Dental Journal (Majalah Kedokteran Gigi)

Journal Information
ISSN / EISSN : 1978-3728 / 2442-9740
Published by: Universitas Airlangga (10.20473)
Total articles ≅ 790
Current Coverage
DOAJ
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SHERPA/ROMEO
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Latest articles in this journal

, Irfan Dwiandhono, Setiadi Warata Logamarta, Rinawati Satrio, Aris Aji Kurniawan
Published: 13 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 226-230; https://doi.org/10.20473/j.djmkg.v55.i4.p226-230

Abstract:
Background: Secondary caries occur due to imperfect plaque control. Prolong the protective and therapeutic effects can be done with restorative materials that release fluoride. Now composite resins have been developed a new restorative hybrid material with new matrix component, namely giomer. Giomer composition containing surface pre reacted glass ionomer (S-PRG) as a major source of fluoride production. Increasing the mechanical strength and minimize microleakage to prevent secondary caries can be done with preheating treatment. Purpose: This study is conducted to determine the effect of preheating temperature on the release of giomer’s fluoride. Methods: This study used 9 cylindrical samples in 10 mm diameter and 2 mm thickness each group, divided into 3 groups and 3 subgroups. Group 1: preheating at 37°C for 30 minutes. Group 2: preheating at 60°C for 30 minutes. Group 3: as a control group (without preheating treatment). Each group divided into 3 subgroups immersion, on day 1, day 7 and day 14 with artificial saliva. Fluoride release test was conducted by Spectrophotometer. IBM's SPSS Statistics used for the Data analysis. Results: The addition of preheating treatment decrease the amount of fluoride release. One-way ANOVA test showed a significant difference (P < 0.05). A significant difference between groups and sub groups showed in LSD test (P < 0.05). Conclusion: The group without preheating treatment has highest fluoride release and the 60°C preheating treatment group was the lowest. Addition of preheating treatment may increase the mechanical strength and minimize microleakage, but also descrease the amount of fluoride release.
, Isnandar, Indra Basar Siregar, Veronica
Published: 13 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 221-225; https://doi.org/10.20473/j.djmkg.v55.i4.p221-225

Abstract:
Background: Cleft lip and palate is one of the most common congenital abnormalities in infants and is caused by more than one factors, which can be genetic and environmental. Defects in a family gene can result in cleft lip and palate. The study found a high family history relationship with the incidence of cleft lip and palate. Birth order studied by several researchers also has different results, which were influenced by folic acid consumption, maternal knowledge, lack of antenatal care visits and maternal age. To determine the cases of cleft lip and palate based on the birth order of the children and family history of the patients at Mitra Sejati General Hospital. Purpose: The study aimed to investigate cleft lip and cleft palate patients by birth order and family history. Methods: This research was a retrospective descriptive study using survey method. Researchers gave 13 questions through a questionnaire and data were collected and counted manually. Results: The results showed that based on the birth, the cleft case in the first birth order amounted to 25 people, the second 30 people, the third 19 people, and the fourth or more as many as 20 people. Based on family history, 27 patients had a family history of cleft lip and palate, while 67 patients did not have family history. Conclusion: The cases of clefts at Mitra Sejati General Hospital happened more frequently in the second child and most incidence did not have family history.
, Siti Dyah Fadilla
Published: 13 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 204-208; https://doi.org/10.20473/j.djmkg.v55.i4.p204-208

Abstract:
Background: Temporomandibular disorder (TMD) is the most common pain in the maxillofacial area. Overall prevalence of TMD was approximately 31% for adults/elderly and 11% for children/adolescents. TMD is considered a multifactorial disorder. There are various treatments for TMD, one of which is jaw exercises therapy which is the most widely used initial treatment to relieve signs and symptoms. Currently, conventional therapy for TMD patients has been difficult to control patient compliance. Hence, this therapy can be done at home independently through telemedicine as an alternative tool to rehabilitateate the patients that can be accessed via smartphone. Purpose: To determine the severity of TMD before and after jaw exercises and the effect of telemedicine approach using jaw exercises via smartphone apps on dental students. Methods: This study used a quasi-experimental method with a one-group pretest post-test design using Fonseca anamnestic index (FAI) questionnaire to measure the severity before and after two weeks of jaw exercises on 35 dental students using purposive sampling based on inclusion and exclusion criteria. Wilcoxon signed-rank test was used to analyze the data (p<0.05). Results: Before jaw exercises, 21 people (60%) had mild TMD, 14 people (40%) had moderate TMD, and none had severe TMD. After jaw exercises, the severity of 9 people (42.8%) in the mild TMD group has decreased (p=0.007), and the severity of 11 people (78.5%) in the moderate TMD group has decreased (p=0.003). Conclusion: There was positive effect that decreased the level of severity of TMD through telemedicine approach after jaw exercises via smartphone apps on dental students.
, Nurul Syahirah Mohamad, , Melissa Li Zheng Wong, Myint Wai,
Published: 13 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 231-234; https://doi.org/10.20473/j.djmkg.v55.i4.p231-234

Abstract:
Background: Treatment of head and neck cancers may cause sequelae affecting patients’ quality of life during and after treatment. As a result, periodontal management of a patient with parotid gland adenoid cystic carcinoma, particularly in advanced stage 4, can be challenging for dental practitioners, especially if the patient is on active oral molecular therapy and undergoing long-term radiotherapy and chemotherapy. Purpose: This report was intended to describe the conservative non-surgical management of tooth 27 with poor prognosis owing to grade II mobility in a patient on active Lenvatinib therapy – where the extraction was not advisable to lessen the risk of osteonecrosis. Case: A 52-year-old female patient was referred by an oncologist to our dental clinic for noncarious toothache. Five years ago, the patient was diagnosed with adenoid cystic carcinoma (ACC) and had a treatment history of radiotherapy, chemotherapy and surgical removal of the left parotid gland to manage the malignancy. Oral examination revealed characteristic findings of periodontitis. Case Management: Ultrasonic scaling, antimicrobial mouth rinses and reinforcement in oral hygiene instructions manage the tooth 27 conservatively. Conclusion: A cautious approach by the dental surgeon, together with the multidisciplinary team caring for cancer patients, is fundamental and helps with the palliative periodontal management of this patient to enhance oral health-related quality of life. With a lack of reports on conservative periodontal therapy in ACC patients, this report highlights the combination of smoking cessation, reinforcement of oral hygiene instructions and conservative periodontal treatment.
, Alamsyah Piliang, Vatchala Rani Ramamoorthy
Published: 12 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 186-193; https://doi.org/10.20473/j.djmkg.v55.i4.p186-193

Abstract:
Background: Oral microbiota has been suggested to have a role in the etiopathogenesis of oral cancer; however, the oral microbiota diversity in patients with oral cancer compared to healthy individuals remains unclear. Purpose: This scoping review aimed to provide an overview of the current evidence regarding the oral microbiota composition colonized in oral cancer patients and its comparison with healthy individuals. Reviews: This study was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Eligible studies were searched in PubMed, Scopus, Web of Science, and ScienceDirect databases from January 2015 to March 2022. A total of 20 relevant studies were included according to the inclusion and exclusion criteria, including 14 cross-sectional studies and 6 cohort studies. All studies have identified various oral bacteria, but only one study has detected viruses and parasites diversity. A variety of oral microbiota found were 6 phyla of bacteria, 6 phyla of viruses, 7 phyla of fungi, and 7 phyla of parasitic. Seventeen studies proved that oral microbiota compositions were statistically significant differences compared to healthy controls, but not in 3 studies. Conclusion: The majority of studies showed various oral bacteria in oral cancer patients which were statistically significant difference compared to healthy controls. This study indicates the need for more research to evaluate viruses and parasites composition and diversity in oral cancer patients. Moreover, future research should focus to clarify whether the changes of oral microbial composition as a community may play a critical role in the etiopathogenesis of oral cancer.
, I Nyoman Panji Triadnya Palgunadi
Published: 12 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 215-220; https://doi.org/10.20473/j.djmkg.v55.i4.p215-220

Abstract:
Background: The School Dental Health Efforts or Usaha Kesehatan Gigi Sekolah (UKGS) is a public health effort to maintain and improve the dental and oral health of elementary school students. UKGS is the strategy and the flagship of dental health in schools. The implementation of UKGS involves three elements, namely the Public Health Centre or Pusat Kesehatan Masyarakat (Puskesmas), schools, and parents. The three elements in UKGS are the driving force and restraining force, which greatly affect the quality of UKGS services. Purpose: This study aimed to analyze a strategy that can improve the quality of UKGS at Tabanan Puskesmas. Methods: This research used evaluative research and was analyzed by Kurt Lewin’s Force Field Analysis. Results: The driving forces that have the highest score are good knowledge, the skill of personnel, and guidelines for implementing the UKGS at Puskesmas; whereas the restraining forces that have the highest score are the unavailability of guidebooks and health teacher skills, as well as lack of budget for the UKGS activities. Conclusion: Strategies that can improve the quality of UKGS at Tabanan Puskesmas can be done by utilizing the facilities at the Puskesmas for the UKGS activities in schools, transmitting knowledge and skills from Puskesmas officers to the UKGS staff in schools, and increasing the budget by means of self-help.
Erna Sulistyani, Iin Eliana Triwahyuni, Happy Harmono, Lisa Miftakhul Janna, Saikha Adila Azzah, Muchamad Ziyad Afif, Ainunnusak Ayuningtyas
Published: 12 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 209-214; https://doi.org/10.20473/j.djmkg.v55.i4.p209-214

Abstract:
Background: A study with female animal models is important because the system immune of females is remarkably different from the male because of interaction between sex hormone and immune system. Interleukin-17 (IL-17) plays an important role in immune response toward Candida albicans (C. albicans) infection and Erythrocyte Sedimentation Rate (ERS) is an easy and sensitive test to assess the inflammation. Purpose: This study aimed to evaluate C. albicans infection, analyse the IL-17 levels and ESR in a female animal model of oral candidiasis. Methods: Female Wistar rats were used as oral candidiasis animal model. The rats divided into three groups (pre-treatment group (P0), 5th-day post-treatment group (P1) and 8th-day post- treatment group (P1). Each group consists of six rats. After the adaptation period, the P0 was sacrificed. The drinking water of the P1 and P2 was added tetracycline HCl 500mg /1L. On the day before and after inoculation C. albicans, Methylprednisolone was injected. Ten minutes before inoculation with 0.3 ml C. albicans 9.4 x 107/mL, rats were sedated by CPZ 0.7 mg IM. The rats in P1 group were sacrificed after five days and in P2 were sacrificed eight days after inoculation. The IL-17 plasma levels measured by enzyme-linked immunosorbent assay (ELISA), decreased on the 5th day but not on the 8th-day post-treatment. The obtained data were analyzed by parametric and non-parametric tests according to normality and homogeneity of the data with p<0.05. Results: The colony forming unit (CFU) of C. albicans collected over the mouth on increased almost 8-fold and on 8th-day post-treatment almost 3-fold compared with pre-treatment. The ESR increased on the 8th day but not on the 5th-day post-treatment. Conclusion: The IL-17 level was decreased on the 3rd day, ESR increased on eight days after inoculation of C. albicans in female rats’ model of oral candidiasis.
, Ida Ayu Evangelina
Published: 12 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 240-245; https://doi.org/10.20473/j.djmkg.v55.i4.p240-245

Abstract:
Background: Impacted maxillary anterior teeth are a problem that has a significant impact on the aesthetics of the smile, dental arches, and occlusion. Teeth that have higher tendencies to get impacted are third molars, maxillary central incisors, maxillary canines, and mandibular premolars. Impacted teeth with severe root dilacerations are usually extracted surgically, then the space will be closed by orthodontic treatment or using a prosthesis. Purpose: This study aims to report the successful orthodontic traction of mesially 90° dilacerated root of impacted maxillary canine. Case: A 15-year-old female patient with the chief complaint of an unerupted left maxillary canine. Intraoral examination showed a class I molar relationship on both sides, a unilateral crossbite on the right side, 8 mm spacing between the maxillary left lateral incisor and the premolar. Also, mild crowding was found on both upper and lower anterior segments. CBCT results showed a left maxillary canine was palatally semi-vertical impacted and had a mesially 90° dilacerated root. A significant stress concentration occurred at the middle and apical of the dilacerated root apex when exposed to orthodontic force; this tends to be a higher potential for resorption. Case Management: The impacted dilacerated canine was successfully moved to the proper position by combining crown exposure surgery, orthodontic traction using continuous light force, and gingivectomy. Furthermore, traction was held using a gold chain combined with an elastic thread tied initially to a modified stainless-steel main archwire; this was followed by piggyback tandem wire and a vertical 3/16” light elastic traction. Conclusion: The patient showed successful traction of the canine in less than six months. In addition, the unilateral posterior crossbite was corrected and functional occlusion was achieved. That canine showed good orthodontic and periodontal stability at one-year follow-up, without any evidence of root resorption.
Meralda Rossy Syahdinda, Alexander Patera Nugraha, , Tengku Natasha Eleena Binti Tengku Ahmad Noor
Published: 12 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 235-239; https://doi.org/10.20473/j.djmkg.v55.i4.p235-239

Abstract:
Background: Maxillary canines play a critical point in creating an aesthetic smile as they support the part of facial muscle. Canines are also the second most frequently impacted teeth after the third molars. In some cases, it is possible to retract canines into their correct position by orthodontics treatment. Purpose: This article highlighted a treatment option with surgical exposure, in which a maxillary canine was impacted. It presented gradual steps from pre-surgical to post-surgical orthodontic treatment. Case: A 16 years old female patient referred to Orthodontic Department by Oral Surgeon for pre-surgical orthodontic treatment of her impacted maxillary canine. Case Management: After pre-surgical orthodontic treatment, the impacted canine was surgically exposed by closed technique since open surgical exposure might need excessive removal of the surrounding bone. Traction was given through a gold chain which attached to the palatal surface of the impacted canine. The tooth was ideally positioned with fixed orthodontic appliances. The permanent right maxillary canine was successfully positioned into proper alignment with the remaining teeth. Aesthetic smile was improved. Conclusion: Malocclusion with impacted canine was successfully treated with MBT orthodontic prescription combined with gold chain that can retract the impacted canine into its physiological position and the patient was satisfied with the aesthetic result.
Alvionika Nadyah Qotrunnada, Tecky Indriana, Jane Kosasih, Meiske Margaretha, Mei Syafriadi
Published: 12 October 2022
Dental Journal (majalah Kedokteran Gigi), Volume 55, pp 194-199; https://doi.org/10.20473/j.djmkg.v55.i4.p194-199

Abstract:
Background: One of the benign salivary gland tumors is Warthin’s tumor, which is a benign tumor consisting of a papillary cystic structure covered by a double epithelial layer cells and lymphoid stroma with germinal center. Several cases have reported the Warthin’s tumor transformation into a malignant tumor such as lymphoma that develops from their stromal. Expression of cytotoxic T-lymphocyte antigen 4 (CTLA-4) as part of the immune checkpoint when highly expressed leads to a more rapid development or progression of tumors. Purpose: To analyze CTLA-4 expression in Warthin’s tumors associated with the pathogenesis of its growth through an escape mechanism from immune checkpoints and analyze based on CTLA expression whether this marker has the potential to be used as immunotherapy by administering anti CTLA-4. Methods: The tissue sections slides of Warthin’s tumor (n=8) were stained with Hematoxylin Eosin and immunostained with Recombinant Anti-CTLA4 antibody [CAL49] (ab237712). The slide with positive CTLA-4 is shown as staining on the cell membrane and/or cytoplasm. Observations were carried out using Optilab. The result is presented as figures. Results: Tumor cells expressed of CTLA-4 show in cytoplasm and/or cell membranes of the epithelial and stromal components of Warthin’s lymphoid. CTLA-4 is expressed lymphoid stroma, which is associated with inhibition of T cell activity against tumor cells, while the exact mechanism of CTLA-4 expression in epithelial components is not known but is thought to induce tumorigenesis and inhibit apoptosis. Conclusion: CTLA-4 is expressed in epithelial and stromal cells of Warthin’s tumor and this expression indicates that Warthin’s tumor cell growth is through the escape mechanism of the CTLA-4 check point immune. Further research is necessary to investigate whether CTLA-4 expression in lymphoid stroma has relate to their transformation toward a malignant tumor of lymphoma.
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