Dental Journal (Majalah Kedokteran Gigi)最新文献

{"title":"Oral Candidiasis Management in a Child with Pacifier Sucking Habit: A Case Report","authors":"Nuraeni Hartati, Anrizandy Narwidina, Sri Kuswandari","doi":"10.35790/eg.v12i1.49271","DOIUrl":"https://doi.org/10.35790/eg.v12i1.49271","url":null,"abstract":"Abstract: Oral candidiasis is a widely known mucosal fungal infection caused by an overgrowth of Candida species. Children and infants are highly more susceptible to Candida infection than adults. We report an oral candidiasis case in a 5-year-old girl with white spots on her lips and tongue. When the white spots were scrapped off, they would be detached leaving red patches on the mucosal surfaces. The patient had pacifier sucking habit and tended to place the pacifier everywhere carelessly. Previously, the patient was treated at a primary healthcare center and received nystatin therapy. However, there was no improvement at all after the therapy. Based on her current and historical conditions, the patient was diagnosed as oral candidiasis, and in this case nystatin administration was ineffective. Therefore, the patient required better oral hygiene management, and the medication given was a gargle containing 0.1% hyaluronic acid. A week after using the gargle without using pacifier anymore, white spots had disappeared, and oral hygiene had improved. Re-control was conducted one month after the first visit and no Candida infection was detected. In conclusion, gargle containing 0.1% hyaluronic acid associated with better dental and oral hygiene is effective to treat oral candidiasis in children. Keywords: oral candidiasis; children; pacifier sucking habit; gargle containing 0.1% hyaluronic acid","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135477683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Indeks Massa Tubuh dengan Prevalensi Karies pada Anak","authors":"Dinar Wicaksono, Aurelia Supit, Natasha V. Gianina","doi":"10.35790/eg.v12i1.50359","DOIUrl":"https://doi.org/10.35790/eg.v12i1.50359","url":null,"abstract":"Abstract: Relationship between body mass index (BMI) and dental caries in children has been studied in several countries and shows varying results. Poor dental and oral health will have an impact on several aspects of the quality of life of children such as speaking and chewing, resulting in malnutrition and undernutrition. Meanwhile, intake of foods rich in carbohydrates is a risk factor for overweight or obesity, and can also cause caries. This study aimed to review the relationship between BMI and caries prevalence in children. This was a literature review study using databases obtained from Google Scholar, ScienceDirect, SpringerLink with related topics. The results showed that there were five literatures that showed no relationship between BMI and the incidence of caries in children. One literature stated that a high BMI was significantly associated with a lower probability of caries occurrence. In conclusion, there was no relationship between body mass index and caries prevalence in children, albeit, a literature stated that a higher BMI was associated with a lower chance of caries. Keywords: body mass index; caries; DMF-T index; children with caries Abstrak: Hubungan antara indeks massa tubuh (IMT) dan karies gigi pada anak telah diteliti di beberapa negara dan menunjukkan hasil bervariasi. Kesehatan gigi dan mulut yang buruk akan berdampak pada aspek kualitas hidup anak seperti bicara dan mengunyah sehingga menyebabkan malnutrisi atau kekurangan gizi. Asupan makanan kaya karbohidrat yang merupakan salah satu faktor risiko terjadinya kelebihan berat badan atau obesitas juga dapat menyebabkan terjadinya karies. Penelitian ini bertujuan untuk menelaah dan mengkaji hasil-hasil penelitian terpublikasi sebelumnya yang berkaitan dengan IMT dan prevalensi karies pada anak serta hubungan antara IMT dengan prevalensi karies pada anak. Penelitian ini berbentuk suatu literature review menggunakan dari Google Scholar, ScienceDirect, dan SpringerLink dengan topik yang berhubungan. Hasil penelitian mendapatkan lima literatur yang secara statistik menunjukkan tidak terdapat hubungan antara IMT dengan tingkat kejadian karies pada anak. Satu literatur secara bermakna menyatakan IMT tinggi dikaitkan dengan kemungkinan kejadian karies yang rendah. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara IMT dan status karies namun terdapat literatur yang menyatakan IMT lebih tinggi dikaitkan dengan kemungkinan karies yang lebih rendah. Kata kunci: indeks massa tubuh; karies; indeks DMF-T; anak dengan karies","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tingkat Pengetahuan Tentang Barodontalgia pada Penyelam Wisatawan Domestik di Kota Manado","authors":"Rizka Wahyuni, Christy N. Mintjelungan, Celin L. Sindar","doi":"10.35790/eg.v12i1.50361","DOIUrl":"https://doi.org/10.35790/eg.v12i1.50361","url":null,"abstract":"Abstract: Concerning maritime tourism, during diving, various types of pressure changes usually occur, especially atmospheric pressure which can result in barodontalgia or pain in the teeth due to changes in pressure. Lack of knowledge about barodontalgia and control of dentists can make divers prone to experience pain and discomfort in areas of teeth that have certain indications such as dental caries, damaged restorations, pulpitis, pulp necrosis, apical periodontitis, periodontal pockets, impacted teeth, root fractures, and residual cysts. This study aimed to determine the level of knowledge about barodontalgia among domestic tourist divers in Manado. This was a descriptive study with a cross-sectional design. Respondents were 40 domestic tourist divers taken by total sampling technique. The results showed that respondents with good level of knowledge about barodontalgia had a percentage of 13%; those with fair knowledge were 50%; and those who had poor knowledge were 37%. In conclusion, the majority of domestic tourist divers in Manado have fair level of knowledge about barodontalgia. Keywords: knowledge level; barodontalgia; domestic divers Abstrak: Terkait wisata bahari, saat menyelam biasanya terjadi berbagai macam jenis perubahan tekanan terutama tekanan atmosfer yang dapat mengakibatkan barodontalgia atau nyeri pada gigi akibat perubahan tekanan tersebut. Kurangnya pengetahuan mengenai barodontalgia dan kontrol ke dokter gigi dapat menyebabkan penyelam rentan mengalami rasa nyeri dan tidak nyaman pada daerah gigi yang memiliki indikasi seperti karies gigi, restorasi yang rusak, pulpitis, nekrosis pulpa, periodontitis apikal, poket periodontal, gigi impaksi, fraktur akar, dan kista residual. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan tentang barodontalgia pada penyelam wisatawan domestik di Kota Manado. Jenis penelitian ialah deskriptif dengan desain potong lintang. Responden penelitian berjumlah 40 penyelam wisatawan domestik yang diambil dengan teknik total sampling. Hasil penelitian memperlihatkan bahwa responden yang memiliki tingkat pengetahuan tentang barodontalgia baik sebesar 13%; tingkat pengetahuan cukup sebesar 50%; dan tingkat pengetahuan kurang sebesar 37%. Simpulan penelitian ini ialah sebagian besar penyelam wisatawan domestik di Kota Manado memiliki tingkat pengetahuan cukup tentang barodontalgia. Kata kunci: tingkat pengetahuan; barodontalgia; penyelam domestik","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136263880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Dukungan Orang Tua pada Kesehatan Gigi Mulut Anak dan Status Kebersihan Mulut","authors":"Vonny N. S. Wowor, Ni Wayan Mariati, Militia J. Kalalo","doi":"10.35790/eg.v12i1.50358","DOIUrl":"https://doi.org/10.35790/eg.v12i1.50358","url":null,"abstract":"Abstract: Children's behavior towards oral and dental health is influenced by the support and attitude of parents, especially the ability of parents to educate children about the awareness of the importance of oral and dental health to children. Active role of parents in the form of information, instrument and appreciation support is highly important to overcome children's oral and dental health problems and improve the children’s oral and dental health. This study aimed to determine parental support for children's oral and dental health as well as the oral hygiene status of children, and to evaluate the relationship between parental support for children's oral and dental health and children's oral hygiene status. This was a descriptive and analytical study with a cross-sectional design using total sampling, namely the children in grades 1–6 at SD GMIM 85 Wori of 97 and their parents. Data were collected using a parental support questionnaire on children's oral dental health and examination of children's oral hygiene status. The results showed that measuring parental support was based on information, instrument, and award support of 97 respondents obtained an average score of 4788 in good category and the child's oral hygiene status was in the moderate category (56.7%). The chi-square test obtained a p-value of 0.001 (p <0.05). In conclusion, there is a significant relationship between parental support for children's oral and dental health and oral hygiene status. Keywords: parental support; oral hygiene status; behavior of elementary school children Abstrak: Perilaku anak terhadap kesehatan gigi dan mulut dipengaruhi oleh dukungan dan sikap orang tua, terutama kemampuan orang tua untuk menanamkan sikap peduli dan sadar akan pentingnya kesehatan gigi dan mulut kepada anak. Peran aktif dari orang tua berupa dukungan informasi, instrumen, dan penghargaan sangat penting untuk mengatasi masalah kesehatan gigi mulut dan peningkatan derajat kesehatan gigi mulut pada anak. Penelitian ini bertujuan untuk mengetahui hubungan dukungan orang tua pada kesehatan gigi mulut anak dengan status kebersihan mulut anak. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang, menggunakan total sampling anak kelas 1–6 SD GMIM 85 Wori berjumlah 97 responden beserta orang tuanya. Pengumpulan data menggunakan kuesioner dukungan orang tua terhadap kesehatan gigi mulut anak dan pemeriksaan status kebersihan mulut anak. Hasil penelitian ini merupakan pengukuran dukungan orang tua berdasarkan dukungan informasi, dukungan instrumen dan dukungan penghargaan, mendapatkan skor rerata 4788 dengan kategori baik dan status kebersihan gigi mulut anak sebagian besar (56,7%) dengan kategori sedang. Uji chi-square mendapatkan nilai p=0,001 (p<0,05). Simpulan penelitian ini ialah terdapat hubungan antara dukungan orang tua pada kesehatan gigi mulut anak dengan status kebersihan mulut anak. Kata kunci: dukungan orang tua; status kebersihan mulut; perilaku anak sekolah d","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136310979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gambaran Kelengkapan dan Kesesuaian Pengisian Rekam Medis Gigi di Puskesmas Tanawangko Kabupaten Minahasa Tahun 2018 – 2022","authors":"Johanna A. Khoman, Martha M. Kaseke, Christian C. Honarto","doi":"10.35790/eg.v12i1.50801","DOIUrl":"https://doi.org/10.35790/eg.v12i1.50801","url":null,"abstract":"Abstract: Concerning victim identity, dental medical record can be used as the victim’s data before death (antemortem) compared with data after death (postmortem). Incompleteness of the medical record describes the health services provided and the quality of the medical record. Incomplete medical record documents can interfere with health workers in identifying a patient's medical history. This study aimed to describe the completeness and suitability of dental medical records at Tanawangko primary health center (PHC) in 2018–2022 in terms of dental medical record guidelines compiled by the Directorate of Basic Health Efforts, Ministry of Health, Republic of Indonesia in 2015. This was a descriptive and observational study using simple random sampling method. The population included all dental medical record data at Tanawangko PHC in 2018 – 2022. The results showed that the average completeness and suitability of all dental medical records at Tanawangko PHC was relatively low and there were no odontogram sheets and patient supporting sheets found. In conclusion, the completeness and suitability of dental medical records at Tanawangko PHC is relatively low. Keywords: completeness and suitability of data; dental medical record; victim identification Abstrak: Saat diperlukan penentuan identitas individu, pengumpulan bukti pengisian rekam medis gigi dapat dijadikan sebagai data korban sebelum meninggal (antemortem) yang dibandingkan dengan data korban setelah meninggal (postmortem). Ketidaklengkapan pengisian rekam medis menggambar-kan pelayanan kesehatan yang diberikan dan mutu pelayanan rekam medis. Dokumen rekam medis yang tidak lengkap dapat menyulitkan petugas kesehatan untuk mengidentifikasi riwayat medis pasien. Penelitian ini bertujuan untuk mengetahui gambaran kelengkapan dan kesesuaian rekam medis gigi di Puskesmas Tanawangko tahun 2018–2022 ditinjau dari panduan rekam medis gigi yang disusun oleh Direktorat Bina Upaya Kesehatan Dasar Kementrian Kesehatan RI tahun 2015. Jenis penelitian ialah deskriptif observasional menggunakan metode simple random sampling dengan populasi seluruh data rekam medis gigi di Puskesmas Tanawangko pada tahun 2018–2022. Hasil penelitian memperlihatkan bahwa rerata kelengkapan dan kesesuaian seluruh rekam medis gigi di Puskesmas Tanawangko masih tergolong rendah, serta tidak ditemukannya lembar odontogram dan lembar lampiran penunjang pasien. Simpulan penelitian ini ialah kelengkapan dan kesesuaian seluruh rekam medis gigi di Puskesmas Tanawangko masih tergolong rendah. Kata kunci: kelengkapan dan kesesuaian data; rekam medis gigi; identifikasi korban","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135259225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indonesian version of caries management by risk assessment mobile application “SKOR GIGI” in highly educated parents","authors":"Alana Aluditasari, Eva Fauziah, S. Budiardjo","doi":"10.20473/j.djmkg.v56.i4.p251-254","DOIUrl":"https://doi.org/10.20473/j.djmkg.v56.i4.p251-254","url":null,"abstract":"Background: The Indonesian version of caries management by risk assessment (CAMBRA) is a common caries risk assessment for children aged 0–5 years. During the coronavirus disease 2019 (COVID-19) pandemic, the frequency of dental visits have decreased, making it difficult to assess the caries risk in children. Smartphones and operating systems such as Android are expected to be useful for parents to assess the caries risk of their children. The education level of parents has an impact of its use. The research about the Indonesian version of CAMBRA Android–based application in children aged 0–5 years with highly educated parents has never been done in Indonesia. Purpose: To analyze the accuracy of Android–based application “SKOR GIGI” in assessing the caries risk of children aged 0–5 years by highly educated parents. Methods: This study was conducted in kindergarten, pre-primary school, and Dental Hospital of Faculty of Dentistry Universitas Indonesia with 37 highly educated parents as participants. Participants filled out the informed consent and SKOR GIGI application. Six days later, dentists filled out the Indonesian version of CAMBRA. The results of this study were statistically tested to see the sensitivity, specificity, and the comparison between the variables. Results: The sensitivity test of SKOR GIGI application showed 96.3%, specificity 100%, positive predictive value 100%, and negative predictive value 90.9%. The comparative test with McNemar showed a p-value of 1.000, which means there is no significant difference between the caries risk assessment of children aged 0–5 years using SKOR GIGI application and the Indonesian version of CAMBRA. Conclusion: SKOR GIGI application can be used to assess the caries risk of children aged 0–5 years by highly educated parents.","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87039101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobe leaf (Artocarpus lakoocha Buch. Ham) ethanol extract’s antibacterial activity on Streptococcus mutans cell membrane leakage and biofilm formation: An in vitro study","authors":"Siti Bahirrah, Denny Satria, Cindy Yuwanda","doi":"10.20473/j.djmkg.v56.i4.p226-232","DOIUrl":"https://doi.org/10.20473/j.djmkg.v56.i4.p226-232","url":null,"abstract":"Background: Using fixed orthodontic appliances inhibits oral hygiene, which can lead to the increased development of biofilms and Streptococcus mutans, a cariogenic bacterium that is well known for causing dental caries, derived from bacteria of the Streptococcus genus. In order to decrease biofilm and the degree of cariogenic bacteria in the oral cavity, a variety of herbal ingredients are used. Among these, mobe (Artocarpus lakoocha Buch. Ham) leaves are herbal ingredients with antibacterial properties. Purpose: This study aimed to investigate the antibacterial activity, antibiofilm, and leakage of DNA and protein from mobe leaves. Methods: The diffusion method was used to assess antibacterial activity and determine the minimum inhibitory concentration. The antibiofilm activity was evaluated with Ultraviolet–visible (UV-Vis) spectrophotometry (600 nm), using violet crystal staining. The detection of DNA and protein leakage was carried out by checking for absorbance values using the UV-Vis spectrophotometry (260 nm and 280 nm). An increase in the absorbance value in the measured cell indicated an increase in the level of cell content produced by the cell. One-way analysis of variance was used statistically analyze the results of this study (P < 0.05). Results: Mobe leaf (A. lakoocha) extract’s minimum inhibitory concentration level was 3.125 mg/ml, the effective concentration of ethanol extract for inhibiting biofilm formation was 3.125 mg/ml, and the effective concentration of ethanol extract that could cause DNA and protein leakage was 50 mg/ml. Conclusions: Mobe leaf extract has good MIC for S. mutans.","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89279138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of skeletal Class II with retrognathic mandible in growing patient using modified sagittal guidance twin-block appliance","authors":"Hilda Fitria Lubis, Sherliana Yanita","doi":"10.20473/j.djmkg.v56.i4.p261-267","DOIUrl":"https://doi.org/10.20473/j.djmkg.v56.i4.p261-267","url":null,"abstract":"Background: Class II discrepancies were primarily perceived as sagittal problems. Class II malocclusions usually cause aesthetic and functional problems, depending on the degree of anterior-posterior mismatch and interaction with adjacent soft tissues. Purpose: This case report aimed to evaluate the effect of modified sagittal guidance twin-block (SGTB) for Class II Skeletal and Dental Changes in a growing patient. Case: A 10-year-old patient presented with her parents and complained mainly of aesthetic problems. Diagnosis showed skeletal Class II pattern (ANB 6º) with retrognathic mandible, angle Class II molar relationship, convex facial profile, lower dental midline shift, crowding in the lower anterior teeth, and incompetent lips. Case Management: A growth modification treatment plan was considered for the patient, using modified SGTB. Both bonded and removable had the same design. In the SGTB, the bite block was angled at 70º, pushed toward the occlusal plane to maximize horizontal force toward the mandible. As a result, the mandible is guided forward and optimally positioned during occlusion. Conclusion: An ideal overjet and slight correction on lower anterior crowding teeth were achieved after full-time wear of a modified SGTB for 12 months. A modified SGTB appliance is effective in treating skeletal Class II with a retrognathic mandible.","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73341116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management missed canal tooth and broken file using ultrasonic instrument","authors":"Wandita Swasti, M. Rinastiti, D. N. Ratih, Diatri Nari, Ratih","doi":"10.20473/j.djmkg.v56.i4.p255-260","DOIUrl":"https://doi.org/10.20473/j.djmkg.v56.i4.p255-260","url":null,"abstract":"Background: Endodontic mishaps, such as missed canal and broken file, are procedural accidents that can affect the prognosis of endodontic treatment. A missed canal can lead to endodontic failure because of bacterial remnants in the root canal. A broken file may cause obstruction of the canal, inhibiting the process of shaping and cleaning. An ultrasonic instrument can be used under a dental microscope to manage a missed canal or broken file fragment. Purpose: This study aimed to show the management of missed canal and instrument separation by endodontic retreatment using an ultrasonic instrument under dental microscope. Case: A 31-year-old female patient presented to Dental Hospital Universitas Gadjah Mada with discomfort from chewing her upper left molar since 2 weeks (January 4, 2022). The tooth was subjected to root canal treatment 2 years ago (November 18, 2019). The percussion test yielded a positive result. The examination of radiographs showed the presence of a broken file in the middle third of the mesiobuccal root canal. Case Management: The first stage of the retreatment was removal of the gutta-percha. This was followed by exploration of the missed canal and retrieval of the broken file using an ultrasonic instrument under a dental microscope. Then, the root canals, including the messiobuccal2 canal, that was missed at the previous treatment, were prepared. The final step was zirconia crown restoration with a fiber post. Conclusion: An ultrasonic device along with a dental microscope can be used to manage a missed canal and instrument separation conservatively.","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84260331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of chewing betel nuts on human dentition in Indonesia: A literature review","authors":"Sayf Muhammad Alaydrus, Myrtati Dyah Artaria, Yao-Fong Chen","doi":"10.20473/j.djmkg.v56.i4.p273-279","DOIUrl":"https://doi.org/10.20473/j.djmkg.v56.i4.p273-279","url":null,"abstract":"Background: Human behavior can significantly alter dental conditions. One such behavior is the habit of chewing betel nuts. Known as nginang, this tradition holds social significance in many cultures across Indonesia. Societal beliefs include the idea that chewing betel nuts offers a sensation similar to smoking cigarettes, provides a pastime, reduces bad breath, and even enhances dental health. However, evidence shows that it can cause severe damage to teeth. Purpose: This research aims to analyze the literature regarding the impact of chewing betel nuts on dental conditions and to recommend actions to address the problems caused by it. Reviews: While this habit can have positive aspects, it may also cause tooth damage when practiced with a certain frequency and intensity and using specific compositions. Issues such as calculus, periodontitis, attrition, and antemortem tooth loss may occur due to this habit. However, inconsistencies have been found concerning this habit’s relation to caries. Conclusion: A pathological chain reaction triggered by betel nut chewing confirms its detrimental effect on dental health. Further investigations are required to explain the inconsistencies found in this review. The researchers recommend promoting tooth brushing to enable society to maintain its tradition without risking further teeth damage.","PeriodicalId":11034,"journal":{"name":"Dental Journal (Majalah Kedokteran Gigi)","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86743062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}