ODONTO : Dental Journal
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PERIODONTAL DISEASE : A RISE IN PREVALENCE IN MILITARY TROOPS PENYAKIT PERIODONTAL
Background: Oral condition is one of substantial factors in general health. Good oral health will determine dental fitness or readiness in military troops. Oral diseases affecting soldiers may have negative impacts in readiness on deployment or fight and contributes to lowering morale among personnel. At the recruitment stage, the prevalence of periodontal disease is low and controlled before the commencement of the training. As a matter of fact, periodontal health was not considered to be maintained and found to be worsening through the course of time. In the end, many of soldiers were found to suffer from periodontal diseases. Method : This review article aims to discuss several factors in military way of life related to oral condition.Result : Lack of oral hygiene practices, stress, deficiency of nutritious food, and smoking among military personnel may contribute to the prevalence of periodontal disease. Several attempts should be incorporated in military life to reduce the negative impacts of these factors on oral health.Conclusion: Periodontal therapy should be provided early in the military careers and repeated at intervals specific to the needs of each personnel. Several risk factors contributing to the development and severity of periodontal disease should be assessed and overcome to arrest the progression of the disease
ANALYSIS OF PATIENT SAFETY CULTURE IN SULTAN AGUNG ISLAMIC DENTAL HOSPITAL
Background: Health care facilities are complex organizations and must have development strategies to improve the quality of services. Service quality management must be integrated with elements of risk management and patient safety. Patient safety culture reflects a perception, norms and behavior related to the culture of preventing medical errors when serving patients. Patient safety culture is a product that results from individual or group values, attitudes, perceptions, competences and behavior patterns. Sultan Agung Islamic Dental Hospital has been operating since 2019 and has been accredited in 2020. This study aims to analyze the culture of patient safety at the Sultan Agung Islamic Dental Hospital Semarang.Method: This research method used descriptive observational study. Data collected by distributing questionnaires (onsite crosssectional survey) with Hospital Survey of Patient Safety Culture (HSOPSC) adopted from Agency for Healthcare Research and Quality (AHRQ) 2.0 version to all health workers at the Sultan Agung Islamic Dental Hospital Semarang.Result: The level of reliability of each dimensions of patient safety culture were teamwork 89.3%, staff and work speed 73%, organizational learning for continuous improvement 82.3%, response when an error occurs 69%, supervisor supports patient safety 86%, Communication about the occurrence of errors 96.3%, communication openness 85.5%, the number of error reports 39%, Hospital management supports patient safety 75.7, Change of tasks and transition 85%.Conclusion: The lowest level of reliability of patient safety culture was the dimension of the number of error reports
EMBOLIZATION IN RECURRENT SOFT TISSUE AMELOBLASTOMA EXCISION OF THE MANDIBLE
ABSTRACTBackground: Recurrent ameloblastoma can occur after radical treatment, 13.3% up to 19% involves soft tissue. Case of recurrent mandibular ameloblastoma in soft tissue, bleeding is one of the risks that often occurs. One way to reduce intraoperative bleeding is by embolization. Purpose this studi to report the benefits of embolization to reduce intraoperative bleeding in the action of recurrent ameloblastoma in soft tissue.Method: Female patient 32 years old came to RSUP Dr. Sardjito with complaint of lump on her left cheek, with history of post-hemimandibulectomy ameloblastoma 14 years ago. Objective examination of the asymmetrical patient's face with swelling extends to the cheek and pain when pressed, and the size is around 10x10 cm. Embolization using PVA and gelfoam material done before the excision of the tumor to reduce the risk of bleeding. The excision in this case is using lip split method, with bleeding during surgery around 250 ml. Biopsy results after excision are multicystic ameloblastoma, some are follicular types and some are plexiform typesConclusion: The use of embolization in the case of recurrent mandibular ameloblastoma in soft tissue can reduce tumor size and reduce bleeding during surgery
IMPORTANCE OF INFECTION CONTROL THROUGH SCREENING, INSPECTION, PROBLEM ANALYSIS AND TREATMENT PROCEDURES IN DENTAL PRACTICE
ABSTRACTBackground: Oral and dental health service facilities are very at risk of infection. It found an increase in the frequency of microorganisms before 33.3% and after 80% of treatments in the air of the practice room and an increase in microorganisms before 18.3% and after 70% treatment on the surface of the dental unit.Method: This study aim to report integratively on infection prevention and control guidelines in dental and oral health facilities. The literature review used in this article uses the Systematic Literature Review method by analyzing 618 articles on the scientific search engines Science Direct, ProQuest, Google Schoolar and Pubmed with the criteria for articles related to keywords and 14 articles were collected as literature studies related to material. Result: Guidelines for the implementation of infection prevention in dental and oral health facilities.Conclusion: Effective and efficient infection control efforts in dentist practice can reduce the spread of infectious diseases in dental and oral health care facilities
ORAL AND DENTAL MANAGEMENT IN CHILDREN WITH TETRALOGY OF FALLOT : A LITERATURE REVIEW
Background: Congenital heart disease is a condition of heart anomaly and or disfunction of heart since birth. The most common congenital heart disease is Tetralogy Of Fallot (TOF). The disorder has four features, a ventricular septal defect, aortic overriding, stenosis pulmonary, and hypertrophy right ventricular.Method: This review aimed to talk about oral manifestations and discuss options of several oral and dental management in children with TOF.Result: Oral and dental treatment of pediatric patient with cardiovascular disease is important to be carried out with the risk of bacterial endocarditis.Conclusion: Oral and dental management in a child with congenital heart disease is very important. Main point of dental management are dental health education, preventive dental treatment and control periodic after dental treatment
ANTIBACTERIAL EFFECT OF NANNOCHLOROPSIS OCULATA AS ROOT CANAL STERILIZATION MATERIAL ON STREPTOCOCCUS MUTANS BIOFILM
ABSTRACTBackground: Streptococcus mutans in the most frequent microbiota that causes pulp necrosis because of caries. The microorganism that is colonized and embedded in the biofilm matrix is resistant to antimicrobials compared to planktonic cells. Root canal sterilization materials must have good biocompatibility with tissues. Nannochloropsis oculata is an algae that contains various compounds such as terpenoids, alkaloids, and flavonoids that have potential as antibacterial and antioxidant and can be used as alternative to root canal sterilization. Method: This research was true experimental laboratory research with post-test only control group design. The antibacterial potential of Nannochloropsis oculata was tested using the biofilm method, divided into 5 groups. The control group was: K- (aquadest), K+ (calcium hydroxide), and the treatment group was given Nannochloropsis oculata: P1 (0.625%), P2 (1.25%), and P3 (2.5 %). Congo Red method test was to determine the formation of biofilm that shows black strains on agar. While biofilm test with Microtiter Plate Assay to measure the value of biofilm that were inhibited in Optical Density (OD) value in the ELISA Reader. The lower the value, the more biofilm inhibited, with OD value, inhibition percentage could counted Result: The result of all treatment groups were increasing in percentage inhibition value shows inhibition in biofilm growth (p <0.05). Conclusion: Nannochloropsis oculata had an antibacterial effect on the biofilm of Streptococcus mutan
ROLE OF COMBINATION CASEIN AND LACTOFERRIN BOVINE’S COLLOSTRUM AS A PULP CAPPING ON MACROPHAGE EXPRESSION IN MALE WISTAR RATS
ABSTRACTBackground: Inflammatory and/or non-inflammatory processes play a role in stimulating pulp repair and the formation of hard tissue, namely reparative dentin. Macrophages play a role in the pathogenesis and chronic inflammatory disorders. The combination casein lactoferrin of bovine colostrum as an immunomodulator has therapeutic potential. This study aims to determine the therapeutic effect and duration of application of the combination of casein lactoferrin of bovine colostrum, on the expression of macrophages as pulp capping.Method: This study was a true experimental laboratories post test only control group design, consisting of three groups of 60 male wistar rats with 4 observation times, namely day to day 7, 14, 21 and 28 each of 5 mice. The maxillary 1st molars were prepared until the roof of the pulp was exposed. Three groups, namely the combination of casein and lactoferrin bovine colostrum (CKL) and calcium hydroxide (K1) and the untreated group (K0). Each group was filled with glassionomer as a permanent restoration. The tissue was made histological preparations with hematoxylin-eosin staining and the number of macrophages were counted, then analyzed by two way ANOVA and post hoc LSD tests.Result: The results showed that the therapeutic effect and duration of application of the combination of casein and lactoferrin bovine colostrum on the expression of macrophages as pulp cappingConclusion: The combination of casein and lactoferrin of bovine colostrum as capping material can increase the number of macrophages in the healing process of dental pulp
THE DIFFERENCE OF EFFECTIVITY BETWEEN MANGOSTEEN PEEL EXTRACT AND METRONIDAZOLE ON FIBROBLAST PROLIFERATION
Background: The disease of the oral cavity is quite common in the society is periodontitis. The main cause of this condition is a certain bacterial infection found in dental plaque. In general, metronidazole gel will be given as additional therapy to treat bacterial colonization. Mangosteen peel extract gel contains xanthones and flavonoids which are known to be antibacterial and anti-inflammatory. This research aims to specify the differences in the effectiveness of anti-inflammatory between mangosteen peel extract and metronidazole gel on fibroblast proliferation.Method: This is a laboratory experimental design using post-test only design consisted of 50% mangosteen peel extract gel group, 75% mangosteen peel extract gel group, 25% metronidazole gel group and metronidazole plus gel group. This research used male Wistar rats induced periodontitis by ligation for 7 days as samples.Results: The results reveal that there was a differences in effectiveness between the 4 groups against the proliferation of fibroblast were analyzed using One Way ANOVA with a significance of 0.000 (p<0.05).Conclusion: It can be concluded that there was differences in the effectiveness of mangosteen peel extract gel and metronidazole gel as anti-inflammatory on proliferation of fibroblast in periodontitis healing process
GEOGRAPHIC TONGUE WITH BURNING MOUTH SYNDROME (CASE REPORT)
ABSTRACTBackground: Geographic tongue is a condition that involves the dorsal surface of the tongue. This condition is usually painless, but in some cases, it may be accompanied by a burning sensation.The cause is unknown, but it is thought to be related to heredity, hormonal imbalances, allergies, and anemia. The aim of this study is to describe the geographic tongue, which is associated with burning mouth syndrome. Procedure: A 23-year-old woman came to RSIGM Sultan Agung Semarang with the chief complaint of fissure front tongue and moving spots, which made her sore when eating spicy food. According to the findings of the investigations, the MCV and MCH values were low, while the total IgE level was higher than normal. Geographic tongue with burning mouth syndrome et causa allergy and iron deficiency were the diagnoses in this case. The treatment for this condition is iron containing vitamins. Conclusion: More investigation is required to determine the correct diagnosis, etiology, and treatment. Iron supplements can support to reduce the complaints. As a follow-up management of allergic conditions and iron deficiency, some more examinations by dermatologist and internist are required
RETRIEVING BROKEN INSTRUMENT IN HALF OF THE APIKAL ON CANINES TEETH WITH H-FILE BRAIDING TECHNIQUE
ABSTRACTBackground: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique. Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention. Result: No complain pain after 2 weeks retrieving broken instrument.Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing