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Carpal Tunnel Syndrome and its relation to dentist Anggayanti, Nyoman Ayu; Adiatmika, I Putu Gde
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Introduction: Carpal Tunnel Syndrome (CTS) is a compressive neuropathy, caused by mechanical distortion produced by a compressive force of the median nerve at the level of the wrist. Primary sign is pain in the wrist, tingling sensation, pain or numbness in thumb, index finger, middle finger, and radial side of the ring finger, also there is a reduction of the grip strength and function of the affected hand. This sign tend to be worse at night and clumsiness during the activities that requiring wrist flexion. This syndrome is well-known and frequent accounts for 90% of all entrapment neuropathies. Incidence rates up to 276:100.000 per year. More common in females than in males, its occurrence is commonly bilaterally with a peak age range of 40 to 60 years. This is the productive age, which is often reported that the Carpal Tunnel Syndrome are work-related musculoskeletal disorders caused by strain and repeated movements. Disscussion: Dentist are high risks to go through musculoskeletal disorders covering wrist joint. The condition may happen because of the dentist position while handling patients is not in ergonomic position. These include repetitive prolonged hand activities, forceful static posture of wrist, vibration, and localized mechanical stress. To reduce the symptoms of musculoskeletal disorders since the beginning, has developed an integrated concept of teamwork in a modern dental practice. This concept is known as the four-handed dentistry which consists of dentists and assistants with their respective skills. Conclusion: The four-handed treatment techniques has been developed that is now largely acceptable. The concept of four-handed dentistry is expected to prevent the movement that makes the muscles tense, especially in the area around the wrist. And may ultimately reduce the incidence of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome and its relation to dentist Nyoman Ayu Anggayanti; I Putu Gde Adiatmika
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Faculty of Dentistry Universitas Padjadjaran

Introduction: Carpal Tunnel Syndrome (CTS) is a compressive neuropathy, caused by mechanical distortion produced by a compressive force of the median nerve at the level of the wrist. Primary sign is pain in the wrist, tingling sensation, pain or numbness in thumb, index finger, middle finger, and radial side of the ring finger, also there is a reduction of the grip strength and function of the affected hand. This sign tend to be worse at night and clumsiness during the activities that requiring wrist flexion. This syndrome is well-known and frequent accounts for 90% of all entrapment neuropathies. Incidence rates up to 276:100.000 per year. More common in females than in males, its occurrence is commonly bilaterally with a peak age range of 40 to 60 years. This is the productive age, which is often reported that the Carpal Tunnel Syndrome are work-related musculoskeletal disorders caused by strain and repeated movements. Disscussion: Dentist are high risks to go through musculoskeletal disorders covering wrist joint. The condition may happen because of the dentist position while handling patients is not in ergonomic position. These include repetitive prolonged hand activities, forceful static posture of wrist, vibration, and localized mechanical stress. To reduce the symptoms of musculoskeletal disorders since the beginning, has developed an integrated concept of teamwork in a modern dental practice. This concept is known as the four-handed dentistry which consists of dentists and assistants with their respective skills. Conclusion: The four-handed treatment techniques has been developed that is now largely acceptable. The concept of four-handed dentistry is expected to prevent the movement that makes the muscles tense, especially in the area around the wrist. And may ultimately reduce the incidence of Carpal Tunnel Syndrome

Effectiveness of mixed tea plant extract gel with chitosan on fibroblast cells after tooth extraction of Wistar rats Nyoman Ayu Anggayanti; Putu Lestari Sudirman; Ni Nyoman Rian Permata Sari; I Gusti Ayu Putu Diah Suryani
Padjadjaran Journal of Dentistry Vol 35, No 1 (2023): March 2023
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no1.36563

ABSTRACTIntroduction: Tooth extraction can cause the damage of hard and soft tissue. When an injury occurs, fibroblast will respond in the wound healing process. Herbal medicines such as green tea and chitosan can be used in wound healing. The polyphenol content in green tea, namely EGCG, has an anti-inflammatory effect, increasing wound healing. In wound healing, chitosan promotes hemostasis and tissue recovery. Based on several previous studies, the use of 1.2% green tea extract was effective for improving wound healing in rat open wound models, chitosan 1% could trigger the proliferation of fibroblasts in the wound healing process after tooth extraction. The aim of this study is to analyze the effect of gel mixture of extract Camellia sinensis 1,2% with chitosan 1% on post-tooth extraction wound of Wistar rats. Methods: This was a randomized post-test only control group design using 40 Wistar rats which were randomly divided into 2 groups. Each group underwent intramuscular anesthesia on the rat's thigh and tooth extraction of mandibular left incisor. The treatment group was applied mixed gel of extract Camellia sinensis 1.2% and 1% chitosan as much as 0.01 ml and the control group was not given any treatment, after that decapitated on days 1, 3, 5, and 7. Result: The mean number of treated fibroblasts was higher than the control group on days 1, 3, 5, 7, respectively, 75.00; 176.00; 349.00 and 427.00 cells. The mean difference in the number of fibroblasts was significant with p-value 0.001 (p>0.05). Conclusions: Mixed extract gel of Camellia sinensis and chitosan increased fibroblasts in wound healing process after tooth extraction of Wistar rats with the highest mean of fibroblast on the 7th day.Keywords: mixed tea leaves,chitosan, fibroblast,wound healing

Effectivity of 5% Temulawak Extract (Curcuma xanthorrhiza) on Post-Extraction Fibroblast Cells in Wistar Rats (Rattus norvegicus) Nyoman Ayu Anggayanti; Putu Lestari Sudirman; Made Indira Paramita
Padjadjaran Journal of Dentistry Vol 35, No 2 (2023): July 2023
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no2.47023

ABSTRACTIntroduction: Fibroblast is a key element in the wound healing process. During the proliferation phase, fibroblast cells are important for producing collagen and elastic cells. Curcuma xanthorriza is a medicinal herb that contains active compounds such as curcumin and flavonoid, both of which have the ability to increase fibroblast migration and accelerate wound healing. This study aims to observe the effectiveness of 5% temulawak extract (Curcuma xanthorrhiza) on post-extraction fibroblast cells in Wistar rats (Rattus norvegicus). Methods: The experimental study was conducted on 30 rats, divided into a control group and a treatment group. The subjects received intramuscular anesthesia prior to extraction of mandibular incisor. The treatment group was injected with 5% curcuma extract into their wound socket, while the control group was given placebo gel injection. The mandibular samples were obtained and analyzed on the 3rd, 5th, and 7th day. The number of fibroblast cells was observed using a light microscope with three different fields of view at 400x magnification. Results: The mean number of fibroblasts in the experiment group was higher than that in the control group. On the 7th day, the treatment group showed 342.50 fibroblast cells, while the control group only showed 298.25 cells. The number of fibroblast cells in the 3rd day treatment group was comparable to that in the 5th day of control group. Conclusion: It can be concluded that 5% temulawak extract (Curcuma xanthorrhiza) has a significant effect increasing post-extraction fibroblast cells in Wistar rats (Rattus norvegicus).

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