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Armelia Sari Widyarman
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INDONESIA
Scientific Dental Journal
Published by Universitas Trisakti
ISSN : 25806548     EISSN : 2541321X     DOI : -
SDJ has been published by Faculty of Dentistry, Trisakti University since September 2017. SDJ, a triennially published scientific journal, is an open access, peer-reviewed journal that supports all topics in Oral and Dental Sciences, including, but not limited to Oral Biology, Oral Pathology, Pharmacology, Biochemistry, Microbiology, Histology, Oral Anatomy, Dental Material, Conservative Dentistry/Endodontics, Orthodontics, Pedodontics, Prosthodontics, Periodontology, Oral Surgery, Oral Medicine, Dental Radiology and Public Health.
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Articles 25 Documents
Analyzing the Width of the Maxillary Sinus from Private Practice in Bogor, Indonesia Tjang, Steven A.; Tjandrawinata, Rosalina; Perwira Lubis, Muhammad Novo
Scientific Dental Journal Vol 2, No 2 (2018): May
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v2i2.2504

Abstract

Background: X-ray examinations are still a frequent diagnostic tool used by doctors in Indonesia. However, there is an apparent lack of descriptive data regarding the size and location of the maxillary sinus in Indonesian people. Objective: The aim of this study is to provide descriptive data on the size and location of the maxillary sinus among patients in the city of Bogor, West Java, Indonesia. Methods: Sixty eligible subjects aged 17 to 70 years old were randomized into six groups: male and female patients between 17 and 25 years old; male and female patients between 26 and 45 years old; and male and female patients aged 46 or older. Radiographic pictures were taken using the X-mind Novus Digital Panoramic X-ray unit and data were measured using the software Digora for Windows. Results: Using an analysis of variance, we found that men have significantly larger maxillary sinus dimensions than women (79.05 mm compared to 66.33 mm). It also reveals that there are significant differences (p<0.05) between male and female groups; whereas 2 groups aged less than 46 years old are significantly different with group aged 46 years or older in both gender. Conclusion: The study demonstrates that the size and location of maxillary sinus differ significantly between men and women in Bogor and that they follow a specific trend.
Level of Salivary Uric Acid in Gingivitis and Periodontitis Patients Rizal, Muhammad Ihsan; Vega, Stiefani
Scientific Dental Journal Vol 1, No 1 (2017): September
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v1i1.1912

Abstract

Background: Periodontal disease is common chronic adult condition. Antioxidants are present in the body fluid as protection against free radical. Uric acid is one of antioxidants that can be found in saliva. Moreover, the relationship among the antioxidant enzymes activities and clinical periodontal status were investigated. Objectives: The aim of the study was to observe uric acid level activities in the saliva of gingivitis and periodontitis patients. Methods: Six patients with gingivitis and six patients with periodontitis in Dental Hospital Trisakti University were included in the study. Clinical condition of each subject, the plaque index, and probing depth were determined. The salivary uric acid level was measured using the Folin-Wu method. Result: Salivary uric acid levels in the periodontitis patients with a mean ± SD  7.40 ± 0.31  (p = 0.004) were found to be higher compared to the gingivitis patients (mean ± SD = 6.84 ± 0.19). In addition, there were no significant differences in salivary uric acid levels between gender (p = 0.641). Conclusion: Uric acid levels in periodontitis patients were found to be higher than in gingivitis patients. Moreover, uric acid has more role on periodontitis than in gingivitis as an antioxidant agent.
The Efficacy of Fish Scales as Bone Graft Alternative Materials Soulissa, Abdul Gani; Nathania, Irene
Scientific Dental Journal Vol 2, No 1 (2018): January
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v2i1.1954

Abstract

Background: Bone graft application is a therapy that could be used to repair bone and minimize bone resorption. However, current bone graft materials carry risks for the recipient. Studies on alloplast, which can be found in fish bones and scales have been developed in the past few years. Objectives: This study aimed to determine the efficacy of hydroxyapatite powder from white barramundi (Lates calcarifer) fish scales as bone graft material in the mandibular defect regeneration of rats. Methods: This experimental laboratory study utilized 24 male Sprague-Dawley rats aged 16 weeks as test subjects, where 12 were used for control groups and the other 12 were used as the experimental group. All were given bone defects of 3 mm on the right mandible, split into 6 groups of 4 (3 experimental and 3 control groups), and the groups were observed for 2, 4, and 6 weeks respectively. The surgery results were assessed by radiography and histopathologic analysis. Result: Radiography results showed that the highest bone growth was found in the 6 weeks treatment group with 100% growth, followed by the 4 weeks treatment group with 88.89% growth, and last was the 2 weeks treatment group with 66.67% growth. The Mann-Whitney test showed that there is a significant difference between pre- and post-intervention (p >0.05). Histopathologic analysis showed the presence of osteocytes and osteoblasts in the 6 weeks treatment group. Conclusion: It can be concluded that hydroxyapatite powder from white barramundi fish scales can be used as a bone graft alternative material.
Chewing Gum, Acetaminophen, and Green Tea Effect in Reducing Pain After Orthodontic Appliance Placement Elvina, Elvina; Kusnoto, Joko; Halim, Himawan; Roeslan, Boedi Oetomo
Scientific Dental Journal Vol 2, No 2 (2018): May
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v2i2.2530

Abstract

Background: Pain is a common problem encountered after fixed orthodontic appliance placement. Pain from orthodontic treatment can come from ischemia, inflammation, and edema in the periodontal ligaments that were depressed. Objectives: To determine whether there are differences in the pain reduction associated with chewing gum, taking acetaminophen, and gargling green tea after fixed orthodontic appliance placement. Methods: This study is a quasi-experiment with a controlled randomized post-treatment approach using 40 subjects. The subjects were consecutively selected and then randomly assigned into four equal groups: a group assigned to chewing gum, a group assigned to take acetaminophen, a group assigned to gargle green tea, and a control group. The level of pain was measured using a Visual Analogue Scale (VAS). A one-way ANOVA test was used to analyse differences between the groups. Results: The VAS scores of the chewing gum and acetaminophen groups were lower than the green tea and control groups. At 24 hours after fixed orthodontic appliance placement, only the chewing gum group reported a decrease in the amount of pain experienced. Overall, the chewing gum group reported the lowest pain scores compared to other groups. However, there was no overall statistically significant difference between the chewing gum and acetaminophen group (p>0.05). Additionally, there was no statistically significant difference in the amount of pain reduction experienced by the green tea group and the control group (p>0.05). There was a significant difference in the amount of pain reduction reported between the chewing gum or acetaminophen groups and the green tea group (p<0.05). Conclusion: There was no significant difference between chewing gum and taking acetaminophen in the amount of pain reduction experienced after fixed orthodontic appliance placement, but gargling with green tea was found to be significantly less effective in reducing pain. Because it has fewer side effects, chewing gum may be a more preferable alternative to taking acetaminophen to reduce pain after fixed orthodontic appliance placement.
Pigmented Oral Lichen Planus: A Case Report Hartanto, Firstine Kelsi; Kallarakal, Thomas George
Scientific Dental Journal Vol 1, No 1 (2017): September
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v1i1.1923

Abstract

Background: Lichen planus is a chronic muccocutaneous inflammatory disorder. Oral lichen planus (OLP) has certain specific characteristics in its clinical presentation, but can also be presented in forms resembling other diseases. This may introduce difficulty in the diagnostic process. It has been reported that OLP affects between 0.1 to 4% individuals, predominantly women and people over 40 years old. Case Report: A 46-year-old woman complained of a non-healing ulcer present for 1.5 months. Intraorally, multiple white striae with prominent central areas of brownish hyperpigmentation were apparent on the right and left buccal mucosa, right and left buccal sulcus, and lateral and dorsum of the tongue. A biopsy was completed and the histopathology features confirmed the diagnosis of OLP. For the initial treatment, a topical corticosteroid was prescribed, followed by steroid mouthwash. Response to this treatment was positive. OLP has been frequently reported to affect women over the age of 40, with psychological stress as a primary predisposing factor. The clinical presentation is characteristic of Wickham’s striae with erosive areas. However, a biopsy and histopathological examination is mandatory to confirm the diagnosis. The clinical feature of pigmented OLP has been reported and confirmed by microscopic finding of band-like lymphocytic appearance which is the pathognomonic features of OLP, along with basal cell liquefaction degeneration, and melanin in continence at the lamina propria. Conclusion: Pigmented OLP is a variant of erosive OLP. Anamnesis, clinical presentation, and histopathological examination confirm diagnosis.
Comparing the Effectivities of Chitosan Citrate and Chitosan Acetate in Eradicating Enterococcus faecalis Biofilm Witedja, Uppalavanna; Suwartini, Tien; Prahasti, Anastasia E; Widyarman, Armelia Sari
Scientific Dental Journal Vol 2, No 1 (2018): January
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v2i1.2290

Abstract

Background: Adequate biomechanical preparations, antibacterial irrigants, and intracanal medications to promote the elimination of bacteria and their products are required to succeed root canal treatment. Enterococcus faecalis with its biofilm is known as an important etiological agent in endodontic treatment failures. Chitosan, as a natural product, has an antibacterial activity and is considered less toxic to the periapical tissue than other irrigants. However, the use of this natural product needs to be examined to determine its effectiveness as a root canal irrigant in endodontic treatment; this can be done by comparing it with the most common endodontic irrigant (NaOCl 5.25%) as a positive control. Objective: The objective of the study was to compare the effectiveness between 1–3% chitosan acetate (CA) and 1–3% chitosan citrate (CC) against E. faecalis biofilm formation after treatment for 15, 30, and 60 minutes. Methods: The study was conducted using 12 groups, including 1–3% CA, 1–3% CC, and control groups. E. faecalis biofilms in 96-well plates were exposed to each sample for 15, 30, or 60 minutes. Subsequently, the biofilms were stained with crystal violet solution, and the optical density value was measured using a microtiter plate reader at a wavelength of 600 nm. Results: CA and CC were effective in eradicating E. faecalis biofilm. However, the levels of effectiveness of CC and CA depended on the concentration and application time. Three-way analysis of variance (ANOVA) showed a significant difference between the irrigants (p <0.05) and three application times (p <0.05). The CA was effective in eradicating biofilm after 15 minutes of application, whereas the CC was more effective after 30 and 60 minutes of application. Conclusion: CC and CA are both effective in eradicating E. faecalis biofilm. 
Enzymatic Activity of Bromelain Isolated Pineapple (Ananas comosus) Hump and Its Antibacterial Effect on Enterococcus faecalis Liliany, Dewi; Widyarman, Armelia Sari; Erfan, Erni; Sudiono, Janti; Djamil, Melanie Sadono
Scientific Dental Journal Vol 2, No 2 (2018): May
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v2i2.2540

Abstract

Background: Enterococcus faecalis is the frequent cause of oral infections, such as periodontitis, infected root canals, and peri-radicular abscesses. Pineapple (Ananas comosus) fruit contains bromelain, one of proteolytic enzymes associated with several health benefits. Bromelain has been shown to promote healthy digestion, stimulate the immune system, improve cardiovascular conditions, and accelerate wound healing. Bromelain compounds possess anti-inflammatory and anticancer properties and exhibit antibacterial activity. Objective: To analyze the enzymatic activity of bromelain extracted from pineapple hump and investigate the antibacterial effect of bromelain against E. faecalis. Methods: Pineapple hump was dried and extracted with maceration technique. Further purification was obtained by ammonium sulfate fractionation, dialysis and ion exchange chromatography. Minimum inhibitory concentration (MIC) tests using diffusion and dilution techniques tested the antibacterial activity of the bromelain extract on E. faecalis. A one-way analysis of variance (ANOVA) test analyzed the significance of the differences in the E. faecalis inhibition zones after treatment with a range of bromelain extract concentrations. Differences were considered statistically significant if p < 0.05. Results: The specific activity of bromelain in the crude extract was 62.89 U/mg. Furthermore, bromelain activity using ammonium sulfate fractionation was 50.99 U/mg, dialysis was 54.59 U/mg, and ion exchange chromatography was 152.38 U/mg. The bromelain extract showed effective inhibitory and bactericidal activity against E. faecalis. The results of the inhibition test using a bromelain extract purified by ion exchange  chromatography demonstrated that a concentration as small as 12.5% was effective in inhibiting the growth of E. faecalis (p < 0.05). Conclusion: The highest enzymatic activity of bromelain was found after purification with ion exchange chromatography. Bromelain exerted an antibacterial effect against a potent endodontic pathogen, but further studies are needed to explore this effect.
The Importance of The Dentist – Patient Relationship in Oral Cancer Treatment Gunardi, Indrayadi; Amtha, Rahmi
Scientific Dental Journal Vol 1, No 1 (2017): September
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v1i1.1939

Abstract

Background: There are many instances in oral cancer cases in which a lack of patient cooperation was found to be a hampering factor in the overall case management. A good relationship between dentists and patients should therefore be built in conjunction with other treatment modalities. Case Report: Three complete oral cancer cases with dentist–patient relationship problems are presented. One of the common basic ways to build a good relationship is through communication and empathy. A relationship is also influenced by psychological distress, experience from previous treatments, socioeconomic factors, the healthcare system, time constraints, and belief. Conclusion: No single intervention strategy can improve the compliance of an oral cancer patient. An assessment of patient knowledge and understanding of the regimen along with clear and effective communication and trust in the therapeutic relationship are important in the overall patient management.
Optimization of Emergence Profile of Implant Prosthesis: A Literature Review Sanda, Minoru; Sato, Daisuke; Baba, Kazuyoshi
Scientific Dental Journal Vol 2, No 1 (2018): January
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v2i1.2088

Abstract

In order to achieve esthetically optimal outcome with implant prosthesis, appropriate topography of emergence profile is crucial. The objective of this review is to explorer current evidence regarding this topic and relevant issue. Extent of interproximal papilla is determined not by the shape of emergence profile but the length between interproximal alveolar bone prominence and interproximal contact of crowns. There have been concerned that multiple times of disconnection and reconnection of abutment enhance peri-implant marginal bone loss, but it’s certified not to be a clinically significant level. Current digital workflow makes this step faster and easier, by copying emergence profile of contralateral tooth or extracted teeth.
A Case Report of Angiosarcoma of Maxillary Gingiva: Histopathology Aspects Hartanto, Firstine Kelsi; Lau, Shin Hin
Scientific Dental Journal Vol 2, No 2 (2018): May
Publisher : Faculty of Dentistry, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26912/sdj.v2i2.2681

Abstract

Background: Angiosarcoma is a rare malignant tumor, which most often occurs in the skin and soft tissue. Its occurrence in the head and neck region, and the intraoral region in particular, is uncommon. The aim of this case report is to highlight the importance of histopathological examination and to underscore the characteristic features of angiosarcoma. Case report: A 52-year-old female presented with a growth in the right maxillary portion of the interdental region of her molar teeth. The growth had been present for approximately one month. A computerized tomography (CT) scan showed metastatic tumors in the lungs, liver, bone, and soft tissue of maxillary gingiva. Intraoral examination found a soft and mobile pedunculated ovoid mass at the right palatal gingiva; the mass was reddish-blue in color. An incisional biopsy was performed to confirm the diagnosis and plan for further treatment. Histopathologic examination revealed malignant endothelial cells in a vasoformative growth pattern, with numerous vascular channels lined with neoplastic endothelium-forming intraluminal buds, projections, and papillae. These projections were interspersed with the tumor cells. Immunohistochemistry analysis showed these endothelial cells demonstrated strong positive immunoreactivity with CD31, factor VIII, and FLi-1. A diagnosis of angiosarcoma was made. Discussion: Because intraoral angiosarcoma is rare and its clinical presentation can resemble other vascular lesions, it can be a challenging diagnosis for clinicians and pathologists. In the present case, the diagnosis of intraoral angiosarcoma was made based on clinical and histopathology findings. The microscopic features of malignant endothelial cells and the presence of intraluminal projections, supported by positive immunoreactivity with CD31, factor VIII, and FLi-1, confirmed the diagnosis. Conclusion: Angiosarcoma poses a diagnostic challenge to dental practitioners and oral pathologists due to the rarity of occurrence in the oral cavity. Histopathological examination is critical for an accurate diagnosis.

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