Journal of Health and Dental Sciences

CUSTOMIZED PEEK TEMPORARY ABUTMENT FOR SINGLE MAXILLARY ANTERIOR IMPLANT

Chandra Andi Bawono — 2024-09-26

The use of dental Implants in Indonesia has increased significantly. Public knowledge and demand for dental implant treatments are growing. The public’s need to replace missing teeth with removable dentures or bridges gradually shifting towards dental implant. The aesthetic needs for dental implant, especially in the anterior region are highly desired by patients. However, this is often not achieved due to several factor, one of it was the non-optimal emergence profile of the implant supra structure. A deep understanding of the gingival tissues in relation to implants to achieve maximum esthetics is utmost importance. This case report presented the treatment with an implant using a PEEK temporary abutment as a custom healing abutment The use of customized temporary abutment as a healing abutment could provide an effective method to enhance esthetic and guide tissue response during the healing phase, so that the aesthetic could be achieved.

DOI : 10.54052/jhds.v4n2.p117-126

HISTOPATHOLOGICAL DESCRIPTION OF OCULAR VASCULAR IN ALLOXAN-INDUCED DIABETIC RATS FED FREEZE-DRIED SOYGHURT

Eka Noneng Nawangsih — 2024-09-26

Diabetes mellitus is a metabolic disease that can cause hyperglycemia (elevated blood sugar levels). Diabetes can cause various complications, one of which is microangiopathy, which is damage to the vascularization of the eye. Soyghurt is a probiotic drink high in isoflavones, has preventive benefits, and can be a supplement for patients with diabetes. This study aimed to determine the vascularization picture of the eye in alloxan-induced diabetic rats and given freeze-dried soyghurt. This study is a descriptive research using Posttest Only Control Group Design. The subjects of this study were white rats (Rattus norvegicus) Wistar strain, which were randomly separated into five groups, namely, three treatment groups and two control groups. Data were analyzed descriptively by describing eye vascularization assessment based on the formation of microaneurysms, hard exudates, cotton-wool spots, dot-blot & flame hemorrhages, and neovascularization. The data processing results showed that the treatment group given a combination of freeze-dried soyghurt and metformin had the highest reduction in sugar levels in diabetic rats, with an average difference of 221.5 mg/dl. The administration of alloxan at a dose of 125 mg/kg of body weight for one day did not change the histopathological picture of eye vascularization in diabetic rats. Further tests need to be conducted regarding the appropriate dose and duration of alloxan administration to see the histopathological picture of eye vascularization damage.

DOI : 10.54052/jhds.v4n2.p127-136

EFFECT OF Averrhoa bilimbi L. A NATURAL DENTAL BLEACHING ON THE ROUHNESS OF NANOHYBRID COMPOSITE

Asih Rahaju — 2024-09-26

Averrhoa bilimbi can be used as a natural tooth-bleaching ingredient because it can increase the brightness of tooth colour. In bleaching treatments, there are times when it is found that the patient's teeth have composite restorations. This study aims to determine the effect of Averrhoa bilimbi extract gel as a natural dental bleaching agent on the roughness of nanohybrid composites. The research method used 17 nanohybrid composite samples of 5 x 2 mm. Samples will be measured for surface roughness before treatment, and then samples will be applied with 50% Averrhoa bilimbi extract gel for 2 hours every day for up to 14 days and surface roughness test after treatment. The data were processed with t-test statistics; the statistical test results showed a p-value of 0.0001 (p<0.05), which means that the roughness value before and after 50% Averrhoa bilimbi extract gel treatment is a significant difference. It can be concluded that 50% of the Averrhoa bilimbi extract gel affects the roughness of nanohybrid composites. The average roughness value of the nanohybrid composite after 50% Averrhoa bilimbi extract gel treatment is 0.16 μm, which is still below the critical limit of roughness, so even though it is significant, 50% Averrhoa bilimbi extract gel can still be used safely as a natural tooth bleaching agent.

DOI : 10.54052/jhds.v4n2.p137-146

MORSICATIO BUCCARUM AND LABIORUM IN SEVERE ANXIETY PATIENT

Sutrania Dewi Sulaksana — 2024-09-26

Morsicatio buccarum and labiorum are conditions generally caused by chronic habitual cheek and lip biting. Objective findings present thick, shaggy, irregular white lesions on the buccal and labial mucosa. Morsicatio is frequently associated with psychological conditions. This case report aims to assess the depression, anxiety, and stress levels in a patient with morsicatio buccarum and labiorum. A 22-year-old male patient visited the Integrated Polyclinic of Universitas Jenderal Achmad Yani Dental Hospital to check his oral status. Clinical examination revealed incidental findings. Extraoral examination showed clicking on both temporomandibular joint (TMJ) and lip desquamation sides. Intraoral mucosa examination revealed white lesions in the form of unsweepable plaque, irregular, slightly elevated from surrounding tissue, and interspersed with erythematous erosion areas on the buccal and labial mucosa. A pigmented lesion was found on the anterior attached gingiva mucosa on both the upper and lower jaws. The patient admitted to chronic habitual cheek biting since childhood. The Depression, Anxiety, and Stress-21 (DASS-21) assessment showed anxiety reaching a severe level. A psychological approach is needed as part of the treatment planning in morsicatio cases.

DOI : 10.54052/jhds.v4n2.p147-156

THE POTENCY OF KATUK LEAVES AS AN ANTIOXIDANT IN ORTHODONTICS

Hillda Herawati — 2024-09-26

Katuk leaves (Sauropus androgynus L. Merr) are known for their antioxidant, anti-inflammatory, and antimicrobial properties. Orthodontic treatments often involve prolonged use of metal appliances, which can lead to oxidative stress and inflammation in the oral environment. Antioxidants are crucial in mitigating these effects, potentially improving the outcomes and comfort of orthodontic treatments. Katuk leaves, rich in antioxidants such as flavonoids, saponin, tannin, quinone, polyphenols, and vitamins, can slow down the formation of free radicals during the tooth movement process. This literature review explores the potential application of katuk leaves as a natural antioxidant in orthodontics, focusing on enhancing patient care by reducing oxidative stress and inflammation associated with orthodontic appliances. This study was conducted using a comprehensive literature review approach. Relevant keywords from articles were sourced from databases, including Google Scholar, PubMed, ResearchGate, Europe PMC, and Elsevier. Selection criteria included the year of publication, relevance to the topic, availability of abstract, full text, and alignment with the study's objectives. The review revealed evidence supporting the antioxidant effects of katuk leaves in reducing oxidative stress during tooth movement. However, there are still limitations regarding the utilization and processing of katuk leaves in clinical settings. Further research is necessary to develop standardized methods for applying katuk leaves in orthodontic treatment. Utilization of katuk leaves in orthodontic care shows the potential to enhance antioxidant levels, thereby reducing oxidative stress and improving treatment outcomes.

DOI : 10.54052/jhds.v4n2.p157-170

PERIPHERAL CEMENTO-OSSIFYING FIBROMA OF THE ANTERIOR MAXILLARY GINGIVA

Teja Koswara — 2024-09-26

Peripheral cemento-ossifying fibroma (PCOF) is a reactive gingival growth due to trauma or local chronic irritation. It occurs in about 2% of all intraoral lesions or about 9.6% of all gingival lesions. Clinical differential diagnoses of PCOF are Peripheral giant cell granuloma, pyogenic granuloma or epulis granulomatosa, irritation fibroma, and osteoid osteoma. This report describes a case of a 39-year-old female with sessile growth measuring 2x2x1 cm on the anterior maxillary gingiva at 11 and 21 region. Clinical diagnosis was epulis granulomatosa. An excisional biopsy was performed, and a histopathological diagnosis was made of peripheral cemento-ossifying fibroma. PCOF is more common in females in the second decade of life and is usually seen in the anterior Maxilla. Lesions are sessile or polypoid growth with normal overlying surface or reddish—generally less than 2 cm. Radiology examinations are usually within normal limits, but sometimes, there are foci of calcification seen within the lesion, superficial bone erosion, or loss of interdental bone with the treatment with excisional biopsy and curettage for periosteum and periodontal ligament tissue. Also, it is essential to eliminate some irritating factors to prevent recurrence. Recurrence rate is high, about 20% of cases. Clinical features of PCOF were similar to other more common gingival lesions such as epulis or fibroma. Histopathological examination was critical to make a definitive diagnosis.

DOI : 10.54052/jhds.v4n2.p171-180

The WINDOW IMPRESSION TECHNIQUE FOR FABRICATION OF FULL DENTURES IN PATIENT WITH FLABBY TISSUE

Irham Muhammad Adinugraha — 2024-09-26

Fabrication of completely edentulous patients with flabby tissue can lead to the difficulty to make the impression due to the differences in compressibility of the flabby tissue and the other soft tissue. The flabby tissue can be compressed due to the pressure especially while impression making and it can lead to inaccurate impression. Fabrication of full dentures with inaccurate impression will lead to failure in providing adaptation, retention, and stabilization to the denture. The objective of this paper is to use window impression technique for patient with flabby tissue ridge. Male patient came to RSGM FKG UNJANI with major concerns of completely edentulous ridge. Patient have bad experience with full dentures because of pain while usage of the dentures, especially in anterior maxilla and never use the denture. There is no history of medical or systemic condition and patient want to make a new denture. On intraoral examination, an area of flabby tissue was observed in the anterior maxilla ridge. The patient was then planned for a full denture fabrication with window impression technique for his anterior maxilla flabby tissue. Window impression technique was able to prevent pressure while impression making and providing a well-fitted denture

DOI : 10.54052/jhds.v4n2.p181-190

RELATIONSHIP BETWEEN THE SEVERITY OF LOWER THIRD MOLAR IMPACTION ON POST-ODONTECTOMY PAIN INTENSITY

Tichvy Tammama — 2024-09-26

The third molar is the last tooth to erupt, so it often experiences impaction with varying severity. Impacted teeth can cause various problems, so they need to be removed. Extraction of the third molar, namely odontectomy, sometimes causes postoperative complications; one of the most common is pain. The purpose of this study was to determine the relationship between the severity of impaction of the lower third molar and the intensity of pain after odontectomy. This study is an observational analytical study with a cross-sectional approach. The sampling method used was non-random, using the purposive sampling technique, for patients who came to the oral surgery clinic of Gunung Jati Regional Hospital, Cirebon, and had undergone odontectomy of the lower third molar. This study assessed the severity of impaction based on the Pedersen classification with the help of panoramic images into mild, moderate, and severe. The intensity of pain after odontectomy was measured using the NRS score into mild, moderate, and severe. The results showed that of the 37 patients who underwent odontectomy, the majority had moderate impaction severity in 24 patients (64.9%) and experienced moderate pain intensity post-odontectomy in 14 patients (37.8%). Spearman's correlation test showed a p-value of 0.530 (p> 0.05). there is no correlation between the severity of lower third molar impaction and postoperative pain intensity.

DOI : 10.54052/jhds.v4n2.p191-202

INCREASING KNOWLEDGE ABOUT DENTAL AND ORAL HEALTH AMONG POSYANDU CADRE IN CIBEUREUM HEALTH CENTER INDONESIA

Marlin Himawati — 2024-09-26

Posyandu cadres have an important role in promotional efforts, namely providing counseling to visitors to the Posyandu community. The purpose of the research is to evaluate the knowledge and skills of dental health cadres in conducting early detection of dental and oral diseases so they can refer and actively participate in improving dental and oral health. The training was carried out through the presentation of material to dental health cadres in the Cibeureum area. Some of the educational media used are educational power points via zoom meetings. In this study, quasi experiment pretest and posttest design were carried out, and the research data was analyzed using a non-parametric paired sample test. The study was conducted on 35 cadres of Posyandu in the Cibeureum area. There was a significant difference between the pre-and post-training scores, with a p-value of 0.002. The counselling and education program for Posyandu cadres in the Cibeureum area has proven to be effective in increasing cadre knowledge. It is hoped that from the program, cadres can actively participate in community dental health unit activities.

DOI : 10.54052/jhds.v4n2.p203-210

ABDUCENS NERVE PALSY AS THE FIRST MANIFESTATION OF NASOPHARYNGEAL MALIGNANCY

Handy Hernandy Yuliawan — 2024-09-26

Abducens Nerve Palsy is the most common ocular motor nerve palsy because the abducens nerve runs a long course from the brainstem to the lateral rectus muscle. Abducens Nerves palsy can result from several etiology; common etiologies of abducens palsy in adults include vascular disease, inflammation, tumours, and trauma. Therefore, early diagnosis is essential for some conditions that cause sixth nerve palsy. The purpose of this paper is to describe an isolated sixth nerve palsy as a first manifestation of Nasopharyngeal Malignancy. A 46-year-old female came to Cicendo Eye Hospital complaining of double vision from one month earlier, which would disappear if one eye was closed. The patient was diagnosed with Right Eye Abducens Nerve Palsy, which was suspected to be caused by ischemic then was asked to do an ischemic blood test and referred to an Internal Medicine Specialist. Three months after symptoms appeared, the patient returned to the clinic without any improvement and underwent a CT scan of the head with contrast and found an intracranial mass, suspected Nasopharyngeal Malignancy. Abducens nerve paralysis can be the first manifestation of a dangerous disease such as nasopharyngeal malignancy, so it takes awareness from every clinician when finding such cases.

DOI : 10.54052/jhds.v4n2.p211-222