19 research outputs found
PERIODONTAL CHART DAN PERIODONTAL RISK ASSESSMENT SEBAGAI BAHAN EVALUASI DAN EDUKASI PASIEN DENGAN PENYAKIT PERIODONTAL
The development of science and technology in the field of periodontology in digital era has experienced quite rapid development. However, this development is not comparable with community's periodontal tissue health that is fairly high. Data from RISKESDAS 2018 shows the percentage of periodontitis cases in Indonesia is 74.1%. Periodontal disease is an oral disease that ranks first in the 2001 world record book record as the most common disease in humans. The high periodontal prevalence data can be due to lack of patientâs knowledge of periodontal health or dental health practitioners who do not emphasize the importance of the health of periodontal tissue. The risk assessment of periodontal disease is still rarely done by dental health practitioners when compared with the assessment of the risk of dental caries. This article aims to introduce periodontal disease risk assessment methods and tools for dental health practitioners. Search for information on periodontal disease risk assessment methods and tools through PubMed with the keywords "periodontal charting" and "periodontal risk assessment". The periodontal disease risk assessment tool is chosen based on open access and free of charge. Periodontal charts and Periodontal Risk Assessment (PRA) are simple applications that can be used by all dental and oral health practitioners in explaining, evaluating and motivating patients with periodontal disorders. Periodontal chart and PRA can be used as material for evaluation and education of patient's periodontal tissue for dental health practitioners
Peran Dokter Gigi Dalam Penanganan Berat Badan Berlebih dan Obesitas
Overweight and obesity has become an epidemic in many developed and developing countries, and its prevalence is increasing globally. Overweight and obesity obesity are associated with many diseases such as cardiovascular diseases, some forms of cancer, type 2 diabetes mellitus and chronic oral diseases. It is important for dentists to understand and recognize overweight and obesity, educate their patients on its associated risks, promote a healthy lifestyle for their patients, and modify any necessary dental treatments and postoperative procedures for overweight and obese patients. A multidisciplinary approach of overweight and obesity is needed for optimal control. Professional dentist must be prepared to manage the overweight and obesity-related effects of co-morbidities and oral diseases and working in conjunction with other health care providers. However, the majority do not routinely measure weight and height, nor calculate body mass index for comprehensive care patients in their daily dental practice, thus the dentist role in overweight and obesity is rare. The purpose of this article is to review the assessment of overweight and obesity, the relevance of overweight and obesity to oral helath and dental practice, and highlight some of the actions dentist can to prevent and decrease the risk of both these diseases
Dental Treatment Consideration in Pregnant Women
Pregnancy is a unique time in a womanâs life, accompanied by a variety of physiologic, anatomic and hormonal changes that can affect how oral health care is provided. Good oral health during pregnancy is important to the overall health of both the expectant mother and her baby. Unfortunately, there may be times when pregnant women and family, obstetricians and on occasion dentists are skeptical of dental care during pregnancy owing to prejudices about the safety of dental treatment, resulting in delay of the dental treatment. This article aims to review general considerations of pregnant patientsâ dental treatment, and possible dental complications of pregnancy and their management. Search for information through google scholar with the keywordâs âpregnancyâ and âdental treatment". With proper technique, dental treatment, dental radiographs and drug use in dental treatment do not place the fetus at risk and should be taken if they are of potential benefit. Preventive care should be delivered throughout pregnancy, and elective routine care is best delivered during the second trimester. Dentists and health agencies should provide and distribute information to women about the importance of maintaining oral health during pregnancy
Eâcigarettes effect on periodontal health: a systematic review
Background: Smoking is well known risk factors that promote periodontal tissue destruction. Both smoking and periodontitis nowadays consider as a common health problem globally. As smoking habit evolution, electronic cigarettes (E-cigs) have emerged as an alternative to cigarettes. The number of E-cigs smoker or vaping users around the world are increasing. However, information about the effect of E-cigs on periodontium is very lacking lately. The study aimed to compare the effect of cigarette consumption on periodontium by clinical health parameters between all smokersâ type.Method: This review follows the PRISMA guidelines. Document search was carried out in PubMed, Ebsco Host and Scopus using the keywords or phrases: (periodontal health) AND (((((electronic cigarette) OR Vaping) OR e-cig) OR electronic nicotine delivery system) OR nicotine delivery system). A total of 137 articles were obtained after the duplicates were eliminated and five articles were considered met the eligibility criteria for systematic review. Result: This review found that E-cigs are less harmful compared to tobacco cigarettes, with comparable result between E-cigs smoker and non-smoker on some clinical periodontal health parameters for mean probing depth, clinical attachment loss, score of plaque index (PI) and papillary bleeding index (PBI) as well. In contrast, the study reveals that bleeding on probing level was higher among non-smokers than smokers.Conclusion: E-cigs are less harmful compared to tobacco cigarettes on some clinical periodontal health parameters. This result should be interpreted with caution because there is currently insufficient data to investigate the effect of E-cigs on periodontal health through clinical parameters
Eâcigarettes effect on periodontal health: a systematic review
Background: Smoking is well known risk factors that promote periodontal tissue destruction. Both smoking and periodontitis nowadays consider as a common health problem globally. As smoking habit evolution, electronic cigarettes (E-cigs) have emerged as an alternative to cigarettes. The number of E-cigs smoker or vaping users around the world are increasing. However, information about the effect of E-cigs on periodontium is very lacking lately. The study aimed to compare the effect of cigarette consumption on periodontium by clinical health parameters between all smokersâ type.Method: This review follows the PRISMA guidelines. Document search was carried out in PubMed, Ebsco Host and Scopus using the keywords or phrases: (periodontal health) AND (((((electronic cigarette) OR Vaping) OR e-cig) OR electronic nicotine delivery system) OR nicotine delivery system). A total of 137 articles were obtained after the duplicates were eliminated and five articles were considered met the eligibility criteria for systematic review. Result: This review found that E-cigs are less harmful compared to tobacco cigarettes, with comparable result between E-cigs smoker and non-smoker on some clinical periodontal health parameters for mean probing depth, clinical attachment loss, score of plaque index (PI) and papillary bleeding index (PBI) as well. In contrast, the study reveals that bleeding on probing level was higher among non-smokers than smokers.Conclusion: E-cigs are less harmful compared to tobacco cigarettes on some clinical periodontal health parameters. This result should be interpreted with caution because there is currently insufficient data to investigate the effect of E-cigs on periodontal health through clinical parameters
PENINGKATAN PERILAKU SADAR PERIODONTAL SEHAT BAGI IBU HAMIL DI MASA PANDEMI COVID-19
Salah satu dampak nyata dari adanya pandemi Covid-19 dan kebijakan bekerja dari rumah adalah peningkatan angka kehamilan di masyarakat. Jawa Timur sebagai salah satu provinsi dengan jumlah penduduk terbanyak di Indonesia menunjukkan peningkatan angka kehamilan selama masa pandemi. Tingkat kelahiran prematur di Jawa Timur sebesar 23.3%, sementara pada tahun 2018, 885 kelahiran bayi di Surabaya memiliki berat badan lahir rendah (BBLR). Salah satu faktor resiko dari kelahiran bayi prematur dan BBLR (berat badan lahir rendah) adalah adanya kelainan jaringan rongga mulut yaitu kelainan periodontal. Kelainan periodontal yang umum ditemukan pada ibu hamil diantaranya adalah gingivitis dan periodontitis. Di Kota Surabaya, studi yang dilakukan pada delapan puskesmas menunjukkan 73% ibu hamil mengalami gingivitis dan 36% ibu hamil mengalami periodontitis. Mengingat pentingnya kesehatan periodontal, gigi dan mulut selama masa kehamilan, pada pengabdian masyarakat kali ini dilakukan sosialisasi kesehatan jaringan periodontal, gigi dan mulut pada ibu hamil. Target sasaran dari pengabdian masyarakat ini adalah ibu hamil yang melakukan kontrol kehamilan pada klinik utamaarea kecamatan Tambak Sari. Pengabdian masyarakat dilakukan melalui metode pemutaran video, ceramah, diskusi dan peragaan prosedur kesehatan periodontal dan rongga mulut. Keberhasilan dari program pengabdian masyarakat ini dinilai melalui indikator peningkatan nilai pada tes tertulis yang diberikan sebelum dan sesudah pelaksanaan sosialisasi. Melalui pengabdian masyarakat ini, pengetahuan dan prilaku sadar periodontal sehat bagi ibu hamil dapat ditingkatkan, sehingga diharapkan dapat mengurangi resiko penyakit periodontal bagi kehamilan
Simultaneous Esthetic Crown Lengthening and Frenotomy Procedure for Smile Rejuvenation
Introduction: Gingival tissue plays an important role in smile aesthetics, especially in the anterior maxillary region. A gummy smile (GS) is a gingival condition that appears excessive when the patient smiles. The prevalence of gummy smile in individuals aged from 20 to 30 is 10% of population. It is more common in women and can cause aesthetic problems. Gummy smile aetiology is multifactorial. This case report discusses gummy smile case caused by altered passive eruption (APE) and associated with the presence of aberrant frenum. Case Report: A 19-year-old female patient with chief complaints of the excessive gingival display. The diagnosis of the case was confirmed by clinically healthy gingiva in an intact periodontium with gummy smile due to the presence of altered passive eruption type I-B accompanied by an aberrant frenum. The final surgical plan was aesthetic crown lengthening (CL) with flap surgery and osteotomy simultaneous with a frenotomy. Conclusion: The aesthetic crown lengthening surgery and frenotomy can be performed simultaneously to correct the gummy condition and improve the patientâs smile profile. Appropriate examination, diagnosis, and treatment planning help achieve optimal patient outcomes
Concanavalin A Enhanced Proliferation and Osteogenic Differentiation of Dental Pulp Stem Cells
Objective Dental pulp stem cells (DPSCs) can be used as a component in the formation of regenerative dentine during direct pulp capping therapy. Concanavalin A (ConA) is a type of lectin with a molecular weight of 26 kDa derived from the Canavalia ensiformis plant. Lectins possess strong proliferation and differentiation abilities in various animal cells including lymphocytes, osteoblasts, and chondrocytes. The aim of study was to determine the effect of ConA on the proliferation and osteogenic differentiation of DPSCs in vitro.
Materials and Methods In this in vitro study, DPSCs were isolated from third molars before ConA induction was performed at concentrations of 5 and 10 ÎŒg/mL. The proliferation assay was determined by 3-(4,5-Dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT) assay. Osteogenic differentiation was determined by means of mineralization.
Statistical Analysis Data were analyzed using analysis of variance and a Studentâs t-test. The p-value was set at 0.05.
Results The addition of 5 and 10 ”g/mL of ConA to DPSCs can significantly increase the proliferation and osteogenic differentiation of DPSCs (p â€0.05).
Conclusion ConA can increase the proliferation and osteogenic differentiation of DPSCs
Aesthetic consideration in patient management of severe periodontitis aggravated by oral dexamethasone
Background: The treatment of severe periodontitis must consider immune responses and local conditions, including the aesthetical aspects. The tooth loss in the anterior area can lead to a psychological issue in some patients, and the daily use of dexamethasone contributes greatly to the severity of aesthetical aspects. Periodontal treatments must be cautious of these aesthetical effects. Purpose: To report the aesthetical consideration in patient management of severe periodontitis aggravated by oral dexamethasone. Case: The 44-year-old female patient reported having tooth mobility in the upper right and left central incisor and lower right and left posterior. Due to the condition, the central anterior needed to be extracted. The patient had seafood allergies and consumed oral dexamethasone periodically to prevent allergic reactions for two years. Case management: The initial periodontal therapy was designed prior to the tooth extraction, socket preservation, and immediate denture on teeth 11 and 21. A metal frame combined with an acrylic denture was designed to support the tooth splint and replace the teeth on the mandible. The patient was treated with 20 mg of sub-antimicrobial-dose doxycycline twice a day for three months, and vitamin E was prescribed once a day. Since dexamethasone may contribute to immune response and osteoclastogenesis, dexamethasone was replaced by cetirizine. Conclusion: The treatment of severe chronic periodontitis must consider immune responses, local conditions, and aesthetical aspects. In this case, the use of dexamethasone might worsen the periodontal breakdown. However, the periodontal treatment, use of host modulation therapy, and replacement of dexamethasone with cetirizine are expected to improve these conditions
The expression of BMP4 and FGF2 in Wistar rats (Rattus norvegicus) post application of gourami fish (Osphronemus goramy) collagen
Background: Periodontitis is a chronic inflammatory disease of the periodontal tissue that is characterized by alveolar bone resorption. This occurs due to an imbalance of osteoblast and osteoclast during the bone formation and resorption processes. In order to obtain complete regeneration of periodontal tissue, bone grafting is frequently used in periodontal surgical therapy. Although each material has disadvantages, safe graft materials derived from animal sources can be employed as an alternative to bone graft materials. Osteoblast, osteoclast, calcified bone matrix, type I collagen, osteonectin, and hydroxyapatite can all be found in gourami scales, a form of food waste. BMP4 has osteoinduction functions, which are important in bone metabolism. Through angiogenic activity, FGF2 also contributes to periodontal regeneration. Purpose: The aim of the study was to assess the expression of BMP4 and FGF2 after the treatment group had been given gourami fish scale extract. Methods: Thirty-two experimental three-month-old male Wistar rats (150-200g) were randomly divided into four groups: a seven-day control group, a seven-day treatment group, a 14-day control group, and a 14-day treatment group. One mandibular incisor was extracted from each Wistar rat. The post-extraction socket was filled with blood for the control group and collagen extract for the treatment. Results: The one-way ANOVA test showed a significance level of 0.000 (p = <0.05). Conclusion: The expression of BMP4 and FGF2 increased after the application of collagen extract from gourami scales