The Importance of The Dentist – Patient Relationship in Oral Cancer Treatment

Background: There are many instances in oral cancer cases in which a lack of patient cooperation was found to be a hampering factor in the overall case management. A good relationship between dentists and patients should therefore be built in conjunction with other treatment modalities. Case Report: Three complete oral cancer cases with dentist–patient relationship problems are presented. One of the common basic ways to build a good relationship is through communication and empathy. A relationship is also influenced by psychological distress, experience from previous treatments, socioeconomic factors, the healthcare system, time constraints, and belief. Conclusion: No single intervention strategy can improve the compliance of an oral cancer patient. An assessment of patient knowledge and understanding of the regimen along with clear and effective communication and trust in the therapeutic relationship are important in the overall patient management

Radiotherapy Reduced Salivary Flow Rate and Might Induced C. albicans Infection

Radiotherapy has impact in oral health especially on the secretion capacity of the salivary glands. Another impact is the increase of Candida albicans colony. Objectives: To evaluate salivary flow in relation with Candida albicans colony in head and neck cancer patients during and after radiotherapy. Methods: Twenty-four head and neck cancer patients in Dharmais Cancer Hospital, Jakarta who were undergoing radiotherapy or had undergone radiotherapy and 24 match healthy volunteers were included in the study. Clinical observation carried out by collecting unstimulated salivary flow rate and followed by culture of Candida in Saboraud agar medium. Data were analyzed statistically by Chi-square. Results: Nasopharynx cancer was the most frequent type of head and neck cancers (87.5%) followed by tongue cancer (12.5%) and and found in 41-50 years old patients and 51-60 years old patients respectively, with male predilection compare to female (17:7). Approxiamtely 87.5% of subjects showed decreased salivary flow rate (1.01-1.50mL/10min) during and after radiotherapy. However, 91.7% of cancer patients had increased C.albicans colony during and after radiotherapy compared to control (p=0.00). Conclusion: This study showed that radiotherapy induced hyposalivation and might increase the C.albicans colony.

Cd8+ expression in oral potentially malignant disorders associated with risk factors in selected population of east Indonesia

Background: Oral potentially malignant disorder (OPMD) is a lesion with a high potential to turn into oral squamous cell carcinoma (OSCC). The discovery of OPMD lesions precedes most cases of OSCC. Sensitive and specific biomarkers can help in the early detection of high-risk patients, one of which is CD8+, part of the cytotoxic T lymphocytes, which have a role in eliminating cancer cells. Several studies use infiltration density and CD8+ T cells' activity as biomarkers in malignancy. This study aims to observe the expression of CD8+ in OPMD lesions and correlate with risk factors Method: Twelve paraffin blocks samples consist of OPMD lesions. One oral lichen planus (OLP) as the positive control. Samples were stained using HE to observe the degree of dysplasia and immunohistochemistry to observe the expression of CD8+ T cells. Observation of results using a microscope with 100x magnification to select the field of view and 400x magnification to count the number of positive CD8+ T cells with a cut-off point of 500 cells from a total of 5 fields of view and determined by weak intensity

CHARACTERISTIC OF ORAL MEDICINE PATIENT USING TELEDENTISTRY DURING COVID-19 PANDEMIC

Background: The COVID-19 pandemic has affected health care systems around the world. Dentistry is one of the most closely related to the production of aerosols or droplets. Minimal visits to a dental clinic or hospital are highly recommended except in emergency cases. The government's recommendation is the use of teledentistry to conduct diagnosis, treatment, and monitoring of diseases. The oral medicine field is fully in charge of this activity and until now it has never been studied how the characteristics of oral medicine patients who use teledentistry services including their level of satisfaction. Method: To describe the characteristic including the level of satisfaction of Oral Medicine patients using teledentistry in Dental Hospital Usakti during pandemic COVID-19. An observational cross-sectional study was conducted in the Oral Medicine Clinic in 31 patients who used teledentistry services at the beginning of the COVID-19 pandemic under informed consent. Validated modified questionnaire and sociodemographic data were collected and satisfaction scores were categorized. Results: The validity of the questionnaire showed Cronbach-alpha 0.83 with a reliability of 0.95 and a separation of 4.49. Most of the subject used teledentistry was female (54.83%), 31-60 years old (51.61%), no history of contact with COVID-19 patient, and prior history of teledentistry (100%, 77.41%, respectively). 93.6% of subjects showed a high satisfaction level in using teledentistry services. Conclusion: The characteristic of oral medicine patients using teledentistry described a high satisfaction level, thus the teledentistry method could be a solution in/after the pandemic era

Plester sariawan efektif dalam mempercepat penyembuhan stomatitis aftosa rekuren dan ulkus traumatikus

Mouth ulcer plaster is effective in accelerating the healing of recurrent aphthous stomatitis and traumatic ulcers. Recurrent aphthous stomatitis (RAS) is one of the most commonly occurring oral diseases. The prevalence of oral ulceration worldwide is 4%, with RAS having the largest proportion (25%). Recurrent aphthous stomatitis is oral ulceration which has a self-limiting disease, but the specific medication to reduce pain caused by lesion is still less varied nowadays. This study aimed to examine the differences in the effectiveness between topical application of hyaluronic acid (HA), mouth ulcer plaster (MUP) and 0.1% triamcinolone acetonide (TA) as a positive control in the healing of RAS and traumatic ulcers (TU). This was a quasi-experimental study by measuring the lesion diameter as well as visual analogue scale (VAS) pre- and post-administration of three types of medication. Kruskal-walis test results show that there are differences in effectiveness (p=0.000) of the three types of medication to cure RAS and TU. There are signicant differences in the reduction of RAS and TU lesion diameter (p = 0.015) and VAS (p = 0.038) with the use of HA and MUP on the 4th day. There is no signicant difference in effectiveness (diameter and VAS) of MUP and TA medication on the fourth day (p = 0.880 and p = 1.000 respectively). There is no signicant difference among HA, MUP and TA on the healing of the lesions on the seventh day (p>0.05). It can be concluded that the effectiveness of MUP is similar to that of topical medications containing corticosteroids in the healing of RAS and traumatic ulcers.ABSTRAKStomatitis aftosa rekuren (SAR) merupakan salah satu penyakit mulut yang paling umum terjadi. Prevalensi ulserasi mulut di seluruh dunia adalah 4%, dengan SAR menempati urutan terbesar yaitu 25%. Stomatitis aftosa rekuren merupakan ulserasi mulut yang memiliki self-limiting disease, namun sediaan obat yang spesifik untuk mengurangi rasa sakit yang ditimbulkan lesi sampai saat ini masih kurang bervariasi. Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas antara aplikasi topikal asam hialuronat (AH), plester sariawan (PS) serta triamcinolone acetonide 0,1% (TA) sebagai kontrol positif dalam menyembuhkan SAR dan ulkus traumatikus (UT). Jenis penelitian eksperimental klinis kuasi dengan mengukur diameter lesi serta skala visual analog (VAS) pra dan paska pemberian tiga jenis obat. Hasil uji Kruskal-walis menunjukkan bahwa terdapat perbedaan efektivitas (p=0,000) ketiga jenis obat terhadap penyembuhan SA dan UT. Terdapat perbedaan bermakna penurunan diameter lesi (p = 0,015) dan VAS (p = 0,038) SAR dan UT dengan penggunaan AH dan PS pada hari ke-4. Tidak ada perbedaan bermakna efektivitas (diameter dan VAS) obat PS dan TA pada hari ke-4 (p = 0,880 dan p = 1,000 secara berurutan). Tidak ada perbedaan bermakna antara masing-masing obat AH, PS dan TA terhadap penyembuhan lesi pada hari ke-7 (p >0,05). Kesimpulan efektivitas PS sama dengan obat topikal yang mengandung kortikosteroid dalam menyembuhkan stomatitis aftosa dan ulkus traumatikus

PANDUAN DOKTER GIGI DALAM ERA NEW NORMAL

KATA PENGANTAR PENGURUS BESAR PERSATUAN DOKTER GIGI INDONESIA Dimulai akhir Desember 2019 terjadi wabah virus baru di dataran china terkhusus di daerah Wuhan, yang secara cepat menyebar diluar China bahkan dalam waktu 2 bulan hampir seluruh dunia terinfeksi COVID-19, sehingga WHO menyatakan Outbreak COVID-19 Global Pandemic. Pada tanggal 2 maret 2020 Indonesia mengumumkan dimulainya kejadian wabah di wilayah Jakarta, Jawa Barat, dan Bali, dalam waktu singkat kurang 1 bulan, 34 provinsi terdeteksi COVID-19. Oleh karena Presiden RI menyatakan bencana nasional non alam, maka dibentuklah Gugus Tugas Percepatan Penanganan COVID-19 yang diawali oleh BNBP dari tingkat pusat hingga wilayah provinsi. Dengan adanya beberapa korban dokter gigi yang meninggal dunia akibat COVID-19, maka Kepala BNPB dan Kementerian Kesehatan menghimbau agar dokter gigi yang berisiko tinggi tertular COVID-19 saat memberikan pelayanan kesehatan gigi dan mulut, untuk sementara menghentikan pemberian pelayanan kecuali untuk kasus-kasus emergensi. Hampir 4 bulan para dokter gigi tidak praktik, tidak memberikan pelayanan langsung ke pasien, dan tidak dapat mengamalkan ilmu dan kompetensi dalam bentuk pengabdian kepada masyarakat. Banyak permintaan dan keluhan dari masyarakat, klinik, rumah sakit dan institusi pelayanan kesehatan agar para dokter gigi segera dapat berpraktik kembali, karena masyarakat kesulitan mendapatkan perawatan. Seiring dengan wacana Pemerintah menerapkan Kehidupan Normal Baru, atau Adaptasi Kebiasaan Baru yang dikenal dengan sebutan era New Normal, PB-PDGI memberikan kesempatan kepada dokter gigi seluruh Indonesia untuk memulai praktik kembali dengan berbagai ketentuan yang harus ditaati. Ketentuan-ketentuan ini dimaksudkan untuk melindungi dokter gigi dan tenaga kesehatan pendukung agar tidak tertular COVID-19, serta menghindari adanya infeksi silang di ruang tempat praktik. Dengan diterbitkan dan diberlakukannya Buku Panduan Dokter Gigi Dalam Era New Normal, maka dimulailah para dokter gigi Indonesia untuk berpraktik kembali. Buku ini memuat panduan secara lengkap, selain ketentuan berpraktik kembali di era new normal, tetapi juga tentang manajemen pembiayaan dan upaya promotif Kesehatan Gigi dan Mulut, yang didukung oleh literatur ilmiah yang kuat, sehingga dapat menjadi referensi bagi siapapun untuk penulisan ilmiah maupun penelitian. Ketua umum PB-PDGI memberikan apresiasi yang setinggi-tingginya kepada tim penulis buku Panduan Dokter Gigi Di Era New Normal, dengan dedikasi yang tinggi pula dan jerih payahnya mencari literatur, siang dan malam menyusun kata demi kata yang dirangkai menjadi kalimat-kalimat hingga terwujudnya buku ini yang menjadi pedoman bagi dokter gigi se-Indonesia untuk berpraktik di era new normal. Dengan penuh harapan, agar dokter gigi Indonesia dapat menggunakan buku ini secara bijak dan tidak menjadi keterpaksaan. Semoga Allah SWT selalu melindungi kita semua dan memberikan yang terbaik.. Aamiin...Aamiin... Ya Robbal ‘alamin. Demikian terima kasih. Jakarta, 30 Juni 2020 Dr. RM Sri Hananto Seno, drg., SpBM(K),MM Ketua Umum PB-PDGI   Editor: 1. Indrayadi Gunardi, drg., Sp.PM 2. Dr. Armelia Sari Widyarman, drg., M.Kes. PBO 3. Prof. Rahmi Amtha, drg., MDS., Sp.PM, Ph.D. 4. Iwan Dewanto, drg., MMR., Ph.D &nbsp

The Release of Total Metal Ion and Genotoxicity of Stainless Steel Brackets: Experimental Study Using Micronucleus Assay

BACKGROUND: Stainless steel brackets are composed of various metal that may corrode in oral cavity. Corrosion is caused by the release of metal ions such as chromium, nickel, and iron. The release of metal ions can cause adverse effects such as toxicity, allergic, and mutagenicity. To evaluate the biocompatibility of stainless steel brackets, micronucleus assay as one of genotoxicity assay is used in this study. To determine the differences and the correlation of metal ions release and genotoxic activity among three brand stainless steel brackets.METHODS: Three brands of brackets were immersed in artificial saliva for 672 hours and the release of ion chromium, nikel and iron were examined. The cytokynesis block micronucleus assay (CBMN) using lymphocytes was performed as well.RESULTS: The highest metal releasing were nickel, cromium, iron, respectively (30.5, 27.2, 23.4 ppb). There was a significant differences between total nickel and iron ion release among three brand brackets (p=0.04, p=0.02). Genotoxicity of metal ion released was correlated with durration of immersion brackets (p=0.01). Genotoxicity was significant correlated with the release of chromium (p=0.03) and nickel (p=0.01).CONCLUSION: Genotoxicity of stainless steel brackets was influenced by duration of immersion but not influenced by brand brackets. KEYWORDS: genotoxicity, stainless steel brackets, metal io

The Impact of Academic Potential Test (APT) on GPA Score in Bachelor Dental Program in Trisakti University

Introduction: Academic potential test (APT) is the terminology used for requirement in student recruitment process at Faculty of Dentistry, Trisakti University. According to literature, APT score is believed to predict the academic achievement in graduate school. Objectives: This study assessed the impact of APT score on GPA score at Bachelor Dental Program year 2015-2018. Methods: Cross sectional descriptive analysis were done on 486 students, divided into 4 groups based on credit semester (CS); group A 144 CS, B 100 CS, C 60 CS, and D 20 CS. Result: mean APT score were 598 + 95.46 and GPA score were 2.63 + 0.72. Linear regression test showed significant correlation between APT and GPA scores (p=0.007; r2=1.5%). It shows that APT contributed as only a little aspect for the success of students in their study. In dentistry, there are other factors that may influence GPA score beside APT such as intellectual quality, talent, behavior, psychomotor and capability in social, science and communication. Conclusion: Academic potential test could be used to predict the GPA score in Bachelor Dental Program