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Journal of Dentistry Indonesia
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  This is an Open Access Journal Open Access journal
ISSN (Print) 1693-9697 - ISSN (Online) 2355-4800
Published by Universitas Indonesia Homepage  [20 journals]
  • Marginal Microleakage Detection and Radiopacity Measurement under
           Restoration with Conventional and Digital Radiography

    • Authors: Salsabila Yufa, Rurie Ratna Shantiningsih, Isti Rahayu Suryani
      Abstract: Objective: Marginal microleakage detection is performed to prevent secondary caries. The present study aimed to determine the difference in the accuracy between conventional and digital radiography methods in detecting marginal microleakage and the radiopacity measurement of restoration material. Methods: We used 44 anterior maxillary teeth after extraction that had been filled with class III glass ionomer cement and then planted in paraffin wax blocks. These samples were then systematically exposed using conventional and digital indirect periapical radiography  techniques.  Microleakage  detection  was  measured  using  three  marginal  microleakage  scales. The level of radiopacity of restoration material was measured using ImageJ software and calculated using the standard radiopacity value calculation formula. All data were analyzed using the Mann–Whitney U test. Results: Outcome data demonstrated that there was no difference (p = 0.6) between the two radiography techniques in detecting mi- croleakage of restoration. However, radiopacity measurements revealed a significant difference (p = 0.0) between these two radiography techniques in their ability to determine radiopacity. Conclusion: The results suggest that there is no difference between conventional and digital indirect periapical radiography techniques in detecting microleakage of restoration material; however, a high radiopacity level was found from the digital indirect radi- ography technique.

      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • The Value of Panoramic Radiograph as a Screening Tool Prior to Complete
           Denture Construction: A Restrospective Study

    • Authors: Rohana Ahmad, Nurul Farahida Affandi, Nur Aliya Filza Mohd Ayub, Nur Atikah Mustafa, Mohd Yusmiaidil Putera Mohd Yusof, Tuti Ningseh Mohd Dom
      Abstract: Objective: The aim of this study was to determine the frequency of detecting abnormal radiographic findings from a diagnostic panoramic radiograph of edentulous patients prior to complete denture constructions. Methods: We reviewed the dental records and panoramic radiographs of 194 edentulous patients receiving complete denture treatment over a 5-year period. We identified cases with recorded abnormal radiographic findings which did or did not require intervention prior to complete denture fabrication. Results: Radiographic abnormalities were detected in 24 of 194 cases (13%), of which 11 cases (6%) required intervention prior to denture construction. Of those 11 cases, 7 had a retained root which required extraction and 4 had irregular ridges which required alveoloplasty. The remaining 170 patients (87%) had no abnormal findings detected on their panoramic radiographs. Conclusion: Abnormal radiographic findings that affect denture construction were only found in 6% of patients, similar to the previous reports. Therefore, taking panoramic radiographs prior to complete denture construction offers insignificant clinical value and should, thus, be discontinued as a screening tool.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • Factors associated with frequency of the first permanent molar caries in
           young children of Multan District, Pakistan

    • Authors: Amara Nazir, Faisal Asghar, Sana Akram, Ehsan Haider, Sadiq Amin Ahmed Rana, Muhammad Athar Khan, Muhammad Kashif
      Abstract: Caries is the result of the interaction between tooth surface, microorganisms, and food. The first permanent molar (FPM) is known as the key tooth in the oral cavity and erupts around the age of 6 years. Objective: To determine the frequency of caries in the FPMs in young children and analyze factors associated with FPM caries. Methods: We recruited 350 subjects from different public and private sector schools of Multan District, Punjab, Pakistan, for this cross-sectional study. A predesigned questionnaire was used to collect data from eligible respondents. Dental caries status was assessed visually using a dental mirror, dental explorer, and light. Results: Of the 350 students, 108 were found to be affected with caries, whereas the remaining 242 were caries-free. Among the 108 affected students, 36 were male and 72 were female, and 80 were aged 7–9 years; the remaining 28 students were 10–12 years. Conclusion: Caries frequency varied by parent’s educational level, parent’s socioeconomic status, and also by the age and gender of the child.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • Absorption Capability of a 645-nm Diode Laser on Swine Soft Tissue
           Samples: a Preliminary Study in an Ex-Vivo Model

    • Authors: Giulia Ghidini, Paolo Vescovi, Marco Meleti, Setti Giacomo, Sala Alessandro, Sala Roberto
      Abstract: Most published articles have highlighted several positive effects of low-level laser therapy on tissues; however, to our knowledge, no studies have investigated the depth to which a light beam penetrates cell layers of an irradiated tissue. To date, it is unclear if the laser reaches cells and how many of the cells can be reached in the tissues underlying the oral mucosa. This is of paramount importance as the effect of a laser at a particular depth (e.g., the periosteum and/or bone) should be measurable and predictable to some extent Objectives: The present preliminary ex vivo study aimed to assess the possible interaction between complex biological systems and laser light through the irradiation of different soft tissue samples. Methods: A 645-nm wavelength diode laser was used for evaluation. Owing to known similarities with human tissues, swine tissue samples harvested from the mandibular oral mucosa were used. One sample of periosteum (0.45-mm thick), two mucosal samples (0.5- and 1-mm thick), and three samples, including both the mucosa and periosteum (1-, 1.3-, and 1.65-mm thick), were used as target soft tissues. Measurements were recorded with a power meter located under the irradiated tissues. Results: The mean absorption values for the 0.5-mm mucosa sample; 0.45-mm periosteum sample; 1-, 1.3-, and 1.65-mm mucosal and periosteum samples; and 1-mm mucosal sample were as follows: 70.64 ± 20.14 mW; 90.75 ± 42.87 mW; 93.40 ± 18.68 mW, 101.93 ± 13.60 mW, and 102.80 ± 18.54 mW; and 111.40 ± 13.22 mW, respectively. Conclusion: The red-light laser with a 645-nm wavelength can reach cells in each layer of the measured tissues.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • Detection of Epstein-Barr Virus in Saliva and Gen LMP1 among HIV- Infected

    • Authors: Eliza Kristina M Munthe, Rudi Wisaksana, Riezki Amalia, Irna Sufiawati
      Abstract: Epstein-Barr virus (EBV) is also called human herpes virus 4 (HHV-4), has detected 95% of the population and shows an asymptomatic state. EBV is etiological agent of oral hairy leukoplakia (OHL) in HIV patients. Latent membrane protein 1 (LMP1), an integral EBV protein can modulate growth, differentiation, induce the expression of several cells, activation of antigens, and adhesion molecules. The LMP1 gene has been associated with OHL. Objectives: to determine the prevalence of EBV in saliva and the LMP1 gene in HIV/AIDS patients with EBV positive. Methods: A cross-sectional was conducted on HIV/AIDS patients. The presence of EBV in saliva was done by mciroarray PCR. LMP1 is examined by using nested PCR. Results: The research subjects involved 30 HIV/AIDS patients consisting 70% men and 30% women, with 50 % age group of 31-40 years old and 40% had CD4 counts <200 cells/mm3 (40%). EBV in saliva was found in 26 out of 30 (87%) HIV patients and LMP1 was detected in 17 patients (65.38%). Conclusion: The high prevalence of EBV in saliva and the LMP1 gene may increase the risk of OHL. Early screening for EBV infection in patients with HIV/AIDS is important to reduce the risk of EBV-associated diseases.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • In Vitro Comparison of Three Dimensional Cone Beamed Dental Tomography
           with Intraoral Radiography in Detection of Dental Root Factures

    • Authors: Ebru Akleyin, Izzet Yavuz
      Abstract: The precise diagnosis of dental root fractures in clinical practice is quite difficult. The aim of this study is to compare the results of three dimensional cone beam computed tomography (CBCT) and conventional intraoral radiography images in the diagnosis of dental root fractures. 50 maxillar central teeth with healthy roots were shot in a single blow in laboratory environment for cracks were studied for 10 teeth and horizontal root fractures created for 40 teeth.  Parts of root fractures were sticked together by forming root fractures in five groups as crack, fracture without gap and fracture with 0,2 mm, 0,4 mm and 0,6 mm gaps. Images of all teeth were taken with CBCT and conventional intraoral radiography. Accurate diagnosis averages and positive predictive value test calculated through the data taken from the evaluation results of 30 dentists. Generally the results showed that images taken by the CBCT are better than images taken by the periapical radiography which obtained with traditional methods for the diagnosis of root fractures and cracks. The results also showed that the quality of the images increased as the voxel of the CBCT images decreased. It is shown that images taken by the CBCT provides better and clearer than the images taken by the traditional intraoral radiography in order to diagnose root fractures and cracks.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • Evaluation of microhardness and microleakage of class II silorane-based
           composite restorations after different photoactivation techniques

    • Authors: Hila Hajizadeh, Monavar Nasirzadeh, Saied Mostafa Moazzami, Fatemeh Namdar
      Abstract: Objectives: The purpose of this study was to evaluate effect of additional light curing on microhardness and microleakage at cervical third of class II silorane-based composite restorations. Methods: Class II cavities were prepared on the proximal surfaces of 20 human premolars. The specimens were randomly divided into two groups of 10. In both groups, class II cavities were restored incrementally (gingival, oblique buccal and oblique lingual) with silorane-based composite (Filtek P90) and cured (group1: occlusal curing; group 2: additional curing from buccal and lingual). The samples were immersed in 0.5% fuchsine and dye penetration was recorded at the four regions of the gingival floor. Also, Vickers hardness test was performed at a distance of 1 mm above the gingival margin. Data were statistically analyzed using ANOVA after the evaluation of normal data distribution with Kolmogorov–Smirnov test at the 0.05 level of significance. Results: The two photo activation methods significantly affected the hardness (p=0.005) and microleakage (p=0.045). Additional light curing increased Vickers hardness when compared to occlusal curing. Comparison of microleakage in different areas of the first group did not show any significant difference (p=0.240) but the differences were significant between the different areas of the second group (p=0.028). Additional light curing decreased dye penetration in the all depths. Only in the H3 and M3, curing technique showed a significant effect on the results. Conclusions: Additional light curing would cause in better hardness and less microleakage. Therefore it is suggested after initial occlusal curing.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • Effectiveness of 2% Black Tea (Camellia sinensis) Infusion in Increasing
           Salivary pH and Fluoride in Children

    • Authors: Lisa Prihastari, Prastiwi Setianingtyas, Audiawati Surachin, Nabilah Mumtaz Azkiya
      Abstract: Background: Black tea is the most commonly consumed tea in Indonesia. Black tea has antibacterial effects and it can inhibit the attachment of Streptococcus mutans to enamel. Objective: This study aimed to compare the effectiveness of 2% black tea infusion and 0.2% fluoride solution mouth rinses in increasing pH and salivary fluoride levels for one month in children aged 7-8 years. Methods: This study was experimental study with double-blind randomized controlled trial design. The subjects were 28 first grade students of a state elementary school derived through a simple random sampling technique. The salivary pH was measured with the help of a digital pH meter and the salivary fluoride level was measured using UV-VIS TECAN Infinite M200 Pro® Spectrophotometer. Results: The results of the Independent T-Test showed that there was no statistically significant difference between the group of students who washed their mouths using 2% black tea infusion and the students who used 0.2% fluoride solution mouthwash (p<0.05). Conclusions: Mouth rinsing with 2% black tea infusion had equal effectiveness with 0.2% fluoride solution in increasing pH and salivary fluoride levels.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • Avulsed anterior permanent tooth replaced by fixed functional interim
           prosthesis with natural tooth crown-A Case Report

    • Authors: Ananya Pal, Shankhanil Dev, Shabanam Zahir, Gauatm Kumar Kundu
      Abstract: The  incidence  of  trauma  to  the  anterior  teeth  is  a  common  occurrence  in  children.  From  the  very  moment  the  child  tries  to  walk  erect  independently,  the  susceptibility  of  the  child’s  anterior  teeth  getting  injured  begins.  Avulsion  (a  type  of  traumatic  injury)  is  the  complete  loss  of  the  tooth  from  its  socket. Various  treatment  modalities  are  available  to  treat  such  accidents.  The  tooth  can  be  replanted  back  or  replaced  by  a  prosthesis, it  depends  upon  the  extraoral  drytime  and  the  stage  of  development  of  root  of  the  avulsed  tooth.  The  present  case-report  describes  the  way  in  which  an  avulsed  permanent  maxillary  central  incisor  of  a  12  year  old  boy   was   replaced  aesthetically, and  satisfactorily  after  1  month  of  avulsion  by  means  of  a  biological  fixed  functional  prosthesis  ( a  modified   “Hollywood Bridge” )  where  the  crown  of  the  avulsed  tooth  was  used  as  a  pontic  and  stainless  steel  wires  and  bands  were  used  to  fix  the  prosthesis  in  the  mouth as  an  interim  treatment  option.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • Recurrent p16-Positive Human Papillomavirus (HPV) Associated Oral Lesions
           Treated with a Diode Laser: A Case Report

    • Authors: Margherita eleonora Pezzi, Pietro Passerini, Marco Frontera, Paolo Vescovi, Marco Meleti
      Abstract: Human papilloma virus (HPV) family include approximately 150 known subtypes of viruses that can infect humans and other animals. Among these, HPV-16 is known for its association with oral squamous cell carcinoma (OSCC), particularly within the oropharynx.HPV 16 genotype can be found in a variety of oral lesions, its presence being frequently observed in papillomas. Treatment of oral papillomas can sometimes be challenging as HPVs tend to shed to different oral sites, causing multifocal lesions. Moreover, HPV-related lesions tend to recur if incompletely removed.Several light-amplification by stimulated emission of radiation (laser) wavelenghts are currently used in dentistry as surgical tools both on soft and hard tissues. Among these diode laser is one of the most used. Advantages of laser surgery include, among others, good precision, optimal hemostasis, possible biostimulative and antibacterial effects and a reduced post-operative discomfort.Here we report the case of a 26-year old man with multiple, recurrent p-16 positive papillomatous lesions, which was successfully treated through diode laser (445 nm) surgery.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
  • Effectiveness of Topical Steroids in Treating Herpes-Associated Erythema
           Multiforme and Review of Topical Steroids

    • Authors: Kobkan Thongprasom, Sireerat Sooampon
      Abstract: A 50-year-old female presented at the Oral Medicine clinic at the Faculty of Dentistry, Chulalongkorn University, Bangkok with a chief complaint of severe pain in her oral cavity and lips for 1 week. She had no systemic diseases, except for vertigo, and was currently taking cetirizine hydrochloride. An oral examination revealed a hemorrhagic crust on her lips, scaly, large ulcerations on the upper labial mucosa, and multiple oral ulcerations on the right and left buccal mucosa. She had limited mouth opening and difficult in eating. She was treated with benzydamine hydrochloride mouthwash, triamcinolone acetonide 0.1% mouthwash, and fluocinolone acetonide 0.1% solution. The patient’s pain and severe oral lesions gradually reduced after treatment for one week. At the one month follow-up, all lesions had completely disappeared and the laboratory investigation report showed that she was Herpes simplex virus Ab IgG type I and Type II positive; therefore, the diagnosis in this case was Herpes associated erythema multiforme (HAEM). The aim of this case report is to show the effectiveness of various potent topical steroids in treating severe oral ulcerations without any side-effects. Potent topical steroids are recommended as an alternative treatment for severe oral ulcerations in HAEM patients.
      PubDate: 2019-08-31
      Issue No: Vol. 26 (2019)
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Heriot-Watt University
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