bluuebunny/crossref_metadata_2025 huggingface dataset:
Accreditation and certification of hospital quality: different or similar
Authors: Guerra Bretaña Rosa Mayelín , Marin Yudi
Published: October 2017

The external evaluation and management of hospital quality are two intimately related aspects of the same phenomenon: the need to improve the quality of health services and provide confidence of this quality to all stakeholders. The objective of this study is to analyze the hospital accreditation programs and ISO 9001 quality management and certification schemes of health institutions, as well as to identify the benefits of each of them, their similarities and differences. Hospital accreditations and ISO 9001 certifications are important instruments to improve the health service quality and to give confidence to the society about the health care provider. Both guide management strategies to improve service quality and patient safety. They differ in some aspects: accreditation is based on the best practices of the quality of the medical assistance and have a more technical character. The ISO 9001 standard is more process oriented and constitutes a suitable framework for incorporating the requirements of hospital accreditation programs and existing international methodologies for risk management in health institutions.
Home HealthCare Telemonitoring System for “Medication Titration” in the Treatment of Heart Failure: Architecture for an Interoperable Solution
Authors: Andrade Caicedo Henry Hermel , Vanegas Serna Juan Camilo , Barbosa Casanova Geiner Giovanny
Published: October 2017

Heart failure is a common condition in which the heart is unable to keep up with its workload. Therefore, oxygen and nutrients are no longer able to reach the cardiac cells, which worsens the situation of the whole heart. Treating an HF patient is challenging due to the co-morbidities and the numerous medications associated with the treatment. Medical dosage through titration of ACE inhibitors (ACEIs), Angiotensin receptor blockers (ARBs), beta-blockers and other drugs is a recommended procedure to reduce morbidity and mortality in HF patients. However, the procedure is performed under medical supervision at the hospital, lasting from one to four weeks. We propose a telemonitoring system to help clinicians to follow the patient through the Medication Titration procedure at home. We used commercial medical devices, certified on international communication standards to assure interoperability. Independently of the producer or brand, they can operate properly in the designed architecture. So far, we are able to connect two medical devices, blood pressure meter and weight scale, to a data hub. Then the data is rerouted to the cloud, where information is stored in a database. We use a commercial application to visualize the data through a friendly graphical interface.
Modeling in Petri Nets of a Dispersed System in a Physical Rehab
Authors: Ruiz Hidalgo Ivan Darío , García Melo José Isidro , Collazos Morales Carlos Andrés
Published: October 2017

Considering the lack of resources in health centers located in rural zones, a part of Colombian population goes affected by the quality of the health Service received. If this is added the low level socioeconomic of some rural population, it is generated a geographic vulnerability. For that reason in this work is presented a Service Oriented Architecture that has as objective support health centers with low technical resources with technology that allows a physical rehab attention independently of the localization of patient and health professional. By way of this, a distributed system it is proposed, using a dispersed communication media like the internet. It is planned to make a modeling process based on a formal tool like the Petri Nets to assure the definition of the services, assistant dispositive teleoperation and the integration and coordination of the system.
Technovigilance and risk management as tools to improve patient safety in Colombian health care institutions
Authors: González Vargas Andrés Mauricio , Sánchez Benavides Ana María , Betancourt Hernández Andrés Felipe , Mantilla Ramirez Carlos David
Published: October 2017

This paper presents the results of a survey about technovigilance carried out in 21 clinical institutions from the southwest of Colombia. It also provides an analysis of how these programs take into account different risk management methodologies in order to create awareness of the importance of patient safety in all members of the staff and improve the quality of the health services provided.
Vigilancia Tecnológica de la Utilización de Criterios de Riesgo para la Gestión de Equipos Biomédicos
Authors: Escobar Mora Nelson Javier , Galeano Upegui Beatriz Janeth , Ríos Cuartas Isabel Cristina
Published: October 2017

El presente artículo expone una vigilancia tecnológica realizada para encontrar criterios de evaluación de riesgos usados para gestionar equipos biomédicos. Se presentan las ecuaciones de búsqueda planteadas con sus respectivos resultados y el análisis de acuerdo con la ecuación con la cual se hallaron los resultados de mayor relevancia. El análisis presentado corresponde a la dinámica de publicación en el tiempo, medios de publicación, autores relacionados, instituciones destacadas, países destacados, tipos de documento y áreas temáticas con el fin de identificar particularmente autores, países, instituciones y medios de publicación líderes en el tema. En la sección de resultados se analizan los artículos de los principales medios de publicación debido a la pertinencia de los enfoques según el marco regulatorio, paciente y dispositivos médicos que ofrecen. Con el análisis de resultados se obtuvo información concluyente que permitió observar la importancia de la generación de normativa que regule los dispositivos médicos durante su ciclo de vida apoyada en la gestión del riesgo, así como la conveniencia de realizar análisis de riesgos basado en evidencia.
Modelo de gestión para la aplicación del control metrológico legal y la evaluación de la conformidad en equipos biomédicos
Authors: Ramírez Barrera Andrés Felipe , Martínez Gómez Jhon Fredy , Hidalgo Vásquez Estefanía
Published: October 2017

En la actualidad el país enfrenta grandes cambios referentes a las normas orientadas a la gestión tecnológica que se debe aplicar a los equipos biomédicos, además de grandes cambios que hoy el Subsistema Nacional de Calidad ha presentado, orientados al control metrológico legal que se debe aplicar a algunos equipos que prestan sus servicios en el área de la salud. Dado lo anterior, este trabajo pretende presentar una propuesta basada en un modelo de gestión que integra los requerimientos del control metrológico legal aplicado a los equipos biomédicos, y a su vez la aplicación de procesos de medición para las actividades asociadas a la evaluación de la conformidad, utilizando como metodología un proceso de caracterización de las exigencias establecidas en las normas de Colombia. Estas normas están asociadas al control metrológico legal y a lo establecido en diferentes normas orientadas al aseguramiento de las mediciones en equipos; esto orientado a la evaluación de la conformidad, obteniendo como resultado más significativo una propuesta de estructura de gestión que le permitirá a las unidades de ingeniería de las entidades prestadoras de servicios de salud, no solo cumplir con lo exigido en las normas actuales sino a prestar unos servicios de alta calidad basados en confiabilidad como apoyo a los actividades encaminadas a la seguridad del paciente.
Digital Processing and Analysis of Images Obtained from the Comet Assay
Authors: Quintana Villamizar Yeimy Liseth , Zuluaga Botero Juan Gonzalo , Arango Varela Sandra Sulay
Published: October 2017

The comet assay is a method based on electrophoresis that is used to measure DNA damage in cells and has shown important results in the identification of substances with a potential risk to the human population as innumerable physical, chemical and biological agents. In this technique is possible to obtain images like a comet, in which the tail of these refers to damaged fragments of the DNA. One of the main problems is that image has unequal luminosity caused by the fluorescence microscope and requires different processing to condition it as well as to know how many optimal comets there are per sample and finally to perform the measurements  and determine the percentage of DNA damage. In this paper we propose the design and implementation of software using Image Processing Toolbox-MATLAB that allows the automation of image processing. The software chooses the optimum comets and measuring the necessary parameters to detect the damage.
Contaminant bacteria in traditional-packed honey
Authors: Pramesti Hening Tjaturina , Hardjawinata Karlina , Fath Putra Qadri
Published: October 2017

Honey may be contaminated by microorganisms during its harvesting, processing, and packaging. Honey selected for clinical purposes must safe, sterile, and contain antimicrobial activity, so it must be evaluated using laboratory testing. The aim of this descriptive laboratory study was to isolate and identify the bacterial contaminant in the traditional-packed honey dealing with the use of honey for medical purposes. the colony forming units of honey sample cultured on blood agar were counted using Stuart bacterial colony counter. The suspected bacterial colonies were isolated and identified based on cultural morphology characteristics. The isolates of suspected bacterial colonies were stained according to Gram and Klein method and then were examined by the biochemical reaction. The results showed that there were two contaminant bacteria. Gram-positive cocci which were presumptively identified as coagulase-negative Staphylococci and gram-positive rods which were presumptively identified as Bacillus subtilis. In conclusion, the contaminant bacteria were regarded as low pathogen bacteria. The subtilin enzyme of B subtilis may cause an allergic reaction and coagulase-negative Staphylococci, Staphylococcus epidermidis is also an opportunist pathogen. Inevitably, for medical purposes, traditional-packed honey must be well filtered, water content above 18%, and standardized sterilization without loss of an antibacterial activity or change in properties.
Streptococcus Alpha growth in gingivitis patient’s dental plaque after rinsing with green tea extract (Camellia Sinensis)
Authors: Kurniwati Isti Endah , Handajani Juni , Tandelilin Regina TC.
Published: October 2017

Green tea (Camellia sinensis) has been widely known as a healthy drink since long time ago. One of the substances in green tea which can give health benefit is catechin, an antibacterial substance. The purpose of this research is to know the efficacy of rinsing with green tea extract to Streptococcus alpha growth on gingivitis patient’s dental plaque. The research subjects include 30 mild gingivitis patients, and these subjects are divided into two groups: treatment group (20 patients) and control group (10 patients). Ten patients of treatment group rinse their mouth with 0.25% green tea extract and 10 other patients with 0.5% green tea extract. Meanwhile, control group use Bactidol (0.1% Hexetidine). Rinsing the mouth is performed every morning and night for five days. Sampling is conducted on the first and sixth day. Before rinsing data is analyzed using ANOVA and the result shows a significant difference. ANAVA testing then is done using proportion value. ANAVA Testing result shows that there is no significant difference among the patients in the treatment group. This result indicates that the effect of rinsing with 0.25% and 0.5% green tea extract is equivalent to the control (0.1% Hexetidine) to inhibit S. alpha growth on mild gingivitis patient’s dental plaque. From these two concentrations, it has not been known which one is the most effective concentration to inhibit S. alpha growth on mild gingivitis patient.
The comparison of 0.05% sodium fluoride and 0.2% chlorhexidine usage and aquadest to the plaque index on fixed orthodontic patients
Authors: Wiraja Veronica Vera D. , Hambali Tono S. , Lambri Soertini E.
Published: October 2017

The fixed orthodontic appliance will cause changes in microbial flora the oral cavity and food debris accumulation and will be formed especially around the gingival sulcus. Plaque control using chemical means can be done by using mouth rinse. This research compared the influence of 0.05% sodium fluoride mouth rinse with aquadest and 0.2% chlorhexidine to the plaque index in fixed orthodontic patients. A double-blind and cross over clinical assessment were applied using a sample size of 16 male fixed orthodontic patients with the age above 21 years. 0.05% sodium fluoride, 0.2% chlorhexidine mouth rinse was given to all patients as a positive control and aquadest as a negative control. Plaque index was then measured after 24 hours without tooth brushing, after using the mouth rinse and a week after using the mouth rinse with tooth brushing. The results showed that the use of 0.05% sodium fluoride mouth rinse reduced plaque index more significantly compared to 0.2% chlorhexidine. The mechanical plaque control by tooth brushing is still the most influential mean to reduce plaque index in fixed orthodontic patients. Mouth rinse is just an additional mean to reduce plaque.
Saliva secretion difference before and after rinsing with baking soda on menopause women
Authors: Anggraeni Dewi , Tjahajawati Sri , Wihardja Rosiliwati
Published: October 2017

Menopause women can experience a decrease in saliva secretion (decrease). To understand the clear picture about saliva secretion, the volume, flow rate, pH and viscosity were then measured. The aim of this research was to obtain a picture about the difference of saliva secretion before and after rinsing with baking soda on menopause women. The type of the research used was a laboratory quasi-experiment with comparative descriptive form. The technique used in this research is the survey method, and samples were taken using the multistage cluster random sampling method, and t-student statistical analysis. This research was conducted with the saliva collected with spitting method on 45 menopause women. The results show that the average volume, flow rate, pH and viscosity before rinsing with baking soda was 1.79 ml, 0.18 ml/minute, 7.40 and 0.81 mm2/second. The average volume, flow rate, pH and viscosity after rinsing with baking soda were 2.66 ml; 0.27 ml/minute; 8.67 and 0.78 mm2/second. Statistical analysis t-student on α = 0.05 shows volume changes, flow rate, pH and saliva viscosity before and after rinsing with baking soda was 0.873; 0.086; 1.273 and 0.037 respectively. The conclusion shows a significant difference between saliva secretion before and after rinsing with baking soda, and saliva secretion after rinsing with baking soda on menopause women.
RPI and RPL clasp masticatory load distribution in lower free end denture case with photoelastic methods
Authors: Sutanto Dahlia , Mahmud Muslich , Rahajoeningsih Poedji
Published: October 2017

The extent and direction of movement of removable partial dentures during function are influenced by the nature of supporting structures and the design of the prosthesis since forces are transmitted to abutment teeth by rest, guide planes, and direct retainers during functional movements. Because of the lack of tooth support distally, the denture base will have tissueward underfunction proportionate to the quality (displaceability) of the supporting soft tissue, the accuracy of the denture base, and the total occlusal load applied. The movement of the base under function determines the occlusal efficiency of the partial denture and the degree to which the abutment teeth are subjected to torque and tipping stresses.The purpose of this study is to know the functional load exerts with RPI and RPL direct retainer in bilateral distal extension. This study is a laboratory experiment employing samples of 5 frames using RPI and 5 frames using RPL direct retainer design. Testing was conducted by Vishay Teaching Polariscope type 080. The result was noted and analyzed statistically using ANOVA.The result of this study indicates that F calculation value for frame with RPI and RPL direct retainer design is 5,35 and 6,11 Mpa; F calculation for the occlusal load distribution on first premolar and edentulous area is 276,90 Mpa and 171,53 Mpa; F calculation for occlusal load distribution on first premolar and edentulous area employing RPI and RPL direct retainer design is 9,17 and 11,96 Mpa. This statistical calculation shows that there is a significant difference between RPI and RPL direct retainer design, the occlusal load concentrated at edentulous area either RPI or RPL direct retainer, and the occlusal load distribution between the first premolar and edentulous area are more uniform on RPI direct retainer design.
Sedation as a technique to aid in the supportive examination for children with special needs
Authors: Primarti Risti Saptarini , Pertiwi Arlette Suzy Puspa
Published: October 2017

Undergoing medical procedures often extremely distress people, especially patients with special needs. Supportive examinations, such as radiographic and laboratory examinations, as a part of medical procedure sometimes are impossible to be done in those patients, while we demand those tests for diagnostic and treatment reasons. A variety of techniques are available to the dental and medical professional to aid in the management of these patients regarding medical procedures, one of them is sedation. By eliminating patient’s fear and anxiety throughout sedation, all medical procedure including taking a supportive examination may be successfully completed. This paper will report the role of sedation as a technique to aid in the supportive examination for special needs child (Down’s syndrome) in Hasan Sadikin General Hospital, Bandung, West Java Indonesia.
Microscrew implant as an orthodontic anchoring device
Authors: Supriadi Mira Nurtania , Soeria Soemantri Eky Setiawan , Evangelina Ida Ayu
Published: October 2017

Microscrew implant is a new alternative of an orthodontic anchoring device which is planted by simple surgery procedure into soft tissue and mandibular bone to utilize mandibular bone as an intraoral anchoring source. Microscrew implant is a small screw and consists of four components that can give various advantages, made from a titanium material, and developed in various sizes and designs. Microscrew implant is strong, stable, and effective to be used as an absolute anchoring device in orthodontic treatment without losing the anchoring.
Treatment of bilateral ankylosis of the temporomandibular joint with temporalis superficial fascia interpositional flap
Authors: Yusuf Harmas Yazid , Kasim Alwin , Karasutisna Tis
Published: October 2017

Ankylosis of the temporomandibular joint (TMJ) involves fusion of the mandibular condyle to the base of the skull. Trauma and infection are the leading causes of ankylosis. A case of true bilateral ankylosis of the temporomandibular joint is presented. A 21-year-old male patient had a multiple bone fractures history at the age of 13 due to a sports injury. A TMJ injury might not be detected at that time resulting in a progressive restriction of his mouth opening. He presented with almost complete lack of mobility of the mandible. Surgical treatment was a resection of the ankylotic bone mass, interposition temporalis superficial fascia flaps, and early mobilization and aggressive physiotherapy. The functional results showed good remarks.
Correlation between saliva IgA level and T cell CD4+ in HIV/AIDS patients
Authors: Sufiawati Irna , Sasanti Harum , Djauzi Samsuridjal
Published: October 2017

Background: HIV infection appears to have direct effects on oral mucosal immunity, cellular and humoral. Antibody secretion, especially salivary immunoglobulin A (IgA), is a useful indicator of mucosal immune function. This immune system component is recognized as an important first-line of defence against pathogens which colonize and invade mucosal surfaces in the oral cavity. Objectives: The purpose of this study was to investigate salivary IgA levels and to determine its correlation with CD4+ T-cell counts among HIV-infected patients in Pokdisus AIDS Cipto Mangunkusomo Hospital Jakarta. Methods: The design study was using a cross-sectional study. Whole paraffin-wax-stimulated saliva was collected from 103 HIV-infected patients and 30 healthy individuals. Saliva was collected using the spitting method. Salivary IgA levels were determined by the immunoturbidimetry method using the Behring Turbitimer Analyser. CD4+ T-cell counts were analyzed by flow cytometry. Results: Salivary IgA levels were 141.55 ± 83.23 (HIV group) and 97.24 ± 38.25 (healthy individuals). The Mann-Whitney U test showed salivary IgA levels were significantly higher in HIV/AIDS subjects compared with healthy individuals (p<0.1). Most of the subject has severe immunosuppression with CD4+ T-cell counts <200 cell/mm.3 Pearson’s correlation test between CD4+ T-cell counts and salivary IgA levels showed no significant correlation (r= 0.06, p>0.1). Conclusion: This study indicates that total salivary IgA levels were significantly higher in the HIV-infected patients compared to control, and salivary IgA level seems not to be related significantly to CD4+ T-cell counts.
The difference of surface coarseness of high-copper amalgam restoration material before and after 38% hydrogen peroxide application by in vitro in-office bleaching technique
Authors: Gustina Nurmala , Natasasmita Setiawan , Aripin Dudi
Published: October 2017

Hydrogen peroxide is an effective agent to take off tooth colouring. This bleaching agent can cause microstructural change on amalgam restoration surfaces. The aim of this research is to know the difference of surface roughness of high-copper amalgam restoration materials before and after 38% hydrogen peroxide application by in-office bleaching technique. The sample was used consist of ten specimens of high-copper amalgam restorations which was applied by hydrogen peroxide 38%. The surface roughness was measured by the surface tester (Surtronic 3P). The result of this research was reached by t-test paired calculation is the differences of surface roughness of amalgam restorations before and after first 15 minutes either second 15 minutes hydrogen peroxide 38% application didn’t show significant differences. The conclusion of this research is no statistically significant difference of surface roughness of high-copper amalgam restoration materials before and after 38% hydrogen peroxide application by in-office bleaching technique.
The effect of disinfection of alginate impressions with 35% beetle juice spray on stone model linear dimensional changes
Authors: Ramadianto Anggra Yudha , Hasratiningsih Zulia , Manurung Rosida
Published: October 2017

Dimensional stability of alginate impression is very important for treatment in dentistry. This study was to find the effect of the beetle juice spray procedure on alginate impression on gypsum model linear dimensional changes. This experimental study used 25 samples, divided into 5 groups. The first group, as control, were the alginate impressions filled with dental stone immediately after forming. The other four groups were the alginate impressions gel spray each 1,2,3, and 4 times with 35% beetle juice and then filled with dental stone. Dimensional changes were measured in the lower part of the plaster model from buccal-lingual and mesial-distal direction and also measured in the outer distance between the upper part of the stone model by using Mitutoyo digital micrometre and profile projector scaled 0,001 mm. The results of mesial-distal diameter average of the control group and group 2,3,4, and 5 were 9.909 mm, 9.852 mm, 9.845 mm, 9.824 mm, and 9.754 mm. Meanwhile, the results of buccal-lingual diameter average were 9.847 mm, 9.841 mm, 9.826 mm, 9.776 mm, and 9.729 mm. The results of the outer distance between the upper part of the stone model were 31.739 mm, 31.689 mm, 31.682 mm, 31.670 mm, and 31.670 mm. The data of this study was evaluated statistically based on the variant analysis. The conclusion of this study was statistically, there was no significant effect on gypsum model linear dimensional changes obtained from alginate impressions sprayed with 35% beetle juice.
The infrared radiation effect to the trismus recovery after odontectomy
Authors: Marwan Arian Reza , Syamsudin Endang , Karasutisna Tis
Published: October 2017

Impacted was defined as unerupted teeth, it could some pathological conditions such as pain, swelling, trismus, and should be removed by an operative procedure called odontectomy. Nevertheless, this procedure could cause some complications such as pain, trismus and swelling. Trismus was a jaw restricted movement condition caused by inflammation, swelling and pain. Trismus could be cured by analgetic anti-inflammation medicines, and physiotherapy such as jaw movement exercise, massaging, hot wet application and therapy used infrared light. Infrared light was an electromagnetic radiation with a wavelength between 0.7 μm-1000 μm. It could reduce the inflammation in cell structure, pain and less of side effects. The research was carried out to know the infrared effect to the velocity of trismus recovery. Type of research had been used is quacy experimental in a prospective way, using 15 patients with infrared radiation and 15 patients without infrared radiation. The result of research used t-test with α = 0.05 indicated that there was significant differences velocity of trismus after odontectomy recovery between infrared radiation and without infrared radiation. This study concluded that the velocity of trismus recovery was faster when applied by infrared radiation.
Anti-fungal capacity of Saga leaf (Abrus Precatorius L) towards Candida Albicans testing
Authors: NA Muslim Paranto , Harjadinata Karlina , Dewi Warta
Published: October 2017

The aim of this study was to evaluate the antifungal effect, by determining the Minimum Inhibitory Concentration (MIC) of saga leave extract against Candida albicans, as a causal of oral candidiasis. The saga left was extracted following maceration method. Candida albicans, as a tested fungal was isolated from patients at the Oral and Dental Hospital Faculty of Dentistry Universitas Padjadjaran. They were cultured on Sabouraud Agar plate, incubated at 37°C for 18-24 hours. The isolation and the identification of Candida albicans were based on colonial morphology and the fermentation of glucose, maltose, saccharose, dan lactose at the Microbiology Laboratory. This experimental laboratory study was conducted according to a serial dilution method from 16 mg/ml up to 0,25 mg/ml of saga leave extract with two-fold dilution in three repetitions. The result showed that the Saga leaves extract to be able to inhibit Candida albicans at minimum 2 mg/ml concentration. As a conclusion, the concentration of 2 mg/ml or more of saga leave extract has antifungal effect against Candida albicans.
Prevalence of temporomandibular joint disfunction in children
Authors: Masitoh Siti , Kurnikasari Erna , Rikmasari Rasmi
Published: October 2017

The aim of this study is to get the description on TMJ dysfunction as well as its symptoms including clicking, crepitation, jaw opening restriction and muscle pain in children. Thus the result can be used as an input to the program of TMJ dysfunction prevention and treatment for the children in SDN Sirnasari Village, Ciptasari Pamulihan Subdistrict, Sumedang District. This study is descriptive study using survey technique. The samples for the study are 79 children in elementary school taken by random sampling technique with stratification. TMJ dysfunctions with clicking and crepitation symptoms were detected by palpating and using a stethoscope. Deviation, deflection, and jaw opening restriction symptoms were found out by visual examination. Whereas pain in TMJ supporting muscles was also detected by palpating. The result of the study shows that the number of children developing TMJ dysfunction with symptom of clicking is 34 children (43.03%), crepitation are 4 children (5.06%), deviation are 13 children (16.45%), deflection are 17 children (21.51%), jaw opening restriction are 49 children (62.02%), and pain in TMJ supporting muscles are 69 children (87.34%). From the study, it can be concluded that the highest frequency of TMJ dysfunction symptom in SDN Sirnasari children is a pain in TMJ supporting muscles. It is followed by jaw opening restriction, clicking, deflection, deviation, and the last is crepitation.
Prevalence of oral cancer patients at the Pathology Anatomy Department RSUD Tasikmalaya year 2002-2007
Authors: Dardjan Murnisari
Published: October 2017

Malignancy was included which happened in the oral cavity. Oral cavity cancer is statistically fever than other parts of a body but can to be dead. The incidence of malignancy was increased in the last 50 years throughout the world. The purpose of this research is to get distribution data about oral malignancy cases frequency at Rumah Sakit Umum Daerah/RSUD Tasikmalaya. Rumah Sakit Umum Daerah Tasikmalaya is a Referal Hospital from East Priangan region, West Java Indonesia. This is retrospective descriptive research. Samples were taken from Histopathologic form data patient at RSUD Tasikmalaya from January 2002-December 2007. The result of this study indicated that 15 cases oral malignancy cases from all samples 2943 histopathology specimen in the period. The most malignancy cases of carcinoma were squamous cell carcinoma (98%). Tongue became the most area in this cases which was 46.66%. Oral malignancy were common in men 54%. The group of ages 60-70% became the majority namely 40%. The conclusion of the research indicated that carcinoma cell squamous were became the greatest part of oral malignancy types.
Tooth extraction complication and treatments at the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Universitas Padjadjaran Bandung
Authors: Wirastriajeng Harnastiti , Riawan Lucky , Syamsudin Endang
Published: October 2017

The patient’s dental conditions who visited the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Padjadjaran University, Bandung, were generally in a severe damage stage, causing problems in extraction. This condition, as well as the operator ’s (co-assistant student) that still have limited capability,  may increase the risk of complication. This study was conducted at the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Padjadjaran University. It is conducted from March 13 to May 13, 2007. It is aimed at finding out the types of tooth extraction complications including the treatments towards the problems. This study was a prospective descriptive using the survey method. The study showed that there were 70 cases (64% ) of complications occurred, namely, 37 cases (6.68%) in the maxilla, and 33 cases (5.96% ) in the mandible. The complications that occurred consisted of root fracture (41 .43%), crown fracture (32.86% ), soft tissue laceration (14 .29%), maxillary sinus perforations (2.86% ), syncope (2.86% ), swelling (2.86% ), and secondary hemorrhage (2.86% ).
Immobilization tools and materials selection in dentoalveolar fracture
Authors: Samsudin Endang
Published: October 2017

Dentoalveolar fracture treatment can be performed in a simple way without surgery by reposition the fractured fragment and establish immobilization. One of the factors affecting the success of dentoalveolar fracture treatment is immobilization material and technique selection. The purpose of this study is to provide illustration about various materials used to perform immobilization in the dentoalveolar area and the objective is to obtain optimal immobilization.
The effect of difference in saliva pH against Hg release from amalgam restoration on in vitro research
Authors: Megasari Oksana
Published: October 2017

Hg release from amalgam restoration is continuos as long as an amalgam in the mouth. The difference in saliva pH is one factor that influences Hg releasing from amalgam restoration. The purpose of this research was to find data the effect of the difference in saliva pH against Hg release from amalgam restoration. This research was a true experimental in vitro research. This research used 40 samples of premolar teeth of the maxilla, prepared in occlusal Class I, restored with amalgam and then divided into 4 Groups. Teeth belonging to Group 1 were immersed in saliva artificial with a pH content 5, Group 2 with a pH content of 6, Group 3 with a pH content of 7 as a control, and Group 4 with a pH content of 8. All tooth Groups were immersed for one week after condensation. Research data results analyzed using the One-Way Analysis of Variance (ANOVA). Research results measured using the Atomic Absorption Spectrophotometry (AAS) indicated that Group 1 with a pH content of 5 had the highest average release, namely, 19,276 ppb, followed by Group 4 with a pH content of 8, with a Hg release of 17,691 ppb, followed by Group 3 with a pH content of 7 as a control, with a Hg release of 13,702 ppb, and Group 2 with a pH content of 6 the lowest Hg release, namely 12,377 ppb. Summary of this research showed that there was no effect of saliva pH difference against Hg release from amalgam restoration.
Apical instrumentation in endodontic therapy
Authors: Darliana Kurniasri , Sukartini Endang
Published: October 2017

Cleaning and shaping of the root canal as the foundation for successful endodontic therapy. Cleaning of the root canal as the removal of all the contents of the root canal systems before and during shaping. Mechanical cleaning as the most important part of the root canal therapy. Instrumentation of the apical region has long been considered to be an essential component in the cleaning and shaping process. The apical area as the critical zone for instrumentation. The apical portion of the root canal system can retain microorganisms that could potentially cause periradicular inflammation. The nickel-titanium rotary instrumentation system to facilitate the cleaning and shaping process. Larger instrumentation sizes not only allow proper irrigation but also significantly decrease remaining bacteria in the canal system. How the larger apical sizes preparation must be achieved to clinical success. This paper will describe the major factors impacting the selection of final apical size, the factors are the anatomy of the apical constriction, root canal diameter, apical instrumentation, and bacteria in dentin tubuli.
Immunoexpression of cytokeratin 19 in oral swab from fixed orthodontic appliance users
Authors: Ramdhini Dwi Mutia , Widyaputra S. Sunardhi , Dardjan Murnisari
Published: October 2017

The use of fixed orthodontic appliances can improve someone's mastication, speech and appearance. However, this appliance acts as a strange object that may cause irritation to the mucosa epithelial of oral cavity, because of the friction and pressure from the components of the fixed orthodontic appliances which are in direct contact with the oral mucosa. Irritation in the oral mucosa could stimulate the increase of cytokeratin. The appearance of cytokeratin is then used to identify the condition of these cells. This study was a descriptive research to find the expression of cytokeratin 19 with immunohistochemical method in oral mucosa epithelial of fixed orthodontic appliances users. Sample in this study was chosen from 30 fixed orthodontic appliances users. The result of this study was determined by calculating the number of positive cells (brown), compared with total number of cells. The account of positive cells would present the reaction of the epithelial cells according to the inflamation stage which caused by the use of orthodontic appliances. As a conclusion of this study, the use of fixed orthodontic appliances may cause changes in epithelial mucosa which form an adaptation process by increasing the number of progenitor cells marked by cytokeratin 19.
Radioanatomic image of alveolar bone crest, cementoenamel junction and dental apex in orthopantomograph 100 panoramic radiography
Authors: Rahmawati Yeni , Azhari A. , Sam Belly
Published: October 2017

Panoramic radiography can be used in most dentomaxillofacial procedures, that can give a wide coverage of teeth and supporting tissue for assisting diagnosis. The aim of this research was to obtain data about the validity of panoramic radiography for measuring radioanatomy alveolar bone crest, cementoenamel junction (CEJ), and dental apex which is useful in measuring the level of alveolar bone resorption. This descriptive research and measurement was done to 25 sample which fulfilled sample criteria from panoramic radiography result by orthopantomograph 100. This research was done with Ramfjord criteria radioanatomy point. The result of this research showed that the average value measured of alveolar bone crest from the entire region was about 41.67%, most value at the mandibular molar was about 92%, the least value at the maxillary premolar was about 0%. The average value measured of CEJ from entire region was about 11%, most value at the maxillary molar and mandibular molar about 26%, at least value at the maxillary incisor, mandibular incisor, and maxillary premolar were about 0%. The average value measured of dental apex from the entire region was about 56.33%, most value at the mandibular molar was about 96%, the least value at the maxillary premolar was about 8%. The conclusion of this research was a part of radioanatomy alveolar bone crest and a part of dental apex could be measured, while CEJ at least measured. Measurement from the three of radioanatomy point showed the mandibular molar region which was at most measured.
Incidence of tooth sensitivity after resin composite class III restoration with flowable composite as liner
Authors: Dimyati Andini , Sukartini Endang , Aripin Dudi
Published: October 2017

Resin composites is one of the currently most frequently used aesthetic restoration material. A drawback of resin composites is contraction of polimerization which may result in the coming about of dental sensitivity due to microleakage. Flowable composite has high flow capacity and better adaptation capability making the thinnest application on cavity surfaces. An advantage of flowable composite is the possibility of using it as liner in composite resin restoration, which is expected to minimize the occurrence of post restoration dental sensitivity. This research was a descriptive research using the purposive sampling technique. The sample consisted of 27 first incisive and/or second incisive permanent maxilla teeth. A sensitivity test was used on the sample using chlor ethyl and completing questionnaire by patients. The result of dental sensitivity test indicated that 88.9% of the patients did not experience post restoration dental sensitivity and 11.1% of the patients was experience a decrease of dental sensitivity level. Based on research results the conclusion could be drawn that the used of flowable composite as a liner in resin composite class III restoration didn't had a post restoration dental sensitivity.
Measurement of lower canine clinical crown index in male and female for gender identification
Authors: Handayani Rita Dewi , Ardan Rachman , Rikmasari Rasmi
Published: October 2017

The purpose of this research was to acquire the value index of clinical crown lower jaw canine male and female, and to prove whether the index of male's canine is bigger than female's. The samples of the research was the students of Faculty of Dentistry Universitas Padjadjaran class of 1998 until 2001 by using proportional random sampling method according to the criteria and also adjust with the numbers of male and female composition in per class. The characteristic of the research was analytical descriptive with survey technique. The result of t test statistic measurement was that index of clinical crown tower jaw canine of mate was 1.50 and female was 1.21, by using reliance 95%. The inference of the research showed that the index of clinical crown lower jaw canine of male was significantly bigger than female's. The result of the research can be used as auxiliary data from the techniques to process gender identification in odontology forensic.
DMF-T index in patients undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Department of Radiotherapy, Dr. Hasan Sadikin Hospital
Authors: Sabrina S. , Azhari A. , Aripin Dudi
Published: October 2017

Radiation therapy for head and neck cancer frequently caused severe salivary gland dysfunction. The salivary gland dysfunction possibly decreased the protective function of saliva and caused dental caries. The purpose of this study was to obtain an illustration about DMF-T index in patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Department of Radiotherapy, Dr. Hasan Sadikin Hospital in January-February 2007. The study was a simple descriptive. The study was conducted on 7 males and 9 females undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer. The ages of patient are between 37 years and 77 years. The severity of caries was measured by DMF-T index. DMF-T index in 16 patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Dr. Hasan Sadikin Hospital is 10.6 as the result of this study. The conclusion of this study showed that the DMF-T index in 16 patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Dr. Hasan Sadikin Hospital had very high grade based on WHO classification, which the value was over 6.6.
The existence of Entarnoeba Gingivalis in the oral cavity with mild oral hygiene
Authors: Rachmawati Emma
Published: October 2017

Entamoeba gingivalis is protozoa (non-pathogen amoeba) that lives in the oral cavity and act as opportunistic parasite. The parasite is most common found within oral cavity with advance periodontal disease. This study aimed to find the existence Entamoeba gingivalis within oral cavity with mild oral hygiene. The study was conducted by making preparation of plaque taken from patient's oral cavity with mild oral hygiene. The degree of oral hygiene was determined by using Silness and Loe Index and Ramfjord Periodontal Index. The number of Entamoeba gingivalis was gained by counting them from the preparation examined under microscope. The result demonstrates that mild oral hygiene has a high percentage of Entamoeba gingivalis is that 80 % either for various plaque index or ages.
The effect of Beetle leaves (Piper Betle Linn) for dental caries formation
Authors: Kurniawan Adi , Andang Milly Armilya , Hayati Ayu Trisna
Published: October 2017

Dental caries is still the main problem in dental and oral health. Caries is caused by several factors working simultaneously. The main principle of management caries is by prioritizing preventive action and avoiding invasive action. Beetle leaves are medicamentous plant which are widely cultivated and very beneficial for Indonesian people. Its active content enable beetle leaves to be used as antimicrobial, antiseptic, antifungal, antioxidant, and disinfectant. The government of Indonesia and WHO greatly support the utilization of natural resources as medical cure. Currently we can find a lot of toothpaste and mouthwash products which use beetle leaves as additional ingredient. Various researches have proved that the use of beetle leaves extract as mouthwash, toothpaste and chewing beetle leaves may decrease plaque score. Chavicol and chavibetol content enable beetle leaves to function as very good antimicrobial. Beetle leaves also contain charvacrol, eugenol, methyl eugenol, cadinene, and seskuiterpene, which can function as antiseptic. Beetle leaves may effect salivary function and secretion and also impede the forming of dental caries.
Inhalation of sevoflurane in the removal of post-labioplasty and palatoplasty stitches in uncooperative children patients
Authors: Nuryadi Ediyana , Kaiin Harry Arifin , Gunawan Kirana Lina
Published: October 2017

The technique of behaviour management in medical treatment, especially in dental treatment, is needed to eliminate uncooperative children behaviour. The main factor influencing children behaviour is fear of painful that usually related to dental treatment. Children patients who will have their post­labioplasty and palatoplasty stitches removed have more sensitive condition, they cry when the dentist gives treatment. Using general anesthesia is a method to manage uncooperative children behaviour. Inhalational anesthesia is often used in general anesthesia and sevoflurane is a drug of choice. Sevoflurane has low solubility in blood, pleasant odor, nonirritating airway, and has a rapid induction of and recovery from anesthesia. Some researches indicate that sevoflurane gives more calm condition and can be used as a sufficiently ideal induction and maintenance of anesthesia in children. Sevoflurane can therefore made as alternative procedure in the removal of post-labioplasty and palatoplasty stitches.
Nickel induced allergic contact stomatitis in treatment using fixed orthodontic appliance
Authors: Elih E.
Published: October 2017

Hypersensitivity towards the metals used in fixed orthodontic is sometimes seen in patients who receive orthodontic treatment with clinical symptoms found intraorally. Nickel is the metal that may cause sensitivity and often causes slow hypersensitivity reaction (immune response type IV) because nickel is the main component of orthodontic alloy. The allergic reaction is found in the form of oral inflammation triggered by the corrosion of orthodontic alloy. The allergic reaction is seen in the form of oral inflammation triggered by corrosion of orthodontic materials and continuous nickel particle release. Young patients, especially female patients, with allergic reaction show a predisposition of NiACS (Nickel Induced Allergic Contact Stomatitis) clinical symptoms. Therefore, dentists and orthodontists should be more careful and cautious in doing a clinical examination to patients through data collecting data on history of abnormalities and health history in the effort of making diagnosis and plan appropriate treatment.
Removable dental prosthesis as periodontal treatment method
Authors: Adenan Aprilia , Rusminah Nunung
Published: October 2017

The objectives of prostheses are to restore mastication force, improve esthetics and maintain gingival health. The construction and function of prosthesis restoration are mutually interdependent with condition of periodontal tissues. A properly constructed prosthesis is an integral phase of complete treatment of periodontal disease in order to maintain periodontal tissues health. This paper reports case of a man aged 47 years who came to Dental Specialist Clinic in Oral and Dental Hospital Faculty of Dentistry Universitas Padjadjaran with chief complaint of mobility in almost all his teeth and they seems to look longer. The patient has no systemic disease and did not want his teeth to be extracted. Clinical and panoramic radiographic and laboratoris examinations has been done. During treatment, oclusal adjustment and splinting had been done on tooth 33,34,35 and tooth 44,43 also tooth 43,42 splinting with composite. The following treatment was the acrylic removable partial denture for upper jaw while mandible was fitted a frame denture which functioned as a semi permanent splint. One month post treatment, patien felt comfort and the denture was well functioning.