Jurnal Medali
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The Quality Service of JKN Patient Assessed From Tangible Dimension At Rumah Sakit Islam Gigi dan Mulut (RSIGM) Sultan Agung Semarang
Get PDFThe quality of service at the hospital must be optimal so that patient satisfaction is met. One application of service quality, namely the tangible dimension, is still not implemented well and does not have a significant influence on patient satisfaction. This research aims to determine the influence and assessment of the application of tangible dimension elements on patient satisfaction at RSIGM Sultan Agung Semarang. This research method uses analytical observational research (cross sectional) with an accidental sampling technique of 97 respondents. The research instrument used a questionnaire consisting of 15 tangible dimension question items and 5 patient satisfaction question items. Then a reliability validity test, normality test and non-parametric test, namely the Spearman correlation test, were carried out. The research results showed that there was a significant influence of the tangible dimension on patient satisfaction (p=0.000). The implementation of the tangible dimension is good with 54.9% answers being very satisfied and the level of patient satisfaction at RSIGM Sultan Agung Semarang is good with 59.4% answers being very satisfied. The conclusion obtained from this research is that there is an influence between the tangible dimension and the level of patient satisfaction, where the better the implementation of the elements of the tangible dimension, the better the level of patient satisfaction
The Effect Of Soybean Extract Nanoemulgel (Glycine max (L.) Merill) On The Number Of Fibroblasts In The Healing Process Of Traumatc Ulcers (In Vivo Study on White Wistar Rats)
No full textBackground: Traumatic ulcers are a common oral lesioncharacterized by epithelial damage caused by trauma. They can healspontaneously within 7-10 days but may develop into chronic ulcers ifuntreated. Current treatments like hyaluronic acid gels are effective but costlyand can cause hypersensitivity reactions. This study aimed to analyze the effectof soybean extract (Glycine max (L.) Merill) formulated as a nanoemulgel onfibroblast proliferation during traumatic ulcer healing.Method: An in vivo study using male Wistar rats was conducted. Thirty ratswere divided into five groups: nanoemulgel soybean extract at concentrationsof 50%, 60%, and 70%, a positive control group (hyaluronic acid gel), and anegative control group (gel base). Treatments were applied daily for five days,after which fibroblast proliferation was evaluated histologically. Statisticalanalyses included Shapiro-Wilk, Levene's test, One-Way ANOVA, and Posthoc tests.Results: The 50% nanoemulgel soybean extract group showed the highestfibroblast count among treatment groups, indicating its potential in promotingulcer healing. However, hyaluronic acid gel outperformed other groups.Variability in nanoemulsion preparation likely influenced the fibroblast count.Conclusion: Nanoemulgel soybean extract demonstrates promising effects onfibroblast proliferation in traumatic ulcer healing, particularly at 50%concentration. Despite limitations in preparation, the results highlight itspotential as an alternative to conventional treatments. Further studies shouldoptimize the formulation and assess its toxicity
Marine Biota-Derived Hydroxyapatite as a Bone Graft Material: A Scoping Review of Hydroxyapatite from Shell-Based Sources
No full textBackgrounds: Restoring damaged or diseased bone is a major challenge in dentistry. Marine biota, such as seashells, crustacean shells, and fish bones, are rich in calcium and can be processed into safe, biodegradable materials that support bone healing. These natural sources are gaining attention for use as bone graft substitutes because they are biocompatible, widely available, and promote bone growth. Purpose: This review aims to discuss and analyze the potential of marine biota as bone graft materials rich in calcium hydroxyapatite for use in bone regeneration, with a particular focus on their clinical relevance in dentistry. Methods: A scoping review was conducted using Google Scholar, PubMed, and ScienceDirect databases to identify relevant studies published between 2015 and 2025. Results: An initial total of 134.007 articles were identified across the three databases. After removing duplicates and screening based on title and abstract relevance to the inclusion criteria, 2.836 articles remained. A further selection process narrowed these down to 452 full-text articles, of which 433 were excluded due to incompatibility with the review focus. Finally, 19 studies were included in this review and analyzed for their methodology, findings, and clinical implications. Discussion: Many studies have shown that marine biota can be used as effective bone graft materials. Their high calcium content, porous structure, and compatibility with body tissues help support cell attachment, growth, and new bone formation. These materials can be used in dental procedures to help regenerate bone and repair defects. Conclusion: Marine-derived materials, especially from mollusks and crustaceans, are similar to human bone and show great potential as alternatives to synthetic bone grafts. Their natural properties and ability to support bone healing make them a promising, sustainable option for dental and oral bone repair
RELATIONSHIP BETWEEN KNOWLEDGE AND ORAL HYGIENE ON PERIODONTAL HEALTH STATUS OF THE ELDERLY AT WORKING AREA OF KEDUNGMUNDU PUBLIC HELTH CENTER
No full textABSTRACT Background: Periodontal disease is an unbalanced oral hygiene and host and can cause chronic inflammatory manifestations in the tissues around the teeth, which is a serious problem in most elderly people. Knowledge about the health of the oral cavity of the elderly is a factor that can affect dental and oral hygiene, where a person with an elderly age has a higher risk of suffering from periodontal disease caused by the aging process. This study aim to determine the relationship between knowledge and oral hygiene on periodontal health status of the elderly at working area of Kedungmundu Public Health Center.Method: This research using observasional analytic with cross-sectional and sample selection using cluster sampling with a total number of samples of 100 people. Statistical analysis uses the Spearman correlation test.Result: The results of the Spearman Rank Correlation statistical test were p-value was 0.005 or there was a relationship between knowledge and oral hygiene and periodontal health status in the elderly.Conclusion: It was concluded that there is a significant relationship between oral hygiene knowledge and hygiene and the periodontal health status of the elderly in the working area of the Kedungmundu Health Center
THE EFFECT OF NANOEMULSION MOUTHWASH CONTAINING CITRONELLA OIL (Cymbopogon winterianus) AND LEMON OIL (Citrus limon) ON THE NUMBER OF MACROPHAGES IN PREGNANT RAT MODEL INDUCED BY GINGIVITIS
No full textBackground: Pregnancy gingivitis is known to affect high-risk pregnancies. Therefore, preventive treatments are necessary, one of them being use of mouthwash. Citronella oil and lemon oil have been proven to have anti-inflammatory properties. The aim of this study was to investigate the effectiveness of a nanoemulsion mouthwash combining citronella oil (Cymbopogon winterianus) and lemon oil (Citrus limon), on macrophage counts in a pregnant rat model induced with gingivitis. Method: Female Sprague Dawley rats were confirmed to be pregnant, followed by ligation of both lower incisor teeth, and then mouthwash application. The rats were routinely fed a moist diet and drinking water containing 10% sucrose. Mouthwash application was performed twice daily (morning and evening) over 7 day. Histological evaluation was conducted by counting the number of macrophages in hematoxylin-eosin preparations. Result: The results showed a reduction in the number of macrophages with the administration of the nanoemulsion mouthwash combining citronella oil and lemon oil. The Mann -Whitney test revealed a significant difference compared to the control group (p<0.05). Conclusion: The nanoemulsion mouthwash with 1% citronella oil and 2,77% lemon oil may help reduce the number of macrophages in pregnant rats with gingivitis
TREATMENT OF ANTERIOR CROSSBITE USING ORTHODONTIC REMOVABLE APLLIANCE (A CASE REPORT)
No full textBackground: The management of anterior crossbite, especially in non-growing patients, is a challenging yet crucial aspect of orthodontic treatment. Anterior crossbite, if left untreated, can lead to significant functional and aesthetic issues, including abnormal dental wear, TMD, and compromised facial aesthetic. The correction of this type of malocclusion is essential to prevent long-term complications. In a non-growing patient, fixed orthodontic appliances have historically been the recommended treatment option for anterior crossbite. However, the use of orthodontic removable appliances has number of benefits, including patient comfort, ease of maintenance, and removability for oral hygiene purposes. This treatment modality is particularly advantageous for patients who seek a less invasive and more flexible approach to managing their dental condition.Case Report: The patient was a 24-year-old woman with a crossbite of the maxillary left permanent central and lateral incisors. Upper acrylic removable appliance, with an expansion jackscrew, was used to correct the crossbite. The total active treatment time was 2 months. In that 2-months period, the orthodontic treatment was not yet complete, but it was already showing good results.Discussion: The application of orthodontic removable appliance with expansion screw has shown promising results in addressing the challenge in anterior crossbite treatment. One of the primary benefits of using expansion screw in orthodontic removable appliance is its ability to apply gradual and controlled expansion forces. This allows for the realignment of teeth without causing undue stress on the periodontal ligaments and surrounding structure.Conclusion: The treatment of anterior crossbite in non-growing patients using orthodontic removable appliance presents a viable and effective alternative to fixed appliances. The positive outcomes observed in this case underscore the potential of orthodontic removable appliance to address similar malocclusions in non-growing patients
PROBIOTICS VS. BACTERIA: HOW LACTOBACILLUS CASEI BATTLES STREPTOCOCCUS MUTANS BIOFILM (IN VITRO)
No full textBackground:Caries formation is influenced by several factors such as teeth, microorganisms, biofilm, and also time. The initial bacteria that play an important role in biofilm formation is Streptococcus mutans. Probiotics made from these bacteria are considered capable of overcoming dental and oral health problems because they are able to suppress the biofilm which will coat and protect the mucosa from invasion by cariogenic bacteria such as caries.Purpose:To determine the effect of the probioticLactobacillus casei in reducing Streptococcus mutans biofilm growth (in vitro).Method:The research design carried out was experimental research with a post test only control group design. The research samples were divided into 3 groups, namely the chlorhexidine, distilled water and probiotic groups. Biofilm thickness testing was carried out by OD (Optical density) using an ELISA-reader. Parametric statistical test analysis using the Kruskal Wallis Test.Results:The results of the Kruskal Wallis statistical test showed P= 0.000 there is a significant difference in the 3 Streptococcus mutans thickness test groups.Conclusion:The probioticLactobacillus casei has the effect of reducing the thickness of the Streptococcus mutans biofil
Ikatan Polimer Pmma Dengan Titanium Dioksida
Get PDFBackground: Basis gigi tiruan umumnya dibuat menggunakan polimer PMMA dikarenakan sifat-sifat dan kelebihan yang dimiliki, namun ada beberapa kekurangan sehingga dilakukan berbagai upaya untuk menegakkan sifat-sifat tersebut, salah satunya dengan penambahan metal oxide titanium dioksida nanopartikel. PMMA-TiO2 memiliki beberapa kelemahan diantaranya adanya pembentukan aglomerasi akibat kurangnya dispersi yang kurang baik dan menyebabkan ikatan atau adhesi yang kurang diantara mereka sehingga perlunya dilakukan grafting atau memodifikasi permukaan dari TiO2 dan dilakukannya silanisasi. Silanisasi merupakan metode pengaktifan dari silane coupling agent agar dapat berperan sebagai jembatan molekuler antara bahan organik dan anorganik melalui reaksi hidrolisis yang menghasilkan gugus silanol (Si-OH) dan berikatan dengan gugus hidroksil (OH) pada substrat membentuk ikatan hidrogen, kemudian reaksi kondensasi yaitu pelepasan molekul air (H2O) sehingga membentuk ikatan Si-O-Ti. Tujuan literatur ini adalah mengulas jenis ikatan polimer PMMA-TiO2 dengan penambahan silane coupling agent.Method: Pengumpulan literatur yaitu dengan menggunakan metode PICO (Problem, Intervention, Comparison, Outcome) dengan menulusuri basis data elektronik PubMed, Science Direct, dan Google Scholar.Result: Ikatan polimer PMMA-TiO2 yaitu ikatan van der Waals yang merupakan ikatan lemah. SCA ditambahkan agar terbentuk ikatan yang kuat yaitu ikatan kovalenConclusion: Ikatan PMMA-TiO2 akan lebih baik menggunakan silane coupling agent sebagai jembatan molekuler sehingga menciptakan adhesi yang baik dengan terbentuknya ikatan kovale
White Plaque in Diabetes Mellitus Patients (Case Report of UNSOED RSGM Patients)
Get PDFIntroduction: Coated tongue is a condition where the surface of the tongue looks white or other colors which is a pile of debris, food debris and microorganisms found on the dorsal surface of the tongue. The pile occurs due to systemic factors that affect the condition of the oral cavity, one of which is diabetes mellitus. Diabetes mellitus is a metabolic disorder caused by a lack of insulin secretion or decreased tissue sensitivity to insulin and is characterized by hyperglycemia. Case Report: A 44-year-old woman came to RSGM UNSOED complaining of white patches on the tongue since the last few years. There is a lesion in the form of a yellowish white plaque, can be scraped some parts leaving a red color, some parts leaving a white color that cannot be scraped, plaque measuring more than 1 cm, does not hurt when scraped, and is irregular in shape. The corners of the patient's mouth appear dry. The patient suffers from systemic diabetes mellitus and is taking medication. Discussion: High glucose levels in patients with diabetes mellitus affect the salivary content. This increase in glucose levels results in the content of biofilm layers and plaque on the surface of the teeth and tongue which serves as a place for bacterial attachment. Bacteria will multiply more well because of sufficient food intake. White spots occur due to the accumulation of microorganisms and debris due to the content and lack of salivary glands, causing the quality and quantity of saliva production in the oral cavity to decrease, so that people with diabetes mellitus tend to have poor OH and bad breath odor if dental cleaning is not done regularly. Conclusion: White plaque on the tongue occurs due to the accumulation of microorganisms and debris due to the lack and change in salivary gland content due to high sugar levels in patients with diabetes mellitu
The Role of Radiography in Detecting Endodontic Treatment Failures
Get PDFEndodontic treatment is part of the conservation of teeth, which is the treatment of the inside of the teeth which aims to maintain the teeth as long as possible in the oral cavity. As long as endodontic treatment is carried out, it cannot be separated from supporting care, namely radiological photos. In addition to clinical assessments, radiological assessments need to be carried out to see the condition around the teeth and at the root tips. In addition, radiological photos were taken when filling the root canals with gutta-percha. At the final evaluation of endodontic treatment, radiological photographs still need to be done to see the final result whether there is an error or not.Radiographs made at the next visit can evaluate the periapical state, detect the healing process of the lesion or identify new diseases that may arise.18 The success of new treatment will be seen several months after treatment. Given that failure often occurs without signs and symptoms, radiographs are very important for evaluating the periapex status