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Dental Journal (Majalah Kedokteran Gigi)
Number of Followers: 2

This is an Open Access Journal

Open Access journal
ISSN (Print) 1978-3728 - ISSN (Online) 2442-9740
Published by Universitas Airlangga

[54 journals]

Properties of nanocellulose and zirconia alumina on polymethylmethacrylate
dental composite
- Authors: Eva Febrina, Angela Evelyna, Andrie Harmaji, Bambang Sunendar
  Pages: 30 - 35
  Abstract: Background: Polymethylmethacrylate (PMMA) is one of the synthetic polymers generally used for temporary jacket crown restorations because of its good translucency, making its aesthetic value higher, but its mechanical properties, such as hardness and flexural strength are lower than composite resins. Hence, adding zirconia and cellulose filler is necessary to enhance its mechanical properties. Purpose: This is an experimental laboratory study to make nanocomposites with PMMA as a matrix with crystalline nanocellulose, zirconia, and alumina added as fillers. Methods: The crystalline nanocellulose filler was synthesized by acid hydrolysis. Zirconia and alumina were synthesized using the sol-gel technique and then characterized by transmission electron microscope and X-ray diffraction. The Micro Vickers hardness test and three-point bending tested mechanical properties. The analysis was carried out with a one-way analysis of variance, followed by a post hoc Tuckey’s test with a P < 0.05 taken as statistically significant. Results: The Micro Vickers hardness test showed the highest hardness in the group with a ratio of PMMA and zirconia-alumina filler of 50%: 2%: 48% (12.73 VHN). The results of the three-point bending test showed that the highest flexural strength was found in the control group (19.4 MPa). Conclusion: The addition of crystalline nanocellulose, zirconia, and alumina increase the hardness of the nanocomposite, while the flexural strength was lower than PMMA without filler addition.
  PubDate: 2023-01-04
  DOI: 10.20473/j.djmkg.v56.i1.p30-35
  Issue No: Vol. 56, No. 1 (2023)
Prevalence of dental anomalies in pediatric patients at Dental and Oral
Hospital of Universitas Muhammadiyah Yogyakarta
- Authors: Laelia Dwi Anggraini, Denna Idryareza Augustyana, Nurrofi Sekarjati
  Pages: 63 - 67
  Abstract: Background: A dental abnormality is a deviation from the normal shape and structure of the teeth due to interference during growth and development. Various kinds of abnormalities occur, such as anomalies in the size, shape, position, number, and structure of the teeth. These conditions cause problems in the arch length and occlusion of the maxilla and mandible. Purpose: This study aimed to describe the prevalence of developmental dental anomalies in pediatric patients at the Dental and Oral Hospital of Universitas Muhammadiyah Yogyakarta (UMY) and its networks (Qatrunnada Kindergarten, Budi Mulia Dua Taman Siswa Kindergarten, and Muhammadiyah Sapen Pusat Primary School). Methods: A descriptive observational study with a cross-sectional design was conducted. There were 10,714 pediatric patients included. Results: The prevalence of developmental dental anomalies in pediatric patients at Dental and Oral Hospital, UMY and its network was 0.30%. The prevalence of mesiodens, hypodontia, and fusion dental anomalies were 0.14%, 0.056%, and 0.028%, respectively. There was a 0.019% prevalence of microdontia, peg tooth, and amelogenesis imperfecta. The prevalence of taurodontia and gemination was 0.009%. Conclusion: Dental anomalies occurred more frequently in male pediatric patients, and mesiodens was the most prevalent.
  PubDate: 2023-01-02
  DOI: 10.20473/j.djmkg.v56.i1.p63-67
  Issue No: Vol. 56, No. 1 (2023)
A case study of informed consent in Indonesian Law Number 29, 2004
- Authors: Agung Sosiawan, Vera Rimbawani Sushanty, Dian Agustin Wahjuningrum, Fery Setiawan
  Pages: 1 - 6
  Abstract: Background: Informed consent is an agreement between the doctor/the provider of medical services and the patient/the recipient of medical services. This relationship between these parties has changed from a paternalistic to a contractual relationship due to technological shifts. Doctors are obliged to notify the patient of all the risks and benefits of a procedure while respecting their autonomy by not intervening the decision-making process. This article will look at three government and academic hospitals in Surabaya, as informed consent has to be practiced in all medical settings. Purpose: This study aims to review the role of informed consent according to Law Number 29, 2004. Review: This study aims to discuss the characteristics of informed consent under Law Number 29, 2004, because there are too few articles addressing this issue. It also explains the roles of the patient and the doctor/dentist in informed consent according to this piece of legislation. Conclusion: According to Article 184, informed consent provides vital evidence that can be used to hold doctors and dentists legally accountable because it contains information about standard operating procedures (SOPs) that medical professionals are legally required to follow. Guidelines for informed consent are given in Law Number 29, 2004, Article 45, paragraph 2.
  PubDate: 2022-12-14
  DOI: 10.20473/j.djmkg.v56.i1.p1-6
  Issue No: Vol. 56, No. 1 (2022)
Interdisciplinary management of Class III malocclusion with cleft lip and
palate
- Authors: Retno Iswati, Cendrawasih Andusyana Farmasyanti, Aulia Ayub, Anne Marie Kuijpers-Jagtman, Ananto Ali Alhasyimi
  Pages: 7 - 12
  Abstract: Background: A cleft lip and palate (CLP) is one of the most common birth defects of the face. Individuals with CLP often have a significant growth disturbance of the maxilla along three dimensions, resulting in skeletal Class III malocclusion and cross bite. Oral rehabilitation can be complicated. Purpose: The purpose of this case study was to highlight the necessity of sequential interdisciplinary management to improve facial esthetics and correct functional disturbances for a patient with CLP. Case: The patient was a 20-year-old woman complaining of the unpleasant appearance of her upper front teeth. She had a concave profile with Class III skeletal patterns (SNA: 78O; SNB: 82O; ANB: -4O), cleft lip and palate, and an anterior and posterior crossbite. Case Management: A combined orthodontic, endodontic, conservative, periodontic, and prosthetic approach was proposed to achieve normal occlusion, function, and a harmonious profile. The combination of rapid maxillary expansion and fixed orthodontics (standard edgewise appliance) established good general alignment and a Class I relationship. After 15 months of treatment, both the posterior and anterior crossbite had been completely corrected. In order to address the gingival margin differences, the patient was instructed to make another appointment with the periodontist and was referred to the restorative dentist for veneer restorations and the prosthodontist for fabrication of a removable retainer with obturator. Conclusion: This interdisciplinary approach greatly improved both esthetics and function. The patient was satisfied with the results achieved.
  PubDate: 2022-12-14
  DOI: 10.20473/j.djmkg.v56.i1.p7-12
  Issue No: Vol. 56, No. 1 (2022)
Creeping attachment post-gingival recession treatment using a vestibular
incision subperiosteal tunneling access technique combined with a
connective tissue graft
- Authors: Hapsari Kartika Prathivi, Rezmelia Sari
  Pages: 13 - 16
  Abstract: Background: The exposed roots of teeth due to gingival recession can generate dentin hypersensitivity and esthetic problems because a patient feels that the teeth, especially the anterior teeth, look long. Recession in thin anterior gingiva often brings unsatisfactory treatment results, so mucogingival surgery, such as vestibular incision subperiosteal tunneling access (VISTA) with the addition of a connective tissue graft (CTG), can be chosen as an appropriate treatment technique. Purpose: This case report describes the creeping attachment phenomenon after treatment of anterior gingival recession with VISTA and CTG techniques. Case: A 28-year-old female patient came with Miller Class I gingival recession in thin anterior gingiva and malposition teeth, complaining about pain and esthetic problems. Case management: The patient was treated with a VISTA technique combined with CTG. The creeping attachment phenomenon seen at three months postoperatively obtained good root coverage so that the patient’s complaints were resolved even though periodic control was needed to evaluate oral hygiene. Conclusion: VISTA and CTG techniques are appropriate for treating anterior mandibular gingival recession with minimal trauma and provide significant results.
  PubDate: 2022-12-14
  DOI: 10.20473/j.djmkg.v56.i1.p13-16
  Issue No: Vol. 56, No. 1 (2022)
Management of bimaxillary protrusion with missing molar using T-loop and
couple force
- Authors: Ida Bagus Narmada, Shali Wikynikta Purnomo, Putri Intan Sitasari, Nabilla Vidyazti Rishandari Prasetyo, Aldila Rahma
  Pages: 17 - 22
  Abstract: Background: Management of bimaxillary protrusion can be challenging and should be used with maximum anchorage to prevent loss of anchorage and improve the facial profile. In addition, a patient with a missing molar is often found in a dental clinic. Space closure can cause tipping movement rather than bodily, so couple force should be used. Purpose: This case report aims to manage the bimaxillary protrusion with a missing molar using a T-loop and a transpalatal arch (TPA) as maximum anchorage for correction of the facial profile and couple force to create bodily movement for the space closure of a missing first molar. Case: A 21-year-old female patient complained about her protruding teeth. An intraoral examination indicated Angle’s Class I malocclusion on the left molar relation, with the lower-right first molar missing, mild crowding maxilla and mandible, 6 mm of overjet and 5 mm of overbite, and midline shift at the maxilla and mandible. Case Management: The treatment plan was the extraction of teeth 14, 24, 34; alignment with pre-adjusted McLaughlin Bennett Trevisi (MBT) 0.022; retraction of the anterior segment with a T-loop, TPA, and close spacing of the missing first molar with couple force on the buccal and lingual side and tip back. Retention was done with removable retainers. At the end of the treatment, normal incisive inclination and closed space of the missing first molar were achieved, along with an improvement of the facial profile. Conclusion: Bimaxillary protrusion can be successfully treated by means of extraction of the premolar(s), space closure for correction of the profile with T-loop and TPA, and closing the space of the missing molar with couple force on the buccal and lingual sides and tip back.
  PubDate: 2022-12-14
  DOI: 10.20473/j.djmkg.v56.i1.p17-22
  Issue No: Vol. 56, No. 1 (2022)
Molecular docking study of Zingiber officinale Roscoe compounds as a mumps
virus nucleoprotein inhibitor
- Authors: Viol Dhea Kharisma, Santika Lusia Utami, Wahyu Choirur Rizky, Tim Godefridus Antonius Dings, Md Emdad Ullah, Vikash Jakhmola, Alexander Patera Nugraha
  Pages: 23 - 29
  Abstract: Background: Mumps virus (MuV) can trigger severe infections, such as parotitis, epididymo-orchitis, and meningitis. The effectiveness of MuV vaccine administration has been proven, but current outbreaks warrant the development of antivirals against MuV. Zingiber officinale var. Roscoe or ginger is often used as an alternative remedy. Currently, there are no known in vitro or in vivo studies that investigate ginger as an MuV antiviral. Purpose: This study aims to evaluate the antiviral potency of the bioactive compounds in Zingiber officinale var. Roscoe against MuV. Methods: Antiviral activity screening was conducted by druglikeness analysis, antiviral probability, molecular docking, and molecular dynamic simulation. Results: As an antiviral, 6-shogaol from Zingiber officinale var. Roscoe has potency against MuV. It has a good binding affinity and can establish interactions with the binding domain of the target protein by forming hydrogen, Van der Waals, and alkyl bonds. Conclusion: The complex of 6-shogaol_NP was predicted to be volatile but stable for triggering inhibitory activity. However, these results must be proved by in vivo and in vitro approaches to strengthen the scientific evidence.
  PubDate: 2022-12-14
  DOI: 10.20473/j.djmkg.v56.i1.p23-29
  Issue No: Vol. 56, No. 1 (2022)
Knowledge of orofacial pain in students of the Dental Professional Program
Faculty of Dental Medicine, Universitas Airlangga
- Authors: Desvia Nuzela Qurzani Hariyadi, Ari Hapsari Tri Wardani, Saka Winias, Fatma Yasmin Mahdani, Adiastuti Endah Parmadiati, Nurina Febriyanti Ayuningtyas, Meircurius Dwi Condro Surboyo
  Pages: 36 - 40
  Abstract: Background: Orofacial pain is associated with the hard and soft tissues of the head, face, and neck. Knowledge of orofacial pain helps in getting information on clinical symptoms, trigger factors, and risks of orofacial pain, as well as clinical and supportive examinations for identifying the pain. The dental professional students’ knowledge influences the ability to diagnose and decide on an appropriate treatment plan. This knowledge is seen from the intelligence level in obtaining information about orofacial pain. Purpose: To describe the level of knowledge of orofacial pain in the students of the Dental Professional Program, Faculty of Dental Medicine, Universitas Airlangga, based on intelligence level. Methods: This research was a descriptive study. Data was taken using a questionnaire on google form with a simple random sampling data technique and was analyzed using SPSS version 25. Results: The majority understand the general description of postherpetic neuralgia (PHN), as well as the risk factors and triggers (93.4% and 87.8%, respectively) associated with it. Further, 90.6% understand burning mouth syndrome (BMS) and the clinical symptoms of PHN. BMS based on clinical examination and support is understood by 96.1%, and 82.9% know how to manage trigeminal neuralgia (TN). Intelligence level is divided into three categories, namely source of knowledge (55.8% are from lectures, journals, and textbooks), material repetition (77.3% never repeated), and retention of material (65.2% no retention). Conclusion: Students’ knowledge of orofacial pain is good, but the relationship between the level of intelligence and knowledge is not yet known.
  PubDate: 2022-12-22
  DOI: 10.20473/j.djmkg.v56.i1.p36-40
  Issue No: Vol. 56, No. 1 (2022)
Chitosan’s effects on the acidity, copper ion release, deflection, and
surface roughness of copper-nickel-titanium archwire
- Authors: Ika Devi, Erliera Sufarnap, Finna, Eric Rionaldi P Pane
  Pages: 41 - 47
  Abstract: Background: Chitosan has an antimicrobial effect in oral hygiene control. Orthodontists sometimes prescribe mouthwash to adolescent patients. Copper-nickel-titanium (CuNiTi) orthodontic archwire is widely used in orthodontic treatment. Chitosan’s effects on the CuNiTi properties of orthodontic archwire are not generally known. Purpose: This study aimed to measure the acidity, copper ion release, deflection, and surface roughness of CuNiTi orthodontic archwire immersed in artificial saliva and 2% chitosan. Methods: This study comprised experimental laboratory research. Forty-two CuNiTi orthodontic archwires were divided into three groups. Group A consisted of 18 archwires immersed in artificial saliva, Group B consisted of 18 archwires immersed in 2% chitosan, and Group C was six archwires for the baseline sample. The two intervention groups (A and B) were divided into three subgroups of six samples and were subjected to different immersion times—i.e., two, four, and six weeks. Acidity, copper ion release, deflection, and surface roughness were measured using pH meters, atomic absorption spectrophotometry (AAS), a universal testing machine (UTM), and a scanning electron microscope (SEM). Results: The results showed that Group A was more alkaline than Group B, and it was significantly different only in Week 2. Group B’s copper ion release was significantly lower than Group A for all the time observations (p<0.05), and the deflection analysis showed no significant difference in any of the groups (p>0.05). Furthermore, the SEM images showed CuNiTi in Group A at Week-6 had the most porosities and defects. Conclusion: The chitosan produces buffer effects on the pH; it also exhibits lower copper ion release, no differences in unloading forces, and subjectively has better surface roughness.
  PubDate: 2022-12-22
  DOI: 10.20473/j.djmkg.v56.i1.p41-47
  Issue No: Vol. 56, No. 1 (2022)
Wound healing induces VEGF expression stimulated by forest honey in
palatoplasty Sprague Dawley
- Authors: Reine Zhafirah, Alifah Nur Aida, Helmi Hirawan, Tirta Wardana
  Pages: 48 - 52
  Abstract: Background: Cleft palate is a craniofacial disorder with definitive therapy using the V–Y pushback technique palatoplasty, which has the impact of leaving the bone exposed on the palate with long wound healing and a high risk of infection. Forest honey has high antioxidants and the ability to accelerate wound healing. Purpose: This study aims to determine the effect of forest honey on vascular endothelial growth factor (VEGF) expression to accelerate the wound healing process after palatoplasty biopsy. Methods: Posttest only control group design using Sprague Dawley palatoplasty was performed on 15 rats which were divided into three groups, namely the honey treatment (KP), Aloclair as a positive control (KPP), and aquadest as a negative control (KKN). As much as 25 mg of honey was given therapeutically, and VEGF expression analysis post-biopsy palatoplasty was measured using the ELISA test. ANOVA analysis was carried out to determine the significant differences between each treatment, and in silico analysis was conducted to determine the compounds’ role in honey on the mechanism of VEGF expression. Results: Statistical analysis of VEGF expression in the KP group was 41.10 ng/ml ± 0.26, the KKP was 39.57 ± 0.27, while the KKN was 33.26 ± 0.62 (p≤ 0.01). In silico study, genistein (C15H10O5) targets several signaling pathways such as PI3K-Akt, AMPK, and mTOR, affecting accelerated proliferation and angiogenesis. Conclusion: In wound healing acceleration, forest honey induced VEGF expression through the genistein mechanism of angiogenesis and cell proliferation.
  PubDate: 2022-12-26
  DOI: 10.20473/j.djmkg.v56.i1.p48-52
  Issue No: Vol. 56, No. 1 (2022)
Physical characterization and analysis of tissue inflammatory response of
the combination of hydroxyapatite gypsum puger and tapioca starch as a
scaffold material
- Authors: Amiyatun Naini, Dessy Rachmawati
  Pages: 53 - 57
  Abstract: Background: Cases of bone damage in the oral cavity are high, up to 70% of which consist of cases of fracture, tooth extraction, tumor, and mandibular resection. The high number of cases of bone damage will cause the need for bone graft material to increase. The bone graft material that we have developed is a combination of hydroxyapatite gypsum puger (HAGP) and tapioca starch (TS) scaffold. Purpose: This study analyzes the physical characterization and tissue inflammatory response of the combination of HAGP+TS as a scaffold for bone graft material. Methods: Eighteen Wistar rats were used. HAGP+TS were installed into the molar 1 socket for 7 and 14 days. First, HAGP was evaluated using XRF and SEM before setting up the in vivo experiment. A blood sample was drawn and then tested for TNF-α levels using ELISA. Results: The XRF revealed that the main constituents of hydroxyapatite were Ca and P. Next, SEM characterization on the HAGP+TS showed an average pore size of 112.42 µm2, which is beneficial for cell activity to grow as new bone tissue. In addition, TNF-α on days 7 and 14 on the HAGP+TS scaffold did not elicit an inflammatory response. Conclusion: The combination of HAGP+TS contains a high amount of Ca and also has excellent interconnectivity between pores. It also does not trigger an inflammatory response in the tissue; therefore, it is a good candidate as an alternative bone graft material.
  PubDate: 2022-12-27
  DOI: 10.20473/j.djmkg.v56.i1.p53-57
  Issue No: Vol. 56, No. 1 (2022)
Pain parameters for buffered and non-buffered anesthetic injections in
children undergoing dental procedures
- Authors: Theodora Erlin Puspitasari, Iwan Ahmad Musnamirwan, Kirana Lina Gunawan, Meirina Gartika
  Pages: 58 - 62
  Abstract: Background: Dental procedures, such as injections, usually cause pain and make children uncomfortable and uncooperative. One approach for reducing pain is the use of buffered anesthetics. Purpose: The research objective was to assess the pain parameters between buffered and non-buffered anesthetic injections, based on oxygen saturation, pulse rate, and the self-reporting of pain by the children. Methods: The research method was quasi-experimental, with purposive sampling of 19 children. Pain parameters, based on oxygen saturation and pulse rate, were measured using a pulse oximeter. The self-reporting of pain used the Wong–Baker FACES® pain rating scale. Statistical analysis used a t-test and Mann–Whitney test with P < 0.01 taken as statistically significant. Results: The results showed a significant difference in oxygen saturation before and after the injection of buffered and non-buffered anesthetics (P = 0.0002). Delivering the buffered anesthetics were reported to be less painful than non-buffered anesthetics. The oxygen saturation and pulse rate were inversely proportional to the self-reporting of pain in children. Statistical analysis showed no significant difference between oxygen saturation (P = 0.5) and pulse rate (P = 0.4886) in those receiving buffered and non-buffered anesthetics. However, there was a significant difference in the self-reporting of pain between the two groups (P = 0.00000262). Conclusion: Pain parameters could be measured physiologically and psychologically. This research concludes that physiologically, there was no difference in pain parameters, based on oxygen saturation and children’s pulse rate. Psychologically, there was a difference in the self-reporting of pain; 14 children reported that delivering the buffered anesthetic was painless.
  PubDate: 2022-12-28
  DOI: 10.20473/j.djmkg.v56.i1.p58-62
  Issue No: Vol. 56, No. 1 (2022)