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Dentin hypersensitive: Ethiology and treatment Utami, Nuryanni Dihin; Komara, Ira
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (1116.782 KB)

Abstract

Dentin hypersensitivity is a response in exposed dentine with a symptom of clinically sharp and short pain. This condition may occur to exposed dentine due to gingival recession or enamel loss. Dentin hypersensitivity treatment aimed to either occlude the open dentinal tubules or block the neural response of the pulp. Invasive treatment are pulpectomy, restoration or surgery, while non invasive treatment are usually done by using tooth paste or mouthwash which is added by desensitizing agent
Hard tissue augmentation for alveolar defects before implant placement Rochmawati, Mutia; Komara, Ira
Padjadjaran Journal of Dentistry Vol 28, No 1 (2016): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (1091.655 KB)

Abstract

Background. Often when planning implant therapy, there is a need to augment or replace bone that has been lost. The alveolar defects may occur as a result of tooth loss due to extraction, advanced periodontal diseases or trauma, long term use of removable appliances, dehiscence and fenestration defects, developmental defects/clefts, congenitally missing teeth and odontogenic cysts and tumors. Insufficient bone volume can be brought about by hard tissue augmentation. This techniques have led to increased predictability in reconstruction of alveolar ridge defects and functional implant placement. Purpose. To describe the methods of hard tissue augmentation which can be done with block grafts (autografts and allografts), particulate grafts (cortical and cancellous), xenografts, or synthetic materials. Review. The reconstruction of a normal alveolar housing, in height and width, is imperative to achieve a harmonious balance between biology, function, and aesthetics. Depending on the size and morphology of the defect, horizontal or vertical, various augmentation procedures can be used. Soft tissue management is a critical aspect of hard tissue augmentation procedures. Incisions, reflection, and manipulation should be designed to optimize blood supply and wound closure. The design and management of mucoperiosteal flaps must consider the increased dimensions of the ridge after augmentation as well as esthetics and approximation of the wound margins. The surgical procedure needs to be executed with utmost care to preserve the maximum vascularity to the flap and minimize tissue injury. Conclusion. Alveolar ridge defects can be classified by using Seibert’s classification or HVC System. The treatment of alveolar ridge defect before implant placement can be done with hard tissue augmentation.
Socket preservation Nurhaeini, Caecilia Susetya Wahyu; Komara, Ira
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (881.23 KB)

Abstract

Alveolar ridge will commonly decrease in volume and change morphologically, as a result of a tooth loss. These changes are usually clinically significant and can make placement of a conventional protesa  or an implant more difficult. Socket preservation after tooth extraction can minimize ridge resorption. By using socket preservation techniques, it is possible to preserve the height and width of the ridge. Socket preservation can be done by atraumatic tooth extraction, placement of bone graft material, membrane, combination of bone graft and membrane, and connective tissue graf.
Relationship between Periodontal Disease Index and Low Birth Weight Babies in Pregnant Women with Periodontitis Komara, Ira; Lambri, Soertini E; Hendiani, Ina
International Journal of Integrated Health Sciences VOL 4, NO 1, March (2016)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To identify the relationship between periodontitis in pregnant women through the periodontal disease index (PDI) and low birth weight babies.Methods: A case-control study was conducted to determine the relationship between periodontitis in pregnant women through the periodontal disease index (PDI) and the low birth weight babies (LBW). The participants were mothers with periodontitis and non-periodontitis mothers aged 20–35 years who gave birth in the Department of Obstetrics and Gynecology-Dr. Hasan Sadikin General Hospital, Bandung in the period of December to January 2005. Results: Based on the chisquare test results a highly significant relationship between periodontitis and low birth weight (p=0.002) was found. The Odd’s ratio showed that the risk of low birth weight in pregnant women with periodontitis was 15.58 times higher compared to those who did not suffer from periodontitis. The periodontal disease index has an accuracy of 88.6% in predicting the incidence of LBW. It strongly influenced the incidence of LBW with a high Odd’s ratio of 28.0. Pregnant women who suffer from periodontitis with a PDI > 3.25, have 19.2 times higher risk for delivering babies with LBW compared to the non-periodontitis mothers. Conclusions: The loss of attachment affects the possibility of delivering LBW babies.Keywords: Periodontitis, periodontal disease index, low birth weight DOI: 10.15850/ijihs.v4n1.681 
Kondisi periodontal penderita Diabetes Mellitus Tipe IPeriodontal condition of type I Diabetes Mellitus patients Savira, Nevada Vijayanti; Hendiani, Ina; Komara, Ira
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 2 (2017): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar | Full PDF (316.028 KB)

Abstract

Pendahuluan: Diabetes Mellitus merupakan suatu penyakit gangguan metabolisme karbohidrat, lemak, dan protein yang ditandai dengan hiperglikemia akibat gangguan pada pankreas untuk menghasilkan insulin, terganggunya aktivitas insulin pada tubuh, atau keduanya. Diabetes Mellitus berhubungan dengan penyakit periodontal dan berperan sebagai faktor risiko dari gingivitis dan periodontitis. Risiko terjadinya gingivitis dan periodontitis meningkat pada penderita Diabetes Mellitus yang tidak terkontrol. Tujuan penelitian untuk mengetahui kondisi periodontal penderita Diabetes Mellitus tipe I di beberapa rumah sakit di Kota Bandung. Penelitian ini dilakukan pada 12 penderita Diabetes Mellitus tipe I yang berusia antara 21-48 tahun menggunakan indeks CPITN. Metode: Jenis penelitian deskriptif dengan metode survey dilakukan di tiga rumah sakit, yaitu RSUP Dr. Hasan Sadikin, RSUD Ujung Berung, dan RS Al Islam Bandung. Hasil: 50% penderita Diabetes Mellitus tipe I menderita gingivitis dan 50% lainnya menderita periodontitis. Simpulan:.Penderita Diabetes Mellitus tipe I pada penelitian ini seluruhnya menderita penyakit gingivitis dan periodontitis. ABSTRACTIntroduction: Diabetes Mellitus is a disease of metabolism of carbohydrates, fats, and proteins characterized by hyperglycemia due to disturbances in the pancreas to produce insulin, disruption of insulin activity in the body, or both. Diabetes Mellitus is associated with periodontal disease and acts as a risk factor for gingivitis and periodontitis. The risk of gingivitis and periodontitis increases in patients with uncontrolled Diabetes Mellitus. The aim of the study was to determine the periodontal condition of type I Diabetes Mellitus patients in several hospitals in Bandung City. Methods:This study was conducted on 12 patients with type I Diabetes Mellitus aged between 21-48 years using the CPITN index. The type of descriptive research with survey method was carried out in three hospitals, namely Dr. Hasan Sadikin Hospital, Ujung Berung Hospital, and Al Islam Hospital Bandung. Result: 50% of patients with Type I Diabetes Mellitus suffer from gingivitis and 50% suffer from periodontitis. Conclusion: Patients with type I Diabetes Mellitus in this study all suffered from gingivitis and periodontitis.Keywords: Periodontal condition, gingivitis, periodontitis, type I Diabetes Mellitus.
Kondisi periodontal penderita diabetes mellitus tipe IPeriodontal condition of type I diabetes mellitus patients Savira, Nevada Vijayanti; Hendiani, Ina; Komara, Ira
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 2 (2017): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar | Full PDF (316.028 KB)

Abstract

Pendahuluan: Diabetes mellitus merupakan suatu penyakit gangguan metabolisme karbohidrat, lemak, dan protein yang ditandai dengan hiperglikemia akibat gangguan pada pankreas untuk menghasilkan insulin, terganggunya aktivitas insulin pada tubuh, atau keduanya. Diabetes mellitus berhubungan dengan penyakit periodontal dan berperan sebagai faktor risiko dari gingivitis dan periodontitis. Risiko terjadinya gingivitis dan periodontitis meningkat pada penderita Diabetes mellitus yang tidak terkontrol. Tujuan penelitian untuk mengetahui kondisi periodontal penderita Diabetes mellitus tipe I di beberapa rumah sakit di Kota Bandung. Penelitian ini dilakukan pada 12 penderita Diabetes mellitus tipe I yang berusia antara 21-48 tahun menggunakan indeks CPITN. Metode: Jenis penelitian deskriptif dengan metode survei dilakukan di tiga rumah sakit, yaitu RSUP Dr. Hasan Sadikin, RSUD Ujung Berung, dan RS Al Islam Bandung. Hasil: 50% penderita Diabetes mellitus tipe I menderita gingivitis dan 50% lainnya menderita periodontitis. Simpulan: Penderita Diabetes mellitus tipe I pada penelitian ini seluruhnya menderita penyakit gingivitis dan periodontitis.Kata kunci: Kondisi periodontal, gingivitis, periodontitis, diabetes mellitus tipe I. ABSTRACTIntroduction: Diabetes mellitus is a disease of metabolism of carbohydrates, fats, and proteins characterized by hyperglycemia due to disturbances in the pancreas to produce insulin, disruption of insulin activity in the body, or both. Diabetes mellitus is associated with periodontal disease and acts as a risk factor for gingivitis and periodontitis. The risk of gingivitis and periodontitis increases in patients with uncontrolled diabetes mellitus. The aim of the study was to determine the periodontal condition of type I diabetes mellitus patients in several hospitals in Bandung City. Methods: This study was conducted on 12 patients with type I diabetes mellitus aged between 21-48 years using the CPITN index. The type of descriptive research with survey method was carried out in three hospitals, namely Dr. Hasan Sadikin Hospital, Ujung Berung Hospital, and Al Islam Hospital Bandung. Result: 50% of patients with type I diabetes mellitus suffer from gingivitis and 50% suffer from periodontitis. Conclusion: Patients with type I diabetes mellitus in this study all suffered from gingivitis and periodontitis.Keywords: Periodontal condition, gingivitis, periodontitis, type I diabetes mellitus.
Socket preservation Nurhaeini, Caecilia Susetya Wahyu; Komara, Ira
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar | Full PDF (881.23 KB)

Abstract

Alveolar ridge will commonly decrease in volume and change morphologically, as a result of a tooth loss. These changes are usually clinically significant and can make placement of a conventional protesa  or an implant more difficult. Socket preservation after tooth extraction can minimize ridge resorption. By using socket preservation techniques, it is possible to preserve the height and width of the ridge. Socket preservation can be done by atraumatic tooth extraction, placement of bone graft material, membrane, combination of bone graft and membrane, and connective tissue graf.
Dentin hypersensitive: Ethiology and treatment Utami, Nuryanni Dihin; Komara, Ira
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar | Full PDF (1116.782 KB)

Abstract

Dentin hypersensitivity is a response in exposed dentine with a symptom of clinically sharp and short pain. This condition may occur to exposed dentine due to gingival recession or enamel loss. Dentin hypersensitivity treatment aimed to either occlude the open dentinal tubules or block the neural response of the pulp. Invasive treatment are pulpectomy, restoration or surgery, while non invasive treatment are usually done by using tooth paste or mouthwash which is added by desensitizing agent
Hard tissue augmentation for alveolar defects before implant placement Rochmawati, Mutia; Komara, Ira
Padjadjaran Journal of Dentistry Vol 28, No 1 (2016): March
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar | Full PDF (1091.655 KB)

Abstract

Background. Often when planning implant therapy, there is a need to augment or replace bone that has been lost. The alveolar defects may occur as a result of tooth loss due to extraction, advanced periodontal diseases or trauma, long term use of removable appliances, dehiscence and fenestration defects, developmental defects/clefts, congenitally missing teeth and odontogenic cysts and tumors. Insufficient bone volume can be brought about by hard tissue augmentation. This techniques have led to increased predictability in reconstruction of alveolar ridge defects and functional implant placement. Purpose. To describe the methods of hard tissue augmentation which can be done with block grafts (autografts and allografts), particulate grafts (cortical and cancellous), xenografts, or synthetic materials. Review. The reconstruction of a normal alveolar housing, in height and width, is imperative to achieve a harmonious balance between biology, function, and aesthetics. Depending on the size and morphology of the defect, horizontal or vertical, various augmentation procedures can be used. Soft tissue management is a critical aspect of hard tissue augmentation procedures. Incisions, reflection, and manipulation should be designed to optimize blood supply and wound closure. The design and management of mucoperiosteal flaps must consider the increased dimensions of the ridge after augmentation as well as esthetics and approximation of the wound margins. The surgical procedure needs to be executed with utmost care to preserve the maximum vascularity to the flap and minimize tissue injury. Conclusion. Alveolar ridge defects can be classified by using Seibert’s classification or HVC System. The treatment of alveolar ridge defect before implant placement can be done with hard tissue augmentation.
Relationship between Periodontal Disease Index and Low Birth Weight Babies in Pregnant Women with Periodontitis Komara, Ira; Lambri, Soertini E; Hendiani, Ina
International Journal of Integrated Health Sciences Vol 4, No 1 (2016)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Original Source | Check in Google Scholar

Abstract

Objective: To identify the relationship between periodontitis in pregnant women through the periodontal disease index (PDI) and low birth weight babies.Methods: A case-control study was conducted to determine the relationship between periodontitis in pregnant women through the periodontal disease index (PDI) and the low birth weight babies (LBW). The participants were mothers with periodontitis and non-periodontitis mothers aged 20–35 years who gave birth in the Department of Obstetrics and Gynecology-Dr. Hasan Sadikin General Hospital, Bandung in the period of December to January 2005. Results: Based on the chisquare test results a highly significant relationship between periodontitis and low birth weight (p=0.002) was found. The Odd’s ratio showed that the risk of low birth weight in pregnant women with periodontitis was 15.58 times higher compared to those who did not suffer from periodontitis. The periodontal disease index has an accuracy of 88.6% in predicting the incidence of LBW. It strongly influenced the incidence of LBW with a high Odd’s ratio of 28.0. Pregnant women who suffer from periodontitis with a PDI > 3.25, have 19.2 times higher risk for delivering babies with LBW compared to the non-periodontitis mothers. Conclusions: The loss of attachment affects the possibility of delivering LBW babies.Keywords: Periodontitis, periodontal disease index, low birth weight DOI: 10.15850/ijihs.v4n1.681