ANTIBACTERIAL EFFECTIVENESS OF LIME LEAVES (Citrus hystrix DC) ETHANOL EXTRACT ON Enterococcus faecalis BACTERIA

Introduction: Endodontic treatment failure can be caused by the bacterium E. faecalis, which has a prevalence of up to 90%. E. faecalis is difficult to eradicate because it forms a biofilm to defend itself against antibacterial agents. Lime leaves are one of the many herbal products available in Indonesia (Citrus hystrix DC). Lime leaf extracts include antibacterial components such as essential oils, phenolics, alkaloids, saponins, and tannins. The purpose of this study was to investigate the antibacterial activity of lime leaf extract against E. faecalis bacterium. Material and Methods:The agar diffusion technique was used for four experimental groups, using lime leaf extract at 4% (group 1), 8% (group 2), and 16% (group 3) as the negative control. Each group was repeated six times on Muller Hinton Agar (MHA) medium with a paper disc, and the diameter of the inhibitory zone was measured with a caliper. Results and Discussions: The results revealed that a 4 % concentration of lime leaf extract had an average inhibition zone diameter of 7.31 mm, an 8 % concentration had an average inhibition zone diameter of 8.59 mm, and a 16 % concentration had an average inhibition zone diameter of 11.41 mm. The difference in the inhibition zone was statistically significant (p= 0,000) evaluated using the one-way ANOVA. Conclusion: It can be concluded that lime leaf extract is antibacterial potential against E. faecalis bacteria in the endodontic treatment.

CU-SIL DENTURE AS A TRANSITIONAL PROSTHESIS TO PRESERVE THE REMAINING NATURAL TEETH USING PERMANENT SILICONE LINER

The goal of modern dentistry is to be conservative, preserving teeth but also maintaining the stability of the remaining alveolar ridge and the periodontium's proprioceptive capabilities. Cu-sil denture is the simplest approach in the preservation of teeth and maintaining proprioception. It is a type of transitional denture that provides an alternative treatment plan for the patients willing to replace their missing teeth while retaining their remaining natural teeth. It gives potential psychological benefits to the patients by avoiding extractions. It's a tissue-bearing acrylic appliance with a soft viscoelastic wrap that clasps the neck of each dentition, sealing out food and water simultaneously protecting and splinting each remaining tooth from the rigid acrylic denture base. This case reports series describes chairside techniques to fabricate Cu-sil dentures in the usual dental set-up

SELECTION OF OBTURATIONS MATERIALS IN PULPECTOMY TREATMENT OF DECIDUOUS TEETH

Introduction: Pulpectomy is the procedure of taking the entire pulp tissue from all the roots and corona of a tooth. There are several materials for obturation / root canal fillers in deciduous teeth, namely zinc oxide eugenol (ZOE), calcium hydroxide and iodoform paste a mixture of calcium hydroxide. A 6 year old boy patient came to RSGM with his parents seeking for treatment a tooth with a large cavity in the upper left posterior region and had been pain before. Intraoral examination revealed deep caries in the occlusal tooth 65 which reaching the pulp, percussion (-), palpation (-), mobility (-), vitality (-). Radiographic examination of tooth 65 showed a radiolucent image that had reached the pulp and the root canals had not yet undergone resorption. The diagnosis of this case was pulp necrosis at tooth 65. Case management: The treatment plan to be carried out was non-vital pulpectomy on tooth 65 and used technique non-vital pulpectomy because the tooth had already necrosis. Discussion: The filler used is ZOE. The reason for choosing this material was because it was indications for the use of ZOE material for teeth with necrosis. Conclussion: ZOE has anti-inflammatory and analgesic properties that can reduce pain

THE USE OF LASER AS THERAPY FOR ORAL PARESTHESIA

Introduction: Generally, paresthesia are a pain or uncomfortable sense or abnormality feeling like a burned, sweating, etc. The symptoms can be temporary or permanent, an acute nerve injury will reduce risk of permanent paresthesia. Review: Paresthesia can caused by local anesthesia ( injection method), extraction of third molar, dental implant, endodontic treatment, and trauma. It can prevented by proper patient identification, treatment planning and procedure. The management of paresthesia are observation, Physiologic treatment (cryotherapy, electro-iontophoresis, heat-therapy, massage treatment or acupunture), pharmacology therapy (antibiotics, anti-inflamation, antidepressant, neurotropic group, and topical), phsychologic therapy and laser therapy. Conclusion: Using Laser for paresthesia are to accelerate and enhanced regeneration the nerve tissue. With low-level laser it wiil be e xpected to healing an injured nerve.

SCHOOL PROGRAM BRUSH DAY AND NIGHT 21 DAY TO INCREASE AWARENESS ABOUT ORAL HEALTH: A QUALITATIVE STUDY

Introduction: Most Indonesian brushes their teeth unproperly. This causes the rate of toothache due to caries is still high. The skill of brushing teeth should be taught from a young age. Materaials and Methods:This study is an qualitative applied study, namely implementing brushing day and night program at school for 21 days. This program involves 252 children including their parents, 17 teachers, and 5 dentists as counselor.The number of samples were 17 children. They were from 17 different classes, who followed until finished. Children's age ranges from 7-12 years old. This activity was carried out online.The materials prepared were animated educational videos, a 21-days toothbrushing calendar, colored pencils, children's toothbrushes and fluoridated toothpaste.A structured interview was used as research instrumment. Educational themes for children include: knowledge about teeth in general, the causes of dental caries,the brushing teeth method, and the pledge to brushing teeth. This program includes promotive, preventive, and counseling activities. The data were carried out during and after the activity was completed, then analyzed qualitatively. Results and Discussions:Children diligently brush their teeth in the right way, every morning after breakfast, and at night before going to bed. Parents take an active role in providing facilities, and accompanying their children when brushing their teeth. Conclusion:Children's awareness to maintain dental health increases, it becomes better than before

MANAGEMENT OF HERPES LABIALIS TRIGGERED BY STRESS

Introduction : Herpes Labialis is the most common form of orofacial herpes, beginning with a feeling of vesicle formation at the vermilion margin of the lips and the surrounding area within 24 hours and then rupture, superficial erosion occurs which is then covered with crusts. Herpes labialis occurs in 50-75% of individuals exposed to HSV-1 infection in the oral cavity and often has a recurrence followed by prodromal symptoms. Reactivation can occur due to triggers in the form of decreased immune conditions due to weather changes, fever, sun exposure, emotional stress, trauma, menstruation, systemic diseases, allergies, and immunosuppression. Case: 22 years old female with a complaint of a wound on the angular lip, initially the patient had a fever for 2 days then a fluid-filled blister appeared which then rupture. Case Treatment: The diagnosis is made using anamnesis, clinical and supporting examination. CBC and Antybody Titer HSV-1 show value under normal for eosinophil and reactive for IgG HSV-1 established. Patient take medicine topical antiinflammation 3 time a day and multivitamins 1 time a day. Discussion: HSV-1 infektion is latent and can reaktivation. Under Stress Condition can caused a reduced circulating population of immune cells such as IL-6, TNFα, Lymphocites B, NK cell, dan Monocytes which HSV-1 Reactivation. Conclucion: Management in case can be successful if the clinician understand HSV-1 Infection Manifestation and added Suporting Examination. In Addition, cooperation from the patien is needed to manage stress so that the disease no more recurrence.

MANDIBULAR DEVIATION IN UNILATERAL CHEWING HABITS

ntroduction: The mandibular movement pattern was used to evaluate the presence of a dysfunction. Impaired TMJ function is called temporomandibular disorder (TMD). One of the causes that are often associated with TMD is a bad habit of chewing one side. This habit is often done without realizing it, causing an imbalance in the distribution of the chewing load and can result in deviation or displacement. The occurrence of TMD can be characterized by limited mouth opening of less than 40 mm. Objective: This study aims to determine the presence of abnormalities in the pattern of mandibular movement in the bad habit of chewing on one side. Methods: The research method used is descriptive observational research with saturated sampling technique with a sample of 25 students of the Faculty of Dentistry, Mahasaraswati University Denpasar, class of 2017. Data collection was carried out by observing through videos of mandibular movement patterns. Results and conclusions: The results showed the pattern of mandibular movement with the habit of chewing on one side, in men who deviated 28%, in women 32%, while in men who did not deviate 12% and in women as much as 28%

EFFECTIVENESS COMPARISON OF CAMBODIAN LEAF EXTRACT (Plumeria acuminata Ait) WITH JATROPHA LEAF EXTRACT (Jatropha curcas L) IN HEALING OF MINOR RECURRENT APHTOSA STOMATITIS (RAS)

Introduction:Recurrent aphthous stomatitis (RAS), also known as canker sores, is an inflammation that occurs in the oral mucosa. Frangipani leaf extract and jatropha leaf extract are known to contain saponins, tannins and flavonoids that function as wound healers and antimicrobials. Purpose:Determine whether the administration of frangipani leaf extract (Plumeria acuminata Ait) is more effective in curing recurrent aphthous stomatitis than jatropha leaf extract (Jatropha curcas L). Materials and Methods: The method used is experimental study with a purposive sampling of 30 people. frangipani leaf extract (Plumeria acuminata Ait) and jatropha leaf extract (Jatropha curcas L) were applied to each of 15 samples. Statistical calculations using the Independent T-test. Result and Discussion: The results showed that the mean difference in diameter reduction of recurrent aphthous stomatitis in the first sample group of frangipani leaf extract (Plumeria Acuminata Ait) was 1.13 mm, while in the second sample group Jatropha leaf extract (Jatropha curcas L) was 0.47 mm. From the results of the Independent T-Test test on frangipani leaf extract (Plumeria acuminata Ait) obtained a sig value of 0.002 (p<0.05) and jatropha leaf extract (Jatropha curcas L) of 0.002 (p<0.05), indicating that there is the difference between the use of frangipani leaf extract (Plumeria acuminata Ait) and jatropha leaf extract (Jatropha curcas L) in the treatment of recurrent aphthous stomatitis. Conclusion: frangipani leaf extract (Plumeria acuminata Ait) was more effective in curing recurrent aphthous stomatitis (SAR) than jatropha leaf extract (Jatropha curcas L)

DIFFERENCES IN THE NUMBER OF CANDIDA ALBICANS COLONIES ON ACRYLIC RESIN AND THERMOPLASTIC NYLON IN SOURSOP LEAF EXTRACT IMMERSION

Introduction: Denture stomatitis is a chronic inflammation caused by wearing dentures, mainly caused by Candida albicans. Heat-polymerized acrylic resins are often used as denture bases, but lack the ability to absorb liquids due to their porosity and surface roughness. The basis of the latest dentures is thermoplastic nylon because it is more aesthetically, hypoallergenic and more flexible. Soursop leaf extract contains alkaloids, tannins, flavonoids, and saponins as antifungal. The purpose of this study was to examinate whether there were differences in the number of Candida albicans colonies on heat-polymerized acrylic resin plates and thermoplastic nylon in soursop leaf extract immersion. Materials and Methods: The research design was an experimental pre-post test with control group design, n = 50 plates were divided into 2 groups, heat-polymerized acrylic resin (n=25) and thermoplastic nylon (n=25), divided into 5 groups, 3 treatment groups using 10%,15%,25% soursop leaf extract, Fittident®and aquadest in the control groups. Samples were contaminated with Candida albicans suspension and incubated, counted before immersion for 8 hours, then put in Saboroud’s bath and counted again. Results and Discussions: Wilcoxon test analysis showed significant differences in all groups, except the aquadest group. The Mann-Whitney test showed significant differences between the treatment groups, except between the 25% extract and the Fittident®control group. Also, showed a significant difference in the 15% concentration group between heat-polymerized acrylic resin and thermoplastic nylon. Conclusion:There was a difference in the decrease in the number of Candida albicans colonies on heat-polymerized acrylic resin plates and thermoplastic nylon in soursop leaf extract at a concentration of 15%, while at concentrations of 10% and 25% there was no difference

THE EFFECT OF 25% BELT LEAVES AND 0.2% CHLORHEXIDINE AS DISINFECTANT MATERIALS ON THE DIMENSIONAL STABILITY OF ALGINATE MOLDS

ntroduction: Dental impression material is one of the agents of infection transmission in the dentist's work environment. Cross infection can occur through the interaction of microorganisms and impression material. To prevent cross infection, it is necessary to disinfect alginate impressions. One of the effective natural ingredients that can be used as a disinfectant is betel leaf. The effect of using disinfectant can affect the dimensional stability of the alginate mold. Purpose: This study aims to determine the effect of disin- fection by spraying a decoction of 25% betel leaf and 0.2% chlorhexidine on the dimensional stability of alginate molds. Materials and Methods: The research method used was an experimental laboratory with a post-test only control g roup design using 2 7 samples consisting of three treatments (negative control group, positive control group, and treatment group) which were measured using a digital caliper. The technique us ed in this study is the spraying technique on the sample with a st orage time of 10 minutes. Results and discussion: This 25% betel leaf de coction (infusion) can be used as an alternative to disinfecting alginate impressions because there is no difference in effect between spraying 25% betel leaf decoction (infusion) and 0.2% chlorhexidine on alginate molds on changes in model physiological dimen- sions. Conclusion: the dimensional changes that occur are still within tolera- ble limits in alginate molds which were disinfected by spraying 25% betel leaf decoction and 0.2% chlorhexidine solution so that both can be used as disinfection materials for alginate impression materials