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.

Etiology and treatment of mouth breathing habit

Malocclusion is a condition that deviates from normal occlusion including irregularities of the teeth in the arch of the jaw such as crowding, protrusive, malposition and relationships that are not harmonious with the antagonist teeth. Non-physiological oral habits are abnormal human habits that cause stresses and tendencies that persist and are repeated continuously so that it affects craniofacial growth and is usually called bad habits. Changes in the activity of these muscles will lead to modification of facial growth patterns and head posture that can result in dentofacial deformity. Adaptation from nasal breathing to mouth breathing causes several unhealthy things, such as chronic middle ear infections, sinusitis, upper respiratory tract infections, sleep disor-ders, and facial growth disorders.

Polishing can reduce discoloration of the nanofiller composite resin filling due to the use of chlorhexidine

Nanofiller composite resin (NCR) restoration has a major problem, namely color changes. Polishing are factors that determi-ne color change and if accompanied by the use of mouthwash for a long time can cause more significant color changes. The 0.2% chlorhexidine gluconate mouthwash is a mouthwash that is often used in the community because it has low toxicity. However, using the chlorhexidine gluconate 0.2% mouthwash in the long term can cause more significant discoloration. This study is aimed to determine the difference between discoloration of polished and unpolished NCR on the soaking of 0.2% chlorhexidine gluconate mouthwash. This purely experimental research with a pretest and posttest with control group design, using 24 samples of premolar teeth prepared with class II cavity design and then filled with NCR. The samples were then di-vided into 4 treatment groups, namely polished and non-polished NCR, 0.2% chlorhexidine gluconate mouthwash and aqua-dest. Soaking was carried out 24 hours a day for 5 days in an incubator at 37ºC. Color changes of each group were measured using shade guide Vita Classical. The results were analyzed descriptively and the normality was tested by the Shapiro-Wilk and Levene's homogenity test with significance value of 0.05. Mann-Whitney for the different test. Based on the results of this study, it is concluded that the discoloration of the polished NCR was smaller than that was not polished on the soaking of chlorhexidine mouthwash 0.2%

Dentoalveolar fractures with mild head injury

Background: Trauma and injury to teeth and their supporting tissues often occur in cases of oromaxillofacial trauma. Oromaxillofacial trauma is found in 15% of all emergencies, with dentoalveolar trauma involvement in 2% of these cases. Objective: Management of dentoalveolar fractures with minor head injuries. Case: A 53-year-old man, traumatized by a single motorcycle accident and hit by a wooden board with his face hit first. The patient was unconscious shortly after the accident, then complained of pain in the lower lip and gums, teeth 11, 21 avulsed, 12, 22, 31, 21, 41, 42 mobile, and headache. Management: The inspection and handling of the airway was not carried out because it had been previously handled at Puskesmas. The patient was consulted on the Neurosurgery Department for a history of loss of consciousness, then under general anesthesia, definitive care was performed by attaching the eyelet splint to fix the anterior maxillary teeth, and fixation with Erich arch bar for the lower anterior teeth. Conclusion: Interdental wiring is an intraoperative fixation technique for dentoalveolar trauma, accompanied by eyelet splint and Erich arch bar. Patients with head trauma should be consulted to a neurosurgeon before definitive measures are taken.

The level of concern for oral health in children visiting the Dental Hospital of Hasanuddin University

Background: The visit of children to the dentist to have their teeth checked is not routinely done. There is still a lack of awareness or concern for children about dental health due to a lack of knowledge about preventive and dental care in children to get opti-mal oral health. Aim: To determine the relationship between the level of motivation, cooperation and knowledge about oral dental health on oral health. Methods: Analytical observational research and cross sectional study approach was carried out in September 2016 at the Dental Clinic for Children, Dental Hospital of Hasanuddin University. With the accidental sampling technique, all children aged 6-17 years who visited the clinic filled out a questionnaire and performed an oral status check. Results: The Kruskall wallis test showed that there was a significant relationship between the level of motivation and knowledge of children on oral health and the level of visits and high levels of cooperation was dominated by patients who were picked up by the operator. Conclusion: There is a relationship between the level of motivation and knowledge about children's oral health and the highest level of cooperation is dominated by patients who are picked up by the operator.