatment which affects comfort and quality of life, namely 42.79% experience a sensation of pain in the area of the oral cavity, while 51.80% complain of discomfort when chewing food and this can indicate that Orthodontic appliances are mainly the patient's daily activities, the second is related to chewing food, phonetics and smile lines. The purpose of this study was to determine the incidence of candidiasis on orthodontic appliances. This study was to determine the incidence of candidiasis on fix orthodontic appliances.
Material and Methods: In this study, 80 samples were obtained from the total population, namely medical students who use fixed orthodontics with metal materials. Methods with SWAB examination on the surface of the bracket and the oral mucosa that intersect with the ortho-adhesive device. The results were recorded and then data analysis was carried out. Then the specimens were put in a microbiology incubator for 48 hours at room temperature. If candida albicans grows on the petridish then it is assessed that candidiasis is present.
Results: From the study, it was found that 80% incidence of candidiasis, 20% is normal.
Conclussions: There is a high incidence of oral candidiasis in patients using fix orthodontics appliances
CONVOLUTIONAL NEURAL NETWORK (CNN) BASED ON ARTIFICIAL INTELLIGENCE IN PERIODONTAL DISEASES DIAGNOSIS
Get PDFIntroduction: The main problem by many clinicians is the correct diagnosis of periodontal disease. Usually, conventional clinical measurements such as measuring probing depth, attachment loss, presence of plaque and calculus are the way to diagnose and classify periodontal disease. However, clinical examination has limited reliability for periodontitis screening. Likewise, the ability of dentists to read radiographs using conventional methods increases the risk of misdiagnosis. Due to the diversity of existing clinical criteria and the increase in knowledge about human health, changes in the diagnostic criteria for periodontal disease that have occurred in recent decades have led to several updates. Recent research has focused on developing artificial intelligence tools to assist in diagnostic and therapeutic roles. This literature review aims to determine the use of artificial intelligence-based convolutional neural network (CNN) in diagnosing periodontal disease.
Review: Artificial intelligence (AI) can make more accurate and efficient diagnoses, thereby reducing the workload of dentists. The use of the convolutional neural network (CNN) system in diagnosis and treatment planning allows dentists to reduce diagnostic errors that arise. Several studies have found that the CNN algorithm can assist in detecting alveolar bone loss, gingival abnormalities, and assisting early intervention in implantology. The CNN system can also capture details that dentists miss in diagnosis, especially radiographic diagnosis.
Conclusion: Implementing an AI system is effective in helping to analyze periodontal disease. The CNN algorithm outperforms other AI techniques that can be used to facilitate diagnosis and treatment planning by dentists in the future
Potential Of Keprok Citrus (Citrus nobilis) From Lembang West Java For Dental Email Cleaning
Get PDFIntroduction: Consumption of colored foods and drinks can cause tooth discoloration, synthetic whitening agents are used to increase the degree of brightness of tooth color but have many side effects. Tangerine (Citrus nobilis) is a natural ingredient that is used by the community for whitening the color of teeth safely and with minimal side effects. This study aims to determine the potential of the ethanol extract of tangerine peels to whiten teeth in terms of the degree of color brightness and tooth enamel surface roughness.
Material and Methods: This research analytic laboratory experiments. Samples used 30 premolars that had been soaked in coffee, divided according to the concentration of tangerine peel extract 25%, 50%, and 75% then each group was exposed to 1x30 and 2x30 minutes. Tooth discoloration seen from the value of the degree of color brightness and tooth enamel surface roughness before and after exposure was analyzed using the paired T test and Univariate GLM test (P<0.05).
Results and Discussions: The result showed there were differences in the effect of ethanol extract of tangerine peel on the brightness of the color and roughness of tooth enamel at various concentrations before and after treatment and there was an interaction effect between concentrations of 25%, 50%, and 75% and exposure time of 1x30 and 2x30 minutes which was significant with p=0 .00.
Conclusion: It can be concluded that ethanol extract of tangerine peel has the potential to whiten teeth as seen from the degree of color brightness and tooth enamel surface roughness
Socket Preservation After Tooth Extraction Maxillary Lateral Incisor: A Case Report
Get PDFas a result off a tooth loss. These change are usually significant and can make placement of a conventional denture or an implant more difficult. Socket preservation after tooth extraction can minimize ridge resorption. Socket preservation can be done by atraumatic tooth extraction, placement of bone graft material, membrane combination of bone graft and membrane, and connective tissue graft.
History and Clinical Findings: a 40 year old woman came to the clinic complaining of a fractured right upper front tooth 3 years ago due to an accident and wanted to make dentures. Intraoral examination did not reveal any remaining teeth in region 12. X-ray results revealed fractured root remnants in the socket.
Case Treatment: The extraction procedure was carried out using the close method, giving bone graft and suturing.
Conclusion: post extraction maintenance of the alveolar ridge minimizes residual ridge resorption and, thus, allows placement of a conventional denture or an implant that satisfies esthetic and functional criteria
Combination Therapy Of Frenectomy And Orthodontic Appliance For Midline Diastema Closure
Get PDFIntroduction : Midline Diastema are a main aesthetic concern for patients, due to its location in anterior teeth and its visibility during smiling. One of the main causes for a midline diastema is an aberrant frenum position, causing the gap between the anterior teeth. In order to address the problem a frenectomy was performed, followed by the application of orthodontic appliances.
Case : Patient was referred from the Orthodontic Department of Hasanuddin Dental Hospital due to relapsing Midline Diastema. Patient complained of an non-aesthetic smile due to the gap in the anterior tooth. Class IV Frenal Attachment. Mucogingival Deformities and Conditions Arounds Teeth (Aberrant Frenum/Muscle Position).
Case Treatment : Patient showed full healing in 1 month and full diastema closure using Removable Orthodontic Appliances in 6 months.
Discussion : Frenectomy is done to remove the aberrant attachment and removing the frenal position that blocked in the midline area, thus removing the cause of diastema. Full closure is achieved through orthodontic appliance.
Conclusion : Combination of Frenectomy and Orthodontic Treatment shows a high effectivity in treating Midline Diastema
THE RELATIONSHIP OF KNOWLEDGE AND THE BEHAVIOR OF DENTAL POST GRADUATED STUDENTS REGARDING PERSONAL PROTECTIVE EQUIPMENT AT RSGM SARASWATI DENPASAR
Get PDFIntroduction: Coass Dental is one of the health workers who treat dental patients and is at risk of contracting or transmitting viruses and diseases. Knowledge of the use and disposal of PPE and good behavior is needed to minimize work accidents, Occupational Diseases and nosocomial infections. The purpose of this study was to determine the relationship betwehe knowledge and behavior of dental students regarding personal protective equipment at the Saraswati Oral and Dental Hospital, Denpasar.
Material and Methods: The method used in this research is observational analytic with cross sectional approach. Total population of 50 teeth koas with sampling technique using probability sampling. The instruments used were PPE knowledge questionnaires and behavioral questionnaires on the use and disposal of PPE.
Results and Discussions: Chi-square analysis (X2) showed no significant relationship between knowledge and behavior on the use and disposal of PPE with a value of 0.067 (p ≥ 0.05).
Conclusion: Based on the results of the study, it was stated that there was no statistically significant relationship between knowledge and behavior of dental students regarding personal protective equipment at the Saraswati Oral and Dental Hospital, Denpasar
MANAGEMENT OF BACTERIAL PLAQUE-INDUCED GINGIVAL ENLARGEMENT: CASE REPORT
Get PDFIntroduction: Gingival enlargement is a condition that we often encounter in the oral cavity. This condition can be caused by plaque accumulation, systemic disorders, and side effects of some drugs as well as genetic factors. Gingival enlargement due to the accumulation of bacterial plaque generally shows signs and symptoms of inflammation which can be a major risk factor for periodontitis. This case report aims to describe two cases of plaque-induced gingival enlargement, one of which was accompanied by the presence of granulomatous epulis.
Case: The first case was a 23-year-old woman complaining that her gums often bleed when brushing her teeth since 1 year ago. Intra oral examination can see swelling of the gingiva in the anterior area of RA and RB. The second case is a 40-year-old woman with complaints of swelling of the lower right back gum since 2 years ago. An enlargement of the gingiva in the anterior area is seen accompanied by granulomatous epulis with fibrous consistency in the posterior area of RB.
Treatment: In the first case, non-surgical treatment was carried out and continued with regular visits every 3 months. In the second case, non-surgical and surgical procedures were performed. Treatment begins with tooth root extraction and scaling and root planning. Furthermore, gingivectomy surgery was performed to excise the enlarged gingiva.
Discussions: The treatment results look good, where it can be seen that the etiological factor can be ruled out. After the surgical treatment, the healing went well, marked by no inflammation around it.
Conclusion: Gingival enlargement can affect aesthetics and interfere with the patient's masticatory function. Identification of the etiological factors is necessary for an appropriate treatment plan
MULTIDISCIPLINARY PERIODONTIA-ORTHODONTIA APPROACH IN A CASE OF MIDLINE DIASTEMA WITH LABIAL FRENECTOMY USING ELECTROSURGERY
Get PDFIntroduction: Periodontal tissue condition plays an important role as an adjunctive in the success of orthodontic therapy. One of prominent esthetic problem is midline diastema case, which was caused by high and aberrant frenulum attachment. This clinical case aims to report the frenectomy procedures with electrosurgery through multidiscipline perio- orthodontic approach to close the midline diastema.
Case: : A female 19 years old patient was referred from orthodontic clinic with chief complaint there was a gap between her central insisif in upper jaw. The frenulum showed the Blanch test positive and there was no clinical attachment loss.
Case Treatment: Frenectomy with electrosurgery was done to eliminate the aberrant frenulum attachment. This procedure followed with fixed orthodontic therapy to close the midline diastema and prevent any relapse.
Discussions: Frenectomy can be achieved with electrosurgery which has many advantages such as coagulation, a better visualization, blood-less area, bacterimial risk reduction, an uneventful healing process, less post operative discomforts, and minimal scar tissue formation. Fixed orthodontic appliance was bonded to close the gap between central incisors. The intraoral examination showed that there was no any relaps in midline after one year follow up debonding of fixed orthodontic.
Conclusion and Suggestions: a functional and esthetic outcome can be achieved through multidiscipline perio-orthodontic approach. The combination of frenectomy and orthodontic therapy showed an optimal result to close the midline diastema.
Conclusion and Suggestions: a functional and esthetic outcome can be achieved through multidiscipline perio-orthodontic approach. The combination of frenectomy and orthodontic therapy showed an optimal result to close the midline diastema
REGENERATIVE PERIODONTAL TREATMENT AS MANAGEMENT OF CHRONIC PERIODONTITIS: A CASE REPORT
Get PDFIntroduction: Chronic periodontitis is a chronic inflammatory disease induced by microbes beginning with inflammation of the gingiva and progressing to progressive damage to the tooth supporting structures. Various approaches have been made to treat chronic periodontitis, one of which is regenerative periodontal treatment using bone grafts and platelet-rich fibrin (PRF).
History and Clinical Findings: A 32-year-old man came to the Periodontology Department of the Dental and Oral Education Hospital with chief complaints mobility of upper and lower teeth. Clinical examination showed that patient did not have a history of systemic diseases and the patient did not smoke. Intraoral examination showed that the maxillary front teeth grade 1 mobility and the average pocket depth in the maxillary and mandibular anterior teeth was 5 mm.
Case Management: Case management includes initial therapy followed by surgical treatment which includes open flap, placement of bone graft and PRF, followed by frenectomy, then suturing and application of a periodontal pack. At 1 month after treatment, the surgical flap phase was continued for the mandibular anterior teeth using a combination of bone graft and membrane placement.
Discussion: Bone graft and PRF are used to regenerate furcation defects and their ability to regenerate hard and soft tissue is due to the release of various growth factors. Conclusion: Regenerative surgical treatment in chronic periodontitis patients provides effective results in alveolar bone regeneration and decrease pocket depth