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Teknik sementasi ekstraoral untuk mencegah kelebihan semen di sekitar implan Setyawan Bonifacius; Ira Komara; Dyah Nindita Carolina
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 5, No 3 (2019)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.65725

Abstract

Pembersihan kelebihan semen yang tidak adekuat dapat menginisiasi terjadinya proses inflamasi sekitar implan. Pemilihan jenis koneksi dan teknik sementasi implan dan restorasi adalah dua aspek yang harus diperhatikan untuk menunjang keberhasilan implan. Teknik sementasi restorasi yang dilakukan ekstraoral dapat digunakan sebagai salah satu cara untuk mencegah terjadinya kelebihan semen di sekitar implan. Studi kasus ini bertujuan untuk menunjukkan metode dalam mengurangi risiko kelebihan semen yang terakumulasi di sekitar implan. Pasien laki-laki, usia 50 tahun datang dengan keluhan kehilangan gigi regio 35 dan 36, ingin dibuatkan protesa implan untuk mengganti gigi 35 dan 36. Hasil radiograf CBCT tidak ada kontraindikasi untuk implan dan pasien tidak ada riwayat penyakit sistemik. Bedah implan dilakukan di regio 35 dan 36. Fase pemasangan restorasi mahkota pada implan dilakukan dengan teknik sementasi ekstraoral pada gigi 35 dan 36. Manfaat utama dari sementasi ekstra oral adalah untuk menghilangkan secara langsung kelebihan semen di sekitar margin. Teknik ini mengurangi risiko terjadinya inflamasi pada jaringan lunak dan kehilangan tulang di sekitar implan. Teknik sementasi ekstraoral dapat menjadi salah satu alternatif untuk mencegah terjadinya kegagalan implan yang disebabkan karena kelebihan semen yang tertinggal di sekitar implan.
Perawatan bedah regeneratif periodontal pada kasus periodontitis Dyah Nindita Carolina; Ina Hendiani; Agus Susanto; Nunung Rusminah
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 5, No 3 (2019)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.65726

Abstract

Kerusakan tulang alveolar pada kasus periodontitis membutuhkan perawatan bedah regeneratif periodontal dengan bahan bone graft untuk merangsang pertumbuhan tulang alveolar, dikombinasikan dengan Platelet Rich Fibrin (PRF) atau membran alloplastik sebagai Guide Tissue Regeneration (GTR). Studi kasus ini bertujuan untuk menunjukan perawatan koreksi defek tulang alveolar pada kasus periodontitis dengan bedah regeneratif periodontal. Pasien wanita berusia 50 tahun mengeluhkan gigi belakang rahang atas kanan dan kiri terasa goyang dan sakit. Temuan klinis dan radiograf terdapat poket dengan rata-rata kedalaman 7 dan 8 mm pada bagian bukal mesial dan distal pada gigi 16, 15 dan 26, kegoyangan gigi derajat 1, dan kerusakan tulang vertikal mencapai 1/3 tengah akar gigi 16,15 dan 26. Pasien mendapatkan perawatan scaling inisial, penghalusan akar, dan penyesuaian oklusi, dilanjutkan bedah periodontal gigi 16, 15 dan 26. Pada prosedur flap dilakukan debridemen poket dan eliminasi jaringan granulasi dilanjutkan pemberian bone graft dengan PRF pada gigi 16, 15 dan pemberian bone graft dengan membran alloplastik (periosteum) pada gigi 26. Penutupan flap dengan penjahitan interdental interrupted. Bedah periodontal regeneratif dilakukan untuk menghasilkan terbentuknya pertumbuhan jaringan periodontal yang baru dan mengembalikan perlekatan jaringan ikat pada gigi. Evaluasi sesudah bedah regeneratif periodontal terlihat bahwa pada kombinasi bone graft dengan PRF atau membran alloplastik (periosteum) menunjukkan penurunan Clinical Attachment Loss (CAL) dan radiograf menunjukkan bertambahnya ketinggian tulang alveolar. Perawatan bedah regeneratif periodontal kombinasi bone graft dengan PRF atau membran alloplastik (periosteum) dapat meningkatkan perlekatan jaringan periodontal pada kasus periodontitis.
Comparison of salivary alpha-amylase levels in gingivitis and periodontitis Dyah Nindita Carolina; Yanti Rusyanti; Agus Susanto
Dental Journal (Majalah Kedokteran Gigi) Vol. 50 No. 4 (2017): December 2017
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (480.675 KB) | DOI: 10.20473/j.djmkg.v50.i4.p216-219

Abstract

Background: The development of periodontal disease is influenced by bacteria-plaque, while there are also several factors modifying the host’s response, one of which is psychological stress. Alpha-amylase as a biomarker is also associated with periodontal inflammatory disease. Purpose: The purpose of this study was to examine the difference of alpha-amylase level between gingivitis and periodontitis. Methods: This research constitutes a descriptive study involving 44 subjects, divided into two groups: one of 22 gingivitis subjects and the other of 22 periodontitis subjects. These individuals completed a PSS-14 questionnaire before their levels of alpha salivary amylase were measured by Cocorometer. Data was analyzed by means of a paired T test and a Mann Whitney test with p < 0.05. Results: There were significant differences between the alpha-amylase levels of gingivitis and periodontitis. However, no significant contrast existed in the PSS-14 scores of the two periodontal disease groups. Conclusion: In conclusion alpha-amylase levels in the periodontitis group were higher than those in the gingivitis group and could be used as marker indicators of stress.
The relationship between Social Security Administrator (BPJS) regulations and the value of benefits obtained by Social Security Administrator for Employment (BPJS Ketenagakerjaan) participants Resly Sistiaperdani; Cucu Zubaedah; Riana Wardani; Ayu Trisna Hayati; Dyah Nindita Carolina
Padjadjaran Journal of Dentistry Vol 32, No 2 (2020): July 2020
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no2.24045

Abstract

Introduction: One of the human rights is the right to live prosperously. Indonesian government provides social security for workers, namely the Social Security Administrator for Employment (BPJS Ketenagakerjaan). Social Security Administrator for Employment has a specific set of regulations set by the government. Social Security Administrator for Employment participants obtains the value of benefits through the social security program. This study was aimed to analyse the relationship between regulations and the value of benefits obtained by BPJS Employment participants. Methods: This research was a correlational descriptive study with a survey method. Results: Most respondents stated strongly agree with the regulations of Social Security Administrator for Employment (85.09%), and most respondents felt that they gained a lot of the value of benefits as expected (83.80%). The results of the Spearman correlation test between the Social Security Administrator for Employment regulations with the values obtained by respondents, which resulted in p = 0.0001 with α = 0.05. The p-value that lower than the α indicates a significant relationship. Conclusion: There is a relationship between the regulations of Social Security Administrator for Employment and the values obtained for the participants, with the direction of positive correlation and the moderate correlation strength.
Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of mangosteen (Garcinia mangostana Linn.) rind extract against Aggregatibacter actinomycetemcomitans Ina Hendiani; Agus Susanto; Dyah Nindita Carolina; Rahmat Ibrahim; Felisha Febriane Balafif
Padjadjaran Journal of Dentistry Vol 32, No 2 (2020): July 2020
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no2.27366

Abstract

Introduction: The main contents of mangosteen (Garcinia mangostana Linn.) is xanthone with antibacterial activity. Aggregatibacter actinomycetemcomitans (A. actinomycetemcomitans) was a gram-negative, facultative anaerobic bacillus that causes periodontal diseases such as localised aggressive periodontitis (LAP). Mangosteen rind extract could inhibit the growth of Porphyromonas gingivalis and A. actinomycetemcomitans. This study was aimed to determine the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of mangosteen rind extract against A. actinomycetemcomitans. Methods: This study was an experimental and in-vitro study of antimicrobial properties of mangosteen (Garcinia mangostana Linn.).The extract of mangosteen was made by the maceration method using 70% ethanol solvent. A. actinomycetemcomitans (ATCC 43718) obtained from Laboratorium of Microbiology Airlangga University Surabaya. This study used a microdilution method and analysed using the Enzyme Linked Immune Sorbent Assay (ELISA). The determination of the MIC was measured using the formula for cell inhibition percentage. Three concentrations higher than the MIC standard were cultured on the Mueller Hinton agar. The lowest concentration on agar which was not found any growth of the bacterial colonies was determined as the MBC. Results: The results of this study indicated that the MIC and MBC of mangosteen rind extract against A. actinomycetemcomitans were 195.3 ppm and 1562.5 ppm, respectively. Conclusion: Mangosteen rind extract can inhibit and bactericide the growth of A. actinomycetemcomitans.
Periodontal clinical features of bronchial asthma patient using inhalation drugs Maria Efrinta Ginting; Rosiliwati Wihardja; Dyah Nindita Carolina
Padjadjaran Journal of Dentistry Vol 33, No 3 (2021): November
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no3.29739

Abstract

Introduction: Bronchial asthma patients use inhalation drugs as therapy to achieve a controlled asthma state. Inhaled corticosteroids and β2 agonists are the medication that is being used in this case. Prolonged use of inhalation drugs will affect the health of periodontal tissue. The effect of these drugs can reduce the periodontal defense mechanism and increase the risk of periodontal disease. This study aims to determine the periodontal clinical features of bronchial asthma patients using inhalation drugs. Method: This research was a descriptive study. The sample of the study were 22 females and 8 males bronchial asthma patients at the Community Lung Health Center of Bandung (Balai Besar Kesehatan Paru Masyarakat Bandung/BBKPM Bandung) who had been using inhalation drugs for at least one year. The periodontal clinical feature was assessed by employing a Community Periodontal Index (CPI) modified with probing the gingival sulcus to assess the presence of gingival bleeding, periodontal pocket, and loss of clinical attachment where then a periodontal status was obtained. The periodontal status data were then processed using the periodontitis case definitions from the Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP) to determine periodontal disease in asthmatics patients. Results: Clinical features of gingival bleeding were found in 26 asthmatic patients (86.7%), periodontal pockets in 18 asthmatic patients (60%), and loss of clinical attachment in 27 asthmatic patients (90%). Based on the CDC/AAP case definition, 23 asthmatic patients (76.7%) had periodontitis. Bronchial asthma patients who used inhalation drugs had a risk of periodontitis.Conclusion: Bronchial asthma patients who used inhalation drugs for at least one year had gingival bleeding and loss of clinical attachment and periodontal pocket.