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Knowledge of pregnant women about risk factor of cleft lip and palate at Puskesmas Mutiara, Asahan, Indonesia
Hendry Rusdy;
Rahmi Syaflida;
Olivia Avriyanti Hanafiah;
Jemima Ratnaningtyas
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.71456
Cleft is a congenital abnormal space or gap in the upper lip, alveolus, or palate. This congenital abnormality occurs between the 5th and 10th weeks of pregnancy. Clefts are divided into cleft lip, cleft palate, as well as cleft lip and palate. Cleft lip and palate are caused by the interaction of individual genes with certain environmental factors. Mothers’ knowledge about risk factor of cleft lip and palate may promote better health-related behavior in their pregnancy by increasing the understanding about the risk factor. Unfortunately, until now there is still limited data about this. The purpose of this study was to determine the knowledge of pregnant women about risk factor of cleft lip and palate. This was a descriptive study that used the survey method. This study was conducted using a questionnaire distributed to 67 pregnant women (n = 67). The questionnaire consisted of 13 validated questions. The results of this study found that 10.4% of the respondents had good knowledge, 32.8% of the respondents had moderate knowledge and 56.7% of the respondents had poor knowledge. The overall knowledge of the pregnant women about risk factor of cleft lip and palate at Puskesmas Mutiara Asahan fell in the low category.
In vitro study of the stretching time-associated force magnitude generated by NiTi and stainless-steel closed coil springs
Jennifer Xavier Ongko;
Muslim Yusuf;
Siti Bahirrah
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.74970
Closed coil spring is an additional tool in a fixed-orthodontic treatment. NiTi is an orthodontic alloy that has shape memory and elasticity features, while stainless steel has properties of malleability, low friction between wire-bracket, as well as easy soldering and welding. Various properties of closed coil springs have been widely studied, but research on the stretching time remains unclear. This study aimed to determine the effect and differences in the stretching time for 7 days, 14 days, 21 days, and 28 days on the force magnitude of NiTi and stainless-steel (SS) closed coil spring. A 7 x 5 x 1 cm acrylic blocks with 1 cm acrylic posts were employed, and 25 mm closed coil springs were attached to the acrylic posts using modified T-sticks. The springs were immersed in an artificial saliva with pH of 6.75 for 7, 14, 21, and 28 days in an incubator at 37 °C. The container was removed from the incubator and the force was measured using a universal testing machine. Kolmogorov-Smirnoff test was carried out to analyze parametricdata, while independent T-test was used to determine the difference between each group. There was a significant effect of stretching time on the force magnitude of the SS closed coil spring in all the groups (p < 0.05). There was no significant effect of stretching time on the force of the NiTi closed coil spring on days 7, 14, and 21 (p > 0.05) but there was a significant effect on day 28 (p < 0.05). A significant effect between the ratio of the SS and NiTi closed coil spring (p < 0.05) was confirmed. Longer stretching time indicated a force loss in the SS closed-coil spring, while the NiTi spring had a more stable force which implies a formidable treatment-time for orthodontic treatment.
Implementation of teledentistry during the COVID-19 pandemic at Bandung community health centers
Syarifa Salsabila Assagaff;
Netty Suryanti;
Asty Samiaty Setiawan
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.75954
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.
Differences in mandibular morphology between bruxism and non-bruxism patients based on the Levandoski analysis
Aghitsna Aulia Aufa;
Rasmi Rikmasari;
Daisy Wulansari
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.76015
Bruxism is a condition that involves grinding and clenching which can place a large load on the mandible, so it can change the morphology of the mandible. Based on the Levandoski analysis, this study aimed to determine whether there are differences in the mandibular morphology between bruxism and non-bruxism patients. This study was a cross-sectional analytic study conducted on the panoramic radiographic samples of bruxism and non-bruxism patients with a total sample of 30 patients (n = 30) in each group, obtained from the radiographic archives at the Radiology Installation of RSGM Universitas Padjadjaran which have been confirmed as bruxism and non-bruxism patients. Measurements were carried out using ImageJ software based on the reference lines by Levandoski. The results of the study were analyzed using SPSS software by performing normality and homogeneity tests, followed by a statistically independent t-test or Mann-Whitney test. The results of the independent t-test showed that three lines had a p-value < 0.05, namely the line from the point gonion to the maxillary vertical line on the right side, the distance from the top point of the condyle to the maxillary interincisal point on the right side, and the distance from the top point of the condyle to the mandibular interincisal point on the right side. The Mann-Whitney test results showed that two lines had a p-value < 0.05, namely the maxillary vertical midline and the distance from the condyle to the left maxillary vertical line. The other line had a p-value> 0.05. There were differences in the mandibular morphology between bruxism and non-bruxism patients based on the Levandoski analysis, namely the length of the maxillary vertical midline, the distance from the condyle top point to the maxillary vertical midline, the distance from the point gonion to the maxillary vertical midline, the distance from the top point of the condyle to the maxillary interincisal point on the left side, and the distance from the top point of the condyle to the mandibular interincisal point on the left side. On the other four lines, there was no significant difference between bruxism and non-bruxism patients.
Effect of 4% and 15% moringa leaf extract gel on gingival wound healing in rats
Eka Pramudita Ramadhany;
I Gusti Agung Dyah Ambarawati;
Muhammad Rafif Musyaffa
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.76416
Traumatic dental procedures such as incisions and gingival flaps are the leading causes of injury to the gingival structure. One of natural ingredients that can potentially accelerate the wound healing process is Moringa leaves Moringa oleifera). Moringa leaf has several active compounds, one of which is flavonoids, which can be an antiinflammatory and antibacterial agent, and increase collagen synthesis. A randomized posttest-only control-group design was used in this study. 48 wistar rats were categorized into four groups: CMC-Na gel, hyaluronic acid, 4% Moringa leaf extract gel, and 15% Moringa leaf extract gel. The samples were then euthanized on days 1, 3, 5, and 7. The two-way ANOVA test described significant differences (p < 0.05) for all the components of the observation (neutrophils, fibroblasts, angiogenesis, and epithelial thickness). The lowest mean number of neutrophils, the highest mean number of fibroblasts, and the highest mean of angiogenesis were found in the 15% Moringa extract group on the 7th day. The highest mean epithelial thickness was found in the use of 4% Moringa extract on the 5thday. The microscopic images showed that the treatment group gained more effective wound healing processes than the control group. The microscopic image showed that, in terms of neutrophils, fibroblasts, and angiogenesis, 15% Moringa extract was more effective for wound healing compared to 4% Moringa extract.
Relationship between peatland water use and periodontal disease in Daha Selatan Subdistrict
Antung Nurul Hidayah;
Beta Widya Oktiani;
Aulia Azizah
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.76843
Periodontal disease is one of the dental and oral health problems in Hulu Sungai Selatan Regency with a prevalence of gingivitis of 24.58% and periodontitis of 10.83%. One of the risk factors for periodontal disease is the use of peatland water. Peatland water has a low pH which can affect the colony of anaerobic bacteria in the oral cavity of the water users. Bacteria that cause periodontal disease are able to develop and survive in acidic conditions. This study aimed to analyze the relationship between peatland water use and periodontal disease in Daha SelatanSubdistrict. This was analytical research with a cross-sectional approach. The sampling technique used a simple random sampling technique with a total sample of 100 people (n = 100) who were residents aged 35-44 years in Daha Selatan Subdistrict. The results showed that the participants with high use of peatland water showedthe highest percentage (39%). In addition, there were 61% respondents who suffered from periodontal disease. ChiSquare test obtained a significance value of 0.022 (p < 0.05), showing that there was a relationship between peatland water use and periodontal disease. The risk of periodontal disease in the respondents who used peatland water in the high category was 4.167 times greater than in the respondents who did not use peatland water. It is essential to educate the general public about the effects that using peatland water can have on dental and oral health because there is a high prevalence of periodontal disease, which is caused by the widespread use of peatland water.
Treatment of temporomandibular joint trauma following odontectomy
Intan Ruspita;
Haryo Mustiko Dipoyono
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.78415
Temporomandibular Joint Disorder (TMD) is a non-dental musculoskeletal disorder that has a complex and multifactorial etiology. The most frequent symptoms are pain in the masticatory muscles, in front of the ears, and in the temporomandibular joint (TMJ); this disorder can also be accompanied by clicking sounds and locking. This study aimed to present a case report of temporomandibular joint trauma following odontectomy. A 22-year-old patient came with some complaints, namely pain in the TMJ, a clicking sound when opening and closing the mouth, and limited mouth opening. The symptoms started when the patient underwent odontectomy on all the four third molars, causing tightness around the jaw, pain, and clicking. However, she did not seek any treatment for these conditions until the pain became worse and disturbed her activities. The patient had to deal with limited mouth opening and severe migraines up to twice a day. During an examination, the patient was able to open her mouth without pain only 25 mm in width, with a maximum mouth opening of 35 mm. The therapy was done by constructing a 4-mm stabilization splint and educating the patient on how to reduce the pain. In fact, 2 months after the treatment and the use of stabilization splints, her complaints of TMJ pain and clicking sounds decreased, her mouth opening increased, and the migraines never came back. In this case, non-invasive treatment as the first-line therapy in patients with disc displacement with reduction and arthralgia can reduce the joint pain symptoms, and some of the symptoms have even disappeared.
The relationship between bizygomatic width and mesiodistal width of six maxillary anterior teeth in a Javanese population
Murti Indrastuti;
Sri Budi Barunawati;
Dian Samuel Hasudungan
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.79146
The selection of the mesiodistal width of maxillary anterior teeth is the key to success in prosthodontic treatment. Determining anterior teeth width when there is no existing pre-extraction record can be done through bizygomatic width measurement. The purpose of this study was to look at the relationship between bizygomatic width and mesiodistal width of six maxillary anterior teeth in the Javanese population. This study used a cross-sectional design and was conducted on 32 Javanese subjects who met the following criteria: being 18-25 years of age, having Angle class 1 malocclusion, having complete maxillary anterior permanent teeth, not using dentures, currently not undergoing any orthodontic treatment, and having no abnormalities found in the facial area. The bizygomatic width was measured with a digital caliper with an accuracy of 0.01 mm from the marked right and left bizygomatic points. The mesiodistal width of the six maxillary anterior teeth was measured using dental floss looped from the distal left canine to the right canine. Dental floss marked with a pen was stretched horizontally on paper and then measured with a digital caliper with an accuracy of 0.01 mm. The measurement was done in triplicate. Data were analyzed using Pearson’s correlation and the simple linear regression test. This study’s analysis revealed a strong and positive correlation (r = 0.538 and p < 0.05) between the bizygomatic width and mesiodistal width of the maxillary anterior teeth. The result of the simple linear regression test showed a significant result (p < 0.05). It can be concluded that there was a relationship between the bizygomatic width and the mesiodistal width of the six maxillary anterior teeth in the Javanese population. The mesiodistal width of the six maxillary anterior teeth in the Javanese population can be measured by multiplying the bizygomatic width by the multiplier factor, i.e., 0.427.
Differences in Candida Albicans hydrophobicity and biofilm formation between thermoplastic nylon and polyether-ether-ketone denture base materials
Titik Ismiyati
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.79300
Polyetheretherketone (PEEK) and thermoplastics nylon are extensively composed as an alternative material for removable denture base. The primary difference between the two materials is associated with water absorption properties. The two materials interact with saliva and microorganisms during application in the oral cavity. Candida is predominantly reported in the cavity. The microorganism is distinguished by its hydrophobicity and ability to form biofilms. The objective of this study was to determine the differences between thermoplastic nylon and polyether-ether-ketone as removable denture materials in terms of hydrophobicity and Candida albicans biofilms. It is a laboratory experiment using 20 5 x 2 mm samples for the hydrophobicity test and Candida albicans biofilm. The hydrophobicity test was performed by determining the contact angle with a Goniometer and the WinDrop++ software. The biofilm test samples were divided into 4 groups, encompassing PEG 5% (negative control), PEEK treatment, thermoplastics nylon, and 0.12% chlorhexidine (control positive). The microdilution method was employed to examine biofilm formation. The results of the study were interpreted, and the data were analyzed by employing the t test. The research discovered significant differences in biofilm formation, large contact angle on PEEK and thermoplastics nylon (p < 0.05). Biofilm formation on thermoplastics is significantly larger than PEEK (p < 0.05). In conclusion, the contact angles of PEEK and thermoplastic nylon are incorporated in the partially wetted. Polyetheretherketone is involved in the non-producers of biofilms while thermoplastic nylon is categorized in of weak biofilm formers.
The concentration effect of kulim leaf (scorodocarpus borneensis) extract on Streptococcus mutans ATCC 25175 bacterial hydrophobicity and adhesion
Trianna Wahyu Utami;
Adhaninggar Ratna Hapsari;
Dhe Rifdania Hanalda;
Asikin Nur;
Heribertus Dedy Kusuma Yulianto;
Nunuk Purwanti
Majalah Kedokteran Gigi Indonesia Vol 8, No 3 (2022): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.80636
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%.