Majalah Kedokteran Gigi Indonesia
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Pengelolaan Fraktur Dentoalveolar pada Anak-Anak dengan Cap Splint Akrilik
No full textManagement of Dentoalveolar Fractures in Children Using Acrylic Cap Splint. The purpose of fracture treatment in children is basically the same as that in adults with different management, while the choice of treatment method mainly relies on the development of jaws and teeth. It reports two cases of dentoalveolar fractures in children under 5 years old who were treated using acrylic cap splint with circum-mandibular wiring under general anesthetic. Two children, aged 1 year and 3 years old were referred to the emergency department of Dr. Sardjito Hospital with the diagnosis of dentoalveolar fractures. Both cases were treated using cap splint with circum-mandibular wiring-based fixation under general anesthetic. After 3 weeks, the acrylic cap splint and the circum-mandibular wiring were released under sedation. No loose teeth were found in the fracture area. In the following 6 weeks, the teeth were stable with normal occlusion and no infection found. Acrylic cap splint with circum-mandibular wiring is a simple, effective and minimally invasive method for dentoalveolar treatment in children
Pengaruh Cara Aplikasi Pasta Gigi Herbal terhadap Produksi Volatile Sulfur Compound
No full textEffect of Herbal Toothpaste Application Method on Production of Volatile Sulfur Compound. Volatile sulfur compound (VSC) is a component of the gas produced by bacteria in the oral cavity, consisting of hydrogen sulfide,methyl mercaptan and dimethyl sulfide. This gas is often used as an indicator to assess the status of bad breath. Herbalbased dental paste has been reported in previous studies to inhibit the growth of germs that cause periodontal disease. Plaque Bacteria in the oral cavity can be reduced by tooth brushing and/or the use of antiseptic material. Two groups of subjects chosen were given treatment using herbal toothpaste in different ways: the first group was by brushing teeth with herbal toothpaste the way they usually do it and the second group was given the treatment by applying herbal paste in the left and right molar region of maxilla. The sampling was performed before treatment, 5 minutes and 2 hours after brushing teeth or applying herbal paste. The result of the experiment indicates that the use of herbal toothpaste with toothbrush and applying method has the same pattern on each component of the sulfur gas that is an increase after five minutes post-application and then a decrease after 2 hours post-application. Herbal toothpaste which is applied by means of brushing or by applying to the teeth affected the levels of VSC components; the level of Hydrogen sulfide decreased, the level of methyl mercaptan was relatively stable, and the level of dimethyl sulfide increased. Herbal toothpaste can be used in a common brushing way or by applying it to the teeth to reduce the levels of VSC gases, especially Hydrogen sulfide in normal subjects
Indeks Subjek
No full textAabsorpsi 161 – 166akar komplet 223 - 227anak 68-77Angular Cheilitis 12-20Angulus mandibula 47-52antecedent-behavior-consequence 201 - 207antecendent 208 – 215antibakteri 136 – 141antibakteri 59-67aplikasi gel 86-93asma alergi 38-46autotransplantasi 223 - 227bioadsorben 161 – 16
Efek Gel Ekstrak Kulit Buah Manggis (Garcinia Mangostana) pada Perlekatan Komposit pasca In-Office Bleaching
No full textHidrogen peroksida pada perawatan in-office bleaching meninggalkan residu yang dapat menghambat polimerisasi pada sistem resin bonding. Asam askorbat 10% sebagai antioksidan dapat mengeliminasi residu peroksida sebelum proses penumpatan. Kulit buah manggis (Garcinia mangostana) memiliki aktivitas antioksidan yang berpotensi untukmenggantikan peran asam askorbat. Penelitian ini bertujuan untuk membuktikan efek gel ekstrak kulit buah manggis dalam memperbaiki perlekatan komposit pada gigi pasca in-office bleaching. Penelitian ini merupakan penelitian eksperimental laboratorium. Sebanyak 25 gigi premolar pertama rahang atas dilakukan in-office bleaching danselanjutnya dibagi menjadi 5 kelompok terdiri dari kontrol negatif (tanpa agen antioksidan), kontrol positif (asam askorbat 10%), dan kelompok perlakuan gel ekstrak kulit buah manggis 10%, 20%, dan 40%. Perlekatan komposit ditentukan dengan uji geser, dilanjutkan pengamatan mikrostruktur permukaan email. Hasil penelitian menunjukkan nilai perlekatan komposit pada kelompok kontrol negatif dan kontrol positif berturut-turut sebesar 25,82±2,88 Mpa dan 37,68±1,06 Mpa. Pada kelompok perlakuan gel ekstrak kulit manggis 10%, 20%, dan 40% diperoleh nilai perlekatan berturut-turut sebesar26,54±2,68; 32,64±2,33; dan 57,34±1,51 Mpa. Nilai perlekatan komposit pada pemberian gel ekstrak kulit manggis 20% dan 40% berbeda signifikan dibandingkan dengan kontrol negatif maupun kontrol positif (p<0,05). Kenaikan konsentrasi gel ekstrak kulit manggis memberikan peningkatan jumlah fraktur email. Gel ekstrak kulit manggis 20% dan 40% dapat memperbaiki perlekatan komposit sehingga berpotensi sebagai agen antioksidan pada gigi pasca in-office bleaching. Effect of Mangosteen Gel on Shear Bond Strength Of Composite Post In-Office Bleaching. The residual peroxide after in-office bleaching inhibits the polymerization of the resin bonding systems. Ascorbic acid (10%) as anti-oxidant agent has a potential to remove the residual peroxide before restoration procedure. Mangosteen extracthas an anti-oxidant potential that can be used to remove the residual peroxide. The aim of the study is to prove the effect of mangosteen extract gel to improve shear bond strength of composite post in-office bleaching. The experimental laboratory design was implemented to this research. The study was carried out on 25 maxillary first premolars thathad been applied in-office bleaching procedure. The teeth were divided into five groups as follow: negative-control group (without anti-oxidant agent), positive-control group (10% ascorbic acid), and the treatment groups (10%, 20%, and 40% mangosteen extract gel). Shear bond strength of the specimens was tested and followed by microstructuretesting on email. The results show that negative-control and positive-control group scores were 25,82±2,88 Mpa and 37,68±1,06 Mpa, followed by the scores of 10%, 20%, and 40% mangosteen extract gel groups which were 26,54±2,68; 32,64±2,33; and 57,34±1,51 Mpa respectively. Significant higher shear bond strength values were observed in 20% and 40% mangosteen extract gel groups compared to the negative-control and positive-control group (p<0,05). The increasing concentration of mangosteen extract gel provided increasing number of email fractures. Mangosteen extract gel 20% and 40% improve the shear bond strength of composite, confirming its potential as an antioxidant agent for the teeth post in-office bleaching
Pengaruh Gigi Impaksi Molar Ketiga terhadap Ketebalan Angulus Mandibula Berdasarkan Jenis Kelamin
No full textFraktur mandibula sering terjadi pada praktek kedokteran gigi. Fraktur biasanya terjadi di daerah angulus mandibula tepat di daerah yang terdapat gigi impaksi. Masalah yang ditimbulkan akibat fraktur mandibula, yaitu hilangnya keseimbangan, terputusnya komponen neurovascular dan cedera pada jaringan disekitar fraktur. Tujuan dari penelitian ini adalah untuk mengetahui adanya perbedaan ketebalan tulang angulus mandibula antara kelompok yang memiliki gigi impaksi dengan kelompok yang tidak memiliki gigi impaksi serta jenis kelamin berdasarkan radiografis. Jenis penelitian deskriptif analitik menggunakan 40 sampel foto rontgen panoramik. Hasil penelitian terdapat perbedaan rata-rata antara pasien yang memiliki gigi impaksi dan tanpa gigi impaksi yaitu 1,44. Pada pasien impaksi gigi molar ketiga menurut jenis kelaminmenunjukkan perbedaan rerata ketebalan angulus mandibula sebesar 1,19 pada laki-laki dan 1,16 pada perempuan serta pasien tanpa impaksi menunjukkan nilai rerata ketebalan angulus mandibula sebesar 1,48 pada laki-laki dan 1,40 pada perempuan. Berdasarkan perhitungan T-test terdapat perbedaan yang bermakna (ρ<0,05). Kesimpulan bahwa adanya perbedaan signifikan ketebalan angulus mandibula pada pasien dengan gigi impaksi molar ketiga rahang bawah dan kelompok pasien tanpa gigi impaksi molar ketiga rahang bawah, serta jenis kelamin. Effect of impacted teeth on thickness of the angle of mandible based on gender. Mandibular fractures often occur in dental practice. Fractures usually occur in the angle of the mandible within the area of the impacted tooth. Some problems that are caused by mandibular fractures area are, the loss of balance, the breaking of neurovascular components and injury to the tissue surrounding the fracture. The purpose of this study is to determine the differences in bone thickness of the angle of the mandible between the groups that have an impacted tooth with the group that does not have an impacted tooth with different gender based on radiographic. This analytic descriptive study used 40 samples of panoramic radiographs. The study results show that the average difference between patients that have impacted tooth with patients that do not have is 1,44. Patients with impacted third molar based on gender show an average difference of the thickness of mandibular angle of 1,19 for men and 1,16 for women and patients with no impaction show an average thickness of the mandibular angle of 1,48 for men and 1,40 for women. Based on T-test calculation, there is a significant difference (ρ <0.05). The conclusion of study is that there is significant differences in the thickness of the angle of the mandible based on group of patients with impacted mandibular third molar, with the group of patients without impacted mandibular third molar
Efek antibakteri dan penghambatan biofilm ekstrak sereh (Cymbopogon nardus L.) terhadap bakteri Streptococcus mutans
No full textAntibacterial effect and biofilm inhibition Of Lemongrass extract (Cymbopogon nardus L.) against the growth of Streptococcus mutans. Caries prevention can be carried out by several methods. One of them is by controlling the plaque accumulation on the surface of the teeth. Lemongrass (Cymbopogon nardus L) is containing certain compound that can inhibit the growth of bacteria and biofilm. The objective of this research is to observe the influence of antibacterial and biofilm inhibition of lemongrass extract against the growth of S. mutans. Subjects were S. mutans bacteria on KHM90 test as much as 6x108 CFU/ml and on biofilm inhibition test as much as 15x108 CFU/ml. Lemongrass was extracted using petroleum ether followed by using 70% ethanol. Antibacterial activity test carried out with KHM90 determination test using microdilution method on microplate flat bottom 96 wells. Bacteria were prepared by making a suspension in NB media and adjusted to McFarland II standard (6x108 CFU/ml). Biofilm inhibition activity test was performed using microdilution method of the biofilm formed on microplate flat flexible PVC U-bottom 96 wells which were stained using 1% of crystal violet. Bacteria were prepared by making a suspension in BHI media and adjusted to McFarland V standard (15 x108 CFU/ml). The result in the form of optical density (OD) was read by Bio-rad microplate reader Benchmark at a wavelength of 595 nm. The value of IC50 was determined by probit method using SPSS version 15.The results of this study of measurements on KHM90 test showed that 108,36% w/v is capable of inhibiting the growth of bacteria. Biofilm inhibitory activity showed IC50 lemongrass value was 0,137% w/v. The conclusion of this study is that lemongrass extract has antibacterial effect against bacteria S. mutans showed by KHM90 obtained at concentrations of 0,18% w/v and there is lemongrass extract biofilm inhibitory effect against the bacteria S. mutans indicated by IC50 value 0,137
Penatalaksanaan Fraktur Kompleks Zygomatikomaksilaris Sinistra dengan Miniplate Osteosynthesis
No full textWajah terletak lebih ke anterior secara anatomis oleh sebab itu mudah mendapatkan trauma. Os Zigoma merupakan tulang yang menonjol pada wajah dan akan menahan gaya bentur terbesar pada wajah. Tulisan ini melaporkan penatalaksanan fraktur kompleks zigomatikomaksilaris sinistra dengan miniplate osteosynthesis.Seorang laki-laki 22 tahun dirujuk ke Bagian Bedah Mulut RSUP Dr Sardjito dengan riwayat kecelakaan lalulintas tiga minggu sebelum masuk RS. Pasien mengeluh daerah pipi kiri terasa tebal dan dirasa lebih datar dari pipi kanan. Pemeriksaan klinis terdapat parestesi nervus infraorbita sinistra, displace tulang daerah infraorbital rim sinistra, diskontinuitas regio sinus maksilaris sinistra. Radiografis CT axial dan koronal serta CT Scan 3D tampak fraktur melibatkan infraorbital rim sinistra, fraktur sinus maksila sinistra, fraktur pada sutura zigomaticofrontalis dan pada sutura zigomatikotemporalis. Penatalaksanaannya dilakukan open reduction internal fixation (ORIF) fraktur kompleks zigomatikomaksilaris dengan miniplate osteosynthesis di bawah anestesi umum. Pasca operasi gejala parestesi berangsur- angsur berkurang, defek infraorbital rim terkoreksi dan pipi kiri tampak kembali prominen. Prognosis kasus ini dubia ad bonam. ORIF dengan miniplate osteosynthesis dapat memulihkan deformitas wajah dengan hasil malar eminensia kembali prominen dan membuat kondisi dekompresi nervus infraorbita sinistra yang mendukung proses pemulihan sensorisnya.Management of Zygomaticomaxillaris Sinistra Complex Fractures with Osteosynthesis Miniplate. Face lies in a prominent position so that this area is often susceptible to trauma. Os zygomaticum is an area that holds the heaviest impact on facial trauma. This paper reports one case about zygomaticomaxillary complex fractures management with miniplate osteosynthesis. A 22 years old man was referred to the Department of Oral Surgery Dr Sardjito Hospital with a history of traffic accident three weeks before admission. He felt that his left cheek was thick and flatter than the right one. Clinical examination found that the left infraorbita nerve was paresthesized, the bone on the left infraorbital rim region was displaced and the left maxillary sinus region was discontinued. Radiography examination using CT axial and coronal, and 3D CT scan showed both of the left infraorbital rim and maxillary sinus were fractured, as well as the zygomaticotemporalis suture and the zygomaticofrontalis suture. An Open Reduction Internal Fixation (ORIF) of the zygomaticomaxillary complex fractures with miniplate osteosynthesis was performed under general anesthesia. The result showed that the postoperative paresthesia symptoms were gradually diminished, the infraorbital rim defects were corrected and the prominent left cheek was recontructed. The prognosis was dubia ad bonam. It can be concluded that ORIF with miniplate osteosynthesis reconstructs the facial deformity, recovers the malar eminence prominency. The nerves decompression will favor the recovery process of the left infraorbita sensor
Perawatan Maloklusi Klas II Divisi 1 Disertai Crowding dan Openbite menggunakan Teknik Begg
No full textMaloklusi Angle Klas II divisi I dapat disertai dengan crowding, open bite dan deep bite. Tujuan perawatan adalah untuk mengoreksi crowding, open bite anterior, diastemata rahang bawah, memperoleh overjet dan overbite normal, serta hubungan oklusal yang stabil. Pasien laki-laki berumur 19 tahun, dengan keluhan gigi-gigi rahang atas berjejal dan maju sehingga sulit menutup mulut, serta gigi-gigi rahang bawah renggang. Pasien didiagnosis Maloklusi Angle klas II divisi I dengan hubungan skeletal klas II disetai open bite, crowding dan protrusif gigi-gigi anterior rahang atas, diastemata gigi-gigi rahang bawah, molar pertama bawah kanan dan kiri telah dicabut, dan impaksi gigi kaninus kanan bawah. Perawatan menggunakan teknik Begg yang diawali dengan pencabutan kedua gigi premolar pertama rahang atas. Tahap pertama perawatan menggunakan multiloop arch wire 0,014” dan elastik intermaksiler klas II. Kesimpulan dari hasil perawatan setelah 16 bulan, crowding dan open bite anterior terkoreksi, diastemata menutup, dan pasien sudah tidak kesulitan dalam menutup mulut. Pasien masih dalam tahap penyelesaian perawatan
Efektivitas Desensitizing Agent dengan dan tanpa Fluor pada Metode in Office Bleaching terhadap Kandungan Mineral Gigi (Kajian In Vitro)
No full textIn office bleaching menggunakan hidrogen peroksida 40% sering memberikan efek samping berupa linu baik selama maupun setelah perawatan tersebut dilakukan. Penelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh waktu aplikasi dan kandungan fluor desensitizing agent pada metode in office bleaching terhadap kandungan mineral gigi. Delapan gigi masing-masing dipotong menjadi 4 bagian, 6 potong digunakan untuk pemeriksaan XRD awal. Gigi dikeringkan dalam oven suhu 50° selama 30 menit diserbuk, diambil 1 mg untuk diperiksa kandungan mineralnya dengan goniometer. Dua puluh empat potong yang lain dibagi dalam 4 kelompok perlakuan. Kelompok I: gigi diaplikasi bahan bleaching 0,5-1 mm hidrogen peroksida 40% selama 1 jam, dicuci, dikeringkan, diikuti aplikasi 0,1 ml desensitizing agent tanpa fluor (CPP-ACP) selama 30 menit, dicuci, dikeringkan. Kelompok II : gigi diaplikasi CPP-ACP 30 menit, dicuci, dikeringkan, dibleaching menggunakan hidrogen peroksida 40% selama 1 jam. Selanjutnya gigi diaplikasi CPP-ACP 30 menit lagi, dicuci, dikeringkan. Kelompok III gigi dibleaching menggunakan hidrogen peroksida 40% selama 1 jam, dicuci, dikeringkan, diikuti aplikasi desensitizing agent yang mengandung fluor (CPP-ACFP) selama 30 menit, dicuci, dikeringkan. Kelompok IV: gigi diaplikasi CPP-ACFP 30 menit, dicuci, dikeringkan, dibleaching menggunakan hidrogen peroksida 40% selama 1 jam. Selanjutnya gigi diaplikasi CPP-ACFP selama 30 menit, dicuci dikeringkan. Sesudah perlakuan, semua gigi dilakukan pemeriksaan kandungan mineral gigi dengan prosedur yang sama. Uji Mann Whitney menunjukkan penurunan mineral paling sedikit terjadi pada kelompok IV (4500). Desensitizing agent mengandung F sebelum dan sesudah perlakuan in office bleaching menunjukkan penurunan mineral paling kecil. The Effectiveness of Desensitizing Agent with and without Fluorine in Office Bleaching Method to Tooth Mineral content. Tooth sensitivity arises during or after an in-office bleaching was performed is usually overcome by using desensitizing agent with or without fluor. So far, desensitizing method applied only reduces tooth sensitivity but it had not overcome demineralization problem yet. This study was aimed to determine the influence of an application process and fluoride containing desensitizing agent in tooth mineral lossEight teeth were divided into four parts. Six specimens were smoothened using agate mortar. One mg of powder was inserted into the sample holder and mounted on goniometer heads to examine mineral content before treatment using X-Ray Diffraction (XRD). Twenty-four specimens were classified into four groups. In group I, 0,1 ml desensitizing agent without fluoride (CPP-ACP) was applied for 30 minutes after an in-office bleaching using 40% Hydrogen Peroxide was performed, while in group II, CPP-ACP was applied before and after an in-office bleaching was performed. In group III 0,1 ml fluoride containing desensitizing agent (CPP-ACFP) was applied for 30 minutes after in-office bleaching using 40% Hydrogen Peroxide was performed, while in group IV fluoride containing desensitizing agent was applied before and after an in-office bleaching was performed. Finally, all of the specimens were measured in their after-treatment mineral contain. Mann Whitney test showed that the lowest mineral lost was detected in group IV (4500). Fluoride containing desensitizing agent applied before and after an in-office bleaching effectively reduced mineral loss
Pengaruh Komposisi Glass Fiber Non Dental dan Penambahan Silane terhadap Kekuatan Geser Fiber Reinforced Composite sebagai Retainer Ortodonsi
No full textRetainer dibutuhkan untuk membantu menstabilkan posisi gigi geligi selama proses reorganisasi jaringan periodontal berlangsung. Retainer FRC ortodonsi dikembangkan sebagai alternatif material estetika serta aman bagi pasien alergi terhadap nikel. E-glass fiber lebih sering digunakan sebagai retainer ortodonsi. Penelitian ini bertujuan untuk mengkaji pengaruh komposisi glass fiber non dental dan penambahan silane terhadap kekuatan geser FRC sebagai retainer ortodonsi. Subjek penelitian terdiri dari 9 kelompok perlakuan dengan 3 jenis glass fiber yang berbeda yaitu glass fiber non dental A (LT, Cina), B (CMAX, Cina) dan C (HJ, Cina). Masing-masing glass fiber diberi perlakuan yang bervariasi yaitu tanpa penambahan silane, penambahan silane 1x dan 2x. Subjek penelitian direndam dalam akuades dan disimpan pada suhu 37ºC selama 24 jam sebelum dilakukan uji kekuatan geser dengan menggunakan alat Universal Testing Machine. Hasil penelitian dianalisis variansi dua jalur dan post hoc Tukey untuk mengetahui perbedaan statistik masing-masing kelompok. Hasil penelitian menunjukkan bahwa glass fiber non dental A dengan penambahan 2x silane memiliki rerata kekuatan geser tertinggi (12,72±2,02 MPa) sedangkan glass fiber non dental B tanpa penambahan silane memiliki rerata kekuatan geser terendah (6,96±1,69 MPa). Terdapat perbedaan bermakna antara komposisi fiber maupun penambahan silane terhadap kekuatan geser FRC (p0,05). Berdasarkan hasil penelitian dapat disimpulkan bahwa komposisi SiO2 dan Al2O3 yang tinggi pada glass fiber non dental serta penambahan silane dapat meningkatkan kekuatan geser FRC. The Effect of Non Dental Glass Fiber Composition and Silane Addition on The Shear Bond Strength of Fiber Reinforced Composite as An Orthodontic Retainer. Retainers are required to stabilize the position of the teeth to permit reorganization of periodontal tissue. FRC orthodontic retainer was developed as an alternative material aesthetic and safe for nickel allergic patients. E-glass fiber is commonly used as an orthodontic retainer. The purpose of this study was to assess the effect of non dental glass fiber composition and silanes addition on the shear bond strength of the FRC as an orthodontic retainer. This study consisted of 9 treatment groups with three different types of non dental glass fiber, namely non dental glass fiber A (LT, China), B (CMAX, China) and C (HJ, China). Each glass fiber was given a variation treatment, without silanes, one time and two times of silanes addition. All the samples were stored in distilled water at 37ºC for 24 hours and subsequently tested for shear strength by using Universal Testing Machine.The groups were submitted to two way ANOVA analysis of variance with Tukey post test to verify the statictical difference between groups. The results showed that a non dental glass fiber A with two times of silanes addition has the highest shear bond strength (12,72±2,02 MPa), meanwhile a non dental glass fiber B without silane addition has the lowest shear bond strength (6,96±1,69 MPa). There were significant differences between the composition of glass fiber and the addition of silane toward the shear bond strength of FRC (p0,05). Based on the results of this study concluded that the composition of the high SiO2 and Al2O3 in the non dental glass fiber and the silanes addition can increase the shear bond strength FRC