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Dental Journal (Majalah Kedokteran Gigi)
Published by Universitas Airlangga
ISSN : 19783728     EISSN : 24429740     DOI : -
Core Subject : Health,
The Dental Journal (Majalah Kedokteran Gigi) (e-ISSN:2442-9740; p-ISSN:1978-3728) is published by the Faculty of Dental Medicine, Universitas Airlangga. Its diciplinary focus is dental science and dental hygiene. The Dental Journal (Majalah Kedokteran Gigi) is published in English on a quarterly basis with each 50-60 page edition containing between nine and eleven scientific articles on research, study literature and case studies. Contributors to the Dental Journal (Majalah Kedokteran Gigi) included: dental researchers, dental practitioners, lecturers, and students drawn from Indonesia and a wide range of other countries.
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Articles 11 Documents
Search results for , issue "Vol. 43 No. 3 (2010): September 2010" : 11 Documents clear
Management of idiopathic alveolar bone necrosis associated with oroantral fistula after upper left first molar extraction Ni Putu Mira Sumarta
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (765.07 KB) | DOI: 10.20473/j.djmkg.v43.i3.p151-156

Abstract

Background: Complications such as alveolar osteonecrosis and oroantral fistula can occure in maxillary molar extraction. The management of such complication is done by treating to treat any persisting maxillary sinusitis if present, prevent further antral contamination, wound bed preparation, and oroantral fistula closure with appropriate method. Purpose: This case report presents a treatment stage of an idiopathic upper alveolar bone necrosis and oroantral fistula that occurred 4 months after left upper first molar extraction. Case: A case of an idiopathic upper alveolar bone necrosis associated with oroantral fistula that occurred 4 months after left upper first molar extraction is presented. Patient suffered from pain and swelling at left upper jaw since 2 month before admission. There was a history of complicated tooth extraction 4 months earlier. Patient also complained pus and blood discharge from post extraction socket. Patient occasionally choked when drinking and fluids escaped through the nostril. There was a diffuse swelling in the left maxillary region; there was no hyperemia, with soft consistency and no pain on palpation. In the 26, 27 region there was a
Contact hypersensitivity after tongue piercing Ananta Herachakri P; Afrini Puspita; Feby Aryani; Hendri Susanto
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (474.811 KB) | DOI: 10.20473/j.djmkg.v43.i3.p126-130

Abstract

Background: Recently tongue piercing has become increasingly popular in the society. Several case reports have presented various complications of tongue piercing. However, there is no scientific evidence about contact hypersensitivity to tongue piercing. Purpose: The aim of this study was to investigate the contact hypersensitivity after using tongue piercing. Methods: Nineteen male Rattus norvegicus were divided into three groups: group A treated with vaseline on the back and dorsum tongue (control group), group B (I) treated with HgCl2 10% cream on the tongue dorsum, group B (II) treated with tongue piercing for 10 days and group C with HgCl 2 10% cream on the back, ear lobe, and tongue, then re-exposure with same materials on ear, back and tongue for 24 and 48 hours. Before and after 24 and 48 hours applications, ear width was measured with sliding caliper. At the end of treatments, the rats were sacrificed. All tissue specimens were made for Hematoylin Eosine (H&E) staining examination. The number of mononuclear cells was counted under light microscope Data was analyzed with One-Way ANOVA followed by LSD (p<0.05). Results: The result of this study showed that there were a significant difference of the thickness of ear lobe and the number of mononuclear cells (lymphocyte and monocyte) among all groups. Conclusion: It is concluded that tongue piercing induce contact hypersensitivity.Latar belakang: Saat ini pemakaian tongue piercing sangat popular di masyarakat. Beberapa laporan kasus menunjukkan bahwa tongue piercing menimbulkan beberapa komplikasi. Namun, belum ada bukti ilmiah mengenai reaksi hipesensitivitas tongue piercing. Tujuan: Untuk mengetahui reaksi hipersensitivitas setelah menggunakan tongue piercing. Metode: Sembilan belas tikus jantan Rattus novergicus yang dibagi dalam tiga kemlompok yaitu: grup A diberi perlakuan dengan vaselin pada punggung dan dorsum lidah, grup B (I) diberi perlakuan dengan krim HgCl2 10% pada dorsum lidah dan B (II) perlakuan tongue piercing selama 10 hari. Grup C diberi perlakuan dengan HgCl2 pada punggung, daun telinga, dan dorsum lidah, kemudian diberi perlakuan ulang dengan bahan dan tempat yang sama selama 24 dan 48 jam. Sebelum dan setelah perlakuan selama 24 dan 48 jam ketebalan telinga diukur dengan sliding caliper. Setalah perlakuan tikus didekapitasi kemudian dibuat preparat jaringan untuk pemriksaan hematoxilin & eosin (H & E). Perhitungan jumlah sel mononuclear dilakukan menggunakan mikroskop cahaya. Hasil: Penelitian ini menunjukkan bahwa terdapat perbedaan ketebalan telinga dan jumlah sel mononuklear yang bermakna setelah perlakuan antar kelompok pada hasil analisa dengan menggunakan ANOVA dan LSD (p<0.05). Kesimpulan: Tongue piercing dapat menginduksi reaksi hipersensitivitas kontak.
Indirect veneer treatment of anterior maxillary teeth with enamel hypoplasia Devi Eka Juniarti
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (730.73 KB) | DOI: 10.20473/j.djmkg.v43.i3.p157-161

Abstract

Background: Nowadays, aesthetic rehabilitation becomes a necessity. It is affected by patient’s background, especially career, social and economic status. The aesthetic abnormality of anterior teeth i.e discoloration, malposition and malformation can affect patient’s appearance, especially during smile. These dental abnormalities, as a result, can decrease patient’s performance. Dental malformation, for instance, can be caused by developmental tooth defect, such as enamel hypoplasia. Enamel hypoplasia is a developmental defect caused by the lack of matrix amount which leads to thin and porous enamel. Enamel hypoplasia can also be caused by matrix calcification disturbance starting from the formation and development of enamel matrix causing defect and permanent changes which can occur on one or more tooth. Purpose: The aim of the study is to improve dental discoloration and tooth surface texture on anterior maxillary teeth with enamel hypoplasia by using indirect veneer with porcelain material. Case: A 20 years-old woman with enamel hypoplasia came to the Dental Hospital, Faculty of Dentistry Airlangga University. The patient wanted to improve her anterior maxillary teeth. It is clinically known that there were some opaque white spots (chalky spotted) and porous on anterior teeth’s surface. Case management: Indirect veneer with porcelain material had been chosen as a restoration treatment which has excellent aesthetics and strength, and did not cause gingival irritation. As a result, the treatment could improve the confidence of the patient, and could also make their function normal. Conclusion: Indirect veneer is an effective treatment, which can improve patient’s appearance and self confidence.Latar belakang: Saat ini perbaikan estetik menjadi suatu kebutuhan. Kebutuhan akan estetik dipengaruhi latar belakang penderita, terutama karir, status sosial dan ekonomi. Hal ini disebabkan, kelainan estetik seperti diskolorasi, malposisi, malformasi, dapat mempengaruhi penampilan penderita terutama saat tersenyum. Kelainan gigi tersebut pada akhirnya dapat memperburuk penampilan penderita. Malformasi gigi dapat disebabkan oleh kelainan pada masa perkembangan gigi, misalnya hipoplasia enamel. Hipoplasia enamel adalah kelainan perkembangan yang disebabkan sedikitnya matriks enamel sehingga terjadi ketipisan dan porusnya enamel. Hipoplasia enamel dapat disebabkan gangguan kalsifikasi matriks saat pembentukan dan perkembangan matriks enamel, kerusakan dan perubahan permanen ini dapat melibatkan satu atau beberapa gigi. Tujuan: Tujuan perawatan ini memperbaiki diskolorasi dan tekstur permukaan gigi depan rahang atas akibat hipoplasia enamel menggunakan veneer indirek berbahan porselen. Kasus: Seorang penderita wanita 20 tahun dengan hipoplasia enamel datang ke Rumah Sakit Gigi dan Mulut Pendidikan Fakultas Kedokteran Gigi Universitas Airlangga. Penderita ingin memperbaiki gigi depan rahang atas yang secara klinis tampak bercak putih opak seperti kapur dan porus pada permukan labial gigi. Tatalaksana kasus: Veneer indirek dengan bahan porselen dipilih sebagai restorasi oleh karena segi estetik, kekuatan dan tidak mengiritasi ginggiva. Restorasi ini dapat meningkatkan kepercayaan diri penderita dan memperbaiki fungsi gigi. Kesimpulan: Veneer indirek merupakan perawatan yang efektif, dapat meningkatkan penampilan dan kepercayan diri penderita.
Cervical end preparation design on collarless metal ceramic crown to the decrease of bacterial colony Edy Machmud
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (312.035 KB) | DOI: 10.20473/j.djmkg.v43.i3.p131-135

Abstract

Background: Cervical end preparation design is an important procedure in fixed partial denture. If the cervical end preparation design is inadequate, dental plaque will easily be formed and this may indicate the beginning of periodontal disease. Purpose: This study was aimed to analyze the effect of cervical end preparation design on collarless metal ceramic crown towards the decrease of bacterium colony number. Methods: This study was quasi-experimental study applying pre and post test on a control group involving 48 subjects with shoulder, bevel shoulder, and deep chamfer cervical end preparation. The bacterium colonies were examined on the 1st, 7th, and 21st days after the insertion of collarless metal ceramic crown. Results: The study showed that bacterium colony increased significantly in deep chamfer and bevel shoulder preparation design between the treatment group and the control group (p<0.05). In shoulder preparation there was not significant different between the treatment group and the control group (p>0.05). Conclusion: Compared to the bevel shoulder and deep chamfer, shoulder design is the best design for collarless metal ceramic crown restoration.Latar belakang: Desain preparasi tepi servikal merupakan suatu tahap yang sangat menentukan dalam pembuatan gigi tiruan cekat. Apabila desain preparasi tepi servikal tidak adekuat dapat menyebabkan pembentukan plak gigi pada daerah tersebut. Keadaan ini merupakan tahap awal terjadinya penyakit periodontal. Tujuan: Untuk menganalisis pengaruh desain preparasi tepi servikal yang dibuat pada mahkota collarless metal ceramic untuk mengurangi jumlah bakterium koloni. Metode: Penelitian ini adalah penelitian eksperimental semu dengan metode pre and post test dan kelompok kontrol terhadap 48 subyek penelitian. Dilakukan preparasi gigi dan pembuatan akhiran preparasi tepi servikal shoulder, bevel shoulder, dan deep chamfer pada subyek penelitian. Pemeriksaan koloni bakteri dilakukan pada hari ke-1, 7, dan 21 setelah pemasangan mahkota collarless metal ceramic. Hasil: Menunjukkan bahwa terjadi, peningkatan jumlah koloni bakteri yang bermakna antara kelompok perlakuan dengan kelompok kontrol (p<0,05) pada desain preparasi deep chamfer dan bevel shoulder. Sedangkan pada desain preparasi tepi servikal shoulder tidak ada perbedaan yang bermakna antara kelompok perlakuan dengan kelompok kontrol (p>0,05). Kesimpulan: Desain shoulder adalah desain tepi preparasi yang terbaik bagi mahkota collarless metal ceramic dibandingkan bevel shoulder dan deep chamfer.
Treatment of sharp mandibular alveolar process with hybrid prosthesis Sukaedi Sukaedi; Eha Djulaeha
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (416.346 KB) | DOI: 10.20473/j.djmkg.v43.i3.p136-140

Abstract

Background: Losing posterior teeth for a long time would occasionally lead to the sharpening of alveolar process. The removable partial denture usually have problems when used during mastication, because of the pressure on the mucosa under the alveolar ridge. Purpose: The purpose of this case report was to manage patients with sharp mandibular alveolar process by wearing hybrid prosthesis with extra coronal precision attachment retention and soft liner on the surface base beneath the removable partial denture. Case: A 76 years old woman visited the Prosthodontic Clinic Faculty of Dentistry Airlangga University. The patient had a long span bridge on the upper jaw and a free end acrylic removable partial denture on the lower jaw. She was having problems with mastication. The patient did not wear her lower denture because of the discomfort with it during mastication. Hence, she would like to replace it with a new removable partial denture. Case management: The patient was treated by wearing a hybrid prosthesis with extra coronal precision attachment on the lower jaw. Soft liner was applied on the surface of the removable partial denture. Hybrid prosthesis is a complex denture consisting of removable partial denture and fixed bridge. Conclusion: It concluded that after restoration, the patient had no problems with sharp alveolar process with her new denture, and she was able to masticate well.Latar belakang: Kehilangan geligi posterior dapat menimbulkan processus alveolaris tajam. Gigi tiruan sebagian lepasan mempunyai masalah selama pengunyahan karena adanya tekanan di mukosa di bawah alveolar ridge. Tujuan: Tujuan laporan kasus ini adalah untuk menjelaskan cara menangani pasien yang mempunyai prosesus alveolaris yang tajam di rahang bawah dengan dibuatkan protesis hybrid dengan daya tahan extra coronal precision attachment dan soft liner di permukaan bawah basis gigi tiruan sebagian lepasan. Kasus: Pasien wanita berumur 76 tahun datang di klinik Prostodosia Fakultas Kedokteran Gigi Universitas Airlangga. Pasien memakai gigi tiruan lekat rentang panjang di rahang atas dan gigi tiruan sebagian lepasan akrilik free end di rahang bawah, pasien mengalami masalah waktu mengunyah. Pasien tidak memakai gigitiruan lepasan rahang bawahnya karena tidak nyaman dipakai, dan pasien menginginkan pembuatan gigi tiruan lepasan rahang bawah yang baru. Tatalaksana kasus: Pada pasien ini dilakukan pembuatan Hybrid Prosthesis dengan daya tahan berupa extra coronal attachment di rahang bawah dan penggunaan bahan pelapis lunak yang diaplikasikan pada basis gigi tiruan lepasan nya. Hybrid prosthesis adalah gigi tiruan himpunan yang terdiri dari gigi tiruan lepasan dan gigi tiruan lekat. Kesimpulan: Hasil perawatan menunjukkan setelah mengganti gigi tiruan dengan gigi tiruan sebagian lepasan yang baru, pasien tidak mempunyai masalah dengan gigi tiruan yang baru akibat processus alveolaris yang tajam dan pasien dapat mengunyah dengan baik.
Anti-inflammation effects of Sardinella longicep oil against paw oedema on Rattus novergicus induced by 1% carrageenan Rima Parwati Sari; Yenny Sugiharto
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (361.41 KB) | DOI: 10.20473/j.djmkg.v43.i3.p113-116

Abstract

Background: People usually used non steroid anti-inflammation drugs (NSAID) such as aspirin in chronic inflammation treatment. However, using NSAID at long term therapy will cause many effects such as nausea and vomiting. Sardinella longiceps oil, on the other side, is reported as an alternative treatment for anti-inflammation since it is natural and also contained eicosapentaenoid acid (EPA) and decohexaenoic acid (DHA). Thus, it may reduce paw oedema. Purpose: The aim of this study was to know anti-inflammation effects of Sardinella longiceps oil against paw oedema of Wistar rats induced by 1% carrageenan. Methods: The samples of this research were 32 Wistar rats which were divided into four groups, in group 1, the rats were given aquadest; in group 2, the rats were given aspirin; in group 3, the rats were given 1 ml Sardinella longiceps oil; in group 4, the rats were given 1.5 ml Sardinella longiceps oil. All of the rats, nevertheless, were given intraplantar induction of 1% carrageenan into the paw of rats to induce the inflammation condition. Results: All data were tested with normality test. The normal data were then analyzed with Homogenity of Variances and also ANOVA test which result showed significant differences. The data which showed significant differences were tested again with LSD test. result then showed that group given 1 ml Sardinella longiceps oil and group given 1.5 ml Sardinella longiceps oil had no significant differences from group given aspirin, but there were significant differences between group given 1 ml Sardinella longiceps oil and group given 1.5 ml Sardinella longiceps oil, and also between group given 1.5 ml Sardinella longiceps oil and group given aquadest. Conclusion: Sardinella longiceps oil could reduce paw oedema in Wistar rats induced with 1% carrageenan.Latar belakang: Penggunaan obat anti-inflamasi non steroid (OAINS) seperti aspirin sering digunakan dalam pengobatan inflamasi kronis. Namun penggunaan OAINS dalam jangka waktu panjang akan menyebabkan efek samping seperti mual dan muntah. Di sisi lain, minyak Sardinella longiceps, dilaporkan dapat digunakan sebagai alternatif anti-inflamasi karena selain alami, juga terdapat kandungan eicosapentaenoid acid (EPA) and decohexaenoic acid (DHA) yang dapat mengurangi edema pada telapak kaki. Tujuan: Tujuan dari penelitian ini adalah mengetahui efek anti-inflamasi minyak Sardinella longiceps pada edema telapak kaki tikus Wistar yang diinduksi karagenan 1%. Metode: Sampel penelitian ini adalah 32 tikus yang dibagi ke dalam empat kelompok. Kelompok 1, tikus diberi akuades; kelompok 2, tikus diberi aspirin; kelompok 3, tikus diberi minyak Sardinella longiceps 1 ml; kelompok 4, tikus diberi minyak Sardinella longiceps 1,5 ml. Semua tikus tidak terkecuali, diinduksi intraplantar karagenan 1% secara intraplantar pada telapak kaki untuk membuat kondisi inflamasi. Hasil: Semua data dilakukan uji normalitas. Selanjutnya data yang berdistribusi normal dilakukan uji homogenitas dan juga uji ANOVA yanng hasilnya menunjukkan adanya perbedaan bermakna. Data yang menunjukkan perbedaan bermakna diuji lagi dengan LSD. Pada uji LSD menunjukkan bahwa tidak ada perbedaan bermakna antara kelompok minyak Sardinella longiceps 1 ml dengan kelompok aspirin dan kelompok minyak Sardinella longiceps 1,5 ml dengan kelompok aspirin, tetapi ada perbedaan bermakna antara kelompok minyak Sardinella longiceps 1 ml dan kelompok akuades dengan kelompok minyak Sardinella longiceps 1.5 ml group given aquadest. Kesimpulan: Sardinella longiceps dapat mengurangi edema pada telapak kaki tikus Wistar yang diinduksi karagenan 1%.
The combination of miacalcic, calcium lactate, and vitamin C as postextracted alveolar bone resorption inhibitor Sri Kentjananingsih
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (461.582 KB) | DOI: 10.20473/j.djmkg.v43.i3.p141-145

Abstract

Background: Tooth extraction can cause alveolar resorption, and will reduce the denture retention. The process of bone resorption looks like the process of osteoporosis. Calcium and vitamin D supplementation is the rational therapy for minimizing bone loss. Miacalcic is the drug of choice for osteporotic patient. Purpose: This study is aimed to know whether the combination of miacalcic, calcium lactate, and vitamin C are effective in inhibiting post extracted alveolar resorption. Methods: Thirty three healthy postmenopausal women were chosen as samples and they were classified randomly into control group (without treatment), 1st experiment group (treatment was started 3 months post extraction), and 2nd experiment group (treatment was started at the 2nd day post extraction). The treatment was done by giving miacalcic nasal spray, calcium lactate 500 mg and vitamin C 100 mg tablets every morning in 10 days every month for 3 months. X-ray photo of the post extracted area were taken an hour, 3 months, and 6 months post-extraction. Results: After 6 month, there was significant difference in buccolingual thickness decreasing among three groups (p<0.05). The maximum mean difference of buccolingual thickness decreasing was 0.72 mm, between control and 2nd experiment groups. There was no significant difference about decreasing bone density among them (p>0.10). The maximum difference of the mean of density decreasing was 1,906 g/cm2/mm between control and 2nd experiment groups. The increasing density mostly occurred in the 2nd experiment group. Conclusion: The combination of miacalcic, calcium lactate, and vitamin C are effective for inhibiting alveolar resorption, although statistically there was no significant difference about bone density decreasing. The sooner this treatment is given the better result will be achieved.Latar belakang: Pencabutan gigi menyebabkan resorpsi tulang alveolaris, dan akan mengurangi retensi geligi tiruan. Proses resorpsi tulang alveol pada osteoporosis mirip dengan proses resorpsi tulang pada penyembuhan luka bekas pencabutan. Miacalcic adalah obat utama untuk penderita osteoporosis. Kalsium dan vitamin D merupakan terapi yang rasional untuk meminimalkan resorpsi tulang. tujuan: Membuktikan apakah kombinasi miacalcic, kalsium laktat, and vitamin C juga efektif menghambat resorpsi tulang alveol pasca pencabutan. Metode: Sampel 33 wanita postmenopause yang sehat, terbagi secara acak ke dalam kelompok kontrol (tanpa perlakuan), kelompok eksperimen 1 (perlakuan mulai 3 bulan pasca pencabutan) dan kelompok eksperimen 2 (perlakuan mulai hari kedua pasca pencabutan). Perlakuannya yaitu: pemberian miacalcic semprot hidung, tablet kalsium laktat 500 mg dan vitamin C 100 mg setiap pagi, 10 hari dalam sebulan, selama tiga bulan. Foto sinar-X dari regio pasca pencabutan dibuat satu jam, 3 bulan, dan 6 bulan pasca pencabutan. Hasil: 6 bulan pasca-cabut, ada beda bermakna perihal selisih tebal bukolingual tulang alveol antar ketiga kelompok (p<0,05). Rerata penurunan ketebalan ini maksimal sebanyak 0.72 mm, antara kelompok kontrol dan kelompok eksperimen 2. Penurunan kepadatan tulang antar ketiga kelompok tidak bermakna (p>0,10). Beda maksimum rerata kepadatan tulang antara kelompok kontrol dan kelompok eksperimen 2 sebesar 1,906 g/cm2/mm. Peningkatan kepadatan terbanyak dialami anggota kelompok eksperimen 2. Kesimpulan: Kombinasi miacalcic, kalsium laktat, vitamin C efektif menghambat resorpsi tulang alveolaris, walaupun secara statistik beda penurunan kepadatan tidak bermakna. Makin awal pemberian perlakuan, hasilnya akan lebih baik.
The correlation between immunoexpression of estrogen receptor and the severity of periodontal disease Yuliana Mahdiyah Da’at Arina; S. Sunardhi Widyaputra; Koeswadji Koeswadji
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (649.628 KB) | DOI: 10.20473/j.djmkg.v43.i3.p117-121

Abstract

Background: The decreased level of estrogen during menopause may be one of the risk factors of periodontal disease. The influence of estrogen to periodontal tissue disturbance is mediated by the presence of estrogen receptor on tissue. The precise mechanism how the estrogens mediate this effect is still unclear. Purpose: The aim of this study was to determine the correlation between estrogen receptor α and ß on the periodontal pocket of women who had severe chronic periodontitis measured based on the periodontal pocket depth. Methods: Twenty four periodontitis patients from menopausal and productive women according to the criteria were examined upon her periodontal status and immunoexpression of estrogen receptor α and ß on their periodontal pocket wall. Results: The result showed that in the menopausal and productive women, immunoexpression of estrogen receptor α and ß was not correlated with the periodontal pocket depth (p>0.05). However, the pocket depth seemed to show higher correlation with immunoexpression of estrogen receptor α than that with estrogen receptor ß, r=0.37 vs. r=0.12 for menopausal women, and r=41 vs. r=0.11 for productive women. Conclusion: It was concluded that no significant correlation was found between the estrogen receptor and periodontal pocket depth both on menopausal and productive women, presumed that estrogen has little role in the severity of periodontitis based on periodontal pocket depth. However, the estrogen receptor α has valuable effect on the severity of periodontal disease more than the estrogen receptor ß.Latar belakang: Berkurangnya kadar estrogen pada masa menopause merupakan salah satu faktor resiko penyakit periodontal. Peran estrogen dalam kerusakan jaringan periodontal dimediatori oleh reseptor estrogen α dan ß yang terdapat dalam jaringan. Akan tetapi, mekanisme estrogen mempengaruhi efek ini sampai saat ini masih belum jelas. Tujuan: Penelitian ini bertujuan untuk menentukan korelasi antara reseptor estrogen pada poket periodontal wanita menopause penderita periodontitis kronis dengan keparahan periodontitis yang ditentukan berdasarkan kedalaman poket. Metode: Dilakukan pemeriksaan status periodontal dan immunoekspresi reseptor estrogen α dan ß pada dinding poket periodontal dari 24 wanita menopause dan belum menopause penderita periodontitis yang sesuai dengan kriteria yang telah ditetapkan. Hasil: Hasil mendapatkan bahwa immunoekspresi reseptor estrogen α dan ß tidak berkorelasi dengan kedalaman poket periodontal wanita menopause dan belum menopause (p>0,05). Meskipun demikian, kedalaman poket periodontal tampak lebih berkorelasi dengan reseptor estrogen α daripada dengan reseptor estrogen ß, dengan nilai r=0,37 vs r=0,12 pada wanita menopause, dan r=0,41 vs r=0,11 pada wanita belum menopause. Kesimpulan: Dapat disimpulkan bahwa tidak terdapat korelasi yang signifikan antara reseptor estrogen dan kedalaman poket periodontal wanita menopause dan belum menopause sehingga diduga bahwa estrogen mempunyai sedikit pengaruh pada keparahan periodontitis. Meskipun demikian, reseptor estrogen α tampak lebih berperan terhadap keparahan penyakit periodontal dibandingkan reseptor estrogen ß.
The molecular phenomena of the blaZ genes forming betalactamase enzymes structure in Staphylococcus aureus resistant to beta-lactam antibiotics (ampicillin) Mieke Satari
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (601.324 KB) | DOI: 10.20473/j.djmkg.v43.i3.p146-150

Abstract

Background: Nowadays, infectious disease still an important problem. One of the bacteria causing infectious diseases is Staphylococcus aureus (S. aureus). In the effort to deal with infections caused by S. aureus, beta-lactam antibiotics, such as ampicillin, are used. In fact, it is unfortunately known that many of S. aureus bacteria are resistant to this group of antibiotics. Because of nucleotide base changes in the structure of the genes blaZ which encode beta-lactamase enzymes in S. aureus. Purpose: The objective of this study was to analyze the nucleotide base changes in the structure of the genes blaZ forming beta-lactamase enzymes in S. aureus resistant to ampicillin based on molecular point of view. Methods: Molecular examinations was conducted by isolating the genes, forming beta-lactamase enzyme, which length was 845bp, from 7 isolates of S. aureus resistant to ampicillin by using PCR technique. The results of blaZ amplification were then subjected to homology by using Tn 552 of S. aureus obtained from bank of genes. Results: Based on the result of the homology, it was found that there was a change in purine base TG, which was a pyrimidine base at the -37 position of the initial codon of blaZ. This change, however, did not affect the strength of the promoter since the number of A and T is still more than the number of G and C. In the structure of the blaZ gene there was even no mutation or deletion or nucleotide base substitution found, so it would not affect the effectiveness of beta-lactamase enzyme. Conclusion: It can be concluded that the resistance of S. aureus towards ampicillin was not caused by nucleotide base deletion/substation. It is suspected that there were other causes leading to the resistance, including the overproduction of beta-lactamase enzyme of the blaZ gene, causing the degradation of beta-lactam antibiotics.Latar belakang: Penyakit infeksi sampai saat ini masih merupakan masalah. Salah satu bakteri penyebab infeksi yaitu Staphylococcus aureus (S. aureus). Upaya menangani infeksi yang disebabkan S. aureus dapat menggunakan antibiotik golongan betalaktam, salah satunya ampisilin. Pada kenyataannya banyak S. aureus resisten terhadap antibiotik ini. Salah satu penyebab timbulnya resistensi ampisilin terhadap S. aureus yaitu adanya dugaan perubahan basa nukleotida dari gen struktur (blaZ) yang mengkode enzim betalaktamase. Tujuan: Untuk menganalisis perubahan basa nukleotida gen struktur pembentuk enzim betalaktamase pada S. aureus yang resisten ampisilin ditinjau secara molekuler. Metode: Pemeriksaan enzim betalaktamase secara molekuler dilakukan dengan mengisolasi gen pembentuk ensim betalaktamase (blaZ) yang memiliki panjang 845 pb terhadap 7 isolat S. aureus hasil isolasi yang berasal dari abses yang resisten terhadap ampisilin dengan mengunakan PCR . Hasil amplifikasi blaZ kemudian dilakukan homologi dengan Tn 552 S. aureus yang diperoleh dari bank gen. Hasil: Hasil homologi ditemukan adanya perubahan basa purin T  G yang merupakan basa pirimidin pada posisi –37 dari kodon awal blaZ. Perubahan ini tidak mempengaruhi kekuatan promoter karena jumlah A dan T masih lebih banyak dari G dan C. Pada gen struktur blaZ ini tidak terdapat adanya mutasi ataupun delesi maupun subsitusi basa nukleotida hingga tidak akan mempengaruhi efektifitas kerja enzim betalaktamase. Kesimpulan: Terjadinya resisten S. aureus terhadap ampisilin bukan disebabkan adanya mutasi maupun delesi/ subsitusi basa nukleotida dari blaZ namun diduga adanya sebab lain yaitu produksi berlebih enzim betalaktamase hingga semua antibiotik betalaktam akan didegradasi oleh enzim betalaktamase.
The effectiveness of sharp end and rounded end bristle toothbrush Paulus Januar; Anastasia Susetyo; Ratih Widyastuti
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 3 (2010): September 2010
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 (328.938 KB) | DOI: 10.20473/j.djmkg.v43.i3.p122-125

Abstract

Background: Numerous designs of manual toothbrush are available in the market with the claims of superiority in plaque removal. It often makes the public confuse which is the best design. The sharp end bristle toothbrush is a modification that commercially available in the market. Purpose: The objective of the study was to compare the effectiveness in plaque removal of the sharp end bristle toothbrush and the rounded end bristle toothbrush. Methods: This clinical trial was a double blind crossover design. The subjects were 65 dental students, divided into two groups for comparing the 2 types of  toothbrush. On the 1st day, the allocated toothbrushes were distributedto each group according to their designation, and the subjects were instructed to use the toothbrushes according their normal daily practices. On the 1st, 7th, and 14th day, the subjects were scored using the patient hygiene performance index (PHP index) and the gingival index. Based on cross over design, the same procedure was repeated during the 2 week second test periods using different type of toothbrush respectively. Results: The mean scores of the 2 groups showed no significant difference on the beginning the study. Though minor differences were observed in the effectiveness of toothbrush, but the comparison of the two types of toothbrush showed no statistically significant differences on 7th and 14th day. Conclusion: There were no significant differences between sharp end and rounded end bristle toot brusher. There is no manual toothbrush superiorly designed than the others single superior design of manual toothbrush.Latar belakang: Berbagai jenis desain sikat gigi saat ini terdapat di pasaran, dengan masing-masing menyatakan keunggulannya dalam membersihkan plak. Penelitian ini dilakukan terhadap dua jenis sikat gigi manual yaitu sikat gigi dengan ujung bulu sikat runcing dan ujung bulus sikat bulat. Tujuan: Penelitian ini dilakukan untuk membandingkan efektivitas membersihkan plak antara 2 jenis sikat gigi. Metode: Penelitian ini merupakan percobaan klinis dengan desain penyilangan (crossover) secara tertutup ganda (double blind). Subyek penelitian 65 mahasiswa dibagi 2 kelompok. Pada hari pertama, sikat gigi dibagikan pada masing-masing kelompok yang telah ditentukan jenis sikat giginya, dan diinstruksikan untuk menggunakannya sesuai kebiasaan mereka. Pada hari ke 1, 7, dan 14 dilakukan pengukuran indeks PHP dan indeks gingiva. Berdasarkan desain penyilangan, proses yang sama diulangi pada masing-masing kelompok dengan menggunakan jenis sikat gigi yang berbeda. Hasil: Pada awal penelitian tidak terdapat perbedaan skor pada ke 2 kelompok. Meski terdapat sedikit perbedaan, namun tidak terdapat perbedaan yang bermakna dalam efektivitas kedua jenis sikat gigi setelah penggunaan selama 7 dan 14 hari. Kesimpulan: Tidak ada perbedaan yang bermakna antara sikat gigi jenis ujung bulu sikat bulat dan ujung bulu sikat runcing. Tidak terdapat satupun jenis sikat gigi yang paling baik.

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