Mobile dental clinic revitalization to improve oral health services in the covid-19 pandemic era at Sambirejo District Community Health Center, Kabupaten Langkat

One of pandemic effect is that people being afraid to have their regular dental treatment and tends to have their own medication. Dentist and dental nurses as workerin public health provider also afraid on doing dental treatment on a reason highly contamination and transmission of the virus. Delaying aerosol generating procedures is found as the only choice, except for emergency case. However, the uncertainty of pandemic era and dental treatment needs, urge the health workers to have innovation in dental treatment service.  Using mobile dental clinic Dinas Kesehatan Kabupaten Langkat di Puskesmas Sambirejo is a solution. The implementation of service activities in mobile dental clinic are mainly in self Protection equipment, SOP in  Standart Precaution, sterlisation and aseption and also patients admision flow in pandemic era for health care providers as a way to improve their knowledge in handling patient in pandemic era. The delay of action in dental procedur can be solved by facilitating mobile dental clinic according to standard health protocol. Instead of only reaching rural area, this mobile dental clinic can also be used in narrow building with limited space. The SOP protocol can also be used by dentis and dental nurses to control infection in mobile dental clinic. This article tries to support government in raising the degree of mouth and dental health services in pandemic era

Characterization of red algae (Gracilaria verrucosa) on potential application for topical treatment of oral mucosa wounds in Rattus norvegicus

Wound healing in the mouth has its challenges due to masticatory movements and the presence of bacteria that can inhibit its process. The aim of this study was to analyze the contents of red algae (Gracilaria verrucosa) from Indonesia, and its potential as a wound-healing agent for oral wounds using animal model. Red algae content was determined by phytochemical tests and gas chromatography-mass spectroscopy (GC-MS). The wound was made by making an incision on the gingival mucosa of Rattus norvegicus and the parameters assessed were bleeding time, number of fibroblast cells, and time of wound closure. Three doses of G. verrucosa gel were used (2.5%, 5%, and 10%) and the gels were applied twice a day, at 6:00 and 18:00. Application was carried out topically by applying 0.1 ml of gel to the incision wound using a 1 mL syringe. Our phytochemical test indicated that the G. verrucosa contained alkaloids, steroids, flavonoids, and phenols. The dominant contains of the G. verrucosa were glycerol (36.81%), hexadecenoic acid (20.74%), and cholesterol (7.4%). The hemostasis test showed that the 2.5% G. verrucosa extract gel had the shortest bleeding time, 33.98±5.33 seconds. On the seventh day of the initial proliferation phase, the number of fibroblasts was not significantly different among groups. On day 14, the number of fibroblasts was only significantly different between 10% G. verrucosa and untreated group (p=0.007). On day 28, however, both 5% and 10% G. verrucosa were significantly higher compared to untreated group, both had p=0.010. Daily clinical examination showed that animals that were given 2.5% and 5% of G. verrucosa extract gel experienced wound closure on day 10. Animals treated with 10% of extract gel, all wounds healed on day 9. This study suggested that G. verrucosa extract could accelerate wound closure and wound healing