STOMATOGNATIC- Jurnal Kedokteran Gigi
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Excisional New Attachment Procedure (ENAP) sebagai Terapi Bedah pada Pasien Periodontitis: Laporan Kasus
Periodontitis is a chronic polymicrobial inflammatory disease of the periodontium. Clinically, it is characterized by bleeding gums, periodontal ligament destruction, and alveolar bone loss. Several risk factors also contribute to the significance of periodontal disease. Excisional New Attachment Procedure (ENAP) is one of the surgical treatments to treat attachment loss in periodontitis patients. Properly carried out periodontal treatment will eliminate gingival inflammation, eliminate gingival bleeding, and reduce periodontal pockets. This study aims to report the management of chronic periodontitis with ENAP to remove Junctional Epithelium and pockets. A 28-year-old male patient came to the UNIMUS Dental and Oral Hospital with complaints of enlarged gingiva accompanied by a lot of caries in the upper anterior region, particularly in the right lateral incisor to the left lateral incisor. History of allergies and systemic disease was denied. The initial OHI examination is 5,99 (moderate), and the O'Leary index is 44,8%. ENAP was carried out with an internal bevel incision using a #15 blade and followed by excised tissue removal. Simultaneously, caries restoration is also carried out. After two weeks of surgical treatment, healing was uneventful, with no inflammation. Plaque buildup and calculus in the oral cavity can be the main or associated cause of the patient's periodontitis. Therefore, plaque control is an important aspect of management in all patients. ENAP could act as an effective modality to treat chronic periodontitis
Pengaruh Senyawa Flavonoid Buah Naga Merah (Hylocereus polyrhizus) Hasil Destilasi Terhadap Perubahan Warna Basis Gigi Tiruan Resin Akrilik Heat-Cured
Heat-cured acrylic resin is the most widely used denture base material in dentistry. In use, heat-cured acrylic resin can change color. The color changes that occur can be caused by the nature of the acrylic resin, namely porosity and easy absorption of water. Exposure of heat-cured acrylic resin to acidic flavonoid compounds can affect color stability and reduce user aesthetics. The purpose of this study was to determine the effect of the flavonoid active compounds contained in red dragon fruit from distillation on the color change of heat-cured acrylic resin. This research is a kind of experimental laboratory with pre and post test group design research. Extraction of flavonoid compounds in this study used a distillation process to remove dye and obtain pure flavonoid compounds. Measure the color change using a Minolta cr-10 color reader. The results showed that there was a significant color change between the control group and the treatment group. The conclusion of the study is that there are differences in color changes in heat-cured acrylic resins that are soaked for different lengths of time, so the longer the immersion time, the greater the color changes that occur
Efektivitas Pasta Gigi dengan Kandungan Ekstrak Biji Kopi Robusta (Coffea canephora) dalam Memodulasi Adhesi Streptococcus mutans Terhadap Monosit
S. mutans can invade blood vessels which will trigger a monocyte response with adhesion. Excessive adhesion of S. mutans to monocytes can cause prolonged inflammation and tissue damage so adhesion must be modulated. - The purpose of this study was to examine the ability of toothpaste with robusta coffee bean extract concentrations of 0.78%; 1.56%; 3.12%; and 6.25% in modulating - the adhesion of S. mutans to monocytes. This - is an in vitro laboratory experiment using the post-test only control group design. The sample was divided into 2 groups: Control group (placebo paste) and the treated group (toothpaste containing 0.78%; 1.56%; 3.12%; and 6.25% of robusta coffee bean extract). Placebo paste and toothpaste with robusta coffee bean extract were diluted using RPMI (1:10) before being applied to each sample. Monocyte isolate was incubated with placebo paste and toothpaste with robusta coffee bean extract for 2.5 hours, then - exposured to S. mutans for 4 hours. The adhesion index -was determined by calculating the average number of S. mutans attached to 100 monocytes. The results P<0,05 showed that there were significant differences between the treatment groups. The highest adhesion index was found at a concentration of 0.78% with 5,55% and the lowest at a concentration of 6.25% showed 1,37%. The conclusion of this study based on is that toothpaste with robusta coffee bean extract concentrations of 0.78%; 1.56%; 3.12%; and 6.25% were able to modulate by inhibiting the adhesion of S. mutans to monocytes with the most effective concentration is 6.25%
Gambaran Kebutuhan Subjektif Gigi Tiruan Berdasarkan Lokasi Kehilangan Gigi pada Masyarakat Sumbersari di Kabupaten Jember
Tooth loss is a common dental health problem that can affect oral functions. The impact of tooth loss varies depending on the edentulous location, while the use of dentures remains low due to differences in perceived needs. The Sumbersari Health Center working area is known to have a total of 3,522 dental cases. This number is the first highest in the urban area of Jember and the second highest in Jember Regency in 2023. This study aims to describe perceived needs for denture based on the edentulous location. This study aims to determine the perception of the perceived needs for denture based on edentulous location in the Sumbersari community, Jember Regency. This research employed an descriptive observational design with a cross-sectional approach. The study was conducted on 60 respondents aged 45-69 years who experienced edentulous condition selected by purposive random sampling. Data were collected through clinical examinations and questionnaires. Individuals with mandibular edentulous had the highest mean perceived needs for denture (16,24). Individuals who lost both anterior and posterior teeth had the highest average perceived needs for denture scores (16,95). In conclusion, the Sumbersari community had a moderate perceived needs for denture in maxillary edentulous and a high perceived needs in mandibular edentulous
Pengaruh Penambahan NaoH Pada Cairan Pengembang Yang Telah Terpakai Terhadap Durasi Waktu Pengembangaan Film Radiografi
Film processing in radiography involves two methods digital and manual (chemical). Chemical processing is still widely used in Indonesian healthcare facilities due to the high cost and limited resources required for digital systems. The developer solution, used in the initial stage of film processing, converts latent images into visible diagnostic images. Hydroquinone, a key component in manual film processing, requires a basic solution to function effectively, maintained by activators such as NaOH. This study aimed to investigate whether adding NaOH to used developer solutions reduces film developing time. This experimental laboratory study employed a posttest-only control group design, involving 40 samples divided into four groups: Group 1 (0–30 usages, negative control), Group 2 (31–45 usages, positive control), Group 3 (46–65 usages), and Group 4 (66–85 usages). Developing time was measured using a stopwatch at the Radiology Laboratory of the Faculty of Dentistry, Universitas Jember. Data were analyzed using One-Way ANOVA with a significance level of p<0.05. The results showed significant differences in average developing times: Group 1 (15.82 s), Group 2 (18.51 s), Group 3 (3.50 s), and Group 4 (6.98 s) (p=0.000). Based on the findings of the stud, the groups treated with NaOH exhibited shorter developing times. The reduction in time was attributed to the increased pH and enhanced activity of hydroquinone. In conclusion, NaOH addition improves the efficiency of developer solutions by reducing developing time. Factors such as solution usage, hydroquinone degradation, pH changes, and supersaturation significantly influence the activity and effectiveness of developer solutions
Ekspresi MiRNA pada Manifestasi oral Gangguan Neuropsikiatri
Psychological illnesses have been shown to induce lesions and symptoms in the oral cavity. Psychiatric patients frequently exhibit oral diseases characterized by clinical indicators and poor oral hygiene, linked to genetic and metabolic alterations in oral tissue, which coincide with psycho-neurological changes as contributing factors. The psychosomatic etiologies in oral diseases induce epigenetic alterations that can be chosen as the biomarker of pathologic condition. microRNA (miRNA/miR) plays crucial role in biological processes. Psychosomatic etiologies in oral diseases induce epigenetic alterations that may serve as biomarkers for pathological conditions. MicroRNA (miRNA/miR) plays a critical role in biological processes. Sixteen studies were selected based on their relevance to the topic and novelty. MiRNA expression is regulated and has been found to be associated with psychological disorders that cause oral manifestations. This study investigates the potential biomarker role of miRNAs expressed in oral diseases associated with psychological disorders
Metode Stereologi Manual untuk Menentukan Estimasi Volume Jaringan Karies pada Dentin
Dentin caries is a prevalent dental health problem that damages the dentin layer, leading to structural and functional deterioration of teeth. Estimating the volume of dentin caries is essential for accurate diagnosis and effective treatment planning. The aims of this research to evaluate the effectiveness of manual stereology in estimating the volume of carious tissue in dentin. Carious tooth samples were prepared by cutting them into thin sections of uniform thickness. These sections were observed under a microscope to identify areas infected with caries. The volume of caries in dentin was measured using image analysis software or specialized stereology tools, employing a random point-counting method for statistical estimation of carious tissue volume. The results showed that the average volume of caries-induced damage in dentin was 0.45 mm³, with a variation range of approximately 0.12 mm³. This indicates that, although there were differences in the size of damage across samples, caries generally caused significant damage to dentin. These findings help us understand the extent of caries' impact on tooth structure, providing a crucial foundation for further treatment or prevention strategies. This research provides valuable insights into dental research and dental disease, supporting medical practitioners in planning more accurate treatments for patients with dentin caries. The manual stereology method demonstrates high accuracy and reliability in measuring the volume of carious tissue in dentin, offering a cost-effective alternative for dental research
Tingkat Keparahan Maloklusi Dan Kebutuhan Perawatan Ortodonti Pada Remaja Menggunakan Index of Orthodontic Treatment Need (IOTN)
Malocclusion is the second biggest problem after dental caries in dental and oral health problems in Indonesia with a prevalence of 80%. Malocclusion conditions can cause further disorders of chewing, swallowing, speech functions, difficulty maintaining oral hygiene and disrupt facial harmony which can result in lack of self-confidence in adolescents. Malocclusion can be overcome with orthodontic treatment. The purpose of this study was to determine the severity of malocclusion and the need for orthodontic treatment using index of orthodontic treatment need (IOTN). A descriptive cross-sectional study was conducted on 32 samples who were 15-16 years old in 10th grade students of SMA Negeri 7 Yogyakarta. Dental impressions and intraoral photographs were taken to determine the classification of malocclusion and the level of orthodontic needs using IOTN. Angle class I malocclusion has the highest prevalence (43.8%), followed by Angle class II malocclusion (21.9%), and Angle class III malocclusion (34.3%). The results of the analysis of orthodontic treatment needs based on DHC (21.9%) do not or slightly need treatment, (15.6%) need treatment and (62.5%) really need treatment. Based on AC (68.8%) do not or slightly need treatment, (6.2%) need treatment and (25%) really need treatment. The prevalence of malocclusion in adolescents is still quite high with the highest classification being Angle class I malocclusion, so that efforts to prevent and treat malocclusion are needed to prevent adverse side effects on dental and oral health
Gambaran Epitel Mukosa Bukal Pada Perokok Wanita Kota Bandung
Concerns are emerging that young female may get dental and oral illnesses as a result of Bandung City's growing female smoking population. Numerous studies have demonstrated that smoking cigarettes can harm a variety of organs, and that female are more susceptible than men. This study aims to determine the difference in gum morphology, calculate the percentage of buccal mucosal epithelial cell abnormalities, and compare cytometric buccal mucosal epithelial cells in female smokers and nonsmokers. The subjects of this study were 60 females with the sampling technique used being purposive sampling type. The criteria of the respondents were female aged 17-25 years who were not fasting and were not sick in the oral cavity. The number of respondents consisted of 30 smokers and 30 non-smokers. The results showed that 36.67% of smokers who experienced smoker's melanosis with a prevalence of 20% experienced single pigmentation and 16.67% experienced widespread pigmentation. The results showed that the percentage of buccal mucosal epithelial cell abnormality in smokers was 12.2%, and the percentage of buccal mucosal epithelial cell abnormality in nonsmokers was 3.5%. In conclusion, the morphology of the gums in smokers is that smoker’s melanosis (darker pigmentation). Abnormalities of buccal mucosal epithelial cells in smoking and non-smoking female were significantly different (p < 0.05). Then there is a significant difference between cytometric buccal mucosal epithelial cells in female smokers and nonsmokers in the parameters of cell diameter and cell area. These findings suggest that smoking habits may negatively impact the health of the buccal mucosa in female