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"ABSTRACTLatar Belakang: Parafunctional habit (clenching dan bruxism) menurunkan kualitas hidup melalui atrisi, abfraksi, dan resesi gingiva. Penelitian mengenai hal tersebut belum pernah dilakukan di Indonesia. Tujuan: Untuk mengetahui distribusi atrisi, abfraksi, dan resesi gingiva pada pasien dengan parafunctional habit. Metode: Penelitian deskriptif menggunakan data sekunder dari 70 rekam medis periodonsia subjek parafunctional habit di RSKGM FKG UI periode 2013-2017. Hasil: Distribusi terbanyak ditemukan pada subjek parafunctional habit dengan atrisi (50%), dan diikuti atrisi dan abfraksi (32,86%). Distribusi atrisi tertinggi pada subjek clenching terlihat di gigi 31, 32, dan 42 (1,23%), dan pada subjek bruxism di gigi 42 (5,31%). Distribusi abfraksi tertinggi pada subjek clenching terlihat di gigi 14 dan 15 (1,04%), dan pada subjek bruxism di gigi 14 dan 24 (7,25%). Mayoritas subjek parafunctional habit mengalami resesi gingiva (87,14%). Resesi gingiva akibat clenching (42,55%) dan bruxism (30,47%) sering terjadi pada sisi bukal. Resesi gingiva tertinggi pada subjek clenching ditemukan pada gigi 42 (8,51%), sedangkan pada subjek bruxism ditemukan pada gigi 41 (5,5%). Kesimpulan: Subjek parafunctional habit yang mengalami atrisi sebanyak 50%, atrisi dan abfraksi sebanyak 32,86%, dan resesi gingiva sebanyak 87,14%.

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ABSTRACTBackground: Parafunctional habit (clenching and bruxism) decreases quality of life through attrition, abfraction, and gingival recession. No study has evaluated about the problem in Indonesia. Objective: Evaluate distribution of attrition, abfraction, and gingival recession in subjects with parafunctional habit. Methods: A descriptive study using secondary data from 70 periodontal medical records of parafunctional habit subjects in RSKGM FKG UI 2013-2017. Result: Highest distribution was found in parafunctional habit subjects with attrition (50%), followed by attrition and abfraction (32.86%). Highest attrition distribution was seen in tooth 31, 32, and 42 (1.23%) of clenching subjects, and tooth 42 (5.31%) of bruxism subjects. Highest abfraction distribution was found in tooth 14 and 15 (1.04%) of clenching subjects, tooth 14 and 24 (7.25%) of bruxism subjects. Majority of parafunctional habit subjects got gingival recession (87.14%). Gingival recession from clenching (42.55%) and bruxism (30.47%) often occurred at buccal site of teeth. Highest gingival recession was found in tooth 42 (8,.51%) of clenching subjects, and tooth 41 (5.5%) of bruxism subjects. Conclusion: Parafunctional habit subjects experiencing attrition were about 50%, attrition and abfraction were about 32.86%, and gingival recession were about 87.14%."

"Latar Belakang: Connective Tissue Graft (CTG) yang menjadi standar baku emas perawatan resesi gingiva memiliki tingkat kesulitan perawatan yang cukup tinggi, serta menimbulkan rasa cemas dan ketidaknyamanan pada pasien. Hidrogel gelatin banyak dikembangkan dalam bidang tissue engineering karena memiliki sifat yang menyerupai matriks ekstraseluler jaringan tubuh. Hidrogel gelatin masih memiliki kekurangan dalam hal sifat mekanisnya, sehingga perlu dilakukan crosslinking secara kimia untuk meningkatkan potensinya sebagai scaffold regenerasi gingiva. Tujuan: Mengevaluasi efek agen crosslinker EDC pada hidrogel gelatin sebagai scaffold regenerasi gingiva. Metode: Pembuatan hidrogel gelatin dilakukan menggunakan bubuk gelatin bovine, sedangkan agen crosslinker yang digunakan adalah 1-(3-dimethylaminopropyl)-3’-ethylcarbodiimide hydrochloride (EDC) yang dikominasikan dengan N-hydroxysuccinimide (NHS). Uji porositas, swelling, dan biodegradasi dilakukan secara in-vitro dan ditriplikasi. Hasil: Penambahan agen crosslinker EDC menurunkan nilai porositas hidrogel gelatin menjadi 89,52%, menurunkan laju swelling, serta menahan biodegradasi hidrogel gelatin menjadi 92,43% pada hari ke-14. Kesimpulan: Agen crosslinker EDC memiliki efek yang dapat membuat struktur serta sifat mekanis scaffold menjadi lebih ideal untuk digunakan sebagai agen regenerasi gingiva.

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Background: Connctive Tissue Graft (CTG), the gold standard treatment for gingival recession, often results in increased patient morbidity. Gelatin-based hydrogel has been extensively explored as a biomaterial for tissue engineering, mimicking the extracellular matrix of host tissue. However, the mechanical strength of this biomaterial requires enhancement to make it an ideal scaffold for gingival regeneration. Aim: Evaluate the effect of EDC as crosslinking agents on gelatin-based hydrogel as a scaffold for gingival regeneration. Methods: Gelatin hydrogels were prepared using bovine gelatin powder, and the crosslinker composed of a combination of 1-(3-dimethylaminopropyl)-3'-ethylcarbodiimide hydrochloride (EDC) and N-hydroxysuccinimide (NHS). In-vitro tests, such as porosity, swelling, and biodegradation, were conducted in triplicate for all samples. Results: Gelatin hydrogels with added EDC as crosslinking agents showed a reduction of porosity by 89.52% (p<0.05), decrease in swelling ratio (p<0.05), and retained hydrogel biodegradation rate to 92,43% (p<0.05) on day-14th. Conclusion: EDC demonstrated the ability to improve the structural and mechanical strength of the scaffold, making it more suitable as a gingival regenerative agent."

"ABSTRAKLatar belakang: Crossbite merupakan salah satu maloklusi yang sering ditemukan di masyarakat. Crossbite dapat menyebabkan trauma oklusi yang dapat memperberat penyakit periodontal. Masih jarang dijumpai penelitian yang langsung menghubungkan pengaruh crossbite terhadap jaringan periodontal. Tujuan penelitian: Menganalisis hubungan crossbite dengan status periodontal. Metode: Penelitian cross-sectional pada 68 subjek normalbite dan 68 subjek crossbite menggunakan data kartu status rekam medik Klinik Integrasi RSKGM FKG UI tahun kunjungan 20010-2015. Data dianalisis menggunakan uji Mann-Whitney. Hasil: Tidak ada perbedaan bermakna p>0,05 rerata resesi gingiva, kehilangan perlekatan, dan perdarahan gingiva pada subjek normalbite dibandingkan dengan subjek crossbite. Terdapat perbedaan bermakna.

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ABSTRACTBackground Crossbite is one of the most common malocclusion found in the society. Crossbite is a potential cause of trauma from occlusion and can be a cofactor of periodontal diseases. However, research on the effects of crossbite on periodontium is still rare. Objective To analyze the relationship between crossbite and periodontal status. Method A cross sectional study of 68 subjects with normalbite and 68 subjects with crossbite using dental records of patients in Klinik Integrasi RSKGM FKG UI during 2010 2015. Data was statistically analyzed by Mann Whitney test. Result There were no statistically significant differences p 0,05 in the mean values of gingival recession, loss of attachment, and gingival bleeding between normalbite and crossbite groups. However, statistically significant difference."

"Latar belakang: Kebiasaan merokok merupakan faktor risiko periodontitis kronis. Penelitian mengenai perbedaan kedalaman poket dan resesi gingiva pasien periodontitis kronis perokok dan bukan perokok belum banyak dilakukan. Tujuan penelitian: Mengetahui perbedaan kedalaman poket dan resesi gingiva pasien periodontitis kronis perokok dan bukan perokok. Metode: Penelitian potong lintang pada masing-masing 101 subjek periodontitis kronis perokok dan bukan perokok yang diambil dari rekam medik klinik integrasi RSKGM FKG UI tahun kunjungan 2010-2015. Hasil: Berdasarkan uji Mann-Whitney terdapat perbedaan bermakna p < 0,05 rerata kedalaman poket dan resesi gingiva antara perokok dan bukan perokok. Kesimpulan: Rerata kedalaman poket dan resesi gingiva perokok lebih besar daripada bukan perokok.

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Background: Smoking is one of the risk factors of chronic periodontitis. Studies that shows the difference of pocket depth and gingival recession of chronic periodontitis patient between smokers and nonsmokers are still rare.

Objective: Knowing the difference of pocket depth and gingival recession between smokers and nonsmokers chronic periodontitis patient.

Methods: A cross sectional study was conducted using medical records of 101 smokers and 101 nonsmokers who suffered chronic periodontitis in integration clinic RSKGM FKG UI during 2010 2015.

Results: Mann Whitney test showed that there were significant differences in the average of pocket depth and gingival recession (p<0,05) between smokers and nonsmokers.

Conclusions: The average of pocket depth and gingival recession in smokers is higher than nonsmokers."

"Latar Belakang: Subepithelial connective tissue graft SCTG dan acelullar dermal matrix ADM seringkali digunakan dalam perawatan resesi gingiva. Tujuan Penelitian: Mengevaluasi kondisi klinis jaringan periodontal setelah perawatan resesi gingiva antara menggunakan SCTG dengan ADM. Metode: Data resesi gingiva, tingkat perlekatan klinis gingiva, dan lebar gingiva cekat sebelum perawatan diambil dari rekam medik. Pasien dihubungi untuk pengambilan data setelah perawatan. Hasil: Penggunaan SCTG dan ADM memberikan hasil yang signifikan. Perbandingan antara kedua kelompok tidak menunjukkan perbedaan signifikan. Kesimpulan: Perawatan resesi gingiva dengan SCTG dan ADM memberikan hasil yang serupa.

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Background: Subepithelial connective tissue graft SCTG and acellular dermal matrix ADM are frequently used in treatment of gingival recession.

Objectives: To evaluate periodontal clinical conditions after treatment of gingival recession using SCTG and ADM.

Methods: Pre operative data of gingival recession, clinical attachment level, and attached gingiva were retrieved from medical records. Patients were recalled and post operative data were recorded.

Results: Application of SCTG and ADM yield significant changes. Comparisons between the two groups showed no statistically significant differences.

Conclusion: Treatment of gingival recession with SCTG and ADM yield similar outcomes."

"Latar Belakang: Terapi bedah flep periodontal dilakukan untuk meningkatkan status periodontal. Tujuan: Evaluasi secara klinis dan radiografis keberhasilan perawatan bedah flep periodontal tahun 2011-2016. Metode: Evaluasi status pasien antara sebelum dan sesudah perawatan bedah flep periodontal tanpa bahan cangkok tulang, menilai kedalaman poket, tingkat perlekatan klinis, resesi gingiva, dan ketinggian tulang alveolar. Hasil: Terdapat 126 data untuk kedalaman poket, resesi gingiva, tingkat perlekatan klinis. Terdapat 135 data untuk ketinggian tulang. Terdapat hasil yang signifikan untuk semua kelompok p=0,00. Kesimpulan: Perawatan bedah periodontal menghasilkan penurunan kedalaman poket, meningkatkan resesi gingiva, meningkatkan tingkat perlekatan klinis gingiva, dan peningkatan ketinggian tulang alveolar.

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Background: Periodontal flap surgery can improve periodontal status.

Objective: Clinical and radiographic evaluation of periodontal flap surgery in 2011 2016.

Methods: Evaluation of patient status between pre and post periodontal flap surgery without bone graft materials, measuring pocket depth, clinical attachment level, gingival recession, and alveolar bone height.

Results There are 126 data for pocket depth, gingival recession, level of clinical attachment. There are 135 data for bone height. There were significant results for all groups p 0.00.

Conclusion: Periodontal flap surgery resulted decreased pocket depth, increased gingival recession, increased clinical attachment level of gingiva, and increased alveolar bone height."

"ABSTRAKLatar belakang: Diabetes Melitus tipe-2 dan penyakit periodontal merupakan penyakit dengan frekuensi tinggi di Indonesia. Diabetes Melitus tipe-2 diketahui dapat memperberat penyakit periodontal, dan juga sebaliknya. Perlu dilakukan penelitian lebih lanjut mengenai perbedaan status periodontal pada penderita periodontitis kronis dengan Diabetes Melitus tipe-2 dan tanpa Diabetes Melitus tipe-2. Tujuan penelitian: Mengetahui perbedaan status periodontal pada penderita periodontitis kronis dengan Diabetes Melitus tipe-2 dan tanpa Diabetes Melitus tipe-2, dengan batasan penelitian pada kedalaman poket, resesi gingiva, dan kehilangan perlekatan klinis. Metode: Penelitian cross-sectional pada 97 subjek Diabetes Melitus tipe-2 dan 97 subjek tanpa Diabetes Melitus tipe-2 menggunakan data kartu status rekam medik Klinik Periodonsia RSKGM FKG UI tahun kunjungan 2007-2016. Data dianalisis menggunakan uji Mann-Whitney. Hasil: Terdapat perbedaan bermakna dari rerata kedalaman poket, resesi gingiva, dan kehilangan perlekatan klinis subjek Diabetes Melitus tipe-2 dibandingkan dengan subjek tanpa Diabetes Melitus tipe-2

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ABSTRACTBackground Type 2 Diabetes Mellitus and periodontal are high frequency diseases in Indonesia. Type 2 Diabetes Mellitus has known for the effect that can worsen periodontal diseases, and vice versa. Therefore, further researches are needed on the difference of periodontal status between chronic periodontitis patient with and without type 2 Diabetes Mellitus. Objective To understand the periodontal status differences between chronic periodontitis patient with and without type 2 Diabetes Mellitus, with limitation spesifically on pocket depth, gingival recession, and loss of attachment. Method Cross sectional study of 97 subjects with type 2 Diabetes Mellitus and 97 subjects without type 2 Diabetes Mellitus sourced from medical record status cards in Klinik Periodonsia RSKGM FKG UI during 2007 2016. It was statistically analyzed by Mann Whitney test. Result There were statistically significant differences in the mean values of pocket depth, gingival recession, and loss of attachment on subjects with type 2 Diabetes Mellitus compared with subjects without type 2 Diabetes Mellitus p"