Pub Date : 2023-01-06DOI: 10.22146/majkedgiind.75954
Syarifa Salsabila Assagaff, Netty Suryanti, A. S. Setiawan
Teledentistry has gained an increasing popularity among dentists as an alternative innovative solution to minimize the risk of the transmission of COVID-19 and other infections. Dentists at the Bandung community health center have started implementing teledentistry since the government issued a reference for dental and oral health services during the pandemic. The purpose of this study was to analyze the implementation of teledentistry in community health centers based on the references issued by the government. The population consisted of dentists who implemented teledentistry during the COVID-19 pandemic at the Bandung community health centers. There were 26 respondents as the research samples who were selected using a non-probability sampling technique. This was cross-sectional descriptive research which used an online questionnaire regarding the implementation of teledentistry based on the Technical Guidelines for Dental and Oral Health Services from the Ministry of Health of the Republic of Indonesia. The implementation of teledentistry includes teleconsultation, telediagnosis, teletriage, telemonitoring, teleeducation, communication tools, provision of prescriptions and referrals, service fees, and medical records. The data analysis was carried out by presenting the results of the teledentistry implementation, namely the types of teledentistry implemented by the dentists were teleconsultation 100%, telediagnosis 92.3%, teletriage 76.9%, telemonitoring 7.7%, teleeducation 92.3%; 100% carried out teledentistry via short messages, 76.9% had given prescriptions, and 80.7% had given referrals, 84.6% did not charge any service fee, and only 57.6% recorded medical records. The implementation of the teledentistry services during the COVID-19 pandemic at the Bandung Community Health Centers has not been optimal because the regulation has not been well socialized. In addition, there has been no legal certainty and laws governing teledentistry in Indonesia.
{"title":"Implementation of teledentistry during the COVID-19 pandemic at Bandung community health centers","authors":"Syarifa Salsabila Assagaff, Netty Suryanti, A. S. Setiawan","doi":"10.22146/majkedgiind.75954","DOIUrl":"https://doi.org/10.22146/majkedgiind.75954","url":null,"abstract":"Teledentistry has gained an increasing popularity among dentists as an alternative innovative solution to minimize the risk of the transmission of COVID-19 and other infections. Dentists at the Bandung community health center have started implementing teledentistry since the government issued a reference for dental and oral health services during the pandemic. The purpose of this study was to analyze the implementation of teledentistry in community health centers based on the references issued by the government. The population consisted of dentists who implemented teledentistry during the COVID-19 pandemic at the Bandung community health centers. There were 26 respondents as the research samples who were selected using a non-probability sampling technique. This was cross-sectional descriptive research which used an online questionnaire regarding the implementation of teledentistry based on the Technical Guidelines for Dental and Oral Health Services from the Ministry of Health of the Republic of Indonesia. The implementation of teledentistry includes teleconsultation, telediagnosis, teletriage, telemonitoring, teleeducation, communication tools, provision of prescriptions and referrals, service fees, and medical records. The data analysis was carried out by presenting the results of the teledentistry implementation, namely the types of teledentistry implemented by the dentists were teleconsultation 100%, telediagnosis 92.3%, teletriage 76.9%, telemonitoring 7.7%, teleeducation 92.3%; 100% carried out teledentistry via short messages, 76.9% had given prescriptions, and 80.7% had given referrals, 84.6% did not charge any service fee, and only 57.6% recorded medical records. The implementation of the teledentistry services during the COVID-19 pandemic at the Bandung Community Health Centers has not been optimal because the regulation has not been well socialized. In addition, there has been no legal certainty and laws governing teledentistry in Indonesia.","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79452540","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}
Pub Date : 2022-12-30DOI: 10.22146/majkedgiind.80636
Trianna Wahyu Utami, Adhaninggar Ratna Hapsari, Dhe Rifdania Hanalda, Asikin Nur, H. Yulianto, N. Purwanti
With the ability to reduce hydrophobicity and inhibit the adhesion of S. mutans ATCC 25175 bacteria, Kulim leaf extract can be used as an alternative to chlorhexidine mouthwash in caries prevention. The objectives of this study are to determine the effect of Kulim leaf extract on hydrophobicity and adherence of the cariogenic bacteria S. mutans ATCC 25175. The test groups were divided into negative control (DMSO 2%), the treatment group (Kulim leaf extractconcentrations of 1.25%, 2.5%, 5%), and positive control (0.1% chlorhexidine). All of groups were received three replicated tests for hydrophobicity and adherence inhibition of S. mutans ATCC 25175 bacteria. The hydrophobicity test was conducted by providing 3 ml of bacterial suspension of S. mutans ATCC 25175 which had been adjusted to the McFarland 0.5 standard for each group. Furthermore, each test group was vortexed for one minute and left to stand for 15 minutes. Each treatment was tested with a wavelength spectrophotometer of 550 nm before and after the provision of 200 µl of n-hexadecane. The absorbance value on the spectrophotometer was then included in the hydrophobicity formula to determine the hydrophobicity percentage of S. mutans ATCC 25175 against n-hexadecane. To test the bacterial adhesion, the 96 wells microplate was inserted with the kulim leaf extract of each concentration,BHI-B, bacteria according to the McFarland 0.5 standard, and for the positive control and negative control. Afterwards, they were incubated at 37 °C for 24 hours before they were rinsed with distilled water, and stained with 0.1% crystal violet. Then, an optical density reading was performed using a microplate reader with a wavelength of 540 nm. The absorbance value was then included in the formula for percentage of bacterial adhesion inhibition. Post-Hoc LSD testshowed a significant difference in mean difference between the negative control group and the other treatment groups (p<0.05). In addition, it was revealed that there was no significant mean difference between treatment groups, and there was no significant difference between positive control and treatment groups of 2.5% and 5% in the hydrophobicity test. However, there was a significant difference between the positive control and the treatment group of 1.25% in the hydrophobicity test and the treatment group of 1.25%, 2.5%, and 5% in the adherence test. This study concluded that Kulim leaf extract concentration affected hydrophobicity and attachment of S. mutans ATCC 25175 with an effective concentration of 2.5%.
{"title":"The concentration effect of kulim leaf (scorodocarpus borneensis) extract on Streptococcus mutans ATCC 25175 bacterial hydrophobicity and adhesion","authors":"Trianna Wahyu Utami, Adhaninggar Ratna Hapsari, Dhe Rifdania Hanalda, Asikin Nur, H. Yulianto, N. Purwanti","doi":"10.22146/majkedgiind.80636","DOIUrl":"https://doi.org/10.22146/majkedgiind.80636","url":null,"abstract":"With the ability to reduce hydrophobicity and inhibit the adhesion of S. mutans ATCC 25175 bacteria, Kulim leaf extract can be used as an alternative to chlorhexidine mouthwash in caries prevention. The objectives of this study are to determine the effect of Kulim leaf extract on hydrophobicity and adherence of the cariogenic bacteria S. mutans ATCC 25175. The test groups were divided into negative control (DMSO 2%), the treatment group (Kulim leaf extractconcentrations of 1.25%, 2.5%, 5%), and positive control (0.1% chlorhexidine). All of groups were received three replicated tests for hydrophobicity and adherence inhibition of S. mutans ATCC 25175 bacteria. The hydrophobicity test was conducted by providing 3 ml of bacterial suspension of S. mutans ATCC 25175 which had been adjusted to the McFarland 0.5 standard for each group. Furthermore, each test group was vortexed for one minute and left to stand for 15 minutes. Each treatment was tested with a wavelength spectrophotometer of 550 nm before and after the provision of 200 µl of n-hexadecane. The absorbance value on the spectrophotometer was then included in the hydrophobicity formula to determine the hydrophobicity percentage of S. mutans ATCC 25175 against n-hexadecane. To test the bacterial adhesion, the 96 wells microplate was inserted with the kulim leaf extract of each concentration,BHI-B, bacteria according to the McFarland 0.5 standard, and for the positive control and negative control. Afterwards, they were incubated at 37 °C for 24 hours before they were rinsed with distilled water, and stained with 0.1% crystal violet. Then, an optical density reading was performed using a microplate reader with a wavelength of 540 nm. The absorbance value was then included in the formula for percentage of bacterial adhesion inhibition. Post-Hoc LSD testshowed a significant difference in mean difference between the negative control group and the other treatment groups (p<0.05). In addition, it was revealed that there was no significant mean difference between treatment groups, and there was no significant difference between positive control and treatment groups of 2.5% and 5% in the hydrophobicity test. However, there was a significant difference between the positive control and the treatment group of 1.25% in the hydrophobicity test and the treatment group of 1.25%, 2.5%, and 5% in the adherence test. This study concluded that Kulim leaf extract concentration affected hydrophobicity and attachment of S. mutans ATCC 25175 with an effective concentration of 2.5%.","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80972788","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}
Pub Date : 2022-11-24DOI: 10.22146/majkedgiind.63117
I. Kusumawati, A. Hardianto, A. Nurwiadh
Speech quality is an essential output in assessing the success of a palatoplasty. The goal of a palatoplasty is not merely to create a simple anatomical closure of the palate, but also to create an adequate velopharyngeal mechanism for a normal speech outcome and to prevent abnormal maxillofacial development after surgery. The aim of this study is to find out the difference in speech outcome between post-cleft palate closure patients and patients without cleft palate. An analytical retrospective study was conducted on 22 children (n = 22) with complete unilateral cleft palate, who had been treated using two flap push back technic of palatoplasty during 2014-2017 by purposive sampling method, and 22 children without cleft palate as the control group. The evaluation of speech outcome was done using an assessment of perception by doing a speech pathologist and instrumental examination by taking a lateral cephalometry radiograph. The perception was assessed by the articulation pattern, hypernasality, and speech intelligibility. The lateral cephalometry radiograph was taken at /i/ phonation to measure the distance velum to the posterior pharynx wall. Data were analyzed using Mann Whitney test. The velopharyngeal competence in post-palatoplasty group consisted of 22.8% adequate result, 0.1% marginal result, and 68.1% inadequate result. Meanwhile, in the control group, there were 72.7% adequate and 27.3% inadequate competence. According to the result of the statistical test, this study concluded that there was a significant difference in speech outcome based on articulation pattern, hypernasality, speech intelligibility, and velopharyngeal distance between post-cleft palate closure patients and patients without cleft palate (p < 0.05). Majority of patients after cleft palate closure with two flaps pushback technique had inadequate velopharyngeal competence with moderate-severe hypernasality, severe nasal emission, abnormal speech intelligibility, and velopharyngeal distance ≥ 5.0 mm, whereas the majority of control group had an adequate velopharyngeal competence.
{"title":"Speech outcome evaluation in post-cleft palate closure patients with two flaps pushback technique","authors":"I. Kusumawati, A. Hardianto, A. Nurwiadh","doi":"10.22146/majkedgiind.63117","DOIUrl":"https://doi.org/10.22146/majkedgiind.63117","url":null,"abstract":"Speech quality is an essential output in assessing the success of a palatoplasty. The goal of a palatoplasty is not merely to create a simple anatomical closure of the palate, but also to create an adequate velopharyngeal mechanism for a normal speech outcome and to prevent abnormal maxillofacial development after surgery. The aim of this study is to find out the difference in speech outcome between post-cleft palate closure patients and patients without cleft palate. An analytical retrospective study was conducted on 22 children (n = 22) with complete unilateral cleft palate, who had been treated using two flap push back technic of palatoplasty during 2014-2017 by purposive sampling method, and 22 children without cleft palate as the control group. The evaluation of speech outcome was done using an assessment of perception by doing a speech pathologist and instrumental examination by taking a lateral cephalometry radiograph. The perception was assessed by the articulation pattern, hypernasality, and speech intelligibility. The lateral cephalometry radiograph was taken at /i/ phonation to measure the distance velum to the posterior pharynx wall. Data were analyzed using Mann Whitney test. The velopharyngeal competence in post-palatoplasty group consisted of 22.8% adequate result, 0.1% marginal result, and 68.1% inadequate result. Meanwhile, in the control group, there were 72.7% adequate and 27.3% inadequate competence. According to the result of the statistical test, this study concluded that there was a significant difference in speech outcome based on articulation pattern, hypernasality, speech intelligibility, and velopharyngeal distance between post-cleft palate closure patients and patients without cleft palate (p < 0.05). Majority of patients after cleft palate closure with two flaps pushback technique had inadequate velopharyngeal competence with moderate-severe hypernasality, severe nasal emission, abnormal speech intelligibility, and velopharyngeal distance ≥ 5.0 mm, whereas the majority of control group had an adequate velopharyngeal competence.","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84837032","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}
Pub Date : 2022-11-24DOI: 10.22146/majkedgiind.59681
Angguningtyas Wulandari, Sri Widiati, B. Priyono
Conventional and electrical cigarette use could result in bad pathological conditions in the oral cavity, which may lead to periodontal diseases. This research aimed to determine the differences in the oral hygiene and clinical periodontal status between conventional and electric smokers. This research was a quantitative observational research and was designed as a cross-sectional study. The samples were selected using purposive sampling. A total of 110 respondents (n = 110) were involved, consisted of 60 conventional smokers and 50 electric smokers. Their oral hygiene status were examined using oral hygiene index simplified (OHI-S) measurement, while their periodontal tissue status were assessed using bleeding on probing (BOP) and probing pocket depth (PPD) measurements. The data were analyzed using the Mann-Whitney test with a significance level of α < 0.05. The median and first quartile of OHI-S scores of the conventional smokers’ group were 2.7 and 2.2, while the electric smokers’ group was 2.2 and 1.4 respectively, with a significant value of p < 0.001. The median and first quartile BOP scores of the conventional smokers’ group were 36% and 29%, while the electric smokers’ group were 35% and 28% respectively, with a significant value of p = 0.750. The median and first quartile of PPD scores in the conventional smokers’ group were 3.2 and 2.7, while the electric smokers’ group were 3.1 and 2.6 respectively with a significant value of p = 0.765. Conventional smokers had worse oral hygiene status than electric smokers. Conventional and electric smokers did not have significant differences in periodontal health including gingival bleeding and poor pocket depth.
{"title":"Differences in the oral hygiene status and clinical periodontal status between conventional and electric smokers","authors":"Angguningtyas Wulandari, Sri Widiati, B. Priyono","doi":"10.22146/majkedgiind.59681","DOIUrl":"https://doi.org/10.22146/majkedgiind.59681","url":null,"abstract":"Conventional and electrical cigarette use could result in bad pathological conditions in the oral cavity, which may lead to periodontal diseases. This research aimed to determine the differences in the oral hygiene and clinical periodontal status between conventional and electric smokers. This research was a quantitative observational research and was designed as a cross-sectional study. The samples were selected using purposive sampling. A total of 110 respondents (n = 110) were involved, consisted of 60 conventional smokers and 50 electric smokers. Their oral hygiene status were examined using oral hygiene index simplified (OHI-S) measurement, while their periodontal tissue status were assessed using bleeding on probing (BOP) and probing pocket depth (PPD) measurements. The data were analyzed using the Mann-Whitney test with a significance level of α < 0.05. The median and first quartile of OHI-S scores of the conventional smokers’ group were 2.7 and 2.2, while the electric smokers’ group was 2.2 and 1.4 respectively, with a significant value of p < 0.001. The median and first quartile BOP scores of the conventional smokers’ group were 36% and 29%, while the electric smokers’ group were 35% and 28% respectively, with a significant value of p = 0.750. The median and first quartile of PPD scores in the conventional smokers’ group were 3.2 and 2.7, while the electric smokers’ group were 3.1 and 2.6 respectively with a significant value of p = 0.765. Conventional smokers had worse oral hygiene status than electric smokers. Conventional and electric smokers did not have significant differences in periodontal health including gingival bleeding and poor pocket depth.","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78897922","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}
Pub Date : 2022-11-24DOI: 10.22146/majkedgiind.77444
Andi Triawan, Belladina Yusi Lasara
Dentists are one of the professions most at risk of infection transmission because dental care potentially produces many infectious aerosols for bacterial transmission. Using personal protective equipment and aerosol suction that meets the standards for dentists is vital to prevent cross-infection in patients in practice. This study aims to determine the effect of aerosol suction distance on the orthodontic patient bracket brushing process on total plate number and the presence of Streptococcus and Staphylococcus on the dentist’s face shield. The method used is the swab method on the face shield used by dentists after brushing orthodontic patient brackets with variations in the distance of aerosol suction to the oral cavity of 10 cm, 15 cm, and 20 cm. After 2 x 24 hours of incubation, the total plate count was calculated, and Streptococcus and Staphylococcus were identified by analyzing the characteristics of the growing colonies and executing the catalase test. The results showed that the lowest total plate number found on a face shield with aerosol suction distance of 10 cm from the oral cavity, 1.23 ± 0.01 CFU/cm2. The one-way ANOVA test obtained a significance value of p < 0.05, concluding that the variation of the aerosol suction distance affects the total face shield plate number. The presence of bacteria on the face shield was negative for Streptococcus and positive for Staphylococcus.
{"title":"The effect of aerosol suction distance during brushing brackets of orthodontic patients on the presence of Streptococcus and Staphylococcus","authors":"Andi Triawan, Belladina Yusi Lasara","doi":"10.22146/majkedgiind.77444","DOIUrl":"https://doi.org/10.22146/majkedgiind.77444","url":null,"abstract":"Dentists are one of the professions most at risk of infection transmission because dental care potentially produces many infectious aerosols for bacterial transmission. Using personal protective equipment and aerosol suction that meets the standards for dentists is vital to prevent cross-infection in patients in practice. This study aims to determine the effect of aerosol suction distance on the orthodontic patient bracket brushing process on total plate number and the presence of Streptococcus and Staphylococcus on the dentist’s face shield. The method used is the swab method on the face shield used by dentists after brushing orthodontic patient brackets with variations in the distance of aerosol suction to the oral cavity of 10 cm, 15 cm, and 20 cm. After 2 x 24 hours of incubation, the total plate count was calculated, and Streptococcus and Staphylococcus were identified by analyzing the characteristics of the growing colonies and executing the catalase test. The results showed that the lowest total plate number found on a face shield with aerosol suction distance of 10 cm from the oral cavity, 1.23 ± 0.01 CFU/cm2. The one-way ANOVA test obtained a significance value of p < 0.05, concluding that the variation of the aerosol suction distance affects the total face shield plate number. The presence of bacteria on the face shield was negative for Streptococcus and positive for Staphylococcus.","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"368 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76757949","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}
Pub Date : 2022-11-24DOI: 10.22146/majkedgiind.63524
Aulida Arum Mubarokah, Ahmad Syaify, S. Lastianny
The minimally invasive surgical technique (MIST) is a method for periodontal regenerative treatment by minimizing trauma so it can preserve vascular supply of the interdental papillae. This study aims to determine the effectiveness of the MIST method with the addition of a combination of hydroxyapatite and β-tricalcium phosphate (HA + β-TCP) in treatment of infrabony pockets in terms of alveolar bone density and osteocalcin levels of gingival crevicular fluid. The study sample was taken from 20 teeth with infrabony pockets (n = 20), which were divided into two groups: 10 teeth treated with MIST and the other group with open flap debridement (OFD). Both groups received combination of HA + β-TCP. The osteocalcin levels of gingival crevicular fluid were checked on day-0 prior to the flap surgery, day-7 and day-14 after flap surgery using the Human Osteocalcin Elisa Kit. Radiological evaluation of alveolar bone density at day-0 and day-90 was done using cone beam computed tomography. Data of osteocalcin levels were analyzed using two-way ANOVA and continued with LSD Post Hoc test, while data of alveolar bone density reduction were analyzed using the Independent t-test parametric test. The results showed that there was no significant difference (p > 0.05) in the values of alveolar bone density between the MIST and OFD groups on day-0 and day-90, while the osteocalcin levels in both groups showed an increase from day-0 to day-7 and a decrease from day-7 to day-14. There was a significant difference (p < 0.05) on day-0 and 7 and day-7 and 14 between MIST and OFD groups. The MIST method with HA + β-TCP was effective and further increases alveolar bone density and osteocalcin levels of gingival crevicular fluid.
{"title":"Effectiveness of MIST with hydroxyapatite and β-tricalcium phosphate in alveolar bone density and osteocalcin level improvement during treatment of infrabony pockets","authors":"Aulida Arum Mubarokah, Ahmad Syaify, S. Lastianny","doi":"10.22146/majkedgiind.63524","DOIUrl":"https://doi.org/10.22146/majkedgiind.63524","url":null,"abstract":"The minimally invasive surgical technique (MIST) is a method for periodontal regenerative treatment by minimizing trauma so it can preserve vascular supply of the interdental papillae. This study aims to determine the effectiveness of the MIST method with the addition of a combination of hydroxyapatite and β-tricalcium phosphate (HA + β-TCP) in treatment of infrabony pockets in terms of alveolar bone density and osteocalcin levels of gingival crevicular fluid. The study sample was taken from 20 teeth with infrabony pockets (n = 20), which were divided into two groups: 10 teeth treated with MIST and the other group with open flap debridement (OFD). Both groups received combination of HA + β-TCP. The osteocalcin levels of gingival crevicular fluid were checked on day-0 prior to the flap surgery, day-7 and day-14 after flap surgery using the Human Osteocalcin Elisa Kit. Radiological evaluation of alveolar bone density at day-0 and day-90 was done using cone beam computed tomography. Data of osteocalcin levels were analyzed using two-way ANOVA and continued with LSD Post Hoc test, while data of alveolar bone density reduction were analyzed using the Independent t-test parametric test. The results showed that there was no significant difference (p > 0.05) in the values of alveolar bone density between the MIST and OFD groups on day-0 and day-90, while the osteocalcin levels in both groups showed an increase from day-0 to day-7 and a decrease from day-7 to day-14. There was a significant difference (p < 0.05) on day-0 and 7 and day-7 and 14 between MIST and OFD groups. The MIST method with HA + β-TCP was effective and further increases alveolar bone density and osteocalcin levels of gingival crevicular fluid.","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89608253","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}
Pub Date : 2022-11-24DOI: 10.22146/majkedgiind.64208
Bulfendri Doni, P. Rahajoe, M. G. Widiastuti
Improper placement of the reconstruction plate can lead to postoperative complications. Placing reconstruction plates that have arch for operation is made easier with the plate positioning guide (PPG) as a transfer method of reconstruction plate. This study aimed to assess the impact of PPG on the placement accuracy of reconstruction plate as determined by the symmetrical breadth of the mandibular arch and the consistent placement of reconstruction plate following hemimandibulectomy. According to the inclusion criteria, this was a retrospective cross-sectional study with 12 participants (n = 12) after hemimandibulectomy. Subjects were divided into PPG (n = 6) and Non-PPG (n = 6) groups. Measurement of the difference in the width of the mandibular arch and the height of the placement of the reconstruction plate between the reconstructed and non-resected sides in three positions (anterior, posterior, and angulus) was conducted using submentovertex radiographs and orthopantomogram (OPG) through the RadiAnt DICOM Viewer software. The placement accuracy of the reconstruction plates was analyzed using a one-sample t-test with p-value 0.05. The results showed that the placement accuracy of the reconstruction plate in the PPG group were accurate (p = 0.590), and the Non-PPG group was inaccurate (p = 0.000); with the independent sample test. There was a significant difference between the two groups (p = 0.000). Plate positioning guide provides better symmetry of the mandibular arch width post-hemimandibulectomy.
{"title":"Evaluation on the use of plate positioning guide (PPG) on the placement accuracy of post-hemimandibulectomy plate reconstruction","authors":"Bulfendri Doni, P. Rahajoe, M. G. Widiastuti","doi":"10.22146/majkedgiind.64208","DOIUrl":"https://doi.org/10.22146/majkedgiind.64208","url":null,"abstract":"Improper placement of the reconstruction plate can lead to postoperative complications. Placing reconstruction plates that have arch for operation is made easier with the plate positioning guide (PPG) as a transfer method of reconstruction plate. This study aimed to assess the impact of PPG on the placement accuracy of reconstruction plate as determined by the symmetrical breadth of the mandibular arch and the consistent placement of reconstruction plate following hemimandibulectomy. According to the inclusion criteria, this was a retrospective cross-sectional study with 12 participants (n = 12) after hemimandibulectomy. Subjects were divided into PPG (n = 6) and Non-PPG (n = 6) groups. Measurement of the difference in the width of the mandibular arch and the height of the placement of the reconstruction plate between the reconstructed and non-resected sides in three positions (anterior, posterior, and angulus) was conducted using submentovertex radiographs and orthopantomogram (OPG) through the RadiAnt DICOM Viewer software. The placement accuracy of the reconstruction plates was analyzed using a one-sample t-test with p-value 0.05. The results showed that the placement accuracy of the reconstruction plate in the PPG group were accurate (p = 0.590), and the Non-PPG group was inaccurate (p = 0.000); with the independent sample test. There was a significant difference between the two groups (p = 0.000). Plate positioning guide provides better symmetry of the mandibular arch width post-hemimandibulectomy.","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78590766","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}
Pub Date : 2022-11-24DOI: 10.22146/majkedgiind.66221
A. Nasution, L. Nainggolan, Widianto Meydhyono
Periodontitis is typically associated with disorders characterized by compromised tooth-supporting tissue. Damage to periodontal tissue is caused by an imbalance between matrix metalloproteinases and their inhibitors. Decreased tissue inhibitor and elevated matrix metalloproteinase levels result in collagen connective tissue and bone degradation. Several studies have shown that high levels of matrix metalloproteinase-13 (MMP-13) and low levels of tissue inhibitor of metalloproteinase-1 (TIMP-1) are also found in gingival crevicular fluid and saliva of patients with periodontitis. The purpose of this study was to determine the comparison of MMP-13 levels, TIMP-1 levels of saliva and bone density in patients with chronic periodontitis before and after scaling and root planning (SRP). The study samples were selected from patients who came for treatment at the Periodontics Installation of Universitas Sumatera Utara. A total of 16 patients were selected (n = 16) with a diagnosis of chronic periodontitis. The result showed that salivary MMP-13 levels in chronic periodontitis patients before SRP were higher than salivary MMP-13 levels after SRP and the difference was statistically significant (p < 0.05). It was also revealed that salivary TIMP-1 levels and alveolar bone density in chronic periodontitis patients before SRP were lower than that after SRP and the difference was statisticallysignificant (p < 0.05). There was a positive correlation between clinical parameters and salivary MMP-13 levels in patients with chronic periodontitis before and after SRP, but it was not statistically significant (p > 0.05). There was a negative correlation between clinical parameters and salivary TIMP-1 levels in patients with chronic periodontitis before and after SRP, but it was not statistically significant (p > 0.05).
{"title":"Comparison of matrix metalloproteinase-13 and tissue inhibitor of metalloproteinase-1 levels and alveolar bone density in chronic periodontitis before and after scaling and root planning","authors":"A. Nasution, L. Nainggolan, Widianto Meydhyono","doi":"10.22146/majkedgiind.66221","DOIUrl":"https://doi.org/10.22146/majkedgiind.66221","url":null,"abstract":"Periodontitis is typically associated with disorders characterized by compromised tooth-supporting tissue. Damage to periodontal tissue is caused by an imbalance between matrix metalloproteinases and their inhibitors. Decreased tissue inhibitor and elevated matrix metalloproteinase levels result in collagen connective tissue and bone degradation. Several studies have shown that high levels of matrix metalloproteinase-13 (MMP-13) and low levels of tissue inhibitor of metalloproteinase-1 (TIMP-1) are also found in gingival crevicular fluid and saliva of patients with periodontitis. The purpose of this study was to determine the comparison of MMP-13 levels, TIMP-1 levels of saliva and bone density in patients with chronic periodontitis before and after scaling and root planning (SRP). The study samples were selected from patients who came for treatment at the Periodontics Installation of Universitas Sumatera Utara. A total of 16 patients were selected (n = 16) with a diagnosis of chronic periodontitis. The result showed that salivary MMP-13 levels in chronic periodontitis patients before SRP were higher than salivary MMP-13 levels after SRP and the difference was statistically significant (p < 0.05). It was also revealed that salivary TIMP-1 levels and alveolar bone density in chronic periodontitis patients before SRP were lower than that after SRP and the difference was statisticallysignificant (p < 0.05). There was a positive correlation between clinical parameters and salivary MMP-13 levels in patients with chronic periodontitis before and after SRP, but it was not statistically significant (p > 0.05). There was a negative correlation between clinical parameters and salivary TIMP-1 levels in patients with chronic periodontitis before and after SRP, but it was not statistically significant (p > 0.05).","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77933549","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}
Pub Date : 2022-11-24DOI: 10.22146/majkedgiind.74688
Hartati Zuraidah Rangkuti, A. Rachmawati, Erliera Sufarnap
Correction of skeletal Class II malocclusion with camouflage orthodontic treatment generally requires the extraction of the maxillary first premolars to provide space for retraction of the maxillary incisors. Retraction of incisors changes the position of the incisors and the dimensions of the dental arch, which can cause changes in tongue posture and affect the upper airway. The purpose of this study was to determine the relationship between premolar extraction on the dimensions of upper airway and tongue posture in skeletal Class II malocclusion. This study was designed as a retrospective cohort using lateral cephalometric radiographs before and after orthodontic treatment. The samples in this study consisted of 44 samples of adult patients (n = 44) aged 18-40 years, who were divided into 2 groups: 22 subjects treated without premolar extraction and 22 subjects treated with premolar extraction. Lateral cephalometric radiographic analysis were used to measure the dimensions of the upper airway by analyzing superior posterior airway space (SPAS), middle airway space (MAS), inferior airway space (IAS), vertical airway length (VAL), and tongue posture (tongue length and height tongue) using imageJ software. No Statistically significant different changes were observed as seen from the following results: SPAS (p = 0.709), MAS (p = 0.365), IAS (p = 0.562), (p = 0.401), tongue length (p = 0.578), tongue height (p = 0.086) in the sample group without extraction premolar. No significant alterations in the upper airway and tongue posture measurement were observed in the sample group with extraction premolar. Premolar extraction with retraction on upper incisors did not affect upper airway dimensions and toung posture in skeletal Class II malocclusion.
{"title":"Relationship between premolar extraction on the dimension of upper airway and tongue posture in skeletal class II malocclusion","authors":"Hartati Zuraidah Rangkuti, A. Rachmawati, Erliera Sufarnap","doi":"10.22146/majkedgiind.74688","DOIUrl":"https://doi.org/10.22146/majkedgiind.74688","url":null,"abstract":"Correction of skeletal Class II malocclusion with camouflage orthodontic treatment generally requires the extraction of the maxillary first premolars to provide space for retraction of the maxillary incisors. Retraction of incisors changes the position of the incisors and the dimensions of the dental arch, which can cause changes in tongue posture and affect the upper airway. The purpose of this study was to determine the relationship between premolar extraction on the dimensions of upper airway and tongue posture in skeletal Class II malocclusion. This study was designed as a retrospective cohort using lateral cephalometric radiographs before and after orthodontic treatment. The samples in this study consisted of 44 samples of adult patients (n = 44) aged 18-40 years, who were divided into 2 groups: 22 subjects treated without premolar extraction and 22 subjects treated with premolar extraction. Lateral cephalometric radiographic analysis were used to measure the dimensions of the upper airway by analyzing superior posterior airway space (SPAS), middle airway space (MAS), inferior airway space (IAS), vertical airway length (VAL), and tongue posture (tongue length and height tongue) using imageJ software. No Statistically significant different changes were observed as seen from the following results: SPAS (p = 0.709), MAS (p = 0.365), IAS (p = 0.562), (p = 0.401), tongue length (p = 0.578), tongue height (p = 0.086) in the sample group without extraction premolar. No significant alterations in the upper airway and tongue posture measurement were observed in the sample group with extraction premolar. Premolar extraction with retraction on upper incisors did not affect upper airway dimensions and toung posture in skeletal Class II malocclusion. ","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91258887","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}
There are only few studies on the antibacterial activity of red fruit extract (Pandanus conoideus Lam) against oral pathogenic bacteria. Thus, this study aims to determine the effectiveness of red fruit extracts by looking at the Minimum inhibitory Concentrations (MIC) and Minimal Bactericidal Concentrations (MBC) against periodontal pathogenic bacteria. The subjects of this study were Streptococcus mutans (ATCC 25175), Fusobacterium nucleatum (ATCC 25586), and Porphyromonas gingivalis (ATCC 33277). The antibacterial effectiveness of red fruit extract was tested by the liquid dilution method (microdilution). The data were analyzed using the one-way ANOVA test followed by a double comparison test with the Post Hoc Least Significance Different (LSD) test method. The red fruit extract effectively inhibited and eliminated test bacteria (p <0.05). Our study showed that the red fruit extracts at a concentration of 20% could inhibit the growth of Streptococcus mutans and Porphyromonas gingivalis, which was determined as the MIC strength of 80% as MBC of both bacteria tested. Furthermore, red fruit extract at the concentration of 10% showed an inhibitory effect on the growth of Fusobacterium nucleatum, which was determined as MIC of Fusobacterium nucleatum and the strength of 40% as MBC of Fusobacterium nucleatum. The red fruit extracts were significantly effective against the growth of Streptococcus mutans, Fusobacterium nucleatum, and Porphyromonas gingivalis provide essential information for further in vivo clinical studies to determine the exact dosage and clinical effectiveness of periodontal disease.
{"title":"MIC and MBC of red fruit extract (Pandanus conoideus Lam) against periodontal pathogens bacteria","authors":"Martina Amalia, Vivi Oktavia Manik, Indrawati Jafar, Shaskhia Angelina Br Ginting","doi":"10.22146/majkedgiind.65352","DOIUrl":"https://doi.org/10.22146/majkedgiind.65352","url":null,"abstract":"There are only few studies on the antibacterial activity of red fruit extract (Pandanus conoideus Lam) against oral pathogenic bacteria. Thus, this study aims to determine the effectiveness of red fruit extracts by looking at the Minimum inhibitory Concentrations (MIC) and Minimal Bactericidal Concentrations (MBC) against periodontal pathogenic bacteria. The subjects of this study were Streptococcus mutans (ATCC 25175), Fusobacterium nucleatum (ATCC 25586), and Porphyromonas gingivalis (ATCC 33277). The antibacterial effectiveness of red fruit extract was tested by the liquid dilution method (microdilution). The data were analyzed using the one-way ANOVA test followed by a double comparison test with the Post Hoc Least Significance Different (LSD) test method. The red fruit extract effectively inhibited and eliminated test bacteria (p <0.05). Our study showed that the red fruit extracts at a concentration of 20% could inhibit the growth of Streptococcus mutans and Porphyromonas gingivalis, which was determined as the MIC strength of 80% as MBC of both bacteria tested. Furthermore, red fruit extract at the concentration of 10% showed an inhibitory effect on the growth of Fusobacterium nucleatum, which was determined as MIC of Fusobacterium nucleatum and the strength of 40% as MBC of Fusobacterium nucleatum. The red fruit extracts were significantly effective against the growth of Streptococcus mutans, Fusobacterium nucleatum, and Porphyromonas gingivalis provide essential information for further in vivo clinical studies to determine the exact dosage and clinical effectiveness of periodontal disease.","PeriodicalId":31262,"journal":{"name":"Majalah Kedokteran Gigi Indonesia","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77384812","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}
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