ODONTO : Dental Journal
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Effectiveness of tooth brushing training for parents with special needs children
Get PDFBackground: Special needs children (SNC) have poor oral hygiene status than normal children. Tooth brushing is the most efficient mechanical method to improve dental hygiene in SNC. SNC has difficulties in performing tooth brushing due to their limitation, family support is needed to empower SNC to perform oral hygiene activities. The aim of this study is to asses the effectiveness of toothbrushing training in parents with SNC to decrease plaque index compare to parents who were not trained Method: This study used quasy experimental with non-equivalent control group design. The subjects of this study were 28 students with special needs at SLB Negeri Purwosari Kudus. Data analisys using paired samples t test. Result: The result showed that average plaque index of SNC before tooth brushing training in their parents was 3,297 and after the intervention the average plaque index decrease to 2,401. SNS plaque index decreased by 27% and statistically proven with p value <0,0001 (p <0,05). Conclusion: there is a significant influence of tooth brushing training in parents with SNC on the decreasing of SNC plaque index. Keyword: special needs children, tooth brushing training, plaque inde
Effectiveness of herbal medicine as an alternative therapy for burning mouth syndrome: a systematic review
Get PDFBackground: Burning mouth syndrome (BMS) is characterized by a burning sensation or dysesthesia of the oral mucosa without accompanying abnormal clinical or laboratory findings. Management of BMS is very important to reduce pain, support nutrition and improve patients’ quality of life. Various studies on BMS therapy have been carried out, one of which is by using alternative materials derived from nature known as herbal ingredients. The objective of this systematic review is to review the effectiveness of herbal medicine to reduce pain in BMS patients. Methods: This systematic review was conducted using the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines. Article searches were conducted through Pubmed, Scopus, Science Direct, Cochrane, and Springer Link published from 2012 to 2022 with specific keywords. The search for articles was limited to human studies and randomized controlled trial (RCT), papers written in English and availability of full text. The risk assessment of bias uses the Modified Jadad Scale. Results: Seven articles with good eligibility that meet the inclusion criteria were analyzed. The herbal medicine reviewed were capsaicin (two articles), Aloe vera, catuama, capsaicin, virgin olive oil, chamomile and crocin (one article for each herbal medicine). All of the herbal medicine reviewed were proven to reduce pain in BMS patients, but capsaicin and catuama showed significant differences with the comparison group. Minimal side effects were also observed with capsaicin and catuama. Conclusion: Herbal medicinal ingredients have been proven to be effective, useful and safe alternative therapies for BMS patients
The Potentional Relationship Between Gingival Recession And Bone Thickness In The Context Of Orthodontic Treatment
Get PDFBackground : The term "gingival recession" describes the downward movement of the gum border in relation to the cemento-enamel junction (CEJ), which is the point where the crown and root of a tooth meet. There are several different factors that might contribute to gingival recession, including as mechanical trauma, orthodontic treatment, or plaque-induced inflammation. Not only do patients receive orthodontic treatment, but also practising dentists do so because they see orthodontic therapy as a crucial part of multidisciplinary dental care.
Objective : To discuss the potential relationship between gingival recession and bone thickness in the context of orthodontic treatment.
Discussion: Bone thickness is impacted by orthodontic treatment, however bone density is not linked to a higher incidence of gingival recession. The patient's periodontal phenotype, which is determined by genetics, environment, and the way they wash their teeth, is connected to increased gingival recession during orthodontic therapy.
Conclusion : There is no potential relationship between gingival recession and bone thickness in the context of orthodontic treatment
The Effect of Dental Health Programs in Pre-pregnancy into Low Birth Weight at Brati Public Health Center
Get PDFBackground: The pregnancy period is prone to various dental health conditions that can affect pregnant women’s health and cause growth and development problems for the fetus. Neglecting dental health during pregnancy causes complications at birth, including low birth weight. This study aims to determine the effect of dental health programs for pre-pregnancy women into low birth weight at Brati Public Health Center.
Method: This research used secondary data from 80 women who participated in dental health programs for pre-pregnancy women and Antenatal Care (ANC) participants at Brati Health Center who were monitored until birth between January 2020 – June 2023. The data obtained was assessed in a questionnaire regarding the completeness of the dental health programs for pre-pregnancy women, consisting of education, examination, and dental care carried out before and after pregnancy. The data analysis used was the Mann Whitney test.
Result: Pre-pregnancy women who completed the dental health programs had a higher average birth weight (3.095 kg) than those who did not complete the program (2.076 kg). Mann Whitney test result revealed an effect between the completeness of dental health programs on pre-pregnancy to birth weight (p=0.000).
Conclusion The dental health programs for pre-pregnancy women affect the birth weight. Dental health programs for pre-pregnancy women should be carried out before pregnancy occurs, starting from the examination and education of the prospective bride. Collaboration between antenatal and dental health service providers is needed to increase access to dental prevention and treatment services needed by pre-pregnancy dan pregnant women
Effect of nanofilled self-adhesive protective coating on color changes and surface roughness of composite resin
Get PDFBackground: Discoloration of composite restorations may affecting aesthetic appearance. The aging-process and surface roughness may influence color changes. A nanofilled self-adhesive protecting coating has been developed for coating tooth restoration and expected to prolong the longevity of restoration. To evaluate the effect of nanofilled self-adhesive protective coating on the surface roughness and color-changes of flowable and packable composite after aging condition.
Methods: The total of 40 discs (15x2mm) and 60 boxes (20×10× 2mm) specimens from flowable and packable composite were used. A half of the specimens was coated by using protective-coating. The reflectance chromameter was used to measure the color baseline. Afterward, the specimens were subjected into aging process by immersing in artificial saliva and carbonated drink (37oC,7d). The color changes were calculated based on the [CIE L*a*b*].For surface roughness, box-shaped specimens were measured in fresh condition, after aging conditions.
Results: The color change ranged from 0.49 to 2.31. Applying protective-coating was associated with a significant decrease in the color-changes and surface roughness after aging. The changes of three color coordinates resulted in significant differences for both composite, with and without protective coating application.
Conclusion: The application of protective-coating decrease the color-changes and surface roughness of flowable and packable composite-resin
Oral mucoadhesive patch of green betle leaf, areca nut, and gambier can reduce the size of traumatic ulcer lesion
Get PDFBackground: Although topical corticosteroids and antibiotics are frequently prescribed to treat traumatic ulcers, both medications have disadvantages. In addition, topical application of the drug is ineffective because it can be washed off by saliva. In order to speed up the healing of traumatic ulcers, it is believed that the oral mucoadhesive patches will adhere to the ulcer for a longer amount of time.
Methods: This study was a pure laboratory experiment with a post-test only randomized control group design. The study samples were 32 white rats (Rattus norvegicus) of the Wistar strain with traumatic ulcers on the buccal mucosa. The sample was divided into 2 groups: (1) the control group, which was only given analgesics (5% EMLA); and (2) the treatment group, which was given analgesics (5% EMLA) and oral mucoadhesive patches (a combination of ethanol extracts of green betel leaf, areca nut, and gambier). Each group received treatment twice a day for 10 days. Then the diameter of the traumatic ulcer lesion was measured with a digital caliper on days 1–10 from the yellowish-white part. The data obtained were analyzed using an independent t-test.
Results: There was a significant difference in the diameter reduction of traumatic ulcer lesions between the control group and the treatment group (
The Relationship of Facial Soft Tissue A’N’B Angle and Facial Hard Tissue ANB Angle in Determination of Skeletal Relations
Get PDFBackground: Cephalometric analysis used in orthodontics to informs the diagnosis, treatment planning, quantifies changes during treatment, and provides data for clinical research. It has been used for determination of Skeletal Relations using facial hard tissue ANB Angle. Points A and B on the facial hard tissue correlate closely with the positions of the corresponding points on the soft tissue. This study aims to determine the relationship between the A'N’B angle of soft tissue and the ANB angle of hard tissue in determining the class of skeletal relations
Method: The sample used in this study was 75 cephalograms, which had been selected according to the criteria. Cephalometric tracing is done manually. Inter-observer and intra-observer measurements were carried out to increase the validity and reliability of the research instrument. The Bland-Altman method is used as a statistical fit test. The results of the research data were then tested for normality with the Kolmogorov-Smirnov test. For further testing to test the significance of the correlation coefficient obtained in the Pearson test, the significance test of the t-test is used.
Result: The results of t-count > t-table, which means that there is a strong linear relationship between hard tissue ANB and soft tissue A'N’B with a correlation coefficient (r) > 0.05.
Conclusion: The soft tissue A'N'B' angle can be used as an alternative in determining the class of skeletal relationships in addition to the hard tissue ANB angl
The Effect Decontamination of Sodium Hypochlorite 0.5% on shear strength buccal tube orthodontic
Get PDFBackground: The use of fixed orthodontics has a risk of increasing plaque retention, especially the gingival margin area. The decontamination material commonly used is sodium hypochlorite 0.5%, but this antibacterial agent requires further research on the shear strength of the buccal tube attachment. The purpose of this study was to determine the effect of 0.5% sodium hypochlorite on the shear strength of buccal tube attachment after decontamination
Method: The research design used was the post test only control group design. The total research sample amounted to 52 samples and was divided into 4 groups: group I Clorhexidine 2% for 1 minute, group II Clorhexidine 2% for 5 minutes, group III 0.5% NaOCl for 1 minute and group IV NaOCl 0, 5% for 5 minutes. Post Decontamination of Buccal Tube and bonding shear strength was carried out using Universal Testing Machine. The Kruskal Wallis test was carried out to see the differences in the four groups in the shear strength of attachment and the Mann Whitney test to find out the differences between groups.
Result: The shear strength of the attachment by decontamination using 2% chlorhexidine for 1 minute was higher than the other 3 groups, which was 25.3 J/mm2, the lowest shear strength was for the 0.5% sodium hypochlorite group for 5 minutes, which was 16.5 J/mm2. Kruskal Wallis test results p value 0.000 (
Shear bond strength fissure sealant based on glass ionomer after topical fluor application: a comparison between sodium fluoride and acidulated phosphate fluoride
Get PDFBackground: Application of fissure sealants to young permanent teeth is one of the preventive measures for caries in the field of dentistry. Fissure sealants based on glass ionomer cement (GIC) have the advantage of releasing fluoride. Sodium fluoride and acidulated phosphate fluoride (APF) are remineralization agents because they can increase remineralization by altering hydroxyapatite to fluorapatite and this in turn makes fluorine able to increase pH. Fluoride can prevent caries by increasing remineralization of the enamel that has just been demineralized by acids produced by plaque bacteria. The aim of this study is to compare the shear bond strength fissure sealant based on glass ionomer between sodium fluoride and APF topical fluor applicationMethod: This research applied true experimental design with post test only control group design. The 21 maxillary permanent premolars were distributed into 3 groups, namely the control group (K1), the treatment group added 5% sodium fluoride (K2), and the treatment group added 1.23% APF (K3). Result: One Way ANOVA and post hoc LSD analysis test displayed no significant difference in each group. This could be due to the material used as a conditioner prior to the GIC application. The addition of fluoride ions will inhibit the demineralization process of the enamel produced by the application of conditioner. So it does not rule out that it will interfere with the attachment of the GIC material used as a fissure sealant in this research.Conclusion: There was no significant difference in shear bond strength of fissure sealant based on glass ionomer between sodium fluoride and acidulated phosphate fluoride topical application
CHARACTERISTICS OF UPPER THIRD MOLAR IMPACTION IN BANDUNG CITY POPULATION
Get PDFBackground: The third molars (M3) are the most frequently impacted teeth because they are the last to erupt, so they often don’t get enough space to erupt. The characteristics of impacted M3 teeth can be different for each person. This study aims to provide a description of maxillary M3 impaction based on age, sex, classification, treatment, and anesthesia in Bandung City population. Method: This was a descriptive study using secondary data from medical records and panoramic radiographs at RSGM UNPAD with a purposive sampling technique. Determination of the characteristic impaction using a classification based on Archer, Shiller, Jung and Cho, and Killy and Kay, analyzed with ImageJ software by interobserver and intraobserver, and tested using Kappa statistics for reliability.Result: There were 134 impacted teeth from 102 impacted patients with 67 females (66.34%) and most cases occurred in 17-25 years old (60.4%); Class B, 82 cases (60.9%); distoangular angulation, 76 cases (56.72%); Class 3, 76 cases (52.24%); and one fused roots, 83 cases (64.93%). The most common procedure performed was odontectomy (87.25%) with local anesthesia (63.73%)Conclusion: Characteristics of upper M3 impaction in terms of position, angulation, and its relation to age and sex is needed for the diagnosis, so the management plan by the clinician is better and safer. Panoramic radiography can still be used to determine classification and diagnosis in preparing a treatment plan even though it has limitations