Majalah Kedokteran Gigi Indonesia
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The difference in scaling root-planing results between addition of photodynamic therapy and application of metronidazole gel of 25% in chronic periodontitis treatment
No full textScaling Root-Planing (SRP) is a mechanical treatment for removing hard and soft deposits as well as bacteria that adhere to the tooth surface. The additional use of Photodynamic Therapy (PDT) can lead to damage of pathogen bacteria cell. Metronidazole is a common antibiotic with broad spectrum that goes againsts periodontal pathogen. This study aimed to compare the treatment outcomes between combined treatment SRP+PDT and SRP+metronidazole gel 25% in treating chronic periodontitis from the clinical parameters of Pocket Depth (PD), Relative Attachment Level (RAL), Papillary Bleeding Index (PBI) and the number of bacterial colonies. The study samples were taken from 30 periodontal pocket points, which were divided into two treatment groups. The first group was treated with SRP, then had an application of chlorophyll into the pockets and was lighted by 405 nm light, while the second group was treated with SRP, and was applied by metronidazole gel 25% into the pocket. The procedures were started by taking bacteria in the pocket using paper point in two treatment groups, then measuring PD, RAL and PBI as the baseline. After the treatments, PD and RAL results were calculated within observation time of the baseline, the 3rd, the 6th and the 9th weeks, while PBI and the number of bacterial colony were calculated at the baseline and the 3rd week. Distribution of data was analyzed by Shapiro Wilk test and the data reduction used non parametric test of Mann Whitney. The result showed a decreasing level in PD, RAL, PBI and the number of bacterial colony in both groups, but significant difference was seen in PD, and RAL of the baseline of the 9th week. Thus, the study concludes that the combination of SRP+PDT has the same effectiveness when compared to the combination of SRP+metronidazole gel of 25% in chronic periodontitis treatment, and the result is even greater in reducing the level of PD and RAL as seen from the baseline of 9th week measurement
Induksi ekstrak etanolik kulit batang jambu mete (Anacardum ccidentale) sebagai bahan kumur pada reaksi hipersensitivitas tikus wistar
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Nyeri mulut dan nyeri telan pasca demam tifoid manifestasi kandidiasis orofaring tipe pseudomembranosa/eritematosa
No full textDental caries and family expenditures as determinants of oral health-related quality of life in children, in Gamping, Sleman, and Yogyakarta
No full textInadequate oral health conditions would prevent children from participating in normal activities, which in turn would lead to changes in the children’s development and well-being. The aim of the study was to know whether dental caries and family expenditure are associated with quality of life related to dental and oral health among children aged 10–12 years. This study was conducted using observational quantitative with cross-sectional design. The research respondents were 126 students (n= 126) aged 10–12 years who were attending elementary school in Gamping Subdistrict, Sleman Regency, Yogyakarta. The respondents were selected based on proportional random sampling by applying inclusion and exclusion criteria. Quality of life related to dental and oral health assessment was done using CPQ11-12 ISF-16 version regarding their dental caries status (DMF-T) and family expenditure. The results of this study, based on Pearson’s correlation analysis showed that dental caries status and family expenditure were significantly correlated with quality of life related to dental and oral health (p = 0.013 and p = 0.001). The findings of multiple regression analysis suggested significant effects of family expenditures and caries status on quality of life related to dental and oral health (p = 0.001 and p = 0.037) and R2 = 0.161. Lower dental caries was associated with better quality of life related to dental and oral health. Higher family expenditure was associated with better quality of life related to dental and oral health. Dental caries status and family expenditure contributed to 16.1% of quality of life related to dental and oral health
Effects of sisal nanofiber addition to epoxy resin-based sealer on its antibacterial power against Enterococcus faecalis
No full textSealer is one of root canal filler materials which has been developed and has an antibacterial agent to keep root canal sterile during and after an obturation process. This study aimed to find out the effect of sisal nanofiber addition to resin epoxy-based sealer on the antibacterial power against Enterococccus faecalis (E. faecalis) which is known as adaptive and potent bacteria which can be both aerobic and anaerobic. Sisal fibers were processed through many stages to make it nano sized (scouring, bleaching, neutralization, ultrasonification, and freeze-drying). Once nano-sized sisal fibers had been obtained, they were then mixed with sealer powder (AH26) in different concentrations: powder 0%, 0.25%, 0.5%, 0.75% and 1%. These concentrations were chosen based on preliminary research for reasonable contact angle measurement of sisal-sealer mixture. Antibacterial effect was examined using the diffusion method, each concentration was tested in 5 petri dishes which were planted with 1.5 X 108 CFU/ml E.faecalis bacteria. Each dish consisted of 5 holes (6 mm in diameter), each hole represented each concentration of nano sisal and sealer which were mixed until homogenous for 3 minutes before added to each hole. The dishes were then incubated for 48 hours at 37 °C. Inhibitory zones were measured, and analyzed using one-way ANOVA. The one-way ANOVA result showed that p=0.502 (p>0.05), meaning that the sisal nanofiber addition to epoxy resin-based sealer had no effect on E.faecalis inhibition. Thus, there was no effect of sisal nanofiber addition to epoxy resin-based sealer on E. faecalis
Effectiveness of MIST with hydroxyapatite and β-tricalcium phosphate in alveolar bone density and osteocalcin level improvement during treatment of infrabony pockets
No full textThe minimally invasive surgical technique (MIST) is a method for periodontal regenerative treatment by minimizing trauma so it can preserve vascular supply of the interdental papillae. This study aims to determine the effectiveness of the MIST method with the addition of a combination of hydroxyapatite and β-tricalcium phosphate (HA + β-TCP) in treatment of infrabony pockets in terms of alveolar bone density and osteocalcin levels of gingival crevicular fluid. The study sample was taken from 20 teeth with infrabony pockets (n = 20), which were divided into two groups: 10 teeth treated with MIST and the other group with open flap debridement (OFD). Both groups received combination of HA + β-TCP. The osteocalcin levels of gingival crevicular fluid were checked on day-0 prior to the flap surgery, day-7 and day-14 after flap surgery using the Human Osteocalcin Elisa Kit. Radiological evaluation of alveolar bone density at day-0 and day-90 was done using cone beam computed tomography. Data of osteocalcin levels were analyzed using two-way ANOVA and continued with LSD Post Hoc test, while data of alveolar bone density reduction were analyzed using the Independent t-test parametric test. The results showed that there was no significant difference (p > 0.05) in the values of alveolar bone density between the MIST and OFD groups on day-0 and day-90, while the osteocalcin levels in both groups showed an increase from day-0 to day-7 and a decrease from day-7 to day-14. There was a significant difference (p < 0.05) on day-0 and 7 and day-7 and 14 between MIST and OFD groups. The MIST method with HA + β-TCP was effective and further increases alveolar bone density and osteocalcin levels of gingival crevicular fluid
Effect of Nanofilled Resin-Based Coating on the Compressive Strength of Glass Ionomer Cement – in vitro
No full textGlass ionomer cement as one of the restoration materials requires high compressive strength so it can last during functional activity. The latest glass ionomer cement comes with glass hybrid technology and a nanofilled resin-based protective coating which is said to increase the compressive strength of glass ionomer cement. The aim of this study was to analyze the effect of nanofilled resin-based coating and the types of glass ionomer cement materials on their compressive strength. Two types of commercial glass ionomer cement material were used; conventional (Fuji IX GP Extra), and hybrid (EQUIA Forte Fill) glass ionomer cement. Forty cylindrical (4 x 6 mm) samples were prepared in each group. The main group was divided into 4 subgroups (n=10) based on the protective coating used (EQUIA Forte Coat, Varnish, Control, Water + EQUIA Forte Coat). Eight subgroups were immersed in 37 °C distilled water for 7 days, then a compressive strength test was performed using a universal testing machine. The data analysis showed no significant difference in the compressive strength between the two types of glass ionomer cement materials (p>0.05). The use of a protective coating was associated with a significant decrease in the compressive strength (p<0.05). The use of glass ionomer cement without the application of a protective coating was considered to be quite good because the compressive strength value of the restoration still met the standards of the American Dental Association
Herpes-associated erythema multiforme in a postmenopausal woman
No full textHerpes-associated erythema multiforme (HAEM) is an acute inflammatory mucocutaneous disease which is characterized by ulcerative lesion on oral mucous membrane with or without skin involvements. The etiology of erythema multiforme (EM) is probably hypersensitivity reaction to human herpes simplex virus tipe 1 (HSV-1). Lesions on lips with HAEM can be treated by corticosteroid and acyclovir topically and/or orally. The objective of this study wasto report the case of HAEM with painful ulcers accompanying with crust on lips. A 55 years old woman complained painful ulcers with crust on lips since the last five months. She had visited a primary health care service and received several medications such as antibiotic (ciprofloxacin), anti-inflammatory drug (corticosteroid), analgesic (mefenamic acid) but her complaint was never healed completely because it was always recurring. The lesion on her lips got worse when she ate hot and spicy food and after she went out for outdor activities. She had a history of herpes virus infection seven months before but it was completely healed after treated by acyclovir topically and amoxicilin orally. An extra oral examination found black brown crust on her upper lip vermillion, well-demarcated, irregular margin, rough surface, erythematous surrounding area, accompanied with pain. An intra oral examination identified ulcers, yellowish, 4-5 mm in size, well-demarcated, irregular margin, redness in surronding area, accompanied with pain. Acomplete blood count examination, serology test for HSV-1 (IgM and IgG) were taken and the result showed that only IgG was reactive. The therapies given to the patient were topical medications with a combination of corticosteroid, chloramphenicol and moisturizer, followed by methyl prednisolone and acyclovir orally. After 6-week treatment, the lesions were completely healed.Herpes-associated erythema multiforme (HAEM) caused by hypersensitivity reactionto herpes simplex virus type 1 (HSV-1) may have a characteristic of painful ulcers accompanied with crust on the lips. The combination of both anti-inflammatory and antiviral drugs can be a choice for the therapy
The effect of sisal (Agave Sisalana) nanofiber in epoxy resin sealer on root canal obturation’s push-out bond strength
No full textSisal nanofiber can be used as an additional filler to increase the adhesion strength of the resin epoxy sealer. The aim of this study was to observe the effect of sisal nanofiber addition to epoxy resin sealer on push-out bond strength of root canal obturation material against the root canals. Twenty-five mandibular premolars (n= 25) were prepared until file F3 and obturated using 0%, 0.25%, 0.5%, 0.75%, and 1% sisal nanofiber sealer. After the specimens were stored at incubator, they were horizontally sectioned at apical third. Root sections were tested with push-out technique, and observed under a stereo microscope to determine the failure type. Data were analyzed with one-way ANOVA and LSD pos hoc at 95% confidence level (α=0.05). A one-way ANOVA test revealed that the addition of sisal nanofiber in epoxy resin sealer had a significant effect on the push out bond strength of the obturation material against the root canals. The failure type was observed predominantly in the cohesive type and the lowest in the adhesive type. The addition of sisal nanofiber to the epoxy resin sealer could increase the push-out bond strength of the obturation material against the root canals. Epoxy resin sealers with the addition of sisal nanofiber at a concentration group of 0.75% resulted in the highest push-out strength of root canal obturation materials followed by 0.5% concentration group