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Dental Journal (Majalah Kedokteran Gigi)
Published by Universitas Airlangga
ISSN : 19783728     EISSN : 24429740     DOI : -
Core Subject : Health,
The Dental Journal (Majalah Kedokteran Gigi) (e-ISSN:2442-9740; p-ISSN:1978-3728) is published by the Faculty of Dental Medicine, Universitas Airlangga. Its diciplinary focus is dental science and dental hygiene. The Dental Journal (Majalah Kedokteran Gigi) is published in English on a quarterly basis with each 50-60 page edition containing between nine and eleven scientific articles on research, study literature and case studies. Contributors to the Dental Journal (Majalah Kedokteran Gigi) included: dental researchers, dental practitioners, lecturers, and students drawn from Indonesia and a wide range of other countries.
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Articles 11 Documents
Search results for , issue " Vol 43, No 4 (2010): (December 2010)" : 11 Documents clear
A combination of endodontic therapy and root resection in furcation involvement case Setiawati, Ernie Maduratna
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p205-209

Abstract

Background: Management of furcation involvement is one of major problems in clinical periodontology. The prognosis and treatment choices depend on the degree and severity of the lesion. Thus the decision for a specific treatment of furcation-involved tooth certainly depends on several factors. Tooth anatomy and the degree of furcation involvement are considered as the most important factors affecting the decision for one or more treatment plans mode. Purpose: The aim of this case report is to determine the management of class IV furcation involvement with the combination of endodontic therapy and root resection. Case: This study reported a case of 47 years old male patient who came to Periodontics clinic with tooth mobility, hypersensitivity and furcation involvement. Case management: One of the treatment is a combination of endodontic therapy and distal root resection. The results of these case could help the patient to have a better treatment for his furcation defect. Conclusion: Combining endodontic treatment and root resection were considered as an appropriate choice for retaining clinically-important trifurcation-involved tooth. Root resection had a better prognosis to treat periodontal problems than for non-periodontal problems. However, complex interdisciplinary treatment is important to be performed in the overall treatment plan.Latar belakang: Penatalaksanaan furkasi merupakan salah satu masalah di bidang periodontik. Rencana perawatan dan prognosis tergantung pada derajat keparahan furkasi. Untuk menentukan perawatan yang spesifik tergantung pada beberapa faktor. Anatomi gigi dan derajat keparahan furkasi merupakan faktor yang paling berpengaruh terhadap keputusan rencana perawatan. Tujuan: Tujuan laporan kasus ini adalah untuk menjelaskan penatalaksanaan furkasi kelas IV dengan perawatan kombinasi endodontik dan reseksi akar. Kasus: Penderita laki-laki usia 47 tahun datang ke klinik Periodonsia dengan keluhan gigi goyang, hipersensitif dan tampak adannya furkasi. Tatalaksana kasus: Dilakukan kombinasi perawatan endodontik dan reseksi akar distal. Hasil perawatan menunjukkan hasil yang lebih baik pada defek furkasi. Kesimpulan: Kombinasi perawatan endodontik periodontik dapat menjadi pilihan untuk mempertahankan gigi dengan furkasi. Reseksi akar dapat meningkatkan prognosis yang lebih baik. Perawatan interdisipliner yang kompleks dibutuhkan dalam membuat semua rencana perawatan.
Alveolar ridge rehabilitation to increase full denture retention and stability Kuntjoro, Mefina; Rostiny, Rostiny; Widajati, Wahjuni
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p181-185

Abstract

Background: Atrophic mandibular alveolar ridge generally complicates prostetic restoration expecially full denture. Low residual alveolar ridge and basal seat can cause unstable denture, permanent ulcer, pain, neuralgia, and mastication difficulty. Pre-proshetic surgery is needed to improve denture retention and stability. Augmentation is a major surgery to increase vertical height of the atrophic mandible while vestibuloplasty is aimed to increase the denture bearing area. Purpose: The augmentation and vestibuloplasty was aimed to provide stability and retentive denture atrophic mandibular alveolar ridge. Case: A 65 years old woman patient complained about uncomfortable denture. Clinical evaluate showed flat ridge in the anterior mandible, flabby tissue and candidiasis, while residual ridge height was classified into class IV. Case management: Augmentation using autograph was conducted as the mandible vertical height is less than 15 mm. Autograph was used to achieve better bone quantity and quality. Separated alveolar ridge was conducted from left to right canine region and was elevated 0.5 mm from the previous position to get new ridge in the anterior region. The separated alveolar ridge was fixated by using T-plate and ligature wire. Three months after augmentation fixation appliances was removed vestibuloplasty was performed to increase denture bearing area that can make a stable and retentive denture. Conclusion: Augmentation and vestibuloplasty can improve flat ridge to become prominent.Latar belakang: Ridge mandibula yang atrofi pada umumnya mempersulit pembuatan restorasi prostetik terutama gigi tiruan lengkap (GTL). Residual alveolar ridge dan basal seat yang rendah menyebabkan gigi tiruan menjadi tidak stabil, menimbulkan ulser permanen, nyeri, neuralgia, dan kesulitan mengunyah. Tujuan: Augmentasi dan vestibuloplasti pada ridge mandibula yang atrofi dilakukan untuk menciptakan gigi tiruan yang stabil dan retentive. Kasus: Pasien wanita usia 65 tahun datang dengan keluhan gigi tiruan yang tidak nyaman. Pemeriksaan klinis menunjukkan ridge flat pada anterior mandibula, jaringan flabby dan kandidiasis, sedangkan residual ridge digolongkan menjadi kelas IV. Tatalaksana kasus: Augmentasi dilakukan karena ketinggian vertikal mandibula kurang dari 15 mm. Autograf digunakan untuk mendapatkan kuantitas dan kualitas tulang yang lebih baik. Alveolar ridge diambil dari sisi kiri dan kanan region kaninus dan digunakan 0,5 mm dari posisi awalnya untuk mendapatkan ridge baru pada region anterior. Alveolar ridge telah diseparasi difiksasi menggunakan T-plate dan ligature kawat. Tiga bulan setelah fiksasi dilepas, dilakukan vestibuloplasti untuk meningkatkan denture bearing area sehingga gigi tiruan lebih stabil dan retentive. Kesimpulan: Augmentasi dan vestibuloplasti dapat memperbaiki ridge atrofi sehingga menjadi tinggi kembali.
Interleukin-1β expression on periodontitis patients in Surabaya Prahasanti, Chiquita
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p210-214

Abstract

Background: Periodontal disease, commonly known as periodontitis is an infectious disease which has multifactorial etiologic factors. It may affect everybody in any ages with no gender nor sex predilection and usually can be detected under routine clinical examination. This disease is a manifestation of local factors, host factor and environmental factors, resulting in periodontal tissue damage which may cause tooth mobility and tooth loss. Interleukin-1 is a pro-inflammatory protein which functions primarily as inflammatory mediator in host innate immune responses. IL-1 is a regulator, affecting many biological activities including proliferation, development, homeostasis, regeneration, repair and inflammation which contribute to tissue damage and alveolar bone resorption. Purpose: This research was aimed to reveal the basic pathogenesis of periodontitis and could determine the future definitive treatment for patients with periodontitis. Methods: Data were obtained from 40 patients with aggressive periodontitis and 40 patients with chronic periodontitis. Samples were collected from periodontal tissue patients and protein expression of IL-1β was performed with immunohistochemistry. Results: Most female patient suffer aggressive periodontitis and chronic periodontitis. The datas were analyzed with t-test. The t values result was -8623, significance 0.001, with α = 5%, which indicated there was significant difference in IL-1β expression between aggressive and chronic periodontitis. The box plot diagram showed marked difference in distribution of protein expression of IL-1β between patients with aggressive periodontitis and chronic periodontitis. With a regression equation, it might be concluded that the protein expression of IL-1β might affect the incidence of aggressive periodontitis and chronic periodontitis. The OR value was calculated for 0.746 (sign.= 0.001), which indicate each increment of one unit protein expression of IL-1β will lead the risk for Aggressive periodontitis 0.746 times higher or if the protein expression of respondents increased one unit, the risk of chronic IL-1β periodontitis may be 1.34 times higher. Conclusion: This study elucidated that the elevation proteins expression of IL-1β in patients with chronic periodontitis demonstrated this cytokine as an indicator of inflammation.Latar belakang: Penyakit periodontal yang biasa dikenal dengan periodontitis adalah penyakit infeksi, yang disebabkan oleh berbagai faktor, dapat menyerang setiap orang tanpa membedakan usia dan gender serta mudah ditemukan pada pemeriksaan klinis oleh seorang dokter gigi. Penyakit ini merupakan manifestasi dari interaksi antara faktor lokal dengan faktor lingkungan, yang berakibat pada kerusakan jaringan periodontal, dapat mengakibatkan terjadinya kegoyangan gigi hingga tanggalnya gigi. Interleukin-1 merupakan protein pro-inflamatori dengan fungsi utama sebagai mediator respon inflamasi pejamu pada sistem imunitas innate. Interleukin-1 merupakan regulator, dimana memainkan peranan pada sejumlah aktivitas biologic termasuk proliferasi, pengembangan, homeostasis, regenerasi, repair dan keradangan berperan pada kerusakan jaringan ikat serta resorpsi tulang alveolar. Tujuan: Penelitian ini bertujuan untuk menentukan dasar patogenesa periodontitis dan dapat digunakan sebagai dasar perawatan penderita periodontitis pada masa mendatang. Metode: Data penelitian didapat dari 40 penderita dengan periodontitis agresif dan 40 penderita periodontitis kronis. Sampel berasal dari jaringan yang mengalami kelainan periodontal dan uji ekspresi protein IL-1β dilakukan secara imunohistokimia. Hasil: Penderita yang mengalami kelainan pada penelitian ini sebagian besar adalah perempuan baik periodontitis agresif maupun periodontitis kronis. Uji statistik yang digunakan adalah uji-t diperoleh nilai t sebesar -8.623 dan signifikansi 0.001, dengan α = 5% maka terdapat perbedaan bermakna ekspresi protein IL-1β antara penderita periodontitis agresif dan penderita periodontitis kronis. Diagram box plot memperlihatkan sebaran ekspresi protein IL-1β antara penderita periodontitis agresif dan penderita periodontitis kronis yang tampak sangat jauh berbeda. Ekspresi protein IL-1β berpengaruh pada kejadian penderita periodontitis agresif dan penderita periodontitis kronis, dengan bentuk persamaan regresi. Nilai estimasi OR untuk variabel ekspresi protein IL-1β adalah 0,746 (sign. = 0,00). Artinya, jika ekspresi protein IL-1β responden bertambah satu satuan, maka risiko terjadinya periodontitis agresif menjadi 0,746 kali atau jika ekspresi protein IL-1β responden bertambah satu satuan, maka risiko terjadinya periodontitis kronis menjadi 1,34 kali. Kesimpulan: Ekspresi protein Il-1β yang meningkat pada penderita periodontitis kronis menujukkan bahwa sitokinini merupakan indikator pada keadaan keradangan.
Pulp nerve fibers distribution of human carious teeth: An immunohistochemical study Haniastuti, Tetiana
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p186-189

Abstract

Background: Human dental pulp is richly innervated by trigeminal afferent axons that subserve nociceptive function. Accordingly, they respond to stimuli that induce injury to the pulp tissue. An injury to the nerve terminals and other tissue components in the pulp stimulate metabolic activation of the neurons in the trigeminal ganglion which result in morphological changes in the peripheral nerve terminals. Purpose: The aim of the study was to observe caries-related changes in the distribution of human pulpal nerve. Methods: Under informed consents, 15 third molars with caries at various stages of decay and 5 intact third molars were extracted because of orthodontic or therapeutic reasons. All samples were observed by micro-computed tomography to confirm the lesion condition 3-dimensionally, before decalcifying with 10% EDTA solution (pH 7.4). The specimens were then processed for immunohistochemistry using anti-protein gene products (PGP) 9.5, a specific marker for the nerve fiber. Results: In normal intact teeth, PGP 9.5 immunoreactive nerve fibers were seen concentrated beneath the odontoblast cell layer. Nerve fibers exhibited an increased density along the pulp-dentin border corresponding to the carious lesions. Conclusion: Neural density increases throughout the pulp chamber with the progression of caries. The activity and pathogenicity of the lesion as well as caries depth, might influence the degree of neural sprouting.Latar belakang: Pulpa gigi manusia diinervasi oleh serabut saraf trigeminal yang berespon terhadap stimuli penyebab perlukaan dengan menimbulkan rasa sakit. Perlukaan pada akhiran saraf dan komponen lain dari pulpa akan menstimulasi aktivasi metabolik dari neuron pada ganglion trigeminal sehingga mengakibatkan perubahan morfologi pada akhiran saraf perifer. Tujuan: Penelitian ini bertujuan untuk mengamati perubahan distribusi saraf pada pulpa gigi manusia yang disebabkan oleh proses karies. Metode: Penelitian ini menggunakan 15 buah gigi molar tiga yang mengalami karies dengan berbagai tingkat kedalaman karies dan 5 buah gigi molar tiga normal (tidak mengalami karies). Gigi-geligi tersebut dicabut untuk keperluan perawatan ortodontik atau alasan perawatan lainnya. Sebelum didekalsifikasi dengan menggunakan EDTA 10% (pH 7,4), seluruh sampel diamati dengan micro-computed tomography untuk mengetahui kondisi lesi secara tiga dimensi. Spesimen kemudian diproses secara immunohistokimia menggunakan anti-protein gene products (PGP) 9,5 yang merupakan penanda spesifik untuk serabut saraf. Hasil: Pada pulpa gigi normal, serabut saraf yang menunjukkan ekspresi PGP 9,5 positif tampak terkonsentrasi di bawah lapisan odontoblast. Distribusi serabut saraf tampak meningkat pada perbatasan dentin-pulpa di bawah lesi karies. Kesimpulan: Densitas serabut saraf pada kamar pulpa meningkat dengan bertambahnya kedalaman karies. Aktivitas dan patogenisitas dari lesi serta kedalaman karies dapat berpengaruh terhadap penyebaran serabut saraf.
Clinical consideration of thrombocytopenia in children Laksmiastuti, S. Ratna
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p163-167

Abstract

Background: Pediatric patient with the history of bleeding disorder as thrombocytopenia is considered as a clinical case in dentistry. The patient with platelet count below normal has potential risk of bleeding disorders. The situation would be more dangerous if the dentist could not identify the problem. Purpose: The aim of this review is to describe how a dentist must understand the step and management that should be performed in pediatric patient with history of bleeding disorder due to thrombocytopenia. Reviews: Bleeding disorders might be the result of thrombocytopenia, a condition that alter the ability of blood vessels, platelet and coagulation factors in normal hemostatic system. Thrombocytopenia is defined as a platelet count of less than normal (150.000/mm3–400.000/mm3). Etiology, risk factor and preventive method of thrombocytophenia are still unknown. Conclusion: It is concluded that special attention is needed for pediatric patient with thrombocytopenia. A dentist should understand well about this disorder on how to take the history, to do clinical examination, to establish the diagnosis and to decide treatment plan as well as to consult to related collongues.Latar belakang: Penderita anak-anak dengan riwayat gangguan perdarahan yang ditandai dengan adanya trombositopenia merupakan masalah klinis yang ditemukan dalam bidang kedokteran gigi. Beberapa perawatan di bidang kedokteran gigi beresiko menimbulkan terjadinya perdarahan. Keadaan akan berbahaya bila dokter gigi tidak dapat mengidentifikasi masalah. Tujuan: Artikel ini menunjukkan pentingnya seorang dokter gigi memahami dan mengetahui langkah dan tindakan apa yang harus dilakukan, bila suatu saat menghadapi penderita anak-anak dengan riwayat gangguan perdarahan akibat trombositopenia. Review: Gangguan perdarahan adalah suatu kondisi terjadinya penurunan kemampuan dari pembuluh darah, platelet, dan faktor pembekuan pada fungsi normal hemostasis. Trombositopenia adalah jumlah trombosit/platelet dalam darah berada pada jumlah di bawah normal (150.000/mm3–400.000/mm3), yang dapat mengakibatkan terjadinya gangguan perdarahan. Penyebab, faktor risiko dan cara pencegahan kasus trombositopenia belum diketahui dengan pasti. Kesimpulan: Diperlukan perhatian khusus pada penderita anak yang mengalami gangguan perdarahan. Seorang dokter gigi harus mengetahui dengan baik bagaimana menggali informasi tentang riwayat penyakit, melakukan pemeriksaan klinis yang tepat, menegakkan diagnosis, menentukan rencana perawatan serta melakukan rujukan bila diperlukan.
The management of dental fracture on tooth 61 in a child with attention deficit hyperactivity disorders Veranica, Veranica; Rizal, Mochamad Fahlevi
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p190-194

Abstract

Background: Attention deficit hyperactivity disorder (ADHD) is often characterized as a neurobehavioral developmental disorder, impaired concentration, impaired motor skills, impulsivity, and hyperactivity, and also diagnosed as psychiatric disorders. Children with ADHD would have a tendency of the traumatized anterior teeth because of their hyperactive behavior. Dental trauma is actually one of factors causing the damages of the deciduous teeth and the permanent teeth. Dental and mouth care for children with special needs, such as children with ADHD, requires special treatment. Purpose: This study is aimed to report the case management of the dental fracture of the tooth 61 in a child with ADHD. Case: A four-year old girl suffered from both ADHD and dental fracture involving the dentin of the tooth 61. Case management: The examination of the patient with dental fracture consists of emergency examination and further investigation. The emergency examination covers general condition and clinical situation. Based on the dental radiographic assessment, it is known that the dental fracture of the tooth 61 had involved the dentine, the resorption had reached 1/3 of the apical teeth and the permanent teeth had been formed. The application of calcium hydroxide on the opened dentin is aimed to improve the formation of the secondary dentin served as pulp protector. Next, the restoration of the traumatized teeth used compomer since it does not only meet all the aesthetic requirements, but it also releases fluoride. Management of the patient’s behavior with ADHD was conducted by non-pharmacological method; tell show do (TSD) method combined with restrain method. Conclusion: It can be concluded that the application of calcium hydroxide and the restoration of the teeth with compomer could provide maximum results through the combination of TSD and restrain methods that can effectively increase the positive value to replace the negative behaviors that have been formed.Latar belakang: Gangguan pemusatan perhatian-hiperaktivitas (GPPH), sering dikarakteristikan sebagai gangguan perilaku, gangguan konsentrasi, motorik, impulsif, dan hiperaktivitas dan didiagnosa sebagai gangguan psikiatrik. Anak penderita GPPH mempunyai kecenderungan mengalami trauma gigi anterior karena perilaku hiperaktivitasnya. Trauma gigi anak merupakan salah satu penyebab kerusakan pada gigi sulung maupun pada gigi tetap. Perawatan gigi dan mulut pada anak berkebutuhan khusus seperti anak penderita GPPH memerlukan pendekatan khusus. Tujuan: Makalah ini bertujuan melaporkan kasus penatalaksanaan fraktur gigi 61 pada anak dengan GPPH. Kasus: Seorang anak perempuan berusia 4 tahun menderita GPPH dan mengalami fraktur yang melibatkan dentin pada gigi 61. Tatalaksana kasus: Pemeriksaan pasien yang mengalami fraktur terdiri dari pemeriksaan darurat dan pemeriksaan lanjutan. Pemeriksaan darurat meliputi keadaan umum dan keadaan klinis. Penilaian radiografis memperlihatkan fraktur gigi 61 melibatkan dentin, resopsi mencapai 1/3 apikal dengan benih gigi tetap telah terbentuk. Aplikasi kalsium hidroksida pada dentin terbuka bertujuan untuk meningkatkan pembentukkan dentin sekunder dan berfungsi sebagai pelindung pulpa. Restorasi gigi yang mengalami trauma menggunakan kompomer karena selain memenuhi persyaratan estetik juga melepaskan fluor. Penanganan manajemen perilaku pada anak GPPH dilakukan dengan metode non farmakologi, yaitu melalui pendekatan tell show do (TSD) yang dikombinasikan dengan metode restrain. Kesimpulan: Aplikasi kalsium hidroksida dan restorasi gigi dengan kompomer memberikan hasil maksimal, melalui kombinasi TSD dan restrain, efektif meningkatkan nilai positif untuk menggantikan perilaku negatif yang telah terbentuk.
The increasing of odontoblast-like cell number on direct pulp capping of Rattus norvegicus using chitosan Prananingrum, Widyasri
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p168-171

Abstract

Background: Pulpal perforation care with direct pulp capping in the case of reversible pulpitis due to mechanical trauma was performed with chitosan which has the ability to facilitate migration, proliferation, and progenitor cell differentiation. Purpose: The purpose of this study was to determine the increasing number of odontoblast-like cells in direct pulp capping dental care of Rattus norvegicus using chitosan for seven and fourteen days. Methods: Samples were molars of male Rattus norvegicus strain wistar, aged between 8–16 weeks, divided into two treatment groups, namely group I given chitosan and group II as a control group given Ca(OH)2. Those Rattus norvegicus’ occlusal molar teeth were prepared with class I cavity, and then chitosan and Ca(OH)2 were applied as the pulp capping materials. Afterwards, glasss ionomer cement type IX was used as a restoration material. Their teeth and jaw were then cut on the seventh day and the fourteenth day. Next, histopathological examination was carried out to observe the odontoblast like cells. All data were then analyzed by t test. Degree of confidence obtained, finally, was 95%. Results: The results obtained showed that the significant differences of odontoblast like cells on the seventh day observation was 0.001 (p = 0.001), and on the fourteenth day observation was 0.002 (p = 0.002). Conclusion: The number of odontoblast-like cells in direct pulp capping dental care of rattus norvegicus using chitosan is higher than the one using Ca(OH)2 for seven and fourteen days.Latar belakang: Perawatan perforasi pulpa pada kasus pulpitis reversible karena trauma mekanis bur dilakukan direct pulp capping dengan cara pemberian bahan secara topikal pada daerah perforasi. Kitosan memiliki kemampuan untuk memfasilitasi migrasi, proliferasi dan diferensiasi sel progenitor pulpa. Tujuan: Tujuan penelitian ini adalah untuk menentukan jumlah peningkatan odontoblas-like cell pada perawatan direct pulp capping gigi Rattus norvegicus menggunakan kitosan selama 7 dan 14 hari. Metode: Sampel adalah gigi molar Rattus norvegicus jantan strain wistar, berusia antara 8–16 minggu, dibagi menjadi 2 kelompok perlakuan yaitu kelompok I yang diberi kitosan dan kelompok II sebagai kontrol yang diberi Ca(OH)2. Oklusal gigi molar Rattus norvegicus dipreparasi kelas I kemudian kitosan dan Ca(OH)2 diaplikasikan sebagai bahan pulp capping. Glass ionomer cement tipe IX digunakan sebagai bahan restorasi. Gigi beserta rahang tikus dipotong pada 7 dan 14 hari. Pemeriksaan histopatologi dilakukan untuk mengamati odontoblas-like cell. Semua data dianalisis dengan uji t. Tingkat kepercayaan = 95%. Hasil: Hasil penelitian menunjukkan perbedaan yang signifikan dalam odontoblas like cell pada pengamatan hari ke-7 (p = 0,001) dan pengamatan hari ke 14 (p = 0,002). Kesimpulan: Jumlah odontoblas like cell pada perawatan direct pulp capping gigi Rattus norvegicus menggunakan kitosan lebih tinggi dibandingkan dengan Ca(OH)2 selama 7 dan 14 hari.
Multidisciplinary management of a mandibular buccal plate perforation Nugraeni, Yuli; Prahasanti, Chiquita
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p195-200

Abstract

Background: Endodontists often have difficulty in the management of endo-perio cases, because they cannot visually detect the condition of outer root surfaces, especially in bucco-lateral roots. The bone defect is rare and its treatment needs collaboration of endodontists and periodontists. An endodontist treats cases based on dental history, radiograph of root canals to measure root canals, to uncover abnormalities and to diagnose, but as the endodontists cannot directly see the affected parts, the unseen portion of the tooth could only be seen after flap surgery. Purpose: This case presents the importance of multidisciplinary approach by the endodontist and periodontitis to treat bucal plate perforations in endo-perio cases. Case: The first patient, a 47-year-old female had endodontic treatment and a porcelain crown restoration; however, after several months she felt pain. The second patient, a 45 year-old female had endodontic treatment and after six months she feel painful. Case management: The first patient, was referred to a periodontist. The opening flap surgery has been done, a bone defect was found in tooth 45. Subsequently, the exposed crater was filled with a bone graft and the pain disappeared. The second patient, with improper endodontic treatment. The flap surgery was conducted, there was found a bone defect in tooth 36. The last treatment, a bone graft has been covered and then the pain was not present. Conclusion: Proper diagnosis and treatment of perforations on the buccal aspect of a root was able to eliminate pain and avoid tooth extraction.Latar belakang: Endodontis sering mengalami kesulitan dalam menangani kasus endo-perio karena secara visual kondisi ini tidak tampak diluar permukaan akar, khususnya pada akar bukolateral. Defek tulang sangatlah jarang dan perawatannya membutuhkan kolaborasi endodotis dan periodontis. Seorang endodontis merawat kasus-kasus berdasarkan riwayat gigi, radiografis saluran akar untuk melihat saluran akar, melihat abnormalitas dan diagnosis, tetapi ketika endodontis tidak dapat secara langsung melihat bagian yang terlibat, bagian gigi yang tidak terlihat ini hanya dapat dilihat setelah dilakukan bedah flap. Tujuan: Kasus ini menunjukkan pentingnya pendekatan multidisipliner oleh endodontis dan periodontis dalam menangani perforasi aspek bukal akar pada kasus endoperio. Kasus: Pasien pertama, seorang wanita 47 tahun telah mendapatkan perawatan endodontik dan restorasi mahkota porselen, akan tetapi selama beberapa bulan pasien tersebut mengeluh nyeri. Pasien kedua, seorang wanita 45 tahun telah mendapatkan perawatan endodontik dan setelah 6 bulan juga mengeluh nyeri pada gigi tersebut. Tatalaksana kasus: Pasien pertama dirujuk ke periodontis. Bedah pembukaan flap dilakukan dan ditemukan defek tulang pada gigi 45, kemudian crater yang terbuka diisi graft tulang dan nyeri berangsur hilang. Pada pasien kedua ditemukan perawatan endodontik yang kurang baik. Pada pasien ini ilakukan bedah flap dan ditemukan defek tulang pada gigi 36, pada akhir perawatan graft tulang dipasang dan nyeri berangsur hilang. Kesimpulan: Diagnosa dan perawatan perforasi yang tepat pada aspek bukal akar dapat menghilangkan nyeri dan menghindari ekstraksi gigi.
Minor modification of Millards surgical technique for correction of complete unilateral cleft lip D, Coen Pramono
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p172-175

Abstract

Background: A surgical technique for correction of complete unilateral cleft lip was done using a minor modification of Millard’s surgical technique. The purpose of this modification is to achieve a good anatomical form of columelia, nostril cill and the position of nasal tip. Purpose: This article presents the correction of the complete cleft lip which was done initially by correction of the slanted columella followed by correction of the nostril sill which was done before the sequence of closing the lip crevice. Case: Correction of a case with complete unilateral cleft lip on a fifteen year old girl using modification of Millard’s surgical technique is presented. Case Management: Rotation incision in the philtrum region was made as introduced by Millard to make a triangular flap. The triangular flap was contralaterally rotated and pulled into the direction of cleft to achieve a normal position of the columella and nasal tip. The lateral side of the ala was incised in circular form down to the alar base and straight through to the direction of cleft formed an alar flap which consisted of ala, clefted and slanted nasal base tissue. The tip of the triangular flap was trimmed and approximated to the alar flap to form a new the nostril sill. Adjustment of the size of the nostrill sill size was achieved during the approximation of those two flaps. The nasal base was built during approximation of the lateral and the medial segment flap or philtrum region and the base of new nostril sill. Surgical correction of the complete unilateral cleft lip including correction of the nostrill sill using approximation of triangular flap and the alar flap was achieved. Conclusion: This surgical technique with minor modification of Millard’s surgical technique can be used for correction of the complete unilateral cleft lip with extremely slanted columella and nasal tip to form thenostril sill.Latar belakang: Koreksi celah bibir komplit satu sisi telah dilakukan menggunakan metode operasi Millard yang dimodifikasi. Modifikasi dimaksudkan untuk memperoleh bentuk anatomis yang baik dari columella, nostril dan letak ujung hidung yang baik. Tujuan: Melaporkan koreksi suatu celah bibir komplit satu sisi menggunakan metode operasi Millard yang dimodifikasi yang dimulai dengan melakukan perbaikan pada columella yang miring pada bentuk nostril sebelum tahapan penutupan celah bibir dilakukan. Kasus: Dilaporkan satu kasus koreksi celah bibir komplit satu sisi pada pasien wanita usia 15 tahun menggunakan metode operasi Millard yang dimodifikasi. Tatalaksana kasus: Dilakukan insisi berbentuk rotasi di regio seperti pada metode Millard untuk membuat flap berbentuk trianguler. Flap trianguler dirotasikan ke arah kontra lateral dan ditarik menuju arah celah bibir untuk memperoleh posisi columella yang normal, bentuk nostril yang simetris dan letak ujung hidung yang baik. Dilakukan insisi sirkuler ke bawah ke arah dasar ala pada regio lateral ala menuju ke bagian celah bibir, selanjutnya akan diperoleh bentuk flap yang disebut alar flap yang terdiri atas bagian ala nasi, bagian dari jaringan yang berada pada sisi celah dan bagian dari dasar hidung di sisi celah bibir. Bagian ujung dari trianguler flap dipotong dan selanjutnya ditautkan pada flap alar untuk membentuk bentukan nostril baru. Penyesuaian ukuran nostril dilakukan pada tahap penautan kedua flap tersebut. Bagian dari dasar hidung dibentuk pada saat tahapan penautan antara flap segmen lateral dan medial atau bagian dari philtrum dan bagian dasar dari nostril atau cuping hidung. Koreksi bedah suatu celah bibir komplit satu sisi termasuk koreksi pada bentuk nostril diperoleh dengan menautkan antara flap trianguler dan flap alar. Kesimpulan: Teknik bedah Millard dengan modifikasi kecil dapat dipakai untuk melakukan koreksi pada kasus celah bibir komplit satu sisi yang disertai kemiringan columella dan ujung hidung yang ekstrim.
Candida albicans adherence on acrylic resin plates immersed in black tea steeping Soebagio, Soebagio
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 4 (2010): (December 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v43.i4.p201-204

Abstract

Background: Black tea or Cournelia sinensis is one of known tea varieties in Indonesia. Actually, black tea is consumed daily as beverage that can function as antiseptics and fungicides. Black tea containing antibacterial and fungicide properties can reduce the number of Candida albicans (C. albicans) colony attachment on the surface of acrylic resin plates. Purpose: This study was done to determine the effective concentration of black tea steeping used as the immersion material of acrylic resin plates towards the number of Candida albicans colonies. Methods: In this study, acrylic resin plates with the size of 10 × 20 × 1 mm were immersed in black tea steeping with the following concentrations, 3.33%, 6.66%, and 13.33%, for one hour. The growth of C. albicans colonies were then detected by counting the number of colonies growing on Sabouraud’s dextrose medium. Data was analyzed by using both One-Way ANOVA with the significance level of 5%, and Tuckey’s multiple comparison tests (Tuckey’s HSD test). Results: There were significant differences in the number of C. albicans colonies in acrylic resin plates immersed in black tea with the concentration of 3.33%, 6.66%, and 13.33%. Conclusion: It can be concluded that the higher concentration of black tea (13.33%) used to immerse acrylic resin plates, the greater the decreased number of C. albicans colonies.Latar belakang: Teh hitam atau Cournelia sinensis adalah salah satu macam teh yang dikenal di Indonesia. Teh hitam seringkali dipakai sebagai minuman sehari- hari dan berkhasiat sebagai antiseptik maupun fungisid. Teh hitam yang mengandung sifat antibakteri dan fungisid dapat menurunkan jumlah koloni Candida albicans (C. albicans) yang melekat pada permukaan lempeng resin akrilik. Tujuan: Untuk mengetahui konsentrasi efektif seduhan teh hitam sebagai bahan perendam lempeng resin akrilik terhadap jumlah koloni C. albicans. Metode: Pada penelitian ini lempeng resin akrilik ukuran 10 × 20 × 1 mm direndam dalam seduhan teh hitam konsentrasi 3,33%, 6,66%, 13,33% selama 4 jam. Pertumbuhan jumlah koloni C. albicans dilakukan dengan cara menghitung jumlah koloni yang tumbuh pada media Sabouraud’s dextrose. Analisis data menggunakan uji anova satu arah dengan taraf kemaknaan 5%, uji pembanding ganda tuckey HSD. Hasil: Terdapat perbedaan yang bermakna jumlah koloni C. Albicans yang melekat pada lempeng resin akrilik yang direndam dalam seduhan teh hitam dengan konsentrasi 3,33%, 6,66% dan 13,33%. Kesimpulan: Konsentrasi 13,33% atau makin pekat seduhan teh hitam yang digunakan untuk merendam lempeng resin akrilik menyebabkan penurunan jumlah koloni C. albicans.

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