Majalah Kedokteran Gigi Indonesia
Not a member yet
499 research outputs found
Sort by
Pasak Customized Fiber Reinforced Composite Indirect pada Gigi Incisivus Lateralis Kiri Atas dengan Dinding Saluran Akar yang Tipis
No full textGigi pasca perawatan saluran akar (PSA) biasanya mengalami kehilangan struktur gigi yang luas oleh karena karies, faktor iatrogenik, restorasi sebelumnya dan fraktur. Pengurangan dentin di dalam saluran akar akan menyebabkan saluran akar menjadi tipis, sehingga restorasi konvensional dengan pasak logam dapat menyebabkan fraktur akar. Untuk meminimalkan fraktur akar tersebut, telah dikenal pasak fiber yang memiliki modulus elastisitas yang sama dengan dentin. Pada saluran akar yang lebar dan ireguler serta struktur mahkota yang minimal, dibutuhkan pasak customized fiber reinforced composite dengan inti yang dapat memperkuat struktur gigi yang sudah lemah. Studi kasus ini melaporkankasus restorasi gigi non vital pasca PSA dengan dinding saluran akar tipis, yang berhasil dirawat dengan customized fiber reinforced composite indirect. Seorang pasien wanita usia 27 tahun dirujuk ke Bagian Konservasi Gigi karena mengalami over instrumentasi saluran pasak pada gigi incisivus lateralis kiri atas. Pada pemeriksaan radiograf, tampakdinding saluran akar sangat tipis. Restorasi ini dilakukan dalam 3 kali kunjungan. Pada kunjungan pertama dilakukan pencetakan saluran pasak dengan teknik double impression. Pasak customized fiber reinforced composit indirect, dibuat dalam cetakan saluran pasak menggunakan resin komposit Premise Indirect (Kerr) yang diperkuat dengan pita fiber (Construct, Kerr). Inti dan pasak yang sudah dibentuk, disinar menggunakan Light Cure selama 20 detik di setiap sisi, lalu polimerisasi disempurnakan dengan oven selama 20 menit. Pada kunjungan kedua dilakukan insersi pasak dan pencetakan mahkota jaket dengan teknik double impression. Pada kunjungan ketiga dilakukan insersi mahkota jaket. Gigi non vital pasca PSA dengan dinding saluran pasak yang tipis dapat direstorasi dengan customized fiber reinforcedcomposite indirect dengan baik. Indirect Customized Fiber Reinforced Composite Post In Upper Left Lateralis Incisivus With Thin-Walled Root. Excessive tooth structure loss after root canal treatment is usually present due to caries lesion, iatrogenic factor, previous restoration, and fracture. Intra-radicular dentin removal during root canal treatment may result in thin root canal wall structures, therefore conventional restoration using metallic post frequently leads to irreparable root fractures. In order to minimize the root fracture risk, fiber post has been known as an ideal choice because of its similar modulus elasticity characteristic to dentin. The wide and irregular root canal accompanied with minimum remaining tooth structure needs a customized fiber reinforced composite post to strengthen the preserved tooth structure. This article reports a succesfulrestoration of a non vital post root canal treatment tooth with thin root canal walls using indirect customized fiber-reinforced composite post. A 27-year-old female patient with over instrumentation in root canal of the upper left lateral incisor was referred to the Department of Conservative Dentistry. The radiograph examination finds that there was a very thin wall of the remaining root canal structure. The restoration was carried out in 3 visits. In the first visit, post canal impression was obtained using double impression technique. Indirect customized fiber reinforced composite post was made in the mold using composite resin Premise Indirect (Kerr) reinforced with fiber band (Construct, Kerr). The formed post and core were light cured for 20 seconds, and then refined by oven polymerization for 20 minutes. In the second visit, the post was inserted and crown impression was obtained using double impression technique. In the third visit, the jacket crown was inserted. The root canal treated tooth with remaining thin post canal wall could be restored with indirect customized fiber reinforced composite
Profil Angular Cheilitis pada penderita HIV/AIDS di UPIPI RSUD Dr. Soetomo Surabaya 2014
No full textProfile of Angular Cheilitis in HIV/AIDS Patients at UPIPI RSUD Dr. Soetomo Surabaya 2014. For over twenty years, human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) have become a significant public health concern, and the epidemic continues to challenge humanity. HIV related oral lesions can be used as markers of the immune status. Angular Cheilitis (AC) which is one of the seven oral manifestations which are strongly associated with HIV Infection, has been identified and internationally calibrated. The purpose of this research is to identify the Angular Cheilitis and its association with reduced Cluster of Differentiation 4 (CD4+) count in HIV/AIDS patients at Unit Perawatan Intermediet Penyakit Infeksi (UPIPI) RSUD Dr. Soetomo Surabaya. This was an Analytic observasional research with cross-sectional and total sampling method. The samples consisted of 88 HIV/AIDS patients treated in UPIPI RSUD Dr. Soetomo Surabaya from July to August 2014. The Diagnosis of Angular Cheilitis was based on clinical appearance; the oral cavities of the research subjects were examined by dentists specialized in Oral Medicine. CD4+ counts were obtained from the patient’s medical record. Eighty Eight HIV/AIDS patients were examined and there were 120 cases of oral manifestation. There were 31 cases of Angular Cheilitis (25,83%). Angular Cheilitis was found to be significantly correlated to the decrease in CD4+ cell count below 200 cells/mm3 (P< -,245). Risk Relative anaylsis concludes that HIV/AIDS patients with Candidiasis Oral 7.5 more often suffer from AC. There is a correlation between AC and OC (p<0,357). Angular Cheilitis may be used as an alternative to predict CD4+ count at field-based settings to diagnose the immunocompromised status of HIV-infected individuals
Hubungan Body Mass Index dengan Laju Aliran Saliva (Studi pada Mahasiswa Fakultas Kedokteran Gigi Universitas Andalas)
No full textRelationship between Body Mass Index and Saliva Flow Rate (A Study in Faculty of Dentistry, Andalas University). Saliva flow rate is an affecting factor of caries formation. Adequate saliva flow rate can prevent cariess formation process and progression of periodontal disease and oral infection. Nutritional status is known as an influencing factor of saliva flow rate. The parameter of nutritional status is Body Mass Index (BMI). The purpose of this study is to discover the relation between BMI and saliva flow rate in College Students of the Dentistry Faculty Andalas University. This observational study with cross sectional design was conducted to 24 college students of the Dentistry Faculty Andalas University whose ages were 18-25 years old who complied with inclussion and exclussion criteria. BMI was calculated with BMI formula. The saliva flow rate was determined with Sialometry Method of Navazesh 2008 with ”ml/minute” unit. The univariat data analysis was caried out to describe each variable. Normality test Kolmogorov Smirnoff was done to see the normal distribution (p > 0,05). After the distribution was proven to be normal, corelation and regression test was executed to discover the relation between BMI and saliva flow rate. Based on the correlation test result, BMI of college students of the Dentistry Faculty Andalas University is χχ ± SD = 24,6 ± 6,02 kg/m2 and saliva flow rate is χχ ± SD = 0,29 ± 0,1 ml/minute. The relation between BMI and saliva flow rate expresses medium correlation with negative direction ( r = - 0,451). The result of linear regression shows that Saliva Flow Rate = 0,404 - 0,008*(BMI). The coefficient of regression BMI 0.008 shows that increasing 1 unit of BMI will decrease saliva flow rate 0,008 ml/minute. This study concludes that there is correlation between Body Mass Index and saliva flow rate. Obesity group has the lowest saliva flow rate, while the saliva flow rate does not decrease in underweight group
Penurunan Kadar IL-1β Makrofag Terpapar Agregat Bakteri Actinomycetemcomitans setelah Pemberian Minyak Atsiri Temu Putih
No full textIL-1β level of macrophage exposed to A. actinomycetemomitans decreases after administration Curcuma Zedoaria volatile oil. Activation of interleukin-1β (IL-1β) is a key regulator of the inflammatory response. Macrophage is a phagocytic mononuclear cell that plays an important role in innate and adaptive immune response. The cytokine secreted by macrophages in response to pathogen are IL-1, IL-6, IL-12, TNF-α and chemokine. Curcuma zedoaria volatile oil may have anti inflammation effect. The aim of this study was to investigate IL-1β level of macrophage exposed to A. actinomycetemcomitans after administration Curcuma zedoaria volatile oil. The subjects were 10 male Wistar rats, which divided into two groups (treatment and control), each group 5 rats. In the treatment group, 30,6 μl/ml Curcuma zedoaria volatile oil was administered per oral for 14 days and the control group used aquabidest. In the 7th days, 100 μl A. actinomycetemcomitans in CMC 2% were applied on the anterior gingival mandible for 7 days. Rats were anesthetized in the 15th days then macrophage was collected from peritoneal. Interleukin-1β level of macrophage was measured using ELISA kit (R&D Systems, USA). Data were analyzed using t-test. The result showed IL-1β level decreased after treatment. The comparison between treatment and control was significant difference (p<0.05). It can be concluded that Curcuma zedoaria volatile oil may have anti inflammation effect through reducing the IL-1β level of macrophage
Apeksifikasi pada Gigi Insisivus Kanan Maksila dengan Mineral Trioxide Aggregate
No full textTrauma pada gigi permanen imatur non vital dengan apikal terbuka sering terjadi dan melibatkan kurang lebih 30% populasi anak. Mineral trioxide aggregate (MTA) adalah bahan pilihan terbaik yang dipakai sebagai bahan apeksifikasi untuk pembentukan apikal barrier dan penyembuhan pada gigi imatur. Tujuan laporan kasus adalah untuk melaporkan keberhasilan penutupan apikal dengan menggunakan MTA pada gigi permanen insisivus non vital dengan apikal terbuka yang diakibatkan trauma. Pasien perempuan 18 tahun dengan keluhan gigi depan atas kanan patah dan berubah warna. Kejadian trauma sejak 6 tahun yang lalu karena jatuh dari sepeda. Pemeriksaan klinis, gigi non vital dengan fraktur Ellis klas IV disertai apikal terbuka dan diskolorasi oleh karena trauma. Periapikal radiografis menunjukkan apikal masih terbuka dengan saluran akar yang besar serta terdapat radiolusensi periapikal. Apeksifikasi dilakukan dengan MTA dilanjutkandengan pemasangan pasak pita fiber, pembuatan inti dan restorasi mahkota jaket porselin fusi metal. Simpulan hasil perawatan menunjukkan bahwa apeksifikasi dengan MTA dapat mempersingkat waktu kunjungan dengan pembentukan barier apikal yang merangsang penyembuhan dan dapat langsung dilanjutkan dengan restorasi akhir.Apexification With Mineral Trioxide Aggregate In Right Maxillary Incisor. Traumatic injury in non-vital immature permanent teeth with open apex is common, and it comprises approximately 30% of the pediatric population. Mineral trioxide aggregate (MTA) is the best material to be used as an ingredient for apexification procedure for apical calcific barrier formation and healing. The aim of the present case study is to overview the successful closure of root apex in pulpless permanent incisors with wide open apices as a consequence of trauma using MTA. The examination was conducted to an 18 year-old female patient who complained about her broken and discolored right upper front teeth. The traumatic injury of her teeth had happened since 6 years ago after she fell from bike. On clinical examination, she suffered from non-vital teeth with fracture Ellis class IV, apex open and discoloration accompanied by trauma. Periapical radiographic evaluation showed that root formation with wide open apices with root canal was large and indicated a periapical radiolucency. Therefore, apexification with MTA was performed followed by ribbon fiber-reinforced, core making and restoration of full crown porcelain fusion metal. From the treatment, it can be concluded that the time visit for apexification treatment using MTA is shortened, and MTA can heal and stimulate apical barrier formation immediately after final restoration
Penggunaan Vertical Loop pada Perawatan Gigi Berjejal Parah dan Crossbite Anterior dengan Teknik Begg
No full textGigi berjejal dapat terjadi pada semua klasifikasi maloklusi. Perawatan gigi berjejal berat dengan teknik Begg menggunakan vertical loop untuk meningkatkan kelentingan busur labial supaya dapat terpasang pada gigi berjejal sehingga levelling dan unravelling gigi anterior dapat tercapai. Tujuan artikel ini untuk menerangkan manfaat dari vertical loop pada kasus gigi berjejal berat. Pada artikel ini disajikan dua kasus gigi berjejal parah dan crossbite. Kasus pertama: laki-laki 17 tahun tidak percaya diri karena berjejal dan gingsul. Diagnosis: maloklusi Angle klas III subdivisi tipe skeletal klas III dengan maksila retrusif dan mandibula prognatik, gigi berjejal parah dan crossbite anterior. Kasus kedua: perempuan 18 tahun, mengeluhkan gigi berjejal, sulit dibersihkan dan gusi sering berdarah. Diagnosis: Maloklusi Angle klas I tipe skeletal klas I dengan bimaksiler retrusif dan bidental protrusif gigi berjejal berat dan crossbite anterior. Pada kedua kasus dilakukan perawatan dengan alat ortodontik cekat teknik Begg, pada tahap pertama digunakan archwire diameter 0,014” dengan vertical loop untuk koreksi gigi malposisi berupa gigi berjejal, membuka dan menutup ruang gigi anterior dengan menggerakkan gigi ke arah mesiolabial dan labiolingual sehingga gigi berjejal dan crossbite anterior dapat terkoreksi. Hasil: Koreksi inklinasi gigi-gigi rahang atas dan bawah, overjet dan overbite dipertahankan, penutupan sisa ruang, koreksi aksial gigi-gigi dan perbaikan interdigitasi sesuai dengan oklusi normal. Kesimpulan dari penggunaan vertical loop pada perawatan ortodontik cekat dengan teknik Begg menunjukkan sangat efektif dalam mengoreksi gigi berjejal berat dan crossbite anterior
Pengaruh Jenis dan Volumetrik Fiber terhadap Kekuatan Transversal Reparasi Plat Resin Akrilik
No full textResin akrilik merupakan bahan yang sering digunakan dalam pembuatan basis gigi tiruan. Kelemahan resin akrilik adalah mudah patah. Salah satu cara untuk mengatasi masalah tersebut adalah dengan menambahkan polyethylene (PE) atau glass fiber. Tujuan dari penelitian ini untuk mengetahui pengaruh jenis dan volumetrik fiber terhadap kekuatan transversal reparasi plat resin akrilik. Penelitian ini menggunakan dua puluh lima plat resin akrilik kuring panas berukuran 65 x 10 x 2,5 mm. Subjek dipreparasi untuk membuat jarak 3 mm dan sudut bevel 45o. Subjek dibagi menjadi 5 kelompok, masingmasing kelompok terdiri dari 5 subjek. Kelompok 1 (kontrol) tanpa penambahan fiber, kelompok II dengan penambahan 3,7% v/v PE fiber, kelompok III dengan penambahan 7,4% v/v PE fiber, kelompok IV dengan penambahan 3,7% v/v E-glass fiber, dan kelompok V dengan penambahan 7,4% v/v E-glass fiber. Seluruh plat direndam dalam air destilasi selama satu hari pada suhu 37oC. Pengujian kekuatan transversal plat resin akrilik dengan menggunakan Universal Testing Machine dan data yang didapat dianalisis menggunakan ANAVA dua jalur dengan tingkat kepercayaan 95%. Rerata kekuatan transversal (MPa) reparasi plat resin akrilik yang diperkuat fiber: 3,7% v/v PE fiber (67,77±3,34); 7,4% v/v PE fiber (80,37±8,42); 3,7% v/v E-glass fiber (96,72±5,43); 7,4% v/v E-glass fiber (109,44±4,98); sedangkan reparasi plat resin yang tidak diperkuat fiber menghasilkan kekuatan transversal 56,27±4,7 MPa. Hasil analisis menggunakanANAVA dua jalur menunjukkan variabel jenis dan volumetrik fiber memberikan pengaruh signifikan (p0,05). Uji post hoc Tukey menunjukkan perbedaan signifikan (p0.05). Tukey post hoc test shows significant difference (p<0.05) for all groups. The addition of E-glass fibers in the acrylic resin plate repaired increased the transverse strength higher than that with PE fibers. The increase in volumetric fibers might improve the transverse strength of the acrylic resin plate repaired
Kesehatan Gigi Mulut dan Pemanfaatan Pelayanan Kesehatan Gigi Mulut pada Ibu Hamil (Studi Pendahuluan di Wilayah Puskesmas Serpong, Tangerang Selatan)
No full textOral Health and Dental Visit of Pregnant Women (Pilot Study in Serpong, South Tangerang). Pregnancy has a significant effect on oral health-related hormonal changes, diet and behavior. Pregnant women become very susceptible to gingival and periodontal disease. Oral health condition of pregnant women may adversely bring impacts such as preterm low birth weight (PLBW). The aim of this study is to gain an overview of oral health status, knowledge and use of dental care service in pregnant women. This was a descriptive study with cross sectional approach. The structured interviews involved 34 pregnant women in Puskesmas Serpong. The questions included the characteristics of the respondents, oral health care practice, problem related to oral health during pregnancy, oral health knowledge and dental health service utilization in pregnant women. Chi-squares test were conducted to examine bivariable relationships between sociodemographic, oral health status and knowledge to dental health services utilization. The results show that more than half of pregnant woman respondents (52.94%) descibed their oral health as good and 61.8% did not have any dental health problems. As many as 55.9% of the respondents had knowledge about the importance of oral dental health during pregnancy. Only about 35.5% of the respondents visited dentists in the last one year. There is a significant correlation between dental health problem and dental health knowledge of pregnant women to the use of dental health services. The conclusion from this study is that dental health problem in pregnant women affects the utilization of dental care during pregnancy and is associated with the knowledge about dental health during pregnancy
Indeks Subjek
No full textAAggregatibacter Actinomycetemcomitans; 9 – 13Alat Cekat Begg; 199-207Apeksifikasi; 170-177Apikal Terbuka; 170-17
Indeks Penulis
No full textAA.A.Ayu Agung Subiantari D. 84 - 90Afini Putri Luthfianty 212 - 216Agustinus Rudolf Phym 122 - 126Al Supartinah 117 - 121Andina Novita Sari 165 – 170Applonia 20 - 26Archadian Nuryanti 47 – 5