Interdental Jurnal Kedokteran Gigi (IJKG)
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LASER-ASSISTED CROWN LENGTHENING: CLINICAL EFFICACY AND ADVANTAGES OVER CONVENTIONAL TECHNIQUES (SYSTEMATIC REVIEW)
Get PDFIntroduction: Crown lengthening is a widely recognized dental procedure with both aesthetic and functional purposes. It involves the reduction of periodontal hard and soft tissues to obtain supracrestal tooth length, resulting in longer clinical crowns and adequate supracrestal tissue attachment. Laser therapy has emerged as a promising alternative that is currently developing in the field of periodontics and offers several advantages. This review aims to synthesize the current research on the clinical efficacy of laser-assisted crown lengthening procedures and highlight their advantages over conventional methods.
Review: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search was conducted in electronic databases PubMed, Scopus, Embase, and Google Scholar for human studies published from 2017 to April 2023. Out of 213 identified and screened studies, three original articles were included in the analysis. Two clinical trial studies used Er,Cr:YSGG while one study used Er:YAG for crown lengthening procedures involving gingiva and alveolar bone reduction, with a 3-month follow-up period. Compared to conventional crown lengthening, the laser-assisted approach showed comparable increases in clinical crown length. However, the laser-assisted group demonstrated better gingival margin stability, improved soft tissue healing, and minimal damage to adjacent tissues. Furthermore, there was a statistically significant lower bacterial load and less post-surgery pain with laser-assisted crown lengthening compared to the conventional method.
Conclusion: In cases where both gingival and bone reduction are required, laser-assisted crown lengthening using Er,Cr:YSGG and Er:YAG can be considered a minimally invasive alternative with several advantages over conventional procedures
THE EFFECTIVENESS OF METRONIDAZOLE GELS IN THE MANAGEMENT OF PERIODONTAL DISEASE
Get PDFIntroduction : Metronidazole is one of the antimicrobial and antimicrobial that has been widely used as antibacterial and antiprotozoal agent for treatment. Metronidazole is antimicrobial have been used as an adjuvant to mechanical plaque removal. Periodontal disease is a chronic inflammatory disease that develops from dental plaque that affects periodontal supporting tissues. Many chemical agents that have been evaluated to determine their effect on plaque, gingivitis and periodontitis, one of which is metronidazole, has been successfully introduced and studied extensively. This literature review explains effectiveness of metronidazole gels in the management of periodontal disease.
Review : Metronidazole (MTZ) is frequently used in the treatment for periodontal diseases since it can be against several Gram-negative anaerobic rods, the pathogenesis of periodontitis. It can be administered via oral and topical routes. However, the systemic adverse effects may in the oral cavity if used peroral. Hence, topical administration is preferable. The bacterial reservoirs not eliminated by conventional periodontal therapy can be further suppressed with the use of chemotherapeutic agents. Localized antimicrobial therapy, in particular, has evoked growing interest because of the site‑specific nature of periodontal infections, the higher concentration of anti‑microbial agent subgingivally and reduced side‑effects of systemic antibiotic use. Among the various locally delivered chemotherapeutic agents metronidazole, a has bactericidal action against anaerobes, such as Prevotela intermedia, Porphyromonas gingivalis, Tannerella forsythia, Fusobacterium species and spirochetes like Treponema denticola, Treponema vincentii, which are generally believed to be the main pathogens associated with periodontitis.
Conclusion : Treatment of periodontal pockets with metronidazole gel in addition to scaling and root planning, provides a significant increase in reducing pocket depth and microbial count and effective in the treatment of periodontal disease
TEST OF RESISTANCE OF ALPUKAT (Persea americana mill) FRUIT EXTRACT ON THE GROWTH OF THE Streptococcus mutans
Get PDFIntroduction: Streptococcus mutans is one of the normal flora living in the oral cavity, but in excessive amounts is the main causative agent of dental caries. The active compounds of alkaloids, saponins and quinones in avocado pulp extract is an antibacterial alternative that can inhibit the growth of Streptococcus mutans in the oral cavity. The aim of this research was to determine the inhibitory power that contain in avocado pulp against Streptococcus mutans .
Materials and Methods: This study used 4 concentrations namely 25%, 50%, 75% and 100% with each repetition 4 times. Avocado pulp extraction was carried out by maceration method using 96% ethanol solvent. Inhibition zone testing was carried out using the Kirby baurer method.
Results and Discussions: The zone of inhibition was determined using the Kruskal wallis test, which showed that there were significant differences in various concentrations against the growth of Streptococcus mutans bacteria. Avocado fruit pulp extract is able to inhibit the growth of Streptococcus mutans bacteria because avocado fruit pulp extract has active compounds that cause antibacterial activity. Active compounds of avocado fruit flesh that are efficacious as antibacterials are alkaloids, saponins and quinones.
Conclusion: Avocado pulp extract has been proven to have an antibacterial effect against Streptococcus mutans with an effective concentration level of 100%. Increasing the concentration of avocado pulp extract was also shown to affect the diameter of Streptococcus mutans inhibition zon
Ulcer Traumaticus et Causa Trauma Occlusion
Get PDFIntroduction: A Traumatic Ulcer is a type of ulcer that is caused by local factors. Traumatic ulcers usually occur on the soft tissues in the oral cavity and can be caused by many factors, one of which is occlusion trauma.
Case: The clinical picture of an ulcer is that of an ulcer on the oral mucosa in an acute inflammatory state, including varying degrees of pain, redness, and swelling in various sizes and shapes. The initial lesion in traumatic ulcers is usually felt by people in the form of annoying pain.
Case Management: Medication therapy such as Aloclair gel containing olyvinylpyrrolidone (PVP) which has mucoprotective activity works by forming a layer over the ulcer that will protect the affected nerve endings so as to prevent irritation and reduce pain in the ulcer. Hyaluronic acid and Aloevera support the natural healing process of damaged tissue.
Discussion: A traumatic ulcer lesion can heal on its own within 10 to 14 days if the irritant or cause is removed because during this time there will be a process of keratinization and renewal of oral mucosal epithelial cells.
Conclusion:Traumatic ulcers can heal within a few weeks by addressing the causative factors, administering medication, and encouraging patients to maintain good nutrition and oral health
Periosteum-Derived Micrograft in Sinus Floor Augmentation: A Literature Review
Get PDFIntroduction. Vertical deficiency due to maxillary sinus pneumatization in the posterior maxilla is a challenge for clinicians in dental implant placement. Sinus floor augmentation is a treatment procedure to overcome the vertical deficiency problem. Various regenerative materials have been used and developed for sinus floor augmentation, one of them is periosteum-derived micrograft (PDM) which derived from autogenous periosteum. Periosteum has pluripotent cells and a good proliferation rate that is useful for bone regeneration and potential for sinus floor augmentation. This literature review was conducted with the aim of investigating the use of PDM in sinus floor augmentation.
Review. Sinus floor augmentation aims to achieve adequate bone height in the posterior maxilla by raising the sinus membrane and placing regenerative material before dental implant placement. Periosteal-derived micrograft is periosteal tissue which cut into smaller pieces and processed for use with scaffolds to heal bone defects. Micrograft have been shown to induce scaffold revascularization, express Wingless/Integrated (WNT-16) and periostin (POSTN), mesenchymal stem cell marker, pro-angiogenic factor and β-catenin gene involved in osteogenic differentiation, osteoblast maturation, and overall bone regeneration. PDM has the advantage of producing faster bone regeneration and shows good clinical results in sinus floor augmentation.
Conclusion. Periosteum-derived micrograft has a good potential so it can be applied in sinus floor augmentation
Effectiveness of Milk as A Desensitizing Agent in Dentin Hypersensitivity After Nonsurgical Periodontal Treatment
Get PDFIntroduction: Dentin hypersensitivity (DH) is the most common clinical problem after nonsurgical periodontal treatment. It is characterized by sharp pain or discomfort arising in response to thermal, chemical, or osmotic stimuli due to exposure to dentin after enamel or cementum on the root surface that is lost in periodontal treatment. This can complicate the patient's plaque control and lead to failure of periodontal treatment. This paper aims to evaluate the effectiveness of milk as a desensitizing agent for DH treatment after nonsurgical periodontal treatment.
Literature Review: DH is the movement of fluid within the dentinal tubules stimulating A-delta fibers resulting in localized sharp pain based on Brannstrom's Hydrodynamic Theory. Milk contains casein phosphoprotein (CPP) where the phosphosaryl sequence attaches to the amorphous calcium phosphate (ACP) of teeth and forms CPP-ACP bonds so as to prevent the loss of calcium and phosphate ions and re-form apatite crystals which is a mechanism of dental desensitization. The results of Sabir and Alam's research found that gargling with milk can provide calcium and phosphate bioavailability which can help remineralize open dentin tubules so as to reduce DH. After nonsurgical periodontal treatment, milk can be used as a desensitizing agent and gargling with milk for several days effectively reduces DH quickly.
Conclusions: The use of milk as a desensitizing agent can result in a significant decrease in DH after nonsurgical periodontal treatment. Milk is also easy to come by, cheap, works fast, and can be used at home for DH issues
FIXED DOSE COMBINATION OF MECOBALAMIN AND PREGABALIN IN THE TREATMENT OF OROFACIAL NEUROPATHIC PAIN
Get PDFIntroduction: orofacial neuropathic pain is extraordinary disease in character with its complicated management. Mecobalamin has been used to provide regeneration of traumatized nerves. Pregabalin with its analgesic activities relieves the clinical signs of neuropathic pain. The aim of this case report is to explain fixed dose combination of Mecobalamin and Pregabalin as the treatment of neuropathic pain caused by inferior alveolar nerve and facial nerve neuropathy.
Case: First case was an inferior alveolar nerve neuropathy experienced by 63 years old female with complaints of persistent pain and numbness around the left chin and left lower lip the day following the procedure of surgery for the treatment of dentoalveolar abscess on left second premolar of mandibula. Second case was facial nerve neuropathy experienced by 54 years old female had persistent pain and numbness of the anterior two-thirds of the tongue after total thyroidectomy and 1,100 MBq (30 mCi) activity of Radioactive iodine (RAI) therapy, followed with two 131I whole body scans.
Case Management: Mecobalamin 500 µg and Pregabalin 75 mg twice daily for 5 weeks were given with tolerable side effects and improvement symptoms.
Discussion: Pregabalin combined with Mecobalamin can reduce orofacial neuropathic pain. Pregabalin possess analgesic property and reduce neuropathy-related pain symptoms while Mecobalamin facilitates myelinogenesis and nerve regeneration.
Conclusion: Fixed Dose Combination of Mecobalamin and Pregabalin has the potential analgesic effect, reduced neuropathic orofacial pain at a below than determined dosage in case of inferior alveolar and facial nerve neuropathic pain.
EFFECT OF SOLVENT TYPE ON THE AMOUNT OF YIELD FROM MACERATION OF MORINGA PLANTS (Moringa oleifera)
Get PDFIntroduction: The use of herbal plants in the field of dentistry has begun to be widely studied, but it is still not widely developed. One of the uses of herbal plants is to make them as raw materials for Moringauthwash. The Moringa plant (Moringa oleifera/Moringa) is an herbal ingredient that qualifies as an alternative antibacterial agent. The type of solvent, extraction temperature, and extraction duration are some variables that can affect the extraction yield, but the dominant type of solvent for the extraction of herbal plants, especially Moringa, is still not specific.This study aimed to determine the effect of solvent types on the amount of yield of the maceration of Moringa plants.
Method: This was a true experimental study using a factorial complete randomized design with maceration (method of extraction) on Moringa oleifera with variations in solvent types.
Results: The Kruskall-Wallis test showed that based on the solvent type treatment group, a significant value of 0.003 (<0.05) was obtained, meaning that there was an influence of the type of solvent on the amount of yield from Moringa oleifera maceration.
Conclusion: In conclusion, the type of solvent has a significant effect on the amount of yield resulting from Moringa maceration
Media and Methods in Promoting Dental and Oral Health among Pregnant Women
Get PDFIntroduction: The health of pregnant women is influenced by what they consume. Consuming good food but having infections or abnormalities in the mouth and teeth will cause the incoming food to be contaminated and will have an impact on the baby's growth and development. Based on this, dental and oral health in pregnant women plays a very important role for pregnant women and children. This study aims to find out how analysts promote dental and oral health in pregnant women. The method used is a systematic literature review using the PRISMA diagram by identifying P (Population, patients), Intervention (Intervention or treatment), Prognostic Factors, or Exposure, Comparison (comparison with control if any), Outcome (outcome) according to the research to be conducted, and Study (type of research). From the results of the reduction of selected journals, there are 19 scientific articles that will be analyzed.
Review: In this research, there are various health promotions that can be carried out to provide education to the public, including social media, consultations, hospitals, training, providing video demonstrations and explanations via flip charts
Conclusions: The conclusion of this research is that there are various health promotions that can be carried out to provide education to the public, including social media, consultations, hospitals, training, providing video demonstrations and explanations via flip charts. The suggestion from this research is the need for intensive health promotion and health education for pregnant women. Promotion and education can be carried out by residents in collaboration with community health centers or in collaboration with hospitals or can also be done through social media
