Proceeding of Bali Dental Science and Exhibition
Proceeding of Bali Dental Science and Exhibition 2024 dengan tema “Returning Home, Transforming Towards Dentistry 4.0” yang diselenggarakan oleh Fakultas Kedokteran Gigi Universitas Mahasaraswati Denpasar, bekerjasama dengan Persatuan Dokter Gigi Indonesia (PDGI) Denpasar 2-3 November 2024 diterbitkan oleh Universitas Mahasaraswati. Penyelenggaraan seminar ini diharapkan dapat membentuk masa depan kedokteran gigi 4.0. Melalui Inovasi Teknologi yang akan sangat berkembang pesat, diharapkan dapat memberikan kualitas hidup dan kualitas kesehatan gigi dan mulut yang lebih baik kepada masa depan Indonesia. Bali Dental Science & Exhibition (BALIDENCE) diikuti oleh dokter gigi se Indonesia, terutama para akademisi yang diharapkan dapat melakukan pertukaran ilmu pengetahuan terkini pada bidang teknologi kedokteran gigi 4.0.
Combination of PVA Chitosan Collagen Membrane and Moringa oleifera Nano Gel for Oral Wound Healing (Literature review)
Pendahuluan: Tindakan pencabutan gigi dapat menimbulkan trauma pada soket yang akan memicu mekanisme penyembuhan. Luka merupakan kerusakan pada struktur dan fungsi anatomi normal yang disebabkan oleh proses patologis baik dari dalam maupun luar organ tertentu. Luka dapat menyebabkan kontaminasi bakteri, kematian sel, perdarahan, pembekuan darah, serta hilangnya sebagian atau seluruh fungsi organ. Kitosan dan daun kelor dalam bidang kesehatan digunakan sebagai agen antioksidan, antikanker, antibakteria, antifungi, antiperdarahan dan penyembuh luka. Tujuan: untuk memberikan penjelasan lebih mendalam mengenai kombinasi kitosan membrane kolagen PVA dan nano gel daun kelor untuk wound healing. Diskusi: efek sinergis PVA dan kitosan, yang dikenal memiliki sifat antimikroba,biokompatibel, dan biodegradable, dalam menciptakan balutan luka yang efektif. Penambahan kolagen meningkatkan stabilitas struktural dan bioaktivitas balutan luka, sementara nano gel Moringa oleifera memberikan manfaat antibakteri dan antiinflamasi, mempercepat re-epitelisasi, dan mengurangi infeksi luka. Kombinasi bahan-bahan ini dalam bentuk hidrogel menjaga lingkungan luka tetap lembab, yang penting untuk penyembuhan optimal. Penambahan Moringa oleifera menawarkan hasil penyembuhan luka yang lebih baik dibandingkan dengan balutan tradisional. Kesimpulan: Kombinasi membran kolagen kitosan/PVA dengan ekstrak nano gel daun kelor efektif dalam mempercepat proses penyembuhan luka. Penggunaan membran kolagen kitosan/PVA dapat menjaga lingkungan tetap lembab sehingga meningkatkan re epitelisasi serta penambahan ekstrak daun kelor berperan sebagai antibakteri dan antiinflamasi.
A Bioinformatic Analysis Revealed Novel Targets for Ameloblastoma: Potential Genes Expression and Targeted Signaling Pathway
Introduction: Ameloblastoma is a rare odontogenic neoplasm of the mandible and maxilla, aggressive local growth and high recurrence rate. It is important to identify various genes expressed causing deregulations and molecular alterations. This study aimed to investigate the potential genes involved in pathogenesis of Ameloblastoma and targeted therapy by in silico analysis. Literature review: Bioinformatic analysis were performed by identified genes expressed through GeneCards database and characterised via Gene Ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways. Protein-protein interactions (PPI) and hub genes were visualized using STRING-Cytoscape, followed by in silico analysis using MalaCards database to determine targeted therapy. The analysis showed a count of top 10 genes were commonly expressed in ameloblastoma: EGFR, MTOR, FGFR2, FGFR1, FGFR3, BRAF, MAP2K1, KRAS, TP53, MMP2. The genes play role to regulate cell differentiation, protein binding and cell development. PPI and hub genes showed significant interaction of FGFR2, BRAF, and KRAS through the MAPK (Mitogen-Activated Protein Kinase) signaling pathway. Trametinib and Dabrafenib administration were investigated as targeted therapy to prevent recurrence or malignant transformation of ameloblastoma. Discussion: Pathogensis of Ameloblastoma may stop by down-regulating mutated genes and blocking the enzymes needed for tumor cell growth as well. MAPK signaling pathway also targeted for ameloblastoma therapy. Trametinib and Dabrafenib are both antineoplastic and protein kinase inhibitor agent which cause apoptosis, inhibit cell proliferation or prevent the proliferation of neoplasms. Conclusion: FGFR2, BRAF, and KRAS play important role in pathogenesis of Ameloblastoma through MAPK signaling pathway. Trametinib and Dabrafenib were approved for drug candidate.
PREVALENSI PERSISTENSI MENURUT JENIS KELAMIN PADA KUNJUNGAN PASIEN UPTD PUSKESMAS SELEMADEG TIMUR 1 TABANAN PERIODE JANUARI-MARET 2024
Background: Community Health Center plays a crucial role in improving community health, particularly through dental and oral health services aimed at maintaining and enhancing oral hygiene. Early childhood health education, with parents playing a key role, is essential for ensuring children's well-being. Primary teeth guide the growth of permanent teeth, typically lasting from around age two until about seven years, and their premature loss can lead to malocclusion and aesthetic issues. Purpose: This study aims to determine the prevalence and distribution of tooth persistence in children aged 5-12 at East Selemadeg 1 Health Center by gender, age, and jaw region. It also seeks to identify the causes of primary tooth persistence, provide data for preventive measures, and enhance understanding of primary tooth care and its impact on permanent teeth health in children. Methods: This research uses a quantitative descriptive percentage. The population includes all patients visiting UPTD East Selemadeg 1 Health Center from January to March 2024. Data is collected and recorded from the dental clinic register. Results: Results showed that 21.7% experienced tooth persistence, with a higher prevalence in girls (58.5%) and most common at age 7 (24.6%). Persistence was more frequent in the anterior region (67.7%) than in the posterior (32.3%). Factors contributing to persistence include delayed resorption of primary tooth roots, abnormal positioning of permanent tooth buds, hormonal disorders, and nutritional deficiencies. Genetic factors like the RANKL/OPG gene also influence persistence. This study underscores the importance of monitoring dental transitions and implementing preventive measures to address tooth persistence in children. Conclusion: The study found a 21.7% prevalence of primary tooth persistence in children aged 5-12 years at East Selemadeg 1 Health Center, with higher rates in girls (58.5%) than boys (41.5%). Age, gender, and potential genetic and nutritional factors contribute to this issue, highlighting the need for improved preventive measures and monitoring.
Mesiodens – insiviv lateralis supernumerary teeth: a case report
Latar Belakang: Supernumerary adalah gigi tambahan yang tumbuh di samping gigi normal. Hal ini terjadi karena kelebihan benih gigi di rahang. Gigi supernumerary bisa memiliki bentuk yang normal atau abnormal. Pade fase gigi sulung, adanya gigi supernumerary memiliki kemungkinan 30-50% dapat terjadi. Gigi supernumerary dapat terjadi bersamaan di sisi kanan dan kiri rahang. Salah satu penyebab terjadinya supernumerary teeth adalah karena faktor genetik, lingkungan, dan trauma. Supernumerary teeth dapat menyebabkan malposisi gigi, gigi berjejal, dan impaksi gigi. Perawatan yang dapat dilakukan adalah ekstraksi diikuti perawatan ortodonsi. Laporan kasus ini membahas temuan yang terjadi pada pasien anak laki-laki dengan kondisi supernumerary teeth dan perawatannya. Laporan Kasus: Seorang anak laki-laki berusia 9 tahun datang bersama ibunya ke Poliklinik Gigi RSGM Saraswati Denpasar dengan keluhan tumbuh gigi yang lancip pada area depan kiri atas dengan kondisi gigi pasien yang diastema. Pada pemeriksaan obyektif ditemukan gigi 12 erupsi dengan bentuk yang lancip dengan posisi distolabioversi. Kesimpulan: Pencabutan gigi supernumerary dilakukan untuk membantu gigi permanen untuk dapat erupsi secara normal dan menghasilkan susunan gigi yang normal pula. Jika gigi supernumerary tidak segera ditangani, dapat menyebabkan diastema, pergeseran gigi, kegagalan erupsi, erupsi ektopik, dan kista folikuler.
MULTIPEL EKSTRAKSI GIGI 13, 14 dan 15 DENGAN TEKNIK OPEN METHODE Disertai ALVEOLOPLASTY MENGGUNAKAN ANASTESI LOKAL PADA PASIEN HIPERTENSI (LAPORAN KASUS)
ABSTRACT Introduction: Open method is a method of tooth extraction that is performed when the closed method cannot be performed. Open method extraction is often followed by alveoplasty with the aim of facilitating healing and increasing the success of prosthesis placement. The patient's history of systemic disease, one of which is hypertension, is important to note before surgery. Case: A 57-year-old female patient came to RSGM Saraswati Denpasar with a complaint that her upper right jaw tooth only had a root left and wanted to be extracted immediately and wanted to have a denture. Objective examination of the patient's physical condition is good, blood pressure 170/90 mmHg. Intra oral examination showed that there were remaining roots from teeth 14 and 15. Radiographic examination found the remaining roots from tooth 13 which were clinically invisible. Case Management: Case management with multiple extractions of teeth 13, 14 and 15 with local anesthesia accompanied by alveoloplasty and consultation with a general practitioner at the general polyclinic of RSGM Saraswati Denpasar. Conclusion: Minor surgical treatment in hypertensive patients can be done by considering the patient's medical history so it can ensure the right modification for safe tooth extraction.
Manajemen Osteomyelitis Kronis Rekuren pada Mandibula : Laporan Kasus
Latar belakang: Osteomielitis merupakan suatu kondisi infeksi bakteri yang melibatkan tulang rahang termasuk spongiosa, korteks, dan periosteum. Bakteri utama penyebab osteomielitis yaitu Staphylococcus aureus. Osteomielitis dapat terjadi karena komplikasi pasca ekstraksi gigi, infeksi bakteri, atau trauma tulang lainnya. Terdapat beberapa jenis tipe osteomielitis yang dibedakan berdasarkan prevalensi, gejala, etiologi dan progresivitas dari penyakitnya. Dalam kasus ini, terjadi suatu kondisi osteomielitis kronis akibat osteomielitis akut yang gagal mengalami penyembuhan dalam periode yang cukup lama, sehingga bakteri bertahan dengan memproduksi biofilm seperti matriks protein dan polisakarida untuk melindungi bakteri dari antibiotik dan sistem pertahanan tubuh monosit – makrofag. Infeksi pada tulang rahang membutuhkan manajemen yang tepat mulai dari diagnosis, pembedahan hingga terapi antibiotik. Deskripsi kasus: Seorang wanita berusia 57 tahun mengalami bengkak, sakit dan beraroma tidak sedap disertai keluar pus pada pipi kanan bawah. Sebelumnya, kejadian serupa terjadi 7 tahun yang lalu. Pasien melakukan pengobatan pada pengobatan alternatif di dekat rumahnya. Seminggu sebelumnya, pasien juga telah menerima perawatan pembedahan di rumah sakit, namun bengkak dan pus tetap muncul. Saat kunjungan di poli gigi bagian bedah mulut dilakukan pemeriksaan klinis, histopatologi dan CT scan, pasien didiagnosis osteomyelitis kronis pada rahang bawah. Manajemen terapi membutuhkan pendekatan multidisiplin, seperti bedah mulut, patologi anatomi, radiologis, anestesiologi, mikrobiologis. Pasca pembedahan sequestrectomy, pasien menerima terapi antibiotik sesuai kultur sensitivitas dan telah mengalami pemulihan penyembuhan yang progresif setelah dua minggu. Kesimpulan: Pendekatan multidisipliner yang melibatkan ahli bedah mulut, spesialis patologi anatomi, spesialis mikrobiologi, dan radiologis sangat diperlukan untuk penanganan yang efektif dari osteomyelitis pada mandibula. Diagnosis yang tepat, pembedahan dan pengobatan antibiotik tepat guna dibutuhkan untuk meningkatkan keberhasilan perawatan dan menurunkan rekurensi dari kasus osteomielitis pada rahang bawah.
I Komang Sutriadi Teguh Kelana Putra Nugraha
Prevalence and Correlates of Periodontitis Among Elderly Patients; a Retrospective Study in Tabanan Bali
Introduction: The dental and oral health conditions experienced by the elderly tend to be very poor and receive little attention, even though the dental and oral health of the elderly greatly affects general health and reduces the quality of life of the elderly. One of the dental and oral disorders that is often experienced by older people is periodontal disease, namely periodontitis. Based on data from the dental policlinic of Tabanan I Public Health Center, periodontitis is one of the 10 diseases with the highest prevalence of cases experienced by visiting patients. Methods: This retrospective analytical study was conducted from December 2023 to February 2024 at policlinic dental Puskesmas Tabanan I Tabanan, Bali, focusing on periodontitis management. Purposive sampling was used to select participants based on inclusion criteria including age, gender, and specific dental conditions (gangrene radix, pulp gangrene, abscess), while excluding patients under 45 years, those with systemic conditions, or incomplete medical records. Data analysis employed frequency distribution and chi-square tests (p < 0.05) using statistical software. Result: Most patients visiting the clinic were aged between 45 to 59 years, comprising 31 individuals (50.8%). The gender distribution showed a higher proportion of male patients, totaling 41 individuals (68.3%). Periodontitis emerged as the predominant issue, affecting 41 patients (67.2%) among the observed dental cases. Further analysis revealed significant correlations between age and gender with periodontitis incidence. Specifically, within the 45-74 age group, 42 out of 58 individuals (68.85%) were diagnosed with periodontitis, demonstrating a highly significant association (p < 0.001). Similarly, among the male patients studied, 29 out of 42 (47.54%) experienced periodontitis, indicating a statistically significant relationship (p = 0.003). Conclusion: Periodontitis emerged as the predominant issue among the observed dental cases. Significant correlations were found between age and gender with periodontitis incidence, particularly within the 45-74 age group and among male patients.
HUBUNGAN PANJANG BIBIR ATAS DENGAN TIPE SENYUM PADA SUKU BALI DI FKG UNIVERSITAS MAHASARASWATI DENPASAR
Pendahuluan: Estetika adalah keindahan dan daya tarik guna untuk meningkatkan harga diri pasien, dan membuat pasien merasa puas terhadap bagian penting dari tubuh mereka. Penilaian estetika tidak hanya pada wajah dan tubuh, tetapi juga senyum yang estetik. Senyum adalah bentuk dari ekspresi dan penampilan wajah. Terdapat banyak pembagian tipe senyum berdasarkan kategori tertentu. Beberapa faktor yang mempengaruhi tipe senyum agar terlihat indah salah satunya adalah panjang bibir atas. Tujuan: penelitian ini bertujuan untuk mengetahui ada atau tidaknya hubungan antara panjang bibir atas dengan tipe senyum pada suku Bali di FKG Universitas Mahasaraswati Denpasar. Metode: penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional menggunakan sampel sebanyak 52 subjek suku Bali yang berusia 19-24 tahun di FKG Universitas Mahasaraswati Denpasar. Sampel yang digunakan pada penelitian ini diambil dengan Teknik simple random sampling berdasarkan kriteria inklusi dan eksklusi. Pengumpulan data dilakukan dengan pengukuran langsung pada sampel menggunakan sliding caliper untuk mengukur panjang bibir atas serta dilakukan pengamatan langsung untuk mengetahui tipe senyum. Hasil: hasil penelitian ini menunjukkan adanya hubungan yang signifikan antara panjang bibir atas dengan tipe senyum pada suku Bali di FKG Universitas Mahasaraswati Denpasar dengan nilai 0,024 (p<0,05). Simpulan: adanya hubungan panjang bibir atas dengan tipe senyum menunjukkan bahwa semakin rendah ukuran panjang bibir atas maka semakin tinggi tipe senyum.
MENENTUKAN LOKASI SARANA PELAYANAN KESEHATAN YANG TEPAT BERDASARKAN ANALISIS GRAFITASI MEDAN
Access to health care facilities among the community tends to be described as an experience of inequality, because the location of health services is not appropriate. Access to health care facilities is an urgent concern and policy. Poor access to health care facilities remains a challenge. Determining the location of health services, which cannot be separated from the concept of regional administrative unity, must be done as well as possible so that it operates smoothly, operating costs are low and allows for expansion of services in the future. The aim of the research is to determine the location of appropriate and affordable health service facilities for all levels of society in Ban village, Kubu sub-district, Karangasem Regency - Bali. The research design used is research evaluation, using the Terrain Graph Analysis method. The research results show that the appropriate and strategic location of health service facilities is between Banjar Temakung and Banjar Darmaji. All activities will run effectively and efficiently if they meet the requirements of right quantity, right quality, right cost and on time. Health service coverage is broad and even and the location is easy to reach for people who need it. Providing materials in the right quantities when needed with the smallest total costs is a logistics activity for health service facilities.
PERBANDINGAN EFEKTIVITAS ANTIBAKTERI EKSTRAK KUNYIT (Curcuma domestica) DAN JAHE MERAH (Zingiber officinale var. rubrum) TERHADAP BAKTERI Streptococcus mutans PENYEBAB KARIES GIGI SECARA IN VITRO
Pendahuluan: Karies gigi disebabkan oleh biofilm atau plak gigi, Streptococcus mutans menjadi bakteri utama penyebabnya. Dalam kedokteran gigi, penggunaan obat kumur klorheksidine glukonat 0,2% merupakan gold standard zat antimikroba bagi rongga mulut. Klorhesidine glukonat 0,2% memiliki banyak efek samping dalam penggunaannya seperti mengakibatkan perubahan warna gigi, perubahan warna pada beberapa bahan restorasi, perubahan warna pada dorsum lidah, ulserasi mukosa mulut dan parasthesia. Rimpang kunyit (Curcuma domestica) dan jahe merah (Zingiber officinale var. rubrum) dari famili Zingiberaceae memiliki potensi sebagai bahan antibakteri berdasarkan kandungan senyawa aktifnya yang dapat dijadikan alternatif sebagai obat herbal. Penelitian ini bertujuan untuk mengevaluasi perbandingan efektivitas antibakteri ekstrak kunyit (Curcuma domestica) dan jahe merah (Zingiber officinale var. rubrum) terhadap Streptococcus mutans secara in vitro dengan konsentrasi 50%, 75%, dan 100%. Metode: Metode penelitian yang digunakan adalah eksperimental laboratorium secara in vitro dengan post test only control group dengan metode difusi untuk menentukan sensitivitas ekstrak kunyit (Curcuma domestica) dan jahe merah (Zingiber officinale var. rubrum) terhadap bakteri Streptococcus mutans dengan konsentrasi 50%, 75%, dan 100%. Hasil Penelitian: Hasil penelitian ini menunjukkan ekstrak rimpang kunyit (Curcuma domestica) dengan konsentrasi 50%, 75%, dan 100% memiliki rerata diameter zona hambat sebesar 11,45 mm, 12,68 mm, dan 16,75 mm, sedangkan ekstrak jahe merah (Zingiber officinale var. rubrum) memiliki rerata diameter zona hambat sebesar 9,95 mm, 12,03 mm, dan 14,95 mm. Kesimpulan: Berdasarkan hasil penelitian, ekstrak kunyit (Curcuma domestica) dan jahe merah (Zingiber officinale var. rubrum) dengan konsentrasi 50%, 75%, 100% mampu menghambat pertumbuhan bakteri Streptococcus mutans. Dalam penelitian ini, efektivitas yang paling baik dalam menghambat pertumbuhan Streptococcus mutans adalah ekstrak kunyit (Curcuma domestica) dengan konsentrasi 100%.
EFEKTIVITAS SALEP EKSTRAK GETAH POHON PISANG AMBON (Musa paradisiaca var. sapientum) TERHADAP PENINGKATAN JUMLAH SEL FIBROBLAS DALAM PENYEMBUHAN LUKA INSISI PADA TIKUS GALUR WISTAR (Rattus norvegicus)
Wound is a condition of disconnection of the anatomical structure of body tissues caused by injury or surgery. One treatment that is often used to heal wounds is synthetic drugs, but these drugs have various side effects so people choose traditional medicine as an alternative medicine to heal wounds. One type of plant that can be used as traditional medicine is ambon banana tree sap. Ambon banana tree sap contains active compounds that play an important role in stimulating fibroblast cell formation in the wound healing process. The purpose of this study was to determine the effectiveness of the ointment of banana tree sap extract on increasing the number of fibroblast cells in healing incision wounds in wistar strain rats. This study is an in vivo laboratory experimental study with a post test only control group design using 24 male wistar strain rats divided into four groups, namely the group given 60%, 70%, and 80% concentrations of ambon banana tree sap extract ointment, and the negative control group given adeps lanae and vaseline album. Wistar rats were decapitated on day 7, and the wound tissue was histologically prepared with Hematoxylin Eosin (HE) staining to determine the number of fibroblast cells. Data analysis was done with a one-way ANOVA test and continued with a Post Hoc LSD. The Post Hoc test found that there was a significant difference in the mean number of fibroblast cells between the 60% banana tree sap extract ointment group and the negative control group (adeps lanae and vaselin album), the 70% banana tree sap extract ointment group, and the 80% banana tree sap extract ointment group. This study concludes that the administration of banana tree sap extract ointment increases the number of fibroblast cells in the incision wound of wistar strain rats, with a concentration of 60% more effective in increasing the number of fibroblast cells compared to banana tree sap extract ointment concentrations of 70% and 80%.
BETLE L.) DAN KEMANGI (OCIMUM SANCTUM L.) TERHADAP PERTUMBUHAN KOLONI CANDIDA ALBICANS PADA PLAT RESIN AKRILIK HEAT CURED
Introduction: The surface of the acrylic resin plate attached to the mucosa, usually has a pit and micro-porosity that can be the place of accumulation of microorganisms. Long-term unclean use of dentures can lead to plaque buildup and increased growth of colonies of Candida albicans that cause denture stomatitis. To prevent denture stomatitis, namely by soaking dentures into a cleaning solution, but disinfectant materials that are expensive and only in certain places can be the reason patients do not clean their dentures with these materials, so substitutes or alternatives to traditional ingredients derived from plants such as betel leaves and basil are needed which can be used as antiseptics, antibacterial and antifungal without causing side effects. The purpose of this study was to determine the comparison of the effectiveness of betel leaf and basil infusion on the growth of Candida albicans colonies on acrylic resin denture plates. Methods: This type of research is experimental laboratory with post test only control group design method. Treatment group 1 used negative control with aquadest, treatment group 2 with positive control using polydent denture cleanser, treatment group 3 used green betel leaf infusion concentrated 50% and treatment group 4 used basil leaf infusion concentrated 50%. Each test group soaked 6 acrylic resin plates for 5 minutes. After 5 minutes, the calculation of the number of colonies was then analyzed using the mann-whitney test statistical test to compare the average difference between the two test groups. Result: The test results showed a difference in average rating between the number of Candida albicans colonies in the betel leaf infusion treatment group with a concentration of 50% with a basil leaf infusion concentration of 50%. Conclusion: The results showed that there was a significant difference where betel leaf infusion was more effective in inhibiting the growth of Candida albicans colonies on heat cured acrylic resin plates.
EFEKTIVITAS PENAMBAHAN ANTIBAKTERI NANO KITOSAN SISIK IKAN NILA (OREOCHROMIS NILOTICUS) DARI TAMBAK DANAU BATUR PADA SODIUM HIPOKLORIT 2,5% DAN 3,5% TERHADAP PERTUMBUHAN BAKTERI STAPHYLOCOCCUS AUREUS SEBAGAI BAHAN IRIGASI SALURAN AKAR
Latar belakang: Sodium hipoklorit merupakan bahan irigasi yang paling umum digunakan untuk perawatan saluran akar. Namun pada sodium hipoklorit masih dijumpai kelemahan, yakni bersifat toksik terhadap jaringan periapikal. Sehingga pada penelitian ini memanfaatkan antibakteri alternatif yang bersifat non toksik yaitu larutan nano kitosan sisik ikan nila (Oreochromis niloticus). Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas larutan nano kitosan sisik ikan nila (Oreochromis niloticus) 0,5% ditambah sodium hipoklorit 2,5% dan 3,5% sebagai bahan irigasi untuk menghambat pertumbuhan bakteri Staphylococcus aureus. Metodologi: Penelitian ini merupakan penelitian eksperimental laboratoris dengan rancangan penelitian Post-test Only Control Group Design dengan uji antibakteri Kirby Baurer pada larutan nano kitosan sisik ikan nila 0,5% ditambah sodium hipoklorit 2,5% dan 3,5% dengan kontrol positif yakni sodium hipoklorit 2,5% dan kontrol negatif yaitu larutan nano kitosan sisik ikan nila ditambah aquadest. Hasil penelitian: Hasil penelitian menunjukkan uji normalitas dengan Saphiro-Wilk berdistribusi normal karena diperoleh nilai p>0,05 untuk semua perlakuan dan uji homogenitas dengan Levene’s test bernilai homogen maka selanjutnya dilakukan uji statistik parametric dengan uji One Way Anova diperoleh nilai signifikansi adalah 0,000 yang artinya lebih kecil dari 0,05 sehingga rata – rata keempat kelompok tersebut berbeda secara signifikan. Daya hambat rerata nano kitosan sisik ikan nila 0,5% ditambah sodium hipoklorit 2,5% sebesar 23,83 mm dan nano kitosan sisik ikan nila 0,5% ditambah sodium hipoklorit 3,5% sebesar 27,5 mm. Kesimpulan: Dapat disimpulkan bahwa efektivitas yang lebih tinggi terdapat pada larutan nano kitosan 0,5% ditambah sodium hipoklorit 3,5%.
Uji Kekasaran Permukaan Dengan Metode SEM Pada Basis Nilon Termoplastik Setelah Dipoles Menggunakan Bubuk Cangkang Kerang Darah (Anadara granosa) Dan Bubuk Cangkang Kerang Bulu (Anadara antiquate)
Latar belakang: Salah satu tahapan penting dalam pembuatan gigi tiruan adalah tahap finishing dan polishing. Bahan abrasif digunakan untuk finishing dan pemolesan. Pumice adalah bahan abrasif yang umum digunakan. Cangkang kerang darah (Anadara granosa) dan kerang bulu kuda (Anadara antiquata) juga berpotensi sebagai agen pemoles karena kandungan kalsium karbonatnya yang tinggi. Tujuan: Untuk membandingkan tingkat kekasaran permukaan pelat nilon termoplastik setelah dipoles dengan serbuk kerang darah dan kerang bulu dengan ukuran partikel 38 µm, menggunakan Profilometer dan SEM. Metode: Rancangan penelitian yang digunakan adalah Post Test Only Group Design, melibatkan total 24 sampel yang dibagi menjadi 4 kelompok: Kelompok KN tanpa poles, Kelompok KP poles batu apung, Kelompok P1 poles serbuk cangkang kerang darah 38 µm, dan kelompok P2 poles dengan bubuk cangkang kerang bulu 38 µm. Pengukuran kekasaran permukaan dan morfologi dilakukan menggunakan profilometer dan SEM. Hasil: Rata-rata nilai kekasaran permukaan untuk kelompok KN, KP, P1, dan P2 berturut-turut adalah 1,442±0,086 µm, 0,361±0,038 µm, 0,267±0,040 µm, dan 0,287±0,039 µm. Uji One Way ANOVA menunjukkan p<0,05, berarti ada perbedaan yang signifikan. Uji LSD menunjukkan perbedaan yang signifikan antar kelompok, dengan kelompok P1 dan P2 menunjukkan P>0,05, menunjukkan tidak ada perbedaan ya menghasilkan permukaan yang lebih halus dibandingkan dengan serbuk cangkang kerang bulu 38 µm dan pumice.
EFEKTIVITAS EKSTRAK BUNGA ROSELLA (HIBISCUS SABDARIFFA L.) TERHADAP JUMLAH BAKTERI STREPTOCOCCUS MUTANS PADA BASIS GIGI TIRUAN RESIN AKRILIK POLIMERISASI PANAS
Introduction: Long-term use of dentures without proper cleaning can lead to significant problems, including plaque accumulation and the proliferation of Streptococcus mutans bacteria. The design of denture skeletons can also contribute to bacterial growth and plaque formation, increasing the risk of caries in remaining natural teeth. Rosella flower (Hibiscus sabdariffa L.) is known for its antibacterial properties due to its constituents like tannin, anthocyanin, and saponins. Purpose: This purpose of this study to evaluate the effectiveness of rosella flower extract at concentrations of 30%, 40%, and 50% against Streptococcus mutans bacteria on heat immersed polymerized acrylic resin plates over a 6-hour period. Methods: The study employed an experimental laboratory design with a post-test only control group. It was repeated five times, with four treatment groups: 30%, 40%, and 50% concentrations of rosella flower extract, along with a control group. Data analysis utilized the Least Significant Difference (LSD) test to identify the most effective concentration in reducing Streptococcus mutans bacteria on heat-polymerized acrylic resin plates. Results: Statistical analysis revealed significant differences (p<0.05) among the treatment groups. The concentration of rosella flower extract had a clear impact on the reduction of Streptococcus mutans bacteria after treatment. Specifically, the 50% concentration demonstrated the highest efficacy in inhibiting bacterial growth on heat-polymerized acrylic resin plates. Conclusion: Rosella flower extract, particularly at a concentration of 50%, effectively reduced Streptococcus mutans bacteria on heat-polymerized acrylic resin plates over a 6-hour period. This suggests its potential as a natural antibacterial agent in dental care, particularly in managing bacterial growth associated with denture use.
HUBUNGAN TINGKAT PENGETAHUAN DENGAN PENERAPAN KESELAMATAN DAN KESEHATAN KERJA PADA MAHASISWA KEPANITERAAN DI RUMAH SAKIT GIGI DAN MULUT SARASWATI DENPASAR
Pendahuluan: Keselamatan kerja merupakan suatu program yang bertujuan untuk mencegah kemungkinan timbulnya kecelakaan dan penyakit akibat kerja. Pekerjaan di bidang kesehatan, termasuk dokter gigi dan mahasiswa kepaniteraan, memiliki risiko tinggi terpapar penyakit dan kecelakaan kerja. Penelitian ini bertujuan untuk mengevaluasi hubungan antara tingkat pengetahuan dengan penerapan keselamatan dan kesehatan kerja (K3) pada mahasiswa kepaniteraan di Rumah Sakit Gigi dan Mulut Saraswati Denpasar. Metode: Metode penelitian korelasional digunakan dengan pengumpulan data melalui kuesioner. Subyek penelitian ditentukan dengan menggunakan rumus slovin dan metode purposive sampling yaitu para mahasiswa kepaniteraan di Rumah Sakit Gigi dan Mulut Saraswati Denpasar yang aktif dalam menangani pasien, berjumlah 76 mahasiswa. Data dianalisis dengan menggunakan uji spearman rank. Hasil Penelitian: Hasil penelitian ini menunjukkan sebanyak 76,6% dari 55 responden mahasiswa kepaniteraan memiliki pengetahuan yang baik tentang keselamatan dan kesehatan kerja, dan sebanyak 72,3% responden memiliki penerapan yang baik terhadap keselamatan dan kesehatan kerja. Kesimpulan: Berdasarkan hasil penelitian, didapatkan adanya hubungan positif antara tingkat pengetahuan dan penerapan keselamatan dan kesehatan kerja (P<0,05). Semakin baik pengetahuan yang dimiliki oleh mahasiswa kepaniteraan, semakin baik pula penerapan keselamatan dan kesehatan kerja yang dilakukan.
Gambaran Tingkat Pengetahuan Tentang Stomatitis Aftosa Rekuren (SAR) Pada Siswa SMAN 1 Gianyar
Latar Belakang: Kesehatan rongga mulut akan berpengaruh terhadap kesehatan tubuh secara keseluruhan, karena mulut merupakan gerbang dari masuknya nutrisi melalui makanan dan minuman sebagai sumber energi untuk melakukan aktivitas. Salah satu yang paling sering ditemukan pada rongga mulut adalah lesi ulserasi, yaitu diantaranya stomatitis aftosa rekuren (SAR). Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan mengenai stomatitis aftosa rekuren (SAR) pada siswa SMAN 1 Gianyar. Metodologi: Metode yang digunakan pada penelitian ini adalah kuantitatif observational analitik dengan pendekatan cross sectional study. Penelitian ini dilakukan di SMAN 1 Gianyar dengan responden sebanyak 230 orang. Teknik pengambilan sampling menggunakan simple random sampling. Instrumen penelitian yang diguankan adalah kuesioner yang memuat pertanyaan terkait variable penelitian. Analisis data pada penelitian ini akan disajikan dalam bentuk tabel distribusi frekuensi dan persentase. Data penelitian diolah secara komputerisasi menggunakan analisis univariate yang dilakukan untuk mengetahui tingkat pengetahuan mengenai stomatitis aftosa rekuren (SAR) pada siswa kelas 10 dan 11 di SMAN 1 Gianyar. Hasil Penelitian: Hasil dari penelitian ini yaitu sebanyak 53,5% responden memiliki tingkat pengetahuan dengan kategori sangat baik, 46,1% responden dengan kategori baik, dan 4% responden dengan kategori cukup. Kesimpulan: Dari hasil penelitian ini dapat disimpulkan bahwa pengetahuan siswa SMAN 1 Gianyar mengenai SAR sudah tergolong baik.
PERBANDINGAN INSIDEN TINGKAT KEPARAHAN KARIES GIGI PADA PASIEN ANAK DAN DEWASA DI PUSKESMAS TABANAN I
Pendahuluan: Kesehatan gigi dan mulut merupakan bagian terpenting dalam kehidupan manusia, kesehatan gigi penting untuk menjamin status gizi yang baik, selain itu mempermudah dalam berbicara dan membuat penampilan lebih menarik. 60-90% anak- anak sekolah dan hampir 100% orang dewasa memiliki karies yang sering menimbulkan rasa sakit dan keparahannya yang bervariasi. Hal ini mendorong penulis untuk meneliti perbandingan insiden tingkat keparahan karies gigi yang terjadi pada Anak dan Dewasa dari Bulan Januari-Maret 2024 di Poli Gigi Puskesmas Tabanan I. Metode: Jenis penelitian yang digunakan yaitu kuantitatif dengan desain penelitian deskriptif retrospektif. Sampel penelitian ditentukan dengan Consecutive sampling pada pasien anak dengan usia 5-11 tahun dan dewasa dengan usia 26-45 tahun yang mengalami karies di Poli Gigi Puskesmas Tabanan I. Hasil: Hasil dari penelitian ini yaitu kunjungan pasien karies tertinggi didapatkan pada bulan Januari 2024 sebanyak 82 pasien (44%), Februari sebanyak 52 pasien (28%) dan Maret sebanyak 52 pasien (28%). Kelompok karies berdasarkan usia tertinggi terjadi pada dewasa sebanyak 74 pasien (88%) sedangkan pada anak sebanyak 10 pasien (12%). Kesimpulan: Pengaruh usia terhadap status karies gigi dapat disebabkan oleh karena penurunan produksi saliva yang berpotensi untuk terjadinya karies gigi, saliva diproduksi secara berkala tergantung pada usia, jenis kelamin, makanan saat itu, kondisi biologis, penyakit tertentu dan akibat obat-obatan. Selain usia, karies dapat dipengaruhi oleh berbagai faktor lainnya, seperti sosial ekonomi, jenis kelamin, tingkat pengetahuan dan perilaku seseorang.
Efektivitas Petunjuk Teknis Pelayanan Kesehatan Gigi dan Mulut Tahun 2021 terhadap Perilaku Pencegahan dan Pengendalian Infeksi COVID-19 Tenaga Kesehatan Gigi dan Mulut di Puskesmas Kota Denpasar
Pendahuluan: Penyebaran penyakit COVID-19 dapat bertransmisi melalui udara, kontak langsung dan kontak tidak langsung. Dokter gigi dan tenaga kesehatan gigi lainnya berisiko terpapar virus COVID-19 karena tindakan medis yang dilakukan berhubungan langsung dengan saliva dan darah dari pasien, serta menghasilkan aerosol dan droplet yang dapat terkontaminasi virus SARS-CoV-2. Pandemi COVID-19 menyebabkan adanya perubahan pada sistem pelayanan kesehatan gigi dan mulut. Salah satu langkah perubahan ini dilakukan oleh Kementerian Kesehatan Republik Indonesia menerbitkan pedoman dalam bentuk Buku Petunjuk Teknis Pelayanan Kesehatan Gigi dan Mulut di Fasilitas Kesehatan Tingkat Pertama pada Masa Adaptasi Kebiasaan Baru yangditerbitkan pada tahun 2021. Tujuan penelitian ini adalah untuk mengetahui efektivitas penerapan petunjuk teknis pelayanan kesehatan gigi dan mulut tahun 2021 terhadap perilaku pencegahan dan pengendalian infeksi COVID-19 tenaga kesehatan gigi dan mulut di Puskesmas Kota Denpasar. Metode: Penelitian ini merupakan penelitian observasional komparasi. Subjek penelitian merupakan 63 dokter gigi dan perawat gigi puskesmas Kota Denpasar. Hasil: Hasil analisis uji-t berpasangan dilakukan untuk melihat perbedaan perilaku pencegahan dan pengendalian infeksi sebelum dan sesudah diterapkannya petunjuk teknis pelayanan kesehatan gigi dan mulut tahun 2021 dilihat dari hasil uji diperoleh nilai sig = 0,001 (p<0,005) yang menunjukkan penerapan petunjuk teknis berpengaruh pada perilaku pencegahan dan pengendalian infeksi COVID-19 oleh dokter gigi dan perawat gigi. Simpulan: Dapat disimpulkan bahwa dari penerapan petunjuk teknis pelayanan kesehatan gigi dan mulut tahun 2021 efektif dalam merubah perilaku pencegahan dan pengendalian infeksi COVID-19 oleh tenaga kesehatan gigi dan mulut di puskesmas Kota Denpasar dan perubahan perilaku dapat dilihat dari cara penatalaksanaan pasien dengan kemungkinan infeksi silang semakin minimal, penggunaan APD yang semakin lengkap hingga level 3, dan peningkatan frekuensi mencuci tangan.
EFEKTIVITAS EKSTRAK KULIT PISANG KEPOK (MUSA ACUMINATA BALBISIANA COLLA) TERHADAP DISKOLORASI GIGI (IN-VITRO)
Pendahuluan: Dental bleaching merupakan pilihan perawatan sederhana pada diskolorasi gigi. Penggunaan bahan kimia sebagai perawatan bleaching memiliki efek samping sehingga diperlukan bahan alami yang aman untuk kesehatan gigi dan mulut, salah satunya ekstrak kulit pisang kepok (Musa acuminata balbisiana Colla). Penelitian ini dilakukan untuk menilai efektivitas ekstrak kulit pisang kepok 100% dan 50% sebagai bahan bleaching setelah diskolorasi kopi (in-vitro). Metode: Jenis penelitian yang digunakan adalah pretest-posttest group design. Sampel berupa gigi insisivus permanen rahang bawah sejumlah 27 sampel dibagi menjadi tiga kelompok eksperimental yaitu kelompok yang direndam dalam ekstrak kulit pisang kepok 100%, 50%, dan saliva buatan. Pengukuran dilakukan secara objektif dengan spektrofotometer. Hasil: Seluruh sampel mengalami penurunan nilai dE*ab pada ketiga kelompok perlakuan setelah pengukuran dengan spektrofotometer. Hal ini berarti bahwa setiap kelompok mampu memutihkan warna gigi yang telah mengalami diskolorasi. Terdapat perbedaan yang bermakna dan tingkat efektivitas tertinggi dimiliki oleh ekstrak kulit pisang kepok 100%. Simpulan: Berdasarkan hasil penelitian dapat disimpulkan bahwa ekstrak kulit pisang kepok 100% dan 50% efektif serta memiliki perbedaan efektivitas yang signifikan sebagai bahan bleaching.
Efektivitas Perendaman Bahan Bleaching Karbamid Peroksida 10% dan Minyak Kelapa Murni (Virgin coconut oil) 100% Terhadap Perubahan Warna Gigi Setelah Diskolorasi Kopi Robusta
Pendahuluan : Diskolorasi merupakan salah satu masalah estetika yang sering dikeluhkan karena berdampak pada kepercayaan diri seseorang, daya tarik, dan berpengaruh dalam pekerjaan seseorang. Bleaching merupakan suatu prosedur perawatan gigi secara kimiawi pada gigi yang mengalami perubahan warna dengan menggunakan bahan oksidator atau reduktor dan bertujuan untuk mengembalikan estetik gigi. Penggunaan bahan pemutih gigi yang mengandung bahan kimia dapat menimbulkan beberapa efek samping sehingga diperlukan alternatif yang lebih aman yaitu minyak kelapa murni (Virgin coconut oil) 100%. Metodelogi Penelitian : Jenis penelitian yang digunakan adalah pretest-posttest group design. Jumlah total sampel pada penelitian ini sebanyak 27 sampel berupa gigi premolar permanen rahang atas yang dibagi menjadi tiga kelompok eksperimental diantaranya kelompok yang direndam dengan minyak kelapa murni (Virgin coconut oil) 100%, gel karbamid peroksida 10% dan saliva buatan. Pengukuran dilakukan menggunakan alat spektrofotometer. Data dalam penelitian ini berdistribusi normal dan homogen. Uji analisis berpasangan pretest-posttest menggunakan uji Paired T-Test menunjukkan bahwa terdapat perbedaan rata-rata dari kelompok sebelum dan setelah berbeda secara signifikan. Hasil: Uji statistik parametrik dengan Oneway Anova menunjukkan terdapat perbedaan yang bermakna pada masing masing kelompok setelah perlakuan. Gel karbamid peroksida 10% memiliki tingkat efektivitas paling tinggi dilihat dari nilai mean difference uji Post Hoc LSD. Simpulan : Berdasarkan hasil penelitian dapat disimpulkan bahwa minyak kelapa murni (Virgin coconut oil) 100% efektif sebagai bahan pemutih gigi, namun tidak lebih efektif jika dibandingkan dengan gel karbamid peroksida 10%.
Ni Luh Putu Sindy Mikela Puteri Sutrisna Mudera
PREVALENSI GINGIVITIS DI POLI GIGI UPTD PUSKESMAS MARGA I TABANAN BULAN DESEMBER TAHUN 2023 - FEBRUARI TAHUN 2024
Kesehatan gigi dan mulut adalah indikator utama kesehatan secara keseluruhan, kesejahteraan, dan kualitas hidup. Kesehatan gigi dan mulut merupakan keadaan rongga mulut, termasuk gigi geligi dan struktur jaringan pendukungnya terbebas dari rasa sakit dan penyakit seperti kanker mulut dan tenggorokan, infeksi luka mulut, penyakit periodontal (gusi), kerusakan gigi, kehilangan gigi, serta penyakit dan gangguan lain yang membatasi kapasitas individu dalam menggigit, mengunyah, tersenyum, dan berbicara. Penelitian dilakukan dengan pengumpulan dan pencatatan data pada bagian poliklinik gigi Puskesmas Marga I, Tabanan yang, menyatakan adanya dilakukan pemeriksaan dan perawatan gingivitis tiap bulannya. Analisa data dalam penelitian ini menggunakan analisis deskriptif pada data sekunder. Jumlah pasien Gingivitis yang di tangani di poli gigi dan mulut UPTD Puskesmas Marga I Tabanan dengan populasi Desember 2023 hingga Februari 2024 sebanyak 587 kasus, Persentase kasus Gingivitis dari bulan Desember 2023 hingga Februari 2024 sebesar 17,37%. Tujuan utama dalam perawatan gingivitis adalah untuk mengurangi inflamasi pada gingiva.Hal ini di dapat dengan penggunaan instrumentasi yang berbeda untuk menghilangkan deposit plak gigi. Gingivitis, pada tahap inisial, dapat dengan mudah diatasi jika pasien memulai protokol oral hygiene, yang mana mencakup menggosok gigi teratur dengan teknik yang benar dan interproksimal hygiene seperti menggunakan dental floss.
PEMBERIAN VITAMIN D MENYEBABKAN JUMLAH SEL NEUTROFIL LEBIH RENDAH DIBANDING KONTROL PADA TIKUS WISTAR YANG DIINDUKSI PERIODONTITIS.
Introduction: Periodontitis is a chronic inflammation caused by infection with microorganisms, resulting in progressive damage to the supporting tissues of the tooth. Neutrophil cells play an important role during the inflammatory phase of the wound healing process where the antimicrobial activity of neutrophils is very effective and allows these cells to perform their main function to prevent wounds from becoming infected. Vitamin D can reduce susceptibility to gingival inflammation through its anti-inflammatory effects. The purpose of this study was to determine the effectiveness of vitamin D administration on neutrophil cell count in wistar rats that had periodontitis Methods: Experimental research method of randomized post test only control group design with male wistar as many as 27 white rats randomized by samples into three groups, i.e. control group I (K0) of healthy mice given vitamin D 2000 IU observed day 7 (K07), day 14 (K014) and day 28 (K028); control group II (K1) of periodontitis-induced wistar rats without supplementary administration observed on day 7 (K17), day 14 (K114) and day 28 (K128); the treatment group (P1) of wistar rats induced periodontitis then the administration of vitamin D 2000 IU was observed on day 7 (P17), day 14 (P114) and day 28 (P128). Result: The results of this study, the number of netrophil cells also obtained results, namely the average day 14 of the number of neutrophil cells showed that the value of F = 22.69 and the value of p = 0.004. Conclusion: The conclusion on the results of the study that vitamin D has an effect in reducing the number of neutrophil cells in wistar rats that have periodontitis.
EFFECTIVENESS OF TOMATO JUICE (Lycopersicum esculentum Mill.) AT 50% AND 100% CONCENTRATIONS IN WHITENING COLOR CHANGES IN NANOHYBRID COMPOSITE RESIN
Background: Nanohybrid composite resin is a filling material that has high aesthetic value, but easily experiences color change or discoloration. Treatment that can be used for cases of discoloration is bleaching. Bleaching can be done with natural ingredients, including fresh tomato juice (Lycopersicum esculentum Mill.). Purpose: This study aims to compare the effectiveness of 50% and 100% concentration of fresh tomato juice in whitening nanohybrid composite resin that has experienced discoloration. Methods: The type of research used is pretest-posttest group design. The total number of samples in this study was 27 samples in the form of nanohybrid composite resin which were divided into three experimental groups, namely the group soaked in 50%, 100% concentration of tomato juice and sterile distilled water. Measurement using a spectrophotometer. Results: Parametric statistical tests with Oneway Anova showed that there were significant differences in each treatment group after treatment. The highest level of effectiveness was possessed by 100% concentration of fresh tomato juice seen from the mean difference value of the Post Hoc LSD test. Conclusion: Based on the research results, it can be concluded that 50% and 100% concentration of fresh tomato juice is effective in whitening nanohybrid composite resin and 100% concentration of fresh tomato juice is more effective in whitening nanohybrid composite resin.
CORRELATION OF INCISOR INCLINATION ANGLE TO FACIAL SOFT TISSUE BALINES FEMALES BY HOLDAWAY METHOD
Background: Facial aesthetics can be defined as harmony and balance between facial proportions that formed by skeletal, dental and soft tissue structures. The position of the incisor is an important factor. The facial soft tissue profile also affects the pantient’s facial aesthetics because in seeing someone’s face, the first thing to note is the soft tissue on the face that wraps the head bone. Purpose: The purpose of this study was to determine whether there was a correlation of incisor inclination angle to facial soft tissue convection in Bali women by the Holdaway method. Methods: This type of research is observational analytic with cross sectional approach. The researcher used sample of 31cephalometric photos of Bali women tracing. Samples were taken by purposive sampling, that is samples were chosen based on the specified criteria. Results: Pearson correlation analysis showed that the correlation of upper incisor inclination, lower incisor inclination angel and interinsisal angle to facial soft tissue convention (H angle) was significant. The relationship of the interinsisal angle to H angle is significant in the positive direction. This shows that the greater the interincisal angle, the greater the distance between the upper and lower lips to the aesthetic line. Conclusion: Based on this study, it can be concluded that there is a correlation of upper incisor inclination, lower incisor inclination and interinsisal angle to facial soft tissue convection in Bali women by the Holdaway method.
Hubungan Konveksitas Jaringan Keras Wajah Dengan Profil Jaringan Lunak Pasien Rumah Sakit Gigi Dan Mulut Saraswati Denpasar Tahun 2019-2021
Latar Belakang: Salah satu tujuan dari perawatan ortodonti adalah untuk memperbaiki estetika wajah sehingga membentuk hubungan dentofasial yang baik serta perbaikan oklusi fungsional. Dokter gigi dalam perawatan ortodonti sering menjumpai kasus maloklusi yang tidak hanya melibatkan kelainan dental tetapi juga kelianan skeletal. Kelainan dental dan skeletal dipengaruhi oleh proses pertumbuhan dan perkembangan pada masa pertumbuhan anak. Selama usia pertumbuhan anak, sering ditemukan kasus perkembangan yang tidak seimbang antara skeletal dan dental. Hal tersebut menyebabkan kelainan oklusi pada gigi rahang atas dan rahang bawah yang kemudian berpengaruh terhadap profil wajah manusia. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan konveksitas jaringan keras wajah dengan profil jaringan lunak pada pasien RSGM Saraswati Denpasar pada tahun 2019 sampai 2021. Metode: Penelitian dilakukan secara observasional analitik dengan metode cross sectional. Penelitian hanya melakukan pengamatan (observasi) terhadap ciri-ciri yang diteliti dan semua subyek penelitian diamati pada waktu yang sama. Hasil Penelitian: Pada penelitian ini didapatkan hasil rata-rata konveksitas jaringan keras (mm) dan derajat profil jaringan lunak (°) pada tahun 2019 sampai 2021 adalah sebesar 3,625 mm dan 15,477° melalui tracing pada hasil foto radiografi sefalometri pasien di RSGM Saraswati Denpasar. Kesimpulan: Berdasarkan penelitian yang dilakukan, ditemukan adanya hubungan yang kuat dengan arah hubungan positif antara konveksitas jaringan keras wajah dan profil jaringan lunak pada hasil foto radiografi sefalometri lateral pasien laki-laki dan perempuan yang berusia 17 tahun keatas di RSGM Saraswati Denpasar pada tahun 2019 sampai 2021 dengan semua jenis maloklusi serta tidak terdapat kelainan patologis di daerah jaringan keras dan jaringan lunak wajah dan tidak memakai piranti ortodonti lepas maupun cekat.
Perbandingan efektivitas jus buah Strawberry (Fragaria X Ananassa) 100 % dan jus buah apel Fuji (Malus Domestica) 100% sebagai pemutih gigi yang mengalami diskolorasi
Latar Belakang: Estetika gigi sangat penting dalam masyarakat modern karena diskolorasi gigi dapat mempengaruhi penampilan dan kepercayaan diri seseorang. Meskipun pemutihan gigi dengan bahan kimia umum digunakan, metode ini memiliki efek samping. Oleh karena itu, penelitian ini mengeksplorasi penggunaan bahan alami, seperti jus strawberry dan jus apel Fuji, sebagai alternatif yang lebih aman untuk memutihkan gigi. Tujuan: Penelitian ini bertujuan untuk membandingkan efektivitas jus strawberry dan jus apel Fuji dalam memutihkan gigi yang mengalami diskolorasi serta memberikan alternatif pemutih gigi yang lebih aman dan hemat biaya. Metode: Penelitian ini menggunakan desain eksperimental laboratoris dengan pretest-posttest group. Sampel penelitian terdiri dari 24 gigi premolar yang dibagi menjadi empat kelompok perlakuan: jus strawberry, jus apel Fuji, karbamid peroksida, dan aquadest steril. Sampel direndam dalam jus atau larutan selama 56 jam, kemudian diukur perubahan warna dengan spektrofotometer. Analisis data dilakukan menggunakan uji statistik seperti Shapiro Wilk, Paired T-test, Levene, dan Oneway Anova. Hasil: Hasil penelitian menunjukkan bahwa jus apel Fuji lebih efektif dalam memutihkan gigi dibandingkan jus strawberry, meskipun efektivitasnya masih di bawah karbamid peroksida. Kesimpulan: Jus apel Fuji lebih efektif daripada jus strawberry dalam memutihkan gigi yang mengalami diskolorasi, namun tidak seefektif karbamid peroksida 10%. Penelitian lebih lanjut diperlukan untuk mengevaluasi efek jangka panjang penggunaan jus buah sebagai pemutih gigi alami.
GAMBARAN SUDUT TRIANGEL MENGGUNAKAN METODE TWEED PADA PEREMPUAN SUKU BALI DI RSGM SARASWATI DENPASAR TAHUN 2021-2023
Latar Belakang: Melalui sefalogram (foto sefalometri) tersebut memiliki kegunaan dalam penentuan rekam ortononti mellaui profil wajah, letak gigi, dan kelainan skeletal. Penggunaan metode yang digunakan dalam analisis sefalometri salah satunya ialah Tweed. Pada penggunaan metode Tweed ini dilakukan pada posisi tiga sudut diantaranya IMPA (Incisor Mandibular Plane Angle), FMIA (Frankfort Mandibular Incisor Angle), serta FMA (Frankfort Mandibular Angle). Rerata ukuran IMPA, FMIA, FMA berturut- urut ialah 87°, 68°, serta 25°. Tujuan dari penelitian ialah memberikan hasil analisis terkait penggunaan Tweed dalam menggambarkan sudut triangle pada suku Bali khsusunya berjenis kelamin perempuan di RSGM Saraswati Denpasar. Metode: Jenis penelitian yang digunakan ialah menggunakan observational deskriptif dengan desain cross sectional. Hasil: Hasil pengukuran terhadap 42 pasien di RSGM Saraswati Denpasar pada maloklusi kelas I angle memiliki rerata IMPA, FMIA, serta FMA berturut urut ialah 98,6°, 53,66°, dan 28,47°. Selanjutnya pada klas II angle memiliki rerata IMPA, FMIA, serta FMA berturut urut ialah 103,65°, 46,91°, serta 29,68°. Kemudian pada klas II angle memiliki rerata IMPA, FMIA, serta FMA berturut urut ialah 93,7°, 59,24°, serta 33,92°. Kesimpulan: Penggunaan metode Tweed efektif dalam memberikan gambaran sudut triangle pada perempuan suku Bali.
PERBEDAAN PENGARUH PERENDAMAN RESIN KOMPOSIT NANOHYBRID PADA LARUTAN TEH ROSELLA (HIBISCUS SABDARIFFA L.) DENGAN MINUMAN BERWARNA BERKARBONASI (SODA) TERHADAP TERJADINYA DISKOLORASI
The increasing awareness of aesthetic values in society influences individuals when choosing dental restorative filling materials. A commonly used restorative filling material is composite resin. This study used nanohybrid composite resins, this is because nanohybrid composite resin has very small particle size, allowing for excellent polishability and reducing food retention. Nanohybrid composite resins also exhibits better hardness compared to other composite restorative materials. On the other hand, nanohybrid composite resin has the property that easily absorbing fluids, potentially leading to discoloration. Methods : This study is a true experiment using the prettest- posttest group design method. The study used 27 sampels of nanohybrid composite resin, specifically Filtek Z250 XT with 3 treatment groups, namely roselle tea (hibiscus sabdariffa l), carbonated drinks (soda) and aquadest as a negative control. Results : base on the results of the study indicate a significant color change (p<0,05) in nanohybrid composite resin after immersion in three treatment groups: immersion in roselle tea (hibiscus sabdariffa l) and carbonated drinks (soda). Additionally, it was found that soda had e higher impact on discoloration in nanohybrid composite resin compared to roeselle tea Conclusions : that soda had e higher impact on discoloration in nanohybrid composite resin.
PREVALENSI KASUS PERSISTENSI PADA PASIEN ANAK YANG BERKUNJUNG SELAMA BULAN DESEMBER 2023-MARET 2024 DI UNIT PELAYANAN GIGI PUSKESMAS TABANAN I
Pertumbuhan dan perkembangan gigi merupakan hal yang penting untuk dipahami, hal ini berkaitan dengan tumbuh kembang gigi anak. Anak-anak usia 5-11 tahun seringkali mengalami masalah pada perkembangan gigi salah satunya adalah persistensi gigi sulung. Berdasarkan hal tersebut peneliti tertarik untuk melakukan penelitian tentang prevalensi kasus persistensi gigi pada pasien anak yang berkunjung selama bulan Desember 2023–Maret 2024 di unit pelayanan gigi Puskesmas Tabanan I. Jenis penelitian yang digunakan yaitu kuantitatif dengan desain penelitian observasional deskriptif, Sampel penelitian ditentukan secara Consecutive sampling terhadap pasien yang memenuhi kriteria inklusi dan eksklusi. Kriteria inklusi pada penelitian ini adalah pasien dengan kasus gigi persistensi usia 5-11 tahun di unit pelayanan gigi Puskesmas Tabanan I yang datang pada periode 1 Desember 2023 sampai 27 Maret 2024. Hasil dari penelitian ini yaitu jumlah gigi persistensi pada bulan Desember adalah (23%), bulan Januari (19%), bulan Februari (18%) dan bulan Maret (40%), pada bulan Maret memiliki persentase tertinggi diantara bulan lainnya. Jumlah gigi persitensi pada perempuan sebanyak 58 (58%) dan jumlah gigi persistensi pada laki-laki sebanyak 42 (42%) prevalensi terjadinya persistensi lebih sering dialami oleh perempuan. Distribusi frekuensi data persistensi pasien dalam rentang umur 5-11 tahun (95%), kurang dari 5 tahun (1%) dan lebih dari 11 tahun (4%) Hal ini diduga disebabkan oleh perbedaan usia erupsi gigi permanen antara anak laki-laki dan perempuan , gigi anak perempuan tumbuh lebih awal dibandingkan anak laki-laki.
GAMBARAN POSISI BIBIR MELALUI GARIS ESTETIK TERHADAP KEADAAN ESTETIKA WAJAH MENURUT ANALISIS RICKETTS PADA PASIEN RSGM SARASWATI DENPASAR
Latar Belakang: Keestetikan wajah dapat dipengaruhi oleh jaringan lunak. Selain itu, perubahan gigi anterior juga dapat merubah penampilan wajah khususnya pada daerah bibir, sehingga penelitian ini berfokus dalam mengkaji keestetikan wajah melalui gambaran posisi bibir. Perubahan retrasi gigi insisivus dengan kontur bibir atas memiliki keterhubungan dengan gigi insisivus. Sebab, hal tersebut dapat menyebabkan penaambahan sudut nasolabial, menambah panjang bibir bawah, dan penyebab retraksi bibir atas. Metode: Jenis penelitian yang digunakan ialah menggunakan observasional deskriptif dengan menggunakan pendekatan cross sectional. Hasil: Gambaran posisi bibir pada pasien maloklusi klas I Angle adalah keadaan wajah dengan estetika normal dengan nilai Li-El -1,4 mm dan Ls-El -1,2 mm, sedangkan pada pasien maloklusi klas II Angle dengan nilai Li-El 5,0 mm dan Ls-El 1,7 mm, menunjukan keadaan bibir tidak dalam keadaan estetika normal karena jarak antara bibir atas dan bawah lebih dari 2 mm. Pada maloklusi klas III Angle dengan nilai Li-El 2,5 mm dan Ls- El 0,1 mm, menunjukan keadaan estetika wajah tidak normal pada bibir bawah karena posisi bibir berada diluar garis estetik menurut analisis Ricketts, dan memiliki nilai lebih dari 2 mm antara jarak bibir atas dan bibir bawah Kesimpulan: Gambaran posisi bibi pasien maloklusi klas I angle dan klas II angle dalam keadaan normal. Namun, pada pasien maloklusi klas II angle menunjukkan estetika wajah tidak normal
PREVALENSI KASUS GANGREN PULPA PADA KUNJUNGAN PASIEN UPTD PUSKESMAS SELEMADEG TIMUR I PERIODE BULAN JANUARI -MARET 2024
Latar Belakang: Kesehatan gigi dan mulut menjadi sebuah komponen yang tidak dapat dipisahkan dari faktor kesehatan tubuh. Rendahnya tingkat kesadaran masyarakat dalam mengetahui penyebab dan cara mencegah terjadinya karies pada gigi, sehingga dibiarkan terus-menerus lalu menjadi gangren pulpa (nekrosis pulpa). Hal ini mendorong penulis untuk meneliti prevalensi kasus gangren pulpa yang terjadi dari Bulan Januari-Maret 2024 di Poli Gigi Puskesmas Selemadeg Timur I. Metode: Jenis penelitian yang digunakan adalah kuantitatif dengan desain penelitian observasional deskriptif. Sampel penelitian ditentukan dengan consecutive sampling pada pasien dengan kelompok jenis kelamin dan elemen gigi yang mengalami gangren pulpa di Poli Gigi Puskesmas Selemadeg Timur I. Hasil: Hasil penelitian ini yaitu kunjungan pasien gangren pulpa pada bulan Maret 2024 sebanyak 21 pasien (51%) kemudian pada bulan Februari 2024 sebanyak 13 pasien (32%) dan bulan Januari 2024 sebanyak 7 pasien (17%). Kelompok kasus gangren pulpa berdasarkan jenis kelamin paling banyak terjadi pada perempuan yaitu 31 pasien (76%), sedangkan pada laki-laki sebanyak 10 pasien (24%). Simpulan: Umumnya perempuan rentan terhadap karies dan gangren pulpa oleh karena kebiasaan mengkonsumsi makanan ringan (snacking). Perempuan juga memiliki tingkat kesadaran yang lebih tinggi dalam perawatan gigi, sehingga kasus pada perempuan lebih banyak ditemukan. Selain itu, anatomi dari gigi juga berpengaruh terhadap jumlah kasus gangren pulpa yang lebih sering terjadi pada gigi posterior karena memiliki pit dan fissure yang dalam.
Menentukan Usia Melalui Gigi Dengan Menggunakan Metode Demirjian Dan Al Qahtani Pada Anak-Anak Suku Bali Usia 6 Sampai Dengan 17 Tahun
Latar Belakang: Melalui gigi juga dapat dilakukan pemeriksaan dalam menentukan pekerjaan, kebiasaan, ras, dan jenis kelamin yang dapat ditinjau dari aspek radiografis, histologis, serta morfologis. Pada individu yang menginjak usia 6 tahun hingga 17 tahun pertumbuhan pada gigi tengah mengalami beberapa kali erupsi. Proses erupsi pada gigi tersebut akan berhenti sampai gigi berada pada posisi fungsional. Metode pemeriksaan radiografis yang digunakan dalam mengetahui estimasi dari usia yaitu dapat menggunakan Metode Demirjian serta Metode Al Qahtani. Tujuan dari penelitian ialah memberikan hasil analisis perbandingan antara Metode Al Qahtani dengan Metode Demirjian pada penentuan usia melalui gigi pada usia 6 tahun hingga 17 tahun. Metode: Jenis penelitian yang digunakan ialah menggunakan observasional analitik dengan menggunakan pendekatan cross sectional. Hasil: Hasil dari pengujian metode Demirjian terdapat nilai P 0.326 > 0.05 sedangkan pada usia Metode Al Qahtani terdapat nilai P 0.423 > 0.05, hal ini memaparkan tidak adanya perbedaan antara Metode Demirijan serta Metode Al Qahtani. Kesimpulan: Identifikasi usia melalui gigi menggunakan Metode Demirjian dan Al Qahtani dengan bantuan foto rontgen radiografi panoramik cukup akurat dalam menentukan usia pada anak – anak Suku Bali usia 6 sampai dengan 17 tahun karena tidak terdapat perbedaan yang signifikan pada uji statistiknya.
HUBUNGAN GARIS LENGKUNG SENYUM DENGAN TIPE WAJAH MAHASISWA FAKULTAS KEDOKTERAN GIGI UNIVERSITAS MAHASARASWATI DENPASAR
Lengkung senyum merupakan suatu hubungan antara lengkung batas insisal gigigigi anterior maksila dengan lengkung bibir bawah dalam social smile. Bentuk wajah dan posisi gigi yang baik dapat menentukan estetika wajah karena merupakan salah satu syarat terwujudnya senyum yang menarik. Tipe wajah dan susunan gigi dipengaruhi oleh lengkung rahang. Garis lengkung senyum dipengaruhi oleh komponen senyum diantaranya bibir dan susunan gigi. Penelitian ini bertujuan untuk mengetahui ada atau tidaknya hubungan garis lengkung dengan tipe wajah mahasiswa Fakultas Kedokteran Gigi Universitas Mahasaraswati Denpasar. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional menggunakan sampel sebanyak 55 orang yang berusia 19-23 tahun di Fakultas Kedokteran Gigi Universitas Mahasaraswati Denpasar. Sampel dalam penelitian ini diambil menggunakan rumus Slovin berdasarkan kriteria inklusi dan eksklusi. Pengumpulan data dilakukan secara langsung dengan mengukur tipe wajah menggunakan sliding caliper serta dilakukan pengamatan langsung untuk mengetahui garis lengkung senyum. Hasil penelitian ini menunjukkan bahwa terdapat hubungan yang signifikan antara garis lengkung senyum dengan tipe wajah.Sampel dengan garis lengkung curved lebih dominan memiliki tipe wajah hypereuryprosopic sebanyak 17 orang (30,9%). Sampel dengan garis lengkung senyum pada kategori reversed memiliki tipe wajah mesoprosopic sebanyak 8 orang (14,5%). Sampel dengan garis lengkung senyum pada kategori straight paling dominan memiliki tipe wajah euryprosopic sebanyak 24 orang (43,6%).
EFEKTIVITAS BUAH STROBERI (FRAGARIA × ANANASSA) KONSENTRASI 75% DAN 100% DALAM MEMUTIHKAN GIGI YANG MENGALAMI DISKOLORASI
Latar belakang : Diskolorasi atau perubahan warna gigi yang terjadi tentunya dapat mengganggu estetika dan menurunkan kepercayaan diri seseorang. Buah stroberi diketahui dapat menjadi salah satu alternatif untuk mengembalikan warna gigi yang mengalami diskolorasi. Beberapa penelitian telah dilakukan untuk menguji efektivitas buah stroberi dalam memutihkan gigi sehingga peneliti tertarik untuk mengembangkan penelitian mengenai efektivitas buah stroberi dalam mengembalikan warna gigi yang mengalami diskolorasi.Metode : Jenis penelitian yang digunakan adalah true eksperimental dengan desain penelitian prestest-posttest group design. Sampel yang digunakan sebanyak 27 sampel gigi premolar dengan 3 kelompok perlakuan yaitu jus stroberi konsentrasi 75%, 100% dan aquadest sebagai kontrol negatif. Hasil : hasil penelitian menunjukkan adanya efektivitas buah stroberi dalam memutihkan gigi setelah perendaman dalam jus stroberi yang dapat dilihat dari selisih nilai dE*ab beturut-turut untuk jus stroberi 100% , jus stroberi 75%, dan aquadest. Uji normalitas dengan Shapiro Wilk berdistribusi normal (p>0,05) dan uji homogenitas dengan uji levenne data terdistribusi normal ditandai dengan nilai signifikansi p=1,000, selanjutnya dilakukan uji anova yang menunjukkan perbedaan yang bermakna pada setiap kelompok perlakuan sehingga dapat dilakukan uji post hoc tukey. Hasil uji post hoc tukey yang dilihat dari tabel mean difference, nilai jus stroberi konsentrasi 100% memiliki nilai terendah. Kesimpulan : Dapat disimpulkan bahwa buah stroberi mampu memutihkan gigi yang mengalami diskolorasi, dengan konsentrasi yang paling efektif yaitu 100% dibandingkan jus stroberi 75%.
EFEKTIVITAS SALEP EKSTRAK RIMPANG BANGLE (Zingiber purpureum Roxb) TERHADAP PENINGKATAN SEL FIBROBLAS PADA PROSES PENYEMBUHAN LUKA INSISI TIKUS WISTAR (Rattus norvegicus)
Latar Belakang: Bahan alami yang terbukti secara alamiah sebagai anti inflamasi, anti bakteri serta membantu pada proses regenari sel ialah Rimpang Bangle (Zingiber purpureum Roxb). Selain itu, kandungan yang dimiliki oleh rimpang bangle ialah memiliki peran sebagai antimikroba. Tujuan dari penelitian ialah memberikan hasil analisis terkait penyembuhan luka pada tikus wistar ditinjau dari peningkatan sel fibroblas melalui pengujian efektivitas salep ekstrak rimpang bangle. Metode: Jenis penelitian yang digunakan ialah eksperimental laboratoris secara in vivo. Hasil: Jumlah sel fibroblas antar kelompok adalah kelompok cera alba dan vaselin album, salep ekstrak rimpang bangle 80% (P1), salep ekstrak rimpang bangle 85% (P2), salep ekstrak rimpang bangle 90% (P3). Selanjutnya dari selisih rerata antar kelompok data didapatkan salep ekstrak rimpang bangle 85% (P2) memiliki selisih dengan kelompok kontrol cera alba dan vaselin album (K0) yaitu 0,048 sementara salep ekstrak rimpang bangle konsentrasi 80% (P1) terhadap cera alba dan vaselin album (K0) adalah 0,994 dan salep ekstrak rimpang bangle konsentrasi 90% (P3) terhadap cera alba dan vaselin album (K0) adalah 0,957. Kesimpulan: Proses penyembuhan luka insisi pada tikus wistar dapat dilakukan dengan memanfaatkan ekstrak rimpang bangle. Adapun konsentrasi paling efektif dari hasil penelitian ialah 85% dibandingkan konsentrasi 80% ataupun 90%.
PENGARUH EKSTRAK DAUN SIRSAK (ANNONA MURICATA L.) TERHADAP PERTUMBUHAN CANDIDA ALBICANS
Pendahuluan: Rongga mulut menjadi tempat yang rentan dan sering terjadinya peradangan ataupun infeksi yang disebabkan oleh virus, bakteri, maupun jamur. Candida albicans merupakan flora normal di rongga mulut yang paling sering menyebabkan penyakit infeksi. Jika flora normal di rongga mulut terganggu, maka akan menjadi patogen dan menyebabkan infeksi opportunistik. Oral candidiasis merupakan salah satu infeksi oleh jamur patogen opportunistik yaitu Candida albicans. Chlorhexidine gluconate 0,2% merupakan obat kumur antiseptik yang dapat digunakan untuk pengobatan oral candidiasis, namun penggunaan jangka panjangnya dapat menimbulkan efek samping. Daun sirsak (Annona muricata L.) memiliki aktivitas farmakologis salah satunya sebagai antijamur, Penelitian ini bertujuan untuk mengevaluasi efektivitas antijamur ekstrak daun sirsak (Annona muricata L.) terhadap pertumbuhan jamur Candida albicans dengan konsentrasi 25%, 50%, 75%, dan 100%. Metode: Metode penelitian yang digunakan adalah eksperimental laboratorium dengan post test only with control group design dengan metode difusi untuk menentukan aktivitas ekstrak daun sirsak (Annona muricata L.) terhadap jamur Candida albicans. Hasil Penelitian: Hasil penelitian didapatkan rerata zona daya hambat kontrol positif sebesar 23,53 mm, konsentrasi 50% sebesar 11,45 mm, konsentrasi 75% sebesar 14,28, dan konsentrasi 100% sebesar 18,13 mm. Kesimpulan: Berdasarkan hasil penelitian, ekstrak daun sirsak (Annona muricata L.) dengan konsentrasi 50%, 75%, dan 100% mampu menghambat pertumbuhan jamur Candida albicans.
PEMBERIAN VITAMIN D MENYEBABKAN KADAR INTERLEUKIN-6 LEBIH RENDAH DIBANDINGKAN KONTROL PADA TIKUS WISTAR YANG DIINDUKSI PERIODONTITIS
Latar belakang : Periodontitis merupakan penyakit inflamasi yang menyerang jaringan pendukung gigi antara lain gingiva, ligamen periodontal, sementum dan tulang alveolar yang disebabkan karena adanya interaksi antara jaringan periodontal, plak, saliva dan mikroorganisme atau kelompok mikroorganisme tertentu. Interleukin-6 merupakan salah satu sitokin pro-inflamasi yang memainkan peran penting dalam pathogenesis penyakit periodontal yang diproduksi oleh berbagai sel imun, termasuk sel T, sel B, makrofag, dan sel dendritik yang dapat menyebabkan diferensiasi sel B serta peningkatan proliferasi sel T dan resorpsi tulang. Vitamin D menekan proliferasi T-limfosit, sekresi imunoglobulin, transformasi B-limfosit menjadi sel plasma, dan melindungi organisme dari respon imun spesifik yang berlebihan dengan mengurangi sekresi IL- 1, IL-6, IL-8, IL -12, sitokin TNFα, yang dilepaskan pada patogenesis periodontitis selama invasi bakteri dan menyebabkan infiltrasi limfosit, resorpsi tulang, kerusakan matriks ekstraseluler.Metode : eksperimental laboratoris in vivo pada 27 ekor tikus putih galur wistar dengan rancangan randomized post-test only control group design yang diacak menjadi tiga kelompok yaitu kelompok kontrol I (K0) tikus diberikan Vitamin D 2000 IU; kelompok kontrol II (K1) tikus diinduksi bakteri Porphyromonas gingivalis tanpa pemberian suplemen tambahan; kelompok perlakuan (P1) tikus diinduksi bakteri Porphyromonas gingivalis dan diberi vitamin D 2000 IU. Hasil penelitian menunjukkan bahwa pada kontrol I (K0) dengan pemberian vitamin D 2000 IU pada hari ke-28 terdapat rerata 223,02 nm sedangkan pada kontrol II (K1) dengan induksi bakteri Porphyromonas gingivalis menunjukan rerata 1065,82 nm. Pada kelompok perlakuan (P1) dengan tikus yang diinduksi bakteri Porphyromonas gingivalis dan diberi vitamin D 2000 IU menunjukan rerata 201,96. Hasil : uji One Way Anova menunjukkan bahwa nilai p = 0,000. Hal ini berarti bahwa terdapat perbedaan rerata kadar Interleukin-6 pada tiga kelompok (p < 0,05).Simpulan: Vitamin D 2000 IU berpengaruh dalam menurunkan kadar Interleukin-6 (IL-6) pada tikus wistar periodontitis.
Perubahan Jumlah Fibroblas Pada Penyembuhan Radang Mukosa Oral Tikus Wistar Setelah Aplikasi Topikal Gel Ekstrak Daun Kayu Manis
Reccurent Apthous Stomatitis (RAS). sering terjadi pada mukosa oral anak yang tidak berkeratin ditandai dengan ulkus rekuren tanpa disertai gejala penyakit lain. RAS memiliki karakteristik berbentuk oval atau bulat dengan permukaan cekung berupa bercak tunggal atau kelompok dengan dasar lesi berwarna kuning-kelabu. RAS sangat mengganggu keseharian anak seperti pada saat makan, berbicara, bahkan saat membersihkan rongga mulutnya. Daun kayu manis mengandung flavonoid, alkaloid, steroid dan tannin yang dapat membantu merangsang pembentukan sel fibroblas dan menghambat pertumbuhan bakteri dengan aktivitas antibakteri, antioksidan, dan antiinflamasi sehingga dapat mempercepat proses penyembuhan. Aloclair gel mengandung polyvinylpyrrolidone (PVP) yang berfungsi sebagai antiinflamasi yang mampu menjaga kelembaban pada luka sehingga dianggap efektif dalam pengobatan RAS pada anak-anak. Penelitian ini bertujuan untuk mengetahui konsentrasi optimal gel ekstrak daun kayu manis konsentrasi 35% terhadap jumlah sel fibroblas pada penyembuhan radang mukosa bukal tikus wistar. Jenis penelitian ini menggunakan eksperimental laboratorium secara in vivo dengan rancangan Randomized Post-Test Only Control Group Design menggunakan 30 ekor tikus wistar yang dibagi menjadi tiga kelompok perlakuan yaitu pada kelompok pertama sebagai kontrol positif (K+) diberikan Hydrogen peroxide (H2O2) 30% lalu di aplikasikan Aloclair gel, pada kelompok kedua sebagai kontrol negatif (K-) hanya diberikan Hydrogen peroxide (H2O2) 30%, pada kelompok ketiga sebagai kelompok perlakuan (P) diberikan Hydrogen peroxide (H2O2) 30% lalu di aplikasikan gel ekstrak daun kayu manis konsentrasi 35%. Hasil penelitian menunjukkan bahwa rerata jumlah sel fibroblas pada kelompok (K+) adalah 51.1 sel, rerata kelompok (K-) adalah 29.1 sel, dan rerata kelompok (P) adalah 43.8 sel.
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HUBUNGAN PENGETAHUAN KESEHATAN GIGI DAN MULUT IBU HAMIL TERHADAP PEMELIHARAAN DAN PEMANFAATAN PELAYANAN KESEHATAN DI KLINIK BERSALIN NURJAYA KABUPATEN BADUNG
Pengetahuan adalah informasi untuk memperoleh pemahaman, pembelajaran dan pengalaman yang terakumulasi sehingga bisa diaplikasikan ke dalam masalah tertentu. Kurangnya pengetahuan mengenai kesehatan gigi dan mulut merupakan faktor predisposisi dari perilaku kesehatan yang mengarah kepada timbulnya penyakit. Kehamilan merupakan suatu proses fisiologis yang menimbulkan perubahan pada tubuh wanita baik fisik maupun psikis. Wanita hamil menjadi sangat rentan terhadap penyakit gingiva dan penyakit periodontal akibat dari kebiasaan mengabaikan kebersihan gigi dan mulut. Kejadian penyakit gigi mulut selama masa kehamilan bukan semata-mata hanya dipengaruhi oleh kehamilan itu sendiri melainkan kurangnya pengetahuan pemeliharaan kesehatan gigi dan mulut sehingga mempengaruhi perilaku pemeliharaan kesehatan gigi dan mulut yang buruk termasuk perilaku kunjungan ibu hamil untuk memeriksakan kesehatan gigi nya di pelayanan kesehatan. Adapun tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan kesehatan gigi dan mulut pada ibu hamil terhadap pemeliharaan dan pemanfaatan pelayanan kesehatan gigi dan mulut. Penelitian ini menggunakan metode penelitian analitik dengan pendekatan cross sectional, data dilakukan dalam satu waktu. Sebanyak 40 orang ibu hamil yang datang ke Klinik Bersalin Nurjaya saat penelitian dipilih sebagai sampel dengan mengisi 3 macam kuesioner yaitu pengetahuan, pemeliharaan dan pemanfaatan pelayanan kesehatan gigi dan mulut untuk mengetahui hubungan pengetahuan kesehatan gigi dan mulut ibu hamil terhadap pemeliharaan dan pemanfaatan pelayanan kesehatan gigi dan mulut.. Dari hasil analisis dengan menggunakan metode spearman didapat hasil p = 0,007 dimana terdapat hubungan yang signifikan antara pengetahuan dan pemeliharaan kesehatan gigi dan mulut, namun didapat hasil p = 0,136 dimana tidak terdapat hubungan yang signifikan antara pengetahuan dan pemanfaatan pelayanan kesehatan gigi dan mulut.
PENGARUH MINUMAN SUSU FERMENTASI TERHADAP KEKERASAN RESIN KOMPOSIT NANOHYBRID
Pendahuluan: Gigi merupakan organ yang keras, walapun demikian gigi masih rentan terhadap kerusakan seperti karies sehingga dibutuhkan perawatan restorasi dan penumpatan. Bahan tumpatan yang umumdigunakan adalah resin komposit karena aspek estetika dan sifat mekanisnya yang baik. Namun, kekerasan resin komposit dapat dipengaruhi oleh sifat fisik dan kimiawi serta faktor lain didalam rongga mulut, seperti makanan dan minuman yang dikonsumsi. Salah satu minuman yang sering dikonsumsi adalah minuman susu fermentasi. Metode: Penelitian ini mengevaluasi pengaruh minuman susu fermentasi terhadap kekerasan resin komposit nanohybrid. Penelitian ini menggunakan metode eksperimental laboratorik dengan desain penelitian post test only control group design. Terdapat 4 kelompok perlakuan yaitu kelompok kontrol pertama dan kedua yang direndam dengan minuman susu fermentasi selama 10 jam dan 24 jam dan kelompok kontrol ketiga dan keempat dengan perendaman resin di dalam aquades selama 10 jam dan 24 jam. Pengujian kekerasan resin menggunakan micro vickers hardness tester. Hasil: Hasil analisis menunjukkan bahwa perendaman dalam minuman susu fermentasi selama 24 jam secara signifikan menurunkan kekerasan resin komposit nanohybrid dibandingkan dengan perendaman dalam aquades atau perendaman 10 jam. Kesimpulan: Sehingga disimpulkan bahwa minuman susu fermentasi dapat mengurangi kekerasan resin komposit nanohybrid, terutama setelah perendaman selama 24 jam.
HUBUNGAN POSISI KERJA MAHASISWA PROFESI DENGAN GANGGUAN MUSKULOSKELETAL DI RUMAH SAKIT GIGI DAN MULUT SARASWATI DENPASAR
Pendahuluan: Gangguan muskuloskletal atau musculoskeletal disoders (MSDs) merupakan suatu gangguan yang terjadi pada otot, sendi, tendon, saraf perifer, diskus invertebralis, dan sistem vaskularisasi yang dapat berkembang menjadi kronis jika dalam kurun waktu yang lama atau bertahap. Gangguan muskuloskletal ini dapat disebabkan jika seseorang tidak menerapkan sikap atau posisi yang sesuai dengan ergonomi. Gangguan muskuloskletal sering muncul pada praktisi kesehatan yang diakibatkan oleh posisi kerja yang tidak ergonomis. Salah satu praktisi keseahatan yang rentan menderita gangguan muskuloskletal adalah dokter gigi. Metode: Penelitian ini dilakukan untuk mengetahui hubungan posisi kerja mahasiswa profesi dengan gangguan muskuloskletal di Rumah Sakit Gigi dan Mulut Saraswati Denpasar. Penelitian ini menggunakan desain analitic observasional menggunakan pendekatan cross sectional dengan 80 responden menggunalan kuesioner Nordic Body Map. Hasil: Hasil penelitian didapatkan 80% posisi kerja jam 8, 46,2% mengalami gangguan muskuloskletal resiko rendah, dan hasil analisis bivariat dengan Uji korelasi Pearson menunjukkan hubungan yang bermakna antara posisi kerja mahasiswa profesi dengan gangguan muskuloskletal (p=0,036). Kesimpulan: Dengan hasil ini diharapkan mahasiswa profesi bekerja dengan posisi ergonomis untuk mengurangi menderita gangguan muskuloskletal. Kata Kunci: ,
Studi In Vitro Perbandingan Efektivitas Antibakteri Obat Kumur Nano Propolis 10% Dengan Obat Kumur Propolis Terhadap Jumlah Koloni Bakteri Streptococcus Mutans
Pengguna alat ortodonti sulit untuk memelihara kebersihan mulutnya selama perawatan yang menyebabkan sikat gigi tidak dapat mencapai bagian proksimal gigi. Hal ini dapat berdampak pada peningkatan jumlah bakteri yang dapat menyebabkan karies gigi. Karies gigi disebabkan akibat menumpuknya plak gigi yang mengandung bakteri Streptococcus mutans. Pengguna alat ortodonti dianjurkan menggunakan obat kumur setelah menggosok gigi untuk mengurangi adanya plak. Obat kumur ekstrak propolis merupakan obat kumur herbal yang saat ini beredar di pasaran. Ekstrak propolis mengandung senyawa yang bersifat antiplak antibakteri. Nanopropolis merupakan partikel propolis yang berukuran nano yang dibuat lebih efektif tanpa mengubah sifat-sifatnya dengan mengubah ukuran propolis. Tujuan dari penelitian ini adalah untuk mengetahui perbandingan efektivitas antibakteri antara obat kumur nanopropolis dengan produk obat kumur propolis di pasaran terhadap koloni bakteri Streptococcus mutans. Metode penelitian yang dilakukan adalah penelitian eksperimental labotarium dengan rancangan The Posttest-Only Control Group Design. Penelitian ini dibagi menjadi 4 kelompok perlakuan yaitu, obat kumur nanopropolis 10%, obat kumur propolis di pasaran, obat kumur Povidone iodine sebagai kontrol positif, dan aquades sebagai kontrol negatif. Uji daya hambat antibakteri menggunakan Kirby-Bauer metode disc diffusion. Hasil penelitian ini menunjukkan tidak adanya perbedaan yang signifikan. Rerata zona hambat pertumbuhan bakteri Streptococcus mutans pada obat kumur nanopropolis 10% adalah 0 mm (tidak membentuk zona hambat), sedangkan zona hambat yang dibentuk oleh Povidone iodine 1% adalah 6,3 mm, akuades dan obat kumur propolis di pasaran adalah 0 mm (tidak membentuk zona hambat). Kesimpulan dari penelitian ini adalah obat kumur nanopropolis dan obat kumur propolis tidak efektif dalam menghambat antibakteri Streptococcus mutans.
TINGKAT PENGETAHUAN MAHASISWA PROGRAM STUDI SARJANA ANGKATAN 2019 FAKULTAS KEDOKTERAN GIGI UNIVERSITAS MAHASARASWATI DENPASAR TERHADAP PENYAKIT ORAL CANDIDIASIS
Introduction: The level of knowledge of students in the undergraduate study program at the Faculty of Dentistry, Mahasaraswati University Denpasar regarding oral candidiasis is very important, where this knowledge will be carried over until they become dentists. This research was conducted to assess and determine the quality of students' knowledge of oral candidiasis and can be used as a comparison for future research. Method: The method used is an observational method with a cross-sectional approach using a questionnaire design via Google Forms. Research results: The results of this research show that the level of knowledge is very good, namely 39 people with a percentage of 86.7%, while the level of good knowledge is 2 people with a percentage of 4.4%, and the level of sufficient knowledge is 4 people with a percentage of 8.9%. Conclusion: Based on the results of this research, it was found that there were 39 people showing a very good level of knowledge with a percentage of 86.7%, while there were 2 people with a good level of knowledge with a percentage of 4.4%, and there were 4 people with a fair level of knowledge with a percentage of 8.9 % Keywords: , , .
EFEKTIVITAS DAUN BIDARA ARAB (Ziziphus spina christ-L) TERHADAP DAYA HAMBAT BAKTERI Fusobacterium nucleatum
Introduction: Fusobacterium nucleatum is a gram-negative anaerobic bacterium found predominantly in the oral cavity, playing a crucial role in the development of dental biofilms and contributing to periodontal diseases. Meanwhile, Arabian bidara leaves (Ziziphus spina-christ L.) are recognized for their potent antimicrobial properties due to the presence of flavonoids, alkaloids, steroids, saponins, and tannins, which exhibit significant inhibitory effects against various microorganisms. This study aims to assess the effectiveness of Arabian bidara leaf extract in inhibiting Fusobacterium nucleatum growth at different concentrations. Purpose: The primary objective of this research is to evaluate the inhibitory potency of Arabian bidara leaf extract (Ziziphus spina-christ L.) against Fusobacterium nucleatum bacteria. Methods: This experimental study utilized the Kirby Bauer method to investigate the antibacterial activity of Arabian bidara leaf extract in vitro. The research consisted of six repetitions, with four distinct treatment groups: 40% and 60% concentrations of the extract, a positive control using Tetracycline, and a negative control utilizing 96% Ethanol. Results: The results revealed that Arabian bidara leaf extract at a concentration of 60% exhibited an average inhibitory zone of 15,450 mm against Fusobacterium nucleatum. At 40% concentration, the average inhibitory zone measured 13,542 mm. The negative control consistently showed no significant reaction across all repetitions, while the positive control displayed resistance levels ranging from 19,200 mm to 19,800 mm. Statistical analysis using the Kruskall- Wallis test indicated significant differences among the treatment groups (p<0.05). Conclusion: In conclusion, Arabian bidara leaf extract demonstrated substantial inhibitory effects against Fusobacterium nucleatum bacteria, particularly at a concentration of 60%. These findings underscore the potential of Arabian bidara leaves as a natural antimicrobial agent in dental applications, particularly in combating bacterial species involved in dental biofilm formation and periodontal diseases.
KEPUASAN PASIEN TERHADAP PELAYANAN KESEHATAN GIGI DAN MULUT DI RSU NEGARA
Latar Belakang: Kebutuhan dasar dari manusia dapat dituangkan dalam kesehatan, sehingga jika individu berada dalam kondisi sehat maka individu dapat melakukan tugas ataupun pekerjaan dengan maksimal. Peran pemerintah dalam memberikan fasilitas kesehatan cukup lengkap. Misalnya adanya poli gigi yang memiliki peran dalam layanan kepada masyarakat terkait kesehatan mulut dan gigi. Kepuasan pasien dapat diartikan sebagai pemenuhan harapan tentang perbandingan harapan yang akan diterimanya terkait dengan pelayanan yang diberikan oleh pegawai. Tujuan penelitian menganalisis kepuasan pasien terhadap pelayanan kesehatan gigi dan mulut di RSU Negara. Metode: Jenis penelitian ialah menggunakan non eksperimental dengan pendekatan deskriptif. Hasil: Hasil yang didapatkan seluruh indikator tergolong klasifikasi “Sangat Puas”. Adapun indikator kepuasan tertinggi ialah pada “Jaminan” yang memperoleh skor 38 sedangkan indikator yang paling rendah ialah “Bukti Fisik” yang memperoleh skor 28. Kesimpulan: Kesimpulannya adalah kepuasan pasien RSU Negara dalam pemberian layanan kesehatan gigi ditinjau dari dimensi bukti fisik, daya tanggap, kepedulian, keandalan, dan jaminan. Berdasarkan hasil penelitian pada seluruh dimensi tersebut memaparkan pada klasifikasi “Sangat Puas” serta tidak ada pasien yang menyatakan tidak puas berdasarkan pelayanan yang diberikan di RSU Negara
PREVALENSI PASIEN STOMATITIS AFTOSA REKUREN (SAR) DI RSGM PROFESI SARASWATI DENPASAR TAHUN 2022
Introduction: One of the oral mucosal diseases that is often encountered in the community is recurrent aphthous stomatitis or commonly called SAR. SAR is an inflammatory ulcerative condition that most commonly occurs on the oral mucosa repeatedly. An estimated 20% of the general population has SAR during childhood or early adulthood. These lesions appear clinically as nonspecific low round or oval ulcerations covered by a grayish-white fibrin pseudomembrane surrounded by a firm erythematous halo. The aim of this study was to determine the prevalence of recurrent aphthous stomatitis (SAR) patients at RSGM Profesi Saraswati Denpasar in 2022. Method: The method used is a descriptive observational method by making observations in the field of medical records at the same time. Research results: The results of this study show that the prevalence of SAR is 0.66%. Conclusion: Based on the results of this study, it was found that SAR was more frequently encountered at the age of 21-25 years, namely 69%. And women are more susceptible to SAR, namely 67%.
ACUTE TOXICITY TEST AND ALLERGY TEST OF GARLIC (Allium sativum L.) EXTRACT ON MICE (Mus Musculus)
Background: Garlic is believed to have numerous benefits in addressing health issues, particularly in wound healing. Therefore, its safety needs to be assessed through acute toxicity and allergy tests. Acute toxicity testing is conducted to measure the degree of toxicity of a compound administered to test animals. Objective: This study aims to determine the toxicity and allergic effects of garlic extract (Allium sativum L.) on mice (Mus musculus). Method: This study employs an in vivo laboratory experimental design using the Post Test-Only Control Group Design. The acute toxicity test was conducted using the Organization for Economic Cooperation and Development (OECD) 425 method by calculating the lethal dose 50 (LD50) in mice (Mus musculus) with 25 subjects. Results: The acute toxicity test results showed that the LD50 value of garlic extract was 15 g/kg BW (mildly toxic) and did not show any allergic symptoms. The body weights of the mice before and after the treatment were analyzed using the OneWay ANOVA test. The analysis indicated no significant difference at a test level of 0.05 (p<0.05). Conclusion: Garlic extract (Allium sativum L.) does not cause allergies and does not affect toxicity levels at doses of 5000 mg/kg BW, 10,000 mg/kg BW, 15,000 mg/kg BW, and 20,000 mg/kg BW. However, it causes liver damage in mice at doses of 15,000 mg/kg BW and 20,000 mg/kg BW.
PREVALENSI KASUS PERIODONTITIS PADA PASIEN DENGAN USIA 10 TAHUN HINGGA >66 TAHUN DI UPTD PUSKESMAS SELEMADEG TIMUR I TABANAN PERIODE JANUARI-MARET 2024
mempengaruhi sekitar 20-50% populasi global. Tingginya prevalensi penyakit periodontal pada remaja, dewasa, dan lanjut usia menjadikannya masalah kesehatan masyarakat. Beberapa faktor risiko seperti merokok, kebersihan mulut yang buruk, diabetes, pengobatan, usia, keturunan, dan stres berhubungan dengan penyakit periodontal. Bukti kuat menunjukkan hubungan penyakit periodontal dengan penyakit sistemik seperti penyakit kardiovaskular, diabetes, dan hasil kehamilan yang merugikan. Tujuan: Penelitian ini bertujuan untuk mengetahui prevalensi dan penatalaksanaan periodontitis di UPTD Puskesmas Selemadeg Timur I pada bulan Januari 2024 hingga bulan Maret 2024. Metode: Penelitian ini berjenis penelitian deskriptif dengan menggunakan data sekunder yang diambil dari buku daftar pasien di poli gigi UPTD Puskesmas Selemadeg Timur I. Hasil: Didapatkan kunjungan pasien dengan kasus periodontitis berdasarkan kelompok usia, yaitu usia 10-15 tahun sebanyak 2 pasien (4%), 16-21 tahun sebanyak 3 pasien (6%), 22-30 tahun sebanyak 2 pasien (4%), 31-45 pasien sebanyak 9 pasien (19%), 46-50 tahun sebanyak 4 pasien (8%), 51-55 tahun sebanyak 8 pasien (16%), 56-65 tahun sebanyak 9 pasien (19%), dan >66 tahun sebenyak 12 pasien (24%). Simpulan: Kelompok kasus periodontitis berdasarkan usia paling banyak terjadi pada usia >66 tahun yaitu 12 pasien (24%), sedangkan yang paling sedikit terjadi pada usia 10-15 tahun dan 22-30 tahun yaitu 2 pasien (4%). Penatalaksanaan untuk kasus periodontitis dapat dilakukan dengan pembersihan karang gigi dan pencabutan gigi permanen.
EFEKTIVITAS ANTIBAKTERI NANO KITOSAN SISIK IKAN NILA (Oreochromis niloticus) TAMBAK DANAU BATUR DITAMBAH NaOCl 1,5% DAN 2,5% TERHADAP BAKTERI Pseudomonas aeruginosa SEBAGAI BAHAN IRIGASI SALURAN AKAR GIGI
Instroduction: Chitosan tilapia scales is one of the chitosans which has benefits as an antibacterial in dental root canal, the physical size of chitosan can be converted into smaller particle sizes in the form of nanoparticles. For the material of root canal irrigation as a gold standard is sodium hypochlorite 0.5% -5.25%. One of the bacteria found in root canal is Pseudomonas aeruginosa. The purpose of this study was to determine the effectiveness of nano chitosan tilapia scales plus 1.5% and 2.5% NaOCl in inhibiting Pseudomonas aeruginosa. Methods: This research is a laboratory experimental study with the research design used is the Post Test Only Control Group Design antibacterial test Kirby Bauer. The sample used was the bacterium Pseudomonas aeruginosa which was divided into 4 groups: group 1 was the treatment group given nano chitosan of tilapia scales plus 5% NaOCl, group 2 was the treatment group given nano chitosan of tilapia scales plus 5% NaOCl, group 3 of the treatment group was given a positive control with Chlorhexidine and group 4 of the treatment group was given a negative control of aquadest with 6 repetitions for Result: The results of statistical tests using the Least Significant Difference (LSD) test showed that there were significant differences in the inhibition zone between nano chitosan of tilapia scale plus 1.5% and 2.5% NaOCl with a value of r <0.05. The average inhibition power of nano chitosan of tilapia scales plus 1.5% NaOCl was 21.33 mm and nano chitosan of tilapia scale plus 2.5% NaOCl was 24.83. Conclusion: It can be concluded that nano chitosan of tilapia scale plus 1.5% NaOCl and nano chitosan of tilapia scale plus 2.5% NaOCl have very strong inhibition against Pseudomonas aeruginosa. Nano chitosan of tilapia scales plus 2.5% NaOCl is more effective in inhibiting Pseudomonas aeruginosa.
PREVALENSI DILASERASI AKAR GIGI DITINJAU DARI RADIOGRAFI PANORAMIK DI RSGM UNIVERSITAS MAHASARASWATI DENPASAR TAHUN 2017 – 2021
Latar Belakang: Radiografi panoramik banyak dimanfaatkan untuk screening pasien sebelum dilakukan perawatan protesa gigi untuk memastikan ada tidaknya akar, kista, benda asing, dan neoplasma. Dilaserasi akar adalah kelainan dalam pembentukan gigi yang menghasilkan lekukan tajam pada bagian akar gigi, ditandai dengan ujung apikal akar tampak seperti radiopak melingkar atau oval dengan radiolusen sentral yang memberikan gambaran seperti “bull’s eye”. Tujuan: penelitian ini bertujuan untuk mengetahui prevalensi dilaserasi akar gigi ditinjau dari radiografi panoramik di RSGM Universitas Mahasaraswati Denpasar tahun 2017 - 2021. Metodologi: Metode yang digunakan adalah metode cross-sectional deskriptif dengan pendekatan observasional atau pengumpulan data didasarkan pada yaitu 2017 - 2021. Hasil penelitian: Hasil penelitian menunjukkan bahwa prevalensi dilaserasi akar gigi ditinjau dari radiografi panoramik di RSGM Universitas Mahasaraswati Denpasar tahun 2017 - 2021 adalah sebanyak 142 kasus (58,48%). Terbanyak ditemukan pada jenis kelamin perempuan sebanyak 79 kasus (55,63%), paling banyak terdapat pada klasifikasi mild (ringan) sebanyak 113 kasus (9,75%), dilaserasi akar gigi paling banyak berlokasi pada mandibula sebanyak 121 kasus (85,21%).
Bioaktivitas Topikal Gel Ekstrak Daun Tapak Dara (Catharanthus roseus L.) Terhadap Ekspresi IL-1 Beta Pada Penyembuhan Traumatic Ulcer Mukosa Oral Mencit
Latar Belakang: Tapak dara atau Catharanthus roseus L. merupakan tanaman yang telah digunakan untuk mengobati berbagai macam penyakit, salah satunya ialah traumatic ulcer pada rongga mulut, proses penyembuhan traumatic ulcer memerlukan berbagai mediator inflamasi seperti IL-1β yang dapat meningkatkan pengaturan ekspresi molekul adhesi pada endotel, sehingga memungkinkan peningkatan migrasi limfosit dan neutrofil menuju area inflamasi secara berlebihan. Penelitian ini bertujuan untuk menguji bioaktivitas gel ekstrak daun tapak dara terhadap penurunan ekspresi Interleukin 1 Beta (IL-1β) pada penyembuhan traumatic ulcer. Metode: Jenis penelitian ini adalah penelitian true eksperimental laboratorium secara in vivo dengan pendekatan the post-test only control group. Hasil: Rerata kelompok dengan konsentrasi 5% paling tinggi dibanding kelompok dengan konsentrasi 10% dan 20% (16,671). Uji ANOVA menunjukkan bahwa gel ekstrak daun tapak dara dengan konsentrasi 5%, 10% dan 20% dapat menurunkan ekspresi Interleukin 1 Beta (IL-1β) (p value=0,001). Berdasarkan uji tukey post hoc, kelompok dengan konsentrasi 20% memiliki daya menurunkan ekspresi Interleukin 1 Beta (IL-1β) pada penyembuhan traumatic ulcer lebih baik dibandingkan kelompok dengan konsentrasi 5% dan 10% (p value=0,001, beda rerata=14,254). Kesimpulan: Topikal gel ekstrak daun tapak dara secara signifikan dapat menurunkan ekspresi IL-1β pada penyembuhan traumatic ulcer mukosa oral mencit dengan kadar paling rendah pada konsentrasi 20%.
Uji Alergi Ekstrak Batang Serai Wangi Pada Mencit Menggunakan Globally Harmonized System (GHS)
Lemongrass stems are used by the public as a medicine for sore throats, to reduce fever, to overcome digestive problems, as an antioxidant, anti-inflammatory and anti-cancer, so you need to know the safety of its use. Allergies are hypersensitivity reactions that are initiated by immunological mechanisms, namely due to induction by Immunoglobulin E (IgE) which is specific to certain allergens that bind to mast cells. Allergy testing is a skin examination or blood test procedure carried out to determine substances or materials that can cause allergic reactions. One of the allergy diagnostics is a skin examination. In allergy testing using 5 mice, given topically on the backs of mice in the form of a gel and observed for allergic reactions for 24 hours. In allergy testing using the Organization for Economic Cooperation and Development (OECD) method. In this study using OECD Guideline No. 404. The results of the allergy test are included in the non-irritant category. In allergy testing using the Wilcoxon signed ranks test.
PERBEDAAN KEKUATAN TEKAN ANTARA RESIN KOMPOSIT BULKFILL DENGAN RESIN KOMPOSIT FIBER BULKFILL
Introduction: Dental and oral health problems in Indonesia are currently quite high, one of the most common dental and oral diseases is dental caries. Teeth that have been affected by caries need special attention to be treated. Considerations in selecting the filling material also need to be taken into account so that it has the ability to withstand large chewing loads and does not fracture easily. Restoration materials that are good and can restore aesthetic function are what society needs, one of these materials is composite resin. This composite resin can be applied directly into the cavity and its color can resemble natural teeth. Objective: to determine the difference in compressive strength between bulkfill composite resin and bulkfill fiber composite resin. Method: The research used was laboratory experimental with a post test only design. This research involved 2 composite resins, namely bulkfill composite resin as group I and bulkfill fiber composite resin as group II. Samples with a cylindrical tube shape have a diameter of 4 mm and a height of 6 mm, 10 samples per group, then the samples are soaked in distilled water and then placed in an incubator at a temperature of 37⁰ for 24 hours. This was followed by each sample being tested for compressive strength using a Universal Testing Machine until it was crushed. Results: Group I compressive strength was 223.28 Mpa and Group II was 403.9 Mpa. Data analysis used the parametric independent t-test with p= 0.00 where p<0.05, which means the difference in compressive strength obtained was significant between bulkfill composite resin and bulkfill fiber. Conclusion: the compressive strength of bulkfill fiber composite resin is greater than bulkfill composite resin.
UJI TOKSISITAS SUBAKUT DAN ALERGI EKSTRAK BIJI KAKAO (Theobroma cacao L.) TERHADAP MENCIT (Mus musculus L.)
Background: Cocoa is one of the plants that is believed to have many health benefits and is used in herbal medicine, so it is necessary to conduct safety tests in its use. Objective: This study aims to determine abnormalities in the histopathology of the liver of mice that occur after repeated administration of the test preparation along with the allergies caused. Method: In this study, there were 25 samples consisting of 5 groups, namely the group of mice given cocoa bean extract at a dose of 4500 mg/kgBW, 5500 mg/kgBW, 6500 mg/kgBW, 7500 mg/kgBW, and the control group was given distilled water, and for allergy testing was given 32% cocoa bean extract gel. Oral administration of the test preparation was carried out every day for 28 days, once a day. Observations included toxic symptoms by looking at the histopathology of the liver and the presence or absence of signs of allergy. Results: Death of mice began to occur on the first day after administration of the test preparation, with a total of 9 mice dying. On the second day, 8 mice died with the same dose distribution, while on the third day, 3 mice died. Mice in the control group given distilled water survived until the 28th day. in mice showed that no allergic symptoms appeared in all 8 mice either within 30, 60, or 90 minutes after administration of cocoa bean extract. Conclusion: Administration of cocoa bean extract at doses of 4500 mg/kgBW, 5500 mg/kgBW, 6500 mg/kgBW, and 7500 mg/kgBW affected subacute toxicity and liver histopathology of mice, causing death in mice. Cocoa bean extract also did not cause allergies (no rashes and redness) in mice.
Perbedaan Kontras Radiografi Pada Hasil Foto Rontgen Periapikal Gigi Molar Rahang Bawah Dengan Penggunaan Tegangan Listrik 60 kVp dan 70 kVp di RSGM Saraswati Denpasar
The technique bisecting is often used for periapical diagnosis. To meet high radiographic image quality, a radiograph must meet several aspects to be assessed on a radiograph, namely density, contrast, sharpness, and detail. Contrast is the difference in the degree of blackness beetween two points, contrast is said to be good if it can be distinguished from one part to another. This study aims to determine the effect of differences in electrical voltage on contrast radiographs resulting from x-rays of molar teeth. The method used in this study is a laboratory experimental method with a randomized post test only design. This research was conducted at RSGM Saraswati Denpasar. The Sampling technique used simple random sampling. The research data were processed computerized using statistical analysis, namely the homogeneity and normality tests showed (P<0,05) not normally distributed and not homogeneous, then followed by the Man Whitney test (P<0,05) showed a significant difference. Differences in contrast were seen using a densitometer at a voltage of 60 kVp with an average of - 0,1569 with a brighter indicator and 70 kVp with an average of 1.7431 classified as a darker indicator. From the results of the study it can be concluded that by providing a voltage of 60 kVp is the ideal value in this study as an effort to improve the results of the quality of radiographic images by minimizing the dose of absorbed radiation exposure.
PENGARUH EFEKTIVITAS EKSTRAK DAUN CABAI RAWIT (Capsicum Frutescens, L) TERHADAP DAYA HAMBAT PERTUMBUHAN BAKTERI Streptococcus mutans ATCC 35668 PADA SOCKET GIGI PASCA PENCABUTAN GIGI
Streptococcus sp merupakan bakteri yang paling sering ditemukan pasca pencabutan gigi dan sering menjadi penyebab komplikasi berupa infeksi pasca pencabutan gigi. Pencegahan dan perawatan infeksi dapat dilakukan dengan pemberian antibiotik. Daun cabai rawit merupakan salah satu bahan herbal yang mengandung senyawa kimia seperti capcaisin dan flavonoid yang memiliki potensi antibakteri yang mungkin dapat menghambat pertumbuhan Streptococcus sp. Penelitian ini bertujuan untuk mengetahui potensi ekstrak daun cabai rawit (Capsicum Frutescens L) dalam mempengaruhi pertumbuhan bakteri Streptococcus sp yang dilakukan dengan metode true experimental post test only group design. Sampel terdiri dari enam kelompok perlakuan yaitu empat kelompok ekstrak daun cabai rawit (konsentrasi 25%, 50%, 75%, dan 100%), kontrol positif berupa antibiotik amoksisilin 25 μg dan kontrol negatif etanol 96%. Hasil pengujian menunjukkan bahwa ekstrak dengan konsentrasi 50%, 75%, dan 100% telah memberikan daya hambat terhadap pertumbuhan Streptococcus sp. Hasil tersebut dianalisis dengan uji One Way Anova didapatkan nilai p = 0.000 dan analisis Post Hoc menggunakan uji LSD didapatkan nilai signifikansi seluruhnya kurang dari 0.05. Ekstrak daun cabai rawit dapat menghambat pertumbuhan bakteri Streptococcus sp dengan perbedaan daya hambat yang bermakna dalam konsentrasi 50%, 75%, dan 100%.
PERBEDAAN EFEKTIVITAS ANTARA PERENDAMAN JUS BUAH BELIMBING WULUH (AVERRHOA BILIMBI LINN) DENGAN PERASAN BUAH JERUK LEMON (CITRUS LIMON) SEBAGAI BAHAN ALAMI PEMUTIH GIGI
due to various factors. Purposes: In dentistry, the above cases can be treated with dental bleaching, which is a process that can make teeth whiter, such as closer to the original color of the teeth, using chemicals. The use of chemical bleach is not always safe, so a safer alternative is needed, namely star fruit (Averrhoa Bilimbi Linn) and lemon (Citrus Limon). Methods: The type of research used is (true experimental design) and pretest- posttest group design. The total number of samples in this study were 24 samples in the form of maxillary and mandibular permanent anterior teeth which were divided into 4 experimental groups, namely marinated with 100% starfruit juice (Averrhoa Bilimbi Linn), 2.5% lemon juice (Citrus Limon), 10% carbamide peroxide gel and sterile distilled water. Measurements using a spectrophotometer. The data in this study are normally distributed and homogeneous. The pretest-posttest paired analysis using the Paired T- Test showed that the mean difference between the before and after groups was significantly different. Results: Parametric statistical tests with Oneway Anova showed that there were significant differences in each group after treatment. The highest level of effectiveness was owned by 10% carbamide peroxide gel seen from the mean difference value of the LSD Post Hoc test. Conclusions: Based on the results of the study it can be concluded that 2.5% lemon juice (Citrus Limon) is more effective than 100% starfruit juice (Averrhoa Bilimbi Linn) as a teeth whitening agent.
PERBANDINGAN EFEKTIVITAS ANTIBAKTERI EKSTRAK RIMPANG KUNYIT (Curcuma domestica) DAN JAHE MERAH (Zingiber officinale var. rubrum) TERHADAP BAKTERI Staphylococcus aureus PENYEBAB ABSES GIGI SECARA IN VITRO
Introduction: Turmeric rhyme (Curcuma domestica) and red ginger (Zingiber officinale var. rubrum) are groups of rhizome plants (Zingiberacea) which are known for containing some antibacterial compounds that can be used to treat some diseases. Staphylococcus aureus bacteria is one of the causes of dental abscess disease in oral health. Methods: The method used in this research is in vitro laboratory experimental using Muller-Hinton Agar which consists of 8 treatments and 4 repetitions with post-test only control group. The experiment comprises making 50%, 75%, and 100% concentrations extract of turmeric rhyme (Curcuma domestica) and red ginger (Zingiber officinale var. rubrum), the phytochemistry screening test of turmeric rhyme (Curcuma domestica) and red ginger (Zingiber officinale var. rubrum) extract, and inhibitory power test of turmeric rhyme (Curcuma domestica) and red ginger (Zingiber officinale var. rubrum) extract on Staphylococcus aureus bacteria. Results: This research shows that 50%, 75%, and 100% concentrations extract of turmeric rhyme (Curcuma domestica) have average inhibition diameter zones of 11,11 mm, 13,28 mm, and 16,38 mm, as for the red ginger (Zingiber officinale var. rubrum) have average inhibition diameter zones of 10,07 mm, 11,96 mm, and 15,26 mm. Conclusion: The conclusion of this research is turmeric rhyme (Curcuma domestica) and red ginger (Zingiber officinale var. rubrum) extract with 50%, 75%, and 100% concentrations have antibacterial effectiveness that inhibits the Staphylococcus aureus bacteria growth causes dental abscess, with the most effective 100% concentration extract of turmeric rhyme (Curcuma domestica).
Prevalensi Kelainan Geographic Tongue pada Ibu Hamil di Puskesmas Gianyar I Periode Juni-Juli 2023
Introduction: Geographic tongue is an annular lesion that can be found on the dorsum and the edges of the tongue. This lesion is also known as erythema Migrans. The clinical appearance of Geographic tongue consists of white, yellow, or gray lesions on the slightly elevated edges. The purpose of this study was to determine the prevalence of geographic tongue cases in pregnant women at the Community Health Center Gianyar I. Method: The type of research used in this study was a descriptive epidemiological research method. The total number of samples in this study were 125 respondents of pregnant women at the Community Health Center Gianyar I. Data analysis was carriedout descriptively, namely those presented in the form of frequency and percentage distribution tables. Results: From the research results, the prevalence of geographic tongue in pregnant women at the Gianyar I Community Health Center period June - July 2023, there were 11 (8.8%) sufferers of geographic tongue disorder, where based on gestational age (trimester), there were 6 sufferers of geographic tongue or around ( 11.11%) in the third trimester, while in the second trimester there were 4 (9.52%) people who suffered from geographic tongue and only 1 person (3.44%) who suffered from geographic tongue in the first trimester. Conclusion: The prevalence of geographic tongue cases is mostly found in the third trimester of pregnancy and most have no symptoms and no pain.
UJI DAYA HAMBAT EKSTRAK JINTAN HITAM (Nigella sativa) KONSENTRASI 50%, 75% DAN 100% TERHADAP PERTUMBUHAN BAKTERI Staphyloccocus aureus
Introduction: This research is a laboratory research using Post Test Control Group Design. The samples used were Staphylococcus aureus bacteria which were divided into 5 groups, namely the group treated with black cumin extract with a concentration of 50%, 75% and 100%, the treatment group given ChKM as a positive control, and the group treated with aquadest as a negative control, with each 5 repetitions. Cumin extraction was carried out by maceration method using 96% ethanol solvent. Inhibition zone testing was carried out using the Kirby Bauer method. The inhibition produced at 50% extract concentration was 9.87 mm, 75% concentration was 14.24 mm and at 100% concentration was 17.19 mm. The higher the extract concentration, the greater the amount of antibacterial compounds released. Where antibacterial compounds identified are saponins, phenols, alkaloids, flavonoids, tannins. It can be concluded that the inhibition of black cumin extract (Nigella sativa) at concentrations of 50%, 75% and 100% can inhibit the growth of Staphylococcus aureus bacteria, with the most effective concentration being in the treatment group containing black cumin extract with a concentration of 100%. Keywords: , , ,
Penambahan Nanokitosan Sintetik Pada Plat Resin Akrilik Polimerisasi Panas Dapat Meningkatkan Kekuatan Transversa
Latar Belakang: Bahan basis gigi tiruan lepasan yang umum digunakan yaitu resin akrilik polimerisasi panas (RAPP) mudah mengalami penurunan kekuatan mekanis salah satunya kekuatan transversa. Kekuatan transversa adalah ketahanan basis gigi tiruan lepasan dalam menerima beban saat terjadi pengunyahan. Oleh karena itu diperlukan penambahan penguat yang dapat meningkatkan kekuatan transversa bahan basis gigi tiruan lepasan. Nanokitosan sintetik sebagai bahan yang bersifat antimikroba, biokompatibel dan biodegradable memiliki ukuran partikel yang kecil serta kandungan kalsium sebagai sumber utama hidroksiapatit sehingga dapatmenyatu dengan resin akrilik secara homogen melalui bantuan coupling agent asamakrilat dan asam asetat dan menciptakan ikatan mekanis yangkuat dan banyak. Tujuan: untuk mengetahui apakah penambahan nanokitosan sintetik pada plat resin akrilik polimerisasi panas dapat meningkatkan kekuatan transversa. Metode:Rancangan eksperimental penelitian ini adalah Post Test Only Control Group Design dengan jumlah n = 30 dan terdiri dari 5 kelompok. Kelompok perlakuan P1,P2 dan P3 dengan penambahan nanokitosan sintetik 1%, 1,5% dan 2%. Kelompokkontrol K1 dengan penambahan nanokitosan sisik ikan barakuda, K2 plat resin akrilik polimerisasi panas. Kekuatan transversa diukur menggunakan universal testing machine. Hasil: Hasil penelitian menunjukkan rerata nilai kekuatan transversa kelompok P1, P2, P3, K1 dan K2 secara berurutan yaitu Menunjukkan were 55,82±3,23, 49,02±3,83, 62,69±10,49, 62,68±2,21, 52,88±1,11data berdistribusi normal dan homogen. Analisis data dengan uji One Way ANOVA nilai kekuatan transversa menunjukkan p<0,05 berarti berbeda signifikan.Penambahan nanokitosan sintetik P3 dan K1 (p>0,05) sedangkan P3 dan K2(p<0,05). Kesimpulan: Dari hasil penelitian ini dapat disimpulkan bahwa penambahan nanokitosan sintetik P3 2% pada plat resin akrilik polimerisasi panas dapat meningkatkan kekuatan transversa.
UJI DAYA HAMBAT EKSTRAK DAUN JARAK PAGAR (Jatropha curcas L.) TERHADAP PERTUMBUHAN BAKTERI Aggregatibacter actinomycetemcomitans SECARA IN VITRO
Introduction: Aggressive periodontitis is a disease of the periodontal tissue caused by bacteria, one of which is the Aggregatibacter actinomycetemcomitans bacteria. The leaves of jatropha (Jatropha curcas L.) contain active antibacterial substances, namely saponins, phenols, steroids, terpenoids, alkaloids, flavonoids and tannins. The purpose of this study was to determine the inhibitory power of jatropha (Jatropha curcas L.) leaf extract against the bacteria Aggregatibacter actinomycetemcomitans in vitro. Methods: This research is a laboratory experimental research with a true experimental research type in vitro with a Post-Test Only Control Group Design. This test used 25 samples with 5 treatment groups and five repetitions. The treatments given were jatropha (Jatropha curcas L.) leaf extract with concentrations of 25%, 50%, and 100%, Tetracycline as a positive control and 96% etanol as a negative control. Results: The results showed that the inhibitory power of jatropha (Jatropha curcas L.) leaf extract at a concentration of 25% had an average of 10.2 mm, 50% had an average of 12.64 mm and 100% had an average of 15.14 mm. against the growth of Aggregatibacter actinomycetemcomitans bacteria. Concentrations of 50% and 100% include strong inhibitory power against the Aggregatibacter actinomycetemcomitans bacteria, while the 25% concentration includes moderate inhibitory power. Conclusion: All concentrations can inhibit Aggregatibacter actinomycetemcomitans, but the most effective is the 100% concentration.
UJI DAYA HAMBAT EKSTRAK DAUN JARAK PAGAR (Jatropha curcas L.) TERHADAP PERTUMBUHAN BAKTERI Porphyromonas gingivalis SECARA IN VITRO
Introduction: Chronic periodontitis is the disease most often found in periodontal tissue and generally occurs in adults caused by microorganisms found in dental plaque. The dominant microorganisms in chronic periodontitis are Porphyromonas gingivalis. Jatropha leaves (Jatropha curcas L.) contain active substances that have antibacterial. This content can inhibit the growth of the Porphyromonas gingivalis. Methods: The method used in this research is a laboratory experimental research with the type of true experimental in vitro with the Post-Test Only Control Group Design. The treatments given was jatropha leaf extract (Jatropha curcas L.) with concentrations of 25%, 50%, and 100%, positive control with Metronidazole 500 mg and negative control with Ethanol 96%. Results: The results showed that the inhibitory power of Jatropha leaf extract (Jatropha curcas L.) at a concentration of 25% had an inhibition zone diameter of 10.87 ± 0.59 mm, concentration of 50% had an inhibition zone diameter of 13.27 ± 0.40 mm and 100% concentration had an inhibition zone diameter of 16.17 ± 0.25 mm for the growth of Porphyromonas gingivalis. Concentrations of 25%, 50%, and 100% have strong category inhibitory against Porphyromonas gingivalis bacteria. Based on the results of the Mann Whitney test, it showed that there were significant differences between treatment groups, with a p value <0.05 in all treatment groups. For 100% concentration (P: 0.000) and 50% concentration (P: 0.000). Conclusion: The conclusion is that Jatropha leaf extract (Jatropha curcas L.) can inhibit the growth Porphyromonas gingivalis bacterial at concentrations of 25%, 50%, and 100% in vitro. Jatropha leaf extract (Jatropha curcas L.) 100% concentration is more effective in inhibition the growth Porphyromonas gingivalis compared to concentrations of 25% and 50%.
PERBEDAAN PREVALENSI KARIES GIGI SULUNG PADA PEMBERIAN SUSU BOTOL DAN ASI PASIEN DI RUMAH SAKIT GIGI DAN MULUT (RSGM) SARASWATI DENPASAR TAHUN 2017- 2020
Introduction: Public health status is one of the important factors that can affect the quality of human resources, one of which is dental health status. Dental health status is determined by the presence of teeth that are damaged due to caries, missing teeth and filling teeth. Children who breastfeed for more than one year and are allowed to suckle at night before going to bed can increase the severity of caries in the primary teeth in the child's oral cavity. This study aims to determine the difference in the prevalence of primary dental caries in bottle feeding and breast milk of patients at the Dental and Oral Hospital (RSGM) Saraswati Denpasar in 2017-2020. Materials and Methods: This research method uses descriptive analysis with univariate analysis techniques in the form of percentages to see the difference in the prevalence of primary dental caries in bottle feeding and breast milk of patients at the Dental and Oral Hospital (RSGM) Saraswati Denpasar in 2017-2020. Results and Discussion: The prevalence results in this study, caries in primary teeth at RSGM Saraswati Denpasar in 2017-2020 totaled 70 cases. Conclusion:The number of caries in the pattern of drinking milk with bottled milk was 37 (52,9%) cases compared to the number of caries in the pattern of drinking breast milk as many as 33 (47,1%) cases, and the number of caries in pediatric patients aged 5 years was higher by 42 cases compared to others.
UJI DAYA HAMBAT EKSTRAK Allium sativum Linn TERHADAP PERTUMBUHAN BAKTERI MIX SALURAN AKAR GIGI
Pendahuluan: Gigi yang mengalami nekrosis pulpa memerlukan perawatan saluran akar untuk membersihkan ruang pulpa dari jaringan pulpa yang telah terinfeksi. Penggunaan obat tradisional dari bahan alami telah lama digunakan sebagai terapi atau bahan pengobatan oleh penduduk dunia. Penggunaan obat herbal dan rempah dibandingkan dengan obat-obat yang diformulasikan dari bahan kimia memiliki efek samping yang lebih minim. Tujuan dari penelitian ini untuk mengetahui daya hambat yang dihasilkan oleh ekstrak bawang putih terhadap bakteri mix saluran akar gigi. Metode: Penelitian ini merupakan penelitian laboratorium dengan rancangan Post Test Control Group Design. Sampel yang digunakan merupakan bakteri mix. Kelompok perlakuan dibagi 5 kelompok yaitu dengan perlakuan ekstrak bawang putih konsentrasi 25%, 50% dan 100%, kelompok perlakuan yang diberi ChKM sebagai kontrol positif, dan kelompok perlakuan yang diberi aquadest sebagai kontrol negative. Ekstraksi didapatkan cara maserasi dengan pelarut etanol 96%. Pengujian zona hambat dilakukan dengan menggunakan metode Kirby Bauer. Hasil : Daya hambat yang dihasilkan pada konsentrasi ekstrak 25% sebesar 12,68 mm, konsentrasi 50% sebesar 16,19 mm dan pada konsentrasi 100% sebesar 19,87 mm. Semakin tinggi konsentrasi ekstrak maka jumlah senyawa antibakteri yang dilepaskan semakin besar. Kesimpulan : Dapat disimpulkan bahwa daya hambat ekstrak bawang putih (Allium sativum Linn) pada konsentrasi 25%, 50% dan 100% dapat menghambat pertumbuhan bakteri mix saluran akar gigi, dengan konsentrasi yang paling efektif yaitu pada kelompok perlakuan yang mengandung ekstrak bawang putih dengan konsentrasi 100%.
Pengaruh Tradisi Metatah Terhadap Perubahan Angulasi Mesiodistal Mahkota Gigi Anterior Rahang Atas
Pendahuluan: Masyarakat Bali khususnya yang beragama Hindu memiliki sumber ajaran yang tertulis bersumber dari Veda. Selain Veda juga terdapat sastra-sastra agama seperti lontar-lontar yang merupakan sumber ajaran agama Hindu. Salah satu lontar yang dikaji untuk dijadikan karya ilmiah adalah Lontar Kala Tattwa. Lontar ini memuat tentang mitologi potong gigi atau metatah dan pelaksanaan upacara potong gigi dalam masyarakat Bali. Gigi mempunyai posisi yang khas pada oklusi normal dengan sumbu gigi pada posisi normal yang dapat dilihat dari aspek labial, lingual, mesial, dan distal. Beberapa penelitian yang relevan menunjukan bahwa alat yang dinilai efektif untuk mengevaluasi angulasi mesiodistal gigi adalah radiografi panoramik. Penelitian ini bertujuan untuk meneliti lebih lanjut menggunakan radiografi panoramik untuk melihat perubahan angulasi mesiodistal gigi seseorang yang sudah metatah (potong gigi). Metode: Penelitian ini menggunakan penelitian non eksperimen jenis observasional analitik dengan desain penelitian cross-sectional dan menggunakan teknik analisis univariat dan bivariat. Instrumen yang digunakan pada penelitian ini menggunakan rekam medis dan radiografi panoramik. Hasil: Pada penelitian ini didapatkan 28 responden yang digunakan dan memenuhi sebagai sampel penelitian. Mayoritas subjek berusia 22 dan 23 tahun, yaitu masing- masing sebanyak 7 orang (25,0%). Karakteritsik responden ditinjau dari pekerjaanya yaitu setengah dari jumlah subjek tidak bekerja sebanyak 14 orang (50,0%) dan sisanya bekerja sebanyak 14 orang (50,0%). Hasil analisis penelitian, menunjukan perbedaan signifikan terhadap perubahan inklinasi sumbu normal sudut angulasi mesiodistal gigi anterior rahang atas akibat tradisi metatah pada gigi 13 (p<0,001*), gigi 12 (p<0,001*), gigi 11 (p<0,001*), gigi 21 (p,0,001*), gigi 22 (p<0,001*), dan gigi 23 (p<0,001*). Kesimpulan: Tradisi metatah berpengaruh signifikan terhadap perubahan inklinasi sumbu normal sudut angulasi mesiodistal gigi anterior rahang atas.
RASIO JUMLAH PASIEN PERIKORONITIS OLEH KARENA GIGI IMPAKSI ANTARA LAKI-LAKI DAN PEREMPUAN SELAMA DI POLI GIGI PUSKESMAS TABANAN I
An impacted tooth is a condition where a tooth partially erupts or fails to erupt into the dental arch. Abnormalities that can result from impacted teeth are the formation of cysts, causing dental caries and pericoronitis. Pericoronitis is an infection of the soft tissue that covers the teeth with partially erupted teeth. The most common area where pericoronitis occurs is in partially erupted lower third molars. Based on data from patient registration records at the Tabanan I Community Health Center Dental Clinic, it was found that pericoronitis due to impacted teeth was included in the 10 highest cases of disease during the period December 2023-March 2024. The sampling technique in this study was consecutive sampling. The sample in this study was all registration data for 13 patients who experienced pericoronitis with a total population of 31. The data results show that the ratio of the number of pericoronitis cases in December 2023 was 1:4 cases, in January 2024 it was 0:3 cases, in February namely 3:1 cases and in March it was 0:1 cases. Then, the total cases of pericoronitis found in male patients were 4 cases and 9 cases in female patients.
PENAMBAHAN NANOKITOSAN CANGKANG UDANG WINDU PADA PLAT RESIN AKRILIK POLIMERISASI PANAS DAPAT MENINGKATKAN KEKUATAN IMPAK
Background: Heat cured resin acrylic is the most commonly used denture base material, prone to a decrease in mechanical strength, one of which is impact strength. Impact strength is the ability of a material to accept impact loads until the material breaks. Adding a reinforcing material can increase the impact strength of the denture base material. Nanochitosan of tiger shrimp shells as a material has good biocompatibility, biodegradable, mucoadhesive, and non-toxic properties has a small particle size and contains calcium carbonate and chitin, so it can blend with acrylic resin homogeneously through the help of coupling agents acrylic acid and acetic acid as well as creates a strong, multiple mechanical bond. Purpose: This study was to determine whether the addition of nanochitosan from tiger shrimp (Penaeus monodon) shells on heat cured acrylic resin plates can increase impact strength. Methods: This study was an experimental study with Post Test Only Control Group Design with a total of n = 30 and consisted of 5 groups. Treatment groups P1, P2 and P3 with the addition of 0.5%, 1% and 1.5% tiger shrimp shell nanochitosan. Control group K1 with the addition of 5% zirconium oxide, K2 heat cured acrylic resin plate. Impact strength was measured using a Charpy Pendulum Impact Testing. Results: Showed that the mean impact strength values of the P1, P2, P3, K1 and K2 groups respectively were 3.6382±0.33395, 4.6337±0.31763, 4.0342±0.30710, 3.2312±0.31749 and 3.0672±0.35860, indicating that the data is normally distributed and homogeneous. Data analysis tested by One Way ANOVA impact strength values were significantly different (p<0,05). LSD post hoc test concentration of 1% and K1 (addition of zirconium oxide) showed a significance of p<0.05. Conclusion: from this study it can be concluded that the addition of 1% tiger shrimp shell nanochitosan on heat cured acrylic resin plates can increase the impact strength. Keywords: , ,
UJI EFEKTIVITAS ANTIBAKTERI EKSTRAK KUNYIT (Curcuma domestica Val) KONSENTRASI 25%, 50%, DAN 100% TERHADAP PERTUMBUHAN BAKTERI SALURAN AKAR GIGI
Dental and oral health is very important to noted because the oral cavity is the entry point of bacteria and germs into the body. The untreated tooth decay can cause pulp necrosis or death of the pulp. Teeth with pulp necrosis require root canal treatment to clean the pulp chamber from infected pulp tissue. The use of traditional medicine from natural ingredients has long been used as a therapy or medicinal ingredient by the world's population. The use of herbal medicines derived from plants and spices when compared to drugs formulated from chemicals has low side effects, has a relatively more affordable price and is easy to find. The purpose of this study was to determine the inhibitory power produced by turmeric extract against root canal bacteria. This research is a laboratory research with Post Test Control Group Design. The sample used was a bacterial root canal which was divided into 5 groups, namely the group treated with turmeric extract with concentrations of 25%, 50%, and 100%, the group treated with ChKM as a positive control, and the group treated with aquadest as negative control, with 5 repetitions each. Turmeric extraction was carried out by maceration method using 96% ethanol solvent. Inhibition zone testing was carried out using the Kirby Bauer method. The inhibition power produced at 25% extract concentration was 11,24 mm, 50% concentration was 13,81 mm and at 100% concentration was 15,95 mm. The higher the concentration of the extract, the greater the amount of antibacterial compounds released. Where the identified antibacterial compounds are saponins, phenols, terpenoids, alkaloids, flavonoids, tannins. It can be concluded that the inhibitory power of turmeric extract (Curcuma domestica Val) at concentrations of 25%, 50% and 100% can inhibit the growth of root canal bacteria, with the most effective concentration in the treatment group containing turmeric extract with a concentration of 100%.
EFEKTIVITAS PEMBERIAN GEL EKSTRAK DAUN KELOR (Moringa oliefera) TERHADAP KEPADATAN KOLAGEN PADA PROSES PENYEMBUHAN LUKA PASCA INSISI PADA MENCIT (Mus musculus)
Wounds are very common in the world of medicine. Moringa leaves are often used community to help heal wounds. Moringa leaves contain active ingredients in the form of flavonoids, tannins, and saponins which play a roleto help speed up the wound healing process. The purpose of this research is to test the effectiveness of giving moringa leaf extract to an incision wound by observing its density collagen performed on mice. This research is research laboratory experiments carried out in vivo. In this research There were 24 samples consisting of 4 groups namely the negative control group, the group given Moringa leaf extract gel concentrations of 3%, 6% and 9%. Preparation of Moringa leaf extract gel was carried out by the method Maceration is then made into a gel preparation. In vivo test was carried out by making incision wounds in mice and then the wound was given extract gel treatment twice a day. On 7th day after treatment, decapitation was carried out for specimen collection observation of collagen density. Research data were analyzed using oneway ANOVA followed by the LSD test. The research results show Giving moringa leaf extract gel has an effect on the process Wound healing is proven by an increase in collagen density in treatment at all concentrations. The conclusion of this research is administration of moringa leaf extract gel increased the density of wound collagen mouse incision. Concentration of 9% is the most effective concentration in increasing collagen density compared concentrations of 3% and 6%.
EFEKTIVITAS EKSTRAK DAUN SIRIH (PIPER BETLE L.) TERHADAP PENINGKATAN JUMLAH MAKROFAG TRAUMATIK ULCER PADA MENCIT JANTAN
Pendahuluan: Rongga mulut adalah tempat yang sangat rentan terjadinya iritasi atau trauma. Trauma merupakan salah satu penyebab terjadinya ulserasi pada rongga mulut, dan ulser ini dikenal sebagai ulser traumatik. Secara garis besar trauma tersebut dapat diklasifikasikan menjadi beberapa tipe yaitu trauma mekanis, termal, elektrik dan kimiawi. Penanganan ulkus traumatik yang utama adalah menghilangkan penyebab trauma dan pemberian obat antiinflamasi, seperti kortikosteroid topikal dan intralesi, juga anastetikum lokal. Salah satu efek samping kortikosteroid jangka Panjang dapat menimbulkan efek samping akibat khasiat glukokotikoid yaitu diabetes, osteoporosis, nekrosis vascular, sindrom cushing. Sekitar 70% tumbuhan didunia dapat digunakan sebagai obat herbal yang memiliki efek samping yang lebih kecil, salah satunya daun sirih. Daunsirih mengandung senyawa kimia seperti fenol dan senyawa turunannya antara lain kavikol, kavibetol, eugenol, karvacol dan allipyrocatech. Perkembangan gaya hidup masyarakat membuat produk pangan saat ini dituntut tidak hanya memenuhi kuantitas yang dibutuhkan, namun juga memenuhi kualitas yang di inginkan konsumen. Salah satu zat adiktif yang lazim digunakan dalam beberapa bidang industri adalah CMC. Tujuan penelitian ini untuk mengetahui efektivitas ekstra daun sirih dengan konsentrasi 45% terhadap peningkatan jumlah makrofag traumatik ulser pas mencit jantan. Metode: Metode pada penelitian ini menggunakan eksperimental murni secara in vivo dimana data diambil dengan cara mengamati preparat biopsi eksisi jaringan pada hari ke- 3, ke-5, dan ke-7 setelah pembuatan ulser dengan perwarnaan hematoxylin dan eosin. Hasil Penelitian: Hasil dari penelitian ini didapatkan perbandingan antara ekstrak daun sirih dan CMC yaitu ekstrak daun sirih dengan konsentrasi 45% hari ke-3 jumlah makrofag (2,8) dan CMC hari ke- 3 dengan jumlah makrofag (0,8). Pada ektrak daun sirih dengan konsentrasi 45% dihari ke-5 jumlah makrofag (1,8) dan CMC hari ke-5 dengan jumlah makrofag (1,4). Pada ekstrak daun sirih dengan konsentrasi 45% dihari ke-7 jumlah makrofag (3) dan CMC hari ke-7 dengan jumlah makrofag (0,8). Kesimpulan: Berdasarkan hasil penelitian, ekstrak daun sirih (Piper betle L.) dengan konsentrasi 45% dapatberpengaruh terhadap jumlah makrofag, sedangan CMC tidak berpengaruh terhadap jumlah makrofag. Berdasarkan hasil penelitian, efektivitas yang paling baik terhadap jumlah makrofag yaitu ekstrak daun sirih (Piper betle L.) dengan konsentrasi 45%.
PEMBERIAN VITAMIN D MENYEBABKAN JUMLAH SEL FIBROBLAS LEBIH BESAR DIBANDING KONTROL PADA TIKUS WISTAR (RATTUS NORVEGICUS) YANG DIINDUKSI PERIODONTITIS
Periodontitis is a destructive inflammation disease on periodontal tissue which caused by specific microorganism such as Porphiromonas gingivalis. Vitamin D has tumor suppressor, anti-inflammatory, and antibacterial traits. Vitamin D affects the pathogenesis of periodontal disease via immunomodulation, increases bone mineral density, decreases bone resorption, and important in fighting against agents that cause periodontal diseases. The previous research used vitamin D with dosage of 500-2000 IU was found safe and effective in treating gingival inflammation. This research aims to find out the effectiveness of vitamin D towards fibroblast on periodontitis. This research is an in vivo experimental research by using wistar rats (Rattus norvegicus) which was divided into three groups, consist of control group 1 (K0) healthy rat was given vitamin D 2000 IU was observed on 7th day (K07), 14th day (K014), and 28th day (K028), control group II (K1) wistar rats was induced periodontitis without additional supplement which was observed on 7th day (K17), 14th day (K114), and 28th day (K128), treatment group (P1) wistar rats was induced periodontitis and given vitamin D 2000 IU was observed on 7th day (P17), 14th day (P114), and 28th day (K128). The rat was put down on 28th day after the treatment. An object glass was made for the specimen and hematoxylin eosin staining was conducted to calculate the fibroblast. The result from one way annova test showed p value= 0,000 which means that there is a difference on the average number of fibroblast in the nine groups. The result from LSD test showed that vitamin D with dosage of 2000IU is effective for periodontitis treatment.
EFEKTIVITAS SALEP EKSTRAK RIMPANG BANGLE (Zingiber purpureum Roxb) TERHADAP KEPADATAN KOLAGEN PADA PROSES PENYEMBUHAN LUKA PENCABUTAN GIGI MARMUT (Cavia Cobaya).
Introduction: A wound is a failure of tissue components to unite. After tooth extraction, a wound or hole will result which is called a socket. When a wound occurs, it is followed by a wound healing process. Wound healing can be healed with modern and traditional treatment. Traditional medicine is still the people's main choice because of its low side effects and cheap price by utilizing natural resources, namely plants in the surrounding environment. One of the plants that has the potential to be used as medicine is Bangle Rhizome (Zingiber purpureum Roxb.). Bangle rhizomes contain active ingredients such as tannins, saponins, and essential oils which have the potential to act as anti- inflammatory, inhibit cell damage, and speed up the healing process in wounds. Purpose: The aim of this study was to test the effectiveness of bangle rhizome extract ointment in the healing process of tooth extraction wounds by observing collagen density in guinea pigs. Bangle rhizome extract ointment is made using the maceration method and then the ointment is made. Methods: This research is a laboratory experimental study carried out in vivo. In this study there were 24 samples divided into 4 groups. Each group consisted of 6 guinea pigs by making tooth extraction wounds and then treated on group I, namely Bangle rhizome extract ointment with a concentration of 80%, group II, namely Bangle rhizome extract ointment with a concentration of 85%, group III, namely Bangle rhizome extract ointment with a concentration of 90%. , and the negative control group, namely cera alba base ointment and petroleum jelly twice every day. On the 7th day after treatment, decapitation was carried out, specimens were taken to observe collagen density. The research data were analyzed using one way ANOVA followed by the Least Significant Difference (LSD) test. Results: The results of the study showed that administering bangle rhizome extract ointment (Zingiber purpureum Roxb) with concentrations of 80%, 85% and 90% was effective in increasing collagen density in the healing process of guinea pig (Cavia Cobaya) tooth extraction wounds.). Conclusion: The conclusion of this research is that administering bangle rhizome extract ointment with a concentration of 85% is more effective in increasing collagen density in the healing process of tooth extraction wounds in guinea pigs than concentrations of 80% and 90%.
PERBANDINGAN BERKUMUR DENGAN EKSTRAK DAUN SIRIH HIJAU (Piper betle L.) 25% DAN EKSTRAK DAUN KEMANGI (Ocimum sanctum L.) 25% TERHADAP PERUBAHAN PH SALIVA PADA MAHASISWA PENGGUNA PERANTI ORTODONTI CEKAT DI FAKULTAS KEDOKTERAN GIGI UNIVERSITAS MAHASARASWATI
Malocclusion is a misalignment of the opposing teeth when the jaws are in contact, with a prevalence of 80% in 2008, ranking third after dental caries and periodontal disease. Orthodontic treatment has advanced significantly as public awareness increases regarding the importance of teeth not only for chewing but also for appearance. Orthodontic care alters the oral cavity environment by stimulating saliva flow, increasing buffer capacity, and saliva pH, thereby enhancing saliva's anti-caries activity. Oral health maintenance includes brushing and rinsing, with green betel leaves and basil leaves known for their antibacterial potential. This study aims to compare the effects of rinsing with 25% green betel leaf (Piper betle L.) extract and 25% basil leaf (Ocimum sanctum L.) extract on saliva pH among students using fixed orthodontic appliances at the Faculty of Dentistry, Mahasaraswati University Denpasar. This quasi-experimental study with a pre-test and post-test group design involved 27 students divided into three treatment groups using purposive sampling. The samples consumed plain bread before the initial saliva pH measurement, then rinsed according to their group using either distilled water, 25% green betel leaf extract, or 25% basil leaf extract, followed by a final saliva pH measurement. The spitting method was used for saliva collection, and saliva pH data were statistically analyzed using the paired T-test. The results showed that rinsing with 25% green betel leaf extract effectively increased saliva pH, whereas rinsing with 25% basil leaf extract was not effective. There was a significant difference in saliva pH changes between rinsing with 25% green betel leaf extract and 25% basil leaf extract.
GAMBARAN PENGARUH KEBIASAAN BURUK MENGISAP IBU JARI TERHADAP KESIMETRISAN GARIS MEDIAN GIGI DAN GARIS MEDIA WAJAH PADA SAAT OKLUSI SENTRIS DI SD SARASWATI 1 DENPASAR
Introduction: Thumb or finger sucking activities that occur in children are caused by the weaning process in babies, children feel anxious, bored, sleepy, hungry, and several other psychological problems. The prevalence of this incident has a fairly high percentage value, reaching a percentage value of 80.5%. Apart from that, there are other incidents such as posterior crossbite, overjet, and anterior openbite. The aim of the research is to provide analysis results regarding the symmetry of the median line of the face and teeth which is influenced by the thumb sucking habit. Method: The type of research used is descriptive observational using a cross sectional approach. Results: The research results showed that students at SD Saraswati 1 Denpasar had an "Asymmetrical Median Line" with a frequency of 49 students, so the percentage obtained was 58%. The details obtained through the shift in the medial line are that 3 students experienced a shift of 4 mm in length, 7 students experienced a shift of 3 mm in length, and 39 students experienced a shift of 2 mm in length. Meanwhile, students at SD Saraswati 1 Denpasar have a "Symmetric Median Line" with a frequency of 36 students, so the percentage obtained is 42%. Conclusion: Students at SD Saraswati 1 Denpasar have more asymmetrical faces than symmetrical median lines caused by the habit of sucking their thumbs
Latar Belakang: Kegiatan mengisap jempol ataupun jari yang terjadi pada diri anak disebabkan oleh proses menyapih pada bayi, anak merasa cemas, bosan, mengantuk, lapar, dan beberapa masalah psikologis lainnya. Prevalensi atas kejadian tersebut memiliki nilai persentase cukup tinggi yaitu hingga mencapai nilai persentase 80,5%. Selain itu, terdapat kejadian lain seperti crossbite posterior, overjet, serta openbite anterior. Tujuan dari penelitian ialah memberikan hasil analisis terkait kesimetrisan garis median wajah dan gigi yang dipengaruhi oleh kebiasaan mengisap ibu jari. Metode: Jenis penelitian yang digunakan ialah menggunakan observasional deskriptif dengan menggunakan pendekatan cross sectional. Hasil: hasil penelitian yang diperoleh bahwa siswa di SD Saraswati 1 Denpasar memiliki Garis Median Tidak Simetris dengan frekuensi 49 siswa, sehingga persentase yang didapatkannya ialah 58%. Adapun rincian yang didapatkan melalui pergeseran garis median ialah 3 siswa mengalami pergeseran dengan panjang 4 mm, 7 siswa mengalami pergeseran dengan panjang 3 mm, dan 39 siswa mengalami pergeseran sepanjnag 2 mm. Sedangkan siswa di SD Saraswati 1 Denpasar memiliki Garis Median Simetris dengan frekuensi 36 siswa, sehingga persentase yang didapatkannya ialah 42%. Kesimpulan: Siswa di SD Saraswati 1 Denpasar memiliki wajah tidak simetris lebih banyak dibandingkan dengan garis median simetris yang disebabkan oleh kebiasaan mengisap ibu jari
Efektivitas Ekstrak Jintan Hitam (Nigella sativa) dalam Menghambat Pelepasan Mineral Pada Enamel Gigi Manusia (In Vitro)
Pendahuluan: Bahan remineralisasi gigi untuk mencegah karies dan meningkatkan kekerasan permukaan enamel gigi yang sering digunakan pada umumnya adalah sodium fluoride. Namun, terlalu banyak konsumsi fluor akan menyebabkan toksisitas pada tubuh, sehingga dibutuhkan bahan yang lebih aman. Jintan hitam (Nigella sativa) merupakan tanaman obat yang terbukti secara ilmiah dalam berbagai penelitian untuk menyembuhkan berbagai penyakit. Kandungan konsentrasi mineral pada jintan hitam yang tertinggi adalah kalsium dan fosfor diikuti dengan sulfur, magnesium, potassium, sodium, zinc, tembaga, zat besi, mangan dan krom. Tujuan dari penelitian ini adalah untuk mengetahui efektivitas ekstrak jintan hitam (Nigella sativa) dalam menghambat pelepasan mineral pada enamel gigi manusia. Metode: Penelitian ini menggunakan true experimental secara in vitro dengan rancangan post-test only control group design. Sampel gigi dibagi ke dalam 4 kelompok perlakuan. Kelompok pertama direndam dalam ekstrak jintan hitam 5%. Kelompok dua direndam dalam ekstrak jintan hitam 7%. Kelompok tiga sebagai kontrol positif direndam dalam larutan sodium fluoride 0,05%. Kelompok empat sebagai kontrol negatif. Gigi dari masing-masing kelompok direndam secara terpisah dalam 40 ml larutan uji selama empat menit, sekali sehari dan selama sepuluh hari. Gigi kemudian dipersiapkan untuk etsa dan dianalisis dengan menggunakan spectrometer untuk mengukur konsentrasi mineral yang dilepaskan. Hasil: Penelitian ini menunjukan bahwa ekstrak jintan hitam 5% dan 7% dapat menghambat pelepasan mineral pada enamel gigi manusia serta dapat meningkatkan ketahanan gigi terhadap serangan asam. Kesimpulan: Berdasarkan hasil dari penelitian yang dilakukan, dapat disimpulkan bahwa ekstrak jintan hitam dengan konsentrasi 7% lebih efektif dalam menghambat pelepasan mineral pada enamel gigi manusia dibandingkan dengan ekstrak jintan hitam 5%.
PERENDAMAN PLAT AKRILIK POLIMERISASI PANAS DALAM LARUTAN BIJI KOPI ROBUSTA (Coffea Canephora) DAPAT MENYEBABKAN PERUBAHAN WARNA
The color of the acrylic resin plate is of particular concern because it is related to the aesthetics of the oral cavity. A removable denture plate can absorb colored fluids and cause stains which affect the color change and aesthetic value. This research aims to determine whether soaking in a robusta coffee solution can cause color changes on hot polymerized acrylic resin plates. This study used 36 samples of hot polymerized acrylic resin plates which were divided into treatment groups and control groups. The type of research used is an experimental posttest control group design. Measurements were carried out after immersion using a spectrophotometer. Data analysis used One Way Anova followed by LSD (Least Significant Difference). The results of the One Way Anova test showed that the color change of the hot polymerized acrylic resin plate when soaked in a 75% concentration robusta coffee solution for 3.5 hours, 7 hours and 10.5 hours was significantly different from distilled water with p < 0.05. The results of the LSD test showed that the average color change of hot polymerized acrylic resin plates when immersing in distilled water was significantly different from the 3.5 hour, 7 hour, and 10.5 hour robusta coffee solution groups with 0.000<0.05. The conclusion of this research is that soaking in a robusta coffee solution for 10.5 hours gives the highest average color change on hot polymerized acrylic resin plates.
HUBUNGAN SUDUT INKLINASI INSISIVUS DENGAN PROFIL JARINGAN LUNAK WAJAH PADA PEREMPUAN SUKU BALI DI FKG UNIVERSITAS MAHASARASWATI DENPASAR DENGAN METODE HOLDAWAY
Introduction: The patient's facial aesthetics are also influenced by the soft tissue of the face. Because, based on the results observations made on individuals, the first step used in the assessment is to pay attention to soft tissue on the face. Holdaway's analysis was initiated through quantitative results in knowing facial image which of course has a connection with soft tissue which can be viewed in terms of harmony or not. However, in the measurement process only the H angle and the facial angle are needed. This is due to determining soft tissue convexity which is categorized as straight, concave or convex. The aim of the research is to provide analysis results regarding the use holdaway method in determining the relationship between facial soft tissue profiles and the incisor inclination angle. Method: The type of research used is descriptive observational using a cross sectional approach. Results: The results of the study show that the p-value of the incisor inclination angles RA, RB, and the interincisal angle shows the same value, namely 0.000. Meanwhile, the correlation coefficient values are respectively 0.720, 0.762, and 0.718, which means that there is a relationship between the incisor inclination angles RA, RB and the interincisal angles in facial soft tissue. Conclusion: The conclusion drawn is that the Holdaway method can be used to determine the relationship between the facial soft tissue profile and the interincisal angle, lower or upper incisor inclination angle.
PREVALENSI KASUS GANGREN RADIX BERDASARKAN JENIS KELAMIN PADA PASIEN DI UPTD PUSKESMAS SELEMADEG TIMUR I TABANAN PERIODE JANUARI-MARET 2024
Background: Radix gangrene or residual root is the remaining part of a tooth root where the tooth previously experienced caries or cavities, trauma or incomplete extraction. Symptoms obtained from root gangrene usually occur without complaints of pain, in this situation there is a discoloration of the tooth roots, where the teeth appear brownish or grayish. Objective: This study aims to determine the prevalence of radix gangrene in the UPTD of the East Selemadeg I Health Center from January to March 2024. Method: The method used is quantitative with the research design carried out being descriptive research. The sampling technique used was purposive sampling on patients of any gender who experienced root gangrene who visited the dental clinic at the East Selemadeg I Health Center from January to March 2024. Results: There were patient visits with cases of root gangrene based on gender from January to March. 2024, with 5 men in January, 4 women in January, 3 men in February while 7 women, and 3 men in March and 11 women in March. With a total of 11 men (33.3%) and 22 women (66.7%). Conclusion: The influence of the female gender is that women experience root gangrene more often due to hormonal changes during the menstrual cycle with the acidity level of the oral cavity changing to acidic so that caries can occur, and there are still many people who do not treat carious teeth so that over time the teeth become porous. and becomes root gangrene or remaining roots.
PREVALENSI KASUS GINGIVITIS PADA KUNJUNGAN PASIEN UPTD PUSKESMAS SELEMADEG TIMUR I TABANAN PERIODE JANUARI-MARET 2024
Backgrund : dental and oral health significantly impact overall individual health. Gingivitis, as the initial stage of periodontal disease, has a high prevalence worldwide. Purpose : This study aims to evaluate the prevalence of gingivitis cases at the Dental Polyclinic of Selemadeg Timur I Tabanan Primary Health Center during the period of January-March 2024. Methods : The research method used is descriptive, with data collection from the patient register book of the dental polyclinic. The study population includes 296 patient visits during this period, with 13 cases of gingivitis. Results : the results show that the prevalence of gingivitis cases is 4.4%, with 92.3% new cases and 1.7% old cases. Based on gender, 61.5% of patients are female and 38.5% are male. Conclusion : In conclusion, the prevalence of gingivitis cases at the Dental Polyclinic of Selemadeg Timur I Tabanan Primary Health Center during the period of JanuaryMarch 2024 is 4.4%, with more new cases than old cases, and female patients outnumber male patients. Hormonal factors and a higher female population are influencing factors.
PERBEDAAN PENURUNAN INDEKS PLAK GIGI BERDASARKAN BENTUK PERMUKAAN SIKAT GIGI DI KARANG TARUNA YOWANA BHUANA ANYAR, UBUNG KAJA, DENPASAR
Introduction: The role of a toothbrush is not only to brush your teeth, but to clean dirt and remove plaque. Toothbrush marketing has a variety of models, such as toothbrush models and sizes, degrees of hardness of bristles, brands, and toothbrush bristles that have cross, serrated, and flat surfaces. The surface of the toothbrush is not only flat, but there are also crisscross and serrated shapes. The purpose of the study was to analyze plaque accumulation as influenced by the surface of toothbrush bristles. Method: The type of research used was quasi-experimental. Results: The results of the anova test reveal the p-value obtained, which is 0.001<0.05. This means that there is a significant difference in data before and after treatment for each group. Conclusion: Research that conducted at Karang Taruna Yowana Bhuana Anyar there is a difference before and after brushing teeth related to the decrease in the dental plaque index. The greatest decrease in dental plaque is on the surface that is crisscross, serrated, and flat.
HUBUNGAN STATUS GIZI DAN ASUPAN MAKANAN ANAK PRASEKOLAH DENGAN EARLY CHILHOOD CARIES (ECC) DI TK SUDACARA BEBANDEM, KARANGASEM
Pendahuluan: Kerusakan gigi pada anak usia prasekolah sering terjadi, khususnya di Indonesia, di mana anak-anak prasekolah cenderung menyukai jajanan yang mengandung gula dan memberikan rasa manis. Kebiasaan makan jajanan manis tanpa disertai perilaku menjaga kebersihan gigi dapat mengakibatkan kondisi kesehatan gigi dan mulut yang buruk. Early Childhood Caries (ECC) adalah jenis kerusakan gigi yang ditandai dengan adanya kavitas gigi atau kerusakan non-kavitas. American Academy of Pediatric Dentistry (AAPD) menyatakan bahwa infeksi gigi dan mulut akan terus mempengaruhi anak-anak, terutama yang masih berusia dini. Indonesia, sebagai negara berkembang, masih menghadapi masalah kekurangan gizi yang signifikan. Menurut data dari United Nations International Children’s Emergency Fund (UNICEF) pada tahun 2018, hampir tiga dari sepuluh anak di bawah usia lima tahun mengalami stunting, yaitu kondisi di mana tinggi badan mereka terlalu pendek untuk usia mereka. Metode: Metode penelitian yang digunakan pada penelitian ini yaitu observasional analitik, dalam pendekatan case control yaitu penelitian secara lebih jauh menganalisis hubungan antara status gizi dan asupan makanan dengan Early Childhood Caries pada semua murid di TK Sudacara Bebandem, yang berjumlah 33 orang. Hasil Penelitian: Hasil dari penelitian ini menyatakan bahwa, 1) 45,5 % siswa di TK Sudacara Bebandem mengalami Status gizi underweight, 2) 51,5% mengalami pemberian asupan makanan tidak tepat murid di TK Sudacara Bebandem, dan 3) ECC terbesar dialami oleh responden dengan status gizi underweight yaitu 80% dan ECC juga dialami responden dengan pemberian asupan makanan tidak tepat yaitu 82,4%. Kesimpulan: Berdasarkan hasil penelitian, disimpulkan bahwa hasil penelitian ini menunjukkan terdapat hubungan yang signifikan antara status gizi dan asupan makanan dengan ECC, dengan 15 orang murid di TK Sudacara Bebandem mengalami underweight (45,5%), 17 orang murid (51,5%) pemberian asupan tidak tepat dan sebanyak 15 orang murid yang tidak terdapat ECC (45,5%).
Pengaruh ekstrak daun ungu (Graptophyllum pictum l. Griff) terhadap pertumbuhan bakteri streptococcus sobrinus pada karies gigi anak
Introduction: Dental caries is a dental and oral health problem that often occurs and can be experienced by various age groups, especially children. The dental caries process cause by acids from carbohydrate fermentation, which causes demineralization of the hard tissue of the teeth by bacteria. The main cariogenic bacteria in the process of caries pathogenesis is Streptococcus mutans, which Streptococcus sobrinus can be more cariogenic than Streptococcus mutans. A safer alternative ingredient for preventing dental caries is purple leaf (Graptophyllum pictum L. Griff). Purpose: This study aims to determine the differences in antibacterial concentration of purple leaf extract on the growth of Streptococcus sobrinus. The concentrations of purple leaf extract (Graptophyllum pictum L. Griff) used in this research were 5%, 10%, and 15%. Methode: The research method used was Kirby-Baurer or disk diffusion to determine the inhibitory power of purple leaf extract against Streptococcus sobrinus bacteria. Result: The results showed that the mean zone of inhibition for the positive control was 19.40, the 5% extract concentration was 5.51, the 10% concentration was 12.25, and the 15% concentration was 14.64. Based on the results, purple leaf extract with concentrations of 5%, 10%, and 15% had different inhibitory effects on the growth of Streptococcus sobrinus, with a purple leaf extract concentration of 15% having the greatest inhibitory effect on the growth of Streptococcus sobrinus.
PREDILEKSI DILASERASI AKAR INSISIVUS SENTRAL DITINJAU DARI RADIOGRAFI PANORAMIK DI RSGM SARASWATI PERIODE 2021-2023
Introduction: Panoramic radiography is a type of extraoral radiography used to view images of the upper and lower jaws simultaneously. Panoramic radiography can be used to view various types of conditions, one of them being root dilaceration. Root dilaceration is a condition where the tooth root undergoes an abnormal bend. A bend is said to be dilacerated if it forms an angle of 20o or more. Bends in dilaceration can occur in all directions. The purpose of this study is to determine the predilection of root dilaceration in central incisors as viewed from panoramic radiography images at RSGM Saraswati in 2021-2023. Methods: Method used in this study is a descriptive cross-sectional method where observations are made on panoramic photo data at RSGM Saraswati in 2021-2023. Result: The research found that there were a total of 66 cases (5.86%) of central incisor root dilaceration. Central incisor root dilaceration occurred more frequently in the mandible with 60 cases (67.4%) compared to the maxilla with 29 cases (32.6%). Lacerations were found more often in women with 42 cases (63.6%) compared to men with 24 cases (36.4%). Central incisor root dilaceration were more common in the permanent dentition stage with 60 cases (90.9%) compared to the mixed dentition stage with 6 cases (9.1%). Conclusion: Root dilaceration of the central incisor is more common in women. Central incisor dilaceration occurs more frequently in the lower jaw compared to the upper jaw and is more commonly found in individuals within permanent teeth stage
STUDI IN VITRO PERBANDINGAN DAYA HAMBAT PASTA GIGI PROPOLIS DENGAN PASTA GIGI NANO PROPOLIS 2,5% TERHADAP JUMLAH KOLONI BAKTERI STREPTOCOCCUS MUTANS
Orthodontic appliance users find it difficult to maintain oral hygiene during treatment because there are orthodontic components such as brackets, archwires, and elastics which prevent the toothbrush from reaching the proximal part of the tooth, causing dental caries. Nanoparticles are solid colloidal particles with diameters ranging from 1-1000 nm. One way that can be done to make nanoparticles is by using the ionic gelation method with chitosan precursors and NaTPP. The aim of this study was to make nano propolis toothpaste and find out whether nano propolis toothpaste has antibacterial inhibition against the growth of Streptococcus mutans compared to toothpaste. propolis on the market. The research method used was laboratory experimental research using the posttest-only control group design. This study was divided into 4 treatment groups, namely nano propolis toothpaste 2.5%, propolis toothpaste on the market, Chlorhexidine gluconate 0.2% as a positive control, and distilled water as a negative control. Antibacterial inhibition test using the disc diffusion method. The results of this study showed a significant difference. The mean zone of inhibition of Streptococcus mutans growth on nano propolis toothpaste was 14.5 mm, propolis toothpaste on the market was 8.8 mm, while the inhibition zone formed by 0.2% Chlorhexidine gluconate was 17.8 mm and 0 mm of distilled water. The conclusion of this study is that nano propolis toothpaste has antibacterial inhibition against the growth of Streptococcus mutans bacteria.
PREVALENSI KISTA RADIKULER DITINJAU DARI RADIOGRAFI PANORAMIK DI RSGM SARASWATI DENPASAR TAHUN 2021-2023
Background: Panoramic radiography is often used for screening patients prior to dental prosthesis treatment to ensure the presence or absence of roots, cysts, foreign bodies and neoplasms. A radicular cyst is one of the jaw cysts originating from the residual epithelium of malassez, which is found in dental structures that develop in the periodontal ligament as a result of chronic inflammation of the root canal infection that begins with the formation of periapical granulomas. The radiographic picture of a radicular cyst is radiolucent of round or oval shape, the surface of which has a firm cortical border. Purpose: The study is aimed to determine radicular cysts prevalence in terms of panoramic radiography patients at RSGM Saraswati Denpasar in 2021-2023. Method: The method used was a descriptive observational with a cross-sectional approach based on time sampling, that was 2021-2023. Results: The results showed that the prevalence of radicular cysts in terms of panoramic radiography of patients at RSGM Saraswati Denpasar in 2021-2023 was 36 cases (9,89%). Most cases were found in male sex as many as 21 cases (58,33%), often found in the elderly (46-65) as many as 18 cases (50%), radicular cysts mostly located in maxilla as many as 22 cases (61,11%) that is in the anterior region as many as 14 cases (63,64%).
Tingkat Pengetahuan Mahasiswa Kepaniteraan Klinik Radiologi Fakultas Kedokteran Gigi Universitas Mahasaraswati Denpasar Terhadap Penatalaksanaan RadiografipadaLansia
Introduction: "Elderly" is everyone aged 60 or more who physically looks different from other age groups. At this time, a person will experience physical setbacks, including the appearance ofdental and oral health problems. Some problems in the oral cavity that usually occur in an elderlyperson are edentulous ridges of teeth, periodontal disease, teeth with residual roots, the appearance of lesions in the oral cavity, and dental caries. Sometimes this condition is not clinically visible so it requires a supporting examination. One of the supporting examinations thatis often used by the elderly to deal with these problems is radiography. Objectives: This study aimsto determine the level of knowledge of clinical clerkship students at the Faculty of Dentistry, Mahasaraswati Denpasar University, regarding the management of dental radiography in the elderly. Methods: This research uses an observational method with a cross-sectional approach. Result and Discussion: The results showed that clinical clerkship students of the Faculty of Dentistry, Mahasaraswati University, Denpasar had a very good knowledge rate of 55 people or 90.2% and good as many as 6 people or 9.8% of radiographic management in the elderly. Conclusion: It can be concluded that the level of knowledge of clinical clerkship students at the Faculty of Dentistry, Mahasaraswati University, Denpasar, regarding the management of dental radiography in the elderly is very good, with 90.2% of respondents scoring in the range of 16-20.
Uji Efektivitas Ekstrak Buah Apel Manalagi (Malus sylvestris Mill) Konsentrasi 25%, 50%, dan 100% Terhadap Pertumbuhan Bakteri Streptococcus mutans Secara In Vitro
Dental caries is spread throughout the world and can cause disorders in the body, such as impaired mastication, food absorption, and digestion. Of the several types of bacteria, Streptococcus mutans is the species most frequently found and is the main cause of dental caries. One natural resource that can be used as an alternative ingredient to reduce the number of Streptococcus mutans bacteria includes Manalagi Apple (Malus sylvestris Mill). The purpose of this research is to determine the effectiveness of Manalagi Apple (Malus sylvestris Mill) fruit extract in inhibiting the growth of Streptococcus mutans bacteria. This research is laboratory research with a Post Test Control Group Design. The samples used were Streptococcus mutans bacteria which were divided into 5 groups, namely the group treated with Manalagi Apple (Malus sylvestris Mill) fruit extract with concentrations of 25%, 50% and 100%, the group treated with ChKM as a positive control, and the group treated with aquadest as negative control. The resulting inhibitory power at 25% concentration was 10.2 mm, at 50% concentration was 13.12 mm, and at 100% concentration was 15.47 mm. The higher the concentration of the extract, the greater the amount of antibacterial compounds released. It can be concluded that the inhibitory power of Manalagi Apple (Malus sylvestris Mill) fruit extract at concentrations of 25%, 50% and 100% can inhibit the growth of Streptococcus mutans bacteria, with the most effective concentration being in the treatment group containing Manalagi Apple fruit extract at a concentration of 100%.
PENGARUH SUDUT IMPAKSI MOLAR KETIGA RAHANG BAWAH DENGAN KEJADIAN KARIES MOLAR KEDUA RAHANG BAWAH DITINJAU DARI RADIOGRAFI PANORAMIK
Background: Impacted teeth that are not treated properly can cause caries. Impacted third molars accompanied by caries can be seen through panoramic radiography examination. Purpose: The aim of this study is to determine the relationship between the angle of impaction of the mandibular third molar which can cause caries in the mandibular second molar as viewed from panoramic radiography. Method: The type of research used is analytical observational. The total number of samples in this study was 121 radiographic images from all medical records of patients in the Radiology Department of RSGM Saraswati Denpasar from 2020-2023 with impacted mandibular third molars accompanied by caries of mandibular second molars. The analysis used was the Chi Square test with a significance level of p<0.05. Results: From the results of research with a total of 121 samples, it was found that the impaction angle of the mandibular third molars<40° was found in 17 cases with 4 cases of which were accompanied by second molar caries (23.5%), angles of 40°-80° were found in 83 cases with 73 cases of them were accompanied by second molar caries (88%) and at angles>80° there were 21 cases, of which 3 cases were accompanied by second molar caries (14.2%). Conclusion: Based on the results of this research, it can be concluded that the position and angle of impacted mandibular third molars influence the incidence of mandibular second molars caries. The angle of impaction of the mandibular third molars that has the most influence on the incidence of caries of the mandibular second molars is the angle of 40°-80°.
PENILAIAN JARAK ANTARA KANALIS MANDIBULA DAN IMPAKSI GIGI MOLAR KETIGA RAHANG BAWAH DITINJAU DARI RADIOGRAFI PANORAMIK
Pendahuluan: Gigi impaksi adalah gigi yang pertumbuhannya terhalang oleh gigi sebelahnya atau tertutup oleh jaringan lunak sehingga tidak tumbuh sesuai dengan lengkung rahang. Gigi molar ketiga mandibula adalah jenis gigi yang paling sering mengalami impaksi. Salah satu komplikasi yang mungkin terjadi setelah pencabutan gigi molar ketiga adalah parestesia, akibat kedekatannya dengan kanalis mandibula. Penelitian ini bertujuan untuk mengetahui jarak antara kanalis mandibula dan gigi molar ketiga yang mengalami impaksi berdasarkan radiografi panoramik. Metode: Jenis penelitian ini adalah deskriptif analitik dengan total sampel sebanyak 102 gambar radiografi panoramik dari rekam medis pasien di Bagian Radiologi RSGM Saraswati Denpasar dari tahun 2021 hingga 2023, yang memiliki riwayat impaksi gigi molar ketiga rahang bawah. Dari 102 sampel tersebut, ditemukan total 123 gigi yang mengalami impaksi, dengan jumlah terbanyak pada regio 48. Hasil Penelitian: Berdasarkan klasifikasi impaksi menurut Winter, angulasi mesioangular adalah yang paling sering terjadi, yakni sebanyak 65 kasus (52,8%). Posisi gigi terhadap kanal mandibula (tramlines) yang paling banyak ditemukan adalah posisi normal, yaitu sebanyak 43 kasus (35,0%). Kesimpulan: Penilaian jarak antara kanalis mandibula dan gigi molar ketiga rahang bawah menunjukkan bahwa jarak yang paling sering terjadi adalah lebih dari -2 mm, yaitu sebanyak 51 kasus (41,5%), yang melampaui batas superior kanalis mandibula.
UJI TOKSISITAS AKUT DAN ALERGI EKSTRAK DAUN PEGAGAN (Centella asiatica) TERHADAP MENCIT (Mus muscullus)
Pegagan (Centella asiatica) merupakan jenis tanaman yang sering digunakan sebagai obat tradisional oleh masyarakat di Bali. Khasiat yang dimiliki tanaman ini yaitu dapat mempercepat penyembuhan luka, radang reumatik, asma, wasir, disentri, demam, dan sebagai penambah darah. Penggunaan tanaman sebagai bahan baku obat semakin meningkat, sehingga diperlukan penelitian untuk membuktikan keamanan tanaman obat tersebut. uji keamanan yang dilakukan yaitu uji toksisitas akut untuk mendeteksi efek toksik dari suatu zat pada sistem biologi dan untuk memperoleh data respon yang khas dari sediaan uji, Lethal Dose 50 dan klasifikasi ketoksikan serta uji alergi untuk mengetahui adanya reaksi alergi yang timbul pada mencit, selain itu pada penelitian ini juga dilakukan pengamatan mikroskopik untuk melihat histopatologi pada hati mencit. Mencit akan dikelompokkan menjadi 5 kelompok dan setiap kelompok terdiri dari 5 ekor mencit yang terdiri dari 1 kelompok kontrol dan 4 kelompok perlakuan. Kelompok perlakuan diberikan ekstrak daun pegagan secara oral dan dilakukan pengamatan selama 14 hari. Penelitian ini menggunakan OECD 425 sehingga dari hasil penelitian uji toksisitas akut, diperoleh nilai LD50 adalah 12,5gr/kg BB (toksik ringan), pada pengamatan secara mikroskopis pada kelompok kontrol tidak terdapat kerusakan pada hati, sedangkan pada kelompok perlakuan terjadi perubahan berupa kerusakan hati. Untuk toksisitas akut, bobot mencit setelah diberikan ekstrak daun pegagan diuji menggunakan pengujian Shapiro Wilk dan Kruskal Wallis. Dari hasil analisis tidak terdapat perbedaan bermakna.
Tingkat Kepuasan Pasien Pasca Perawatan Mahasiswa Profesi Di Rumah Sakit Gigi Dan Mulut Saraswati Denpasar
Background: Patient satisfaction with dental health services involves comparing the patient's perception of the received service with their expectations before receiving it. Patients who are satisfied with the care they receive are more likely to return for future health services and provide positive referrals to others. Purpose: The purpose of the study was to determine the level of patient satisfaction with post-treatment of professional students in each section of the Dental and Oral Hospital Saraswati Denpasar. Method: The research design employed in this study was evaluation research, with a population of 515 patients who had undergone examinations at the Dental and Oral Hospital Saraswati Denpasar over the past 3 years. The sampling technique used was incidental sampling. The instrument used in this study was a questionnaire. Results: The study's results reveal differences in satisfaction levels across the five dimensions in each section at RSGM Saraswati Denpasar. These dimensions include reliability, responsiveness, assurance, empathy, and physical evidence. The satisfaction level at RSGM Saraswati Denpasar meets the criteria for being very satisfying. However, there are significant differences observed in several sections. The radiology department received the highest satisfaction score, while the conservation department received the lowest. Conclusion: In conclusion, this study demonstrates that the level of patient satisfaction across all sections at RSGM Saraswati Denpasar meets the criteria for being very satisfactory.
PENGARUH LAMA PERENDAMAN MENGGUNAKAN MINUMAN BERKARBONASI RASA STROBERI TERHADAP TERJADINYA DISKOLORISASI PADA RESIN KOMPOSIT NANOHYBRID
Introduction: Nanohybrid composite resins are commonly used in dentistry, particularly as tooth-colored restorative materials. However, composite resins are prone to color changes, which can be attributed to both intrinsic and extrinsic factors. Carbonated beverages, which have a pH < 7, are acidic and can cause erosion on the surface of composite resins, leading to increased water absorption. This study aims to investigate the effect of soaking duration with strawberry-flavored carbonated beverages on discoloration in nanohybrid composite resins. Methods: This study employed an experimental laboratory design using a pure experimental research approach with a pretest-posttest group design. A total of 24 nanohybrid composite resin samples, each with a diameter of 5 mm and a thickness of 2 mm, were used. The samples were immersed in artificial saliva and strawberry-flavored carbonated beverages for 36 hours, 24 hours, and 12 hours. Color changes were measured using a spectrophotometer. Data analysis used Statistical Package for the Social Science (SPSS). Results: The color intensity value (dE*ab) of composite resins soaked in strawberry- flavored carbonated beverages for 36 hours was higher compared to those soaked for 12 hours and 24 hours. This was indicated by the positive average difference values and significant differences across all treatment groups. Additionally, the group soaked in artificial saliva for 12 hours showed the lowest average post-test value, as evidenced by negative average difference values. Conclusion: The study concluded that nanohybrid composite resins soaked in strawberry-flavored carbonated beverages for 36 hours exhibited the highest degree of discoloration compared to those soaked for 12 hours and 24 hours.
PENGGUNAAN RADIOGRAFI INTRAORAL DAN EKSTRAORAL PADA MASA PANDEMI COVID-19 DI RSGM SARASWATI DENPASAR
Dental care during the COVID-19 pandemic focused on emergency and urgent cases. Emergency cases consist of airway restriction or difficulty breathing due to facial swelling, facial trauma or dentoalveolar injury, cracked teeth or teeth with exposed pulp, as well as dental and soft tissue infections which can cause systemic. During the COVID- 19 pandemic, intra-oral examinations were also needed to meet the current shortage of extra-oral imaging, and the need to complete diagnostic tasks, where intra-oral examinations have superior diagnostic value compared to extra-oral examinations. The research design was descriptive observation which described the use of intraoral and extraoral radiography during the COVID-19 pandemic at RSGM Saraswati Denpasar. The data collected is x-ray data of patients who underwent intraoral and extraoral x-rays at RSGM Saraswati Denpasar during the COVID-19 pandemic. In this study, data was obtained that in the period March 2020-March 2021 there was no data on the use of periapical radiography and the use of panoramic extraoral radiographs was 38 (0.15%) and there was no data on the use of cephalometric extraoral radiographs. The use of intraoral radiographs in the period April 2021-March 2022 was 920 (1%), the use of panoramic extraoral radiographs was 480 (0.9%) and the use of cephalometric extraoral radiographs was 58 (1%).
PREVALENSI PERSISTENSI BERDASARKAN USIA PADA KUNJUNGAN PASIEN DI POLI GIGI UPTD PUSKESMAS KEDIRI III PADA BULAN DESEMBER 2023 - FEBRUARI 2024
Introduction : Dental and oral health is part of the health of the body that cannot be separated from one another because dental and oral health affects the health of other bodies. At this time many problems in the oral cavity arise such as cavities, persistence, teeth that cannot penetrate the gums, resulting in swelling. Firstborn tooth persistence is a condition at the root of the deciduous tooth that does not undergo normal resorption so that the deciduous tooth remains in place and does not exfoliate and this condition is often found in children aged 6-12 years. This study aims to determine the incidence of persistence cases at UPTD Puskesmas Kediri III in December 2023 – February 2024. Methods : This study was a descriptive research using secondary data taken from the patient register book at the UPTD dental poly Puskesmas Kediri III. Result : The results revealed that persistence cases occupied the 3rd highest with 57 cases, and the highest cases occurred in January 2024 with 24 cases. Conclusion : So that through this data interventions can be carried out to prevent the increase in the number of cases.
PERBANDINGAN TINGKAT PENGETAHUAN KESEHATAN GIGI DAN MULUT SERTA EFEKTIVITAS PENYULUHAN DENGAN VIDEO EDUKASI DAN POWER POINT PADA SISWA KELAS 6 SEKOLAH DASAR 5 SARASWATI DENPASAR
Latar belakang: Kondisi kesehatan gigi dan mulut di Indonesia masih sangat memprihatinkan, terutama pada siswa usia sekolah dasar. Masalah seperti gigi berlubang dan penyakit mulut lainnya sering terjadi. Meskipun karies gigi seharusnya bisa dicegah, penyakit ini tetap menjadi masalah kronis yang umum terjadi pada anak-anak. Pengetahuan tentang perilaku memelihara kesehatan gigi dan mulut sering kali tidak memadai, yang berkontribusi terhadap prevalensi tinggi penyakit gigi di kalangan siswa. Tujuan: Tujuan dari penelitian ini adalah untuk mengukur perbedaan tingkat pengetahuan siswa sebelum dan sesudah penyuluhan serta untuk menentukan metode penyuluhan yang lebih efektif dalam meningkatkan pengetahuan tentang kesehatan gigi dan mulut. Manfaat: Penelitian ini diharapkan dapat meningkatkan pengetahuan siswa tentang kesehatan gigi dan mulut serta menentukan metode penyuluhan yang lebih efektif untuk digunakan di masa mendatang. Metode: Penelitian ini menggunakan desain kuasi- eksperimental dengan pendekatan pre-test dan post-test untuk mengukur efektivitas penyuluhan. Instrumen yang digunakan dalam penelitian ini adalah kuesioner yang terdiri dari 15 pertanyaan untuk mengukur tingkat pengetahuan siswa sebelum dan sesudah penyuluhan. Hasil: Distribusi usia dan jenis kelamin responden serta skor pre-test dan post-test menunjukkan bahwa mayoritas siswa sudah memiliki pengetahuan yang cukup baik tentang kesehatan gigi dan mulut sebelum penyuluhan. Hasil uji normalitas dan homogenitas menunjukkan bahwa data pre-test dan post-test memenuhi asumsi normalitas dan homogenitas. Hasil uji hipotesis menunjukkan bahwa ada peningkatan signifikan dalam pengetahuan siswa setelah penyuluhan, baik menggunakan metode video edukasi maupun PowerPoint. PowerPoint terbukti lebih efektif dibandingkan video edukasi. Kesimpulan: Tingkat pengetahuan kesehatan gigi dan mulut siswa sudah cukup baik sebelum penyuluhan. Ada peningkatan signifikan dalam pengetahuan setelah penyuluhan. Metode PowerPoint lebih efektif dibandingkan video edukasi dalam meningkatkan pengetahuan kesehatan gigi dan mulut siswa.
PEMBERIAN EDIBLE COATING NANOKITOSAN SINTETIK CANGKANG UDANG DAPAT MENINGKATKAN KEKUATAN TRANSVERSAL PADA BASIS GIGI TIRUAN RESIN AKRILIK POLIMERISASI PANAS
Introduction: One of the main component of denture is the denture base. Heat cured acrylic resin is the most common used denture base material. One disadvantage of heat cured acrylic resin is it’s ability to adsorb water and reducing transverse strenght of the heat cured acrylic denture base. The decrease in transverse strength will cause the fracture of the denture base. Chitosan shrimp shell coating is proven to improve the quality and extending the shelf life of a food and fruit because it can inhibit water absorption. Purpose: The purpose of this study was to determine whether the sintetic nanochitosan shrimp shell coating on heat cured acrylic resin plate could increase the transverse strength. Methods: This experimental design of this study was Post Test Only Control Group Design with a total of n= 30 and consisted of 5 groups. Treatment groups P1, P2 and P3 with the sintetic nanochitosan shrimp shell coating 2%, 3% and 4%. Control group K1 with the chitosan 2%, K2 heat cured acrylic resin plate Results: The results showed that the mean values of the transverse strength of the P1, P2, P3, K1 and K2 groups respectively were 111,27±13,51, 122,12±17,60, 132,82±14,74, 99,89±6,69, and 82,91±3,93. Analysis of the data using the One Way ANOVA test, the value of the transverse strength showed p<0,05 which means that it is significantly different. Post hoc LSD test for transverse strength values, all of them had a difference p<0.05 except for P1 with P2, P2 with P3 and P1 with K1, there were no significant differences p>0.05. Conclusion: From the results of this study it can be concluded that sintetic nanochitosan shrimp shell coating can increase the transverse strength of heat cured acrylic resin, which the 4% concentration is the most concentration that can increase the transverse strength of the heat cured acrylic resin denture base.
PREVALENCE OF IRREVERSIBLE PULPITIS CASES IN PATIENT VISITS OF THE KERAMBITAN 1 PUSKESMAS UPTD TABANAN PERIOD JANUARY-MARCH 2024
Background: Irreversible pulpitis is a severe inflammation that will not recover even if the cause is removed and sooner or later the pulp will become necrotic. This irreversible pulp is often the result or development of reversible pulp. It can also be caused by severe pulp damage due to extensive dentin removal during operative procedures, trauma or tooth movement during orthodontic treatment which causes disruption of pulp blood flow. The main etiology of pulpitis is the result of bacterial infection that enters the pulp from a carious lesion. Several decades ago, researchers believed that caries was caused by a single infection with the bacterium Streptococcus mutans. However, several recent studies provide the fact that caries is caused by a more complex microbiota population.Purpose: This study aims to determine the prevalence of irreversible pulpitis cases based on gender in children under 15 years of age, 16 to 30 years of age, and 31 years of age and over at the UPTD Puskesmas Kerambitan 1 for the period January – March 2024.Methods: ..This research uses a quantitative descriptive percentage. The population includes all patients visiting UPTD Puskesmas Kerambitan 1 from January to March 2024. Data is collected and recorded from the dental clinic register.Results: There were visits with cases irreversible pulpitis based on age group, namely children under 15 years old as many as 21 people (13%), 16-30 years old as many as 49 people (31%), 31 and above as many as 86 people (56%). Conclusion: The group of irreversible pulpitis cases based on age is the largest Most occurred at age 31 and over, namely 86 patients (56%), while the least occurred at age under 15 years, namely 21 patients (13%).
PERBANDINGAN EFEKTIVITAS EKSTRAK BUAH LEMON (Citrus limon) DAN JERUK NIPIS (Citrus aurantifolia) TERHADAP BAKTERI Porphyromonas gingivalis
Latar Belakang : Salah satu penyakit gigi dan mulut yang memiliki prevalensi cukup tinggi di Indonesia adalah periodontitis. Periodontitis adalah penyakit yang menyerang jaringan periodontal dan disebabkan oleh akumulasi plak gigi dimana plak gigi merupakan tempat hidupnya bakteri penyebab penyakit periodontal, salah satunya adalah Porphyromonas gingivalis. Penggunaan obat kumur chlorhexidine gluconate 0,2% dalam jangka panjang akan menyebabkan beberapa efek samping yang dialami oleh pasien diantaranya adalah perubahan warna gigi, perubahan warna bahan restorasi, dan perubahan warna pada dorsum lidah. Ekstrak buah lemon (Citrus limon) dan buah jeruk nipis (Citrus aurantifolia) memiliki potensi sebagai antibakteri dengan kandungan saponin, fenol, terpenoid, alkaloid, flavonoid, dan asam sitrat. Metode : Metode penelitian yang digunakan adalah metode difusi (Kirby Bauer). Hasil : Hasil penelitian didapatkan data rata-rata zona hambat kontrol positif sebesar 23,17 mm, ekstrak buah lemon (Citrus limon) konsentrasi 60% sebesar 13,11 mm, ekstrak buah lemon (Citrus limon) konsentrasi 80% sebesar 16,55 mm, ekstrak buah jeruk nipis (Citrus aurantifolia) konsentrasi 60% sebesar 14,9 mm, dan ekstrak buah jeruk nipis (Citrus aurantifolia) konsentrasi 80% sebesar 18,67 mm. Kesimpulan : Berdasarkan hasil penelitian, maka dapat diambil kesimpulan yaitu ekstrak buah Jeruk Nipis (Citrus aurantifolia) lebih efektif daripada ekstrak buah Lemon (Citrus limon) dalam menghambat bakteri Porphyromonas gingivalis.
UJI EFEKTIVITAS PERBANDINGAN DAUN PEPAYA (Carica Papaya L.) DAN LIDAH BUAYA (Aloe Vera) DALAM MENGHAMBAT PERTUMBUHAN Candida Albicans (in vitro)
Introduction:Oral disease can be a serious problem, especially fungal. The manifestations of candida in the oral cavity are quite diverse, one of which is Candida albicans. We know that there are various medicines circulating on the market that are made from chemical or natural ingredients. Purpose: The aim of this research is to compare these natural ingredients, namely papaya leaves (carica papaya l.) and aloe vera (aloe vera) with their anti-fungal activity in inhibiting the growth of Candida albicans fungi with concentrations of both 50% and 100%. . Methods: The research method used was the diffusion method with a post test only control group. Results: The results of the research showed that papaya leaves were more effective in inhibiting Candida albicans with the diameter inhibition results reaching 17.35 mm at a concentration of 100%, while the diameter inhibition results for papaya leaves were 13.74 mm at a concentration of 100%. Conclusion: It can be concluded that the papaya leaf extract solution is more effective in inhibiting the growth of Candida albicans fungus compared to the aloe vera solution extract, with a concentration of 100% because it is closest to the inhibitory power of the positive control ketoconazole.
PREVALENCE OF PULPITIS PATIENTS BASED ON GENDER IN DECEMBER 2023 – FEBRUARY 2024 AT UPTD PUSKESMAS KEDIRI I
Background: Teeth are one of the important components of the stomatognathic system in humans. Teeth have a role in the process of chewing, speaking, and aesthetics. One disease that commonly occurs in teeth is cavities or caries. Pulpitis is a condition of the pulp that is inflamed because it is infected by an irritant. Pulpitis that is not treated and continues will be able to cause the pulp to necrosis, therefore it is very important to maintain the vitality of the pulp so that the teeth can still function. In the Dental Polyclinic section at UPTD Puskesmas Kediri I, pulpitis ranked third in the most dental cases in the period December 2023 to February 2024. Objective: To determine the prevalence of pulpitis based on gender in the dental clinic at UPTD Puskesmas Kediri I in December 2023 to February 2024. Methods: This study used an observational research design with descriptive research in the form of epidemiological case reports for 3 months from December 2023 to February 2024. This research was conducted in March 2024. The data obtained are presented in the form of a relative frequency distribution table. Results: The prevalence of dental pulpitis between men and women found that pulpitis was more common in women. In December 2023, 48 women or 69.6% experienced pulpitis, then in January 2024 there were 47 women or 71.2% who experienced pulpitis, and in February 2024 there were 40 female patients or 66.7% who experienced pulpitis. Conclusion: The prevalence of pulpitis patients from December 2023 to February 2024 at the Dental Clinic at the Kediri I Health Center was most prevalent in women compared to men.
EFEKTIVITAS DAYA HAMBAT EKSTRAK ETANOL DAUN BIDARA ARAB (Ziziphus spina-christi L.) DENGAN KONSENTRASI 40% DAN 60% TERHADAP BAKTERI Aggregatibacter actinomycetemcomitans SECARA IN VITRO
Introduction: The prevalence of periodontal disease in all age groups in Indonesia based on Riskesdas data (2018), which is 96.58% and the percentage of periodontitis cases in Indonesia is 74.1%. Periodontitis is one of the diseases of the periodontal tissue caused by bacteria, one of which is the bacteria Aggregatibacter actinomycetemcomitans. This bacteria is included in the normal flora of the oral cavity, but under certain conditions it can turn into a pathogen. If this bacteria has turned into a pathogen, it must be treated immediately. Treatment that can be done by a dentist is to treat damaged periodontal tissue and provide antibiotics. Long-term use of antibiotics or improper use by patients will actually cause bacterial resistance so that the antibiotics are no longer able to work optimally in inhibiting bacterial growth. One way that can be done is by giving traditional medicine that can inhibit this bacteria, namely Arabic bidara leaves (Zizipus spina-christi L.). Arabian bidara leaves (Zizipus spina-christi L.) contain several compounds that can inhibit bacteria, such as saponins, tannins, flavonoids, and steroids. This study is expected to be able to determine the effectiveness of ethanol extract of Arabian bidara leaves (Zizipus spina-christi L.) with concentrations of 40% and 60%. Method: This study was conducted using an experimental method with four test groups, namely positive control, negative control, ethanol extract of Arabian bidara leaves (Zizipus spina-christi L.) 40%, and 60%. Results: The results of the anova test obtained a p value = 0.000. Continued with the Tukey Post Hoc Test with the results of KP and KN (p=0.000), KP and P1 (p=0.000), KP and P2 (p=0.000), KN and P1 (p=0.000), KN and P2 (p=0.000), P1 and P2 (p=0.000) which means that each group has a significant difference. Conclusion: From the study it can be concluded that, ethanol extract of Arabic bidara leaves (Zizipus spina-christi L.) with a concentration of 40% and 60% can inhibit the growth of Aggregatibacter actinomycetemcomitans with ethanol extract of Arabic talk leaves (Zizipus spina-christi L.) 60% more effective than ethanol extract (Zizipus spina-christi L.) 40%.
Pengaruh obat kumur mengandung alkohol dan Non alkohol terhadap kekerasan resin komposit nanohibrid
Introduction: Gargling with mouthwash is one way to prevent the formation of plaque that causes cavities. However, the high frequency of using mouthwash can affect the environmental conditions of the oral cavity, one of which is dental restoration materials. Dental restorative materials that are widely used are nanohybrid composite resins because they can provide good aesthetic results and have good hardness. Methods: The research method used was a post test only control group design. The samples used were nanohybrid composite resin cylindrical in shape with a diameter of 10 mm and a thickness of 2 mm. 27 samples were made and divided into 3 groups soaking for 6 hours, namely group I soaking in mouthwash containing alcohol, group II immersion in non-alcoholic mouthwash, and group III as a control group immersion in distilled water. The hardness of all samples was measured using the Vickers Hardness Tester. Result: this study indicate that there is a difference in the hardness of the nanohybrid composite resin after immersion in mouthwash containing alcohol and non-alcohol, where the lowest value belongs to group I (0,0025943 HVN). Conclusion: that mouthwash containing alcohol lowers the hardness of nanohybrid composite resin more than non-alcoholic mouthwash.
Pengaruh Komunikasi Interpersonal Dokter Gigi Dalam Pelayanan Kesehatan Gigi Terhadap Tingkat Kepuasan Pasien Di Poli Gigi Puskesmas Abiansemal I Badung
Introduction: Communication that occurs between doctors and patients is a form of interpersonal communication, namely communication that occurs face-to-face and directly. Physician communication competence is very influential on success in solving patient health problems. Doctor-patient interpersonal communication will be said to be effective if there are elements of openness, empathy, a supportive attitude, a positive attitude, and equality in the message and the message received can be understood by the recipient of the message. The creation of good communication between dentists and patients is one of the factors that causes patients to feel satisfied with the health services they provide. Method: The method used in this research is evaluation research. The research subjects were 55 patients at the dental clinic at the Abiansemal I Badung Health Center. Results: Double linear regression analysis results is done to see the influence of dentist interpersonal communication on the level of patient satisfaction seen from the results of the Simultaneous F-test obtained p <005, which indicates there is a significant influence between the five variables of dentist interpersonal communication (openness, empathy, supportive attitude, positive attitude, equality) on the level of patient satisfaction. Conclusion: that from interpersonal communication carried out by dentists in providing dental health services it affects the level of patient satisfaction at the dental polyclinic at the Abiansemal I Badung Health Center.
Ekstrak Biji Alpukat (Persea Americana Mill.) Dapat Menghambat Pertumbuhan Bakteri Streptococcus Mutans (In Vitro)
Introduction The Streptococcus mutans bacteria is a key microorganism that plays a significant role in the etiology of dental caries. One alternative used to inhibit the growth of Streptococcus mutans bacteria is avocado seed extract. Avocado seeds can act as antibacterial agents due to their active compound content, including flavonoids, saponins, tannins, alkaloids, and terpenoids. Materials and Methods The objective of this research is to determine the inhibitory power present in avocado seeds against Streptococcus mutans bacteria, using a pure experimental design known as Post-test Only Control Group Design. The study involves two concentrations, namely 75% and 100%, each with 6 repetitions. Avocado seed extraction is performed through the maceration method using 96% ethanol as a solvent. The inhibition zone testing is carried out using the Kirby-Bauer method. Results and Discussions The inhibition zones, as determined by the Kruskal-Wallis test, indicate a significant difference in both concentrations regarding the growth of Streptococcus mutans bacteria. Conclusions The conclusion of this research is that avocado seed extract can inhibit the growth of Streptococcus mutans bacteria, with the 100% concentration being more effective in creating an inhibition zone than the 75% concentration.
EFEKTIFITAS SALEP EKSTRAK GETAH POHON PISANG AMBON (Musa Paradisiaca V ar.Sapientum) TERHADAP KEPADATAN KOLAGEN DALAM MEMPERCEPAT PENYEMBUHAN LUKA INSISI TIKUS GALUR WISTAR (Rattus novergicus)
Introduction: Banana plants are one of the plants that contain antibiotics. Wound healing is a biochemical process and cellular reactions involving synthetic cells, parenchyma, connective tissue, proliferation, migration, tissue regeneration. The wound healing process itself is influenced by several factors such as systemic diseases, drugs, smoking, diet, age, and so on. The purpose of this study was to provide analytical results related to the process of healing incision wounds in Wistar rats through the role of collagen density from Ambon banana sap extract in the form of ointment. Method: The type of research used was an in vivo laboratory experiment. Results: The results of the hypothesis test obtained a p-value <0.000, so the conclusion drawn was that there was a significant difference in collagen density in each group. The results of the Man-Whitney further test showed that there was a significant difference in effectiveness between the Ambon banana sap extract ointment with a concentration of 50% with Adeps lanae and Vaseline Album (K0), and there was no difference in effectiveness with povidone iodine ointment (K1). Conclusion: Conclusion drawn from healing of incision wounds in Wistar rats can use an indicator of increased collagen density obtained from 50% Ambon banana tree sap extract and there is no significant difference in the increase in collagen density in the positive control of povidone iodine
Perbandingan proliferasi sel odontoblas menggunakan Mineral Trioxide Aggregate (MTA) dan biodentine secara in vitro
Introduction: Pulpitis is one of the dental and oral diseases whose prevalence is quite high, so it needs attention. In cases like this, pulp capping treatment must be carried out immediately. One of the requirements for pulp capping material is to form reparative dentin. Mineral Trioxide Aggregate (MTA) is widely used as a material for pulp capping because of its ability to form dentin bridges and also has good biocompatibility with the oral cavity. Biodentine can replace lost dentin structures, as a pulp capping material both direct and indirect, for restoration in secondary caries, and apexification. Purpose: The purpose of this study was to determine the proliferation ratio of the number of Odontoblast cells using MTA and Biodentine. Method: The method of this study was an experimental laboratory consisting of 2 groups that were given treatment, namely MTA and Biodentine while odontoblast cells were without treatment as a control. Before being treated, odontoblast cells (cell line) as samples were activated and subcultured first then treated for fourteen days using the MTT assay method, and the results of data analysis were read using a 595 nm wave ELISA reader. Result: The results showed a difference in the amount of odontoblast cell proliferation between the control group MTA and Biodentine. Conclusion: This study concludes that Biodentine has the highest amount of cell proliferation compared to Mineral Trioxide Aggregate.
I Gusti Agung Ngurah Parama Yasa Ratjaya
Pengaruh larutan kunyit (Curcuma Domestica) konsentrasi 10% dan 15% terhadap perubahan warna resin komposit nanohybrid
Introduction: Appearance is something that is often considered by many people, especially the aesthetics of teeth which are still a necessity in today's era in terms of shape, tooth position and harmony of tooth color. Nanohybrid composite resin is a filling material that has good strength and provides good results in terms of durability and aesthetics. Composite resin can experience color changes in its use caused by intrinsic and extrinsic factors. Turmeric solution can affect the active color change in composite resin because it contains curcumin. The purpose of this study was to determine the effect of turmeric solution (Curcuma Domestica) concentrations of 10% and 15% at a temperature of 370C on color changes in nanohybrid composite resin filling materials. Method: The type of research used was a pure experimental or true experiment with a pretest-posttest group design. The sample of this study used 27 nanohybrid composite resin samples with a diameter of 10 mm and a thickness of 2 mm. The samples were soaked in artificial saliva solution for 24 hours, then divided into 3 treatment groups, namely concentrations of 10%, 15% and in artificial saliva then soaked again for 8 hours. measuring color changes using a Spectrophotometer. The hypothesis testing of this study used descriptive analysis. Results: This study showed a color change in nanohybrid composite resin when immersed in turmeric solution with a concentration of 15% at a temperature of 370C showed the most significant color change compared to immersion in turmeric solution with a concentration of 10% at a temperature of 370C. Conclusion: That the concentration of turmeric concentrations of 10% and 15% affect the color change of the composite resin.
PENGARUH EKSTRAK BUNGA TELANG TERHADAP PERTUMBUHAN CANDIDA ALBICANS
Oral candidiasis is the most common opportunistic infection affecting the oral mucosa. In most cases, the lesions are caused by Candida albicans. Candida species causing oral candidiasis, most commonly Candida albicans, were isolated from more than 80% of the lesions. Candida is part of the normal oral microflora of immunocompetent individuals. About 30 to 60% of adults and 45 to 65% of infants carry candida species in the oral cavity. Various types of antifungal drugs have been produced and sold in the market to treat candida infections that attack the oral cavity. However, these drugs have side effects such as allergies, nausea, and in some cases irritation. One of the plants that can be cultivated as an ornamental plant and a medicinal plant at the same time is the butterfly pea flower (Clitoria ternatea l). Some of the chemical compounds of butterfly pea flower are known to have fungicidal effects. In the extraction of butterfly pea flower infusion, anthocyanin substances were obtained directly marked by the presence of a blue pigment in the liquid. In previous studies, it was found that butterfly pea inhibit candida albicans by anthocyanin substances. This research is an experimental study with Post-test Only Control Group Design. The data used is data that is not normally distributed and is not homogeneous so further testing uses a non- parametric test, namely the Kruskal-Wallis test. The results of statistical testing using the Kurskal-Wallis test showed that there was a significant difference in the effectiveness of the 50%, 75%, and 100% effective concentration of the telang flower extract in killing Candida albicans fungal colonies on Sabouraud Dextrose Agar (SDA) media. The results of the test using Man Whitney showed that there was no significant difference in the concentration of butterfly pea extract 50%, 75%, 100% in killing Candida albicans fungal growth colonies on Sabouraud Dextrose Agar (SDA) media, meaning that the concentration of butterfly pea flower that was continuously increased experienced a decrease in effectiveness in inhibiting the growth of the fungus Candida albicans. The higher the concentration of butterfly pea flower extract, the smaller the inhibition zone formed and the inhibition response was getting weaker, this was due to the reduced diffusion power of the extract into the media. The decrease in the diffusion power was caused by the higher the concentration of the extra butterfly pea flower, the lower the solubility. Keywords: , , ,
EFEKTIVITAS SALEP EKSTRAK BAWANG PUTIH (Allium satiuvum L.) TERHADAP KEPADATAN KOLAGEN DALAM PENYEMBUHAN LUKA INSISI PADA TIKUS GALUR WISTAR (Rattus novergicus)
Introduction: One of the herbal plants that has health benefits is garlic. Damage to the skin can cause wounds, such as incisions. Garlic contains several compounds such as flavonoids, essential oils, tannins and saponins which act as antioxidants. The aim of the research is to provide analysis results regarding the process of healing incisional wounds in Wistar rats by increasing collagen density using garlic extract ointment. Method: The type of research used is in vivo laboratory experiments. Results: The results of the ANOVA test show that the p-value obtained is 0.002<0.05, so based on this it can be seen that there is a difference in effectiveness in the wound healing process of Witas strain rats through increasing collagen density based on the use of garlic extract ointment. In LSD testing, there was a difference in effectiveness between 50% Concentration Garlic Extract Ointment and Adeps Lanae and Vaseline Album (K0), and there was no difference in effectiveness with Enbatic Ointment (K1). Conclusion: The process of healing incisional wounds in Wistar rats by increasing collagen density is effective when using a concentration of 50% garlic extract. The results of the study showed that there was no difference with the positive control group, namely enbatic ointment.
PERKIRAAN USIA MELALUI GIGI M1 DENGAN MENGGUNAKAN METODE MOORREES, FANNING DAN HUNT PADA PASIEN SUKU BALI RSGM SARASWATI DENPASAR
Introduction: The application of radiographic techniques can be determined in individuals who are alive or not by using several techniques, such as panoramic, cephalometric, lateral oblique, and intraoral periapical radiography. The use of the Hunt, Fanning, and Moorrees methods is intended for the examination process in individuals aged 0.6-19.5 years. The purpose of the study was to provide analytical results related to estimating age through M1 teeth using the Moores, Fanning, and Hunt methods at RSGM Saraswati Denpasar. Method: The type of research used was observational analytic with a cross-sectional design. Results: The level of accuracy of using the Moorres, Faning, and Hunt Methods in determining age was 70% correct. The results of the T-Test showed that the test carried out obtained a Sig value of 0.038<0.05, so the Moorres, Faning, and Hunt Methods were accurate in determining a person's age through normally growing M1 teeth. Conclusion: The conclusion drawn is that age identification through the first molar teeth using the Moorrees Fanning and Hunt Method with the help of panoramic radiographic X-rays is quite accurate in determining age in Balinese patients aged 4 to 10 years because there is no significant difference in the statistical test
ANALISIS PROFIL WAJAH PADA JARINGAN LUNAK DENGAN METODE GRABER DAN JARINGAN KERAS DENGAN METODE DOWNS PADA PASIEN DI RSGM SARASWATI DENPASAR TAHUN 2020-2023
the jaw teeth. Furthermore, in the field of orthodontics, in order to carry out treatment or diagnose facial aesthetics, a detailed facial profile analysis is required. Keel tissue or hard tissue is one of the components that forms the face and head. One method used in the soft tissue analysis process is the Graber method, while hard tissue analysis uses the Downs method. The aim of the research is to provide analysis results regarding patients at RSGM Saraswati Denpasar in the period 2020 to 2023 regarding the relationship between the use of the Downs method with hard tissue and the Graber method with soft tissue in facial profile analysis activities. Method: The type of research used is analytical observational. Results: The p-value is 0.001, smaller than 0.05. This means that there is a significant relationship between the Downs Method and the Graber Method and it has a correlation coefficient of 0.566, which means it has a positive value indicating a moderate relationship. Conclusion: The conclusion drawn is that in patients at RSGM Saraswati Denpasar in the period 2020 to 2023 there is a moderate correlation between the use of the Downs method with hard tissue and the Graber method with soft tissue in facial profile analysis activities.
PENINGKATAN STABILITAS DIMENSI HASIL CETAKAN ALGINAT DENGAN PENAMBAHAN PATI JAGUNG
Introduction: Alginate impression materials contain algin and several other compositions. According to a literature study conducted, the content of alginate acid is L-guluronic acid and D-mannuronic acid. Its function is to act as a thickening agent or gel formation. The use of alginate impressions has been popular in Indonesia, but the price offered for these impressions is expensive because they are imported directly from abroad. The purpose of this study is to provide analytical results related to increasing the dimensional stability of alginate impressions with the addition of corn starch. Method: The type of research used is laboratory experiments. Results: In the ANOVA test, the p-value obtained was 0.259> 0.05, based on this, it can be concluded that there was no significant difference in each treatment group. The role of alginate gel is to be able to affect dimensional stability where syneresis or shrinkage can occur if the gel is placed in the open air. Syneresis can cause shrinkage because water comes out of the gel. In the study, the mixture used in making the gel was corn starch powder. Conclusion: The conclusion drawn is that the addition of corn starch does not increase the dimensional stability of the alginate mold results after being left for 5 minutes, 10 minutes, and 15 minutes.
KASUS PULPITIS PADA KUNJUNGAN PASIEN PUSKESMAS TABANAN II PADA BULAN DESEMBER 2023 – FEBRUARI 2024
Background: Systematic diagnostics is the key to any endodontic therapy. However, in medicine, every diagnostic procedure has a certain degree of uncertainty. This is true for endodontic diagnostics due to the lack of objective criteria to detect the actual condition of the pulp tissue. Pulp inflammation or pulpitis is one of the most common pulp diseases suffered by both children and adults. Pulp inflammation is a defense reaction of the pulp tissue in the face of infection from bacteria. Pulpitis disease if left untreated will have a serious effect on the health and physiology of the patient, pain, and discomfort in activities, so that it can interfere with everything. Objective: To determine the prevalence of pulpitis cases in UPTD Puskesmas Tabanan 2. Method: Descriptive data analysis technique to determine the status of variables. The sample used in this study was secondary data on the number of Pulpitis cases in the dental clinic of UPTD Puskesmas Tabanan II during the period December 2023 to February 2024. Results: The results of the study obtained as many as 45 (27.4%) with cases out of 164 patients. The data obtained the number of pulpitis in female patients was 21 children (46.7%) and in male patients as many as 24 children (53.3%). Conclusion: The prevalence of dental poly pulpitis cases in the dental clinic of UPTD Puskesmas Tabanan II during the period December 2023 to December 2023.
Pengaruh Penyemprotan Desinfeksi Ekstrak Mengkudu (Morinda Citrifolia L.) Terhadap Stabilitas Dimensi Hasil Cetakan Alginat
Background: At the time of printing the patient's jaw, the printing material will come into direct contact with blood and saliva, so that microorganisms will spread through the printing material and become a medium for cross-infection transmission. To prevent cross-infection, it is necessary to disinfect the alginate mold. The ideal disinfection technique used is the spraying technique. One natural ingredient that can be used as a disinfectant is noni extract. Purpose: The purpose of this study was to determine the effect of dimensional stability changes on alginate molds by using natural disinfectant ingredients of noni extract with concentrations of 50% and 75% with 0.5% sodium hypochlorite. Method: The research method used was laboratory experimental with a research design with a post-test only control group design. The study used 24 samples consisting of 4 treatment groups (negative control group, positive control group, treatment group I and treatment group II) and in each group consisting of 6 samples, dimensional stability measurement using calipers. Results: The results of dimensional stability measurements showed that there were dimensional changes in each group but within the tolerance limit (<0.5%) in accordance with ADA rule no.18. The conclusion in this study is that the spraying technique using natural disinfectants, namely 50% and 75% noni extract, has no effect on alginate molds.
PENGARUH PEMBERIAN SALEP EKSTRAK DAUN BINAHONG (ANREDERA CORDIFOLIA (TEN.) STEENIS) TERHADAP PENINGKATAN JUMLAH SEL FIBROBLAS PADA PENYEMBUHAN LUKA PASCA INSISI MENCIT (MUS MUSCULUS)
Introduction: Binahong (Anredera cordifolia) is a potential medicinal plant that can cure diseases. Binahong leaves (Anredera cordifolia (Ten.) Steenes) have properties such as accelerating health recovery after surgery, healing various wounds, both internal and external wounds, intestinal inflammation, improving blood circulation, preventing stroke, ulcers, gout, restoring vitality to the immune system, and diabetes. Binahong leaves contain active compounds flavonoids, alkaloids, terpenoids, and saponins. The purpose of this study was to determine at what concentration the increase in the number of fibroblast cells occurs when binahong leaf extract ointment (Anredera cordifolia (Ten.) Steenes) is applied to post-incision wound healing in mice (Mus musculus). Method: the method used in this study was an in vivo laboratory experiment with a post-test only control group design. Results: The results of this study indicate that the concentration of binahong leaf extract ointment on the number of fibroblast cells in post-incision wound healing in mice shows that binahong leaf extract ointment 30%, 35%, and 40% can increase the percentage of fibroblast cells in the wound healing process. Conclusion: Binahong leaf extract ointment with a concentration of 40% is more effective in increasing the number of fibroblast cells in the post-incision wound healing process in mice than concentrations of 30% and 35%.
KASUS ABSES RONGGA MULUT PADA KUNJUNGAN PASIEN DI UPTD PUSKESMAS TABANAN II PERIODE DESEMBER 2023 - FEBRUARI 2024
Abses adalah kumpulan nanah yang terletak di dalam kantung yang terbentuk di jaringan yang disebabkan oleh proses infeksi bakteri, parasit, atau benda asing lainnya. Keterlibatan bakteri pada jaringan periapikal tentunya mengundang respon inflamasi untuk datang pada jaringan yang terinfeksi, hal ini dikarenakan kondisi inang yang kurang baik, dan virulensi bakteri yang cukup tinggi maka akan menimbulkan kondisi abses. Upaya menurunkan kasus abses rongga mulut dapat dilakukan dengan insisi dan drainase, pemberian antibiotik dan analgesik serta menghilangkan faktor etiologi. Tujuan dari prosedur sayatan dan drainase adalah untuk mencegah perluasan abses atau infeksi ke jaringan lain, mengurangi rasa sakit, mengurangi jumlah populasi mikroba dan toksinnya, meningkatkan vaskularisasi jaringan sehingga tubuh lebih mampu mengatasi infeksi yang ada. dan memberikan antibiotik dengan lebih efektif dan mencegah timbulnya jaringan parut di sepanjang drainase abses secara spontan. Berdasarkan hasil, prevalensi abses rongga mulut yang terjadi di wilayah kerja UPTD Puskesmas Tabanan II selama bulan Desember 2023 hingga Februari 2024 adalah sebesar 0,24%. Bulan Desember 2023 sebesar 0,06%, bulan Januari 2024 sebesar 0,14%, dan bulan Februari 2024 sebesar 0,04%. Sehingga prevalensi abses rongga mulut bulan Desember 2023 sampai Februari 2024 mengalami peningkatan pada bulan Januari 2024 dan menurun pada bulan Februari 2024.
PROLIFERASI SEL ODONTOBLAS MENGGUNAKAN CAMPURAN MINERAL TRIOXIDE AGGREGATE (MTA) DENGAN BIODENTINE SECARA IN VITRO
Pulp capping is a treatment carried out by administering a bioactive material over the pulp tissue to stimulate the formation of reparative dentin. Materials that are often used in dentistry for pulp cap treatment are calcium hydroxide, mineral trioxide aggregate (MTA) and biodentine. This material can stimulate the formation of odontoblast-like cells. This research aims to determine the amount of proliferation in odontoblast cells by mixing mineral trioxide aggregate (MTA) with biodentine. The method of this research was a laboratory experiment consisting of two groups that were treated, namely calcium hydroxide (Ca(OH)2) as a control and a mixture of two materials, namely mineral trioxide aggregate (MTA) and biodentine. Before being treated, the odontoblast cells (cell line) as a sample were activated and subcultured first, then treated for seven days using the MTT assay method and the results of data analysis were read using a 595 nm wave ELISA reader. The results of the data analysis showed that there was a higher number of odontoblast cell proliferation between the mixture of MTA and biodentine compared to the control group, namely Ca(OH)2. Based on the results of the research carried out, it can be concluded that there is a difference in the amount of odontoblast cell proliferation between the mixture of MTA and biodentine and the control group, namely Ca(OH)2.
UJI TOKSISITAS AKUT DAN ALERGI EKSTRAK BIJI KAKAO (Theobroma cacao L.) TERHADAP MENCIT (Mus Muculus L.)
Biji kakao biasa digunakan oleh masyarakat sebagai obat herbal dalam proses mempercepat penyembuhan luka, sehingga perlu diuji dalam keamanan penggunaannya. Penelitian berjudul Uji Tokisistas Akut dan Alergi Ekstrak Biji Kakao terhadap Mencit (Mus Muculus L.) bertujuan untuk mengetahui Lethal Dose 50, klasifikasi ketoksikan serta melakukan pengamatan gejala alergi secara dermal ekstrak biji kakao terhadap mencit. Pada uji toksisitas akut menggunakan metode perhitungan Aritmatik dari Karber dengan menggunakan mencit sebagai hewan coba sebanyak 25 ekor yang dibagi menjadi 5 kelompok perlakuan dengan rangkaian uji utama kelompok I sebagai kelompok kontrol dengan aquades, kelompok 2-5 diberi ektrak uji dengan dosis 4500, 5500, 6500 dan 7500mg/kgBB dengan sekali pemberian secara oral dan diamati jumlah kematian pada tiap hewan uji selama 7 hari. Pada pengujian alergi menggunakan metode Wilocoxon. Dari hasil penelitian uji toksisitas akut didapatkan nilai LD50 ekstrak biji kakao yaitu sebesar 3000 mg/kgBB termasuk dalam kategori supertoksik (<5 mg/kgBB) dan pada uji alergi tidak menyebabkan alergi (tidak ada ruam dan merah-merah). Untuk toksisitas akut, bobot mencit dianalisis dengan menggunakan uji ANOVA dan LSD serta pada uji alergi menggunakan Wilocoxon. Dari hasil analisis menunjukan terdapat perbedaan secara bermakna pada taraf uji 0,05 (p<0,05). pada uji alergi memperoleh hasil uji statistik yang menyatakan bahwa tidak ada reaksi alergi pada mencit selama perlakuan dengan nilai p 1,000>0,05.
KASUS GANGREN PULPA PADA KUNJUNGAN PASIEN DI UPTD PUSKESMAS TABANAN II PERIODE DESEMBER 2023 – FEBRUARI 2024
Pulp gangrene is a dental condition where the pulp tissue has died as the pulp defense system is no longer able to withstand stimulation so that the number of damaged pulp cells increases and occupies most of the pulp space. The occurrence of pulp gangrene is characterized by changes in tooth color that appear brownish or grayish, and in the perforation there is a foul odor resulting from the decay process of germ toxins. From the data obtained, there were 20 cases of pulp gangrene in the UPTD Puskesmas Tabanan II dental polyclinic in December 2023 – February 2024. From the results of epidemiological calculations, it was found that the prevalence of pulp gangrene that had been treated at the UPTD Puskesmas Tabanan II was 0.1%.
HUBUNGAN TIPE WAJAH DAN LEBAR BUCCAL CORRIDOR TERHADAP ESTETIKA SENYUM MAHASISWA SUKU BALI DI FKG MAHASARASWATI DENPASAR
Orthodontic treatment is one of the treatments of dentistry which is an important role in improving the arrangement of the teeth so that they can improve one's mastication, phonetic and aesthetic abilities. In order to achieve this goal in determining a diagnosis and planning orthodontic treatment, there are standard procedures that need to be performed, one of which is an extra-oral examination. This examination includes measuring the head index and facial index. the type of face that is classified into hypereuryprosopic, euryprosopic, mesoprosopic, leptoprosopic and hyperleptoprosopic. One of the attractive facial appearances can be seen from the smile. Smile is a component of facial aesthetics which also acts as an indicator of assessing one's attractiveness. Smile analysis must include evaluation of certain elements in a specific order. One of them is dento-labial analysis which includes analysis of maxillary incisor display at rest, maxillary incisor display when smiling, smile arc, smile symmetry, and buccal corridor. The buccal corridor is the dark area or black space (negative lateral space) between the corner of the mouth and the lateral edges of the maxillary posterior teeth that appears when a person smiles. The buccal corridor occurs as a dark area in the mouth that depends on the shape and width of the curve of the upper teeth and the facial muscles involved when a person smiles. This study aims to determine the relationship between face type and buccal corridor width on the smiling aesthetics of Balinese students at Faculty of Dentistry Mahasaraswati Denpasar.This research is a descriptive correlational study with a cross-sectional research design, examines the relationship between the independent variables and the dependent variable and will carry out observations. The data obtained was then tabulated and processed using the Statistical Package for the Social Sciences (SPSS) through the cross tab test and pearson chi square correlation. The results of the pearson chi square test with p=0.091, showed no significant meaning. This means that there is no significant relationship between facial type and the smile aesthetics of Balinese students at Faculty of Dentistry Mahasaraswati Denpasar Different results can be seen in the relationship between the width of the buccal corridor and the aesthetics of a smile, where the results show p=0.000, indicating a significant meaning, that there is a significant relationship between the width of the buccal corridor and the aesthetics of the smiles of Balinese students at Faculty of Dentistry Mahasaraswati Denpasar.
EFEKTIVITAS DAYA HAMBAT EKSTRAK DAUN BIDARA ARAB (ZIZIPHUS SPINA-CHRIST) TERHADAP BAKTERI STAPHYLOCOCCUS AUREUS SECARA IN VITRO
Instroduction: Staphylococcus aureus is one of the normal microflora in the oral cavity. However, in certain circumstances, these bacteria can turn into pathogens due to predisposing factors, such as poor oral hygiene. Some oral diseases caused by Staphylococcus aureus are abscess, gingivitis, angular cheilitis, parotitis, staphylococcal mucositis, and denture stomatitis. An alternative material that can be used as an inhibitor for the growth of this bacteria is the leaves of the Arabian bidara (Ziziphus spina-christi L.). This is because the leaves of the Arabian bidara contain flavonoids, alkaloids, saponins, tannins, and steroids. This study aimed to determine the effect of the concentration of bidara Arabic leaf extract on the inhibition of the growth of Staphylococcus aureus bacteria. Methods: The extraction method was maceration with ethanol 96% as the solvent. This study used a modification of the Kirby-Bauer method. Result: The result showed that the diameter of the inhibition zone of bidara Arabic leaf extract at concentrations of 20%, 30%, and 40% was 10.0 mm; 10800±0.27mm; and 12.20±0.45 mm. It means the higher the concentration of bidara Arabic leaf extract, the higher the inhibitory or antibacterial power that is formed. Conclusion: This study concluded that bidara Arabic leaf extract has an antibacterial content that can inhibit the growth of Staphylococcus aureus bacteria.
I Gusti Ayu Agung Indiani Saritha Nilamcahya
TEKNIK DESINFEKSI PENYEMPROTAN EKSTRAK DAUN SIRIH MERAH (Piper Ornatum) TERHADAP PERUBAHAN STABILITAS DIMENSI CETAKAN ALGINAT
Dental impression materials are an agent of infection transmission in the dentist's work environment. Cross infection can occur through the interaction of microorganisms and the impression material. To prevent cross-infection, it is necessary to disinfect the alginate impressions. One of the effective natural ingredients that can be used as a disinfectant is red betel leaf. The effect of using disinfectants can affect the dimensional stability of alginate impressions. The purpose of this study was to find out whether the disinfection action by spraying red betel leaf extract (Piper Ornatum) with concentrations of 50%, 35%, 20% could affect the dimensional stability of the alginate mold study model. The research method used was laboratory experimental with a research design with a post- test only control group design using 24 samples consisting of three treatments (control group and treatment group) as measured using calipers. The technique used in this study is by spraying the sample with a storage time of 10 minutes. The results of the study based on statistical tests using the Man-Whitney test showed that significant group differences obtained a sig value p <0.05. The results showed that there was a difference in the control group with the 20%, 35% extract and there was no difference in the 50% extract. Meanwhile, there was no difference in the 20% treatment group with 35%, 50% extract and there was a difference between the 35% control group and 50% extract. So it can be concluded that there is no effect with the use of natural disinfectants, namely 20% red betel leaf extract. Meanwhile, there is an effect of the use of natural disinfectants, namely red betel leaf extract 35%, 50% on the dimensional stability of alginate impressions.
PREVALENSI KASUS GINGIVITIS KRONIS DI POLIKLINIK GIGI UPTD PUSKESMAS BATURITI I, TABANAN BALI PADA BULAN NOVEMBER 2023 - JANUARI 2024
Oral health is very important for the health and well-being of the body in general and greatly influences the quality of life, including speech function, mastication and self confidence. The results of a World Health Organization (WHO) survey stated that almost 90% of the world's population suffers from gingivitis. Gingivitis is an inflammatory disease of the gingival tissue that many people suffer from in Indonesia. In Indonesia, gingivitis is in second place, reaching 96.58%. The aim of the research is to determine the prevalence of chronic gingivitis in months. (November 2023 – January 2024 at the UPTD Dental Polyclinic, Baturiti I Tabanan Health Center, Bali, there were 122 patients out of a total of 896 patients. Of which there were 5 male patients (9.61%), 47 female patients (90.38). The conclusion was the prevalence of visits based on gender, gingivitis patients show that the number of female patients is more dominant than male patients, and based on age, it shows that it occurs more frequently at the age of 11-15 years with at least 2 patients aged>60 years.
SEM analysis of Surface morphology thermoplastic nylon plate polished with Anadara antiquata shell powder
Background: Polishing in the fabrication of denture bases is a crucial process related to the clinical success of denture production. Abrasive materials are commonly used for polishing denture bases. One example of an abrasive material frequently used in dentistry is pumice. A natural material that can be an alternative as a polishing agent is feather clam shell (Anadara antiquata) due to its 98% calcium carbonate content. Objective: To determine the surface roughness of thermoplastic nylon denture plates after polishing with feather cockle shell powder as a new natural abrasive material. Method: This study uses a Post Test Only Control Group Design with 24 thermoplastic nylon plates. The research groups consisted of a non-polished group (KN), a pumice polishing group (KP), a polishing group with feather cockle shell powder of 28 µm particle size (P1), and a 38 µm particle size group (P2). Surface roughness was measured using a profilometer and SEM. Results: Statistical analysis with One Way ANOVA showed significant differences in surface roughness with a p-value of 0.001. LSD test revealed significant differences among groups, while KP and P1 groups did not show significant differences with a p- value of 0.754. Conclusion: Feather clam shell powder with a particle size of 28 µm is effective in reducing the surface roughness of thermoplastic nylon plates, as indicated by the lack of morphological differences in SEM analysis between the 28 µm group (P1) and the pumice group (KP).
PENGARUH EKSTRAK KUNYIT (Curcuma longa L.) TERHADAP LESI ULKUS TRAUMATIKUS PADA MENCIT JANTAN (Mus muskulus L.)
Tumeric (Curcuma longa L.) is a well known plant that has long been used as a herbal medicine, such as healing cuts in the oral cavity. This tudy aimed to determine the safety and effect of tumeric extract on traumatic ulcer lesion in 18 male mice (Mus muskulus L.) by the macrophage cells in 50% tumeric extract, 100% tumeric extract and negative control. The result were statisticaly tested using non-parametric Kruskal Wallis and Man Whitney test which showed the significant difference between the groups of male mice treated with 50% and 100% tumeric extract, and also showed that the groups of male mice treated with 100% tumeric had the most significant effect on macrophage cells.
PREVALENSI PERSISTENSI GIGI SULUNG PADA ANAK USIA 5- 12 TAHUN DI WILAYAH KERJA PUSKESMAS KEDIRI II TABANAN
Latar Belakang: Kesehatan gigi dan mulut anak dalam usia tumbuh kembang dipengaruhi oleh pengetahuan dan kesadaran orang tua mengenai perawatan gigi sulung karena anak belum mampu mengidentifikasi kelainan pada gigi mereka. Periode gigi campuran adalah masa yang sangat kritis dimana periode gigi susu akan digantikan oleh gigi permanen. Persistensi gigi sulung merupakan salah satu permasalahan dalam rongga mulut apabila gigi sulung yang menjadi panduan tumbuhnya gigi permanen tidak tanggal sesuai waktunya, sedangkan gigi penggantinya telah erupsi. Persistensi gigi dapat menyebabkan maloklusi dan permasalahan gigi lainnya yang memerlukan waktu dan biaya yang cukup besar untuk memperbaikinya. Akibat dari persistensi gigi sulung akan berpengaruh terhadap pembangunan kepercayaan diri anak sehingga peran penting orang tua dibutuhkan. Tujuan: Penelitian ini bertujuan untuk mengetahui prevalensi persistensi gigi sulung berdasarkan usia di wilayah kerja Puskesmas Kediri II Tabanan. Metode: Rancangan penelitian ini adalah observasional deskriptif dengan jenis penelitian Cross- sectional. Data diambil dari laporan kasus epidemiologi persistensi gigi sulung selama 3 bulan dari bulan Januari-Maret 2024, dengan menggunakan data sekunder yaitu registrasi pemeriksaan pasien di Poli Gigi Puskesmas Kediri II Tabanan. Data yang telah didapat disajikan dalam bentuk tabel. Hasil: Prevalensi persistensi gigi sulung di wilayah kerja Puskesmas Kediri II Tabanan pada bulan Januari paling banyak pada usia 5-8 tahun dengan prevalensi sebesar 19,04%. Pada bulan Februari prevalensi persistensi paling banyak pada usia 5 tahun yaitu 25% dan pada bulan maret prevalensi persistensi paling banyak pada usia 6 tahun yaitu 28,57%. Simpulan: Prevalensi persistensi gigi sulung berdasarkan usia di wilayah kerja Puskesmas Kediri II Tabanan pada bulan Januari-Maret 2024 paling banyak ditemukan pada usia 5-8 tahun yang disebut sebagai masa kritis yaitu transisi dari gigi susu digantikan oleh gigi permanen.