Rikko Hudyono, Rikko
Jurusan Kedokteran Gigi FKIK, Universitas Jenderal Soedirman, Purwokerto, Jawa Tengah, Indonesia

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Implant Gigi One-Piece vs Two-Pieces dalam Praktek Sehari-Hari Kurnia, Dian Lestari; Ramadhani, Amilia; Hudyono, Rikko
Majalah Kedokteran Gigi Indonesia Vol 21, No 2 (2014)
Publisher : Majalah Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Saat ini, implant merupakan pilihan terbaik untuk menggantikan gigi yang tanggal, akan tetapi prosedur pemasangannya terbilang rumit dan memerlukan prosedur bedah kedua untuk pemasangan prostetik. Beberapa komplikasi sepertiscrew patah atau longgar dan adanya celah mikro pada batas pertemuan implant dan abutment dapat menyebabkan kegagalan implant. Studi kasus ini bertujuan untuk membahas mengenai keuntungan dan kerugian desain implant gigi one-piece dan two-pieces. Kasus pertama, seorang wanita berusia 43 tahun datang untuk mendapatkan perawatan implant pada region 16. Ketinggian tulang alveolar yang tersedia adalah 5 mm. Prosedur pengangkatan dasar sinustransalveolar dilakukan dengan pemberian allograft sebanyak 0,5 cc dilanjutkan dengan pemasangan implant gigi one-piece sepanjang 12 mm. Kasus kedua, seorang wanita 24 tahun datang untuk mendapatkan perawatan implant pada regio 46. Ketinggian tulang alveolar yang tersedia adalah 12 mm, kemudian dilakukan pemasangan implant gigi two-pieces sepanjang 10 mm. Implant gigi one-piece menawarkan berbagai keunggulan yaitu: hanya diperlukan sekaliprosedur bedah dan prosedur prostetik lebih sederhana. Desain ini juga meniadakan celah mikro pada perbatasan implant dan abutment. Desain implant gigi one-piece memiliki keterbatasan pada pilihan prosedur prostetik apabila dibandingkan dengan desain implant gigi two-pieces. ABSTRACT: One-Piece Versus Two-pieces Tooth Implant In Daily Practice. Implant had been a gold standard to replace missing tooth. However, implant marketed today was considered complex, and needs a second surgery. Complications may occur such as screw loosening or fracture and the presence of micro gap at implant-abutment-junction that is found causing fixture failure. The one-piece-implant design may offer some advantages. Purpose: this paper was aimed to discuss the pros and cons of one-piece-implants and two-piece-implants. Case 1 A 43-year-old woman came to place an implant on #16. The available bone height was 5 mm. A trans alveolar sinus lift procedure was performed with 0,5 cc allograft. A 12 mm one-piece-implant was inserted. Case 2 A 24-year-old woman came to place an implant on #46. The available bone height was 12 mm and a 10 mm two-piece-implant was inserted. Discussion: One-piece-implant offers some advantage. It needs no second surgery, easier placement protocol, and more natural prosthetic procedures. The design is preventing the failure in implant-abutment-junction failure. The absence of micro gap in one-piece-implant seems superior in preventing crestal bone resorption. However, the prosthetic option was limited in one-piece-implant. Two-piece-implant offers more choices in prosthetic abutment. Conclusion: One-piece-implant was easier and provide simple protocol with limited choice on prosthetic.
Implant Gigi One-Piece vs Two-Pieces dalam Praktek Sehari-Hari Kurnia, Dian Lestari; Ramadhani, Amilia; Hudyono, Rikko
Majalah Kedokteran Gigi Indonesia Vol 21, No 2 (2014): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.8750

Abstract

Saat ini, implant merupakan pilihan terbaik untuk menggantikan gigi yang tanggal, akan tetapi prosedur pemasangannya terbilang rumit dan memerlukan prosedur bedah kedua untuk pemasangan prostetik. Beberapa komplikasi seperti screw patah atau longgar dan adanya celah mikro pada batas pertemuan implant dan abutment dapat menyebabkan kegagalan implant. Studi kasus ini bertujuan untuk membahas mengenai keuntungan dan kerugian desain implant gigi one-piece dan two-pieces. Kasus pertama, seorang wanita berusia 43 tahun datang untuk mendapatkan perawatan implant pada region 16. Ketinggian tulang alveolar yang tersedia adalah 5 mm. Prosedur pengangkatan dasar sinus transalveolar dilakukan dengan pemberian allograft sebanyak 0,5 cc dilanjutkan dengan pemasangan implant gigi one-piece sepanjang 12 mm. Kasus kedua, seorang wanita 24 tahun datang untuk mendapatkan perawatan implant pada regio 46. Ketinggian tulang alveolar yang tersedia adalah 12 mm, kemudian dilakukan pemasangan implant gigi two-pieces sepanjang 10 mm. Implant gigi one-piece menawarkan berbagai keunggulan yaitu: hanya diperlukan sekaliprosedur bedah dan prosedur prostetik lebih sederhana. Desain ini juga meniadakan celah mikro pada perbatasan implant dan abutment. Desain implant gigi one-piece memiliki keterbatasan pada pilihan prosedur prostetik apabila dibandingkan dengan desain implant gigi two-pieces. One-Piece Versus Two-pieces Tooth Implant In Daily Practice. Implant had been a gold standard to replace missing tooth. However, implant marketed today was considered complex, and needs a second surgery. Complications may occur such as screw loosening or fracture and the presence of micro gap at implant-abutment-junction that is found causing fixture failure. The one-piece-implant design may offer some advantages. Purpose: this paper was aimed to discuss the pros and cons of one-piece-implants and two-piece-implants. Case 1 A 43-year-old woman came to place an implant on #16. The available bone height was 5 mm. A trans alveolar sinus lift procedure was performed with 0,5 cc allograft. A 12 mm one-piece-implant was inserted. Case 2 A 24-year-old woman came to place an implant on #46. The available bone height was 12 mm and a 10 mm two-piece-implant was inserted. Discussion: One-piece-implant offers some advantage. It needs no second surgery, easier placement protocol, and more natural prosthetic procedures. The design is preventing the failure in implant-abutment-junction failure. The absence of micro gap in one-piece-implant seems superior in preventing crestal bone resorption. However, the prosthetic option was limited in one-piece-implant. Two-piece-implant offers more choices in prosthetic abutment. Conclusion: One-piece-implant was easier and provide simple protocol with limited choice on prosthetic.
MECHANISMS OF PERIODONTITIS - INDUCED ATHEROSCLEROSIS Hudyono, Rikko; Sunariani, Jenny
Indonesian Journal of Tropical and Infectious Disease Vol 1, No 3 (2010)
Publisher : Institute of Topical Disease

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (691.999 KB) | DOI: 10.20473/ijtid.v1i3.2197

Abstract

Nowadays CVD become the most common cause of death in US and worldwide. Atherosclerosis plays an important role in CVDs pathogenesis. Atherosclerosis decreases the elasticity of the vascular. Atherosclerosis shares the same risk factor as CVD, in which obesity, hyperlipidemia, hypertension and lack of physical activity may initiate it. However, 50% of all CVD patients are lack of the usual causes of CVD. The purpose of this review is to reveal the mechanism of periodontitis-induced atherosclerosis. Inflammation and autoimmune disease might play an important role in initiate the CVD. Periodontitis is one of the oral diseases which can cause systemic inflammation and may induce the atherosclerosis. Porphyromonas gingivalis (Pg) which is the major cause of periodontitis can induce it by expressing protein gp130 in its fimbriae. Periodontics patients are prone to have bacteremia by daily routine oral hygiene activity. Chronic bacteremia may alter the endothelial physiology, which is resulted in neointima formation, EC dysfunction, and lipid accumulation. It is concluded that periodontitis may play an important role in initiation and progression of atherosclerosis.
Volatile sulphur compounds elimination: A new insight in periodontal treatment Setiawatie, Ernie Maduratna; Hudyono, Rikko
Dental Journal (Majalah Kedokteran Gigi) Vol 44, No 4 (2011): (December 2011)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v44.i4.p210-214

Abstract

Background: Recent evidences had demonstrated a link between halitosis and apoptosis in periodontitis. Periodontal pathogenic micro-organisms produce volatile sulphur compounds (VSCs). VSCs are toxic to periodontal tissue. Purpose: The purpose of this paper was to reveal the mechanism of VSCs in periodontal breakdown according to the most recent knowledges. Reviews: Halitosis is mainly attributed to VSCs such as hydrogen sulfide, methyl mercaptan and dimethyl sulfide. Several studies demonstrated a strong relationship between VSCs and periodontal disease progression. VSCs are released from amino acid breakdown from food, protein, cells, blood and saliva. In prone subjects, the VSCs may cause alteration in tissue integrity by increasing its permeability and facilitate the endotoxin to penetrate the tissue barrier. They may also causing apoptotic in gingival and periodontal tissue, which are considered the main pathogenesis in aggravating the periodontitis. VSCs may also initiate the increase of proinflammatory cytokines which is considered to have negative effects in host response. Conclusion: VSCs had been shown to have detrimental effects in gingival and periodontal ligament cells. The use of chlorine dioxine agent and topical antioxidant is beneficial in controlling the periodontal disease severity.Latar belakang: Penelitian terakhir menunjukkan adanya hubungan antara halitosis dengan terjadinya apoptosis pada periodontitis. Mikroorganisme penyebab periodontitis memproduksi volatile sulphur compounds (VSCs) yang bersifat toksik terhadap jaringan periodontal. Tujuan: Tujuan penulisan ini adalah membahas mekanisme VSCs dalam menyebabkan kerusakan periodontal berdasarkan penelitian terakhir yang ada. Tinjauan pustaka: Halitosis seringkali dikaitkan dengan timbulnya VSCs seperti hidrogen sulfida, metil merkaptan, dan dimetil sulfida. Penelitian terakhir menunjukkan bahwa VSCs yang dilepaskan dari pemecahan asam amino makanan ternyata memiliki korelasi dengan kerusakan jaringan periodontal. Pada subjek yang peka, VSCs dapat menyebabkan terjadinya disintegritas epitel dengan meningkatkan permeabilitasnya sehingga endotoksin dapat masuk melewati epitel. Adanya VSCs tersebut memicu terjadinya apoptosis pada jaringan gingiva dan ligamen periodontal, dimana proses ini menyebabkan keparahan penyakit periodontal. VSCs juga dapat mencetuskan peningkatan sitokin proinflamasi yang dapat menyebabkan kerusakan jaringan periodontal. Kesimpulan: VSCs dapat menyebabkan kerusakan pada gingiva dan ligamen periodontal. Penggunaan bahan chlorine dioxine untuk dan antioksidan topikal sangat berguna dalam mengontrol keparahan penyakit periodontal.