GINGIVAL HYPERPLASIA IN HYPERTENSION PATIENTS AT THE ENDOCRINE CLINIC DR. WAHIDIN SUDIROHUSODO HOSPITAL MAKASSAR

Hypertension is a common disease found in communities and routinely treated with long-term antihypertension regimens. Most internist who treat hypertension patients \ud underestimated periodontal tissues health and not connecting to the hypertension events or \ud medication used. This medications stimulate fibroblast cells proliferation, and eventually \ud cause gingival hyperplasia. This study conducted to observe hyperplasia events in \ud hypertension patients and correlate them with the medication used. One hundred \ud hypertension patients who visit endocrine clinic RSUP DrWahidinSudirohusodo participate \ud in this observational study, with history of drug categories used, plaque inflammations, and \ud gingival enlargement frequencies.The study found the most consumed drug category is \ud nifedipine and significantly correlated with hyperplasia, moderate oral hygiene also found in \ud most of the patient, that show the role of the accumulation of plaques with nifedipine caused \ud hyperplasia gingiva. This finding is a cornerstone for anti-hypertention drug substitution in \ud endocrine clinic DrWahidinSudirohusodo Hospital and suggest an increase in attention to the \ud health of periodontal tissue of patien

REGENERATIVE PERIODONTAL TREATMENT AS MANAGEMENT OF CHRONIC PERIODONTITIS: A CASE REPORT

Introduction: Chronic periodontitis is a chronic inflammatory disease induced by microbes beginning with inflammation of the gingiva and progressing to progressive damage to the tooth supporting structures. Various approaches have been made to treat chronic periodontitis, one of which is regenerative periodontal treatment using bone grafts and platelet-rich fibrin (PRF). History and Clinical Findings: A 32-year-old man came to the Periodontology Department of the Dental and Oral Education Hospital with chief complaints mobility of upper and lower teeth. Clinical examination showed that patient did not have a history of systemic diseases and the patient did not smoke. Intraoral examination showed that the maxillary front teeth grade 1 mobility and the average pocket depth in the maxillary and mandibular anterior teeth was 5 mm. Case Management: Case management includes initial therapy followed by surgical treatment which includes open flap, placement of bone graft and PRF, followed by frenectomy, then suturing and application of a periodontal pack. At 1 month after treatment, the surgical flap phase was continued for the mandibular anterior teeth using a combination of bone graft and membrane placement. Discussion: Bone graft and PRF are used to regenerate furcation defects and their ability to regenerate hard and soft tissue is due to the release of various growth factors. Conclusion: Regenerative surgical treatment in chronic periodontitis patients provides effective results in alveolar bone regeneration and decrease pocket depth

PERAWATAN BEDAH FLAP PERIODONTAL PADA PERIODONTITIS KRONIS: SEBUAH LAPORAN KASUS

Chronic periodontitis is an inflammatory disease in periopdontal tissue. Subgingiva specific organisms are to be responsible for this gingiva inflammatory reaction. Gingiva attachment loss would occurred along with alveolar bone destruction, periodontal pocket formation, pathological migration and mobility of teeth. Case: A 48-year-old male was referred to the Departement of Periodontology RGSM Kandea Makassar. On clinical examination, tooth mobility in relation to teeth 31,32,33,34,41,42,43,44 was noticed. Chewing difficulty was reported by the patient. There was no routine control by dentists. Methode: Presurgery examination of teeths 31,32,33,34,41,42,43,44 showed mean pocket depths >5mm, there was gingiva recession and º3 teeth mobility. The patients was managed by an open flap debridement under local anesthesia. All subgingiva deposits were removed using curettes. The tissue was sutured and periodontal pack was put in place. Result: The patient was recalled after 3 weeks for suture removal and reevaluation. His results shows normal gingiva tissue with good tissue attachment. Teeth mobility was decreased by º1. Conclusion: This case report emphasizes the importance of routine dental examination for early intervention of chronic periodontitis

PERIODONTAL DISEASE ASSOCIATED WITH CORTICOSTEROID IN ASTHMA PATIENTS-A SYSTEMATIC REVIEW

To observe the changed in periodontal disease in asthma patients using corticosteroid drugs. Electronic searches on Wiley, Pubmed, and Cochrane were conducted to identify articles published in dental journals from January 2004 to December 2017 focusing on the effects of corticosteroid use in asthma patients. Manual searches of published full-text articles and related articles were performed afterwards. Of the 73 studies that explain this, only 3 studies were compatible with the inclusion criteria. The initial database search produced 195 articles. All articles were selected for full-text review. There were 3 studies selected for inclusion, with 97.837 patients as subjects. Most studies were using inhaled corticosteroids in addition to the use of systemic corticosteroid drugs, and antihistamines. One studies mention that there no evidence of association been asthma and periodontal disease from the adolescent population. Corticosteroids are used in the treatment of asthma diseases, but the use of corticosteroid drugs, especially with inhaled methods, increases the risk of periodontal disease compared to patients who do not use corticosteroid drugs

Clinical Outcome of Periodontal Regenerative Therapy in Chronic Periodontitis: A Case Report

Background: Chronic periodontitis is an infectious disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment loss and bone loss. Conventional treatment is the first-line treatment in this case, however, in moderate to advanced periodontitis cases, conventional treatment alone is not sufficient to regenerate the periodontal tissue, so a surgical therapy is required. Objective: To explain the procedures and results of surgical periodontal treatment with bone xenograft and the barrier membrane of a patient with chronic periodontitis. Method: A 33-year-old man presented to the Department of Periodontia RGSM Unhas with the primary complaint of teeth mobility of the lower left jaw, the patient had also been scaled one week prior. On intraoral examination, tooth 35 had mobile º1, recession 3 mm and pocket 6 mm, and tooth 36 had mobile º2, recession 2 mm and pocket 7 mm. Treatment was performed using flap operation with bone graft and membrane barrier applications. Results: Control was performed six months after the treatment and the results showed normal gingival tissue with good tissue attachment, pocket reduction. Conclusion: Treatment of chronic periodontitis using bone xenograft and membrane barrier is one of the surgical therapies that can contribute to periodontal regeneration. Keywords: barrier membrane, bone graft, flap operatio

Efficacy of Platelet-Rich Fibrin as Regenerative Periodontal Tissue in Chronic Periodontitis: A Case Report

Background: One of the pertinent challenges the periodontists face today is the regeneration of periodontal tissue because of its complex structure. Periodontal tissue damage is characterized by bone and soft tissue loss. At present, one of the recommended materials for regeneration is PRF or platelet-rich fibrin. It is a regeneration material containing growth factors, prepared from the patient’s own blood, that can be used as a membrane. Objective: To see the efficacy of healing periodontal tissue using the addition of PRF. Method: A 31-year-old woman presented to the Department of Periodontology of Hasanuddin University Dental and Oral Hospital with the chief complaint of elongated teeth that often bled. Intraoral examination showed pocket depths of 6 mm and 5 mm in teeth 32 and 42, respectively. Radiographs showed radiolucent features in lower anterior teeth with horizontal bone loss. Chronic periodontitis of 32 and 42. Therapeutic intervention included initial therapy by scaling and root planning, followed by flap operation and regenerative therapy with PRF, membrane and bone graft. Results: One week post regenerative therapy with PRF, the clinical appearance seemed better and there was no complaint from the patient. Conclusion: The addition of PRF to periodontal surgery as a regenerative therapy can accelerate healing in the treatment of chronic periodontitis. Keywords: flap operation, platelet rich-fibrin, tissue regeneratio

Epidemiological Aspects of Head and Neck Cancers Based on Radiotherapy Registry in Hospital of Hasanuddin University South of Sulawesi Indonesia

The aim of this retrospective study was to identify epidemiological aspect of head and neck cancer defined as reported from a hospital-based radiotherapy registry in Hospital of Hasanuddin University South of Sulawesi Indonesia. The data were collected from medical records patient who treated with radiation therapy in a period of 2014-2015 with a view toward analyzing the sex, age

Upaya Peningkatan Kesehatan Periodontal Siswa SMA Negeri 6 Kabupaten Sinjai Melalui Kegiatan DHE (Dental Health Education) dan SRP (Scaling And Root Planing)

Periodontal disease is a disease of the teeth and mouth that is commonly found in Indonesian society. Periodontal disease is a common microbial infectious disease in adolescents and adults. This disease is an inflammatory disease originating from bacteria that affects the supporting tissues of the teeth. To overcome periodontal disease, it can be done in at least two ways, namely by carrying out plaque control in the form of proper brushing and periodic tartar cleaning. The objectives of this community service activity are: improving the health of the students 'priodontal network of SMA Negeri 6 Sinjai students, increasing students' understanding of the causes of periodontal disease and how to prevent it, changing the behavior of students and teachers brushing teeth. From the community service activities carried out at SMA Negeri 6 Sinjai, it can be concluded as follows: The prevalence of periodontal disease among students in these schools is still quite high, namely 82.98%. Implementation of oral dental health education (DHE) and scaling care / SRP will improve students' understanding and periodontal health status.Penyakit periodontal merupakan salah satu penyakit gigi dan mulut yang banyak ditemukan pada masyarakat Indonesia. Penyakit periodontal adalah salah satu penyakit infeksi mikroba yang umum pada remaja dan orang dewasa. Penyakit ini merupakan penyakit inflamasi yang berasal dari bakteri yang mempengaruhi jaringan pendukung gigi. Untuk mengatasi penyakit periodontal, dapat dilakukan setidaknya dengan dua cara, yaitu dengan melakukan kontrol plak berupa penyikatan gigi dengan benar dan pembersihan karang gigi secara periodik. Tujuan kegiatan pengabdian masayarakat ini adalah: peningkatan kesehatan jaringan priodontal siswa Siswa SMA Negeri 6 Sinjai, peningkatan pemahaman para siswa tentang penyebab terjadinya penyakit periodontal dan cara pencegahannya, perubahan perilaku menyikat gigi siswa dan guru. Dari kegiatan pengabdian masyarakat yang dilaksanakan di SMA Negeri 6 Sinjai, dapat disimpulkan sebagai berikut: Prevalensi penderita penyakit periodontal pada siswa di sekolah tersebut masih cukup tinggi yaitu 82,98 %. Pelaksanaan kegiatan penyuluhan kesehatan gigi mulut (DHE) dan perawatan skeling/SRP akan meningkatkan pemahaman dan status kesehatan periodontal para siswa

Penanggulangan Kerusakan Periodontal Akibat Pemakaian Rubber Ligature (Laporan Kasus)

Orthodontic treatment become more popular and interest by the people. Therefore a sufficient knowledge of dentist is very necessary. Improper planning and treatment or using unsuitable equipment wil damage periodontal tissue. If it's happened and untreated carefully as soon as possible, the teeth will fall out. A boy with eight years old got an inflammation and hardly mobility teeth (°4). The condition is happen after using orthodontic rubber ligature to overcome central diastema. Inflammation become harden by leaving of rubber ligature on undetection apical part. A patient got a plaque control, medication, flap operation, temporary and semi permanent splinting. Agter seven month tratment, patient had a minimal inflammation and decreased of mobility teeth until degree two

Penanggulangan Kerusakan Periodontal Akibat Pemakaian Rubber Ligature (Laporan Kasus)

Orthodontic treatment become more popular and interest by the people. Therefore a sufficient knowledge of dentist is very necessary. Improper planning and treatment or using unsuitable equipment wil damage periodontal tissue. If it's happened and untreated carefully as soon as possible, the teeth will fall out. A boy with eight years old got an inflammation and hardly mobility teeth (°4). The condition is happen after using orthodontic rubber ligature to overcome central diastema. Inflammation become harden by leaving of rubber ligature on undetection apical part. A patient got a plaque control, medication, flap operation, temporary and semi permanent splinting. Agter seven month tratment, patient had a minimal inflammation and decreased of mobility teeth until degree two