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THE EFFECTIVENESS OF RINSING WITH CELERY LEAFS (APIUM GRAVEOLENS L.) EXTRACT 10% AND CHLORHEXIDINE GLUCONATE 0.1% TO ACCELERATE POST-SCALING GINGIVITIS HEALING I Gusti Ayu Dewi Haryani; Dewa Made Wedagama; Hervina Hervina
ODONTO : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.0.51-56

Background: Gingivitis is a periodontal disease caused by accumulation of bacteria plaque on the tooth surface. The primary treatment of gingivitis by removing its etiologic factors that found in phase I of periodontal therapy is scaling and plaque control. Healing process of gingivitis takes time, therefore sometimes using antimicrobial and antiinflamatory drugs as an adjunctive therapy is needed. The use of celery extract as mouthwash containing flavonoid (apiin and apigenin) works as antibacterial and antiinflamatory agent. The purpose of this study is to acknowledge the use of celery leafs extract (Apium graveolens L.) 10% and Chlorhexidine glukonat 0.1% as mouthwash to accelerate the healing process of gingivitis after scaling and root planing.Method: Experimental study using pre and post-test control group design. Samples were taken from FKG UNMAS students and RSGM FKG UNMAS patients within the period that met the inclusion criteria of caries patients, male sex, age 18-25 years old, with exclusion systemic disease and undergo orthodontic treatment, denture or prosthesis others. Subjects have index teeth (11, 16, 26, 36, 31, 46) and willing to take part in the research. A total of 32 samples divided into two groups by simple random sampling technique. Group I as control group rinsing with chlorhexidine gluconate 0,1% after scaling and Group II as experimental group rinsing with celery leaf extract 10% after scalingResult: The mean of gingival index pre-post treatment in group I: 1,29+0,11 and group II: 1,09+ 0,16. Data analyzed with independent t-test, and the results shows no significant difference between both group (p=0,071) Conclusion: Gargling for three days showed no significant difference between gargling with celery leaf extract (Apium graveolens L.) 10% and chlorhexidine gluconate 0.1% because it was equally effective at treating post-scaling gingivitis.

Infiltrasi Neutrofil Pada Penyembuhan Luka Insisi Gingiva Tikus Wistar Setelah Pemberian Vitamin D Hervina Hervina; Dwis Syahriel; I Gusti Ngurah Gede Swarga Prawira
JBN (Jurnal Bedah Nasional) Vol 5 No 2 (2021): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2021.v05.i02.p02

Latar belakang: Prevalensi periodontitis di Indonesia sebesar 74,1% lebih tinggi dibandingkan negara-negara lainnya di dunia. Perawatan periodontitis seperti tindakan bedah periodontal meliputi tindakan insisi akan menimbulkan luka pada gingiva. Penyembuhan luka pada rongga mulut harus diperhatikan agar tidak terjadi infeksi. Vitamin D memiliki efek antiinflamasi sebagai imunomodulator dalam mekanisme penyembuhan luka. Tujuan penelitian ini untuk membuktikan efek antiinflamasi vitamin D terhadap infiltrasi neutrofil pada luka insisi gingiva tikus wistar. Metode: Rancangan post test only control group design pada 24 sampel yang dilakukan insisi pada gingiva labial insisivus rahang bawah, dibagi menjadi 6 kelompok: kontrol yaitu tanpa pemberian perawatan observasi hari ke-1 (K1) dan hari ke-3 (K2); perlakuan 1 (pemberian vitamin D 1000 IU per-oral/perhari) observasi hari ke-1 (P1) dan hari ke-3 (P2), perlakuan 2 (pemberian vitamin D 1000 IU per-oral/hari dan Povidone iodin 1% secara topikal ) observasi hari ke-1 (P3) dan hari ke-3 (P4). Pembuatan preparat dari jaringan gingiva area insisi dengan pewarnaan HE dan perhitungan jumlah sel neutrofil menggunakan mikroskop pembesaran 400 kali. Analisis data dengan Uji One Way Anova kemudian dilanjutkan dengan uji Least Significant Difference. Hasil: Terdapat perbedaan rerata jumlah neutrofil pada keenam kelompok nilai F = 12,03 dan p = 0,000. Perbedaan terdapat pada P1-K1 (p=0,000), P1-P3 (p=0,021), P1-P2 (p=0,047), P3-K1 (p=0,01), P2-K2 (p=0,002), P2-K4 (p=0,047). Simpulan: Infiltrasi neutrofil pada penyembuhan luka insisi gingiva tikus lebih tinggi pada pemberian vitamin D pada hari ke-1 dibanding kontrol, dan infiltrasi neutrofil hari ke-3 lebih rendah dibanding hari ke-1 setelah pemberian vitamin D.

EFEK BERKUMUR DENGAN EKSTRAK TEH HIJAU 3% DALAM MENINGKATKAN pH SALIVA Hervina Hervina
Interdental: Jurnal Kedokteran Gigi Vol. 13 No. 2 (2017): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v13i2.357

Buffering capacity of saliva plays a very important role in maintaining the saliva pH. The saliva pH affected by the mechanical and chemical stimulation of the oral cavity such as rinse with 3% green tea extract. The purpose of this study is to know the increased of saliva pH after rinsing with 3% green tea extract for three minutes. Experimental research using pre test-post test control group design was conducted on students and patients at Dentistry Hospital Faculty of Dentistry Mahasaraswati University. 44 samples divided into four groups by simple random sampling technique. The average of saliva pH post rinsing with distilled water for three minutes 6,74+0,13; 3% Green tea extract for one minute 6,81+0,12; two minutes 6,96+0,13 and three minutes 7,12+0,12. Analysis by One Way Anova test showed p= 0,000, this means that after the treatment was given to all group, the saliva pH were significantly different. LSD test showed that the increased saliva pH after rinsing with 3% green tea extract for three minutes were higher than one minute and two minutes. The Conclusion is rinsing with 3% green tea extract for three minutes increases saliva pH.

Konsultasi Dan Edukasi Masalah Kesehatan Gigi Dan Mulut Serta Protokol Kesehatan Selama Masa Pandemi Covid-19 Secara Online Melalui Teledentistry Hervina Hervina; Haris Nasutianto; Ni Kadek Ari Astuti
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 2 April 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i2.3727

ABSTRAK Covid-19 merupakan penyakit jenis baru yang ditemui pertama kali di Wuhan China pada Desember 2019. Wabah tersebut dinyatakan sebagai pandemi oleh WHO pada Maret 2020 menyebabkan perubahan tatanan kehidupan termasuk kedokteran gigi. Tindakan kedokteran gigi beresiko besar menjadi penyebaran SARS-CoV2 sebagai penyebab Covid-19 karena banyak berhubungan dengan produksi aerosol dan droplet. Hal tersebut menyebabkan banyak praktek dokter gigi tutup atau hanya menangani tindakan emergency. Di sisi lain memasuki kehidupan era baru di masa pandemi Covid-19 masyarakat perlu diedukasi mengenai penerapan protokol kesehatan untuk mencegah penyebaran SARS-Cov 2. Tujuan pengabdian ini adalah melakukan konsultasi dan edukasi masalah kesehatan gigi dan mulut serta protokol kesehatan di masa pandemi ini agar tetap aman. Metode yang digunakan adalah melalui teledentistry yaitu komunikasi jarak jauh dengan menggunakan platform “surbo chat “ whatsapp TanyaPepsodent dan “dashboard”. Hasil dari kegiatan ini sebanyak 112 orang masyarakat mengikuti kegiatan ini dengan kasus terbanyak adalah gigi nyeri dan berlubang. Peserta terbanyak berasal dari Kota Denpasar dan semua peserta belum pernah mengikuti kegiatan teledentistry sebelumnya. Simpulan dari kegiatan ini adalah teledentistry dapat memfasilitasi dalam memberi konsultasi dan edukasi kepada masyarakan di masa pandemi Covid-19. Kata kunci: konsultasi dan edukasi, teledentistry , pandemi Covid-19 ABSTRACT Covid-19 is a new type of disease that was first discovered in Wuhan China in December 2019. The outbreak was declared a pandemic by the WHO in March 2020, causing changes in the order of life including dentistry. Dental action has a big risk of spreading SARS-CoV2 as the cause of Covid-19 because it has a lot procedures with aerosol and droplet production. This causes many dentist practices to close or only handle emergency treatment. Entering a new era of life during the Covid-19 pandemic, publics needs to be educated on the application of health protocols to prevent the spread of SARS-Cov 2. The purpose of this activity is to consult and educate on oral health issues and health protocols during this pandemic. The methode used is through teledentistry, long-distance communication using the "surbo chat" whatsapp TanyaPepsodent and "dashboard" platform. The results of this activity were as many as 112 people participating in this activity with the most cases being tooth pain and cavities. Most of the participants came from Denpasar City and all participants had never participated in previous teledentistry activities. The conclusion of this activity is that teledentistry can facilitate providing consultation and education to the community during the Covid-19 pandemic. Keywords: consultation and education, teledentistry, the Covid-19 pandemic

IMPLEMENTATION NUTRIGENOMIC OF VITAMIN D IN PERIODONTITIS Hervina Hervina; I Dewa Made Sukrama; I Made Jawi
Journal of Vocational Health Studies Vol. 6 No. 1 (2022): July 2022 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V6.I1.2022.73-77

Background: Nutrition is a significant risk factor for the incidence of periodontal disease. Nutrients acting on the human genome, either directly or indirectly, can change the expression and structure of genes. One of the micronutrients associated with periodontitis is vitamin D. Vitamin D has an important role in bone and calcium metabolism and regulates serum calcium and phosphate concentrations at normal limits. Purpose: To discuss the nutritional vitamin D as an essential micronutrient in preventing and accelerating healing in periodontitis. Review: Searched two databases from article publication to April 2021, resulting in a total of 66 hits, from which seven relevant articles were selected. VDR signaling can build transcription of genes encoding proactive cytokines, bypassing the cyclo-oxygenase-2 (COX-2) and prostaglandin pathway, and can inhibit matrix metalloproteinase production. The protective mechanism of vitamin D against periodontitis occurs through two biological pathways, namely anti-microbial and anti-inflammatory pathways. The anti-microbial effect of vitamin D results from the binding of 1,25(OH)2D3 with VDR which then induces cAMP, b-def-2 and b-def-3 peptides by macrophages, monocytes, gingival epithelium and periodontal ligament epithelium. The anti-inflammatory effect occurs through decreased production of proinflammatory cytokines. Conclusion: All the signaling effects of VDR can reduce bacteria induced in the inflammatory cytokines so that personalized vitamin D supplementation with an adjusted dose as needed can be used in preventing periodontitis or accelerating the healing of periodontitis.

GAMBARAN STATUS KEBERSIHAN GIGI DAN MULUT SERTA KEBUTUHAN PERAWATAN PERIODONTAL PADA REMAJA YANG MENGKONSUMSI ALKOHOL Hervina Hervina; Dwis Syahriel; IGA Dewi Haryani
Jurnal Bakti Saraswati (JBS): Media Publikasi Penelitian dan Penerapan Ipteks Vol. 9 No. 2 (2020): Jurnal Bakti Saraswati (JBS) : Media Publikasi Penelitian dan Penerapan Ipteks
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (Institute for Research and Community Empowerment) Universitas Mahasaraswati Denpasar Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar

Konsusmsi alkohol secara berlebihan diketahui memiliki efek yang buruk bagi kesehatan khususnya jaringan periodontal. WHO menyatakan bahwa sebesar 43% atau 2,3 milyar dari populasi penduduk di dunia mulai umur 15 tahun ke atas mengkonsumsi alkohol. Penelitian deskriptif ini bertujuan untuk mengetahui gambaran status kebersihan gigi dan mulut serta kebutuhan perawatan periodontal pada remaja yang mengkonsumsi alkohol. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan cross sectional dilakukan pada 54 remaja SMP usia 13-15 tahun yang mengkonsumsi alkohol di Lingkungan Banjar Purnama Asri Desa Peguyangan Kangin Kecamatan Denpasar Utara. Pengukuran status kebersihan mulut menggunakan indeks OHI-s dan kebutuhan perawatan periodontal menggunakan Community Periodontal Index of Treatment Needs (CPITN). Sebanyak 29,63% memiliki status OHI-s baik, 22,22% sedang dan 48,15% buruk. Berdasarkan skor CPITN maka sebanyak 20,37% memerlukan kindakan edukasi instruksi kesehatan mulut dan 51,85% memerlukan tidakan edukasi instruksi kesehatan mulut serta perawatan pembersihan karang gigi (skaling), sedangkan 27,78% dalam kondisi sehat tanpa membutuhkan perawatan periodontal. Simpulan: kondisi status kebersihan mulut remaja peminum alkohol paling banyak status buruk dan Sebagian besar memerlukan edukasi instruksi kesehatan mulut serta pembersihan karang gigi (skaling).

THE EFFECTIVENESS OF RINSING WITH CELERY LEAFS (APIUM GRAVEOLENS L.) EXTRACT 10% AND CHLORHEXIDINE GLUCONATE 0.1% TO ACCELERATE POST-SCALING GINGIVITIS HEALING I Gusti Ayu Dewi Haryani; Dewa Made Wedagama; Hervina Hervina
Odonto : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: Gingivitis is a periodontal disease caused by accumulation of bacteria plaque on the tooth surface. The primary treatment of gingivitis by removing its etiologic factors that found in phase I of periodontal therapy is scaling and plaque control. Healing process of gingivitis takes time, therefore sometimes using antimicrobial and antiinflamatory drugs as an adjunctive therapy is needed. The use of celery extract as mouthwash containing flavonoid (apiin and apigenin) works as antibacterial and antiinflamatory agent. The purpose of this study is to acknowledge the use of celery leafs extract (Apium graveolens L.) 10% and Chlorhexidine glukonat 0.1% as mouthwash to accelerate the healing process of gingivitis after scaling and root planing.Method: Experimental study using pre and post-test control group design. Samples were taken from FKG UNMAS students and RSGM FKG UNMAS patients within the period that met the inclusion criteria of caries patients, male sex, age 18-25 years old, with exclusion systemic disease and undergo orthodontic treatment, denture or prosthesis others. Subjects have index teeth (11, 16, 26, 36, 31, 46) and willing to take part in the research. A total of 32 samples divided into two groups by simple random sampling technique. Group I as control group rinsing with chlorhexidine gluconate 0,1% after scaling and Group II as experimental group rinsing with celery leaf extract 10% after scalingResult: The mean of gingival index pre-post treatment in group I: 1,29+0,11 and group II: 1,09+ 0,16. Data analyzed with independent t-test, and the results shows no significant difference between both group (p=0,071) Conclusion: Gargling for three days showed no significant difference between gargling with celery leaf extract (Apium graveolens L.) 10% and chlorhexidine gluconate 0.1% because it was equally effective at treating post-scaling gingivitis.

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