Majalah Kedokteran Gigi Indonesia
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Oral health attitude and behaviour among dental students
No full textDental students will play an important role in educating and promoting oral health. The oral health behavior of dental providers and their attitudes toward their oral health could depict the oral health of their patients. The aim of this study was to review the current studies available on the oral health attitudes and behavior of dental students. A systematic search of original articles was carried out in two databases to write this systematic review. MEDLINE (pubMed) and GOOGLE SCHOLAR. Studies published in the English, Arabic and Indonesian languages up to 31/6/2023 was carried out. Search results were managed through EndNote. The search strategy identified 180 articles (133 from Google Scholar and 47 from PubMed databases), of which 22 articles were included in the analysis after the systematic review process. Study of oral health attitude and behavior based on the Hiroshima University Dental Behavioral Inventory (HU-DBI). As a result of variation in the subjects age, measure of outcomes quantitative analysis is not showed. A total of 22 studies met the inclusion criteria. The studies included a total of 7,562 undergraduate dental students and were conducted in 18 countries. The review found that clinical students have good oral health attitudes and behavior compared with preclinical students, showing improvements in oral health attitude and behavior of dental students through the students’ educational progress. The improvement in oral health care has been shown to be linked to experience, especially for clinical students that have been in clinical settings
Comparison of the arch perimeter discrepancy in Javanese class I malocclusion: modified kesling vs. lundström analysis method at Dental Hospital Universitas Airlangga 2018-2024
No full textCreating orthodontic treatment more efficiently in Indonesia requires the population's facial and jaw characteristics recognition as influenced by ethnic and gender characteristics. Myriad study model analysis methods are needed to evaluate a malocclusion’s treatment plan, such as modified kesling and lundström analysis which calculate Jaw Arch Perimeter (JAP) and Dental Arch Perimeter (DAP). Prior studies of different ethnicities and genders across global populations have demonstrated variations in results. Therefore, it is necessary to compare those two methods to ascertain the final result of arch perimeter discrepancy in Javanese class I malocclusion. This study aims to prove the disparity in comparison of the arch perimeter discrepancy in Javanese class I malocclusion by modified kesling vs. lundström analysis method at Dental Hospital Universitas Airlangga 2018-2024. Applied inclusion criteria: Javanese ethnicity, age 18–25 years, permanent dentition (first molar to first molar), and no prior orthodontic treatment. It results in 53 samples. In lundström analysis, JAP is obtained by enumerating segmentally measuring pairs of teeth using a caliper. In the modified kesling, JAP is obtained by tracing the model on plastic mica. Then, continue by making pre-correction JAP with a marker and making post-correction JAP by measuring the ideal arch using a 0.1 mm copper wire. This study identifies a statistically significant final value difference between those two methods. This study identified statistically significant differences in arch perimeter values using modified kesling method and lundström analysis, whilst no significant differences in arch circumference by gender
Effect of adhesive type, application technique, and immediate dentin sealing on the shear bond strength of lithium disilicate
No full textImmediate dentin sealing (IDS) is a technique involving the application of adhesive material to freshly prepared dentin for indirect restorations. This method prevents contamination by saliva, debris, and bacteria from penetrating dentinal tubules, which could otherwise compromise the bonding strength of restorative materials. This study aimed to evaluate the effects of different adhesive types and application techniques in IDS on the shear bond strength (SBS) of lithium disilicate. The adhesive systems investigated included an eighth-generation adhesive and a universal adhesive, each applied using both total-etch and self-etch techniques. Twenty-eight upper premolars were divided into four groups, with buccal crown surfaces prepared for IDS treatment as follows: Group I – eighth-generation adhesive with total-etch; Group II – eighth-generation adhesive with self-etch; Group III – universal adhesive with total-etch; and Group IV – universal adhesive with self-etch. Lithium disilicate was cemented onto the dentin surfaces treated with IDS and then immersed in distilled water for 24 hours prior to SBS testing. The results showed that both adhesive type and application technique significantly influenced SBS (p < 0.05). No significant differences were observed among Groups II, III, and IV. However, Group I demonstrated the lowest SBS. In conclusion, the findings indicate that both the choice of adhesive and application technique in IDS significantly affect the shear bond strength of lithium disilicate
Effect of 35% sodium ascorbate combined with 0.4% surfactant on resin tag length in composite restorations following intracoronal bleaching
No full textThe application of 35% hydrogen peroxide in intracoronal bleaching generates free radicals that shorten resin tags and weaken the bond strength of composite resin restorations. Although 35% sodium ascorbate can neutralize free radical residues, its molecular instability limits its effectiveness. The addition of surfactants may enhance both the penetration ability and stability of sodium ascorbate. This study aimed to investigate the effect of adding 0.4% surfactant to 35% sodium ascorbate on the length of resin tags in composite resin restorations following intracoronal bleaching. Thirty mandibular premolars were prepared with standardized Class I cavities measuring 2.7 mm in diameter and 6 mm in depth. A 35% hydrogen peroxide gel was applied to the cavities for five consecutive days. After bleaching, the samples were randomly assigned to three groups of ten teeth each. The first group was stored in an incubator for seven days before undergoing composite resin restoration. The second group received an application of 35% sodium ascorbate, which was then rinsed off before immediate composite restoration. The third group received an application of 35% sodium ascorbate combined with 0.4% surfactant, followed by rinsing and immediate composite restoration. Histological preparations were made using hematoxylin-eosin staining and observed under a light microscope at 400× magnification. Resin tag lengths were measured using the Image Raster application. The one-way ANOVA test revealed a statistically significant difference among the groups (p = 0.000). Post-hoc LSD analysis showed that resin tag lengths in the third group were significantly greater than those in both the first and second groups (p = 0.000 for both comparisons). These results indicate that the combination of 35% sodium ascorbate with 0.4% surfactant significantly increases resin tag length and may enhance the bonding performance of composite restorations following intracoronal bleaching
Effect of pineapple core extract on growth and saliva stimulation in Stunted Rats
No full textStunting refers to a condition of short stature in toddlers due to delayed growth from the prenatal period until the age of 24 months. Chronic malnutrition in stunted toddlers leads to protein deficiency; therefore, active substances are needed for maximum protein absorption. Pineapple core (Ananas comosus) contains bromelainenzymes and citric acid, whichcan enhance protein absorption in conditions of chronic malnutrition and increase saliva flow rate.This study aims to investigate the effect of pineapple core extract on growth parameters and saliva flow rate in stunted Wistar rats. This study involved 16 male Wistar rats, which were divided into four groups: a negative control group (no treatment), a treatment group (75% pineapple core extract), a positive control group 1 (FeSo4 supplements), and positive control group 2 (pilocarpine hydrochloride). Growth parameters and saliva flow rate were measured before and after pineapple core extract treatment. The research results were analyzed using one-way ANOVA followed by Tukeys test, which showed a significant difference between the treatment group and the other groups in body weight (p = 0.037), body length (p = 0.028), tail length (p = 0.003), and saliva flow rate (p = 0.000). Administration of 75% pineapple core extract resulted in increased growth parameters (body weight, body length, and tail length) and saliva flow rate in stunted rats
Comprehensive gummy smile correction: a case report on combined lip repositioning and crown lengthening
No full textA gummy smile, or excessive gingival display (EGD), is a clinical condition in which more than 3–4 mm of gingiva is visible during smiling. This condition often raises aesthetic concerns and may negatively affect self-esteem. This report presents the clinical management of a 26-year-old male patient whose gummy smile was attributed to altered passive eruption, compounded by hyperactivity of the upper lip elevator muscles. To address these issues, a combined surgical approach was employed: crown lengthening and lip repositioning. Crown lengthening was performed on teeth 12, 11, and 22 to establish an appropriate tooth–gingiva ratio, while lip repositioning was carried out to limit excessive elevation of the upper lip. Postoperative evaluations revealed a significant correction of the gingival display and improved tooth dimensions. These results highlight the effectiveness of a combined periodontal and soft tissue surgical approach in achieving harmonious and predictable smile aesthetics
Comprehensive therapies for severe facial pain related to temporomandibular disorder in a patient with mental instability
No full textThe etiology of temporomandibular disorders (TMDs) is multifactorial and often associated with biopsychosocial factors. Stress, anxiety, and depression contribute to the psychological conditions that may accompany TMD. This case study aims to describe the treatment of severe facial pain associated with TMD in a patient experiencing mental instability. A 28-year-old female presented to a dental hospital with severe pain in the right facial region. The patient had previously worn a stabilizing occlusal splint six months prior, but had since lost it, resulting in the recurrence of pain. The pain originated in the right temporomandibular joint and radiated to the ear, eye, and temporal region. The pain was exacerbated by mouth opening, chewing hard food, and emotional stress. Clinical examination revealed missing lower first molars and an anterior crossbite. The patient reported frequent clenching episodes during periods of anxiety and depression. A panoramic radiograph showed both condyles to be normal in shape and size. A transcranial X-ray revealed the right condyle positioned within the glenoid fossa, while the left condyle was located anterior and inferior to the articular eminence. Treatment included a comprehensive approach: pharmacologic therapy, elimination of parafunctional habits, self-management strategies, a stabilizing splint, partial dentures, psychiatric intervention, and orthodontic treatment. The masticatory muscles showed significant relaxation following treatment, resulting in pain reduction. Orthodontic correction of the malocclusion and increased vertical dimension of occlusion led to improved quality of life and the resolution of TMJ symptoms
Exploring the potential of bromelain in orthodontic treatment
No full textBromelain, a proteolytic enzyme derived from pineapple, has attracted significant attention in both medicine and dentistry due to its diverse therapeutic properties. It has been widely studied for its anti-inflammatory, digestive, and wound-healing effects. In dentistry, bromelain has been investigated for applications such as reducing postoperative pain, facilitating enamel deproteinization, aiding in caries removal, and serving as an endodontic irrigant. In orthodontics, its potential lies in deproteinizing enamel to improve the bond strength of orthodontic brackets during placement. Studies suggest that applying bromelain prior to acid etching can enhance bracket bond strength, providing a safer and more efficient alternative to sodium hypochlorite. It has also shown promise in reducing plaque accumulation and gingivitis, particularly in patients with fixed orthodontic appliances. Bromelain’s antibacterial and anti-inflammatory properties support its role in maintaining oral hygiene and promoting healing. However, most existing evidence comes from in vitro or short-term clinical studies. Long-term clinical trials are needed to confirm its safety and efficacy in routine orthodontic practice
Is breastfeeding duration associated with caries in stunted toddlers? a cross-sectional study
No full textStunting remains a significant nutritional concern in Indonesia, potentially affecting physical and cognitive development. Stunting may lead to oral health issues, specifically dental caries, due to salivary gland atrophy in malnourished children. While dental caries have multiple contributing factors, breast milk contains protective proteins and antibacterial properties that may influence caries development. This study aims to investigate the association between breastfeeding duration and dental caries occurrence in stunted and non-stunted toddlers. An analytical observational study with a cross-sectional approach was conducted using quota sampling of 30 toddlers attending Sumingkir Village Posyandu. Spearman correlation analysis showed no significant correlation between breastfeeding duration and caries in both stunted (p = 0.68) and non-stunted groups (p =0.66). Independent T-test revealed no significant mean differences between the groups (p < 0.05). However, the Mann-Whitney test demonstrated a significant median difference in caries (p = 0.006) between stunting (4(0-6)) and non-stunting groups (0(0-18)). This study concludes that breastfeeding duration showed no correlation with caries in either stunted or non-stunted toddlers; however, nutritional status (stunting) appeared to influence caries occurrence in toddlers
Complex management of multiple facial traumas using a bottom-up approach
No full textBlunt trauma, particularly from traffic accidents, is a leading cause of multiple facial fractures. Managing such injuries can be extremely challenging for surgeons, especially when multiple facial regions are involved. Inadequate stabilization of fractured bones may result in permanent deformities. This case report outlines the principles and techniques of managing complex facial trauma, focusing on achieving harmonious bone alignment and balanced occlusion through proper segmental reduction. We present the case of a 28-year-old male with multiple facial fractures sustained in a traffic accident. Clinical and radiological examinations revealed fractures of the left orbital rim, Le Fort I level, left zygomaticomaxillary complex, mandibular symphysis, and right parasymphysis, accompanied by tooth avulsion. The patient underwent open reduction and internal fixation (ORIF) under general anesthesia using a bottom-up approach, followed by four weeks of intermaxillary fixation. This resulted in improved facial contour and satisfactory intermaxillary relationship. Effective management of multiple facial fractures requires comprehensive planning and meticulous technique to restore facial aesthetics, mastication, and anatomical landmarks. This can be achieved through either a top-down or bottom-up approach, depending on the stability of the fractured segments. In this case, ORIF was initiated with mandibular fixation due to the relative stability of the mandibular fragments, supporting the use of a bottom-up strategy. Thorough planning and precise execution are crucial to achieving optimal anatomical and functional outcomes and preserving the patient’s quality of life