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Journal of Dentistry Indonesia
Published by Universitas Indonesia
Journal of Dentistry Indonesia (JDI) is a scientific journal that is published three times annually (April, August and December). This journal aims for continuous dissemination of updates in relation to dentistry and its related fields in the form of original articles, case reports and reviews. Its first publication was in 1993, under the name of Jurnal Kedokteran Gigi Universitas Indonesia, published by the Faculty of Dentistry Universitas Indonesia. At the end of 2012, this journal collaborated with the Indonesian Dental Association for its publication. All submitted manuscripts are subjected for double-blind peer review and editorial review processes before being granted acceptance. Starting in 2012, articles published in JDI could be freely available online from the Journal’s official website and is indexed in Google Scholar. Papers would be available online shortly after granted acceptance from the JDI as the hardcopy is being printed. In 2014 JDI has been Nationally Accredited by the Indonesian Directorate of Higher Education.
Articles
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Articles
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Is Simvastatin Associated with Oral Lichenoid Drug Reaction?

Thongprasom, Kobkan ( Department of Oral Medicine, Faculty of Dentistry, Chulalongkorn University, Thailand )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Currently, various drugs have been found to induce many oral lesions. Some medications used in the treatment of systemic diseases can affect the oral mucosa, and these lesions are known as oral lichenoid drug reaction (OLDR). The diagnosis is made when the oral lesion erupted after the patient took a specific medication. However, diagnosis is challenging when a patient takes multiple medications and the onset of the erupting oral lesions is unclear. OLDRs commonly cause severe pain in the oral cavity and affect the patient’s quality-of-life. Statins are widely used by patients with cardiovascular disease (CVD) and lower blood cholesterol levels; decreasing the risk of heart attack or stroke. This review will focus on the side-effects of a hypolipidemic drug group, the statins, in the oral cavity. From previous experience, simvastatin is a statin that may be related to severe oral ulcerations, dysplasia, and carcinoma in situ in the oral mucosa. Moreover, when simvastatin is used together with amlodipine, this combination can induce more severe oral lesions that are very difficult to treat. Therefore, the beneficial effect of these drugs and their side- effects should be carefully paid attention to because simvastatin significantly affects both oral and general health.

The Roles of Dental Professionals Team among the Family Care Team Policy in Lower-Northern Region, Thailand

Sangouam, Supaporn ( Naresuan university )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Objective: To determine the roles of dental personnel in the Family Care Team Policy in Lower–Northern region,Thailand. Methods: Purposively selected samples were collected from 15 dental personnel in the lower Northernregion, Thailand, an in-depth, semistructured interview was conducted, and data were analyzed thematically.Results: The main roles of the dental professional team according to the Family Care Team Policy consisted of a continuous care role in the patient’s home, primary dental health services, risk screening and provision of services as needed, and health promotion and oral disease prevention. The most challenging role of the multidisciplinarydental professional team was the continuous care role at home. The dentist has a role as a complex case counselor,while the role of dental hygienist is in coordinating and supporting patient information provided to the dentist.The multidisciplinary team provides basic knowledge to caregivers regarding patient’s oral hygiene and dentalcare consult, and/or refers patients to the dentist in complex cases. Conclusion: The important role of the dentalprofessional team is to support and join the Family Care Team to provide effective holistic care to patients, especiallydependent elderly, disabled, and end-of-life patients, thus, constituting a multidisciplinary team which is the mostchallenging role of dental professionals.

Effect of the Extent of Apical Enlargement on the Degree of Debridement of the Apical Third in Curved Root Canals

Andrabi, Syed Mukhtar-Un-Nisar ( Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahamd Dental College, Aligarth Muslim University, Aligarth, India ) , Kumar, Ashok ( Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahamd Dental College, Aligarth Muslim University, Aligarth, India ) , Tewari, Rajendra Kumar ( Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahamd Dental College, Aligarth Muslim University, Aligarth, India ) , Mishra, Surendra Kumar ( Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahamd Dental College, Aligarth Muslim University, Aligarth, India ) , Iftekhar, Huma ( Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahamd Dental College, Aligarth Muslim University, Aligarth, India ) , Zia, Afaf ( Department of Periodontics and Community Dentistry, Dr. Ziauddin Ahamd Dental College, Aligarth Muslim University, Aligarth, India )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Objectives: The present study aimed to evaluate the influence of various apical instr umentation sizes and taperson the degree of debridement of the apical third of curved root canals. Methods: We used 60 extracted humanmandibular first molars with mesial root curvatures of 20° to 30°. In all teeth, access cavity preparation wasperformed, followed by coronal flaring with Gates Glidden drills #1–4 (Dentsply Maillefer). Specimen teeth weresubsequently randomly divided into five groups (n = 12). Each group was enlarged to a par ticular apical size andt aper as follows: no apical preparation done (group I, Control group); 25/.04 and 25/.06 (Group II); 30/.04 and30/.06 (group III); 35/.04 (group IV); 40/.04 (group V). Specimens were rinsed with 17% EDTA and 3% NaOClsolutions. We used a scanning electron microscope to evaluate specimens’ degree of debridement. Retrieved datawere analyzed using Kr uskal–Wallis and Mann–Whitney U-tests (p < 0.05). Results: Acceptable debridementwas observed in groups III, IV, and V. Additionally, debridement was significantly better in Groups IV and V thanin group II. Conclusion: Apical preparation with <30/.04 size results in an unacceptable degree of debridementof the apical third.

Comparison of Low-Level Laser versus Intra-Articular Corticosteroid Therapy for Temporomandibular Joint Osteoarthritis in Rats

AbuBakr, Nermeen ( Faculty of Dentistry, Cairo University,Cairo, Egypt. ) , Salem, Zeinab Amin ( Faculty of Dentistry, Cairo University, Cairo, Egypt. ) , Ali, Zoba Hassan ( Faculty of Dentistry, Cairo University, Cairo, Egypt. ) , El Assaly, Manal Safwat ( Faculty of Dentistry, Cairo University, Cairo, Egypt. )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Osteoarthritis (OA) is an increasingly common deteriorating disorder of the temporomandibular joint (TMJ) forwhich there is an urgent need to improve the prevention and cure. Objectives: We aimed to compare low-levellaser (LLL) against corticosteroids as an alternative treatment for TMJ-OA. Methods: Sixty rats with TMJ-OAwere divided into OA (untreated), corticosteroid-treated, and LLL-treated groups. Animals were sacrificed at 1 and 4 weeks after treatment, and their TMJs were dissected for evaluation by histological analysis, histochemical analysis, and quantitative real-time polymerase chain reaction. Statistical comparison was conducted using one-way analysis of variance. Results: Histopathological examination revealed degenerative changes and loss of normal architecture in the untreated OA group and that these changes were decreased in both treatment groups. In histochemical analysis, collagen formation was higher in both treated groups than in the untreated group. Finally, tumor necrosis factor-?level was the highest in the OA group, followed by the corticosteroid- and LLL-treatedgroups. Conclusion: LLL may improve joint OA in the TMJ to a similar extent to corticosteroids and appears tohave superior anti-inflammatory effects in the short-term.

Relationship between Temporomandibular Disorder and Quality of Sleep in a Sample of Nurses in a Type C Private Hospital in Depok, West Java, Indonesia

Maxwell, David ( Universitas Indonesia ) , Amalina, Fadhillah Nur ( Universitas Indonesia ) , Tanti, Ira ( Universitas Indonesia )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Temporomandibular disorder can affect the quality of sleep. Objective: To analyze the association betweentemporomandibular disorder and quality of sleep among nurses in a type C private hospital using the ID-TMDand PSQI Indonesian version questionnaire. Methods: This cross-sectional study assessed the data of 92 nursesin Hasanah Graha Afiah Hospital, Depok City, West Java, Indonesia. Three questionnaires were administeredto each hospital nurse. The ID-TMD questionnaire was used to evaluate temporomandibular disorder; the PSQIIndonesian version was used to evaluate quality of sleep. Results: The results showed significant differencesbetween temporomandibular disorder and quality of sleep among nurses in a type C private hospital (p = 0.02).Conclusion: There was a relationship found in this study between temporomandibular joint disorder and qualityof sleep in a type C private hospital.

Comparative Evaluation of the Efficacy of Irrigation Delivery Systems on Enterococcus faecalis

Bhat, Raksha ( Department of Conservative Dentistry & Endodontics A.B.Shetty Memorial Institute Of Dental Sciences, Nitte [Deemed to be University] Deralakatte, Mangaluru-575018 ) , Shetty, Preethesh ( Department of Conservative Dentistry & Endodontics A.B.Shetty Memorial Institute Of Dental Sciences, Nitte [Deemed to be University] Deralakatte, Mangaluru-575018 ) , Hegde, Mithra N. ( Department of Conservative Dentistry & Endodontics A.B.Shetty Memorial Institute Of Dental Sciences, Nitte [Deemed to be University] Deralakatte, Mangaluru-575018 )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Attaining a sterile root canal system is important since microorganisms can cause persistent inflammation in theperiradicular tissues. Objectives: This study sought to evaluate the efficacy of two irrigation delivery systems;the EndoVac and semiconductor diode laser irradiation with 5.25% sodium hypochlorite and 2% chlorhexidine. Methods: Fifty teeth were disinfected according to the Occupational Safety and Health Administration regulations.The teeth were then instr umented, followed by inoculation with bacterial strains of Enterococcus faecalis (ATCC29212). The teeth were randomly assigned to five groups, Group I: Control group; Group II: Teeth irrigated with5.25% NaOCl + Endovac; Group III: Teeth irrigated with 2% Chlorhexidine + Endovac; Group IV: Teeth irrigatedwith 5.25% NaOCl + laser irradiation; and Group V: Teeth irrigated with 2% Chlorhexidine laser irradiation. Allsamples were incubated on Muller–Hilton media plates for a period of 24 h. We determined the colony-formingunits and analyzed them statistically using Fisher’s exact test. Results: Laser irradiation completely disinfectedthe root canal system. The EndoVac system produced significant disinfection but was comparatively less effectivethan laser irradiation. Conclusion: Laser irradiation had a significantly greater bactericidal effect than the EndoVacsystem, used in conjunction with sodium hypochlorite and chlorhexidine.

Cross-cultural Adaptation and Psychometric Properties of the Indonesian Version of the Self-Regulation for Dental Home Care Questionnaire

Rachmawati, Yuanita L. ( Universitas Brawijaya ) , Loster, Jolanta E. ( Jagiellonian University in Krakow, Poland ) , Loster, Bart?omiej W. ( Jagiellonian University in Krakow, Poland ) , Maharani, Diah A. ( Universitas Indonesia )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Few studies have reported the role of motivation in patient adherence to dental-care programmes or dental homecare and prevention of oral disease, particularly in Indonesia. Objective: To cross-adapt the Self-Regulation forDental Home Care Questionnaire (SRDHCQ) to the Indonesian version, and to study self-regulation for dentalhome care among adolescents. Methods: The SRDHCQ was cross culturally adapted to the Indonesian adolescentsaged 12-13 years old to test its reliability and validity. Intraoral examination was conducted by a single examiner toanalyse the number of decayed teeth. The SRDHCQ contains 22 questions with a 7-point scale, which comprisesof integrated, identified, introjected, external regulation and amotivation domains. Respondents were randomlyselected from 11 junior high schools at six districts in Jakarta. Results: Total respondents studied were 317 students,with prevalence of 71% of the students having decayed teeth, and average number decayed teeth was 2.1. The testand test-retest reliability and Cronbach’s alpha for internal consistency were 0.838 and 0.929, respectively. Nosignificant difference was observed in total SRDHCQ scores between genders. Constr uct and discriminant validityanalysis showed significant results. Conclusions: Our results support the reliability and validity of the IndonesianSRDHCQ for adolescents in Indonesia.

Large traumatic bone cyst masquerading as an odontogenic keratocyst

Lestari, Marzella M. ( Trisakti University ) , Juanda, Dwi N. ( Trisakti University )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Traumatic bone cyst (TBC) is a jaw disorder that is asymptomatic, slow growing, and usually detected duringroutine panoramic examinations. The etiology and pathogenesis of TBC are still unknown. The lack of informationand scarce research efforts on TBC has made it difficult for operators to appropriately diagnose and monitor cases,which often requires extensive treatment. Here, we report the case of a moderate-sized TBC, scalloping and pass-ing through the mandibular midline and suspected to be a malignant lesion.

Retrieval of Separated NiTi Instrument in Severe Curved Canal using an Ultrasonic Device: A Case Report

Putranto, Aditya W. ( Faculty of Dentistry, Universitas Indonesia ) , Maharti, Ike D. ( Faculty of Dentistry, Universitas Indonesia ) , Megantoro, Aryo ( Faculty of Dentistry, Universitas Indonesia ) , Ricardo, Shalina ( Faculty of Dentistry, Universitas Indonesia )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Objective: We describe how to assess the degree of canal curvature and manage a separated instrument usingan ultrasonic device. Case Report: A 24-year-old female was referred by a general dentist for an accidentallyseparated Protaper F2 instrument. The mesiobuccal canal was enlarged and the separated instrument could bevisualized via the dental operating microscope. Preoperative radiography revealed a separated endodontic instrumentat the middle to apical third of the mesiobuccal canal. Mesiobuccal canal curvature measured 66°. After rubberdam isolation, a specific ultrasonic tip and the dental operating microscope were used to gain access around theseparated instrument until it loosened. The separated instrument was agitated and accidentally sucked into thehigh-speed suction device. The canal was evaluated with higher magnification via the dental operating microscopeand postoperative radiographs were taken to confirm removal. Conclusion: Retrieval of a separated instrument inthe curved canal is effective using a specific ultrasonic device plus a dental operating microscope

A Case of Inconspicuous Recurrent Herpes Labialis Mimicking Unilateral Angular Cheilitis

Mandasari, Masita ( Oral Medicine Department, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia ) , Astuti, Ambar Kusuma ( Oral Medicine Department, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia ) , Rahmayanti, Febrina ( Oral Medicine Department, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia )

Journal of Dentistry Indonesia Vol 25, No 3 (2018): DECEMBER
Publisher : Faculty of Dentistry, University of Indonesia

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Abstract

Recurrent herpes labialis (RHL) is a common manifestation of herpes simplex virus (HSV) reactivation inimmunocompetent individuals, whereas angular cheilitis is an inflammatory lesion occurring on one or bothlip commissures and is induced by local and/or systemic conditions. We describe a case of RHL er uption on thecorner of the mouth, easily mistaken as angular cheilitis. Case Report: A 21-year-old male presented to our dental hospital with a 3 day history of a painful, unilateral lesion on the left corner of his mouth. The lesion featured anerythematous base with a yellowish crust that extended outward. We diagnosed the lesion as RHL. We prescribedchlorhexidine solution and topical acyclovir to be applied onto the lesion. At 2 weeks follow-up, the lesion wasresolved. An RHL lesion that er upts on the corner of the mouth may initially resemble angular cheilitis. However,the typical clinical presentation, history of recurrence, and the absence of predisposing factors for other lesionssuggested an infection caused by HSV. Conclusion: RHL which occurred at one side of the mouth corner canbe similar with unilateral AC. But, detailed history taking and clinical observation led to correct diagnosis andmanagement.

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