Jurnal Medali
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    EFFECT OF FILLER NANO TITANIUM DIOXIDE (TiO2) PARTICLES ON FLEXURAL STRENGTH OF NYLON THERMOPLASTIC DENTURE BASE

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    Background: Treatment of missing teeth can be done by using dentures. One of the denture base materials is thermoplastic nylon. The advantage of thermoplastic nylon are flexible and deformable. Various attempts have been made to maximize the quality of the denture, for example, by adding TiO2. TiO2 can be used as a filler. Filler is the process of adding TiO2 to the denture base. The advantages of TiO2 particles are  non-toxic, antimicrobial, and increasing the mechanical strength of denture bases.TiO2 can reduce the porosity of the denture.Method: the design study is  a post test only control group with a total of 27 samples. Flexural test was performed using the UTM GD 1100. The statistical test used by the One Way Anova test.Result: The results showed that there were no significant effect on the flexural strength of thermoplastic nylon with the addition of 1% and 5% TiO2 with the control group. The highest flexural strength was obtained in the treatment group of TiO2 1 %, which was an average of 133.3867 N/mm2 and the lowest flexural strength was obtained in the control group without the addition of TiO2, which was an average of 127.57378 N/mm2. The lowest flexural strength was found in the control group without the addition of TiO2, which was an average of 127.57378 N/mm2. Conclusion: There were  no significant effect on the flexural strength of thermoplastic nylon with 1% and 5% TiO2 added with the control group

    THE DIFFERENCE IN COLOR CHANGE OF PREHEATED AND NON-PREHEATED NANOFILLER COMPOSITE RESIN AFTER IMMERSION IN NON-INSTANT AND INSTANT COFFEE

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    Background: One of the aesthetic issues in using composite resin is the color change. This study aimed to compare the color changes of preheated and non-preheated nanofiller composite resin soaked in non-instant coffee and instant coffee.Method: This study involved 24 round composite resins with a diameter of 12 mm and a thickness of 2 mm. The samples were divided into two groups (n=12); group I was prepared at 68°C and group II was prepared at room temperature. After curing, the samples were immersed in distilled water at 37°C for 24 hours before being measured with a UV-vis spectrophotometer. Each group was divided into two sub-groups (n=6), one soaked in non-instant coffee and the other in instant coffee for three days, and the final color was measured. The data was analyzed using two independent t-tests with a significance level of α =0.05.Result: Two independent t-tests revealed a significant difference between preheated and non-preheated nanofiller composite resins soaked in non-instant coffee (p<0.05), as well as a significant difference between preheated and non-preheated nanofiller composite resins soaked in instant coffee (p<0.05).Conclusion: The preheating was effective to improve the color stability of composite resin after immersion in non-instant coffee and instant coffee

    EFFECT OF SILANIZED TITANIUM DIOXIDE ON TENSILE STRENGTH OF SELF-CURED ACRYLIC RESIN

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    Background: Self-curing acrylic resin is a material used to make artificial tooth bases as well as reparate it when there is a fracture on the tooth bases. Titanium dioxide is one of the metal oxides that can be added to acrylic resins as an addition materials. This study aims to determine the effect of adding silanized titanium dioxide filler (TiO2) on tensile strength of self-cured acrylic resin. Methods: This study is a true experimental laboratory study with the design post test only group design, using self-cured acrylic resin plates amounting to 24 plates measuring 165mm x 13mm x 3mm divided into groups of 4 with adding and without adding silanized TiO2. The self-cured acrylic resin plate mixed with silanized TiO2 was tested for tensile strength with a Universal Testing Machine. The data obtained were analyzed with Kruskal-Wallis test. Results: There is an effect of adding titanium dioxide filler (TiO2) to the tensile strengthof self-cured acrylic resin with the highest tensile strength value at 26,1327 MPa ± 2,29608.Conclusion: 5% titanium dioxide filler showed the highest tensile strength than other groups

    THE RELATIONSHIP BETWEEN PARENTS' BEHAVIOR AND CARIES IN PRESCHOOL CHILDREN

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    Background: Caries is a disease of dental hard tissue which is characterized by demineralization and followed by damage to organic matter. The prevalence of dental caries in children in 2018 in Indonesia is still very high, especially at the age of 3-4 years, the prevalence of caries reaches 36.4%, while at the age of 5-9 years it is 54%. The behavior of parents, especially mothers, has an influence on children's oral health, because mothers are role models as well as children's closest figures since birth. There are still many parents who do not know that their behavior affects their child's behavior, and do not consider it important to take care of their child's teeth.Method: This study aims to analyze the relationship between parental behavior on the caries index in children, and also to determine the effect of caries on the quality of life of preschool children. The search for journal literature in this study used 3 databases, namely Google Scholar, Pubmed and NCBI according to keywords, then screened and selected according to inclusion and exclusion criteria.Result: The behavior of parents, especially mothers, will determine the health of children's teeth. In addition, children's behavior also plays a significant role in maintaining the health of their teeth, one of which is in terms of brushing teeth, diet.Conclusion: Parents who have poor behavior in maintaining dental health have a higher risk of developing dental caries than mothers who have a good attitude

    THE EFFECT OF PERIODONTAL PACK WITH ADDITIONAL PLANTS OF IODINE (JATROPHA MULTIFIDA L.) POST CURRETAGE

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    Background: Curettage is an act of scraping the granulation tissue on the lateral gingival wall of the periodontal pocket. After curettage, a periodontal pack was applied to control bleeding and keep the wound area clean. The addition of iodine leaves as an alternative because it contains flavonoids that can help the wound healing process. This study aims to determine the effect of adding 10% iodine leaf extract gel on the curettage process.Method: A true experimental laboratory study with a post-test only control group design on 20 wistar rats. The periodontal pack group and the periodontal pack group were added with 10% iodine leaf extract gel. Curettage healing was seen from the mean number of fibroblasts using One-Way Anova analysis.Result: The study showed the mean number of fibroblasts on the 5th and 7th day periodontal pack groups were 35.20 and 49.60, while those in the periodontal pack group with the addition of iodine leaf extract gel on 5th and 7th days were 45.80 and 50.80, respectively. The One-Way Anova test showed p > 0.05, there was a significant difference in the mean number of fibroblasts between the study groups.Conclusion: The conclusion is that there is an effect of giving 10% iodine leaf extract gel on the number of fibroblasts in the healing process of wistar rat curettage

    COMPARISON OF ANTIFUNGAL EFFECTS OF 50% SIWAK (SALVADORA PERSICA) ETHANOL EXTRACT WITH NYSTATIN ORAL SUSPENSION ON CANDIDA ALBICANS BIOFILM (IN VITRO STUDY)

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    Background: Candida albicans is an opportunistic pathogen that grow and survive as a commensal. However, a number of predisposing factors can turn them into pathogens. Nystatin is an antifungal drug from the polyene group use to treat oral candidiasis. Siwak have various bioactive components that can affect oral health. Tannin, one of the chemical component of siwak, is known to have antifungal activity against Candida albicans. This study aim to compare the antifungal effect of 50% siwak and nystatin on the Candida albicans biofilm.Method: This research method was an experimental type with a post test only control group design with a sample of 36 divided into 2 groups: 50% siwak and nystatin. Each group was incubated for 24 hours. The formation of biofilms was measured by calculating Optical Density using an ELISA-reader. Data analysis was performed using the Independent T-test.Result: The results of the average optical density values obtained 50% siwak group was 2.64261 and nystatin group was 2.428. Independent T-test results obtained p = .138 (p> 0.05) which showed no significant difference in antifungal effects between 50% siwak and nystatin.Conclusion: This research showed that 50% siwak extract and nystatin had an equivalent antifungal effect in reducing in vitro growth of Candida albicans biofilms

    NON-DENTAL GLASS FIBER IMPACT ON TENSILE STRENGTH OF FIBER REINFORCED ACRYLIC RESIN IN DENTURE BASE

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    Background: Acrylic resin is a dental material that is often used because it is easy to apply and has good aesthetics. One type of acrylic resin used for denture base materials in dentistry is Heat Cured Acrylic Resin (HCAR). HCAR as base for dentures also has disadvantages including low tensile strength. Therefore, fiber can be added to heat cured acrylic resin as a reinforcing material (FRAR). This study aims to determine the effect of the addition of non-dental glass fiber on the tensile strength of HCAR.Method: This is a true experimental research using posttest only control group design. Divided into two groups, the first one is HCAR without the addition of non-dental glass fiber, the second group is HCAR with the addition of non-dental glass fiber. The data are tested using the Independent T-Test parametric test.Result: The average tensile strength of the HCAR without Non Dental Glass Fiber was 46.5169 MPa, while the average tensile strength of HCAR with the addition of Non Dental Glass Fiber was 60.3269 MPa. The independent test results show p value of = 0.000Conclusion: It was found that heat cured acrylic resin with the addition of non-dental glass fiber has a higher tensile strength than heat cured acrylic resin without the addition of non-dental glass fiber which could be used as an alternative choice in applications in dentistry

    THE EFFECT OF GIVING PROPOLIS GEL 10% AND NEAR-INFRARED PHOTOTHERAPY ON POST-CURETTAGE WOUND HEALING

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    Background: This study aims to specify the effect of topical administration of 10% propolis gel and near infrared phototherapy on post-curettage wound healing in terms of the thickness of the collagen fibers. Methods: This is an Experimental Laboratories using a Post Test Only Control Group design. The samples used were 36 male Sprague Dawley rats divided into 4 groups, namely: a group given 10% propolis gel, NIR, 10% propolis gel + NIR, and a control group. Preparations were made on the 3rd, 7th, 14th day, and stained using Sirius red paint. One Way Annova test with the Tukey HSD advanced test was used as data analysis. Results: The average amount of collagen fibers in the 10% + NIR propolis gel group had the highest results on days 3, 7, and 14. Based on the One Way Anova test, it was found that there was a difference between day 3 and day 7 p = 0.027, day 3 and day 14 p = 0.000 and day 7 and 14 p = 0.000. The test between the propolis and NIR groups had p> 0.05. Conclusion: There is an effect of using 10% propolis gel and near infrared on post-curettage wound healing seen from the increase in collagen fibers

    EFFECTS OF CLAMSHELL (Amusium Pleuronectes) CHITOSAN EXTRACT ON THE INCREASE NUMBER OF OSTEOBLAST OF THE ALVEOLAR BONE UNDER PERIODONTITIS

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    Background: Background: The number of patients with periodontal disease in Indonesia is estimated to continue to increase yearly. 4.79% or 34614 people had healthy periodontal tissue, while 95.21% or 687715 people had unhealthy periodontal tissue. Clamshell waste containing chitosan can be utilized, considering that interest in sources of raw materials derived from waste is increasing. Chitosan has a dual function, which is osteoinductive because it contains growth factors that provide growth for osteoblast cells.Methods: A true experimental laboratory study with a post-test-only control group design was conducted on 30 Wistar rats and divided into two groups: the 0.2% chlorhexidine gluconate group and the chitosan group of scallop shells (Amusium Pleuronectes). The increase in the number of osteoblasts was compared and analyzed.Results: The results showed that the average in the control group on days 7, 14, and 21 was 1, 3.20, 8.80, while in the treatment group on days 7, 14, and 21, it was 12.2, 21.8, and 25. Based on the One Way Anova test results, a p-value of 0,000 (p <0.05) was obtained, meaning a significant difference in the average number of osteoblast cells in each study group.Conclusion: This study concludes that there is an increasing effect of alveolar bone osteoblasts from chitosan in scallop shell extract (Amusium Pleuronecte) in Wistar rats with periodontitis

    ORAL MUCOSAL BURN CAUSED BY THE TOPICAL APPLICATION OF A CLOVE OIL CONCENTRATE

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    Background: Clove is an herb that has been known for centuries as natural remedy and food preservatives. Despite its several important biological activities such as antioxidant activity, antimicrobial, antinociceptive, and antiviral effects, clove’s end product can cause some tissue reaction that varies from low-grade local to serious reactions such as anaphylactic reaction. This case report aim to discuss on clove oil extract effect when applied topically to oral mucosal.Case Presentation: A 30-year-old female came to Oral Medicine Clinic of Universitas Indonesia Dental Hospital, with complaint of painful multiple mouth ulceration since 3 weeks earlier that got worsen in the past 2 days after clove oil extract topical application. She had a history of canker sore in every 2 months since her adolescence. Extra oral examination showed desquamation and brown crust on lips. Intraoral examination revealed multiple, shallow, irregular ulcers, surrounded by diffuse erythema, on buccal mucosa, soft palate, anterior dorsum of the tongue, and lower anterior muco buccal fold. Subjective and clinical examination were consistent with oral mucosal burn and the patient was instructed to discontinue clove oil usage, while prescribed with Chlorhexidine Gluconate 0,2% mouthwash and Vaseline album.Conclusion: The increasing practice of herbal medicine, such as cloves products, should raise our awareness since when used inappropriately, it could cause oral mucosal burn. In the management of these cases, dentist must perform thorough anamnesis and examination to establish accurate diagnosis and plan proper treatment

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