Majalah Kedokteran Gigi Indonesia
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Rehabilitasi Prostetik Protesa Jari dengan Bahan Silikon Rtv untuk Mengembalikan Bentuk dan Estetik
No full textTangan memiliki fungsi utama untuk menggenggam dan meraba. Organ ini dipergunakan untuk sarana komunikasi penting yang menunjukkan bahasa tubuh dan kontak sosial. Amputasi pada jari atau sebagian jari tangan merupakan kasus yang paling sering dijumpai sebagai bentuk hilangnya sebagian tangan yang dapat menimbulkan dampak buruk secara fisik, psikologis, maupun kerugian secara ekonomi bagi individu. Rehabilitasi prostetik pada amputasi jari menjadi pertimbangan ketika rekonstruksi mikro vaskular merupakan kontraindikasi atau perawatan mengalami kegagalan. Tujuan dari studi kasus ini adalah mengkaji rehabilitasi prostetik protesa jari menggunakan bahan silikon RTV untuk mengembalikan bentuk dan estetik. Pasien telah menyetujui kasusnya dipublikasikan untuk kepentingan ilmu pengetahuan. Pasien laki- laki, 24 tahun datang dengan keluhan kehilangan sebagian jari telunjuk kanan . Riwayat trauma disebabkan oleh tangan kanannya tergilas mesin bubut 6 tahun yang lalu. Tatalaksana kasus : Anamnesa, pemeriksaan klinis, dan rehabilitasi prostetik protesa jari dengan ahan silikon RTV. Protesa jari dengan estetik yang baik dapat memberi dukungan psikologis terhadap pasien.Rehabilitation Finger Prosthesis with RTV Silicone to Restore Form and Esthetic. The hand has basic functions like grasping and feeling. It is a mean of communication and is of mayor importance for body language and social contact. Finger and partial finger amputations are some of the most frequently encountered forms of partial hand loss causing devastating physical, psychosocial and economic damage to an individual. Prosthetic rehabilitation of amputed finger is considered when micro vascular reconstruction is contraindicated or unsuccessful. The purpose of case study is to review rehabilitation finger prosthesis with RTV silicone to restore form and esthetic. Case : A 24 year old male patient with the complaint of the partially lost right index He had a history of trauma to his right hand on a mechanical lathe 6 years ago : History talking, clinical examination, rehabilitation finger prosthetic with silicon RTV. A well fabricated esthetic prosthesis can help in providing the patient with psycological support
Pembuatan Pasta Gigi Katekin Teh Hijau dan Uji Daya Hambat terhadap Bakteri Streptococcus Mutans dan Lactobascillus Ascidopillus
No full textPembuatan pasta gigi ini dilatar belakangi oleh keinginan peneliti agar memudahkan masyarakat menggunakan bahan alami katekin teh hijau yang hasilnya langsung di uji efektifitasnya terhadap daya hambat bakteri kariogenik. Penelitian ini bertujuan untuk melakukan pembuatan prodak pasta gigi katekin teh hijau dengan formula yang sesuai dengan hasil uji dan melakukan pengujian daya hambat pasta gigi katekin teh hijau terhadap bakteri streptococcus mutans dan lactobacillus acidophilus. Pembuatan pasta gigi katekin teh hijau didahului dengan pembuatan ekstrak katekin dan uji konsentrasi hambat minimal (KHM) dan uji konsentrasi bunuh minimal (KBH) menggunakan metode dilusi cair.Peracikan formula dan pembuatan pasta gigi katekin teh hijau dilakukan sesuai hasil uji KHM (MIC). Pasta gigi katekin teh hijau ini dilakukan pengukuran kadar total flavonoid dan total polifenol, selanjutnya pengukuran uji daya hambat pasta gigi katekin teh hijau dilakukan dengan metode difusi menggunakan well (sumuran) sebagai reservoar sampel uji terhadap bakteri streptococus mutans dan lactobacilus acidophilus. Hasil diperoleh prodak pasta gigi katekin teh hijau dengan kandungan kadar flavonoid 77% dan kadar polifenol 41%, sedangkan hasil uji diameter hambatan pasta gigi katekin teh hijau terhadap bakteri streptococcus mutans 17,2 mm dan bakteri lactobacillus acidophilus 19,6 mm. Hasil ini menunjukkan bahwa prodak katekin teh hijau ini sangat efektif digunakan sehari-hari sebagai perawatan gigi dan juga sebagai antibakteri kariogenik. Making Green Tea Catechin Toothpaste and Inhibition Test Against Streptococcus Mutans and Acidophilus Lactobaccilus. The manufacture of this toothpaste is motivated by the desire of researchers to facilitate the public to use natural ingredients of green tea catechins whose result effectiveness against cariogenic bacteria was directly tested inhibition. This study is to find the right formula composition for greentea catechins toothpaste based on the result of the inhibition properties of greentea cathecins against tostreptococcus mutans dan lactobacillus acidophilus. The manufacture of greentea catechins toothpaste was after making catechins extracts and testing minimal inhibition concentration (MIC) and minimal bactericidal concentration (MBC) using liquid dilution method. The toothpaste was then made according to the result of MIC. The toothpaste’s flavonoid and polyphenol total contain was measured; then the inhibition property of the toothpaste to was measured using diffusion method with wells as the sample reservoar for streptococus mutans dan lactobacilus acidophilus. It is found that the toothpaste contains 77% flavonoid and 41% polyphenol, and the diameter of the inhibition property of green tea catechyn is 17.2 mm for streptococus mutans and 19.6 mm for lactobacilus acidophilus. This result shows that greentea catechyn toothpaste is very effective for daily oral care which is antibacterial
Autotranplantasi Caninus Maxilla pada Soket Incisivus Lateral Maxilla menggunakan Anestesi Lokal
No full textAutotransplantation of Maxillary Canines in Lateral Incisor Socket Using Local Anesthetic. Autotransplantation as the primary option that has many benefits over a period of mixed dentition for contributing to stimulating bone growth; it is not obtained on dental implants. Autotransplantation donor tooth is best when root development reaches half or one-third of the total length with open apex, with a success rate of 94%. However in the complete root, the success rate is lower (84%) due to periodontal issues which are often damaged when making the donor. In this case report, the authors performed the autotransplantation using a whole root donor tooth. Embedded teeth were used to replace deciduous canine teeth with rampant caries. The aim of this case is to replace rampant caries teeth that are not anatomically perfect
Faktor Antesenden Perilaku yang mempengaruhi Utilisasi Pelayanan Kesehatan Gigi Ibu Hamil (Studi Pendahuluan di Kecamatan Serpong Tangerang Selatan)
No full textAntecendent Affecting Utilization of Dental Services in Pregnant Women (Pilot Study at Serpong District, South Tangerang). Pregnancy and oral health are an aspect that is related to each other. Pregnant women need to regularly check oral health to a dentist every trimester. The number of utilization of dental service which is indicated by pregnant women’s dental visit data in Indonesia is still very low. Antecendent factors in ABC behavior change theory (Antecendent Behavior Consequences) are very important to influence the formation of a behavior including pregnant women dental’s visit. The objective of this study is to identify and evaluate the antecendent factors affecting the utilization of dental services during pregnancy. The preliminary research was conducted at comunity health center in Serpong district, South Tangerang with a cross sectional study. Subjects are 27 pregnant women with gestational age of 4-38 weeks.Data were collected through interview and clinical examination to find out about the score of DMFT index and modified gingival index, which was then analyzed descriptively and statistically using chi-Square test. Results: most of the respondents (96%; 26 respondents) did not visit the dentist during pregnancy. Antecendent factor of pregnant women’s dental visit: not knowing the benefits of dental visit during pregnancy (33%; 9 respondents), having fear of a dentist (26%; 7 respondents), visiting a dentist is thought to be expensive (19%; 5 respondents), having no need (11%; 3 respondents), having fear of causing harm to the fetus (11%; 3 respondents). The mean of DMFT is 2.78 ± 3.23 and the mean of modified gingival index (MGI) 1.00 ± 1.07. There were no significant differences in DMFT and MGI scores of each antecendent (p> 0.05). Conclusion: two major factors predicting the utilization of dental services during pregnancy are 1) knowledge and 2) perceived need
Perawatan Maloklusi Kelas I Bimaksiler Protrusi disertai Gigi Berdesakan dan Pergeseran Midline menggunakan Teknik Begg
No full textMaloklusi Angle kelas I dengan bimaksiler protrusi merupakan maloklusi yang paling sering dijumpai. Kelainan yang banyak menyertai maloklusi kelas I bimaksiler protrusi adalah gigi depan berdesakan dan pergeseran midline. Adanya persepsi negatif di masyarakat terhadap gigi dan bibir yang protrusi mendorong pasien untuk melakukan perawatan ortodontik. Perawatan pada kasus ini bertujuan untuk mengurangi kecembungan wajah dengan meretraksi gigi anterior atas maupun bawah, mengoreksi midline rahang atas dan bawah serta gigi berdesakan anterior dengan perawatan ortodontik teknik Begg sehingga dapat memperbaiki estetik wajah. Pasien wanita usia 34 tahun mengeluhkan gigi depan atas dan bawah sangat berdesakan dan pasien mengalami kesulitan dalam menutup mulut. Diagnosis pasien adalah Maloklusi Angle kelas I dengan bimaksiler protrusi disertai gigi berdesakan anterior, pergeseran midline rahang atas dan rahang bawah. Pasien dirawat menggunakan alat cekat teknik Begg. Sebelum perawatan dilakukan pencabutan gigi premolar pertama rahang bawah kanan dan kiri dan rahang atas kanan. Pada rahang atas kiri dilakukan pencabutan gigi insisivus lateral yang berada diluar lengkung. Kesimpulan perawatan setelah 2 tahun terlihat bimaksiler protrusi, gigi berdesakan anterior dan midline terkoreksi
Perkembangan Terkini Membran Guided Tissue Regeneration/Guided Bone Regeneration sebagai Terapi Regenerasi Jaringan Periodontal
No full textLatest Development of Guided Tissue Regeneration and Guided Bone Regeneration Membrane as Regenerative Therapy on Periodontal Tissue. Periodontitis is a patological state which influences the integrity of periodontal system that could lead to the destruction of the periodontal tissue and end up with tooth loss. Currently, there are so many researches and efforts to regenerate periodontal tissue, not only to stop the process of the disease but also to reconstruct the periodontal tissue. Periodontal regenerative therapy aims at directing the growth of new bone, cementum and periodontal ligament on the affected teeth. Regenerative procedures consist of soft tissue graft, bone graft, roots biomodification, guided tissue regeneration and combination of the procedures, including restorative surgical procedure that is connected with oral rehabilitation with implant placement. At cellular phase, periodontal regeneration is a complex process with well-organized proliferation, distinction, and development of various type of cell to form attachment of periodontal tissue. Rationalization of the use of guided tissue regeneration as barrier membrane is to prohibit the penetration of epithelial and connective tissue migration into the defect, to maintain space, and to stabilize the clot. This research discusses: 1. Healing process on periodontal therapy including regeneration, repair or formation of new attachment. 2. Periodontal specific tissue engineering. 3. Various commercially available membrane/guided tissue regeneration in the market with its advantages and disadvantages and their characteristics. 4. Recent advancement of membrane as regenerative therapy on periodontal disease. In addition, this review is presented to give an outlook for promising regenerative therapy as a part of developing knowledge and skills to treat periodontal disease
Korelasi Jumlah Streptococcus mutans (S. mutans) dan Level Ekspresi Interlukin 8 (IL-8) pada Severe Early Childhood Caries
No full textCorrelation of Streptococcus mutans (S. mutans) Level and Interleukin 8 (IL-8) Expressions of Salivary Neutrophils in Severe Early Childhood Caries. Early childhood caries is a very serious health problem because it is a chronic infectious disease that is contagious. Dental caries begins after the primary teeth grow and develop on the tooth surface very quickly and progressively. In recent years the views of neutrophils have changed dramatically. Neutrophils not only act as a microbe killer through phagocytosis, the release of reactive oxigen species (ROS) and its antimicrobial peptide, but neutrophil activation also helps regulate the immune response. To analyze the relationship between the amount S. mutans and IL-8 expression of salivary neutrophils in severe early Childhood caries. Two groups, namely Isolation of S. mutans were performed on saliva samples taken from 20 caries-free and 20 severe early childhood caries and samples Nacl 1,5% mouthwash results of 20 caries-free and 20 severe early childhood caries salivary neutrophils that were analysis of IL-8 expression by flow cytometry. Based on the average value, it is known that S. mutans level in early Childhood caries-free is lower (513.500,00 +185.565,28 CFU/ml) in comparison to the severe early Childhood caries (977.000,00 +222.500,15 CFU/ml), but the expression of IL-8 neutrophil salivary neutrophils in early Childhood caries-free is higher (3,31+0,50) in comparison to the severe early Childhood caries (2,95+0,56). The increased S. mutans level is probably caused by the decrease in the expression of IL-8 salivary neutrophils in severe early childhood caries
Intrusi Berat dengan Keterlibatan Multipel Gigi Insisivus Maksila akibat Trauma pada Anak
No full textTrauma gigi anak merupakan kasus yang sering dijumpai. Intrusi gigi merupakan salah satu akibat trauma berupa perpindahan gigi ke dalam soket alveolaris. Intrusi gigi permanen anak dengan pertumbuhan akar sempurna perlu segera ditangani untuk menghindari kerusakan permanen gigi dan jaringan pendukung. Reposisi secara bedah dipilih dengan pertimbangan kondisi umum, lama kejadian, keparahan dislokasi, kondisi mahkota dan pertumbuhan akar. Tujuan laporan ini adalah melaporkan keberhasilan pembedahan pada kasus fraktur dentoalveolar dengan multipel gigi intrusi. Seorang anak laki-laki berusia 10 tahun datang ke RSGM Prof. Soedomo dengan keluhan gigi masuk ke langit-langit setelah terjatuh kurang lebih 30 menit sebelum kedatangan. Keadaan umum baik, compos mentis, GCS 15, tanda vital normal, rasa sakit pada gigi atas (VAS = 7), tidak dicurigai cedera kepala atau trauma di tempat lain. Pemeriksaan klinis menunjukkan vulnus laceratum pada gingiva anterior maksila, empat gigi incisivus maksila (12,11, 21, 22) mengalami intrusi. Gigi insisivus sentral dan lateral kanan terlihat sepertiga mahkota, gigi insisivus sentral dan lateral kiri mahkota tidak tampak. Pemeriksaan radiografis menunjukkan intrusi gigi insisivus maksila dengan kedalaman lebih dari 7 milimeter, akar gigi telah tumbuh sempurna, dan tidak terdapat fraktur akar, fraktur mahkota maupun fraktur rahang. Tindakan yang dilakukan adalah reposisi gigi intrusi dan fiksasi interdental maksila. Perawatan bedah dan fiksasi interdental memberikan hasil yang sangat baik. Hasil kontrol pasca perawatan didapatkan oklusi normal, pasien mampu membuka dan menutup mulut tanpa ada gangguan, gigi-gigi intrusi dalam kondisi vital, mastikasi normal, dan estetika baik.Severe Traumatic Intrusions of Multiple Maxillary Incisors In Children. Dental trauma is one of the most common traumas during childhood. The report will discuss about a treatment of multiple severe traumatically intruded maxillary incisors in children. A 10-year-old boy came to Prof. Soedomo Dental Hospital with a complaint of teeth intrusion after having accident in school thirty minutes before. The patient was in good general condition, compos mentis, the GCS score was 15, vital sign was normal, pain on anterior maxillary teeth (VAS was 7), no head injury or other traumas. The clinical examination showed that there was vulnus laceratum on maxillary gingival, and intrusion of the four maxillary incisors (12, 11, 21, 22). Only one-third crown of the right maxillary incisors was visible, meanwhile, the crowns of the left maxillary incisors were totally invisible. The supporting radiographic examination showed that the four maxillary incisors was apically intruded with more than seven millimeters in depth. The teeth’s root were well-developed (complete root formation), no fractures of the teeth’s root, crown, and the jaw. The patient underwent intruded teeth repositioning surgical treatment and maxillary inter dental fixation. Clinical evaluation (1 month and 2 months) after the treatments showed that the occlusion was achieved as the same as before the trauma. The patient was able to open and close the mouth normally without functional impairments. Furthermore, the intruded teeth were in a vital condition, no mastication pain, and with a good aesthetics
Penatalaksanaan Repair Palatoplasty dengan Teknik Furlow Double Opposing Z Plasty
No full textKasus bibir dan lelangit sumbing merupakan salah satu kelainan deformitas yang sering terjadi. Keadaan klinis bervariasi mulai dari kasus sumbing tidak komplit sampai dengan komplit. Keadaan klinis dengan lebar celah yang bervariasi membutuhkan teknik pembedahan yang tepat. Pasien-pasien dengan bibir dan atau lelangit sumbing mungkinsebelumnya telah menjalani beberapa intervensi pembedahan, sehingga sering memerlukan koreksi lebih lanjut untuk memperbaiki hasil operasi sebelumnya. Pasien anak laki-laki usia 4 tahun 7 bulan mengeluhkan masih terdapatnya celah di lelangit. Pasien didiagnosis dengan labiognatopalatoschisis bilateral. Sebelumnya pasein sudah menjalani 4 kali operasi penutupan celah bibir dan lelangit. Pasien menjalani 2 kali operasi bibir sumbing dengan metode lip adhesion dan metode Barsky, dan 2 kali operasi lelangit sumbing dengan metode pushback dilanjutkan dengan koreksi dengan z plasty, tetapi hasil akhir masih terdapat celah di palatum mole. Selanjutnya dilakukan operasi repair palatoplasi denganmetode Furlow double opposing z plasty dengan kombinasi insisi lateral, dan didapatkan hasil menutupnya celah di palatum mole sampai dengan uvula. Telah dilakukan operasi repair palatoplasi dengan metode Furlow double opposing z plasty. Teknik ini dilakukan untuk menghindari insisi yang terlalu luas dikarenakan terdapatnya jaringan fibrous yang tebal pada mukosa palatum pasca operasi sebelumnya. Tujuan studi kasus adalah untuk mengetahui kemampuan teknik Furlow Double Opposing Z Plasty sebagai prosedur repair palatoplasty. Repair Palatoplasty Management with Furlow Double Opposing Z Plasty Technique. Cases of cleft lip and palate are one of the deformity disorders that often occur. There are variety of clinical appearance ranging from incomplete to complete cases. Clinical appearance with different width requires proper surgical technique. Patients with cleft lip and palate had undergone surgical intervention, so that they needed surgical correction to repair the result or failure of the previous surgery. A Four year old boy complain there was cleft on the soft palate. The patient was diagnosed with labiognatopalatoscisis. The patient had undergone two stages of cleft lip surgery and twice of cleft palate surgery with pushback method and repair with z plasty, however the result was unsatisfactory. Further, the patient underwent repair palatoplasty surgery with Furlow double opposing z plasty method combined with lateral relaxing insicion. The result in the post surgery was the closure of cleft soft palate up to uvula. Repair palataplasty surgery has been done with Furlow double opposing z plasty method. This technique could avoid extended incision due to thick fibrous tissue on the palatum mucosa as the result of serial previous surgery. The aim of this case case study is to determine the technical capabilities of Furlow Double Opposing Z Plasty as palatoplasty repair procedure
Pengaruh Aplikasi Gel Ekstrak Kulit Citrus Sinensis terhadap Epitelisasi pada Penyembuhan Luka Gingiva Tikus Sprague Dawley
No full textPenyembuhan luka merupakan mekanisme pertahanan jaringan, dengan epitelisasi sebagai salah satu parameternya. Kulit jeruk manis memiliki potensi dalam penyembuhan luka karena mengandung nutrisi yang memiliki peran dalam mempercepat penyembuhan luka. Penelitian ini bertujuan untuk mengetahui efek aplikasi topikal gel ekstrak kulit jerukmanis terhadap epitelisasi pada proses penyembuhan luka gingiva labial tikus Sprague Dawley. Dua puluh tujuh ekor tikus Sprague Dawley, berumur 2-3 bulan, dibagi dalam 3 kelompok, kontrol positif, perlakuan, dan kontrol negatif. Perlukaan pada gingiva labial mandibula dibuat dengan punch biopsy berdiameter 2,5 mm. Luka pada kelompok kontrolpositif diaplikasikan Aloclair, kelompok perlakuan diaplikasikan gel ekstrak kulit jeruk manis 10%, dan kelompok kontrol negatif diaplikasikan CMC-Na, masing-masing 2 kali sehari selama 1 menit secara topikal. Tiga ekor tikus dari tiap kelompok didekapitasi masing-masing pada hari ke-3, 7, dan 14. Jaringan luka diambil dan dibuat sediaan histologis dengan pengecatan Hemaktosilin Eosin. Pengukuran ketebalan epitel dilakukan dengan menggunakan Optilab yang dipasang pada mikroskop cahaya. Data ketebalan epitel dianalisis dengan menggunakan ANAVA dua jalur. Hasil pengukuran ketebalan epitel menunjukkan perbedaan yang tidak signifikan pada kelompok kontrol positif dengan perlakuan (p>0,05), namun menunjukkan perbedaan yang signifikan pada kelompok perlakuan dengan kontrol negatif (p0.05) while there was significant difference between treatment group and negative control group (p<0.05) observed at 3, 7, and 14 days. The conclusion of this research is that the application of sweet orange peel extract gel accelerates epithelialization of wound healing process in labial mandibular gingiva of Sprague Dawley rats