Heat cured acrylic (HCA) resin has a rough, hard and porous surface. This causes food scraps to stick frequently and makes it easier for Candida albicans to grow. Lime peel extract (citrus aurantifolia) is a natural ingredient that is antifungal. The pur-pose of this study was to determine the growth of C.albicanscolonies on heat cured acrylic dentures in 40% immersion of lime peel extract. The HCA resin plate samples were 40 samples, namely the 40% lime peel extractconcentration group, the negative control group (akuades) and the positive control group which were soaked for 2 hours and 6 hours. The design of this study was a post-test only control group with data analysis using the one-way Anova test. The results showed that each group was normally distributed and the variance data was heterogeneous (p>0.05). It is concluded that 40% lime peel extract can inhibit the growth of C.albicans colonies on HCA resin plates.
{"title":"Growth of Candida albicans colony on heat cured acrylic plat in inclusion of lime fruit extract (Citrus aurantifolia) 40% as desinfectant","authors":"Kadek Dwi Dessy Sapitri","doi":"10.35856/mdj.v11i2.568","DOIUrl":"https://doi.org/10.35856/mdj.v11i2.568","url":null,"abstract":"Heat cured acrylic (HCA) resin has a rough, hard and porous surface. This causes food scraps to stick frequently and makes it easier for Candida albicans to grow. Lime peel extract (citrus aurantifolia) is a natural ingredient that is antifungal. The pur-pose of this study was to determine the growth of C.albicanscolonies on heat cured acrylic dentures in 40% immersion of lime peel extract. The HCA resin plate samples were 40 samples, namely the 40% lime peel extractconcentration group, the negative control group (akuades) and the positive control group which were soaked for 2 hours and 6 hours. The design of this study was a post-test only control group with data analysis using the one-way Anova test. The results showed that each group was normally distributed and the variance data was heterogeneous (p>0.05). It is concluded that 40% lime peel extract can inhibit the growth of C.albicans colonies on HCA resin plates.","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86530930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sumintarti, Ahmad Afizenna, A. Yusran, E. Marlina, Andi Anggun, M. Putri, Nuri Usman, Departemen Penyakit Mulut
Plants are often used as herbal medicines because their active substances have known. Mangrove as herbal medicines are still under-researched; mangrove leafextract can be useful as anti-inflammatory, antibiotic, hemolytic drug, hypoglycemic has been specifically investigated for its inhibitory power againstStaphylococcus aureus as one of the causes of angular cheilitis and shows good results. This true experimental laboratory research with a posttest only control group design used 24 male white rats of the Wistar strain which were divided into group-1 were induced with S.aureus and given mangrove leaf extract, thegroup-2 was induced with S.aureus and given gentamicin, the group-3 was induced with C.albicans and given mangrove leaf extract, and the group-4 was induced with C.albicans and given miconazole. On the third day, wound length in the first group-1 was 0.23±0.2, in the group-2 was 0.00±0.0, in the group-3was 0.21±0.2, and the group-4 was 0.16±0.2. Based on the Friedman test, it showed significant results (p<0.05). It was concluded that mangrove leaf extract accelerated the wound closure process of angular cheilitis induced by S.aureus and C.albicans.
{"title":"The role of mangrove leaf extract (Avicennia marina) on the healing of angular cheilitis induced by S.aureus and C.albicans in white male rats of wistar strain","authors":"Sumintarti, Ahmad Afizenna, A. Yusran, E. Marlina, Andi Anggun, M. Putri, Nuri Usman, Departemen Penyakit Mulut","doi":"10.35856/mdj.v11i2.578","DOIUrl":"https://doi.org/10.35856/mdj.v11i2.578","url":null,"abstract":"Plants are often used as herbal medicines because their active substances have known. Mangrove as herbal medicines are still under-researched; mangrove leafextract can be useful as anti-inflammatory, antibiotic, hemolytic drug, hypoglycemic has been specifically investigated for its inhibitory power againstStaphylococcus aureus as one of the causes of angular cheilitis and shows good results. This true experimental laboratory research with a posttest only control group design used 24 male white rats of the Wistar strain which were divided into group-1 were induced with S.aureus and given mangrove leaf extract, thegroup-2 was induced with S.aureus and given gentamicin, the group-3 was induced with C.albicans and given mangrove leaf extract, and the group-4 was induced with C.albicans and given miconazole. On the third day, wound length in the first group-1 was 0.23±0.2, in the group-2 was 0.00±0.0, in the group-3was 0.21±0.2, and the group-4 was 0.16±0.2. Based on the Friedman test, it showed significant results (p<0.05). It was concluded that mangrove leaf extract accelerated the wound closure process of angular cheilitis induced by S.aureus and C.albicans.","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79320328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gingival biotype is described as the thickness of the gingiva in the faciopalatal or faciolingual dimension. Aesthetic is highly con-sidered in anterior teeth. A 35-year-old woman came with a complaint that the color of gingiva of her front teeth was slightly dark after root canal treatment 10 years ago. Clinical and radiographic examinations of the upper left lateral incisor showed no signs of inflammation or infection. Biotype evaluation was carried out with a calibrated UNCprobe using the transparency me-thod. Subepithelial connective tissue graft (SCTG) with tunneling technique was performed on the gingiva to thicken the gingi-va around the dark tooth root. SCTG autograft is a stable gingival graft material if the goal of surgery is to thicken the gingiva, so it remains the gold standard in areas that require esthetics.
{"title":"Subepithelial connective tissue graft for thin biotype gingiva on dark root non-vital tooth to enhance the aesthetic area: Case report","authors":"Made Talitha Suryaningsih Pinatih","doi":"10.35856/mdj.v11i2.594","DOIUrl":"https://doi.org/10.35856/mdj.v11i2.594","url":null,"abstract":"Gingival biotype is described as the thickness of the gingiva in the faciopalatal or faciolingual dimension. Aesthetic is highly con-sidered in anterior teeth. A 35-year-old woman came with a complaint that the color of gingiva of her front teeth was slightly dark after root canal treatment 10 years ago. Clinical and radiographic examinations of the upper left lateral incisor showed no signs of inflammation or infection. Biotype evaluation was carried out with a calibrated UNCprobe using the transparency me-thod. Subepithelial connective tissue graft (SCTG) with tunneling technique was performed on the gingiva to thicken the gingi-va around the dark tooth root. SCTG autograft is a stable gingival graft material if the goal of surgery is to thicken the gingiva, so it remains the gold standard in areas that require esthetics.","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"188 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85104238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Baharuddin M. Ranggang, Muhammad Ihsan, Wd. Hikmah Noor Shafar Nafiu, Aulia Anindita Ainayyah, Mohammad Resky Asri Putra, Rezky Ayu Pratiwi, Nurul Aulia Azti Azis
ABSTRACT Two-thirds of Indonesia's territory is mostly waters. The United Nations Convention on the Law of the Sea in 1982 stated that the area of Indonesian waters is 5.8 million km2 and there are 27.2% of all flora and fauna species. Algae is one of the most abundant biological resources in Indonesian waters, which is about 8.6%. In Indonesian waters, there are about 28 species of brown algae from six genera including Dyctyota, Padine, Hormophysa, Sargassum, Turbinaria andHydroclathrus. Brown al-gae have a large alginate content in their cell walls, approximately 40% of their dry weight. The alginate contained in brown al-gae canbe used in industrial fields, such as the dental impression material industry. The main active ingredients in the manufac-ture of irreversible hydrocolloid impression materials are sodium alginate, potassium alginate, and triethanolamine alginate. Sodium alginate and potassium alginate can be extracted from brown algae species such as Sargassum sp.
{"title":"Utilization of brown algae (Sargassum Sp) as dental impression material","authors":"Baharuddin M. Ranggang, Muhammad Ihsan, Wd. Hikmah Noor Shafar Nafiu, Aulia Anindita Ainayyah, Mohammad Resky Asri Putra, Rezky Ayu Pratiwi, Nurul Aulia Azti Azis","doi":"10.35856/mdj.v11i2.575","DOIUrl":"https://doi.org/10.35856/mdj.v11i2.575","url":null,"abstract":"ABSTRACT \u0000Two-thirds of Indonesia's territory is mostly waters. The United Nations Convention on the Law of the Sea in 1982 stated that the area of Indonesian waters is 5.8 million km2 and there are 27.2% of all flora and fauna species. Algae is one of the most abundant biological resources in Indonesian waters, which is about 8.6%. In Indonesian waters, there are about 28 species of brown algae from six genera including Dyctyota, Padine, Hormophysa, Sargassum, Turbinaria andHydroclathrus. Brown al-gae have a large alginate content in their cell walls, approximately 40% of their dry weight. The alginate contained in brown al-gae canbe used in industrial fields, such as the dental impression material industry. The main active ingredients in the manufac-ture of irreversible hydrocolloid impression materials are sodium alginate, potassium alginate, and triethanolamine alginate. Sodium alginate and potassium alginate can be extracted from brown algae species such as Sargassum sp.","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"138 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89805005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Orthodontic treatment is the longest dental procedure performed. To accelerate tooth movement, orthodontists and periodontists have developed a new technique, termed Wilckodontics or periodontal accelerated osteogenic orthodontics. This technique combines selective alveolar corticotomy techniques, particulate bone grafts, and orthodontic force. This review aims to discuss the concepts and technique of Wilckodontics as a combination of interdisciplinary treatment. Methods: An internet-based search was conducted to identify various literatures discussing Wilckodontics using several keywords. Results: Wilcko-dontics can accelerate tooth movement in adult patients and shorten treatment time. Compared with conventional orthodontic treatment, this technique shows advantages in terms of treatment cycle and treatment effect. In addition, the Wilckodontics does not increase the risk of root resorption, periodontium injury, and alveolar bone defects. Conclusion: Wilckodontics re-quires various diagnostic parameters and modification of the procedure. With the right synergy of orthodontist and periodon-tist, successful treatment can be achieved.
{"title":"Wilckodontics-an interdisciplinary periodontics-orthodontic approach to accelerate orthodontic treatment time: a literature review","authors":"Shinta Rahma Mansyur, Mardiana Andi Adam","doi":"10.35856/mdj.v11i1.517","DOIUrl":"https://doi.org/10.35856/mdj.v11i1.517","url":null,"abstract":"Objective: Orthodontic treatment is the longest dental procedure performed. To accelerate tooth movement, orthodontists and periodontists have developed a new technique, termed Wilckodontics or periodontal accelerated osteogenic orthodontics. This technique combines selective alveolar corticotomy techniques, particulate bone grafts, and orthodontic force. This review aims to discuss the concepts and technique of Wilckodontics as a combination of interdisciplinary treatment. Methods: An internet-based search was conducted to identify various literatures discussing Wilckodontics using several keywords. Results: Wilcko-dontics can accelerate tooth movement in adult patients and shorten treatment time. Compared with conventional orthodontic treatment, this technique shows advantages in terms of treatment cycle and treatment effect. In addition, the Wilckodontics does not increase the risk of root resorption, periodontium injury, and alveolar bone defects. Conclusion: Wilckodontics re-quires various diagnostic parameters and modification of the procedure. With the right synergy of orthodontist and periodon-tist, successful treatment can be achieved.","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83413091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article describes about the apexification of open apex with apical plug in immature permanent maxillary incisor teeth. A 12-year-old girl came to the Dental Hospital Hasanuddin University with a complaint of cavities in her upper front teeth. The teeth were filled one year ago, and it fell out about six months later. The right upper tooth had been swollen and sore a few days be-fore. There is a history of colliding at the age of 8 years. Radiographic examination showed a wide root canal on tooth 11 and an open apex with radiolucency in the apical area on teeth 11 and 21. So the diagnosis of these teeth was chronic apical abscess and asymptomatic apical periodontitis, respectively. After performing open access, the root canal was prepared using conventional cir-cumferential techniques, then dressing using calcium hydroxide was given for 2 weeks. Next, the apical plug procedure was per-formed using MTA. The patient showed no complaints of pain after treatment, and the size of the radiolucency image in the pe-riapical area of the tooth was reduced. So, it is concluded that apexification treatment with apical plug is one of the effective treatment methods to overcome the problem of open apex in immature permanent teeth. Keywords: apexification, apical plug, mineral trioxide aggregate, open apex
{"title":"Apexification with apical plug in immature permanent maxillary incisor teeth: case report","authors":"Lestari Hardianti Sugiaman, Nurhayaty Natsir","doi":"10.35856/mdj.v11i1.515","DOIUrl":"https://doi.org/10.35856/mdj.v11i1.515","url":null,"abstract":"This article describes about the apexification of open apex with apical plug in immature permanent maxillary incisor teeth. A 12-year-old girl came to the Dental Hospital Hasanuddin University with a complaint of cavities in her upper front teeth. The teeth were filled one year ago, and it fell out about six months later. The right upper tooth had been swollen and sore a few days be-fore. There is a history of colliding at the age of 8 years. Radiographic examination showed a wide root canal on tooth 11 and an open apex with radiolucency in the apical area on teeth 11 and 21. So the diagnosis of these teeth was chronic apical abscess and asymptomatic apical periodontitis, respectively. After performing open access, the root canal was prepared using conventional cir-cumferential techniques, then dressing using calcium hydroxide was given for 2 weeks. Next, the apical plug procedure was per-formed using MTA. The patient showed no complaints of pain after treatment, and the size of the radiolucency image in the pe-riapical area of the tooth was reduced. So, it is concluded that apexification treatment with apical plug is one of the effective treatment methods to overcome the problem of open apex in immature permanent teeth. \u0000Keywords: apexification, apical plug, mineral trioxide aggregate, open apex","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88810515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Bleeding is a recognized complication, frequently encountered immediately following the removal of a tooth. This bleeding can be easily controlled in most cases, and almost completely stops within eight hours after the extraction. However, sometimes it may continue, resulting in a life‐threatening situation. Cases: Six cases of post-extraction bleeding due to local and systemic factors with different etiologies were presented, followed by a literature review to further discuss the diagnosis and management of bleeding. Conclusions: Bleeding after tooth extraction requires a careful history and evaluation in establish-ing a diagnosis with appropriate management to avoid more serious bleeding complications.
{"title":"Bleeding after extraction tooth: case series","authors":"Nurmaifah, Mohammad Gazali, A. Tajrin","doi":"10.35856/mdj.v11i1.519","DOIUrl":"https://doi.org/10.35856/mdj.v11i1.519","url":null,"abstract":"Background: Bleeding is a recognized complication, frequently encountered immediately following the removal of a tooth. This bleeding can be easily controlled in most cases, and almost completely stops within eight hours after the extraction. However, sometimes it may continue, resulting in a life‐threatening situation. Cases: Six cases of post-extraction bleeding due to local and systemic factors with different etiologies were presented, followed by a literature review to further discuss the diagnosis and management of bleeding. Conclusions: Bleeding after tooth extraction requires a careful history and evaluation in establish-ing a diagnosis with appropriate management to avoid more serious bleeding complications.","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91390066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Xerostomia is a dry mouth condition caused by many factors, including the potential of neuroinvasiveness and neurotropism from severe acute respiratory syndrome-coronavirus-2 (SARS-Cov-2). Tetanus causes muscle spasm, rigidity, and also as a risk factor for xerostomia. Objective: To discuss the pathogenesis of xerostomia in patients with coronavirus di-sease-2019 (Covid-19) and tetanus. Case: A 66-year-old male was referred to Oral Medicine Department from Neurology De-partment. Extraoral showed dry and exfoliative lips. Intraoral showed one finger mouth opening, a brownish plaque in dorsum of tongue, no saliva pooling in floor of mouth. Polymerase chain reaction SARS-Cov-2 was positive. Patient was diagnosed with xerostomia. Management: Cleaning the oral cavity with gauze moistened of 0.9% NaCl and 0.12% chlorhexidine diglu-conate, and applying the vaseline album on lips. Conclusion: The pathogenesis of xerostomia is an important factor as po-tential consequence of patients with Covid-19 and tetanus due to damage the angiotensin converting enzyme-2. Keywords: xerostomia, Covid-19, tetanus, angiotensin converting enzyme-2
{"title":"Xerostomia as a potential condition in patients Covid-19 with tetanus: A Case report","authors":"Alamsyah Piliang, Dewi Zakiawati, Nanan Nur’aeny","doi":"10.35856/mdj.v11i1.501","DOIUrl":"https://doi.org/10.35856/mdj.v11i1.501","url":null,"abstract":"Introduction: Xerostomia is a dry mouth condition caused by many factors, including the potential of neuroinvasiveness and neurotropism from severe acute respiratory syndrome-coronavirus-2 (SARS-Cov-2). Tetanus causes muscle spasm, rigidity, and also as a risk factor for xerostomia. Objective: To discuss the pathogenesis of xerostomia in patients with coronavirus di-sease-2019 (Covid-19) and tetanus. Case: A 66-year-old male was referred to Oral Medicine Department from Neurology De-partment. Extraoral showed dry and exfoliative lips. Intraoral showed one finger mouth opening, a brownish plaque in dorsum of tongue, no saliva pooling in floor of mouth. Polymerase chain reaction SARS-Cov-2 was positive. Patient was diagnosed with xerostomia. Management: Cleaning the oral cavity with gauze moistened of 0.9% NaCl and 0.12% chlorhexidine diglu-conate, and applying the vaseline album on lips. Conclusion: The pathogenesis of xerostomia is an important factor as po-tential consequence of patients with Covid-19 and tetanus due to damage the angiotensin converting enzyme-2. \u0000Keywords: xerostomia, Covid-19, tetanus, angiotensin converting enzyme-2 \u0000 ","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81059563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Problems: Children with special needs often have problems in their oral health, including caries and periodontal disease. Selec-tion of good preventive dentistry materials as a whole can reduce the risk of caries and periodontal disease as well as improve the level of dental and oral health. Objectives: To describe several preventive dentistry materials that can be used in children with special needs as a protection and prevention material for their teeth and mouth. Conclusion: The selection of the right pre-ventive dentistry materials can improve the dental health status of children with special needs. These materials can be toothpaste, fluoride topical and fluoride-containing restorative materials such as glass ionomer cement.
{"title":"Selection of preventive dental materials for children with special needs","authors":"Anie Apriani, Angela Evelyna, L. Sembiring","doi":"10.35856/mdj.v11i1.508","DOIUrl":"https://doi.org/10.35856/mdj.v11i1.508","url":null,"abstract":"Problems: Children with special needs often have problems in their oral health, including caries and periodontal disease. Selec-tion of good preventive dentistry materials as a whole can reduce the risk of caries and periodontal disease as well as improve the level of dental and oral health. Objectives: To describe several preventive dentistry materials that can be used in children with special needs as a protection and prevention material for their teeth and mouth. Conclusion: The selection of the right pre-ventive dentistry materials can improve the dental health status of children with special needs. These materials can be toothpaste, fluoride topical and fluoride-containing restorative materials such as glass ionomer cement.","PeriodicalId":18170,"journal":{"name":"Makassar Dental Journal","volume":"168 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89939239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andi Kurnia Bintang, Marina Musyawwirina, Muhammad Iqbal Basri
Introduction: Benign paroxysmal positional vertigo (BPPV) is commonly found in older women; caused by the presence of otoconia in semicircular canals, which will stimulate the ampulla. Degeneration of otoconia and abnormal calcium metabolism could contribute to BPPV. This study aims to find a difference in serum calcium levels between idiopathic BPPV and non-BPPV vertigo patients. Methods: Cross-sectional study was held in Wahidin Sudirohusodo hospital in Makassar from August to October 2019. Subjects who fulfilled the criteria were divided into two groups (BPPV and non-BPPV). Venous blood was taken to obtain serum calcium levels. Statistical analysis was performed with SPSS software version 21. Chi-square and Mann-Whitney tests were used to determine the relationship between variables. Result: As many as 45 subjects were grouped into BPPV (n=30) and non-BPPV (n=15). Majority of subjects were female (n=30). Mean serum calcium level was significantly lower in BPPV group (8.51±0.67 vs 8.9±0.63; p=0.023). Area under curve of serum calcium level according to vertigo type was 22.4% (p<0.05). Optimal cut-off point for serum calcium level was 8.55 (p=0.024). Discussion: Majority of subjects in this study were females between 40-60 years old. Patients with BPPV tend to have lower serum calcium levels. Possible underlying me-chanisms include estrogen deficiency, otoconial degeneration, vitamin D deficiency, lack of sunlight, and abnormal calcium me-tabolism. Examination of serum calcium level and calcium supplementation could be considered for these patients. Some factors that affect serum calcium level were not considered in this study. It was concluded that examination of serum calcium level and calcium supplementation could be considered for patients with BPPV.
良性阵发性体位性眩晕(BPPV)常见于老年女性;由于半规管中存在耳垂，会刺激壶腹。耳郭变性和钙代谢异常可导致BPPV。本研究旨在发现特发性BPPV和非BPPV眩晕患者血清钙水平的差异。方法:于2019年8月至10月在望加锡市Wahidin Sudirohusodo医院进行横断面研究。符合标准的受试者分为两组(BPPV和非BPPV)。静脉血测定血清钙水平。采用SPSS软件21版进行统计分析。卡方检验和曼-惠特尼检验用于确定变量之间的关系。结果:45例患者分为BPPV组(n=30)和非BPPV组(n=15)。大多数受试者为女性(n=30)。BPPV组平均血钙水平显著低于对照组(8.51±0.67 vs 8.9±0.63;p = 0.023)。眩晕类型血清钙水平曲线下面积为22.4% (p<0.05)。血钙水平最佳临界值为8.55 (p=0.024)。讨论:本研究的大多数受试者为40-60岁的女性。BPPV患者往往血清钙水平较低。可能的潜在机制包括雌激素缺乏、耳锥体变性、维生素D缺乏、缺乏阳光和钙代谢异常。这些患者可考虑检查血清钙水平和补钙。本研究未考虑影响血钙水平的一些因素。结论BPPV患者可考虑检查血钙水平及补钙。
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