Dental Journal (Majalah Kedokteran Gigi)
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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<![CDATA[Reccurent trauma-induced aphthous stomatitis in adjustment disorder patients ]]>
<![CDATA[Y. Yuliana]]>;
<![CDATA[Saka Winias]]>;
<![CDATA[Hening Tuti Hendarti]]>;
<![CDATA[Bagus Soebadi]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p163-167
<![CDATA[Background: Adjustment disorder is a temporary psychological condition related to emotional responses or behaviour in reaction to stress resulting from certain changes in a specific period of an individual’s life yet which does not significantly affect his/her daily life. Recurrent aphthous stomatitis (RAS) constitutes recurrent inflammation of the oral mucosa, in the form of an ulcer, frequently associated with psychological stress. Occasionally, a patient does not realise that she/he is suffering from a psychological disorder until the emergence of clinical symptoms, among them recurrent ulcers the causes of which are unknown. Purpose: This article presents a case of adjustment disorder diagnosed from symptoms observable in the oral cavity. Case: The case involved a 21-year-old student who presented with the symptoms of large, painful ulcers on her tongue, the inside of her cheek, and the floor of her mouth. These symptoms had been observable for one month but remained untreated. The patient only ate once a day or even once every two days. An introverted personality, she did not associate with other people. Case management: The procedure covered anamnesis, clinical examination, blood laboratory tests, total immunoglobulin E (IgE), an Antinuclear Antibody (ANA) test, bacterial and fungal culture in ulcus, questionnaire screening on psychological disorders, cortisol level examination and referral to a psychiatrist. Symptomatic therapy administered to the patient led to recovery of the ulcer in 29 days. Conclusion: RAS can be triggered by psychological stress which induces changes in the immune system and oral mucosa tissue.]]>
<![CDATA[Effectiveness of Applied Behavior Analysis (ABA) with regard to tooth brushing in autistic children ]]>
<![CDATA[Felicia Melati]]>;
<![CDATA[Ratna Indriyanti]]>;
<![CDATA[Arlette Suzy Setiawan]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p117-121
<![CDATA[Background: Children demonstrating autistic spectrum disorders tend to be uncooperative when receiving dental treatment. Actions as simple as brushing the teeth with a prophylactic brush can constitute complex processes for children with such conditions. Applied behavior analysis (ABA) can train children in new positive behavior and it is, therefore, anticipated that an ABA-based approach iscapable of influencing the behavior of individuals with autistic spectrum disorder. Purpose: This study aimed to assess the effectiveness of the ABA-based approach for autistic children during dental brushing procedures. Methods: The research constituted a quasiexperimental single subject investigation of children presenting autistic spectrum disorders who attended the Lembaga Pendidikan Autisma Prananda, Bandung. Potential changes in the behavior of subjects were monitored four times during treatment with a one-week interval between consultations. Those subjects satisfying the inclusion criteria consisted of 11 boys and 4 girls. The data analysis used in this study consisted of an ANOVA test and a non-parametric Kruskal-Wallis test with a p–value < 0.005. Results: Changes in scores between the initial and final consultations were statistically significant with a p-value (0.269) <0.05. Statistically significant differences existed between changes in the behavior of level 1 and level 2 autistic subjects. Conclusion: An ABA-based approach effectively changes the behavior of autistic children with regard to prophylactic brushing. Children with level 1 autistic spectrum disorder demonstrate greater capacity to follow instructions and consistently implement a prophylactic brushing technique.]]>
<![CDATA[Applicability of Moyers and Tanaka-Johnston analyses for the Arab population of Pekalongan, Indonesia ]]>
<![CDATA[Fani Tuti Handayani]]>;
<![CDATA[Rizky Amalia Hidayah]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p154-158
<![CDATA[Background: The Moyers and Tanaka-Johnston analyses, both of which were developed through research into the Nordic-Caucasoid population, constitute the most widely used non-radiographic mixed dentition analyses. Application of these prediction methods to other populations has been extensively investigated, although their suitability to the Arab population resident in Indonesia has rarely been studied. Purpose: This study aimed to investigate the reliability of Moyers and Tanaka-Johnston analyses of the Arab population of Pekalongan, a city in Central Java, Indonesia. Methods: This research constituted an observational study incorporating a cross-sectional design of 33 subjects who willingly signed an informed consent form. Their actual tooth size was determined in accordance with the inclusion criteria and then compared with the predictive tooth size values of the Moyers and Tanaka-Johnston analyses. Results: Comparison of mean values indicated that the predictive values of Moyers 75% (YM) and Tanaka-Johnston (YT) were higher than the actual value (Y). The reliability test result confirmed a value of k = 0.026 for the Y-YM ratio; and k = 0.025 for YT-Y ratio. The calculation results for the mandible indicated a k-value of 0.000 for both types of comparisons between YM-Y and YT-Y. The Moyers 75% prediction for maxilla had a higher reliability value than that of Tanaka-Johnston. The Shapiro-Wilk normality test applied to Y, YM, and YT in the maxilla and mandible indicated that data was normally distributed (sig > 0.05). A Levene's test of homogeneity was conducted and produced homogeneous data (sig > 0.05) with values of 0.333 for Y, 0.516 for YM, and 1.000 for YT. An ANOVA test showed Y-YM and Y-YT to have insignificant differences (p<0.05). This result caused comparative tests to determine both analysis eminence in predicting canine and premolar values according to the study sample not conducted. Conclusion: The Moyers 75% and Tanaka-Johnston analyses were reliable because the values produced differed slightly from the actual values. This study concluded that Moyers and Tanaka-Johnston analyses remain valid means of calculating mixed dentitions.]]>
<![CDATA[Closed reduction in the treatment of neglected mandibular fractures at the Department of Oral and Maxillofacial Surgery, Universitas Airlangga ]]>
<![CDATA[Olivia Jennifer Gunardi]]>;
<![CDATA[Riska Diana]]>;
<![CDATA[David Buntoro Kamadjaja]]>;
<![CDATA[Ni Putu Mira Sumarta]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p147-153
<![CDATA[Background: The mandible is one of the bones most affected by facial fractures commonly resulting from trauma to the face. The ultimate goal of treatment is to re-establish the pre-injury dental occlusion (bite), mandibular anatomy and jaw function of the patient. Treatment approaches range from conservative non-invasive management by ’closed’ reduction and immobilization using intermaxillary fixation (IMF) to the more invasive surgery-based ’open’ reduction incorporating an internal fixation approach. Purpose: The purpose of this case series was to describe the close reduction method as a form of treatment in cases of neglected mandibular fracture. Cases: Four cases of single or multiple mandibular fracture were presented. Case management: All of the cases were managed using a closed reduction method and IMF. Conclusion: A closed reduction method in this case series produced encouraging results and could be considered an alternative in the treatment of neglected mandibular fractures with displacement.]]>
<![CDATA[Effects of sidestream tobacco smoke on P53 expressions in Rattus novergicus tongue epithelial mucosa ]]>
<![CDATA[Dian Angriany]]>;
<![CDATA[Diah Savitri Ernawati]]>;
<![CDATA[Adiastuti Endah Parmadiati]]>;
<![CDATA[Hening Tuti Hendarti]]>;
<![CDATA[Rosnah Binti Zain]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p138-141
<![CDATA[Background: Smoking, both active and passive, has been widely recognised as toxic to the human body, since it induces several forms of cancer, including that affecting the oral cavity. Benzopyrene, the carcinogen contained in tobacco smoke, can even lead tocarcinogenesis which potentially affects the regulation of cell apoptosis in both active and passive smokers. Purpose: This study aims to investigate the carcinogenic effects of cigarette smoke on apoptosis of rat tongue mucosae through p53 expression. To determine the risk of malignant transformation through tumor suppressor genes in the apoptotic pathway. Methods: Rattus norvegicus subjects were divided into four groups, namely Treatment Group 1 exposed to sidestream cigarette smoke for four weeks (P1), Treatment Group 2 exposed to sidestream cigarette smoke for eight weeks (P2), Control Group not exposed to sidestream cigarette smoke for four weeks (K2), and Control Group (K) not exposed to sidestream cigarette smoke for eight weeks (K2). The exposure process was conducted using a smoking pump and alternating exposure. Four micron-thick sections of formalin were subsequently fixed together with paraffin embedded biopsy material from tongue mucosa of Rattus norvegicus. The tissue sections from the treatment groups were then analyzed immunohistochemically to compare the expressions of p53 and Bcl-2 proteins with those of the control groups. Results: The T-test results indicated statistically significant differences in the expressions of p53 between the 4-week control group (K1) and the 4-week treatment group (P1) (p=0.01, p<0.05) as well as between the 8-week control group (K2) and the 8-week treatment group (P2) (p=0.03, p<0.05). Conclusion: Exposure to cigarette smoke can induce changes in tumor suppressor genes and also affect the regulation of cell apoptosis, thus changing cell structure and leading to malignancy.]]>
<![CDATA[Contrasting efficacy of cocoa POD HUSK extract and 8% propolis extract in maintaining of root canal wall cleanliness ]]>
<![CDATA[Tamara Yuanita]]>;
<![CDATA[Uli Sasi Andari]]>;
<![CDATA[Mandojo Rukmo]]>;
<![CDATA[S. Sukaton]]>;
<![CDATA[Deavita Dinari]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p159-162
<![CDATA[Background: The existence of the smear layer, which can be produced during root canal instrumentation, may compromise the bond between filling material and the root canal walls. Therefore, the use of an effective root canal irrigation solution, a commonly employed form of which is sodium hypochloride (NaOCl), is important. Sodium hypochloride has several positive properties including effectiveness as a disinfectant agent and its ability to promote tissue-dissolution, although it is ineffective at cleaning the smear layer. There have been numerous recent studies of the application of phytomedicines in endodontics due to their advantages such as minimum toxicity and cost effectiveness. The saponin contained in both the propolis and cocoa pod husk acts as a surfactant that may lower surface tension and dissolve debris containing organic and anorganic materials. Purpose: The study aimed to provide evidence of the differences between root canal wall cleanliness when treated with 8% propolis extract and different concentrations of cocoa pod husk extract. Methods: 25 extracted teeth with single straight root canals were randomly divided into five categories (n=5). Sample preparation was performed using a rotary file and irrigated with different solutions. The first group was administered 2.5% NaOCl, the second group 8% propolis, the third group 3.12% cocoa pod husk extract, the fourth group 6.25% cocoa pod husk extract, and the fifth group 12.50% cocoa pod husk extract. The samples were then dissected into two sections at the apical third and their cleanliness scores subjected to a Mann-Whitney test with a significance level of p=0.05. Results: A significant difference was identified between all groups (p<0.05) and on the median control test, the highest value of 1.6 was recorded by the 6.25% cocoa pod husk extract, compared to the other four groups Conclusion: Cocoa pod husk extract demonstrates greater efficacy at cleaning root canal walls compared to 8% propolis extract.]]>
<![CDATA[The differences in root canal smear layer removal between 6,25% pineapple (Ananas comocus L. Merr.) peel extract and 17% Ethylene diamine tetra-acetic acid ]]>
<![CDATA[Nirawati Pribadi]]>;
<![CDATA[Karlina Samadi]]>;
<![CDATA[Meliavita N. K. Astuti]]>;
<![CDATA[Hendy J. Kurniawan]]>;
<![CDATA[Adelina K. Tandadjaja]]>;
<![CDATA[Ratna Puspita Hadi]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p122-125
<![CDATA[Background: The smear layer is attached to dentine and occludes the orifice and, consequently, must be removed in order to improve the success of inroot canal treatment. The ideal irrigation material removes both the organic and inorganic smear layers. Ethylene diamine tetra-acetic acid (EDTA) is one of the most commonly used root canal irrigation materials, but removes only inorganic smear layer. To overcome this problem, Pineapple (Ananas comosus L. Merr.) peel extract, which contains saponins, bromelain, polyphenol and flavonoid, is used during root canal irrigation. Purpose: The study aimed to analyze the difference in smear layer removal between the use of 6.25% pineapple peel extract and 17% EDTA. Methods: 27 samples of mandibular premolar teeth with straight root canals were divided randomly into three groups (n = 9) and subsequently prepared using protaper. Irrigation was performed on the control group (aquadest), group I (17% EDTA) and group II (6.25% pineapple peel extract). The samples were dried, temporarily compressed and cut horizontally from the apical to the coronal. Samples were fixed with holder before the smear layer was observed through a scanning electron microscope (SEM). The resulting data was analyzed by means of an ANOVA test. Results: The highest score of root canal hygiene was recorded by group II, followed by group I and, finally, the control group. There were significant differences between the groups (p< 0.000). Conclusion: 6.25% pineapple peel extract produces a higher smear layer removal effect than 17%EDTA on the apical 1/3 of the root canal.]]>
<![CDATA[The effects of different 650 nm laser diode irradiation times on the viability and proliferation of human periodontal ligament fibroblast cells ]]>
<![CDATA[Kun Ismiyatin]]>;
<![CDATA[Ari Subiyanto]]>;
<![CDATA[Ika Tangdan]]>;
<![CDATA[Rahmi Nawawi]]>;
<![CDATA[Reinold C. Lina]]>;
<![CDATA[Rizky Ernawati]]>;
<![CDATA[Hendy Jaya Kurniawan]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p142-146
<![CDATA[Background: Endo-perio lesions are clinical manifestations of inflammation in the periodontal and pulp tissue. Damage to the periodontal ligament can inhibit its ability to regenerate. Therefore, laser therapy use is expected to improve the prognosis with regard to healing lesions. Unfortunately, the duration of irradiation during laser diode therapy can influence the viability and proliferation of human periodontal ligament fibroblast (hPDLF) cells. Purpose: This study aims to determine the effects of different irradiation exposure times of the 650 nm laser diode of the pulsed mode type on the viability and proliferation of human periodontal ligament fibroblast cells. Methods: This study constituted a laboratory experiment on hPDLF cells using 650 nm laser diode irradiation. Six groups formed the research subjects in this study, namely; two control groups, two radiation groups respectively subjected to irradiation exposure of 15 seconds and 35 seconds duration followed by 24-hour incubation, and two radiation groups exposed to irradiation for 15 and 35 seconds respectively followed by 72-hour incubation period. The viability and proliferation of those cells were subsequently calculated by ELISA reader, while the data was analyzed by means of one-way ANOVA and Tukey tests. Results: The significance value of the viability scores between the 15-second irradiation group and the 35-second irradiation group was less than 0.05, indicating that there was a significant difference between these treatment groups. Similarly, the significance value of proliferation scores between the 15-second irradiation group and the 35-second irradiation group was less than 0.05, again indicating a significant difference between these treatment groups. Conclusion: Irradiation using a 650 nm laser diode 15 seconds and 35 seconds in duration can induce an increase in the viability and proliferation of hPDLF cells.]]>
<![CDATA[A comparison of the severity of oral candidiasis between gestational and type 1 diabetes mellitus ]]>
<![CDATA[Ayu Ragil Destrian Pangestu]]>;
<![CDATA[Siti Nosya Rachmawati]]>;
<![CDATA[Leni Rokhma Dewi]]>;
<![CDATA[Mei Syafriadi]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p110-116
<![CDATA[Background: Diabetes mellitus is a metabolic disorder caused by insufficient insulin production due to pancreatic β cell destruction, whereas in gestational diabetics an increase of hormone estrogen induces insulin resistance. Oral candidiasis constitutes an opportunistic fungal infection due to a compromised immune system that is a medical condition reported by diabetics, including those suffering from gestational diabetes. Purpose: To determine the severity of oral candidiasis in female Wistar rats with type 1 and gestational diabetes mellitus. Methods: This research constituted a laboratory experiment incorporating a post test-only group control design whose subjects were female Wistar rats divided along the following lines: group 1 consisted of diabetic non-pregnant rats, group 2 contained diabetic pregnant rats induced by streptozotocin and the control group members constituted normal female rats. Diabetes induction was performed by means of 40 mg/kgBW streptozotocin administrated intraperitoneally. Diabetes mellitus was confirmed when the blood glucose level ≥ 120 mg/dL. All groups were exposed to 0.2 ml Candida albicans suspension (5x108 CFU/ml) in the oral buccal vestibule between the distal incisors and mesial maxillary first molar for three days. A swab was performed on the third day after final exposure before the samples were observed under a light microscope. Candida albicans cultivation and calculation of the resulting colonies was carried out on Sabouraud Dextrose Agar after they had been identified by means of a germ tube test. Results: The result confirmed the absence of hyphae in the control group, while in group 1 all samples contained hyphae. Moreover, group 2 featured a dense hyphae population. A chi-square test indicated a statistical significance (p<0.05) between all groups. Conclusion: Oral candidiasis in gestational diabetes is more severe than that occurring during type 1 diabetes mellitus.]]>
<![CDATA[Hyperplasia of Wistar rat tongue mucosa due to exposure to cigarette side-stream smoke ]]>
<![CDATA[Nurina Febriyanti Ayuningtyas]]>;
<![CDATA[Grahania Octaviono Mahardika]]>;
<![CDATA[Bagus Soebadi]]>;
<![CDATA[Adiastuti Endah Permadiati]]>;
<![CDATA[Saka Winias]]>;
<![CDATA[Hening Tuti Hendarti]]>;
<![CDATA[Rosnah Binti Zain]]>
<![CDATA[ Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019 ]]>
Publisher : <![CDATA[Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en ]]>
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DOI: 10.20473/j.djmkg.v52.i3.p133-137
<![CDATA[Background: Hyperplasia, a condition whereby an excessive number of cells are produced due to their uncontrolled division, represents a common symptom of carcinogenesis. Cancer is a physical manifestation of cell malignancy resulting from abnormal proliferation. Globally, oral cancer currently constitutes the sixth largest lethal form of the condition. The most common etiology of oral cancer is tobacco of which cigarettes are the most popular related product. The health risks associated with cigarette smoke not only affect active smokers but also individuals who ingest it passively. Sidestream smoke comes from the lighted end of a burning tobacco product such as a cigarette, pipe or cigar and contains nicotine and many harmful cancer-causing chemicals. Inhaling sidestream smoke increases the risk of lung and other types of cancer. Purpose: The purpose of this study was to understand how sidestream cigarette smoke initiates precancerous changes, in this case hyperplasia, in the oral mucosa epithelium of Wistar rats. Methods: The subjects were divided into three groups, a 4-week treatment group (P1), an 8-week treatment group (P2), and a control group (K), each consisting of ten subjects. The subjects were exposed to a daily two-cigarette dose of smoke. The experiment used a post-test only control group design. All samples were sacrificed during the fourth and eighth weeks. Haematoxylin-eosin staining was performed on the tongues of the Wistar rats to establish the presence of hyperplasia. Data was analyzed using a one-way ANOVA test. Results: After the Wistar rats had been exposed to cigarette smoke, an increased degree of epithelial cell proliferation (hyperplasia) showed a significant difference with a p-value <0.05 during the eighth week. Conclusion: Exposure to cigarette sidestream smoke induces increased epithelial cell proliferation (hyperplasia) in Wistar rats.]]>
