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INDONESIA
Majalah Kedokteran Gigi Indonesia
Published by Universitas Gadjah Mada
ISSN : 24600164     EISSN : 24422576     DOI : https://doi.org/10.22146/majkedgiind.36959
Core Subject : Health,
Dentistry
Arjuna Subject : -
Articles 489 Documents
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The difference in scaling root-planing results between addition of photodynamic therapy and application of metronidazole gel of 25% in chronic periodontitis treatment Andreas Tjandra; Kwartarini Murdiastuti; Al Sri Koes Soesilowati; Fitri Yuniawati
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.54560

Abstract

Scaling Root-Planing (SRP) is a mechanical treatment for removing hard and soft deposits as well as bacteria that adhere to the tooth surface. The additional use of Photodynamic Therapy (PDT) can lead to damage of pathogen bacteria cell. Metronidazole is a common antibiotic with broad spectrum that goes againsts periodontal pathogen. This study aimed to compare the treatment outcomes between combined treatment SRP+PDT and SRP+metronidazole gel 25% in treating chronic periodontitis from the clinical parameters of Pocket Depth (PD), Relative Attachment Level (RAL), Papillary Bleeding Index (PBI) and the number of bacterial colonies. The study samples were taken from 30 periodontal pocket points, which were divided into two treatment groups. The first group was treated with SRP, then had an application of chlorophyll into the pockets and was lighted by 405 nm light, while the second group was treated with SRP, and was applied by metronidazole gel 25% into the pocket. The procedures were started by taking bacteria in the pocket using paper point in two treatment groups, then measuring PD, RAL and PBI as the baseline. After the treatments, PD and RAL results were calculated within observation time of the baseline, the 3rd, the 6th and the 9th weeks, while PBI and the number of bacterial colony were calculated at the baseline and the 3rd week. Distribution of data was analyzed by Shapiro Wilk test and the data reduction used non parametric test of Mann Whitney. The result showed a decreasing level in PD, RAL, PBI and the number of bacterial colony in both groups, but significant difference was seen in PD, and RAL of the baseline of the 9th week. Thus, the study concludes that the combination of SRP+PDT has the same effectiveness when compared to the combination of SRP+metronidazole gel of 25% in chronic periodontitis treatment, and the result is even greater in reducing the level of PD and RAL as seen from the baseline of 9th week measurement.
Tongue coating index as a risk factor of decline of taste sensitivity in the elderly population Fimma Naritasari; Dewi Agustina; Fania Chairunisa; Lisdrianto Hanindriyo; Elastria Widita; Iffah Mardhiyah
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.54935

Abstract

The elderly had various oral health issues, one of which is taste sensitivity. Taste sensitivity is highly affected by a person’s health, medication, eating habits, nutritional status, and oral hygiene. As an important organ for the sense of taste, the tongue can be covered in a white coating of debris, bacteria, and dead cells. To clean the tongue coating, one can do tongue brushing procedure, but this practice is not common among the elderly, especially in Indonesia. This cross-sectional study involved 114 older adults (n= 114) in the Special Region of Yogyakarta (Daerah Istimewa Yogyakarta- DIY), Indonesia, who were selected using stratified random sampling. The participants first signed the informed consent before undergoing an interview and going through oral clinical examination. This research particularly measured the tongue coating index and taste sensitivity level by way of statistically analyzing both variables to determine the correlation between tongue coating index and taste sensitivity level using three-dropmethod. Data from 114 subjects were presented descriptively using table and graphic. Most of the subjects 90.53% (103 subjects) had a coated tongue with various degree. The correlation statistic between tongue coating index and taste sensitivity level showed the statistically significant correlation (p-value = 0.019) and the coefficient correlation was -0.216, which means that there was a negative and weak correlation between both. Elderly with a higher tongue coating index tended to have less taste sensitivity. This could be due to debris blocking taste buds, thereby reducing taste sensitivity.
The cariogenic effect of school snack on risk levels with caries assessment tool study in children age 12-15 years old Yulita Subandari; Bambang Priyono; Al Supartinah
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.58950

Abstract

The teen years, around the age of 12-14 years, is the time for children to experience physical growth spurt, which increases their appetite, so they love snacks and develop snack eating habit at school. This study aims to determine the cariogenic effect of school snacks on caries risk based on the caries assessment tool (CAT) study in children aged 12-15 years. This is an observational quantitative study with cross-sectional research design. The population in this study were all students of class VII, aged 12-15 years in SMP Negeri (SMPN) Kulon Progo, comprised of 2,047 students. This study used a cluster proportional random sampling technique and obtained a sample size of 100 respondents. Data were collected using a questionnaire about school snacks and observation of caries risk assessment was based on CAT, and the data were analyzed using the Chi-Square test. The results showed that the cariogenic school snacks consumed by children aged 12-15 years in SMPN Kulon Progo were in the low category (71%); risk of caries occurrence based on CAT studies in children aged 12-15 years was in the high category of 50%. There was no significant effect on cariogenic school snacks on the level of caries risk based on CAT study in children aged 12-15 years.
Dental caries and family expenditures as determinants of oral health-related quality of life in children, in Gamping, Sleman, and Yogyakarta Rizka Wahyuni; Lisdrianto Hanindriyo; Sri Widiati
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.60834

Abstract

Inadequate oral health conditions would prevent children from participating in normal activities, which in turn would lead to changes in the children’s development and well-being. The aim of the study was to know whether dental caries and family expenditure are associated with quality of life related to dental and oral health among children aged 10–12 years. This study was conducted using observational quantitative with cross-sectional design. The research respondents were 126 students (n= 126) aged 10–12 years who were attending elementary school in Gamping Subdistrict, Sleman Regency, Yogyakarta. The respondents were selected based on proportional random sampling by applying inclusion and exclusion criteria. Quality of life related to dental and oral health assessment was done using CPQ11-12 ISF-16 version regarding their dental caries status (DMF-T) and family expenditure. The results of this study, based on Pearson’s correlation analysis showed that dental caries status and family expenditure were significantly correlated with quality of life related to dental and oral health (p = 0.013 and p = 0.001). The findings of multiple regression analysis suggested significant effects of family expenditures and caries status on quality of life related to dental and oral health (p = 0.001 and p = 0.037) and R2 = 0.161. Lower dental caries was associated with better quality of life related to dental and oral health. Higher family expenditure was associated with better quality of life related to dental and oral health. Dental caries status and family expenditure contributed to 16.1% of quality of life related to dental and oral health.
The effect of sisal (Agave Sisalana) nanofiber in epoxy resin sealer on root canal obturation’s push-out bond strength Astriani Amanda; Diatri Nari Ratih; Ema Mulyawati
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.62691

Abstract

Sisal nanofiber can be used as an additional filler to increase the adhesion strength of the resin epoxy sealer. The aim of this study was to observe the effect of sisal nanofiber addition to epoxy resin sealer on push-out bond strength of root canal obturation material against the root canals. Twenty-five mandibular premolars (n= 25) were prepared until file F3 and obturated using 0%, 0.25%, 0.5%, 0.75%, and 1% sisal nanofiber sealer. After the specimens were stored at incubator, they were horizontally sectioned at apical third. Root sections were tested with push-out technique, and observed under a stereo microscope to determine the failure type. Data were analyzed with one-way ANOVA and LSD pos hoc at 95% confidence level (α=0.05). A one-way ANOVA test revealed that the addition of sisal nanofiber in epoxy resin sealer had a significant effect on the push out bond strength of the obturation material against the root canals. The failure type was observed predominantly in the cohesive type and the lowest in the adhesive type. The addition of sisal nanofiber to the epoxy resin sealer could increase the push-out bond strength of the obturation material against the root canals. Epoxy resin sealers with the addition of sisal nanofiber at a concentration group of 0.75% resulted in the highest push-out strength of root canal obturation materials followed by 0.5% concentration group.
Effects of sisal nanofiber addition to epoxy resin-based sealer on its antibacterial power against Enterococcus faecalis Heny Retno Mayangsari; Tunjung Nugraheni; Ema Mulyawati
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.62867

Abstract

Sealer is one of root canal filler materials which has been developed and has an antibacterial agent to keep root canal sterile during and after an obturation process. This study aimed to find out the effect of sisal nanofiber addition to resin epoxy-based sealer on the antibacterial power against Enterococccus faecalis (E. faecalis) which is known as adaptive and potent bacteria which can be both aerobic and anaerobic. Sisal fibers were processed through many stages to make it nano sized (scouring, bleaching, neutralization, ultrasonification, and freeze-drying). Once nano-sized sisal fibers had been obtained, they were then mixed with sealer powder (AH26) in different concentrations: powder 0%, 0.25%, 0.5%, 0.75% and 1%. These concentrations were chosen based on preliminary research for reasonable contact angle measurement of sisal-sealer mixture. Antibacterial effect was examined using the diffusion method, each concentration was tested in 5 petri dishes which were planted with 1.5 X 108 CFU/ml E.faecalis bacteria. Each dish consisted of 5 holes (6 mm in diameter), each hole represented each concentration of nano sisal and sealer which were mixed until homogenous for 3 minutes before added to each hole. The dishes were then incubated for 48 hours at 37 °C. Inhibitory zones were measured, and analyzed using one-way ANOVA. The one-way ANOVA result showed that p=0.502 (p>0.05), meaning that the sisal nanofiber addition to epoxy resin-based sealer had no effect on E.faecalis inhibition. Thus, there was no effect of sisal nanofiber addition to epoxy resin-based sealer on E. faecalis.
The effect of adding zirconium dioxide nanoparticle to acrylic denture base on porosity and candida albicans adhesion Angeline Antony; Haryo Mustiko Dipoyono; Titik Ismiyati
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.63382

Abstract

Acrylic resin is the most common fabricated material for denture bases. ZrO2 nanoparticles can be used as filler to strengthen the physical properties and inhibit the adhesion of acrylic resins. This study aimed to examine the growth of Candida albicans and porosity in reinforced acrylic resin with Zirconium Dioxide (ZrO2) nanoparticles at 2.5% and 5% a concentration targeted for denture bases application. A laboratory experiment study included twenty-seven disc-shaped samples which were divided into three groups: group I acrylic resin without ZrO2 nanoparticles (control), group II acrylic resin with 2.5% ZrO2 nanoparticles, and group III with 5% ZrO2 nanoparticle acrylic resin. Samples were collected by heat polymerization while porosity observations were done using primo zeizs starr (Nikon YS100) microscope at 100x magnification. Dilution test was implemented to assess Candida albican growth. One-way ANOVA and Post Hoc LSD test statistical analysis were performed to evaluate the data (p<0.05). The results indicated that the mean porosity values in the control group of 2.5% and 5% were 37.4 ± 3.5, 15.8 ± 3.3, 8.0 ± 2.0 respectively while the attachment of C. albicans was 0.832 ± 0.083, 0.536 ± 0.098, 0.218 ± 0.083. One-way ANOVA confirmed a significant effect (p<0.05). Similarly, Post Hoc LSD test reported significant difference (p<0.05). The results showed that acrylic resin reinforced with ZrO2 nanoparticles for heat-polymerized denture base effectively reduced porosity and C. albicans adhesion. Five percent of ZrO2 nanoparticle concentration presented greater porosity reduction compared to 2.5% ZrO2 and non-reinforced acrylic resin. Acrylic resin reinforced with ZrO2 nanoparticles in 2.5% and 5% concentration is fungistatic.
Effect of the application of curcumin (Curcuma Longa) oral gel on periodontal inflammation in patients with type 2 diabetes melitus Nur Rahman Ahmad Seno Aji; Vincensia Maria Karina; Osa Amila Hafiyyah; Kwartarini Murdiastuti; Ahmad Syaify
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.69036

Abstract

Patients with Type 2 Diabetes mellitus (T2DM) were more prone to suffer from periodontitis due to unique alteration in host immune response. Application of curcumin oral gel as adjunctive therapy was expected to improve periodontal condition due to its anti-inflammatory properties. The objective of this study was to evaluate the effect of curcumin oral gel on periodontal inflammation in patients with T2DM. Sixteen periodontal pockets (n=16) from patients with T2DM were administered with curcumin oral gel using blunt cannula after periodontal curettage. Gingival Index (GI) and Periodontal Pocket Probing Depth (PPD) were evaluated a month after application. GI was assessed using visible sign of inflammation parameters including swelling, redness and bleeding upon probing. PPD was assessed using UNC-15 periodontal probe. The results were analyzed by Wilcoxon test (two related samples). The results showed that GI before treatment decreased by 51.61% a month post application. There was statistically significant difference (Sig 0.003) between GI mean before and after curcumin application. PPD decreased by 42.81% and showed statistically significant difference (Sig 0.000) by Wilcoxon Test. It is concluded that application of curcumin oral gel post curettage could decrease periodontal inflammation in patients with T2DM.
Effect of pre-operative 40 mg oral methylprednisolone on post- odontectomy facial swelling, intraoral redness, pain and level of TNF-α Harpindo Yusa; Cahya Yustisia Hasan; Bambang Dwirahardjo
Majalah Kedokteran Gigi Indonesia Vol 8, No 1 (2022): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.55116

Abstract

Odontectomy is the surgical removal of teeth by making a mucoperiosteal flap and reducing the jawbone. This procedure is likely to cause injury and damage to soft and hard tissues, stimulate inflammatory responses, and generate release of proinflammatory cytokines, one of which is TNF- ɑ, resulting in the facial swelling, intraoral redness, and pain. This study was aimed at observing effects of 40 mg methylprednisolone, administered 1 hour before odontectomy on facial swelling, intraoral redness, and pain and level of TNF-ɑ after odontectomy. The randomized placebo-control trial study involved 24 subjects who underwent odontectomy at the Oral Surgery and Maxillofacial clinic of Prof. Soedomo Dental Hospital, Universitas Gadjah Mada. To comply with the inclusion criteria, the subjects were divided into placebo group (12 patients) and methylprednisolone group (12 patients). The observation of facial swelling, intraoral redness, pain (VAS) and level of TNF-ɑ (ELISA) was done before odontectormy, H+1 (24 hours after odontectomy) and H+3 (72 hours after odontectomy). The data gathered were analyzed using Repeated Measures ANOVA and post-hoc Bonferroni (p < 0.05). The results showed that those administered with methylprednisolone an hour before odontectomy experienced less postoperative facial swelling (p = 0.000), a lower score of intraoral redness (p = 0.000), a lower score of pain (p = 0.000) and a lower level of TNF-ɑ (p = 0.000) compared to the placebo. The changes in TNF-α showed the strongest correlation with the changes in postoperative pain and intraoral redness compared with facial swelling. Oral administration of 40 mg methylprednisolone an hour before odontectomy is more effective in reducing facial swelling, intraoral redness, pain and level of TNF-ɑ following odontectomy of mandibular third molar compared with the placebo.
Differences in the oral hygiene status and clinical periodontal status between conventional and electric smokers Angguningtyas Wulandari; Sri Widiati; Bambang Priyono
Majalah Kedokteran Gigi Indonesia Vol 8, No 2 (2022): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.59681

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.

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