THE RELATIONSHIP BETWEEN THE SEVERITY OF MALOCCLUSION AND GINGIVAL STATUS IN STUDENTS OF SMPN 5 MARABAHAN

ABSTRACTBackground: South Kalimantan experienced dental and mouth problems with a prevalence of 59,6%, so did Barito Kuala Regency with 68,66%. Malocclusion is a dental and oral health problem related to the disharmony between jaws and teeth. Many cases of malocclusion occur in children aged 12-14 years by 15,6% in the form of crowded teeth in South Kalimantan. Malocclusion is a factor that can cause food debris to stick to the interdental area between the crowded teeth, thus forming plaque accumulation. Plaque is the primary etiological factor that influences gingival status. Objective: This study aimed to determine the relationship between the severity of malocclusion and gingival status in students aged 12-14 years at SMPN 5 Marabahan. Method: This study used analytic survey research with cross sectional research design. The research population was all students of SMPN 5 Marabahan aged 12-14 years who born in March 2005 - January 2008, amounting to 88 people. The minimum sample size which determined by the proportion estimation formula was 47 people. The used sampling technique was simple random sampling technique with inclusion and exclusion criteria. Results: The distribution frequency of the study showed mild malocclusion of 55,3% and mild inflammation of 57,4%. Spearman analysis test results on the severity of malocclusion based on Mal I and gingival status based on GI showed a significance value of p = 0,045 (p < 0,05). Conlclusion: It could be concluded that there was a relationship between the severity of malocclusion and gingival status in students aged 12-14 years at SMPN 5 Marabahan.Keywords:Gingival Index, Gingival Status, Malalignment Index, Malocclusion, Permanent Tooth Occlusion Stage 2.

Perbedaan Indeks Kebersihan Mulut dan Kualitas Hidup Terkait Kesehatan Rongga Mulut pada Pasien Diabetes Melitus Tipe 2 dan Non Diabetes Melitus

Type 2 diabetes mellitus (T2DM) is associated with many complications, one of them is oral health problem. Its risk increases in individual with poor oral hygiene. Oral health problem can impair daily life functions such as biting or chewing, speaking, and social interaction. However, research evidences investigating oral hygiene and quality of life related to oral health are still contradictory, therefore, further studies are still required. This study was aimed to evaluate the difference in oral hygine index and quality of life (QoL) related to oral health index between T2DM and non DM patients. This was an observational study with a cross sectional design. Samples consisted of 21 T2DM patients and non DM patients at the Internal Medicine Outpatient Clinic of RSND hospital. Oral hygiene examination (OHI-S) was performed on all patients. Moreover, all patients had to fill the questionnaire which evaluated their QoL related to their oral health conditions (OHIP-14). Data were analyzed by using unpaired T-test and Mann-Whitney test. The results showed that the means of OHIS index were 3.17 in T2DM group and 1.43 in non DM group (p<0.001). Meanwhile the means of OHIP-14 index were 7.14 in T2DM group and 2.24 in non DM group (p<0.001). In conclusion, T2DM patients significantly have worse oral hygiene index and QoL related to oral health index than non DM patients.Keywords: type 2 diabetes mellitus (T2DM), oral hygiene, quality of life related to oral health Abstrak: Diabetes melitus tipe 2 (DMT2) terkait dengan berbagai komplikasi, salah satunya masalah kesehatan rongga mulut yang risikonya semakin meningkat pada individu dengan kebersihan mulut yang buruk. Masalah kesehatan rongga mulut dapat membatasi fungsi sehari-hari seperti menggigit/mengunyah, berbicara, dan interaksi sosial. Namun, temuan beberapa penelitian mengenai kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut pada pasien DMT2 masih menunjukkan hasil yang bertentangan, sehingga diperlukan penelitian lebih lanjut. Penelitian ini bertujuan untuk mengetahui perbedaan indeks kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut pada pasien DMT2 dan non DM. Jenis penelitian ialah observasional dengan desain potong lintang. Sampel penelitian terdiri dari 21 pasien DMT2 dan 21 pasien non DM di Instalasi Rawat Jalan Penyakit Dalam RSND. Seluruh pasien menjalani pemeriksaan kebersihan mulut (OHI-S) dan juga diminta untuk mengisi kuesioner yang menilai kualitas hidup terkait kesehatan rongga mulut pasien (OHIP-14). Uji statistik menggunakan uji t tidak berpasangan. Hasil penelitian mendapatkan nilai rerata OHIS ialah 3,17 pada kelompok DMT2 dan 1,43 pada kelompok non DM (p<0,001). Nilai rerata OHIP-14 ialah 7,14 pada kelompok DMT2 dan 2,24 pada kelompok non DM (p<0,001). Simpulan penelitian ini ialah pasien DMT2 memiliki skor indeks kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut yang lebih buruk secara bermakna dibandingkan pasien non DM.Kata kunci: diabetes melitus tipe 2 (DMT2), kebersihan mulut, kualitas hidup terkait kesehatan rongga mulut

Association of age with class VI composite restoration

Dental caries is the major oral health problem in most of the countries, affecting 60-90% of school children and a vast majority of adults. Therefore, it is of interest to evaluate the association of age with Class VI defects restored with composite restorations. We used 102 cases with data regarding Class VI composite restorations in a datasheet of 86,000 records at Saveetha Dental College, India for this study. Data shows that Class VI restorations were commonly seen in upper anterior teeth in the age group of 51 and above. The cavities prepared to receive Class VI restoration followed a conservative design of caries removal and used direct restoration techniques for reconstruction of the lost tooth structure.

Inclined bite plane: indications and application

Background: The prevalence of malocclusion in Indonesia is about 80% of the population and is a fairly common dental and oral health problem so that treatment of malocclusion from an early age is very important and needed. One of malocclusion treatment for preventing malocclusion is the use of removable orthodontic devices in the form of inclined bite plane. Con-clusion: Inclined bite plane can be made on the orthodontic plate of maxilla and mandible. In the maxilla inclined bite plane can function as a functional appliance in treatment of Class II malocclusion division 1, as a retention device after treatment using twin blocks and in the mandible serves to correct anterior crossbite.

Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

Gingival recession is an oral health problem that affects a large part of the population. Several treatments are suggested in the current literature; among them is the use of buccal fat pad grafting. The objective of this case report is to describe the treatment of a Miller Class I gingival recession using a nonpedicled buccal fat pad graft immediately after performing the surgery for buccal fat pad removal (bichectomy technique). First, bilateral surgical removal of the buccal fat pad was performed with the main objective of eliminating oral mucosa biting. The recipient site was prepared to receive a portion of the fat pad that was cut and macerated in a size that was sufficient to cover the recession. The patient was followed up at 15, 30, 60, and 365 days postsurgery, and the results showed an elimination of the oral mucosa biting and complete coverage of the gingival recession. It was concluded that the nonpedicled buccal fat pad graft is another option for the treatment of Miller Class I recessions.

Traumatismo dento-alveolar em escolares de uma ONG em Salvador-Bahia: uma abordagem epidemiológica

Introdução: O traumatismo dento-alveolar em vários locais do mundo tem alta prevalência na dentição decídua e permanente de crianças e jovens, com cerca de um terço destes sendo afetados. Objetivo: descrever a prevalência e gravidade de traumatismo dento-alveolar em crianças e jovens de 03 a 18 anos, assim como fatores associados. Metodologia: Foi realizado estudo transversal no Centro de Integração Familiar em Salvador, Bahia, que atende cerca de 400 crianças e jovens. Foram registradas informações sociodemográficas e história do trauma. O estudo foi realizado com uma amostra de 357 escolares. Resultados: A amostra tinha idade média de 8,3 anos. A prevalência do traumatismo foi de 15,69%, sendo a fratura de esmalte o agravo mais frequentemente encontrado, e sua etiologia principal a queda. Conclusão: O trauma acometeu o sexo feminino, as crianças mais velhas, de cor branca/outras, com overjet acentuado e com mais de dois irmãos. É necessária maior divulgação de informações de prevenção deste problema de saúde bucal.AbstractIntroduction: Dento-alveolar trauma in many places around the world has a high prevalence in deciduous and permanent dentition of children and young people, with about one third of them being affected. Objective: To describe the prevalence and severity of dentoalveolar trauma in children and young people from 03 to 18 years old, as well as associated factors. Methodology: A cross-sectional study was conducted at the Family Integration Center in Salvador, Bahia, which serves about 400 children and young people. Sociodemographic information and history of trauma were recorded. The study was conducted with a sample of 357 students. Results: The sample had a mean age of 8.3 years. The prevalence of trauma was 15.69%, with the enamel fracture being the most frequently encountered injury, and its main etiology being the fall. Conclusion: The trauma affected females, older children, white/others people, with severe overjet and with more than two siblings. More information on prevention of this oral health problem is needed.

Pengetahuan Remaja Mengenai Upaya Penurunan Hipersensitivitas Dentin Terhadap Minuman Dingin

Hypersensitivity of dentine is a common dental and oral health problem. Dentine hypersensitivity occurs because the exposure of dentine due to erosion caused by the enamel demineralization process. Mild tooth erosion known as dentine hypersensitivity, that is signed by a sensation of pain because of thermal stimulation. Cold drinks is one of the drinks that can cause enamel demineralization. Teenager is one of the most population that consuming cold drinks. The purpose of this study is to know the teenager's knowledge about prevention and treatment of dentine hypersensitivity. This research type is qualitative research, with number of research subject is 25 person. Data collection was done by division of questionnaire to research subjects. From the results of 25 subjects, 18 subjects suffered dentine hypersensitivity after being exposed cold drinks. The results also showed that only 10 people know about hypersensitivity but most of subject know about prevention and treatment of hypersensitivity dentine. Based on this study concluded that most research subjects can resolve their dentine hypersensitivity after being exposed cold drinks.