6th fdi-ida joint meeting 2010 program & abstracts

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Page 1: 6th FDI-IDA Joint Meeting 2010 Program & Abstracts
Page 2: 6th FDI-IDA Joint Meeting 2010 Program & Abstracts

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6666tttthhhh FDI WORLD DENTAL FEDERATION FDI WORLD DENTAL FEDERATION FDI WORLD DENTAL FEDERATION FDI WORLD DENTAL FEDERATION

–––– INDONESIAN DENTAL ASSOCIATION (IDA) INDONESIAN DENTAL ASSOCIATION (IDA) INDONESIAN DENTAL ASSOCIATION (IDA) INDONESIAN DENTAL ASSOCIATION (IDA)

JOINT MEETINGJOINT MEETINGJOINT MEETINGJOINT MEETING

Clinical Excellence and Green Dentistry: Bring Cheerful Smile to the World

November 12-14, 2010 Gran Senyiur, Balikpapan - Indonesia

7 SKP accredited by Indonesian Dental Association (PDGI)

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Table of Contents

Welcome message: ORGANIZING COMMITTEE 3

Welcome message: INDONESIAN DENTAL ASSOCIATION 4

Welcome message: FDI – WORLD DENTAL FEDERATION 5

Main program 6

Hands on courses 7

Oral presentation program 8

Poster presentation program 10

General information 12

Main Lecture abstracts 14

Scientific Presentation Abstracts 16

Acknowledgement

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Welcome Message ORGANIZING COMMITTEE

Assalam alaikum Warahmatullahi Wabarakatuh and Salam Sejahtera for all of us It is a great pleasure for us to be the organizer of the 6th FDI World Dental Federation and Indonesian Dental Association Joint Meeting in Balikpapan, a beautiful city in East Kalimantan province on Borneo Island - Indonesia. We, The Indonesian Dental Association of Balikpapan Branch extend our warmest welcome to all participants, speakers, and sponsors that make the 6th FDI – Indonesian Dental Association Joint Meeting to be a successful conference. The 6th FDI – Indonesian Dental Association Joint Meeting is a scientific meeting of the dental Professionals with local and international prominent speakers, in form of the program proper of main lectures, hands on courses, dental exhibition, oral presentation, poster presentation, and other side events. The program of the 6th FDI – Indonesian Dental Association Join Meeting is held on November 12 until 14, 2010 at the Gran Senyiur Convention Center in Balikpapan. Based on the latest development of science and technology in dentistry, this joint meeting is being planned and organized to provide scientific and technical forum for advancing the dental professional knowledge to anticipate the global era. The theme of the event is “Clinical Excellence and Green Dentistry: Bring Cheerful Smile to the World”. Lastly I wish to thank all participants, distinguish speakers, dental suppliers and all who contribute for the success of the 6th FDI - Indonesian Dental Association Joint Meeting in Balikpapan. Hope you not only have an event for developing our professionalism, but also you could enjoy a nice stay and have a memorable excursion on the beautiful panorama of east Kalimantan. Congratulations and success for all of us. Wassalamu alaikum Warrahmatullahi Wabarakatuh. Dr. Dyah Muryani Organizing Committee Chairperson 6th FDI-IDA Joint Meeting and Balikpapan International Dental Exhibition 2010

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Welcome Message INDONESIAN DENTAL ASSOCIATION

Dear Friends and Colleagues, The FDI – IDA Joint Scientific Meeting has been a cornerstone in the dental scientific calendar since the first one was held in Bali in 2000. It has since noted to have a significant role in bridging the relationship between the Indonesian Dental Association (IDA) and the FDI World Dental Federation. It provides dental colleagues from all parts of Indonesia with the access to world class speakers as well as national speakers, and to be part of the global platform through the truly outstanding supports and partnership of the FDI – Continuing Education Programme. I am sure that the 6th FDI – IDA Joint Scientific Meeting to be held in November 12-14, 2010 will continue to be an event that attracts many dental practitioners, following the success of the five previous ones. Participating in FDI – IDA Joint Scientific Meeting is a must because it provides a different kind of opportunity, such as to become internationalized in our home country, updating recent knowledge base in order to provide better services to our patients, the opportunity to fulfill the professional requirement to be registered as a legal practicing dentist in Indonesia. On behalf of the Indonesian Dental Association I wish to express my gratitude for the leaders of the FDI World Dental Federation for their continues supports for the opportunity in keeping abreast with recent dental advances, for a total of more than three thousand Indonesian Dentists whom attend the previous five Joint Meetings held in Indonesia in the past decade. I wish also to express our high appreciation for the FDI – CE Programme manager for Asia Pacific for the wonderful partnership and dedications. Indeed, the FDI – IDA Joint Scientific meetings has become one of the most important event in Indonesian Dental Calender of Event. Last but not least, I wish to thank our FDI guest speakers and our national speakers for sharing their expertise with us, also my thanks for the sponsors for their contribution and also the great works of the organizing committee in making this event possible. The IDA is proud to hold the 6th FDI – IDA Joint Scientific Meeting, wishing you a great meeting and memorable time in Balikpapan, the beautiful Eastern Hemisphere of Indonesia. Balikpapan, 12 November 2010 Dr. Zaura Anggraeni, MDS President Indonesian Dental Association (IDA)

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Welcome Message FDI – WORLD DENTAL FEDERATION

The FDI World Dental Federation (FDI) is honored to be a partner of the Indonesian Dental Association (PDGI) in organizing the FDI/IDA Dental Convention this year in Balikpapan. Education is a key mission of the FDI. We live in an era of not only knowledge explosion but also technology explosion. Those who actively practice Dentistry know that we find new discoveries in the areas of dental material, equipment as well as clinical technique everyday. This is the result of a concerted effort from research among the academic and dental industry. As new discoveries become available, clinicians find out through a process of knowledge transfer. Knowledge transfer is traditionally achieved through journals and magazines. Today, we not only have the convenience of sitting in our office or home and searching for information through the internet, we also can obtain new knowledge by attending study groups, scientific courses, meetings and conventions like this one. Therefore there should be no excuses for anyone of not having the opportunities to pursue new knowledge. In fact, every dental practitioner should be committed to continuing professional development as a commitment to his/her patients. We owe it to them. As I collaborate with your leaders over the years, I come to notice their strong commitment in providing continuing education opportunities for the dental profession. The FDI is proud to support this year’s Convention by sponsoring Prof Lakshman Samaranayake to lecture on the important topic of Infection Control in Dentistry, Dr. Phillippe Guettier to speak on the Current Concepts in Endodontic Treatment, Dr. Kevin H-K Yip to speak on the management of worn dentition and Dr. How Kim Chuan to speak on Implantology. I wish to thank the dental industry partners in supporting this event. Last but not the least, this Convention cannot be successful without your participation. Thank you for taking the time to be here. Benjamin Franklin who is a forefather of America and the founder of the University of Pennsylvania once said, “Investment in knowledge yields the highest dividend”. I am confident that you will be completely satisfied with the time and resources you invest in this wonderfully successful conference. Enjoy the lectures, enjoy the social programs and enjoy the interactions among your friends and colleagues. William Cheung, D.M.D., F.A.G.D., F.A.D.I. CE Programme Director for Asia Pacific FDI World Dental Federation

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MAIN PROGRAM

Saturday – November 13, 2010 Venue: Grand Ballroom

07.00 – 08.30 Registration

08.30 – 10.00 OPENING CEREMONY

10.00 – 11.15 Prof. F Lakshman Samaranayake: Infection Control in Dentistry: A constant Challenge

11.15 – 12.15 Dr. Arunee L.: Oral Biofilm and Caries Control

12.15 – 13.00 Prof Dr Laura Susanti: New Paradigm of Relationship Between Worn Dentition And

Temporo Mandibular Disorder 13.00 – 14.00 LUNCH 14.00 – 14.45 Dr. Sri Lelyati:

Management of Dentine Hypersensitivity as Supportive Treatment of Periodontal Disease

14.45 – 15.30 Dr Gatot Sutrisno: Achieving high esthetic restoration with esthetic fiber post

15.30 – 16.15 Dr Bambang Agustono: Direct Composite Resin Inlay/Onlay

Sunday – November 14, 2010 Venue: Grand Ballroom

09.00 – 10.30 Dr Paulus Januar, Dr Yosi Kusuma Eriwati, Dr Tri Erri Astoeti: Integrated lectures on Green Dentistry as a new paradigm to

clinical excellence in dental practice 10.30 – 11.00 COFFEE BREAK 11.00 – 12.30 Dr. How Kim Chuan:

Bone level implant: a perfect complement to tissue level implant 12.30 – 13.00 Prof. Dr Aznan Lelo:

NSAID for acute dental pain 13.00 – 14.00 LUNCH 15.30 – 16.00 CLOSING CEREMONY

Dental Trade Exhibitions Both of local and international suppliers will feature the new model and technology in dental materials and equipment. Special offers and attractive discounts will also be brought to you for your convenience. Twenty three Dental distributors/suppliers in 25 booths have participated in this exhibition to showcase their new technology products of dental materials and equipment. Welcome Dinner All participants will be invited to the Welcome Dinner on Saturday October 13, 2010 at The Grand Senyiur Ballroom with traditional dance and music entertainment.

BEST PAPER AWARDS The Scientific Committe of the 6th FDI-IDA Joint Meeting will also select for 3 Best Paper Awards for Research Report, Case Study, and Literature Study. The best paper will be awarded Rp 2.000.000,- /paper (excluded tax).

SPECIAL SESSION Saturday – November 13, 2010

Venue: Grand Ballroom 16.15 – 17.00 IDA Dental Continuing Professional Development Commission:

Certification, registration, and licensure for dentists in Indonesia

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HANDS ON COURSE

Dr Gilang Yubiliana

Management of Hypnosis in Dentistry

Friday, November 12, 2010 14.00 – 19.00 am Venue: Room 2 Participation fee Rp 1.000.000,-

Dr Gatot Sutrisno

Simplifying the mysteries of direct composites

Saturday, November 13, 2010 10.00 – 12.00 am Venue: VIP 2& 3 Chiang Palace A & B Participation fee Rp 500.000,- Free gift of dental material from Petron Clinical – USA to participants

Dr Gatot Sutrisno

How, when, and why of restorative post-cores

Saturday, November 13, 2010 16.00 – 18.00 pm Venue: VIP 2& 3 Chiang Palace A & B Participation fee Rp 500.000,- Free gift of dental material from Petron Clinical – USA to participants

Dr Bambang Agustono

Direct Composite Resin Inlay/Onlay

Sunday, November 14, 2010 10.00 – 12.00 am Venue: VIP 1 Chiang Palace Participation fee Rp 600.000,- Free gift to participants: 1 syringe Tetric N Ceram from Ivoclar

Prof. Susan Eliaz

One Visit Bridge Using Fiber Reinforced Composite

Sunday, November 14, 2010 10.00 – 12.00 am Venue: VIP 2& 3 Chiang Palace A & B Participation fee Rp 600.000,-

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ORAL PRESENTATION

Saturday – November 13, 2010 MERATUS ROOM ROOM 6 ROOM 9 VIP 1 CHIANG PALACE 14.00 – 14.20

Suzan Elias: One Visit Bridge Using Fiber Reinforced Composit

Irena Winata, Maria Purbiati: The Role of CBCT 3D Radiographic Imaging in Orthodontics (A Literature Review)

Novrinda H, Andreas P, Rahardjo A, Darwita RR: Participation of Midwives in Maintaining Oral Health During Pregnancy at Kecamatan Serpong - A Six Month Evaluation

Adi Prayitno, Muharjo DHA, Poernomo Suryohudoyo, Suhartono Taat Putra: Oral Squamous Cell Carcinoma with HPV Infection Without p53 and Cmyc Mutation

14.20 – 14.40

Tina Anggriany Halim: Creating Beauty and Natural Smile with Composite

Susilowati: Expression of Matrix Metalloproteinase-8 (MMP-8) Gene in Gingival Crevicular Fluid During Distalization of Upper Canines

Anton Rahardjo: Validity and Reliability of Questionnaires as Tool of Severe Periodontal Disease Screening in Pregnant Women Conducted by Midwives or Cadres

Ariadna A Djais, Tut Wuri Andajani, Ria Puspitawati, Pradono Suhardi, Ratna Arietta: The Modified Rapid Identification of Streptococcus mutans of OralBiofilm using Polymerase Chain Reaction (PCR) method

14.40 – 15.00

Angela Evelyna, Bambang Sunendar Purwasasmita, Nina Djustiana, Zulia Hasratiningsih: Self Synthesis Al-Si-Zr Nanoparticle Filler and It's Microstructure Characterization for Resin Dental Restorative Dental Materials

Tita Ratya Utari: The Treatment of Anterior Tooth Crowded Case of Upper Jaw with Dental Transposition Between Canine and Lateral Incisor Tooth by Fixed Appliance (Case Report)

Armasastra Bahar: Tooth Decay Score, Knowledge and Practice of the Children Aged 9 – 15 Years in Kelurahan Ome, North Maluku.

Ria Puspitawati, Aurelia Aurelia, Felicia Kathleen, Inez Hanida, Stefani Pramudita, Lakhsmi A Leepel: Ethanol Extract and Volatile Oil of Curcuma xanthorrhiza Roxb Inhibit Phospholipase Activity and Growth of Candida albicans

15.00 – 15.20

Wita Anggraini: The Anatomical Principles of Bruxism Management

Bintari Eska, Krisnawati: Management of Ankylosed Teeth in Orthodontic Treatment

Sudibyo, Dwi Hariyanto: Personal Soft Skills in Dentistry

Lisa R. Amir: Bone Substitute and Injectable Scaffold-Stem Cell Based Therapy for Bone Tissue Engineering

15.20 – 15.30 b r e a k 15.30 – 15.50

Yufitri Mayasari, Armasastra Bahar: Dental Caries as an Infectious Disease and Its Relationship with a Window of Infectivity

Hutasoit E, Ismah, Soegiharto BM: The Effectiveness of Sodium Hyaluronate on Healing of Traumatic Ulcer Caused by Fixed Orthodontic Appliances

E. M. Arief, Akram Hassan, Raja Azman Awang: Prevalence, Causes, Problems and Treatment Needs of Gingival Recession: An update

Nila Alya Maulidina, Heriandi Sutadi: Early Extraction of Two Upper Deciduous Teeth Presented With Bilateral Conical Type Supernumerary Teeth on a 7 Years Old (Case Report)

15.50 – 16.10

Wazillah Nasserie: Laminin Imunoexpression as Occurrence Indicator of Dentinal Bridge on Calcium Hydroxide Pulp Capping

Maria Purbiati Indratoto, Laura Susanti Himawan: Occlusion and Temporomandibular Joint on Normal and Asymmetrical Faces in Orthodontic Perspective

Mei Syafriadi, Siska Yumira, Pratiwi Eka Muhardini, Riza Dwijayanti: Manifestations, Treatment Modalities and Prognosis of Oral Cancer In East Java From 2004 – 2008

Nurlailia DS, Zainul Cholid, Mei Syafriadi: The Pre-Erupted Study of Mandibular Third Molar Inclination Among 14 to 17 Year Old

16.10 – 16.30

Aries Chandra Trilaksana: Treatment of Periapical Disorders With Apecresection

Olivia Pribadi, Erwin Siregar: Bone Density as A Factor That Influence Orthodontic Mini-Implants Stability (a Literature Review)

Dini Iswandari: Medical Disciplinary in Context of Professionalism

Marcia, Gus Permana Subita: Management of Necrotizing Ulcerative Gingivitis Related to Chronic Lymphocytic Leukemia (A Case Report)

16.30 – 16.50 Risqa Rina Darwita, Febriana Setyawati, Herry Novrinda, Iradani Yupitaningrum Work Stress And Periodontal Disease

E.M. Arief, A.K. Nazirah, A. Rehman: Arterial stiffness in gingivitis: a comparative cross-sectional study

Iwan Dewanto, Medi Septario Infection Control Implementation at Dental Practice in Yogyakarta City

Adi Prayitno, Widya Asmara, Muharjo DHA, Suhartono Taat Putra: The Influence Of Bisindolylmaleimide Gf 109203x and Phorbol Myristic Acetate In Macrophages Phagocytosis Activity Toward C. Albicans

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ORAL PRESENTATION

Sunday – November 14, 2010 MERATUS

ROOM ROOM 6 ROOM 9 VIP 1 CHIANG

PALACE 14.00 – 14.20

Abdul rochim bafagih: Sex in Dentistry

Henny O. Danan: Behavior Management in Children with Psychological Trauma Due To Dental Treatment (Case Report)

Himawan Halim: Pendulum Appliance as Space Regainer in Orthodontic Treatment

Willyanti Syarif Relationship between Birth Weight and Enamel Defect Probability in Small for Gestational Age Children

14.20 – 14.40

Zahreni-Hamzah: The Local Soy-Milk-Honey As A Good Nutrition For Mandibular Health In Geriatric Patiens

Audiawati, Siti Aliyah P: Erosive Oral Lichen Planus : Clinical Features and Management in Children Patient (Case Report)

Jusuf Sjamsudin: Orthognathic Surgery in Orthodontic, Why & When (Case Report)

Erlina Sih Mahanani, Muhammad Firdaus Mohd Shuimi: The Odontoblast Density in the Crown and Root of Single Rooted Human Teeth

14.40 – 15.00

Kussulistyowati Putri W., Benny M. Soegiharto: Botox Injection as an Alternative Treatment For Excessive Gingival Display (Literature Review)

Helsa Ramelya, Heriandi Sutadi: Management of Radicular Cyst and Fibrous Epulis in a 11-Year Old Girl (A Case Report)

Agnes Sukandar, Nia Ayu Ismaniati: The Role of Autotransplantation in Orthodontic Treatment (Literature Review)

Tetiana Haniastuti Immunohistochemical Study of the Innervation of Human Carious Teeth Using Protein Gene Product 9.5

POSTER PRESENTATION

Saturday – November 13, 2010 Venue: Mirror Room

No AUTHOR(S) TITLE 1. Agi Ardianti, Maria Purbiati Non-Extraction Treatment of Class III Malocclusion With

Anterior Crowding (Case Report) 2. Amiyatun Naini, Suhartini. The Ability to Adhere Candida Albicans of Acrilic Resin and

Valplast Denture Base 3. Anna Ferlinasari, Kamizar Case Report Conventional Retreatment on a Maxillary First

Molar with Broken Instrument in Mesiobuccal Canal 4. Ardo Sabir Using Flavonoids as a Natural Products With High

Pharmacological Potency to Improving Oral Health 5. Ardo Sabir Rat dental pulp tissue reaction after capped with propolis

derived non-flavonoids extract 6. Auerkari EI, Adiwirya MSK, Widurini DS,

Sandra F, Wicaksono BD White Tea Extract Reduces the Viability of Oral SCC Cell Lines in vitro by Inducing Apoptosis

7. Aynie Yunita, Safrida Hoesin Non-Vital Tooth Bleaching of Discolored-Maxillary Central Incisor: A Case Report

8. Besse Tenri Awaru The Therapeutic Properties of Propolis in Conservative Dentistry and Endodontic Treatment

9. Boenjamin-Partakusuma F, Ibrahim-Auerkari E, Dillon DH, Suharsini M1

Anemia and underweight among Indonesian Schoolchildren with Angular Cheilitis

10. Budi Yuwono The Effect of Coffe Consumtions on Bone Wound Healing 11. Budi Yuwono, Abdul Rochim The Effect of Vital Sign on Adrenalin Addition in Local

Anaesthetic on Block Injection of Alveolaris Inferior Nerve 12. Christine A. Rovani Intracoronal Bleaching of discolored non-vital anterior tooth

with Walking Bleach Technique 13. Desi Sandra Sari Calprotectin In Gingival Crevicular Fluids Correlates With

Clinical Parameter And With The Count Of Black-Pigmented Anaerobes Bacteria On The Aggressive Periodontitis

14. Devy Noviana, Ratna Meidyawati Intentional Endodontic Treatment On Maxillary Second Molar to Prepare the Tooth as an Abutment for Fixed Partial Denture

15. Dewi Kristiana The effect of Averrhoa Bilimbi Leaf Extract as Denture Cleanser on The Transversal Strength of Acrylic Resin

16. Didin Erma Indahyani, Izzata Barid , Ari Tri Wanodya Handayani

Effect of Lemuru Fish oil on Tooth Structure Following lipopolysaccharide-induced Periodontal Infection during odontogenesis in rat

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17. Dini Asrianti Esthetic Onlay as a Restoration of Choice in Post Endodontic Posterior Tooth (Case Report)

18. Dwi Prijatmoko The Role of Body Composition in Determining Bone Maturity 19. Dyah Juniar Hymawatty The PFAPA Syndrome in Oral Medicine: Differential Diagnosis

and Treatment 20. Dyah Setyorini, Sulistiyani Effectiveness of Fluoride Topical Application on the Number of

Streptococcus Mutans Colony 21. Eddy Hermanto, Andri Hardianto Peripheral Osteoma of the Mandible : a Case Report 22. Emy Ardana Resin Based Root Canal Sealer Combined With Self-Etching

Bonding Agent 23. Febriana Setiawati Sugito The Pattern of Severe-Early Childhood Caries (S-ECC) of

Children Under Three Years Old in DKI Jakarta 24. Febrina Rahmayanti, Yuniardini S

Wimardhani Aphthous Like Ulcers in Patient with Gastrointestinal Disorder (A case report)

25. Femmy Riyeni Puteri, Hendrarlin Soenawan Fiber-Reinforced Composite as A Fixed Space Maintainer : A Case Report

26. Ferry Jaya, Yosi Kusuma Eriwati Effect of Surface Treatment On Adhesion to Dentin 27. Ferry P Gultom Use Neighbour Joinning Technique to Inactivate Gene cdt

Aggregatibacter Actynomicetemcommitans Bacteria 28. Ganesha Wandawa, Dewi Nurul

Mustaqimah, Elza Ibrahim Auerkari, Suyanto Sidik

Hyperbaric Oxygen as Alternative Adjunctive Therapy in Treatment of Chronic Periodontitis: Its Effect on Periodontal Pathogens

29. Hesti Witasari, Munyati Usman Case report: Endodontic Retreatment using Retreament Rotary systems

30. I Dewa Ayu Ratna Dewanti Neem leaves (Azadirachta indica) Improved Oral Mucosa Defense Mechanism Against Candida albicans

31. Iin Eliana Triwahyuni Effect of Immunosupression and C.albicans Infection to The Macrophage Phagocytosis Activity

32. Imelda Sriulina Sinulingga, Himawan Halim Compromised Treatment of Skeletal Class III Malocclusion in Adult

33. Indah Ekasari , Faruk Hoesin Treatment of severe crowding case 34. Irmaleny, Narlan Sumawinata, Dewi Fatma,

Marline Abdassah Acute Toxicity Test of an Analgesic Herbal Jatropha Curcas L. Latex on Animal Models

35. Isnandar, Kasman Manullang, Hendro S. Yuwono

Marginal Resection of Cemento-Ossifying Fibroma on Mandible Anterior Region (A Case Report)

36. Jeffrey Limanto, Himawan Halim Management of Dental Anterior Open Bite with Tongue Thrust Habit Using Combination of Tongue Crib and Manipulation Braket Placement ( Case Report)

37. Jummyanto Pareang, Andi Sumidarti Anas Comparison of Antibacterials Activity of Citronella Essential Oil (Cymbopogon winterianus) and Cinnamon Essential Oil (Cinnamomum burmanii) to the Growth of Bacteria Found in Caries.

38. Juni Jekti Nugroho Management of Non Vital Immature Teeth (Case Reports and Review)

39. Kemala. N Treatment of Non-Vital Tooth Discoloration using Internal Bleaching Technique

40. Mindya Y, Hedijanti J, Niniarty Z.D pBMP-2 Transfection into an Odontoblastic Lineage Cell as a Stem Cell Contribution for Regenerative Dentin Formation

41. Ratna Farida, Endang Bachtiar , Melissa, Jeng Seriana, Rina Septriani.

The Effect of Gel Containing Anti Streptococcus mutans Serotype-C IgY on the Formation of S.mutans Biofilm (in vitro)

42. Sarwono AT, Widurini, Andajani TW, Arifa Anti-Inflammatory Activity of Outer Layer Aloe Barbadensis Leaf Extract on Accelerate Healing Process of Oral Mucous Ulceration

43. Sri Utami, Sri Rejeki, BM Bachtiar, Purwita Nurwidyastuti

Effect of Xylitol Chewing Gum on Protein Concentration of Salivary Mutans Streptococci

44. Widurini.DS. Sarwono AT, Septiana NS, Auerkari EI

The Effect of Black Cummin Aplication to Oral Mucous Inflammation

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POSTER PRESENTATION

Sunday – November 14, 2010 Venue: Mirror Room

No AUTHOR(S) TITLE 1. Leliana S Devi AP Management Treatment of Class II Division 1 Malocclusion with

Multiple Diastemas in Lower Arch (Case Report) 2. Leliana S Devi AP, Rina Sutjiati Corrosion Behavior of Titanium Orthodontic Wire 3. Lina Handayani Extirpation of The Tongue Fibroma in Children (Case Report) 4. Lusi Hidayati The Increase of Gingival Sulcus Volume and Calprotectin

Degree on Abutment Teeth Fixed Partial Denture 5. Maria Davina, Dewi Anggraini Margono Case report: Two Types of Endo-Perio Lesions in One Mouth 6. Marta Juslily, Mita Juliawati Establish an Emotional Connection between Patient and

Dentist to achieve High Performance Dental Practice 7. Marty Adani, Faruk Husein Deep Over Bite Correction in Class II Division 2 Malocclusion

Using Reverse Curve Arch Wire 8. Miesje Karmiati Purwanegara Early Detection of Mouth Breathing as a Bad Habit 9. Mita Juliawati , Marta Juslily The Role of Human Resource Management in Dental Practice 10. Muhammad Nurul Amin The Role of Osteoclast and Osteoblast in Accelerating

Orthodontic Tooth Movement 11. Novandyta Hapsari, Nila Kesuma Endodontic Therapy Through Artificial Crown - case report 12. Palupi Kumara Sari, Agus Nurwiadh, Rama

Nusjirwan Upper Airway Obstruction Caused by Odontogenic Infection (Case Report)

13. Patricia Iskandar, Haru Setyo Anggani, Retno Widayati

Patient's Knowledge About The Benefits and Side Effects of Orthodontic Treatment in RSGMP FKG UI

14. R. Indriutami. N. Sumawinata. Endodontic Retreatment on Weine Type 4 Configuration Mandibular First Premolar

15. Rasmidar Samad, MS, Ra’idah Bulu,Herman Yapardi

Parents Perception Related to Impact of Children Dental and Oral Health to Quality of Life of Their Children in Urban and Rural Areas in Makassar Municipality

16. Renta Frianty, Krisnawati Treatment of protusion and open bite case with extrusion upper molar using transpalatal arch as anchorage

17. Rina Sutjiati, Iin Eliana Triwahyuni Decreasing of The Total Number of Cervical Lymph Node Cells Caused By Immunosupression and Candida albicans Infection

18. Rizka Kusumah Adriani, Daru Indrawati Non-vital Tooth Whitening Treatment with the Walking Bleach Technique using 35% Hydrogen Peroxide Gel: Case Report

19. Siti Aliyah P Patient Education and Stringent Follow-Up Influencing The Outcome of Steroid-Treated Erythema Multiforme (Case Report)

20. Sitti Andi Rahmayanti Laya Descriptive results of the profile of dental practitioners who use digital dentistry in Malaysia

21. Sulistiyani, Roedy Budi Raharjo Cleft Lip and Cleft Palate in Children: Description and Treatments

22. Sumintarti, Erni Marlina Oral Traumatic Ulcer 23. Trijani Suwandi The Initial Treatment of Mobility Teeth and Closure Diastema in

Chronic Adult Periodontitis 24. Vega Roosa Fione, Anton Rahardjo Probiotic Chewing Gum For Prevention Of Halitosis 25. Wahdaniah Masdy Use Amalgam Bonding Sistem as Core Post Endodontik 26. Zahreni-Hamzah, Didin Erma Indahyani,

Peni Pujiastuti The role of Local Soy-Milk-Honey on Prevention Mandibular Bone Damage in Rats

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GENERAL INFORMATION The 6 t h FDI – IDA International Joint Meeting &

Balikpapan International Dental Exhibition 2010

Theme : Clinical Excellence and Green Dentistry: Bring Cheerful Smile to the World

Date : November 12 -14, 2010 Venue : Gran Senyiur Hotel & Convention Center, Balikpapan

- Indonesia Official Language : English Contact Information : PB PDGI

Komp. Maissonette Kramat Jaya Baru B15.. Jl. Percetakan Negara II, Jakarta 10560 - Indonesia Phone: +62-21-4253861 / 4257974 Fax: +62-21-4253861 Homepage: www.pdgi.or.id Email: [email protected]

• Opening Ceremony

All Speaker, delegates, accompanying person, invited guest, trades and visitors are cordially invited to attend the opening Ceremony on Saturday, 13th November, 2010 from 8.30 – 10 am at the Grand ballroom. All are to be seated at 08.25 am

• Disclaimer

Whilst every effort is made to ensure all aspect of the meeting mentioned in this announcement programmes will take place as scheduled, the Organizing Committee reserves the prerogative to make last minute changes should to need arise.

• Entitlements

Participants and Speakers are entitled to:

v Attend the seminar forum

v Free admission to trade exhibition

v Attend the opening ceremony

v Attend welcome dinner

v Lunch and coffee break coupons will be issued

v Registration Kit and Programme book

Page 14: 6th FDI-IDA Joint Meeting 2010 Program & Abstracts

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6TH FDI – IDA JOINT MEETING &

Balikpapan International Dental Exhibition 2010

C O M M I T T E E BOARD OF ADVISORY Prof. William Cheung FDI CE Programme Manager for Asia Pacific PATRON Dr. Zaura Rini Anggraeni President of Indonesian Dental Association

STEERING COMMITTEE Dr Ugan Gandar (coordinator) Dr. Tri Erri Astoeti Dr. Adiningrum Adiwoso W. Dr. Mita Juliawati Dr. Yosi Kusuma Eriwati Dr. Paulus januar

ORGANIZING COMMITTEE

CHAIRPERSON Dr Dyah Muryani

VICE CHAIRPERSON I: Dr Moesdiono VICE CHAIRPERSON II: Dr Ahmad Jaiz

SECRETARY Dr Suheriyono VICE SECRETARY I: Dr Muh. Husdiari VICE SECRETARY II: Dr Rosmalia Indah

TREASURER Dr Norma Hada Dr Riza Rusman

SCIENTIFIC PROGRAM Dr Agung Dr Dita Dr Fetty Moesdiono

CEREMONIAL PROGRAM Dr Cecep Husnul B. Dr Retno S. Sitoresmi Dr Eviwati Sitanggang

FUND RAISING Dr Wiyana Dr Deasy Dr Suryani Astuti Tommy Dr Ida Kurniati

EXHIBITION & EQUIPMENT Dr Andy Widjaja Dr Tesa K. Chairperson of the general affairs section of Balikpapan city local government

PUBLICATION & DOCUMENTATION - Dr Irfan S - Dr Tesa S - Chairpersons of IDA Branches in East Kalimantan

PUBLIC RELATION Dr Syukri Wahid Dr Nina Dr I. Budiana Chairperson of the public relation section of Balikpapan city local government

TRANSPORTATION Dr Yan Satyawibawa Dr Patar Chairperson of general affair section of Balikpapan city local government

REFRESMENTS Dr Siti S. Wahyutiarni Dr Ida Permana Dr Sekar Dianing

LEISURE PROGRAM Dr I. Budiana Disporabudpar of Balikpapan city local goverment

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MAIN LECTURE ABSTRACT

Infection Control in Dentistry

Lakshman Samaranayake, Hon DSc, Hon FDSRCSE, BDS, DDS, FRCPath, FCDSHK, FHKCPath, FHKAM (Dent Surg)

Dean and Chair of Oral Microbiology, Tam Wah-Ching Professor of Dental Science

Faculty of Dentistry, The University of Hong Kong

Current epidemiological data clearly indicate that there is no significant risk of contracting bloodborne or other infectious diseases through the provision of dental treatment when recommended infection control procedures are routinely followed. A key element of infection control is the concept of universal precautions, as a means to reduce the risk of blood borne pathogen transmission (e.g. the Human Immunodeficiency Virus, Hepatitis viruses and others) in healthcare settings. The primary precept underpinning this concept is the consideration that all patients are potentially infectious and hence the necessity for implementation of comprehensive infection control procedures when treating any patient. These universal precautions have in turn been combined with guidelines designed to reduce the risk of transmission of pathogens from moist body substances, into a unified set of precautions known as standard precautions. This presentation will address some of the key elements and issues related to infection control in dentistry, concluding with the latest information on this issue.

MAIN LECTURE ABSTRACT

Bone Level Implant – A perfect complement to Tissue Level Implant

Dr How Kim Chuan BDS (Singapore), MSc Orthodontics (London), FDS RCS (England), FDS RCSEd (Edinburgh), MORTH RCS (England), MORTH RCSEd (Edinburgh), Cert Oral Implantology (Frankfurt), Diplomate ICOI (USA),

AM (Malaya)

What is Bone Level Implant? What are the clinical advantages of Bone Level Implant versus Tissue Level Implant? How to achieve consistent aesthetic emergence profile through Bone Level Implant? How does the current implant surface technology revolutionize our treatment philosophy?

“The ability to focus attention on important things is a defining characteristic of intelligence. It is only with the heart that one can see rightly. What is essential is invisible to the eye." --”

The emphasis and direction of implant treatment planning philosophies is a story almost all dentists are familiar with. There has been a debate like a pendulum swing between tissue level and bone level implants as to which is the more superior design; Both designs claiming clinical and aesthetic successes in their own right. The advent of implant surface technology and the innovation in bone control design have revolutionized the fundamental practice of Implantology. These new technologies have prompted us to revisit our treatment goals in search of optimal aesthetic and functional results closer to the Mother Nature. We now must establish three things in implant designs, one being the consistent and predictable healing with faster osseointegration and greater bone implant contact (BIC) surface area; Second being the prosthetic connection that predictably eliminate the microgap and micro-mobility; and third being the flexibility in platform design that give rise to consistent aesthetic emergence profile. The Speaker would use clinical cases to illustrate the clinical applications of bone level versus tissue level implant and discuss how the new SLActive implant surface technology transform our clinical practice in implant dentistry.

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MAIN LECTURE ABSTRACT

Oral Biofilm and Caries Control

Arunee L.

Dental caries is a chronic, dieto-microbial, site specific disease caused by shifts from protective factors favoring tooth remineralization to destructive factors leading to demineralization. Caries process is also a complex interaction among the tooth structure, dietary, salivary, genetic influences and the dental plaque biofilm. Biofilm is a microbial derived sessile community characterized by cells that are irreversibly attached to a substratum or interface or to each other, are embedded in a matrix of extracellular polymeric substances that they have produced, and exhibit an altered phenotype with respect to growth rate and gene transcription. This presentation will provide the overview of the caries concept, management and review of anti-caries agents/ current anti-microbial approaches for caries control

MAIN LECTURE ABSTRACT

Green Dentistry: a new paradigm to clinical excellence in dental practice

Paulus Januar, Yosi Kusuma Eriwati, Tri Erri Astoeti, Endang Jeniati Central Board Indonesian Dental Association (IDA)

Environmental problem is a serious global problems and dangers that sometimes have gone unnoticed by the dental professionals. Despite the fact that the problem receives less attention, but the dental professionals actually can take part in solving the problems. The dental professionals in overcoming the environmental degradation can be carried out efforts such as purchasing dental supplies that are in recycled, reused, or replaced versions, efficiently using energy and other resources, also in reducing waste and pollution. Every dentists use dental materials that were produced from metal, polymer, ceramic or composite materials. The dental materials should be biocompatible to human and eco-friendly as waste. Dentists should anticipate the side effects or occupational hazards of dental materials that can occur before they use them. Selecting the appropriate dental materials and managing it properly will minimize the hazards and will increase the safety and comfort in dental practice as well as producing successful treatment to the patients. One of the appropriate approaches that should be done in dental health services is the concept of Green dentistry. Green dentistry is a revolutionary approach at combining high-quality conservative dentistry while protecting the patient and the environment. Green Dentistry is about the commitment to find a more environmental friendly way of dentistry while building relationships with clients and educating them about proper care. Designing dental health care systems that focus on green dentistry is critical to assuring patient safety. Dental health services have to make specific requirements in the disposal of equipment and materials as wastes that have potential environmental hazards, and also make improving the dental health worker responsibility to be environmentally friendly. Green Dentistry concept should preferably for patient satisfaction; therefore dental health services can increase patient retention. The time has arrived to develop a sustainability dental practice that converse the environment by recognizing the challenges and the opportunities inherent in the approach to sustainability for the excellence and the future of dental profession.

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SCIENTIFIC PRESENTATION ABSTRACTS

1. Abdul rochim bafagih Sex in Dentistry 2. Adi Prayitno, Muharjo

DHA, Poernomo Suryohudoyo, Suhartono Taat Putra

Oral Squamous Cell Carcinoma with HPV Infection Without p53 and Cmyc Mutation

3. Adi Prayitno, Widya Asmara, Muharjo DHA, Suhartono Taat Putra

The Influence Of Bisindolylmaleimide Gf 109203x Or Phorbol Myristic Acetate In Macrophages Phagocytosis Activity Toward C. Albicans

4. Agi Ardianti, Maria Purbiati

Non-Extraction Treatment of Class III Malocclusion With Anterior Crowding

5. Agnes Sukandar. Nia Ayu Ismaniati

The Role of Autotransplantation in Orthodontic Treatment (Literature Review)

6. Amiyatun Naini, Suhartini

Ability of Acrilic Resin and Valplast as Base of Denture to Adherence of Candida albicans

7. Angela Evelyna, Bambang Sunendar Purwasasmita, Nina Djustiana, Zulia Hasratiningsih

Self Synthesis and Microstructure Characterization of Al-Si-Zr Nanoparticle for Resin Dental Filler With Precursor Method

8. Anna Ferlinasari, Kamizar

Case Report Conventional Retreatment on a Maxillary First Molar with Broken Instrument in Mesiobuccal Canal

9. Anton Rahardjo Validity and Reliability of Questionnaires as Tool of Severe Periodontal Disease Screening in Pregnant Women Conducted by Midwives or Cadres

10. Ardo Sabir Using Flavonoids as a Natural Products With High Pharmacological Potency to Improving Oral Health

11. Ardo Sabir Rat dental pulp tissue reaction after capped with propolis derived non-flavonoids extract

12. Ariadna A Djais, Tut Wuri Andajani, Ria Puspitawati, Pradono Suhardi, Ratna Arietta

The Modified Rapid Identification of Streptococcus mutans of OralBiofilm using Polymerase Chain Reaction (PCR) method

13. Aries Chandra Trilaksana

Treatment of Periapical Disorders With Apecresection

14. Armasastra Bahar Tooth Decay Score, Knowledge and Practice of the Children Aged 9 – 15 Years in Kelurahan Ome, North Maluku.

15. Audiawati, Siti Aliyah P Erosive Oral Lichen Planus : Clinical Features and Management in Children Patient (Case Report)

16. Auerkari EI, Adiwirya MSK, Widurini DS, Sandra F, Wicaksono BD

White Tea Extract Decreases Tumor Cell Viability by Inducing Apoptosis in Oral Squamous Cell Carcinoma in vitro

17. Aynie Yunita, Safrida Hoesin

Non-Vital Tooth Bleaching And Composite Resin Restoration With Fiber Post Of Discolored- Maxillary Central Incisor With Inadequate Previous Root Canal Treatment

18. Besse Tenri Awaru The Therapeutic Properties of Propolis in Conservative Dentistry and Endodontic Treatment

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19. Bintari Eska, Krisnawati Management of Ankylosed Teeth in Orthodontic Treatment 20. Boenjamin-

Partakusuma F, Ibrahim-Auerkari E, Dillon DH, Suharsini M

Anemia and underweight among Indonesian Schoolchildren with Angular Cheilitis

21. Budi Yuwono The Effect of Coffee Consumtions on Bone Wound Healing 22. Budi Yuwono, Abdul

Rochim The Effect of Vital Sign on Adrenalin Addition in Local Anaesthetic on Block Injection of Alveolaris Inferior Nerve

23. Christine A. Rovani Intracoronal Bleaching of discolored non-vital anterior tooth with Walking Bleach Technique (Case Report)

24. Desi Sandra Sari Calprotectin In Gingival Crevicular Fluids Correlates With Clinical Parameter And The Count Of Black-Pigmented Anaerobes Bacteria On The Aggressive Periodontitis

25. Devy Noviana, Ratna Meidyawati

Intentional Endodontic Treatment in Maxillary second molar as an Abutment Teeth for Fixed Partial Denture

26. Dewi Kristiana The effect of Averrhoa Bilimbi Leaf Extract as Denture Cleanser on The Transversal Strength of Acrylic Resin

27. Didin Erma Indahyani, Izzata Barid, Ari Tri Wanodya Handayani

Effect of Lemuru Fish oil on Tooth Structure Following Lipopolysaccharide-Induced Periodontal Infection During Odontogenesis in Rat

28. Dini Asrianti Esthetic Onlay as a Restoration of Choice in Post Endodontic Posterior Tooth (Case Report)

29. Dini Iswandari drg, MM Medical Disciplinary in the Context of Professionalism 30. Dwi Prijatmoko The Role of Body Composition in Determining Bone Maturity 31. Dyah Juniar Hymawatty The PFAPA Syndrome in Oral Medicine: Differential

Diagnosis and Treatment 32. Dyah Setyorini,

Sulistiyani Effectiveness of Fluoride Topical Application on the Number of Streptococcus Mutans Colony

33. E.M. Arief, A.K. Nazirah, A. Rehman

Arterial stiffness in gingivitis: a comparative cross-sectional study

34. Eddy Hermanto, Andri Hardianto

Peripheral Osteoma of the Mandible : a Case Report

35. Emy Ardana Resin Based Root Canal Sealer Combined With Self-Etching Bonding Agent

36. Erlina Sih Mahanani, Muhammad Firdaus Mohd Shuimi

The Odontoblast Density in the Crown and Root of Single Rooted Human Teeth

37. Erry Mochamad Arief, Akram Hassan, Raja Azman Awang

Prevalence, Causes, Problems and Treatment Needs of Gingival Recession: An update

38. Febriana Setiawati Sugito

The Pattern of Severe-Early Childhood Caries (S-ECC) of Children Under Three Years Old in DKI Jakarta

39. Febrina Rahmayanti, Yuniardini S Wimardhani

Aphthous Like Ulcers in Patient with Gastrointestinal Disorder (A case report)

40. Femmy Riyeni Puteri, Hendrarlin Soenawan

Fiber-Reinforced Composite as A Fixed Space Maintainer : A Case Report

41. Ferry Jaya, Yosi Kusuma Eriwati Effect of Surface Treatment On Adhesion to Dentin

42. Ferry P Gultom Use Neighbour Joinning Technique to Inactivate Gene cdt Aggregatibacter Actynomicetemcommitans Bacteria

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43. Ganesha Wandawa, Dewi Nurul Mustaqimah, Elza Ibrahim Auerkari,Suyanto Sidik

Hyperbaric Oxygen Therapy as Alternative Adjunctive Therapy in Chronic Periodontitis Treatment

44. Helsa Ramelya, Heriandi Sutadi

Management of Radicular Cyst and Fibrous Epulis in a 11-Year Old Girl (A Case Report)

45. Henny O. Danan Behaviour Management in Uncooperative Children Due to Dental Treatment (Case Report)

46. Hesti Witasari, Munyati Usman

Case report: Endodontic Retreatment using Retreament Rotary systems

47. Himawan Halim Space Regainer in Orthodontic Treatment Using Pendulum Appliance

48. Hutasoit E, Ismah N, Soegiharto BM

The Effectiveness of Sodium Hyaluronate on Healing of Traumatic Ulcer Caused by Fixed Orthodontic Appliances

49. I Dewa Ayu Ratna Dewanti

Neem leaves (Azadirachta indica) Improved Oral Mucosa Defense Mechanism Against Candida albicans

50. Iin Eliana Triwahyuni Effect of Immunosupression and C.albicans Infection to The Macrophage Phagocytosis Activity

51. Imelda Sriulina Sinulingga, Himawan Halim

Compromised Treatment of Skeletal Class III Malocclusion in Adult

52. Indah Ekasari, Faruk Hoesin

Treatment of severe crowding case

53. Irene Winata, Maria Purbiati

The Role of Cone Beam Computed Tomography (CBCT) in Orthodontics

54. Irmaleny, Narlan Sumawinata, Dewi Fatma, Marline Abdassah

Acute Toxicity Test of an Analgesic Herbal Jatropha Curcas L. Latex on Animal Models

55. Isnandar, Kasman Manullang, Hendro S. Yuwono

Marginal Resection of Cemento-Ossifying Fibroma on Mandible Anterior Region (A Case Report)

56. Iwan Dewanto, Medi Septario

Description of Infection Control Implementation Toward Dental Practice in Yogyakarta City

57. Jeffrey Limanto, Himawan Halim

Management of Dental Anterior Open Bite with Tongue Thrust Habit Using Combination of Tongue Crib and Manipulation Braket Placement ( Case Report)

58. Jummyanto Pareang, Andi Sumidarti Anas

Comparison of Antibacterials Activity of Citronella Essential Oil (Cymbopogon winterianus) and Cinnamon Essential Oil (Cinnamomum burmanii) to the Growth of Bacteria Found in Caries.

59. Juni Jekti Nugroho Management of Non Vital Immature Teeth (Case Reports and Review)

60. Jusuf Sjamsudin Orthognathic Surgery in Orthodontic, Why & When (Case Report)

61. Kemala. N Treatment of Non-Vital Tooth Discoloration using Internal Bleaching Technique

62. Kussulistyowati Putri W, Benny M. Soegiharto

Botox Injection as an Alternative Treatment For Excessive Gingival Display (Literature Review)

63. Leliana S Devi AP Management Treatment of Class II Division 1 Malocclusion with Multiple Diastemas in Lower Arch (Case Report)

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64. Leliana S Devi AP, Rina Sutjiati

Corrosion Behavior of Titanium Orthodontic Wire

65. Lina Handayani The Treatment of Central Diastema With Limited Fixed Orthodontic Appliance (Case Report)

66. Lisa R. Amir Bone Substitute and Injectable Scaffold-Stem Cell Based Therapy for Bone Tissue Engineering

67. Lusi Hidayati The Increase of Gingival Sulcus of Gingival Sulcus Volume and Calprotectin Degree on Abutment Teeth Fixed Partial Denture

68. Marcia, Gus Permana Subita

Management of Necrotizing Ulcerative Gingivitis Related to Chronic Lymphocytic Leukemia (A Case Report)

69. Maria Davina, Dewi Anggraini Margono

Case report: Two Types of Endo-Perio Lesions in One Mouth

70. Maria Purbiati Indratoto, Laura Susanti Himawan

Occlusion and Temporomandibular Joint on Normal and Asymmetrical Faces in Orthodontic Perspective

71. Marta Juslily, Mita Juliawati

Establish an Emotional Connection between Patient and Dentist to achieve High Performance Dental Practice

72. Marty Adani, Faruk Husein

Deep Over Bite Correction in Class II Division 2 Malocclusion Using Reverse Curve Arch Wire

73. Mei Syafriadi, Siska Yumira, Pratiwi Eka Muhardini, Riza Dwijayanti

Manifestations, Treatment Modalities and Prognosis of Oral Cancer In East Java From 2004 – 2008

74. Miesje Karmiati Purwanegara

Early Detection of Mouth Breathing as a Bad Habit

75. Mindya Y, Hedijanti J, Niniarty Z.D

pBMP-2 Transfection into an Odontoblastic Lineage Cell as a Stem Cell Contribution for Regenerative Dentin Formation

76. Mita Juliawati , Marta Juslily

The Role of Human Resource Management in Dental Practice

77. Muhammad Nurul Amin The Role of Osteoclast and Osteoblast in Accelerating Orthodontic Tooth Movement

78. Nila Alya Maulidina, Heriandi Sutadi

Early Extraction of Two Upper Deciduous Teeth Presented With Bilateral Conical Type Supernumerary Teeth on a 7 Years Old (Case Report)

79. Novandyta Hapsari, Nila Kesuma

Endodontic Therapy Through Artificial Crown

80. Novrinda H, Andreas P, Rahardjo A, Darwita RR

Participation of Midwives in Maintaining Oral Health During Pregnancy at Kecamatan Serpong - A Six Month Evaluation

81. Nurlailia DS, Zainul Cholid, Mei Syafriadi

The Pre-Erupted Study of Mandibular Third Molar Inclination Among 14 to 17 Year Old

82. Olivia Pribadi, Erwin Siregar

Bone Density as A Factor That Influence Orthodontic Mini-Implants Stability (Literature Review)

83. Palupi Kumara Sari Upper airway obstruction caused by odontogenic infection (Case Report)

84. Patricia Iskandar, Haru Setyo Anggani, Retno Widayati

Patient's Knowledge About The Benefits and Side Effects of Orthodontic Treatment in RSGMP FKG UI

85. R. Indriutami. N. Sumawinata

Endodontic Treatment on Mandibular First Premolar with Weine Type 4 Configuration

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86. Rasmidar Samad, MS, Ra’idah Bulu,Herman Yapardi

Parents Perception Related to Impact of Children Dental and Oral Health to Quality of Life of Their Children in Urban and Rural Areas in Makassar Municipality

87. Ratna Farida, Endang Bachtiar , Melissa, Jeng Seriana, Rina Septriani.

The Effect of Gel Containing Anti Streptococcus mutans Serotype-C IgY on the Formation of S.mutans Biofilm (in vitro)

88. Renta Frianty, Krisnawati

Treatment of protusion and open bite case with extrusion upper molar using transpalatal arch as anchorage

89. Ria Puspitawati, Aurelia Aurelia, Felicia Kathleen, Inez Hanida, Stefani Pramudita, Lakhsmi A Leepel

Ethanol Extract and Volatile Oil of Curcuma xanthorrhiza Roxb Inhibit Phospholipase Activity and Growth of Candida albicans

90. Rina Sutjiati, Iin Eliana Triwahyuni

Decreasing of The Total Number of Cervical Lymph Node Cells Caused By Immunosupression and Candida albicans Infection

91. Risqa Rina Darwita, Febriana Setyawati, Herry Novrinda, Iradani Yupitaningrum

Work Stress And Periodontal Disease

92. Rizka Kusumah Adriani, Daru Indrawati

Non-vital Tooth Whitening Treatment with the Walking Bleach Technique using 35% Hydrogen Peroxide Gel: Case Report

93. Siti Aliyah P Patient Education and Stringent Follow-Up Influencing The Outcome of Steroid-Treated Erythema Multiforme (Case Report)

94. Sitti Andi Rahmayanti Laya

Descriptive results of digital dentistry readiness among Dental Practitioners in Malaysia

95. Sri Utami, Sri Rejeki, BM Bachtiar, Purwita Nurwidyastuti

Effect of Xylitol Chewing Gum on Protein Concentration of Salivary Mutans Streptococci

96. Sudibyo, Dwi Hariyanto Personal Soft Skills in Dentistry 97. Sulistiyani, Roedy Budi

Raharjo Cleft Lip and Cleft Palate in Children: Description and the Treatments

98. Sumintarti, Erni Marlina Oral Traumatic Ulcer 99. Suzan Elias One Visit Bridge Using Fiber Reinforced Composite 100. Susilowati Expression of Matrix Metalloproteinase-8 (MMP-8) Gene in

Gingival Crevicular Fluid During Distalization of Upper Canines

101. Tetiana Haniastuti Immunohistochemical Study of the Innervation of Human Carious Teeth Using Protein Gene Product 9.5

102. Tina Anggriany Halim Creating Beauty and Natural Smile with Composite 103. Tita Ratya Utari The Treatment of Anterior Tooth Crowded Case of Upper

Jaw with Dental Transposition Between Canine and Lateral Incisor Tooth by Fixed Appliance

104. Trijani Suwandi The Initial Treatment of Mobility Teeth and Closure Diastema in Chronic Adult Periodontitis

105. Vega Roosa Fione, Anton Rahardjo

Probiotic Chewing Gum For Prevention Of Halitosis

106. Wahdaniah Masdy Use Amalgam Bonding Sistem as Core Post Endodontik 107. Wazillah Nasserie Laminin Imunoexpression as Occurrence Indicator of

Dentinal Bridge on Calcium Hydroxide Pulp Capping

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108. Widurini, Tut Wuri Andajani, Sarwono AT, Arifa

Anti-Inflammatory Activity of Outer Layer Aloe Barbadensis Leaf Extract on Accelerate Healing Process of Oral Mucous Ulceration

109. Widurini.DS. Sarwono AT, Septiana NS, Auerkari EI

The Effect of Black Cummin Aplication to Oral Mucous Inflammation

110. Willyanti Syarif Relationship between Birth Weight and Enamel Defect Probability in Small Gestational Age Children

111. Wita Anggraini The Anatomical Principles of Bruxism Management 112. Yufitri Mayasari,

Armasastra Bahar Dental Caries as an Infectious Disease and Its Relationship with a Window of Infectivity

113. Zahreni-Hamzah The Local Soy-Milk-Honey As A Good Nutrition For Mandibular Health In Geriatric Patiens

114. Zahreni-Hamzah, Didin Erma Indahyani, Peni Pujiastuti

The role of Local Soy-Milk-Honey on Prevention Mandibular Bone Damage in Rats

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SCIENTIFIC PRESENTATION - 01

SEX IN DENTISTRY

Abdul Rochim Oral and Maxillofacial Surgery Department Faculty of Dentistry Jember University

Pain is an unpleasant sensory and emotional experience associated with actual or potential

damage, and usually pain is eliminated by using analgesic. Sex produces endorphin, a material looks like morphine as sharp analgesic. Objective: The aim of this study was to compare pain perception relief of patients undergoing severe dental pain medication using amoxicillin+NSAIDs vs. medication using amoxicillin+NSAIDs+SEX. Materials and Methods: The subjects of the study were thirty-two married patients with acute severe dental pain and self medicated drug (amoxicillin, NSAID’s).The subjects were divided into two groups, consisting of 16 patients each group with medication using amoxicillin+NSAIDs with SEX or without SEX. Patients were randomly assigned to receive the medication. Two days after the medication, they were assessed using 2 indexes. The first index was the pain relief index with the score of 0= no relief, 1= mild; 2= good; 3= very good; 4=excellent. The second index was the pain intensity index with the score of 0= no pain; 1= mild; 2= moderate; 3= severe. Results: There were significant differences clinically and statistically on pain relief of the medication with sex greater than those without sex (p<0.05). The group with sex assessment pain relief: 10 excellences, 4 very good, and 1 good, and the group without sex only: 1 very good, 5 good, 8 mild and 1 no relief. There were significant differences clinically and statistically on pain intensity of medication with sex better than those without sex p<0.05. The group with sex assessment pain intensity: 5 no pain and 10 mild, and the group without sex only 6 mild, 8 moderate and 1 severe. Conclusion: Medication in dental pain with SEX combination is better than medication without SEX combination. Keywords: Dental pain, sex, pain intensity, pain relief.

SCIENTIFIC PRESENTATION – 02

ORAL SQUAMOUS CELL CARCINOMA WITH HPV INFECTION

WITHOUT p53 AND cmyc MUTATION

Adi Prayitno1, Muharjo1, Poernomo Suryohudoyo2, Suhartono Taat Putra2

1Medical School of Sebelas Maret University 2Medical School of Airlangga University

Background: In distress situation and the presence of HPV stressor effect, denaturation of proteins may occur and respond by expressing stress proteins for homeostasis purpose. In distress situation as new homeostasis was ensue obstacle of apoptosis and to raise cell proliferation with to induce carcinogenesis. Objectives: The aim of this research was to identify the p53 and c-myc mutation in OSCC with HPV infection. Materials and Methods: Frozen tissue biopsy sections were taken from BOSC and OSCC patients collected from Oral and Dental Departement of dr Muwardi Distric Hospital in Surakarta from January 2007 to January 2008. To amplify L1-HPV gene for fixed the HPV stressor. To amplify p53 and c-myc genes, continued with SSCP analysis and followed with measurement using densitometer, to see mutation existence. The collected data were analyzed using chi-square test. Results: BOSC patient identified 23% with HPV infections and

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OSCC patient identified 73% with HPV infections. One hundred percent BOSC patient with HPV infection without mutation in p53 gene and c-myc gene, 81% OSCC patient with HPV infection without mutation in p53 gene and 91 % OSCC patient with HPV infection had without mutation in c-myc gene. Conclusion: There were significant differences between BOSC and OSCC with HPV infection in mutation of p53 and c-myc gene. Keywords: Carcinogenesis; OSCC; p53; cmyc; mutation

SCIENTIFIC PRESENTATION - 03

THE INFLUENCE OF BISINDOLYLMALEIMIDE GF 109203X OR PHORBOL MYRISTIC ACETATE IN MACROPHAGES PHAGOCYTOSIS ACTIVITY TOWARD CANDIDA ALBICANS

Adi Prayitno 1, Widya Asmara 2, Muhardjo 1, Suhartono Taat Putra 3 1 Medical School of Sebelas Maret University 2 Veteriner School of Gajah Mada University

3 Medical School of Airlangga University

Aim: The purpose of this experiment was to know the influence of bisindolylmaleimide (GF 109203x) as protein kinase C inhibitor and phorbol myristic acetate (PMA) as protein kinase C activator in phagocytosis activity toward C. albicans. Methods: The experimental design used the method of factorial and orthogonal polynomial. The culture of peritoneal macrophage derived from BALB/c mice treated with bisindolylmaleimides or PMA concentration varied from 5 ng/ml to 100 ng/ml for 10 minute. Then the C. albicans as an antigen was added and observed after every 30 minute for 120 minutes. The data observed consist of the number of C. albicans thet were attached or complete phagosome. Two Way Anova was used to analyze the interaction of the manipulation. Results: Statistical test showed a significant differences in the number of C. albicans that were attached on outer cell and the number of C. albicans trapped into complete phagosomes, at different GF 109203x or PMA concentration (p<0,001) and different observed time (p<0,001). Conclusion: GF 109203x inhibited the phagocytosis activity and PMA activated the phagocytosis activity. Suggestion: Further experiment in protein kinase C as an important proteins in signal transduction pathway, especially in fungi infection, was suggested. Keywords: Macrophages; C. albicans; PKC; Bisindolylmaleimides; PMA.

SCIENTIFIC PRESENTATION - 04

NON-EXTRACTION TREATMENT OF CLASS III MALOCCLUSION WITH ANTERIOR

CROWDING

Agi Ardianti1, Maria Purbiati2 1 Resident of Orthodontic, 2 Lecturer of Orthodontic

Faculty of Dentistry, University of Indonesia

This case report described the treatment of a patient with skeletal class III malocclusion with anterior crossbite and crowding, accompanied with hyperdivergent and concave facial profile. The therapy for the patient was a non surgical, or a non-extraction camouflage therapy with a fixed orthodontic appliance. The treatment was done by protracting the maxillary incisors and minimum retraction of the mandibular incisors. After 20 months of treatment, no loss of alveolar process

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height of the protracted maxillary incisors occurred. A class I canine relationship and substantial facial profile improvement was gained. Keywords: Skeletal class III malocclusion, camouflage therapy

SCIENTIFIC PRESENTATION - 05

THE ROLE OF AUTOTRANSPLANTATION IN ORTHODONTIC TREATMENT (LITERATURE REVIEW)

Agnes Sukandar.* Nia Ayu Ismaniati**

*Resident of Orthodontics, Department of Orthodontics **Lecturer of Department of Orthodontics

Faculty of Dentistry, University of Indonesia

The absence of teeth, either congenital or due to caries or trauma, presents a challenge for orthodontist. Orthodontic space closure and prosthetic replacement, either removable denture ,bridge or implant are the main solution for this problem, but sometimes patients don’t want to use any prostheses. Another cases that also put a challenge in orthodontic treatment are the impacted and ectopic teeth, especially in maxillary canine and mandibular third molar. Auto-transplantation is one of the option to solve this problem. Auto-transplantation is the transfer of an organ or tissue from one site to another in one individual. With auto-transplantation, patients don’t have to use prostheses or spending a lot of time in closing the space with orthodontic space closure. Auto-transplantation can reposition the impacted or ectopic teeth in the correct position without having a long term treatment. Many clinicians have proven the successfulness of auto-transplantation, as long as auto-transplantation is done by the right procedure. There are several conditions that we have to concern in order to have a good result in auto-transplantation, such as root development of the donor teeth, extraction and operation technique and also the recipient space and condition. Keywords: Missing teeth, ectopic, impacted teeth, auto-transplantation.

SCIENTIFIC PRESENTATION - 06

THE ABILITY OF CANDIDA ALBICANS TO ADHERE ON ACRYLIC RESIN AND VALPLAST DENTURE BASE

Amiyatun Naini and Suhartini.

Faculty of Dentistry, Jember University

Introduction: The function of dentures are for chewing and esthetics purposes. Acrylic resin for denture is more rigid than other materials and uses metal wires for clasps that reduce the esthetics. A new material called Valplast is more flexible, color matching, thinner, lighter, and without using wires for attachment than acrylic resin. Plaque and food debris can adhere to dentures which can increase the amount of Candida albicans and cause denture stomatitis. Objectives: The aim of this study was to investigate the amount of candida albicans in the acrylic resin and valplast denture base and to evaluate the adherence of candida albicans in the acrylic resin and the valplast denture base. Methods: Samples of acrylic resin and valplast plates (10x10x1 mm) were sterilized in an autoclave at 1210C for 18 minutes, then soaked in sterile saliva for 1 hour, and then cleaned by PBS twice for 15 minute each. The samples were then

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contaminated by candida albicans suspension and were incubated at 370C for 24 hours. They were then entered in 10mL Subaraud’s broth, vibrated by thermolyne for 30 seconds. The candida albicans were counted by using spectrophotometers. Results: The mean scores of candida albicans in acrylic resin were 3,1x108 and 3,5x108, and the statistical test resulted the probability of 0.00 (p<0.05) on 95 % significant level. There were significant differences of candida albicans mean scores in acrylic resin and valplast denture bases. Conclusion: The amount of candida albicans in the valplast denture base was significantly higher than in the acrylic resin denture base. It was suggested that intensive plaque control is needed for valplast denture base Users. Keywords: acrylic resin, valplast, candida albcans

SCIENTIFIC PRESENTATION – 07

SELF SYNTHESIS AND MICROSTRUCTURE CHARACTERIZATION OF Al-Si-Zr NANOPARTICLE FOR RESIN DENTAL FILLER

WITH PRECURSOR METHOD

Angela Evelyna*, Bambang Sunendar Purwasasmita**, Nina Djustiana***, Zulia Hasratiningsih***

* Program of Master of Science Program, Faculty of Dentistry Padjadjaran University, ** Department of Materials Science, Institute Technology of Bandung, *** Department of Dental

Materials Science, Faculty of Dentistry Padjadjaran University

Introduction: Although the science and technology of dental materials is well developed globally, but Indonesia still has not made its own dental materials yet, particularly esthetic restorative dental materials. The demand of these materials in our country is very high, while the supplies are very depended on imported products. Nowadays the most popular restorative materials are dental composite. One of the constituent of this material is inorganic filler particles. The fillers are metal oxide nano-particles that used to reduce polymerization shrinkage and coefficient of thermal expansion and to increase mechanical properties. Precursor method of sol-gel technique with merang as template could be used to synthesize this nano-particle more effectively. Purpose: The aim of this study was to synthesize Al-Si-Zr nano-particles using sol-gel technique with precursor method and merang pulp template and characterize its microstructure. Materials and Methods: Three precursors of Aluminium nitrat nanohidrat (Al(NO3)2.9H2O), Tetra ethyl ortho silicate (TEOS), and Zirconium chloride (ZrCl4) were synthesized with sol-gel technique using merang pulp template to produce Al2O3, SiO2 and ZrO2 metal oxides. The microstructures of this metal oxide were characterized using X-Ray Diffraction (XRD) and Scanning Electron Microscope (SEM). Results: The average size of metal oxide particles produced was 41.67 nm and the microstructure was well dispersed. Conclusion: The synthesis of Al-Si-Zr metal oxide particle using sol-gel technique and precursor method with merang pulp as template resulted dispersed nano sized filler particles that could be used as dental restorative resins fillers. Keywords: Al-Si-Zr ceramic, nanoparticle filler, sol-gel

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SCIENTIFIC PRESENTATION – 08

CASE REPORT CONVENTIONAL RETREATMENT ON A MAXILLARY FIRST MOLAR WITH BROKEN

INSTRUMENT IN MESIOBUCCAL CANAL

Anna Ferlinasari *, Kamizar** *post graduate student, conservative dentistry, Faculty of Dentistry, University of Indonesia

**lecturer, conservative dentistry, Faculty of Dentistry, University of Indonesia

Root canal treatments can be complicated by procedural accidents happened during the treatment. This leads to a failure in eliminating microorganisms in the canal. A case of 48 year old female with an incomplete root canal treatment in the right first mandibular molar with apical periodontitis, and broken instrument in the mesiobuccal canal will be discussed. A conventional retreatment was conducted with bypass approach and the canal be cleaned, shaped, and obturated through the working length. The prognosis of such a case depended on the bypass procedure.

SCIENTIFIC PRESENTATION – 09 VALIDITY AND RELIABILITY OF QUESTIONNAIRES AS THE INSTRUMENT FOR SEVERE

PERIODONTAL DISEASE SCREENING TO PREGNANT WOMEN CONDUCTED BY MIDWIVES OR CADRES

Anton Rahardjo

Dept. of Preventive and Public Health Dentistry Faculty of Dentistry University of Indonesia.

Introduction: The severity of periodontal disease increases the risk of pre-term labor and low-weight babies. Despite the fact, periodontal disease screening in community has been hardly conducted due to limited resources. The aim of the study was to evaluate the validity and reliability of severe periodontal disease screening in pregnant women using a questionnaire that conducted by midwives or cadres. Methods: Subjects were sixty-eight pregnant women aged 20-32 years-old, who visited Posyandu and Puskesmas Serpong. Bleeding on probing (BOP) was measured using periodontal probes (VIVACARE TPS PROBE, Liechtenstein). The subjects were divided into 2 groups (BOP +/ BOP -) based on having BOP positive in at least 1 tooth site. Nine questions about gums bleeding experiences during 6-7 months of pregnancy were used as an instrument that will be tested. Results: The Receiver Operating Characteristic (ROC) curve was plotted to decide the best cut off point of the BOP positive. The best cut-off point of the questionnaire that answers, “Yes” was 2, and the sensitivity and specificity of this cut-off point were 69.1 % and 46.6 % respectively. These findings suggested that questionnaire for pregnant women may be useful on mass screening for periodontal disease in pregnant women population. Keywords: Screening instrument, questionnaire, periodontal disease, pregnant women, midwives, cadres.

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SCIENTIFIC PRESENTATION – 10

USING FLAVONOIDS AS A NATURAL PRODUCTS WITH HIGH PHARMACOLOGICAL POTENCY TO IMPROVING ORAL HEALTH

Ardo Sabir Faculty of Dentistry, Hasanuddin University

Flavonoids are a widely distributed group of polyphenolic compounds characterized by a common benzo-γ-pyrone structure, and are ubiquitous in photosynthesizing cells. It is widely spread in the plant kingdom and currently consumed in large amounts in the daily diet. A myriad of nutritional benefits has been attributed to these phytochemicals. For centuries, laymen and physicians have used preparations containing flavonoids as the principal physiologically active constituents, in attempts to treat human diseases. Flavonoids are capable of modulating the activity of enzymes and affect the behavior of many cell systems. It is reported that this compound may possess significant antibacterial, anti-inflammatory, antioxidant, vascular protection and even anticarcinogenic activities. Therefore, the aim of this review is to discuss the structure and classes of flavonoids, the biosynthesis of flavonoids, the pharmacokinetics and pharmacodynamics of flavonoids. It also review the few existing reports on biological and pharmacological activities of flavonoids to stimulate the interest of clinicians to make further investigations on the therapeutic application of these natural compounds to improve oral health.

Keywords: flavonoids, pharmacological potency, oral health.

SCIENTIFIC PRESENTATION – 11

RAT DENTAL PULP TISSUE REACTION AFTER CAPPED WITH PROPOLIS DERIVED NON-FLAVONOIDS EXTRACT

Ardo Sabir

Department of Conservative Dentistry Faculty of Dentistry, Hasanuddin University

Propolis is a resinous material collected by honey bees from various plants. Many researches have been showed that it has antibacterial and anti-inflammation activities. Flavonoid is the main of chemical substance in propolis that has inhibit bacterial growth and reduce the release of free radicals, suggesting that this component has anti-bacterial and anti-inflammatory properties. However, there is another chemical substance in propolis that may shows antibacterial dan anti-inflammatory activities. Therefore, the purpose of present study was to assess the rat dental pulp tissue reaction after capped with propolis derived non-flavonoids (NFP) extract. Non-flavonoids substances were purified from an ethanol extract of propolis obtained from South Sulawesi, Indonesia. A Class I cavity was prepared on the occlusal surface of the right maxillary first molar in Spraque-Dawley rats. The dental pulp was exposed and then capped with a zinc oxide-based filler as a control (group I), or NFP (group II). Then, each cavity was filled with glass ionomer cement. The animals were sacrificed at week 1, 2, or 4. Biopsy samples were obtained, and these were stained and viewed by light microscopy. The histological examination was based on the presence of polymorph nuclear leukocytes and macrophages. The results showed that pulp inflammation occured in both group as early as week 1. However, the inflammation occured in group II was relatively milder compared to group I at all time period. Therefore, the present results suggest that application of NFP extract on rat’s dental pulp tissue may inhibit inflammatory process.

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Keywords: non-flavonoid, propolis, dental pulp, rat.

SCIENTIFIC PRESENTATION – 12

THE MODIFIED RAPID IDENTIFICATION OF STREPTOCOCCUS MUTANS OF ORALBIOFILM USING POLYMERASE CHAIN REACTION (PCR) METHOD

Ariadna A Djais, Tut Wuri Andajani, Ria Puspitawati, Pradono Suhardi, Ratna Arietta

Oral Biology Department, Faculty of Dentistry Universitas Indonesia

Streptococcus mutans is the major etiological factor of dental caries. The standard procedure to identify this bacteria are among others by using cultivation technique. However, it is material and time consuming. Based on the ability of DNA precipitation by Ethanol absolute, the same principle were used to modify the standard procedure. The purpose of this study is to modify the identification of Streptococcus mutans method by Ethanol absolute without cultivating with any specific culturing media. Oral biofilm are collected using sterile excavator as much as 1 mg weight respectively. The sample were put into 1.5 ml Ependorf tubes which contained 1 ml Ethanol absolute, then mixed it well. Collecting the pellet after centrifugation, extracted DNA by InstaGene Matrix kit by using standard procedure. The purity and estimation the amount of DNA was measured by A260 and A280 of Spectrophotometer. Detection of Streptococcus mutans using polymerase Chain Reaction method, using primer GTFB-R and GTFB-F. The PCR product were visualized by using ELISA and staining with Ethidium Bromide. The procedure method were cultivated on TYS20B and detection the colonies bacteria using PCR method. The purity DNA was showed (1.72-1.82) and the amount of DNA was showed (824 -1048) ng/ul. One hundred percent (10/10) samples could detect Streptococcus mutans. The standard procedure using cultivation on TYS20B and detection using PCR method has shown the same results. The modification method using Ethanol absolute without cultivation are able to be any used as rapid identification of Streptococcus mutans of Oral Biofilms

SCIENTIFIC PRESENTATION – 13

TREATMENT OF PERIAPICAL DISORDERS WITH APEX RESECTION (CASE REPORT)

Aries Chandra Trilaksana

Departement of Conservative Dentistry, Faculty Of Dentistry, Hasanuddin University

Apex resection is one of the treatment performed in endodontic surgery to curettage apical or root resection. Apecresection was conducted to remove necrotic tissues and to close root apical directly after obturation. This was the case report of a male patient with symptoms of sore at front teeth and his gums were swollen. The clinical examination and dental x-rays showed that the teeth of 11 and 12 had periapical disorders because of dental trauma on traffic accidents. Apecresection was carried out because root canal never dried from the liquid that made it difficult for a root canal filling. Apecresection followed by obturation were carried out at the same time. Observation after the treatment showed the healing process in the previously impaired periapical areas. Keywords: Apecresection, Endo surgery, Periapical disorders

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SCIENTIFIC PRESENTATION – 14 TOOTH DECAY SCORE, KNOWLEDGE AND PRACTICE OF THE CHILDREN AGED 9 – 15

YEARS IN KELURAHAN OME, NORTH MALUKU

Armasastra Bahar Dept. of Preventive and Public Health Dentistry

Faculty of Dentistry University of Indonesia.

Kelurahan Ome is located in remote area of North Maluku with a population of 1632 people. Elementary School students in Kelurahan Ome for a long time had not received school dental services (UKGS), which raised the concerns on the lack of knowledge and practice on oral and dental health maintenance of school aged children. Aim of this study was to find out the condition of oral hygiene, knowledge and practices of the children aged 9-15 years in Kelurahan Ome. From 34 children, 18 boys and 16 girls, the average of tooth decay score was 1.88 and there was no significant difference between boys and girls (p> 0.05). When the children had dental problem, most of them were seeking dental treatment by themselves using OTC drugs. Most of them did not know the causes of dental caries, and when they had tooth decay, they thought it had to be extracted. Based on these findings, dental health education and preventive program as a part of the school dental services (UKGS) must be activated. Keywords: UKGS, oral health condition, knowledge, practice, school children

SCIENTIFIC PRESENTATION – 15 EROSIVE ORAL LICHEN PLANUS: CLINICAL FEATURES AND MANAGEMENT IN CHILDREN

PATIENT (CASE REPORT)

Audiawati *, Siti Aliyah P**

Oral Medicine Department, Faculty of Dentistry, Universitas Indonesia

Oral lichen planus (OLP) is a chronic inflammatory disease affecting stratified squamous epithelia which can cause morbidity with unknown aetiology. Oral lichen planus (OLP) presents a variety of clinical presentation including reticular, atrophic, plaque, erosive and ulceration lesion. Oral lichen planus (OLP) affects women than men and occurs predominantly in adults over 40, although younger adults and children may be affected. We reported a rare case of OLP in 16 years old children female patient in Oral Medicine Department Cipto Mangunkusumo Hospital that was diagnosed of having erosive OLP augmented on reticular type and complained about school related stress. In erosive OLP, the main problem is chronic pain complained by most of the patient and is the reason for seeking professional helps. Management of this patient included the application of high potency topical corticosteroid e.g 0.05 % clobetasol proprionate and Topical 0.1% Tretinoin with good improvement and stress management with counseling to professional. Since OLP is a form of chronic disease, it is important to re-examine periodically to reduce the risk to oral cancer. Keywords: Erosive Oral Lichen Planus, Children, Management.

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SCIENTIFIC PRESENTATION – 16

WHITE TEA EXTRACT DECREASES TUMOR CELL VIABILITY BY INDUCING APOPTOSIS IN

ORAL SQUAMOUS CELL CARCINOMA IN VITRO

Auerkari EI1, Adiwirya MSK1, Widurini DS1, Sandra F2, Wicaksono BD2 1 Dept of Oral Biology, Faculty of Dentistry, University of Indonesia

2 Stem Cell & Cancer Institute

Background: White tea is made from young leaf buds of the tea plant (Camellia sinensis). In previous studies, white tea has been suggested to inhibit colon cancer precursor cells. Objectives: This study aimed to determine the effects of white tea extract on SCC cells lines HSC-2 and HSC-3 originated from Squamous cell carcinoma (SCC). Methods: Antioxidant activity of white tea was measured using the DPPH method. To check SCC cell viability and apoptosis, HSC-2 and HSC-3 cells were exposed to white tea maceration extract at concentrations of 50, 100 and 400 µg/mL. The cell viability was measured by trypan blue exclusion method. The percentage of cells at Sub-G1 in the cell cycle was measured with sub-G1 apoptosis assay using flow cytometry. Results: The results showed an antioxidant activity of white tea of 453.3 mg AEA/100 g sample. A significant reduction in cell viability (p<0.05) was observed at white tea extract concentration of 400 µg/mL for both SCC cell lines, with IC50 value of 259.4 µg/mL for HSC-2 cells and 365.3 µg/mL for HSC-3 cells. The percentage of cells at sub-G1 cell cycle showed a significant induction of apoptosis (p<0.05) at the concentration of 400 µg/mL for both cell lines. Conclusion: White tea showed high antioxidant activity. Exposure to white tea extract at sufficient concentration significantly reduced SCC cell viability and induced apoptosis in the SCC cell lines HSC-2 and HSC-3. Further study is needed to clarify parallel benefits in vivo. Keywords: white tea, DPPH, cell viability, apoptosis, sub-G1 apoptosis assay.

SCIENTIFIC PRESENTATION – 17

NON-VITAL TOOTH BLEACHING AND COMPOSITE RESIN RESTORATION WITH FIBER POST OF DISCOLORED- MAXILLARY CENTRAL INCISOR WITH INADEQUATE PREVIOUS

ROOT CANAL TREATMENT

Aynie Yunita*, Safrida Hoesin** *Post graduate student, Department of Conservative Dentistry,

**Professor of Conservative Dentistry, Faculty of dentistry, University of Indonesia

Introduction: The natural white of teeth is important aspect of smile and affecting individual attractiveness. When discoloration caused by necrotic pulp was occurred at anterior teeth, adequate root canal treatment and intracoronal bleaching is needed. Purpose: to report the proper intracoronal bleaching procedure and composite resin restoration with fiber post of discolored maxillary central incisor caused by necrotic pulp. Case: A 20 years old female patient complained that maxillary central incisor darkened since 4 years ago. Clinical examination showed grayish yellow coronal discoloration with discolored composite filling. There is no subjective pain neither tenderness to percussion or palpation. Radiographic examination showed inadequate previous root canal treatment with evidence of underfilling obturation and persistent apical radiolucency. Root canal retreatment was performed in 2 visits. One week after obturation, intracoronal bleaching

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procedure with walking bleach method was started. First, 2 mm of GIC base is applied as cervical seal. The access cavity should be shaped in such a way that remnants of restorative materials, root-filling materials, and necrotic pulp tissue are completely removed. Build up proximal mesial wall of cavity with glass ionomer cement. Cavity was cleaned with sodium hypochlorite, dried, and 35% hydrogen peroxide gel was applied. GIC was used as temporary restoration material. The bleaching agent was changed every 7 days. composite resin with fiber post was used as final restoration and performed minimum 2 weeks after the bleaching procedure has been finished. Result: Optimal result was obtained in 2 visits of bleaching ( 2 weeks). The colour was best matched with the adjacent teeth and esthetically satisfactory. Fiber post and composite restoration was used to strengthen and rehabilitate the normal function and completed the natural appearance of tooth. Conclusion: Intracoronal bleaching procedure and composite resin restorastion with fiber post was successfully effective to enhance patient’s smile.

SCIENTIFIC PRESENTATION – 18

THE THERAPEUTIC PROPERTIES OF PROPOLIS IN CONSERVATIVE DENTISTRY AND ENDODONTIC TREATMENT

Besse Tenri Awaru

Postgraduate Student of Conservative Dentistry, Faculty of Dentistry Hasanuddin University

Recently there have been trends of increased trust and awareness on natural products. A number of investigations had shown the benefits of propolis in conservative dentistry and endodontic treatment. Propolis had shown favourable laboratories effect when used as direct pulp capping agent, medicament in endodontic treatment, and anti caries agent, because propolis had shown to posses potent antimicrobial and anti inflamatory properties. This paper tried to trace out the propolis used in our specialty which will guide us to explore the possibilities of developing indigenous dental material and medicament with prosperous economic values. Keywords: propolis, medicament, anti caries, pulp capping .

SCIENTIFIC PRESENTATION – 19

MANAGEMENT OF ANKYLOSED TEETH IN ORTHODONTIC TREATMENT

Bintari Eska*, Krisnawati** *Resident of Orthodontics, **Lecturer of Orthodontics Department,

Faculty of Dentistry, University of Indonesia

Background: Ankylosis is a pathologic condition that can be found in the deciduous teeth and permanent teeth and can be an etiologic factor in the development of malocclusion. It is seen fairly often, particularly in lower primary molars. The etiology is still unknown, but several predisposing factors have been identified. Clinically, an affected tooth may manifest different stages of infraocclusion or even impaction depending on the developmental stage when ankylosis occurs. Objective: To several the pathogenesis, clinical findings, causes of ankylosed tooth, and various alternative treatments will assist in determine the diagnosis and proper treatment, so finally will result in successful orthodontic treatment. Reviews: Diagnosis of ankylosis is usually based on clinical findings but the most definitive diagnostic test is the failure of the tooth to move following the application of orthodontic forces.

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Several treatment options have been recommended for the management of ankylosed tooth. The treatment of ankylosed teeth depends several factors; type of affected tooth (deciduous or permanent tooth), degree of infraocclusion, age, patient compliance and on the developmental degree of the successor tooth. Keywords: Tooth ankylosis, orthodontic treatment

SCIENTIFIC PRESENTATION – 20

ANEMIA AND UNDERWEIGHT AMONG INDONESIAN SCHOOLCHILDREN WITH ANGULAR CHEILITIS

Boenjamin-Partakusuma F 1,2, Ibrahim-Auerkari E 1, Dillon DH 1, Suharsini M1,

1 University of Indonesia; 2 Trisakti University

Background: The occurrence of angular cheilitis is believed to be related to anemia, which is still prevalent among schoolchildren. Objectives: This work aimed to assess the relationship between anemia and anthropometric status with angular cheilitis, Methods: This cross-sectional study was conducted in East Jakarta, involving 607 schoolchildren aged 6-12 years. Each subject underwent assessments of height, weight and hemoglobin concentration. Anthropometic status were analyzed with WHO AnthroPlus. Capillary blood hemoglobin concentration was determined by Miniheim 523. Angular cheilitis was diagnosed when there was red lesions or cracks at the corners of the mouth. Results: The prevalence of underweight, stunting, wasting and anemia among the subjects was 27.3%, 9.6%, 18.3%, and 12.9%, respectively. Cheilitis was observed in 7.9% of the schoolchildren. The odds ratio for anemia and underwieight for angular cheilitis was 2.67 (p = 0.006; 95% C.I: 1.32, 5.36) and 2.01(p = 0.032; 95 C.I: 1.07, 3.83) respectively. Conclusions: Anemia and underweight were risks factors for angular cheilitis. Keywords: anemia, underweight, angular cheilitis

SCIENTIFIC PRESENTATION – 21

THE EFFECT OF COFFEE CONSUMPTIONS ON BONE WOUND HEALING

Budi Yuwono Departement of Oral and Maxillofacial Surgery,

Faculty of Dentistry Jember University

Objectives: The purpose of this study was to evaluate the effect of caffeine consumptions on bone wound healing in Wistar rats. Material and Methods: The study was an experimental laboratory research, and randomized post test only control group design was used. The samples were 3 months old male Wistar rats with weight of about 200 g. The 24 rats were divided into 4 groups: Group I was the control group (Co) and the other three groups were Group T1 that was treated with caffeine diet for 7 days, T2 for 14 days, and T3 for 21 days. The caffeine was given per oral using sonde with the dosage of 3.78 mg/100g/cc. After the treatment, all groups underwent a bone preparation with round bur on the alveolar crest in the mesial side of the lower right first molar and were let for 7 days. Then decapitation for jaw bone preparation for histological examination were counted for osteoblasts using light microscope. The data were analyzed using One-way Anova and LSD test. Results: The results indicated that there were significant decrease of the

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number of osteoblasts when consuming caffeine after 7, 14 and 21 days (p<0.05). Conclusion: It can be concluded that the longer caffeine intake, the lower the number of osteoblats in bone wound healing on Wistar rats. Keywords: Caffeine; Osteoblast; Bone healing

SCIENTIFIC PRESENTATION – 22

THE EFFECT OF VITAL SIGN ON ADRENALIN ADDITION IN LOCAL ANAESTHETIC ON BLOCK INJECTION OF ALVEOLARIS INFERIOR NERVE

Budi Yuwono*, Abdul Rochim*

Oral and Maxillofacial Surgery department, Faculty of Dentistry Jember University

Local anaesthetic is widely used in dentistry and commonly added with adrenalin. Adrenalin as vasoconstrictor is usually used to develop a greater effect of local anaesthetics, but there is also side effect on vital sign. This study was undertaken to know the effect on vital sign caused by addition of adrenalin 1:80.000 in local anaesthetic used for dental clinical use. Material and Methods: A total of 60 healthy students of Faculty of Dentistry Jember University were included in this randomized double blind clinical trial, divided into two groups, consisting of 30 students in each group. They were locally injected block anaesthesia on the inferior alveolar nerve. The blood pressure, the pulse, and the respiration were examined pre and post injection. Results: The mean scores of respiration pre/post test are 18.39/17.82 (p>0.05), pulse pre/post test are 82.04/84.32 (p>0.05), and diastole pre/post test are 73.79/73.79 (p>0.05). There were no clinical and statistical differences on the pulse, the respiration and the diastole between pre and post injection. The mean scores of systole pre/post test were 112.07/114.83 (p<0.05). There was statistical significant difference but no clinical difference between pre and post injection. Conclusions: The addition of adrenalin 1:80.000 in local anaesthetic was clinically safe on vital sign. Keywords: Adrenalin, systole, diastole, pulse, and respiration.

SCIENTIFIC PRESENTATION – 23

INTRACORONAL BLEACHING OF DISCOLORED NON-VITAL ANTERIOR TOOTH WITH WALKING BLEACH TECHNIQUE

(CASE REPORT)

Christine A. Rovani Department of Conservative Dentistry,

Faculty of Dentistry, Hasanuddin University

Dissemination caused by pulp extirpation or traumatically induced internal pulp bleeding into the dentinal tubules is a possible cause of discoloration of non-vital tooth. Discolorated tooth especially in the anterior region, could result considerable cosmetic impairment. One of the popular method commonly use is walking bleach technique. The walking bleach technique is performed by application of a paste containing 35% Hydrogen peroxide. The bleaching of the tooth is an alternative therapeutic method that is relatively non-invasive and conserves dental hard tissue. Two cases of patients with discolorisation on the right upper anterior teeth due to trauma and caries will be discussed. Diagnosis of the tooth was pulp necrosis, and root canal treatment

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was planned with intracoronal bleaching material to overcome the discolorisation. After root canal treatment was finished, walking bleach was carried out 2-3 times until the color of teeth resemble with the adjacent teeth. One month and three month evaluations after the treatment showed that the color was remain the same. Keywords: Intracoronal Bleaching, Walking Bleach, endodontic

SCIENTIFIC PRESENTATION – 24

CALPROTECTIN IN GINGIVAL CREVICULAR FLUIDS CORRELATES WITH CLINICAL PARAMETER AND WITH THE COUNT OF BLACK-PIGMENTED ANAEROBES BACTERIA ON

THE AGGRESSIVE PERIODONTITIS

Desi Sandra Sari* *Department of Periodontology, Faculty of Dentistry, Jember of University

Introduction: Calprotectin is a calcium and zinc-binding cytosolic protein which is

expressed in neutrophil during inflammatory event in the initial steps of inflammation. Plasma level of calprotectin is elevated in patient with bacterial infection. It exerts profound microbiostatic and modest microbicidal activities such as black-pigmented anaerobes. The black-pigmented anaerobes are found predominantly in deep periodontal pocket. In this study, we investigated the correlation between gingival crevicular fluid (GCF) calprotectin level with the clinical indicator (probing depth) and with the count of black-pigmented anaerobes bacteria. Methods: Probing depth at 12 sites of 12 subjects with aggressive periodontitis were examined, then GCF sample were collected using 2 sterile paperpoints for 30 seconds. The black-pigmented anaerobes were cultivated in the blood agar medium for 7-14 days. The calprotectin level was analyzed using ELISA. Results: The GCF calprotectin level increased approximately in proportion to probing depth (3-7 mm) and showed a significant positive correlated with probing depth (p<0.05). Black-pigmented anaerobes bacteria stimulates calprotectin release from neutrophil, and there were also positive correlations between the total content of calprotectin and the count of black-pigmented anaerobes bacteria (r = 0,669, p<0.05) Conclusion: The calprotectin level in GCF correlates well with the probing depth and black-pigmented anaerobes bacteria of aggressive periodontitis and it was suggested that calprotectin may be useful for evaluating the extent of periodontal inflammation. Keywords: Calprotectin; Probing Depth; Black-Pigmented Anaerobes Bacteria; Aggressive Periodontitis.

SCIENTIFIC PRESENTATION – 25

INTENTIONAL ENDODONTIC TREATMENT IN MAXILLARY SECOND MOLAR AS AN ABUTMENT TEETH FOR FIXED PARTIAL DENTURE

Devy Noviana1 and Dr. Ratna Meidyawati2

1 Postgraduate Department of Conservative Dentistry, 2 Department of Conservative Dentistry, University of Indonesia

The decision to extract a tooth is a part of the treatment planning and performed after

collecting data about the advantages and disadvantages. Failure to replace a missing teeth is

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assumed to disrupt the balance of the stomatognatic system and trigger a host of adverse consequences. Extracting a tooth without replacement not only impaired the chewing ability but also extrusion of an unopposed tooth into the edentulous space and tilting of the teeth adjacent. A case of intentional root canal treatment of a 65 years old female due to extrusion of anunopposed maxillary second molar will be discussed. Root canal treatment will guarantee the prognosis of the tooth as an abutment for fixed partial denture and treatment planning for the tooth to support the success of fixed partial denture. In this case profilactic dowel is necessary. Keywords: consequences of removal teeth, intentional root canal treatment, fixed partial denture

SCIENTIFIC PRESENTATION – 26

THE EFFECT OF AVERRHOA BILIMBI LEAF EXTRACT AS DENTURE CLEANSER ON TRANSVERSAL STRENGTH OF ACRYLIC RESIN

Dewi Kristiana

Department of Prostodontics, Faculty of Dentistry Jember University

Introduction: It has been believed for a long time, especially by Indonesian people, that the Averrhoa Bilimbi leaf has medical efficacy. S. mutans are the bacteria that mostly found in the plaque. The plaque on a denture may cause inflammation in mucosal tissue under the denture namely denture stomatitis. Aims: The purpose of this study was to evaluate the effects of Averrhoa Bilimbi leaf extracts used as denture cleanser with various concentration and immersion time on the transversal strength of acrylic resin. Methods: The samples were heat-cured resin acrylic plates that were immersed in Averrhoa Bilimbi leaf extract with concentration of 4%, 8%, and 16% for 2 days, 10 days and 30 days. Eight samples were immersed in each concentration, and samples control were immersed in distilled water. Universal Testing Machine was used to measure the transversal strength of acrylic resin . The data were analyzed using one way ANOVA and LSD Test. Results: The result showed that there were significant differences between the groups (p< .05) and there were significant differences on heat-cured resin acrylic plates immersed in Averrhoa Bilimbi leaf extract with concentration of 4%, 8%, 16% in the transversal strength between the various concentration and soaking duration. Conclusion: The extract of Averrhoa Bilimbi leaf of 16% concentration with the soaking duration of 30 days decreased the transversal strength of acrylic resin. Keywords: Heat cured acrylic, Averrhoa Bilimbi leaf, and transversal strength.

SCIENTIFIC PRESENTATION – 27

EFFECT OF LEMURU FISH OIL ON TOOTH STRUCTURE FOLLOWING LIPOPOLYSACCHARIDE-INDUCED PERIODONTAL INFECTION DURING ODONTOGENESIS

IN RAT

Didin Erma Indahyani1), Izzata Barid1) , Ari Tri Wanodya Handayani2) 1)Department of Oral Biology, 2) Departement of Public Dental Health,

Faculty of Dentistry, Jember University.

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The aim of the study was to analyze the effect of lemuru fish oil on tooth formation especially on tooth structure that had periodontal infection during odontogenesis. Thirty Wistar rat, male, 5 days of age, were divided into 3 groups. As the control group, there was no any treatment to first group. The second group were injected LPS to trigger periodontal inflammation. The third group were injected LPS and administered lemuru fish oil orally/day/1 ml/300-350g body weight. The rats were decapitated on the age of 13 and 21 days. The analysis of tooth structure used the HHI index. The results of the study showed that the inflammation of periodontal during odontogenesis produced tooth hypoplasia and hypocalsification. Scoring of HHI index was 9 and 8, it meant that the hypoplasia and the hypocalsification involved the entire tooth surface. The Lemuru fish oil was able to suppress the tooth hypoplasia and hypocalsification. Rats that were inducted LPS and treated with the lemuru fish oil have the HHI index aproximally 5 and 6, it meant that the tooth hypoplasia and hypocalsification involved one of the surface of the tooth. In addition, there were more rats without hypoplasia or hypocalcification. It was concluded that the lemuru fish oil was proficient to prevent the occurrence of tooth hypoplasia and hypocalsification. Keywords: Fish oil, Lipopolysaccharide, hypoplasia and hypocalcification, odontogenesis.

SCIENTIFIC PRESENTATION – 28 ESTHETIC ONLAY AS A RESTORATION OF CHOICE IN POST ENDODONTIC POSTERIOR

TOOTH (CASE REPORT)

Dini Asrianti Department of Conservative Dentistry,

Faculty of Dentistry University of Indonesia After completing root canal treatment, the remaining hard tissue of the tooth become weak

and tend to fracture. Onlay restoration is still a restoration of choice that can reunited the remaining hard tissue and reflated optimal function of the tooth in mastication. Onlay restoration firstly introduce as alloy indirect restoration due to its compressive strength. Unfortunately, some patients dissatisfied with the esthetic factor of alloy. Replacement of alloy material to other esthetic material can be a better option. There are some factors that have to be considered to determine indication of esthetic onlay. A case of two kind of esthetic onlay will be disscused. First case, 54 years old women, with 14 and 15 post endodontic, normal occlusion, and smile line reach region of 14 and 15 which had a site 2.2 cavity. Placement of all porcelain EMAX onlay was done in this case. Second case, 33 years old man with 46 post endodontic treatment and site 2.3. cavity, light occlusal wear and open bite relation at this tooth. Placement of composite resin onlay was done in this case. At 1 and 3 months recall there were no significant complain or abnormality, either from clinical and radiograph interpretation.

SCIENTIFIC PRESENTATION – 29

MEDICAL DISCIPLINARY IN CONTEXT OF PROFESSIONALISM

Dini Iswandari Indonesian Medical Disciplinary Board (MKDKI)

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The main goal of health is to create a perfect life of human being as a whole, which includes every effort in maintaining the health such as good diet, sufficient rest and exercise, using clean water, etc. From the text above it can be concluded that doctors have to be responsible in conducting health services especially medical practices, although we fully understand the health business is not only doctors and health sector responsibilities, but all of human being has to take part in maintaining their health. Health business is more than just getting a good life / happiness or postponing deaths, but also maintaining and promoting our health base on medical practice principal “Primum non nocere” i.e. the most important thing is not getting social and economical loss. In running their professional duties, doctors are bond with social contract which makes them have to implement medical care in context of medical profession disciplinary base on 4 main medical ethics contemporary: 1. Respect for the individual autonomy of each patients as a decision makers 2. Act of doing good for each patients 3. Give equal treatment for each person, regardless of their personal or cultural attributes 4. Avoid of doing harm, and also does not make any loss of physical and mental patients which

includes health matters, security, character, and happiness. If the professional organizations allow doctors work without professional disciplinary and medical ethics, it will lead distrust to doctors as a noble profession. Keywords: medical disciplinary, medical ethics, noble profession

SCIENTIFIC PRESENTATION – 30

THE ROLE OF BODY COMPOSITION IN DETERMINING BONE MATURITY

Dwi Prijatmoko Department of Orthodontic, Faculty of Dentistry, Jember University

Determination of Body Composition is an intergral part of Nutritional status assessment. In

recent times, evidence has emerged that body composition plays a significant role in determining various organs maturity and leads to effect on orthodontic treatment planning, which involve intervention of jaws development. The aim of this study is to determine the effect of body composition status on bone maturity based on phalanges radiograph. Sixty javanese boys age 13 years old with variuos body composition were studied. Stature and weight were measured to determine Body Composition. Body composition of the population were devided into 3 groups (obese, ideal body weight and thin). Phalanges bone maturity were assed using the Tanner White predictive methods, and categorized as delayed, average and advance maturation. Results show that thin boys showed significantly more delayed bone maturity in comparation to that of ideal body weight (P<0.05) and that of obese population (p<0.01) based on phalanges radiograph assessment. It is concluded that in orhtodontic treastment, body composition status plays an important role in predicting facial growth velocity for effective growth modification intervention. Keywords: Body Composition, Bone maturity, Growth velocity, Orthodontic

SCIENTIFIC PRESENTATION – 31 THE PFAPA SYNDROME IN ORAL MEDICINE: DIFFERENTIAL DIAGNOSIS AND TREATMENT

Dyah Juniar Hymawatty

Sub Departement of Oral Medicine, Ladokgi RE Martadinata

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Periodic fever syndrome in children can be present with orofacial manifestations which

contribute to the formulation of differential diagnosis. Because of the early onset of oral lesion in this syndrome, the oral medicine practitioner may be required to assist in their diagnosis and management. The periodic fever, aphtous stomatitis, pharyngitis and adenitis (PFAPA) syndrome has been classified as a type of periodic fever syndrome occuring in early childhood. This article present a review of the publish literature on this entity and summarizes current therapeutic options. Keywords: PFAPA syndromes, orofacial manifestations, early childhood.

SCIENTIFIC PRESENTATION – 32

EFFECTIVENESS OF FLUORIDE TOPICAL APPLICATION ON THE NUMBER OF STREPTOCOCCUS MUTANS COLONY

Dyah Setyorini, Sulistiyani

Department of Pedodontics, Faculty of Dentistry, Jember University

The main cause of dental caries is streptococcus mutants due to acidogenic condition. Streptococcus mutants grow well in acid environment and may adhere on tooth surface because of adhesive extracellular polysaccharide. One of the prevention methods is fluoride topical application on tooth surface. Fluoride may react on the enamel and replace the hydroxyl group to form fluoride apatite that is more resistant to acid. The materials commonly used are APF, Sodium Fluoride and Silane Fluoride. This study aims to know the effectiveness of fluoride topical application of APF, NaF and Silane Fluoride on the number of Streptococcus Mutans colony. The samples were 28 teeth divided into four groups; APF group, NaF group, Silane Fluoride group and control group. The data were analyzed using ANOVA test. The result showed that APF was the most effective material in inhibiting Streptococcus Mutans adhesion to teeth. Key words: Number of Streptococcus mutants, topical application, fluoride.

SCIENTIFIC PRESENTATION – 33

ARTERIAL STIFFNESS IN GINGIVITIS: A COMPARATIVE CROSS-SECTIONAL STUDY

¹E.M. Arief, ²A.K. Nazirah, 3A. Rehman ¹Lecturer and Periodontist, ²Graduated from School of Dental Sciences, 3Lecturer and

Pharmacology in University Sains Malaysia

Gingivitis is an inflammatory reaction involving the gingival tissues which is caused by bacterial plaque. Inflammatory reaction then may cause endothelial damage and facilitate cholesterol plaque attachment, eventually may lead to the stiffness of arterial walls.

The objectives of this study were to compare arterial stiffness measured as pulse wave velocity (PWV) between gingivitis patients or cases and those without gingivitis or controls and determine the correlation between gingival index and plaque score with PWV in patients with gingivitis. This was a comparative cross-sectional study involving 15 cases and 15 controls. The Complior® machine was used to measure PWV. Plaque and gingival scores were determined using periodontal probes and disclosing tablets. There were 9 males and 21 females in the sample. The mean age of males and females was 22.9 (SD 1.97) years and 22.8 (SD 2.00) years

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respectively. There was no significant difference in PWV between cases and controls. The median PWV in cases was 6.3 m/s (IQR 0.80) and 6.4 m/s (IQR 0.70). There was no correlation between gingival score and PWV (r=0.13) and between plaque score and PWV among cases. Therefore gingivitis does not seem to be related with arterial stiffness. Keywords: arterial stiffness, gingivitis, pulse wave velocity

SCIENTIFIC PRESENTATION – 34

PERIPHERAL OSTEOMA OF THE MANDIBLE: A CASE REPORT

Eddy Hermanto1, Andri Hardianto2 1. Resident of Dept Oral and Maxillofacial Surgery, Faculty of Dentistry University of Padjadjaran.

2. Consultant of Dept Oral and Maxillofacial Surgery, Faculty of Dentistry University of Padjadjaran, Hasan Sadikin General Hospital-Bandung Indonesia

Background: Osteoma is a benign often asymptomatic neoplasm, consisting of well-

differentiated mature bone. This paper reports a case of peripheral osteoma located in the right posterior mandibular region and provides a review of the literature about this lesion in the jaws. Patient and Methods: A 37-year-old man presented with a swelling in the right mandible posteriorly of 16 years duration. The literature was reviewed and data about location, histopathology and number of the peripheral osteomas, sex, and age of the patients were evaluated. Results: Surgical excision was performed under general anesthesia. The patient has been in good condition six month postoperatively. Conclusion: Peripheral osteomas of the jaw bones are uncommon, and accordingly, patients with osteoma should be evaluated for Gardner's syndrome. In addition, it is appropriate to provide both clinical and radiographic follow-up after surgical excision of a peripheral osteoma. Key Words: Osteoma; the Mandible; Gardner’s Syndrome

SCIENTIFIC PRESENTATION – 35 RESIN BASED ROOT CANAL SEALER COMBINED WITH SELF-ETCHING BONDING AGENT

Emi ardana

Faculty of Dentistry, University of Hasanuddin

Successful root canal therapy requires chemomechanical preparation and a complete obturation of the root canal system with nonirritating biomaterials. One of the major cause of root canal treatment failures is thus incomplete sealing of the root canal and shortcomings in coronal restoration. The necessity of using materials capable of forming a bacteria-proof seal between the root canal system and both the periradicular tissues and the oral cavity has to be confirmed. The use of dentin bonding agents in combination with gutta-percha cones and a resin-based sealer with the adhesion of composite resins to dentin has been proved to be better. The bonding agent will built micromechanical interlock between dentin collagen and resin by forming a hybrid layer. Since the self etching materials have higher pH values than the acids used with etch-and-rinse adhesive system, and the self etching materials are not rinsed away but remain in situ and the smear layer is incorporated in the bonding layers Keywords: self-etching bonding agents, resin based sealers

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SCIENTIFIC PRESENTATION – 36

THE ODONTOBLAST DENSITY IN THE CROWN AND ROOT OF SINGLE ROOTED HUMAN TEETH

1,2 Erlina Sih Mahanani, 1Muhammad Firdaus Mohd Shuimi

1 School of Dental Sciences, University of Sciences Malaysia, Malaysia 2 Study Program of Dentistry, Faculty of Medical and Health Sciences University of Muhammadyah,

Jogyakarta

Introduction: Odontoblast density in the pulp reflects the scale of pulp reparative responses as a result of trauma from restorative treatment or caries. Objectives: The purpose of this study was to measure and compare the odontoblast density in the crown and root of single rooted human teeth. Methods: The teeth which were collected from Hospital Universiti Sains Malaysia (HUSM) Dental Clinic were fixed for overnight in 10% formalin and decalcified in 10% nitric acid before tissue processing and paraffin embedding were done. The samples were then sectioned and stained with hematoxylin and eosin. Odontoblasts count was carried out under light microscope to the root and crown at lingual and labial position using tissue processing grid. All data were analyzed using Kruskal-Wallis test with SPSS version 12 software. Results: The mean scores of odontoblasts density on labial crown was 316.94 cells/mm pulp dentinal borders, on lingual crown was 301.28 cells/mm pulp dentinal borders, on labial root was 272.02 cells/mm pulp dentinal border, and 261.07 cells/mm pulp dentinal border. Conclusion: It was concluded that the labial crown had the highest odontoblasts density while lingual root had the lowest odontoblasts density. Keywords: odontoblast density, crown and root teeth, single rooted

SCIENTIFIC PRESENTATION – 37 PREVALENCE, CAUSES, PROBLEMS AND TREATMENT NEEDS OF GINGIVAL RECESSION:

AN UPDATE

1Erry Mochamad Arief, 2Akram Hassan, 2Raja Azman Awang Lecturers and Periodontists in Unit of Periodontics, University Sains Malaysia

Gingival recession appears to be accepted by many patients as an unavoidable part of the aging process. Indeed, many adult patients will have areas of gingival recession that are stable and require no treatment. However, in some patients, gingival recession may lead to the exposure of an unacceptable amount of root surface, causing aesthetic problems, dentin hypersensitive, root caries, as well as mucogingival problems.

In this review paper include the prevalence, the current concepts of the mechanisms and aetiology of gingival recession. The problems of any gingival recession are presented and the treatment needs of the patient with gingival recession are discussed and updated. Keywords: gingival recession, epidemiology, aetiology, prevalence

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SCIENTIFIC PRESENTATION – 38

THE PATTERN OF SEVERE- EARLY CHILDHOOD CARIES (S-ECC) OF CHILDREN UNDER THREE YEARS OLD IN DKI JAKARTA

Febriana Setiawati Sugito

Department Dental Public Health & Preventive Dentistry – Faculty of Dentistry University of Indonesia

Introduction: The prevalence and severity of caries in children under three years old are

constantly increasing. One of the causes of this fact is the increased consumption of cariogenic carbohydrate and lack of mother’s knowledge about feeding and taking care of children oral health. Objectives: The aim of this research are to discover the pattern of Severe-Early Childhood Caries (S-ECC), the correlation of the def-s with the type of feeding, the consumption of cariogenic carbohydrate, and the dental plaque pH with the severity of S-ECC . Method: This research design was a cross sectional study and conducted on 555 children aged 12 months – 38 months, selected using multistage cluster random sampling. Questionnaire were used to obtain the socio demographic data of the mother and the child, the type of feeding, including the frequency and duration of consumption, the child’s habitual consumption of cariogenic carbohydrate, the mother’s knowledge of dental health, and the mother’s behavior in preserving their child’s dental hygiene. Intra oral data measured in this research were the severity of caries (def-s), and the plaque pH. Result: Mean of def-s score was 1.88. The most affected surface was the labial/buccal surface (26.7%). The bivariate statistical analysis showed that the variables which correlated with the severity of S-ECC (def-s) were the type of feeding (p= 0,000), the plaque pH (p=0,000), the habitual consumption of sugary diet (p=0.04), and the age (p=0,000). Conclusion: There was significant increasing of S-ECC in children 12-38 months by age category, and there were correlation between the type of feeding, the plaque pH and the habitual consumption of sugary diet. The etiology of S-ECC was very complex, there were many factors influence the severity of S-ECC. In this research, the frequency and duration of feeding were not reported because of the bias in obtain the data. Keywords: Severe- Early Childhood Caries, type of feeding, sugary diet, plaque pH

SCIENTIFIC PRESENTATION – 39

APHTHOUS LIKE ULCERS IN PATIENT WITH GASTROINTESTINAL DISORDER (CASE REPORT)

Febrina Rahmayanti, Yuniardini S Wimardhani

Department of Oral Medicine, Faculty of Dentistry University of Indonesia Oral mucosal ulceration sometimes looks similar, while there are more than one hundred

oral disease with different characteristic of clinical features. The aim of this paper is to give the information about aphthous like ulcers and its differential diagnosis. The case described an aphthous like ulcers in an 8 years old boy with gastrointestinal disorder. The boy had recurrent oral ulceration since he was 3 years old, and there were extra-oral lesions in his body. His parents said that their son had gastrointestinal problems. He also has allergic history from his father. The

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working diagnosis was aphthous like ulcers with major aphthous as differential diagnosis. Hematologic tests were conducted and we also referred the patient to pediatrician for endoscopic examination. The results of the test showed anemia and chronic colitis. The diagnosis of this condition was not major aphthous or recurrent aphthous stomatitis(RAS), but aphthous like ulcers, because the ulcers lesion did not have RAS’s characteristic and the boy has gastrointestinal disorder. With comprehensive treatment and holistic approaches, the lesions showed significant improvement. Keywords: aphthous like ulcers, gastrointestinal disorder

SCIENTIFIC PRESENTATION – 40

FIBER-REINFORCED COMPOSITE AS A FIXED SPACE MAINTAINER: A CASE REPORT

Femmy Riyeni Putri, Hendralin Soenawan Premature primary tooth loss has been known to cause space loss with resultant malocclusion. To avoid this malocclusion, clinicians prescribe various types of space maintainers. Space maintainers are fixed or removable appliances used to preserve arch length following the premature loss or elective extraction of a tooth. Fiber-reinforced composite are new to pediatric dental market and can be alternative to conventional space maintainer. This case report described the used of fiber-reinforced composite as a fixed space maintainer for premature loss of right maxillary first deciduous molar and central deciduous incisors in 5 years and nine months young boy. Fiber-reinforced composite construct from Kerr Lab was applied as a fixed space maintainer when there was a loss of 2 teeth in different region of the maxillary arch. This case report showed that fiber-reinforced composite can be used as a fixed space maintainer with proper case selection, cooperative patient and a good relationship between pediatric dentist, parents and patient. Fiber-reinforced composite fixed space maintainer have a good strength, esthetic, can be used as fixed partial denture by using a pontic, economic and does not need lab procedure. Keywords: fixed space maintainer, fiber-reinforced composite.

SCIENTIFIC PRESENTATION – 41

EFFECT OF SURFACE TREATMENT ON ADHESION TO DENTIN

Ferry Jaya *, Yosi Kusuma Eriwati ** *Postgraduate Program of Dental Materials, ** Dept. of Dental Materials

Faculty of Dentistry, University of Indonesia

Lack of adhesion in composite resin restorations can be detrimental to the bond strength between dentin and bonding agents. The selection of bonding systems with its surface treatment to dentin is crucial in this case. Bonding to dentin is more difficult than enamel since dentin contains more organic matrix and liquid of dentin tubule. To overcome this condition, dentists should undertake good adhesion to dentin by choosing the right bonding systems. With new development of bonding systems, the seventh-generation bonding systems are the all-in-one adhesive that combine etch, prime, and bond in a single solution, and recently, the eighth-generation bonding system has been introduced as a self-etching, self-adhering flowable composite technology that eliminates the need for a separate bonding application step for direct restorative procedures.

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Dentists are expected to know this new development to improve their ability to better choose of the right bonding system for the cases of their patient. Keywords: Surface treatment, Adhesion, Bonding system, Dentin

SCIENTIFIC PRESENTATION – 42 USE NEIGHBOUR JOINNING TECHNIQUE TO INACTIVATE GENE CDT AGGREGATIBACTER

ACTYNOMICETEMCOMMITANS BACTERIA Ferry P Gultom

Faculty of Dentistry, University of Indonesia

Aggressive periodontitis is a pathological periodontal ligament, gingival connective tissue and alveolar bone. The disease is often found in young adult patients involving the role of bacteria Agregatibacter actinomycetemcommitans / Aa as a bacterial trigger periodontal tissue destruction. From studies in vitro and in vivo (Kirby et al and Nishihara et al, 1995) are known, some components of Aa such as leukotoxin and cytolethal distending toxin lekotoksin (CDT) has a capacity as a stimulant eukaroit cells are T cells, B cells, fibroblasts and epithelial to proinflamatori produce cytokines such as IL-1, IL-6, TNF-α that will stimulate osteoblast cells on the periodontal tissue to produce RANKL which affects the periodontal tissue damage. Method: to get the CDT mutant gene, Joinning neighbor technique is used to create a suicide vector carrying the kanamycin resistance gene together DNA fragments into bacterial CDT. The results showed this technique successfully inactivate genes that CDT is then performed to produce a homologous recombinant kanamisisn resistant mutants and natural transformation into Aa bacteria isolated from dental plaque. Conclusion: This technique is recommended to inactivate all the genes present in bacteria Aa. Key Words: Aggregatibacter actinomycetemcommitans,CDT,tehnikNeighbour Joinning

SCIENTIFIC PRESENTATION – 43

HYPERBARIC OXYGEN THERAPY AS ALTERNATIVE ADJUNCTIVE THERAPY IN TREATMENT OF CHRONIC PERIODONTITIS

Ganesha Wandawa1, Dewi Nurul Mustaqimah2, Elza Ibrahim Auerkari3,

Suyanto Sidik4 1 Department of Medic, Western Fleet Command Indonesia Navy

2 Practitioner in Jakarta 3 Department of Oral Biology, Faculty of Dentistry, University of Indonesia

4 Department of Internal Medicine, Dr.Mintohardjo Indonesia Naval Hospital

The initial and progression of chronic periodontitis depends on the existence of microorganisms that cause the disease. Prevalence and proportions of these bacteria may be associated with the severity of the damage or loss of clinical attachment. The main goal of periodontal treatment is to stop the process of inflammatory diseases. Treatment consists of mechanically remove subgingival biofilm and to create environtments to the same microflora, either in accordance with a healthy periodontal. The treatment of periodontal diseases ranged from surgery to regenerative and anti infective therapy. But in general it has been accepted that the anti infective therapy is important in the treatment of periodontal disease. Nevertheless, due to the prevalence and the complex pathophysiology of periodontitis, until now there is no completely

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effective treatment of periodontitis. Hyperbaric Oxygen Therapy (HBOT) can be indicated as the main or adjunctive therapy in the treatment of acute and some systemic diseases such as ischemic, infectious, traumatic, or inflammatory nature, and usually severe and shows no response to conventional treatment or the occurrence of refractory. The therapy is primarily directed at anaerobic infection cases who showed no response to antimicrobial therapy. HBOT can increase the strength of host factors and antibiotics to penetrate the barrier between the infection and the host region. Use HBOT as a new approach deserves attention. Such approach is expected to be useful as an alternative adjunctive therapy to current conventional approaches. Keywords: Hyperbaric oxygen therapy; Chronic periodontitis; Adjunctive therapy

SCIENTIFIC PRESENTATION – 44 MANAGEMENT OF RADICULAR CYST AND FIBROUS EPULIS IN AN 11-YEAR OLD GIRL

(A CASE REPORT)

Helsa Ramelya1, Heriandi Sutadi2 1Residence of Dept. Pediatric Dentistry, Indonesia University

2Lecturer of Dept. Pediatric Dentistry, Indonesia University The radicular cyst is the most common cyst of the jaw. The associated tooth usually has a deep restoration or large carious lesion. The cyst may displace adjacent teeth or cause mild resorption. The fibrous epulis is applied to any lump arising from gingival, resembles a fibroepithelial polyp, but also usually has an inflammatory component. Epulis is a lesion which does not give pain, however, their presence causes difficulties in chewing and eating food. This case report describes the management of radicular cyst and epulis fibromatosa in a 11-year old girl. The treatment comprised extraction of the permanent teeth involved and excision fibrous epulis region 36. Recurrence does not occur since the tooth associated with the pathogenesis of the cyst has been removed, and epulis removed thoroughly and the source of irritation is removed. Keywords: radicular cyst, extraction, excision, fibrous epulis

SCIENTIFIC PRESENTATION – 45

BEHAVIOR MANAGEMENT IN CHILDREN WITH PSYCHOLOGICAL TRAUMA DUE TO DENTAL TREATMENT

(CASE REPORT)

Henny O. Danan Pediatric Dentistry, Faculty of Dentistry, University of Indonesia

Children with anxiety for dental treatment often occur at the first experience going to the dentist or experienced traumatic in the past dental treatment. The purpose of behaviour management in children with psychological trauma due to dental treatment is to get a good condition for intra and extra oral and make the children feel more comfortable and want to do the dental treatment. The term of anxiety/anxiousness itself is referred to disquietude, being in a worrying / disturbing / discouraging condition or experiencing uncertainty, abnormality, or impotency. There are some factors that could influence the anxiousness itself, including personal, external, and dental factors. To facilitate in diagnosing children behavior and in committing proper

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approach, some classifications based on children behaviors were created. Age also related to behavior patterns, thus there are variations in behaviors based on age grouping. Good and effective communication among dentist, parents, and children is necessary for every treatment. Voice controls including intonation, tone, and volume are very important to gain children attention. Besides, dentist should use simple words that are easier to understand. Children behavior management in dental treatment is intended to make children feel comfortable, reduce pain, perform safe and effective treatment procedures, and to make children and parents accept the treatment. The approaching methods that can be used are non-pharmacotherapy, pharmacotherapy, and hypnosis. In this case report, a six year old boy had a pshycological trauma due to the last dental treatment. Exact anamnesa to the parents and the patient were done to know the pshycological trauma. With the behaviour diagnosing and the right approaching methods the patient can pass through the dental treatment with proper indication. Key words: pshycological trauma, anxiety, behaviour management

SCIENTIFIC PRESENTATION – 46 CASE REPORT: ENDODONTIC RETREATMENT USING RETREAMENT ROTARY SYSTEMS

Hesti Witasari, Munyati Usman Department of Conservative Dentistry, University of Indonesia

Endodontic treatment could maintain teeth and eliminate problems that happen in that tooth.

However, Inadequate endodontic treatment, such as incomplete cleansing and shaping of the root canal treatment which is not in fully working length, could create problem in the periapical tissue. The problem to do a retreatment especially is in the process of removal-filling material of the previous endodontic treatment. A case report in removing the root canal filling material with rotary instrument will discussed. The patient with chronic periapical abscess was admitted after root canal treatment and hermetic obturation six months ago. Retreatment was conducted using a rotary system instrument (Micromega) and radiographic evaluation was taken before and after retreatment. Healing process showed three weeks after retreatment. Conclusion, efficiency and the effectiveness of the device make the treatment process easier.

SCIENTIFIC PRESENTATION – 47

SPACE REGAINER IN ORTHODONTIC TREATMENT USING PENDULUM APPLIANCE

Himawan Halim Head of Orthodontic Dept, Dental Institution REM

Background: During orthodontic treatment, to regain / create space in non extraction case

is the most difficult mechanic in orthodontic. The cooperation of the patient is a major factor for a successful treatment outcome. Case: This case report will show a 10 years old girl, with skeletal class I malocclusion with ectopic maxillary cuspid. Case management: Treatment was started with pendulum and fixed Appliance. Patient’s cooperation was very good so the space regain achieved faster and more than what according our plan. Conclusion: It is showed that Pendulum Appliance could be used as alternate appliance in creating space to avoid extraction in the future.

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SCIENTIFIC PRESENTATION – 48 THE EFFECTIVENESS OF SODIUM HYALURONATE ON HEALING OF TRAUMATIC ULCER

CAUSED BY FIXED ORTHODONTIC APPLIANCES

Hutasoit E, Ismah N, Soegiharto BM Department of Orthodontics, College of Dentistry, Universitas of Indonesia

Background: Orthodontic treatment with fixed appliance has both the benefit and also the side effects such as traumatic ulcer. One of the treatments for traumatic ulcer is the use of mouthwash containing Sodium Hyaluronate. Objectives: To study the effectiveness of Sodium Hyaluronate on the healing of traumatic ulcer caused by fixed orthodontic appliance. Methods: Thirty subjects who had traumatic ulcer caused by fixed orthodontic appliance were divided into two groups of fifteen subjects. The first group (K1) used Sodium Hyaluronate solution and the second group (K2) used placebo solution. The patients were instructed to rinse their mouth with 10 ml of the solution about 2 minutes after tooth brushing, twice a day for four days. Examinations were done before and after experiments to measure the surface width of the ulcer, redness and pain intensity. The differences of both experiments were analyzed using Wilcoxon and Mann U Whitney tests. Results: There were significant differences (p<0.05) on the reduction of surface width, redness and pain intensity of the traumatic ulcer between the treated and control groups. Conclusion: The use of mouthwash containing Sodium Hyaluronate is effective to heal traumatic ulcer caused by fixed orthodontic appliances. Keywords: sodium hyaluronate, traumatic ulcer, fixed ortodontic appliances

SCIENTIFIC PRESENTATION – 49 NEEM LEAVES (AZADIRACHTA INDICA) IMPROVE ORAL MUCOSA DEFENSE MECHANISM

AGAINST CANDIDA ALBICANS

I Dewa Ayu Ratna Dewanti Division of Biomedic, Faculty of Dentistry, University of Jember

Neem is one of the traditional tree medicine and has functioned as immunomodulatory.

Infection disease found in the mouth (80%) is mostly candidiasis caused by C albicans, and immunity to C albicans is very important. Multidimensional crisis in Indonesia has affected higher medicine price, therefore people prefer to choose traditional medicine. This review article aims to explain the potency of neem to overcome C albicans infection. Neem contains many medicinal substances namely gallic acid, epicatechin, catechin, in all part of its plant, which can be used as immunomodulator. Researches had proven the effect of neem leaves in increasing TLR4, TLR2, TNF-α, phagocytosis, while decreasing the amount of colonies in oral mucosa. The C albicans component interacted with the cell membrane signaling CD14, TLR2 and TLR4 depend on TRAF6, furthermore it affected phosphatidilinositol and inactivation I-κB in binding NF-κB. After releasing the I-κB, the transcription factor activities increased, that stimulate gen expression that cause TNF-α production and phagocytosis activities. Cyclictrisulphide, cyclictetrasulphide of neem could against Candida albicans directly. Conclusion, neem leaves increased CD14, TLR2, TLR4, TNF α, phagocytosis activities and decrease the amount of C albicans colonies. Keywords: Neem; Azadirachta indica; immunomodulatory; Candida albicans

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SCIENTIFIC PRESENTATION – 50

EFFECT OF IMMUNOSUPRESSION AND C. ALBICANS INFECTION TO THE MACROPHAGE PHAGOCYTOSIS ACTIVITY

Iin Eliana Triwahyuni

Oral Medicine Lab., Faculty of Dentistry Jember University

Background: Nowadays, the incidence of oral candidiasis is increasing, parallel to the increasing of immuno-supressed patient number. Candida infection is opportunistic, because it becomes pathogenic when the immune system is disturbed. Therefore, immune system is important factor to protect against candidiasis. Immunologic response of oral candidiasis is not perceived yet and cellular immunity is presumed to have more play role. Macrophage is one of nonspecific immune system component that will give response to antigen including C. albicans. The purpose of this study was to identify the effect of immunosupression and C. albicans infection to macrophage phagocytosis activity. Methods: This laboratory experimental research used BALB/c mice that were immuno-supressed and infected by C. albicans. Mice were divided into three groups: Group 1 (negative control), Group 2 (immuno-supressed), and Group 3 (were immuno-supressed and infected with C. albicans). Mice were immunosupressed by giving 2-3mg/mice subcutan injection of prednisolon one day before they were infected. Group 2 and 3 were given tetracycline hydrochloride in drinking water (0,83mg/ml) since one day before they were infected. C.albicans inoculation was given at zero days. At 2nd day post infection, the mice were sacrificed and the macrophage phagocytes activity was evaluated by latex beat. Data were analyzed by One Way ANOVA test and LSD (p=0.05). Results: The result indicated that there was a decrease in macrophage phagocytes activity at Group 2 and 3. Conclusion: It can be concluded that immunosupression and C.albicans infection can decrease macrophage phagocytosis activity. Keywords: immunosupression, C.albicans, infection, macrophage, phagocytosis

SCIENTIFIC PRESENTATION – 51

COMPROMISED TREATMENT OF SKELETAL CLASS III MALOCCLUSION IN ADULT

Imelda Sriulina Sinulingga1, Himawan Halim2 1 Resident of Orthodontic, 2 Lecturer of Orthodontic

Faculty of Dentistry, University of Indonesia

Background: Class III skeletal malocclusion was caused by skeletal discrepancies with dental discrepancy. Patients with class III malocclusion show clinical signs such as anterior or posterior crossbite, negative overjet , and concave of facial profile. Compromised treatment are common for adult patients with mild to moderate class III skeletal malocclusion with acceptable facial esthetic who do not want surgery because of surgery risks and high cost. Case: 33-year-old woman patient who had skeletal class III relationship with retruded maxillary, bimaxillary dental protrusion, with crowding and crossbite anterior. Case management: Four first premolar were extracted and then retracted anterior teeth. After twenty six months of treatment, anterior crowding and crossbite were corrected, class I molar and canine relationship were achieved and better soft tissue profile.

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Keywords: Compromised treatment, class III skeletal malocclusion, anterior crossbite

SCIENTIFIC PRESENTATION – 52

TREATMENT OF SEVERE CROWDING CASE

Indah Ekasari 1, Faruk Hoesin2 1 Resident of Orthodontic, Faculty of Dentistry, University of Indonesia 2 Lecturer of Orthodontic, Faculty of Dentistry, University of Indonesia

The most frequent cases of malocclusion are crowding, anterior crossbite and posterior

crossbite. Malocclusion of the teeth can affect the arch of the teeth so they will be assimetrical. Crowding happen when there is lack of space for alignment of permanent teeth. Previous research showed that crowding of the teeth are dynamic factors that can affect many factors such as growth model, morphology of soft tissue, and bad habit. The aim of this case report is to corrected severe crowding teeth in 25 years 11 month patient with four first premolar extracted. After 20 month of treatment there are some goals achieved such as crowding anterior are corrected, the tooth relation at first molar and canine became Class 1. Cross bite was corrected. Overbite and overjet become normal. The chief complain of patient became corrected. The profil of face and smile of patient became better. Keywords: severe crowding, crossbite, extracted premolar

SCIENTIFIC PRESENTATION – 53

THE ROLE OF CONE BEAM COMPUTED TOMOGRAPHY (CBCT) IN ORTHODONTICS

Irena Winata1, Maria Purbiati2

1Postgraduate Student in Department of Orthodontic

2Departement of Orthodontic Faculty of Dentistry, Universitas Indonesia

Radiographic images play pivotal roles in achieving a thorough diagnosis in various dentistry

fields including orthodontics. Images obtained from conventional x-ray device are two dimensional (2D) images, but in certain cases a three dimensional (3D) image is needed. A new device called Cone Beam Computed Tomography (CBCT) can fulfill the necessity of immediate and accurate 3D oral and maxillofacial images. CBCT also reduces the size of irridiated area thus minimizing the radiation dose, faster scan time, and relatively lower medical cost compare to medical CT (CT-scan). A complete and comprehensive knowledge of CBCT clinical applications, case selection, and interpretation of the images are needed before orthodontist recommends a patient to undergo CBCT examination. Key words: CBCT, 3D radiographic images, orthodontics

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SCIENTIFIC PRESENTATION – 54

ACUTE TOXICITY TEST OF AN ANALGESIC HERBAL JATROPHA CURCAS L. LATEX ON ANIMAL MODELS

Irmaleny*, Narlan Sumawinata**, Dewi Fatma***, Marline Abdassah****

*Doctor Candidate, Faculty of Dentistry, Universitas Indonesia and Staff of Department of Conservative Dentistry, Faculty of Dentistry, Padjadjaran University

**Staff of Department of Conservative Dentistry, Faculty of Dentistry, University of Indonesia ***Staff of Department of Oral Biology, Faculty of Dentistry, University of Indonesia

****Staff of Pharmaceutic, Faculty of Pharmacy, Padjadjaran University Introduction. Dental pain is a common illness suffered by the society. One of the plants

that commonly used for dental pain relief is the latex of Jatropha curcas L. Scientific data regarding analgesic effect of Jatropha curcas L. latex has been widely studied, but there is no scientific data about the safety of its use. Objectives. The aim of this study was to evaluate of the safety usage of Jatropha curcas L., by performing an acute toxicity test to obtain lethal median doses (LD50). Methods. Mus musculus Swiss-Webster strain were divided into 6 groups (control group was given PGA 10%, and the first to the the fifth group were given latex orally at doses of 30, 40, 50, 60, 70 gr/kg body weight respectively). Mortality of the animal was measured every half an hours, one hour, two hours, 24 hours, 48 hours, 72 hours, seven days, and 14 days. The data were analyzed by Anova Test. Results. LD50 was 50 gr/kg body weight, non toxic. Conclusion: The latex of Jatropha curcas L. was classified non toxic material.

SCIENTIFIC PRESENTATION – 55

MARGINAL RESECTION OF CEMENTO-OSSIFYING FIBROMA ON MANDIBLE ANTERIOR REGION (CASE REPORT)

Isnandar*, Kasman Manullang.**, Hendro S. Yuwono***

*Resident of Oral and Maxillofacial Surgery Department, Faculty of Dentistry Padjajaran University, Dr. Hasan Sadikin General Hospital, Bandung,

** Consultant of Oral and Maxillofacial Surgery Department, Faculty of Dentistry Padjajaran University, Dr. Hasan Sadikin General Hospital, Bandung

*** Consultant of Vaskular Surgery Department, Faculty of Medicine Padjajaran University, Dr. Hasan Sadikin General Hospital, Bandung

Cemento-ossifying fibroma (COF) is a rare benign tumor which mostly affects the mandible.

The mandibular posterior premolar and molar area is the most common site. It is a painless, generally slow-growing, benign lesion which enlarges in an expansive manner. It usually detected in the third and fourth decade of life and is more common in women. Radio graphically they appear as well-defined unilocular or multilocular intraosseous masses in the premolar-molar region of the mandible. The lesion is invariably encapsulated and of mixed radiolucent densities. Its histopathology shows fibrous tissues with calcified structures resembling bone or cementum. This article reports a rare case of a 20-year-old male with the history of swelling in the mandible anterior region at the tooth region of 33-43 that caused the difficulty in occlusion. We performed marginal

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resection and put a bone plate crossing the bone defect. There was no wound dehiscence and exposed bone plate after one month observation. Keywords: cemento-ossifyifying fibroma, marginal resection, bone plate

SCIENTIFIC PRESENTATION – 56

INFECTION CONTROL IMPLEMENTATION IN DENTAL PRACTICE IN YOGYAKARTA

Iwan Dewanto1 , Medi Septario2, 1 Lecturer of Dental Study Program Medical Faculty Muhammadiyah University, Yogyakarta 2 Student of Dental Study Program Medical Faculty Muhammadiyah University, Yogyakarta

ABSTRACT

Dentist as one of health personnel have a general responsibility in public health efforts,

especially in dentistry and particularly in managing dental clinic. Infection control is an effort to restrain and prevent spreading of infectious diseases in medical and dental practice. The aim of this study was to describe the infection control implementation in dental practice in the city of Yogyakarta concerning the availability, the use of means, and the implementation of infection control. The design of this study was a cross-sectional survey. The method used in this study was observational technique with the instruments comprised of a check list filled by the surveyor and a questionnaire filled by the respondents. The samples of this study were taken by simple random sampling method among the private dental practices in Yogyakarta. The data were analyzed descriptively. The subjects of this study were 30 dentists in Yogyakarta. The results of this study showed that in availability, the use of means, and implementation of infection control there were still shortage in some aspects like the infection control of instruments, the infection control of the dentist, and the infection control of the clinical room. Based of the findings, it was concluded that implementation of infection control was not yet implemented well because the lack of dentists’ awareness and the mind set that neglected the impacts, so there was a risk of transmission of infection diseases that could spread from the dentist to the patient, from the patient to the dentist, and from the patient to other patients. Keywords: Dentist, Yogyakarta, infection control

SCIENTIFIC PRESENTATION – 57 MANAGEMENT OF DENTAL ANTERIOR OPEN BITE WITH TONGUE THRUST HABIT USING

COMBINATION OF TONGUE CRIB AND MANIPULATION BRAKET PLACEMENT (CASE REPORT)

Jeffrey Limanto*, Himawan Halim**

*Resident of Orthodontics, **Lecturer of Orthodontics Departement, Faculty of Dentistry, Universitas Indonesia

An open bite malocclusion is one of the most difficult case that the clinician has to deal with.

The complexity of open bite is related to skeletal, dentoalveolar or habit factor. Dental open bite are generally treated with orthodontics alone, whereas skeletal open bite often require a combination of orthodontics and orthognatic surgery. To achieve successful treatment of this case, proper diagnosis and

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treatment plan are needed. One way to correct anterior open bite is by a combination of bad habits management and manipulation of bracket placement, in which posterior bracket are placed 0.5 mm more occlusal, while anterior bracket are placed 0.5 mm more gingival. This case report described the treatment of dental open bite in an adult Indonesian female aged 14 years, who had previously been treated with removable orthodontic treatment and extraction of one lower incisor by resident from other dental specialty. The etiology of this case were tongue thrust habit and the extraction of lower first incisor. The result showed that the open bite was corrected with combination using tongue crib and modification of bracket placement. After 17 month of treatment an acceptable occlusion was achieved with improved appearance and an aesthetically pleasing smile.

SCIENTIFIC PRESENTATION – 58

COMPARISON OF ANTIBACTERIALS ACTIVITY OF CITRONELLA ESSENTIAL OIL (CYMBOPOGON WINTERIANUS) AND CINNAMON ESSENTIAL OIL (CINNAMOMUM

BURMANII) TO BACTERIAL GROWTH IN DENTAL CARIES

Jummyanto Pareang, Andi Sumidarti Anas Faculty of Dentistry, University of Hasannudin

Objective: The aim of this study was to compare the inhibited activity of citronella essential

oils (Cymbopogon winterianus) and cinnamon essential oil (Cinnamomum burmanii) on the growth of bacteria that were found in dental caries. Method: This study was carried out on 45 patients who came to the dental clinic, Department of Conservation, Faculty of Dentistry, University of Hasanuddin. The research samples were drawn from forty-five caries smear of patients. Results: The identification results from the samples showed that the most predominant bacteria found in the smear caries are Streptococcus species (53%), Klebsiella pneumoniae (20%) and Staphylococcus aureus (13%). MIC test (minimum inhibition concentration) and inhibition zone of both cinnamon essential oil and citronella essential oil was determined using the concentration of essential oil 25% to 100%. The results of the inhibition zone measurement of both essential oils showed the same inhibitory strength against Streptococcus species (independent sample test, p = 0.934) and Klebsiella pneumoniae (independent samples test, p = 0.203). The difference of the inhibition essential oil of citronella (cymbopogon winterianus) and essential oil of cinnamon (Cinnamomum burmanii) was found in testing against Staphylococcus aureus (independent samples test, p = 0.039). Conclusion: Essential oils of citronella (Cymbpogon winterianus) and essential oil of cinnamon (Cinnamomum burmanii) was proven to be effective in inhibiting the growth of bacteria that were found in caries, and there was a significant difference in inhibitory strength of these two essential oils in the testing against staphylococcus aureus. Keywords: Caries, Essential Oil, Cymbopogon winterianus, Cinnamomum burmanii, Citronella, Cinnamon.

SCIENTIFIC PRESENTATION – 59

MANAGEMENT OF NON VITAL IMMATURE TEETH: CASE REPORTS AND REVIEW

Juni Jekti Nugroho Department of Conservative Dentistry, Faculty of Dentistry, Hasanuddin University, Makassar-

Indonesia

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Root canal treatment on a tooth with pulp necrosis and periapical radiolucency and immature root apex poses a special challenge for the clinician and requires a specially tailored treatment plan. The main difficulty encountered is the lack of an apical stop against which to compact an interim dressing or the root canal obturation material. Apexification aims to induce apical closure of the open root apex with a hard-tissue barrier, against which a root filling can be compacted. Numerous procedures and materials have been utilized to induce root-end barrier formation. This paper presents a brief review of the causes and complications of incomplete root development and the various treatment options reported in the literature with respect to the management with case reports. Key words: open apex, causes, complications, treatment.

SCIENTIFIC PRESENTATION – 60

ORTHOGNATHIC SURGERY IN ORTHODONTIC, WHY & WHEN

Jusuf Sjamsudin Faculty of Dentistry University of Airlangga

In orthodontic there are several ways to treat cases, one of it is orthognatic surgery for

skeletal cases. Orthognatic surgery is performed in adult skeletal cases, when standard orthodontic treatment can’not be done. Doing orthognatic surgery depend on the age and severity of the skeletal problem. Orthognatic surgery is done in conjunction with regular orthodontic treatment. This presentation will review why and when orthognatic surgery is done, their advantages and disadvantages.

SCIENTIFIC PRESENTATION – 61

TREATMENT OF NON-VITAL TOOTH DISCOLORATION USING INTERNAL BLEACHING TECHNIQUE

Kemala. N

Conservative Dentistry, Faculty of Dentistry, University of Indonesia Methods to improve the esthetics of the dentition by tooth whitening are of interest to dentists, their patients and the public. Tooth discoloration varies in etiology, appearance, localization, severity and adherence to tooth structure. After eruption of the tooth, pulp necrosis is one of the main causes of intrinsic discoloration. In well-obturated non-vital tooth, the discoloration that occurs can be treated by the internal bleaching technique. The method of internal bleaching is to place the bleaching agent, which acts as a strong oxidizing agent, in the pulp chamber of the properly-obturated root canal. Internal bleaching technique can be done using thermo-catalytic procedure, walking bleach procedure, or combination of both. Cervical root resorption is a possible consequence of internal bleaching and is more frequently observed in teeth treated with the thermo-catalytic procedure. Present tooth-bleaching techniques are based upon hydrogen peroxide as the active agent. It is applied directly, or produced in a chemical reaction from sodium perborate or carbamide perborate. Hydrogen proxide acts as a strong oxidizing agents through the formation of free radicals, reactive oxygen molecules, and hydrogen peroxide anions. These reactive molecules attack the long-chained, dark-colored chromophore molecules that cause the

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discoloration, and split them into smaller, less colored, and more diffusible molecules. The outcome of the bleaching procedure depends mainly on the concentration of the bleaching agent, the ability of the agent to reach the chromophore molecules in discolored area, and the duration of times the agent is in contact with chromophore molecules. Keywords: tooth discoloration, bleaching technique, bleaching agents.

SCIENTIFIC PRESENTATION – 62

BOTOX INJECTION AS AN ALTERNATIVE TREATMENT FOR EXCESSIVE GINGIVAL DISPLAY (Literature Review)

Kussulistyowati Putri W.* Benny M. Soegiharto**

*Resident of Orthodontics, Department of Orthodontics *Lecturer of Department of Orthodontics

Faculty of Dentistry, University of Indonesia

Excessive Gingival Display is one of the patient’s chief complains. It can be caused by four main factors, which consist of skeletal factor, gingival factor, muscular factor and malocclusion. One of the factors is the hyperfunctional upper lip elevator muscles which can make upper lip raised higher than average. This muscles consist of musculus Levator Labii Superior, musculus Levator Labii Superior alaque Nasi, musculus Levator Anguli Oris, musculus Zygomaticus Mayor and musculus Zygomaticus Minor. Botox can be the alternative treatment for excessive gingival display. Botox is the toxin produced by Clostridium botulinum, an anaerobic bacterium. Botox weaken the muscles by cleaving SNARE protein thus blocking the release of acetylcholine from the motorneuron and blocking the muscular contraction. The botox effect last 3 to 6 months. Keywords: Botox, excessive gingival display, hyperfunctional upper lip elevator muscles

SCIENTIFIC PRESENTATION – 63 MANAGEMENT TREATMENT OF CLASS II DIVISION 1 MALOCCLUSION WITH MULTIPLE

DIASTEMAS LOWER ARCH

Leliana S Devi AP Departement of Orthodontic, Faculty of Dentistry Jember University

Background: Angle Class II division 1 is characterized by maxillary prognatism, mandibular

retrognathism, proinlination maxillary insisives, incompetent upper lips and convex facial profile. Multiple diastemas occur when there are space between two or more adjacent teeth, and many factors are the etiology. In the case of multiple diastemas with small spaces, the management is to close the spaces by moving posterior teeth mesially, or to retract the anterior teeth. Case: A 17 year old male patient with complain that could not close the upper lip easily, in clinical findings the relation of both caninus, right molars were distoocclusion. The overbite was normal but the overjet had increase 13.5mm, the median line shifted to the right 1 mm in the maxillary arch and 5 mm in the mandibular arch. In the lower arch there was impacted lateral right insisive and gangren radix in the both first molars. Conclusion: The conclusion of the chephalometric analysis was Down : prognati maxilla with covex facial profile; Stainer: mandibular more backward than maxilla; Wits:

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class II (AO-BO = 6mm); Soft tissue by Rickets: upper lips was 9 mm in front of E-Line. Case management: The edgewise orthodontic technique was used in this case, and combined with class II elastic from begening, for correcting the multiple diastemas, the posterior teeth were moving mesially. Result: After 2 years the appearance changed significantly, the overjet and the overbite were normal, patient were able to close well the upper lip, and multiple diastemas in lower arch had been corrected. Keywords: Class II division 1, multiple diatemas, class II elastic

SCIENTIFIC PRESENTATION – 64

CORROSION BEHAVIOR OF TITANIUM ORTHODONTIC WIRE

Leliana S Devi AP, Rina Sutjiati Departement of Orthodontic, Faculty of Dentistry Jember University

Introduction: Various types of metallic orthodontic wire and stainless steel bracket made of

cobalt-chromium-nickel alloy, nickel-titanium alloys, and beta-titanium alloy are used in the treatment of malocclusion. For the right orthodontic appliance, one must have a thorough knowledge of the material from which these appliances are formed. The mechanical and physical properties of these materials changed greatly under variying condition of manipulation.These metals undergo chemical or electrochemical reactions with the oral enviroment resulting dissolution or formation of chemical compounds. Under several situations the oral enviroment is highly aggressive and leads to corrosion. Objectives: The aim of this study was to determine the corrosion rates of orthodontic titanium arch wire which was immersed in artificial saliva. Materials and Methods: The rectangular 0.017x0.025 Beta III Ti (3M Unitek) and CNA (Ortho Organizer) were used in this study. To measure the corrosion rates, the weight loss, and planed interval test (t1 = 7 days, t2 = 14 days, t3 = 21 days and t4= 28 days), X-ray Fluorescent spectroscopy was used. The XRF also identifies the elemental composition of the wire and to investigate the decrease of elemental composition of wire, before and after the corrosion process by immersion in artificial saliva. The data were analyzed using Between Subjects Effects and Multiple Comparison test. Results: The results showed that the corrosion rate of CNA was higher than Beta III Ti. Conclusion: The percentage of content of the alloys was very influential to the characteristics of an orthodontic material. Keywords: Orthodontic wire, Titanium Alloy, Corrosion rate.

SCIENTIFIC PRESENTATION – 65

THE TREATMENT OF CENTRAL DIASTEMA WITH LIMITED FIXED ORTHODONTIC APPLIANCE

Lina Handayani

Pediatric Dentistry, Faculty of Dentistry, University of Indonesia

Background: Parents worried and complained about the spacing between central incisor, therefore they came to the dentist, for improving of their children appearance. Diastema is regarded as normal in the period of mixed dentition and regarded as abnormal if the gap is still persistent after the permanent teeth are erupted completely. The possibility of the emerging of

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central diastema is caused by physiologic, the small size of lateral incisives, missing teeth, midline supernumerary teeth, procline of upper labial segment, and the prominent frenulum. Case: Case report, an 8 years old boy, ame with his mother to the pediatric dentistry clinic at RSGMP FKG UI, with compalined about inisor anterior maxilla already erupted and have spacing with labioversion position, therefore the boy ould not closed his mouth. According to his mother there was a supernumerarry teeth behind the maxilary that central incisor, and had ben extracted. Clinical observation revealed the appearance the boy was protuded, and intra oral the position of #11 and #21 have spacing with gap ± 4,5mm, labioversion so therefore the boy ould not closed his mouth. The radiography interpretation showed that have spacing between alveolar bone #11, #21. Case management: Treatment are interceptive ortodontic with limited fixed appliance design. In limited fixed appliance, bands and brackets are attached only on upper central incisors. Archwire is placed on the brackets and teeth are driven using elastometric chain. Chain is attached on mesial wing to prevent tooth rotation when the diastema is closed. Periodic control visits are necessary if the diastema is closed before the incisives developed completely. After three months detaching the appliance and continue with retainer for retention and periodic control everymonth. Conclusion: If done in favourable situation such as the absence of bone defect and prominent frenulum, central diastema with limited fixed orthodontic appliance could be succesful.

SCIENTIFIC PRESENTATION – 66

BONE SUBSTITUTE AND INJECTABLE SCAFFOLD-STEM CELL BASED THERAPY FOR BONE TISSUE ENGINEERING

Lisa R. Amir

Department of Oral Biology, Faculty of Dentistry, University of Indonesia

Skeletal deficits and defects are attributable to congenital malformations, oncologic resection, pathologic degenerative bone destruction, and post-traumatic loss that mainly are treated with bone graft materials. These materials can be successfully applied to treat a small to moderate size defect. Yet, the success of treatment of a large bone defect with bone graft materials remains a challenge which often result in less than ideal patient outcomes. The failure is mostly arise because of the inability to produce a regeneration which closely resembles the lost tissues. Because of that, the focus has shifted to the potential of mesenchymal stem cell (MSC)-based skeletal tissue engineering. The purpose of the review is to discuss the bone substitution materials and their biological responses. The dental pulp that derived mesenchymal stem cells reaction when seeded onto locally made injectable scaffold containing Hydroxyapatite (HA) and Chitosan will be discussed. The understanding of the mechanism of injectable scaffold and stem cell based therapy is important for the future in the treatment that concerning bone reconstruction.

SCIENTIFIC PRESENTATION – 67

THE INCREASE OF GINGIVAL SULCUS OF GINGIVAL SULCUS VOLUME AND CALPROTECTIN DEGREE ON ABUTMENT

TEETH FIXED PARTIAL DENTURE

Lusi Hidayati Lecture in Dentistry Faculty Jember University

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The initial use of Fixed Partial Denture need an biokompatible adaptation procces in around of abutment the of of Fixed Partial Denture. Inflamation is a tissue defences mechanism as initial response of adaptation procces. The increase of calprotectin concentration and volume of gingival crevicular fluid are indicators of the inflammation procces before symptom clinical come. The aim of this research was to investigate the change of gingival crevicular fluid volume and calprotectin concentration in gingival crevicular fluid of abutment teeth on Fixed Partial Denture.The subjects of this research were five men with Fixed Partial Denture treatment. The sample were collected with periopaper GCF strip at time intervals of before preparation, try in, insertion, 3rd day, 7th day, and 14th day and contra lateral teeth as control groups. Evaluation and counting of gingival creviculer fluid volume were done with traveling microscope with magnification 40X, whereas evaluation of calprotectin concentration were done using the calprotectin ELISA kit. From two way Anova test shows that there are significant difference interaction of usage of fixed partial denture between control group and tested group in creviculer gingival fluid or in concentration of calprotectin with p< 0,05. The conclusion of this study shows that even in creviculer gingival fluid or the concentration of calprotectin in creviculer gingival fluid there is a increase from try in and peaks at insertion point and modular depression until normal level starting 7 days after insertion. Keywords: Fixed Partial Denture, Gingival Creviculer Fluid, Calprotectin

SCIENTIFIC PRESENTATION – 68

MANAGEMENT OF NECROTIZING ULCERATIVE GINGIVITIS RELATED TO CHRONIC LYMPHOCYTIC LEUKEMIA

(A CASE REPORT)

*Marcia, **Gus Permana Subita

*Postgraduate Program, Department of Oral Medicine, **Department of Oral Medicine, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

Chronic lymphocytic leukaemia (CLL) is one of the common form of leukaemia in all cases.

CLL is relatively indolent haematology malignant disease that is susceptible to oral infection, for instance necrotizing ulcerative gingivitis (NUG). This report will describe a case of NUG related to CLL. The patient had CLL since 3 years ago and was hospitalized because of spontaneous excessive bleeding and pain of the gingival. Haematological investigation revealed a rise in erythrocyte sedimentation rate (ESR) (120 mm/hour), lymphocyte count (84%) and decrease in red blood count (RBC) (2.33 million/mm3), haemoglobin (6.8 gr%), haematocrit (22%), platelets (28x103/mm3). Intraoral examination showed diffuse enlargement, surrounded by erythematous tissue with spontaneous bleeding on mandible gingiva, and necrotic tissue upon mandible anterior gingiva on the labial and lingual sides. The mandible anterior interdental papilla was lost. On palpation, the swelling is slightly tender and painful. Oral hygiene was very poor. These oral conditions were diagnosed as NUG. Total healing was obtained after 21 days treatment with emphasis on thorough oral health education, 1.5% hydrogen peroxide and 0.2% chlorhexidine rinses, debridement and scaling, application of metronidazole gel and administration of 500 mg metronidazole per oral three times a day. Debridement and scaling was postponed due to the thrombocytopenia; however complete healing ongoing soon after that. It can be concluded that NUG can be treated adequately although it was complicated by the systemic condition due to CLL. Keywords: Chronic Lymphocyte Leukaemia, Necrotizing Ulcerative Gingivitis.

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SCIENTIFIC PRESENTATION – 69

CASE REPORT: TWO TYPES OF ENDO-PERIO LESIONS IN ONE MOUTH

Maria Davina1, Dewi Anggraini Margono2 1Resident of Conservative Dentistry, University of Indonesia. 2Lecturer of Conservative Dentistry, University of Indonesia.

Endo-perio lesion is responsible for more than 50% of tooth mortality. This lesion manifests

from embryonic, anatomical, and functional relationships between pulp and periodontium. There are a few types of endo-perio lesion based on the variations in etiology and pathogenesis. Management of two types of endo-perio lesions in 40 years old patient will be discussed. Her major complain was on her right maxillary molar (tooth 16) which had an intermittently swelling and a dull pain in the last few months. A less frequent swelling and pain history was also occurred in the left maxillary molar (tooth 26). Tooth 16 was non-caries, non-vital, sensitive to percussion and palpation, 2nd degree mobility, and extruded. The gingival was inflamed and there was a wide deep pocket toward apex on the palatal side. The radiongraph showed an apical radiolucency + 6mm in diameter, involving all roots. The tooth was diagnosed as chronic dentoalveolar abscess due to pulp necrosis from traumatic occlusion, and it was classified as “true combined lesion”. The treatment planning was a root canal treatment followed by periodontal treatment. Tooth 26 was vital with gingival recession on palatal side and a wide deep pocket on the mesial side. The tooth was diagnosed as chronic periodontitis, and classified as “primary periodontal lesion”, and need a periodontal treatment. Conclusion: Different type of endo-perio lesion requires different treatment planning. The success of combined lesions depends on both endodontic and periodontal treatments. Key words: endo-perio lesion, traumatic occlusion

SCIENTIFIC PRESENTATION – 70

OCCLUSION AND TEMPOROMANDIBULAR JOINT ON NORMAL AND ASYMMETRICAL FACES IN ORTHODONTIC PERSPECTIVE

Maria Purbiati Indratoto*, Laura Susanti Himawan**

* Student of Doctoral Program, Faculty of Dentistry, Universitas Indonesia Lecturer, Orthodontic Department, Faculty of Dentistry, Universitas Indonesia ** Lecturer of Doctoral Program, Faculty of Dentistry, Universitas Indonesia

Professor, Prosthodontic Department, Faculty of Dentistry, Universitas Indonesia

Background: Occlusion is a major aspect in orthodontics, so that orthodontic treatment should have references in treating occlusion. Nevertheless, orthodontic treatment should not cause temporomandibular joint disorder. It is clear that there should be a clear reference as a clinical excellent to provide healthy stomatognathic system for cheerful smile. Purpose: To find the correlation between occlusion as well as temporomandibular joints and asymmetrical faces, especially mandibulofacial asymmetry. Review: There have been studies and statements made by many researchers and reviewers recorded in available and representative literatures. Occlusion is often associated with temporomandibular joint, yet malocclusion as the cause of joint disorder is

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still the subject of controversy. Actually, occlusive therapy, including orthodontic treatment, provides much help for the treatment of joint disorder. Healthy stomatognathic system should not be achieved only on faces having normal growth pattern. Patients suffering from facial asymmetry also need healthy and normally-functioning of the whole dentocraniofacial tissues. Conclusion: conclusion can be made for the benefit of orthodontic treatment on occlusion aspect and its relation with temporomandibular joints on faces with normal growth pattern. There are also results on the analysis of the relation between occlusion with its temporomandibular joints and mandibulofacial asymmetry.

SCIENTIFIC PRESENTATION – 71 ESTABLISH AN EMOTIONAL CONNECTION BETWEEN PATIENT AND DENTIST TO ACHIEVE

HIGH PERFORMANCE DENTAL PRACTICE

Marta Juslily, Mita Juliawati dental practitioner, management staff in Trisakti Dental Hospital

To achieve high performance Dental practice nowadays, a dentist needs to understand knowledge how to communicate with the patient. This will help them to establish good emotional connection. A lot of research indices that strong satisfaction with a product and service, although a prerequisite for loyalty, doesn’t always guarantee committed patients. It is required an emotional connection that bridges between satisfaction and loyalty who makes patients feel so valued and cared for. Therefore dentists have to acknowledge themselves with basic communication strategy to gain patients loyalty. Keywords: Emotional Connection, High Performance Dental Practice

SCIENTIFIC PRESENTATION – 72 DEEP OVER BITE CORRECTION IN CLASS II DIVISION 2 MALOCCLUSION USING REVERSE

CURVE ARCH WIRE

Marty Adani*, Faruk Husein** *Resident of orthodontics, Department of Orthodontics

** Lecturer of Department of Orthodontics Faculty of Dentistry, University of Indonesia

Background: This case report was about the treatment of a 13 year old girl who had deep

over bite and crowding in Class II Division 2 malocclusion that was usually treated without extraction, but in this case it was treated by extracting both the first premolars of maxillary for crowding correction and midline correction, and intruding and retracting the upper six anterior teeth. Purpose: The aim of this treatment had been reached in 12 month when deep bite and over jet had been corrected, the crowding on the upper and lower jaws were also corrected, the canines became Class I and midline was also corrected. The duration of treatment until debonding was 16 months. Case management: Nance were soldered to the upper first molar bands and used as an anchor unit for upper space closure, whereas correction of lower anterior teeth that were crowding were be done by slicing. After the crowding of lower anterior teeth is corrected, deep bite in this case would be corrected by using reverse curve archwire. At upper teeth, when retractng anterior

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teeth with bull loop, it also being set up so it has an intrusion effect on anterior teeth. Result of cephalometry analysis showed some changes in several angles, also dominantly showed upper lip position on esthetic line, thus picture of patient profile before and after treatment was significantly different on lip procumbency. Key words: Class II Division 2, deep bite, reverse curve arch wire

SCIENTIFIC PRESENTATION – 73 MANIFESTATION, TREATMENT MODALITIES AND PROGNOSIS OF ORAL CANCER IN EAST

JAVA FROM 2004 – 2008

Mei Syafriadi1), Siska Yumira2), Pratiwi Eka Muhardini3), Riza Dwijayanti4) 1)Division of Pathology, Department of Biomedical Sciences, Faculty of Dentistry, Jember

University, 2),3),4)Co-Ass Student of Jember University Oral and Dental Hospital

Background: The frequency of oral cancer in South East Asia is higher than other countries in the world with Squamous Cell Carcinoma mostly found as oral cancer in the tongue. Epidemiological study and experimental evidence indicated a causal relationship on carcinogenicity with oral habit such as chewing tobacco, betel quid chewing, smoking and drinking. The purpose of this study was to know the manifestation, treatment modalities and prognosis of oral cancer in East Java, Indonesia from 2004-2008. Methods: The cross sectional study was performed and analyzed using analytic descriptive. The data were taken from medical record of patients who were treated at three biggest referral hospitals in East Java such as Dr. Soetomo Hospital, Dr Saiful Anwar Hospital and Dr. Soebandi Hospital. Results: Four hundred and one patients of oral cancer were found from 2004-2008, 274 patients were treated at Dr. Soetomo Hospital, 78 patients at Saiful Anwar Hospital and 49 patients at Dr. Soebandi Hospital respectively. The highest percentage of oral cancer was oral squamous cell carcinoma (45.6%) with tongue as the most common site (30,7%) and parotid gland (21%). The ratio in male is higher than women which is 1.2 : 1. The high risk people who suffered oral cancer are 41-50 years old. Based on treatment modalities, 62% patient were treated with surgery. Conclusion: Oral squamous cell carcinoma in the tongue is the most common type in oral cancer in East Java and people with fourth decade of life has the higher risk. Keywords: Oral squamous cell carcinoma, East Java, Indonesia

SCIENTIFIC PRESENTATION – 74

EARLY DETECTION OF MOUTH BREATHING AS A BAD HABIT

Miesje Karmiati Purwanegara Departemen Ortodonti Faculty of Dentistry University of Indonesia

A child in the development phase who repeatedly suffers from infection on his upper

respiratory tract can suffer from the obstruction of upper respiratory tract (OURT). Should OURT occur continuously over a period of time, the child is likely to develop the habit of mouth breathing (MB). This leads to obstruction of the growth of dentocraniofacial (DCF) which will result in morphologic deviation of the DCF, or even deviation of the child’s general physical growth. Other impacts will be in the form of a mental upset and problems in socializing. These are the reasons

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why there should be early detection of MB bad habit to prevent any unwanted deviation. For this purpose, a simple and inexpensive means for the early detection is in the form of a questionnaire.

SCIENTIFIC PRESENTATION – 75

pBMP-2 TRANSFECTION INTO AN ODONTOBLASTIC LINEAGE CELL AS A STEM CELL CONTRIBUTION FOR REGENERATIVE DENTIN FORMATION

Mindya Y, Hedijanti J, Niniarty Z.D,

Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia

Introduction: Experimental studies have shown that dental pulp tissue has potential to regenerate dentin in response to adverse stimuli, such as caries or associated operative procedures. However, the potential of dental pulp regeneration seems to be limited by regenerative capacity of the cells involved. Objective: The aim of this study was to evaluate the effects of transfection of pcDNA-BMP2 gene in proliferation and differentiation of dental pulp tissue in vitro, by ELISA analysis of ALP production and calcium content of Von Kossa Staining. Methods: Cultured human dental pulp cells were made after pBMP-2 construction into an odontoblastic lineage cell in vitro with different concentration. The regenerative capacity was analyzed by ALP-ase production and calcium content. Results: The ALP-ase concentration at the 5th and 9th

passage was higher than control and the number of mineralized nodules was increased significantly. Conclusion: pBMP-2 transfection induced odontoblastic lineage cell of dental pulp to form regenerative dentin formation. Keywords: BMP-2, dental pulp, odontoblast, stem cell

SCIENTIFIC PRESENTATION – 76

THE ROLE OF HUMAN RESOURCE MANAGEMENT IN DENTAL PRACTICE Mita Juliawati, Marta Juslily

dental practitioner, management staff in Trisakti Dental Hospital In globalization era, particularly, in the era of competitiveness and modern dentistry world, it is a must for a dentist to find an innovative way in order to maintain and increasing the visit of the patient. Especially in the problem of patient complaint in dental practice and it might be caused by human factor. Effort needed to be done include re-evaluation and restructuring in all sources such as Human Resources in Dental Practice eg, dentist,nurse, frontliners,etc. In order to obtain optimal services, the human resources in dental practice should consider factors such as appropriate quality ( standards, effective and efficient, good attitude and positive character) and quantity (that is the number of dental personnel that apropriate the needs of dental practice) The final objective is the customer satisfaction and increasing the incoming patient by role of human resource management in dental practices Keywords: Role of Human Resources Management, quality and quantity factor, patient satisfaction

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SCIENTIFIC PRESENTATION – 77

THE ROLE OF OSTEOCLAST AND OSTEOBLAST IN ACCELERATING ORTHODONTIC TOOTH MOVEMENT

Muhammad Nurul Amin

Biomedical and Orthodontic Department, Faculty of Dentistry University of Jember

The orthodontic appliances which are used to correct malocclusion in form of tooth abnormality, relation abnormality that involving the jaws, growth abnormality on face shaping or soft tissue abnormality around the mouth. The use of orthodontic appliances to correct malocclusion involves remodeling process of alveolar bone. This process may be stimulated using mechanical force obtained from activation of appliance components that applied to stress teeth and affect the tooth adjacent the tissue including the gingival, periodontal ligament and alveolar bone. This activation may be conducted base on burdening on teeth. Based on the application of mechanical force, the area around the teeth is divided into two parts, stressing area and stretching area. At stressing area, the mechanical force stimulates osteoclast to conduct bone resorption of alveolar bone whereas on the stretching area, the osteoblast activation develops new bone formation. The use of orthodontic appliances, in fact, needs a long time span to move the teeth. In recent years, many researchers have tried to conduct alveolar bone remodeling to accelerate the tooth movement and be safe for periodontal tissue health. Manipulation of alveolar bone remodeling, of course, puts target mainly on osteoclast and osteoblast as the main cells which have role in it. Keywords: Osteoclast, osteoblast, alveolar bone remodeling, faster orthodontic tooth movement

SCIENTIFIC PRESENTATION – 78 EARLY EXTRACTION OF TWO UPPER DECIDUOUS TEETH PRESENTED WITH BILATERAL

CONICAL TYPE SUPERNUMERARY TEETH ON A 7 YEARS OLD (CASE REPORT)

Nila Alya Maulidina1, Heriandi Sutadi2 Resident at Pediatric Dentistry Departement 2008, Lecturer at Pediatric Dentistry Departement

Faculty of Dentistry University of Indonesia

Supernumerary teeth are the teeth present in addition to the normal set of teeth. They may be single, multiple, unilateral or bilateral, erupted or unerupted and in one or both jaws, conical shaped is the most prevalent type. Present in 1 - 3.5% of world population, mostly in male, the effect of supernumerary teeth varies from rotation and displacement until no effect at all. Stage of development and the position of the permanent teeth, analysis of space availability are crucial during early intervention to prevent further clinical problems. This case report presents with two peg-shaped supernumerary teeth, underwent early extraction along with their deciduous teeth to prevent further clinical problem and followed with spontanious eruption of the permanent teeth. In conclusion, not every supernumerary teeth will lead to malocclusion, in this case report, early extraction successfully followed by spontaneous eruption of permanent teeth. Keywords: Supernumerary teeth, Conical type, Early extraction, Malocclusion.

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SCIENTIFIC PRESENTATION – 79

ENDODONTIC THERAPY THROUGH ARTIFICIAL CROWN

Novandyta Hapsari1, Nila Kesuma2 1 Postgraduate Conservative Dentistry, 2Department of Conservative Dentistry, Faculty of Dentistry,

University of Indonesia

There are some challenges related to keeping teeth free from endodontic therapy when accomplishing fixed prosthodontics. Many factors can cause pulpal death, including traumatic tooth preparation, inadequate provisional restorations, and pulp injury caused by cements or cementing procedures. Highly restored teeth or those with questionable pulps should be analyzed carefully before tooth preparation to prevent teeth from symptoms and needed of accomplish endodontic therapy through the new crowns or prostheses. A case of periapical abscess in central incisor on 25 years old female a year after crown insertion will be discussed. A root canal treatment was performed through the crown and obturation was completed. Obturation is completed after the root canal preparation and master cone achieved the right working length. Key Words: Pulpal death, Endodontic therapy, Tooth preparation, Crown.

SCIENTIFIC PRESENTATION – 80 PARTICIPATION OF MIDWIVES IN MAINTAINING ORAL HEALTH DURING PREGNANCY AT

KECAMATAN SERPONG - A SIX MONTH EVALUATION

Novrinda H*, Andreas P*, Rahardjo A*, Darwita RR*

* Department of Dental Public Health and Preventive Dentistry – Faculty of Dentistry University of Indonesia

Background: Midwives have an important role as partners in maintaining the health of

pregnant women, including oral health. The aim of this study was to evaluate the result of Oral Health Training Program followed by midwives at Kecamatan Serpong. The training program consisted of dental health education, brainstorming, and simulation of oral health examination using KASIH (Pregnant Women’s Dental Health Card). Methods: Quantitative and qualitative approaches were employed. Fourteen midwives were asked on their knowledge regarding pregnancy related to oral health, utilization, and KASIH card during six month period by interview and questionnaires. In additional, 3 midwifery lecturers were also interviewed to gather information regarding midwifery’s curriculum related to oral health. Results: Mean score of knowledge decreased from 12.28 (post test score after training) to 9.4 (after six months). There were 57% of the participants remembered to examine dental health to their patients but only 21% using KASIH card. These were due to lack of confidence, motivation, and equipments. They were ready to participate in re-training program. There was just a little content about oral health in midwifery’s curriculum. Conclusions and Suggestions: Midwives still had the motivation to participate in maintaining pregnant women’s oral health. Reinforcement and refreshing were needed during six months period to strengthen their participation. Enrichment content about oral health related to pregnancy in midwifery’s curriculum was suggested.

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Keywords: Midwife, participation, pregnancy, oral-health, midwifery’s curriculum

SCIENTIFIC PRESENTATION – 81 THE PRE-ERUPTED STUDY OF MANDIBULAR THIRD MOLAR INCLINATION AMONG 14 TO

17 YEAR OLD

Nurlailia DS*), Zainul Cholid**), Mei Syafriadi***) *) Co-Ass Student of Jember University Oral and Dental Hospital, **) Department of Oral and Maxillofacial Surgery, ***) Division of Pathology, Department of Biomedical Sciences, Dentistry

Faculty, Jember University

Background, the tooth position in the jaws changes continuously due to crown and root growth. The position of third molar mandible normally is mesioangular position, and then moves gradually until contacting and resisting to distal part of second molar than sliding and paralleling to the second molar axis to get eruption way to the oral cavity. The purpose of this research was to know inclination appearance of pre- erupted stage of the mandible third molar of population among 14 to17 ages grouped to three groups are 14 to 15 ages group, 15 to16 ages group and 16 to 17 ages group. Method, this research was clinical observation study performed at Radiology Department, Dentistry Faculty of Jember University using 48 samples who selected by selective random sampling. All samples were x-ray exposed in both left and right side mandible third molar region with paralleling technique projection and then the inclination was measured and analyzed using radiogram. Result, showed that among 14 to15 age group had interval inclination of 500 to 560 (43.75%), 15 to 16 ages group had interval inclination of 570 to 700 (80%), and 16-17 ages group had interval inclination of 640 to 700 (46.67%). Based on sex, the percentage of inclination on the female and male was different in every age group. Conclusion, it can concluded that the inclination interval of the mandible third molar from the three groups increased due to the increased of age. Key word: Third molar, mandible, inclination

SCIENTIFIC PRESENTATION – 82

BONE DENSITY AS A FACTOR THAT INFLUENCE ORTHODONTIC MINI-IMPLANTS STABILITY

(Literature Review) Olivia Pribadi* Erwin Siregar**

*Resident of Orthodontics, Department of Orthodontics *Lecturer of Department of Orthodontics

Faculty of Dentistry, University of Indonesia

Stable anchorage is an important factor for successful orthodontic treatment, especially when maximum anchorage is necessary. Various techniques have been developed to obtain good anchorage. Recently, the use of mini-implants to obtain absolute anchorage has become very popular. Mini-implants have several advantages: no need of patient cooperation, ease of placement and removal, low cost, can be placed at various site, and can be loaded immediately. However, sometimes mini-implants have a problem with unwanted loosening. It is important to ensure the initial stability of mini-implant before it can be used as orthodontic anchorage, because

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most failures occur during initial stage. Initial stability of mini-implants is essential in clinical use associated with mechanical locking and immediate loading. Factors associated with mini-implant stability, such as age, sex, patient’s general conditions, bone quantity and quality, placement sites, placement procedure, screw implant characteristics, have been reported. Quality (density) of the bone greatly influence initial stability. Many studies reported that high failure rate in low density bone. It was reported that bone density differs according to age, sex, and sites. Keywords: stability, mini-implant, bone density

SCIENTIFIC PRESENTATION – 83

UPPER AIRWAY OBSTRUCTION CAUSED BY ODONTOGENIC INFECTION (Case Report)

Palupi Kumara Sari*, Agus Nurwiadh.**, Rama Nusjirwan***

*Resident of Oral and Maxillofacial Surgery Department, Faculty of Dentistry Padjajaran University, Dr. Hasan Sadikin General Hospital

** Consultant of Oral and Maxillofacial Surgery Department, Faculty of Dentistry Padjajaran University, Dr. Hasan Sadikin General Hospital

*** Consultant of Cardiothorasic Surgery Department, Faculty of Medicine Padjajaran University, Dr. Hasan Sadikin General Hospital

Tooth is one of small structures of the body, unfortunately the tooth is related to infectionsm,

and occasionally it can become serious and life threatening. The involvement to the danger spaces as a result of odontogenic infection is a life threatening event. The facial space involvement to the airway may be in the anterior part such as in the Ludwig’s angina, or in posterior part such as in the retropharyngeal space infection. The squelae may be the result of locally induced complication, such as in the upper airway obstruction. The clinician should be aware of this and carefully and frequently monitor the airway status to prevent fatal obstruction. If the decision to establish an artificial airway is delayed, a tracheostomy is the only option. Keyword: Odontogenic, Airway Obstruction, Tracheostomy

SCIENTIFIC PRESENTATION – 84 PATIENT'S KNOWLEDGE ABOUT THE BENEFITS AND SIDE EFFECTS OF ORTHODONTIC

TREATMENT IN RSGMP FKG UI

Patricia Iskandar1, Haru Setyo Anggani2, Retno Widayati2 1 Resident of Orthodontic, Faculty of Dentistry, University of Indonesia 2 Lecturer of Orthodontic, Faculty of Dentistry, University of Indonesia

Background: Orthodontic treatment is beneficial for dental and oral health as well as the

psychosocial aspect of patients in respect to an esthetically better dentofacial appearance. Even so, orthodontic treatment also have some side effects. Thus, before proceeding with orthodontic treatment, patients need to be informed both of its benefits and side effects. Objectives: The aim of the study is to identify the level of patient's knowledge about orthodontic treatment in RSGMP FKG UI, as well as its benefits and side effects on their initial visit in RSGMP FKG UI. Methods: Questionnaires were given to 100 new patients in RSGMP FKG UI. The knowledge level is

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assessed according to the total answer from respondents. Results and Conclusion: The knowledge level of patients about orthodontic treatment in RSGMP FKG UI is good. Their knowledge on the benefits of orthodontic treatment to reduce the risk of caries, periodontal diseases, anterior teeth trauma, mastication and speech problems, temporomandibular disorders, as well as psycosocial problem is good. Their knowledge on the treatment's side effects such as pain, soft tissue trauma, periodontal problems, and temporomandibular disorders are also good. Even so, their knowledge level on other side effects such as root resorption, enamel and pulp damage, as well as relaps is still low. Keywords: knowledge, benefits and side effects of orthodontic treatment

SCIENTIFIC PRESENTATION – 85

ONE VISIT BRIDGE USING FIBER REINFORCED COMPOSITE

Suzan Elias Faculty of Dentistry Trisakti University

In the case of the loss of a single tooth, dentist should construct a denture that can fulfill the

requirement for better esthetic, mastication, and phonetics and also to maintain the surrounding tissues. A removable denture is one of the possibility to solve the problem, although some patiens may not be satified in wearing a removable denture because the need to remove and insert it, and some clasps are made for retention of the denture, and not esthetically. Some dentist using Valplast to make it look better because of the colour of the clasp. Another design for suitable that may be offered to the patient is a fixed partial denture because it is small and more comfort for the patients. According to Cooney, Malone-Thylman, and Rosenstiel”s research about the behavior of patients that using dentures, the prereference of the patients is more to fixed partial denture restoration. Normally the design of a bridge requires two retainers which will be placed on the abutment teeth. A full crown as a bridge retainer is an convensional design that must be made on each abutment tooth. Dentist must sent to the dental lab and need a couple of day to make the bridge. Using the fiber Reinforced Composite makes it posible for the dentist to make a bridge without the preparation of all sides of the tooth structure, but only doing preparation in the shape of an inlay on each abutment tooth. The technique allows the dentist to make a bridge in one visit, which helps the patients to achive a good appearance because it takes less time and does not require laboratory assistence, but with satisfactory results.

SCIENTIFIC PRESENTATION – 86

ENDODONTIC TREATMENT ON MANDIBULAR FIRST PREMOLAR WITH WEINE TYPE 4 CONFIGURATION

R. Indriutami.* N. Sumawinata.**

* Post Graduate student of Conservative Dentistry, ** Professor of Conservative Dentistry, Faculty of Dentistry University of Indonesia.

The key of root canal treatment success is influenced by operator’s skills and knowledge of

root canal morphology. Root canals are various in shapes and numbers. Due to this various morphology; and missed root canal can cause failure of treatment if it is unidentified by the

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operator because it makes the necrotic tissues and microorganism are still persist. This case report will discuss about an endodontic failure of root canal treatment which is caused by an unidentified root canal in earlier treatment. The classification of this case is Weine’s type 4 root canal configuration which means one root canal is divided into two root canals on the apical third. The retreatment of this root canal has good prognosis because the failure can be identified and the proper access can be achieved by having a wide orifice opening, so two instruments or two gutta percha cones can be put together at the same time. The success of this treatment is reported by the absence of previous persistent clinical symptom. Conclusion: The faulty of the previous treatment was in the first step of triad endodontic, which is access opening. In this case access openingwas done insufficiently, leading to unidentified root canal. Access is the first determining factor of the success of all stages of endodontic procedure, because if access is improper then cleaning and shaping cannot be done sufficiently and finally the hermetic obturation cannot be achieved. A root canal treatment failure will be discussed Keywords: configuration of root canal, mandibular first premolar, unidentified root canal.

SCIENTIFIC PRESENTATION – 87

PARENTS PERCEPTION ON THE IMPACT OF DENTAL AND ORAL HEALTH TO THE QUALITY OF LIFE OF THEIR CHILDREN IN URBAN AND RURAL AREAS IN MAKASSAR

MUNICIPALITY

Rasmidar Samad, MS*, Ra’idah Bulu’**,Herman Yapardi** *Dental Public Health Department, Faculty Of Dentistry, Hasanuddin University

**Post Graduate Student of Dental Public Health Department, Faculty of Dentistry, Hasanuddin University

The parents’ perception on dental and oral health of their children will influence the

preventive treatment by the dentist and the future of their children’s dental health. Makassar as the capital city of South Sulawesi province has a community which is divided into rural and urban areas that each area has their own characteristic and life style. Objective: The aim of this study was to assess the parents’ perception on dental and oral health and its impact to quality of life in early childhood/pre-school age of their children. Methods: This study used a cross sectional study design, held in Makassar municipality with the sample size of 172 person obtained from multistage random sampling. The measuring instrument in this study was ECOHIS questionnaire (the Early Childhood Oral Health Impact Scale). The t test was used to analyze the data that was performed using SPSS version 11.0. Results: In the urban area, based on the perception and the education level of the parents there was a significant difference in the caries status of their children, but there was no significant difference in the rural area. Based on the educational level of the parents, there was a significant difference in quality of life of their children, both in urban and rural areas (p<0.05). Conclusion: There were differences in the pattern of children caries status and quality of life in urban and rural areas in Makassar municipality. Keywords: Perception, quality of life, urban and rural, ECOHIS.

SCIENTIFIC PRESENTATION – 88 THE EFFECT OF GEL CONTAINING ANTI STREPTOCOCCUS MUTANS SEROTYPE-C IGY ON

THE FORMATION OF S.MUTANS BIOFILM (IN VITRO)

Ratna Farida, Endang Bachtiar , Melissa, Jeng Seriana, Rina Septriani.

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Department of Oral Biology, Faculty of Dentistry University of Indonesia

Background: S. mutans is the bacteria that cause dental caries. S. mutans serotype-c is found predominantly in plaque and saliva. IgY anti S. mutans in chicken eggs can inhibit the formation of dental biofilm by S. mutans. Objective: The aim of this study was to determine the effect of gel containing anti S. mutans serotype-c IgY on the formation of S. mutans biofilm in vitro. Methods: The biofilm assay was carried out by using 24 well plates. Well plates were given three different treatments, which were without gel coated, coated with gel only (control) and coated with gel containing IgY (treatment). They were added with mixture of artificial saliva with S. mutans, and incubated for two hours. Biofilm formed on the well plate were determined by optical density 655nm. Results: The average biofilm OD value of the group with gel containing IgY (0.1943+ 0.0474) was lower than the group with gel only (0.2109+0.0494), however by statistical analysis using one way anova showed no significant difference (p=0.313). the average biofilm OD value of the group without gel (1398+0.0408) was lower than the group with gel only (0.2109+0.0494), and statistical analysis showed significant difference (p=0.000). The average biofilm OD value of the group without gel (0.1398+0.0408) was lower than the group with the gel containing IgY (0.1943+0.0474), statistical analysis showed significant difference (p=0.002). Conclusion: In this study, gel containing anti S. mutans serotype-c IgY (2%) had the potential to inhibit the formation of S. mutans biofilm in vitro, however it was not statistically different. Keywords: Streptococcus mutans serotype-c, biofilm, gel, IgY

SCIENTIFIC PRESENTATION – 89 TREATMENT OF PROTUSION AND OPEN BITE CASE WITH EXTRUSION UPPER MOLAR

USING TRANSPALATAL ARCH AS ANCHORAGE

Renta Frianty1, Krisnawati2 1Resident of Orthodontic, 2Department of Orthodontic

Faculty of Dentistry, University of Indonesia

Background: Orthodontic treatment of protrusion teeth with molar extrusion need special consideration. Usually molar extraction and maximum anchorase are needed to correct protusion teeth. Decision of having reinforce anchorage and choosing teeth that is going to be used as anchor need the teeth in the best position. Purpose: The aim of this case report was to choose the method of choosing anchorage of protrusion teeth and open bite with extrusion upper first molar in 20 years old woman that was treated with orthodontic appliance and transpalatal arch as unit anchorage. Case management: In this case transpalatal arch was chosen to be the anchorage to both upper second molar with loop modification to mesial so they would be able to help intrusion both first upper molar. After 19 months of orthodontic treatment, patient’s chief complaint which was upper maxilla protrusion and open bite were corrected. The patient’s face and smile became better. This orthodontic treatment also corrected both first upper molar extrusion because there was no contact with the opposite teeth. This action wolud help the process of making prothese of missing lower teeth. Keywords: Protusion, open bite, extrusion

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SCIENTIFIC PRESENTATION – 90

ETHANOL EXTRACT AND VOLATILE OIL OF CURCUMA XANTHORRHIZA ROXB INHIBIT

PHOSPHOLIPASE ACTIVITY AND GROWTH OF CANDIDA ALBICANS

Ria Puspitawati, Aurelia Aurelia, Felicia Kathleen, Inez Hanida, Stefani Pramudita, Lakhsmi A Leepel

Department of Oral Biology, Faculty of Dentistry, University of Indonesia

Xanthorrhizol of Curcuma xanthorrhiza Roxb. has an anti candidal effect. C. albicans phospholipase has a role in penetrating the host cells. Objectives: To study the effect of ethanol extract and volatile oil of C. xanthorrhiza on the growth and the phospholipase activity of C. albicans. Methods: C. albicans suspension (10-3) was exposed to SDB (negative control), 1% gentian violet (positive control), ethanol extract (5 mg/L – 30 mg/L), and volatile oil (30% – 55%) of C. xanthorrhiza. After 48 hours, 10 µl of each suspension was cultured in SDA at room temperature. The Colony Forming Unit (CFU) was counted after 72 hours, and analyzed using ANOVA. Phospholipase activity was determined at 72 hours C. albicans cultures on EYA. Results: Compared to negative control (> 300.000 CFU/ml), C. xanthorrhiza’s ethanol extract (5 mg/L – 30 mg/L) significantly decreased the growth of C. albicans (119 CFU/ml – 9 CFU/ml) with the p>0.05. Increased concentration (5 mg/L–20 mg/L) of C. xanthorrhiza’s ethanol extract reduced the activity of C. albicans phospholipase (0.68 – 0.83), and inhibited its activity at the concentration of ≥ 22.5mg/L. Similarly, 30% – 40% C. xanthorrhiza’s volatile oil decreased the growth of C. albicans (37.800 CFU/ml – 600 CFU/ml) compared to control (> 300.000 CFU/ml) and inhibited the growth in the concentration of ≥ 45%. Thirty to thirty five percent volatile oil reduced the activity of C. albicans phospholipase (0.695 – 0.88), and inhibited its activity in the concentration of ≥ 40%. Those exposed to gentian violet showed no growth. Conclusions: Ethanol extract and volatile oil of C. xanthorrhiza had the capability in inhibiting the growth and phospholipase activity of C. Ablicans. Keywords: C. albicans, C. xanthorrhiza, ethanol extract, volatile oil, CFU, phospholipase

SCIENTIFIC PRESENTATION – 91

DECREASING THE TOTAL NUMBER OF CERVICAL LYMPH NODE CELLS CAUSED BY IMMUNOSUPRESSION AND CANDIDA ALBICANS INFECTION

Rina Sutjiati, Iin Eliana Triwahyuni

Department of Histology, Faculty of Dentistry Jember University Department of Oral Medicine, Faculty of Dentistry Jember University.

Introduction: Nowadays, the case of fungal infection in oral cavity is increasing, parallel to

the increasing number of immunosupressed patient. The majority of the cases were caused by Candida albicans, namely oral candidiasis. Immunity factor is important to overcome Candida albicans and cervical lymph node (CLN) plays an important role in the oral cavity. Objectives: The purpose of this study was to evaluate the effect of immunosupression and Candida albicans infection to the total number of CLN cells. Methods: This laboratory experimental research used BALB/c mice that was immunosupressed and then infected by C.albicans. Mice were divided into

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three groups: Group 1 was the negative control, Group 2: immunosupressed and Group 3: immunosupressed and infected with C.albicans. Mice were immunosupressed by injecting prednisolon 2-3mg/mice subcutaneously, at one day before they were infected and three days after were infected with C. albicans. Group 2 and 3 were given tetracycline hydrochloride in drinking water (0,83mg/ml) one day before they were infected. C.albicans inoculation was given at zero day. At 4th day post infection, mice were sacrificed and the total number of CLN cell was calculated with haematocytometer. Data were analyzed by One Way Anova test and LSD (p<0.05). Results: The results indicated that there was a decreasing total number of CLN cells caused by immunosupression and Candida albicans infection. Keywords: Cervical lymph node cells, Candida albicans, immunosupression

SCIENTIFIC PRESENTATION – 92

WORK STRESS AND PERIODONTAL DISEASE

Risqa Rina Darwita*, Febriana Setyawati*, Herry Novrinda*, Iradani Yupitaningrum** *) Dept. Dental Public Health and Preventive Dentistry Universitas Indonesia

**) Kota Tangerang Health Agency

This study examined the association between occupational stress and the periodontal disease in factory worker at Tangerang - Banten Province. Objectives: to analyze the relationship between work stress, social support, and habitual life style and periodontal disease in factory worker at Tangerang - Banten Province. Method: This study was a cross sectional study. The subjects of the study were 247 workers from 2 factories in Tangerang Banten province. All subjects were got dental examination for measuring the Clinical Attachment Level (CAL) and Plaque Index. Work stress as a psychosocial factors including to the factors of social support and habitual life style were measured by questionnaire SCL 90, questionnaire survey Diagnostic Stress and questionnaire Holmes Rahe. The Multiple Linier Regression and Standardization Analysis were used to analyze for all variables of work stress related to periodontal disease, which was controlled by plaque index, age, sex, and smoking habit. Results: The prevalence of work stress by quantity of work load divided into mild work stress was 24.29%, moderate work stress was 69.64% and the highest work stress was 6.07%. There was significant correlation between work stress because of quantity work-load with the out-come of periodontal disease (p<0.05). However, there was no significant correlation between life-stress and psycho-pathology and the outcome of periodontal disease (p>0.05). The plaque was an indicator to predict the outcome of periodontal disease (ß=0.304). While the results of standardization analysis indicated that the outcome of periodontal disease by work stress had the same pattern as controlled by control variables which were plaque, age, sex, and smoking habit. Conclusion: There was significant correlation between work-stress because of work-load quantity with the outcome of periodontal disease (CAL), whereas the level of periodontal disease increased as much as the increasing of work stress because of quantity work-load. Keywords: Work stress, life stress, psycho-pathology, periodontal disease

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SCIENTIFIC PRESENTATION – 93

NON-VITAL BLEACHING OF DISCOLORED TOOTH USING 35% HYDROGEN PEROXIDE GEL

WITH THE WALKING BLEACH TECHNIQUE (CASE REPORT)

Rizka Kusumah Adriani 1, Daru Indrawati 2

1 Post graduate student of Conservative Dentistry, University of Indonesia 2 Lecturer of Conservative Dentistry, University of Indonesia

Non-vital tooth discoloration is a common problem, and it will cause aesthetic problems for

patients. One way to improve the aesthetic problem of a tooth discoloration is dental bleaching procedures to restore a tooth back to its normal color. A case discoloration of central incisor on a 29 years old patient due to trauma will be discussed. The treatment consisted of walking bleach technique using 35% hydrogen peroxide gel after root canal treatment has been performed. This technique is simple and showed a satisfactory results. Keywords: non-vital tooth discoloration, walking bleach technique, hydrogen peroxide gel 35%.

SCIENTIFIC PRESENTATION – 94

ANTI-INFLAMMATORY ACTIVITY OF OUTER LAYER ALOE BARBADENSIS LEAF EXTRACT ON ACCELERATE HEALING PROCESS OF

ORAL MUCOUS ULCERATION

Widurini, Tut Wuri Andajani, Sarwono AT, Arifa Department of Oral Biology Faculty of Dentistry University of Indonesia

Background. In Indonesia, Aloe barbadensis leaf is one of the herbal plants used as traditional medicines in treating many health problems. Previous work showed that 25% of inner layer Aloe barbadensis extract was effective as anti-inflammatory on the oral mucous of Wistar rats. Objective: The aim of this study was to know the lowest concentration of outer layer Aloe barbadensis leaf extract that could accelerate healing process of mucous ulceration on S-D rats. Methods: Sixty inbreeding S-D rats was applied by applied solution of Hydrogen Peroxide 10% during three days to induced inflammation on the vestibules of labial inferior mucous. During the next three days, on the same area was topically applied solution of Natrium Chloride 0.9% (control group), as well as 6.25%, 12.5%, 25% of outer layer Aloe barbadensis extract (treatment group) for 3 x 5 minutes. On the fourth days, five rats in each group were sacrificed. Then, the same treatment was done on others groups (control and treatment groups). On the sixth day, five rats of each group were sacrificed. The last groups were sacrificed on the eighth days. Microscopic slides were done. Results: Microscopic slides were observed under light microscope and scored. Statistic analysis with Mann-Whitney test showed significant differences between control and treatment group (p<0.05). Conclusion: 6.25% of outer layer Aloe barbadensis leaf extract is the lowest concentration that could accelerate healing process of oral mucous ulceration on S-D rats. Keywords: Aloe barbadensis, oral mucous ulceration, healing process.

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SCIENTIFIC PRESENTATION – 95

PATIENT EDUCATION AND STRINGENT FOLLOW-UP INFLUENCING THE OUTCOME OF

STEROID-TREATED ERYTHEMA MULTIFORME (Case Report)

Siti Aliyah P*

Oral Medicine Department, Faculty of Dentistry, Universitas Indonesia Erythema multiforme is an inflammatory mucocutaneous disease which etiology remains unknown. Several precipitating factors including drugs and food have been suggested to trigger the disease. Systemic corticosteroid therapy is frequently used to treat this condition. A case of 54 year-old female patient diagnosed with erythema multiforme, has been treated with systemic steroid for several times. Good clinical appearance resulted from the treatment has not been achieved and she complained that the disease worsen. History of drugs usage without any physician’s advice every time the disease recurred was revealed. Steroid treatment was rescheduled for the patient. Thorough patient’s education about the rationale of the steroid treatment together with strict follow up schedule was also planned. Clinical appearance of erythema multiforme was resolved after the second follow up visit. Until now patient still experiences several mild recurrent episodes of erythema multiforme, but longer lesion-free period was noted. Although steroid is the treatment of choice of erythema multiforme, good treatment outcome is also strongly influenced by patient’s understanding of the rationale of the treatment and the importance of follow up during treatment. Keywords: erythema multiforme, steroid, education, follow up

SCIENTIFIC PRESENTATION – 96

DESCRIPTIVE RESULTS OF DIGITAL DENTISTRY READINESS AMONG DENTAL PRACTITIONERS IN MALAYSIA

Sitti Andi Rahmayanti Laya*, Farida Sarkawi**, Siti Noor Fazliah Mohd Noor**

*Dental Officer-Oral Health Clinic AMDI-USM **Advanced Medical and Dental Institute, Universiti Sains Malaysia

Introduction: Technology application in dentistry evolved dramatically allowing easy data management. Dental practice equipped by ICT application enable the improvement in work flow and efficiency due to huge number of software available that serves many non-internet clinical applications as well as administrative application technology. Despite the advancement of dental technology, problem still occurs among dentists such as uneasiness and rigidity in using technology in dentistry. Aims: The purpose of the study was to determine the readiness of dental practitioners to digital dentistry in Malaysia by using Technology Readiness Index. Methods: The study was conducted among dentist both in the government and private sector in Malaysia. Survey was done through distribution of questionnaires through regular mail, direct survey through phone and visit to dental clinics, and online survey through internet. Around 500 questionnaires were sent out and only 182 dentists responded (36.4%). Descriptive data were analyzed using SPSS version 17.0. Results: Majority of the respondents were female (64.7%) with age <30 years old (39.1%). Most dentists hold bachelor degree (69%) and working in the Government sector (59.8%). Most

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dentists had personal computer at home (96.7%) with >5 years experience of using computer (82.1%) with 76.1% claimed had the experience of using internet. Even though 93.5% had computers at their clinic, they are not applying digital dentistry (71.7%). Conclusion: Dental practitioners in Malaysia are keeping pace in applying digital dentistry. Further analysis is needed regarding the TRI.

SCIENTIFIC PRESENTATION – 97

EFFECT OF XYLITOL CHEWING GUM ON PROTEIN CONCENTRATION OF SALIVARY MUTANS STREPTOCOCCI

Sri Utami, Sri Rejeki, BM Bachtiar, Purwita Nurwidyastuti

Department of Oral Biology, Faculty of Dentistry, University of Indonesia

Introduction: Xylitol chewing gum is widely available and has been known capable of preventing tooth decay. Mutans streptococci play an important role in dental caries. Every function in the living of bacteria depends on protein. This study reported that xylitol could change the expression of mutans streptococci protein profile in vitro. Objectives: The aim of this study was to determine the effect of xylitol chewing gum on total protein concentration of salivary mutans streptococci. Methods: Saliva samples were collected from 24 subjects who were instructed to chew xylitol chewing gum 3 times daily in 25 days. Samples were inoculated on TYS20B medium. After 2 days, the colonies were inoculated on TYS Broth, respectively. Bradford protein assay determined the total bacteria protein concentration with Optical Density (OD) at 655 nm wavelength. Results: Significant decrease (p=0.000) was obtained in total protein concentration before (896.88004 ± 372.1344) and after treatment (451.37308 ± 245.8180). Conclusion: Xylitol reduced the total protein concentration of salivary mutans streptococci. Keywords: protein, mutans streptococci, xylitol chewing gum

SCIENTIFIC PRESENTATION – 98

PERSONAL SOFT SKILLS IN DENTISTRY

Sudibyo*, Dwi Hariyanto** */** Community Dental Public Health, Faculty of Dentistry, Hang Tuah University This article deals with the importance of the recent notion of soft skills for work-related dentist, especially its role in dental practice. It is argued that soft skills not only a crucial and increasingly important topic in careers and career negotiations, but are also part of dentist and patients relations which tries to take seriously personalities. Soft Skills as opposed to hard skills (such as technical skills), greatly impacts the personality development of dentist. Organizations today recognize that the professional development of their dentist play an important part in maintaining relationships with their customers. Soft skills described as an art, are very often ignored in dental management. The soft skills are such as: etics, professionalism, leadership, creativity, team work, communication, critical thinking, problem solving and so on. It is acquired through experiences and concerned with managing patients, ensuring customer satisfaction and creating a conducive environment for the dentist to deliver high quality services within on time and exceeding stakeholder expectations. This paper summarizes the soft skills that can possibly

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improve the success rate of dentist. These dentist, if not managed properly can lead not to success as a public (patient) good services that beyond expectations. Keywords: soft skills, hard skills, dentist, and patient.

SCIENTIFIC PRESENTATION – 99

CLEFT LIP AND CLEFT PALATE IN CHILDREN: DESCRIPTION AND THE TREATMENTS

Sulistiyani, Roedy Budi Raharjo Department of Pedodontics Faculty of Dentistry Jember University

Cleft lip is an abnormality shaped in form of cleft usually on the upper lip of a child since the child was born. When it is located at the palate, it is called a cleft palate. The cause of this abnormality is the failure of palatal fusion in the fetal period due to genetic or environmental factors. Treatment of these abnormalities involves a team including dentist, dental surgery specialist, plastic surgery specialist, and pedodontist. There are various appropriate time to conduct the surgery depends on the type and the severity of the cleft. Keywords: Cleft lip, cleft palate, treatment, description.

SCIENTIFIC PRESENTATION – 100

ORAL TRAUMATIC ULCER

Sumintarti*, Erni Marlina* Departement of Oral Medicine of Hasanuddin University

Traumatic ulcer is an uncovered wound of cutaneous or mucosal tissue that exhibits gradual

tissue disintegration and necrosis that extend deeper from beyond the basal layer of the epithelium into the dermis caused by trauma. Oral traumatic ulcer may result from physical, chemical, or thermal trauma to the tissue. Traumatic ulceration characteristically showed as a single localized deep ulcer with an irregular outline. In contrast, chemical irritation may present as a more widespread superficial area of erosion, often with a slough of fibrinous exudates. The diagnosis of traumatic ulcer usually ascertained by the history or clinical examination. . Biopsy is often needed to establish the diagnosis and to rule out infection or malignancy. Management of this condition depends on the clinical presentation and symptoms and includes elimination of the suspected cause, anesthetic topical, antiseptic mouthwash, or simple covering agent. Factitious (self-inflicted) oral ulceration may also occur and may be difficult to diagnose and manage. Psychiatric advice is required in some cases. Dental clinicians must aware of traumatic ulcer, and they should be prepared to provide a diagnosis and treatment, even if there is suspected malignancy. Keywords: Traumatic ulcer, malignancy, biopsy

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SCIENTIFIC PRESENTATION – 101

EXPRESSION OF MATRIX METALLOPROTEINASE-8 (MMP-8) GENE IN GINGIVAL CREVICULAR FLUID DURING DISTALIZATION OF UPPER CANINE

Susilowati

Faculty of Dentistry Hasanuddin University

Introduction: Orthodontic treatment uses forces that produce structural and biochemical changes in the periodontal spaces that can break the balance between the synthesis and the breakdown of collagen in the periodontium. Expression of matrix metalloproteinase-8 (MMP-8) plays an important role in the remodeling of periodontal ligament during orthodontic movement. Objectives: The purpose of this clinical follow-up study was to reveal the expression of MMP-8 gene in the gingival crevicular fluid (GCF) during distalization of upper canines. Orthodontic fixed appliances were placed on 8 patients and elastomeric chains exerting 75 grams were attached to produce canine distalization. GCF samples were collected from the distal side of upper canines before activation of 1, 2, 3, and 4 weeks after activation. The samples were analyzed using Reverse Trancriptase Polymerase Chain Reaction (RT-PCR) with GAPDH as a control house keeping gene . Statistical analyses used Kolmogrov-Smirnov and Saphiro-Wilks for normality test of the population. Data distribution in its population was normal (p≥ 0.05). Results: The frequency distribution and percentage of variable showed that the orthodontic force elevated the MMP-8 gene expression to 12.5% from the baseline on the first week, and then elevated drastically to 62.5 % on the second week, then dropped to 12.5 % on the third week and it lasted eventually until the fourth week. Conclusion: It can be concluded that orthodontic forces elevated the expression of MMP-8 gene until the second week, but decreased afterwards. Key words: MMP-8, Orthodontic forces, Distalization, GCF

SCIENTIFIC PRESENTATION – 102 IMMUNOHISTOCHEMICAL STUDY OF THE INNERVATIONS OF HUMAN CARIOUS TEETH

USING PROTEIN GENE PRODUCT 9.5

Tetiana Haniastuti Department of Oral Biology, Faculty of Dentistry University of Gadjah Mada

Introduction: Human dental pulp is richly innervated by trigeminal afferent axons that sub

serve nociceptive function. Accordingly, they respond to stimuli that induce injury to the pulp tissue. An injury to the nerve terminals and other tissue components in the pulp stimulates metabolic activation of the neurons in the trigeminal ganglion which result in morphological changes in the peripheral nerve terminals. The results of animal studies have demonstrated a sprouting of pulpal nerve fibers following dental injury. Objectives: The aim of the study was to observe caries-related changes in the distribution of human pulpal nerve using Protein Gene Product 9.5 (PGP 9.5), a specific marker for the nerve fiber. Methods: Under informed consent, 15 third molars with caries at various stages of decay and 5 intact third molars were extracted because of orthodontic or therapeutic reasons. All samples were observed by micro-computed tomography to confirm the lesion condition 3-dimensionally, before decalcifying with 10% EDTA solution (pH 7.4). In addition to HE staining, immunohistochemistry for PGP 9.5 was performed. Results: In normal intact teeth, PGP 9.5 immunoreactive nerve fibers were seen concentrated beneath the odontoblast cell layer.

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Nerve fibers exhibited an increased density along the pulp-dentin border corresponding to the carious lesions. Intrapulpal abscesses, when present, were seen to be surrounded by PGP 9.5 immunoreactive fibers. Conclusion: Caries depth could have influenced the degree of neural sprouting. Caries-induced changes in the distribution of nerve fibers might be functionally important in the regulation of pulp defense reaction.

SCIENTIFIC PRESENTATION – 103

CREATING BEAUTY AND NATURAL SMILE WITH COMPOSITE

Tina Anggriany Halim St. Borromeus Hospital, Bandung

Among several criteria of facial esthetics, the smile has a privileged priority. The lips, the

teeth, and the gingival are the components of the smile. The most charming smile cannot be considered excellent esthetic if one of the three components does not present a healthy aspects in its form, color, contour, and texture. Criteria for beauty differ so much across countries, civilization, ages, and circumstances. Beauty is subjective, it depends on social, familial and personal influences. Nowadays information is very easy to get, the development of mass media technology has tended to internationalize some “universal” beauty criteria, and esthetic dentistry cannot escape this uniformity: white, perfect, aligned teeth, with upper lip uncovering the maxillary teeth and hiding the gingival slightly and the lower lip hiding the mandibular teeth.

The increased demand for esthetic teeth make the dentist’s role is becoming more important, thanks to continuously advances and research in composite resins which can fulfill dentist quest for esthetic excellence.

Several cases of missing anterior tooth, diastema closure, fractured tooth, and failure of anterior fillings will be discused. Key words: esthetics, smile, natural, composite, healthy

SCIENTIFIC PRESENTATION – 104

THE TREATMENT OF ANTERIOR TOOTH CROWDED CASE OF UPPER JAW WITH DENTAL TRANSPOSITION BETWEEN CANINE AND LATERAL INCISOR TOOTH BY FIXED

APPLIANCE

Tita Ratya Utari Study Program of Dentistry Faculty of Medical and Health Science

Muhammadiyah University of Yogyakarta

Dental transposition is an anomaly that the teeth position of the same jaw quadrant change their position in the dental arch. There are several methods that can be used to treat it, those are interceptive treatment, up righting and rotation, or tooth extraction. The aim of this paper was to report the success of the treatment of a case of an upper canine transpose with lateral incisor. Case: The patient was a boy aged 11 years old who visit the clinic with a complaint about irregular arrangement of his maxillary front teeth. The left central incisor (tooth 21) rotated 90-degree, there was mesiodent tooth in the part of palatine. There were the persistence of deciduas teeth of 63 and

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55. The result of radiography observation using Rontgen OPG it seemed that tooth 23 had not erupted yet and the tooth was located between tooth 21 and 22, and it should be located in the distal side of tooth 22. Case management: Orthodontic treatment was carried out with fixed appliance using straight wire bracket. Tooth 23 was pulled to the distal to place it to the correct position in the distal side of tooth 22 and also the tooth of 63 was extracted. This case report showed that in transposed teeth, the teeth could be moved to the proper place. Although on treating dental transposition it requires a long time procedure, but if the treatment was carried out slowly and carefully, and in accordance with the standard procedures, the result will be very satisfactory both in aesthetic and functional aspects. Keywords: Dental transposition, caninus, lateral incisor

SCIENTIFIC PRESENTATION – 105 THE INITIAL TREATMENT OF MOBILITY TEETH AND DIASTEMA CLOSURE IN CHRONIC

ADULT PERIODONTITIS

Trijani Suwandie Department of Periodontology Faculty of Dentistry Trisakti University

Chronic Adult Periodontitis is an infectious disease resulting inflammation within the

supporting tissues of the teeth, progressive attachment loss, and bone loss. The clinical characteristics of the disease are periodontal inflammation, bleeding on probing, pocket formation, tooth mobility, suppuration, recession, drifting and can be accompanied with pathologic migration. The initial treatment starts from plaque control, then scaling and root planning, occlusal therapy, local antimicrobial metronidazole gel and splinting to treat the mobile teeth and diastema closure. Intra coronal splinting with Fiber Reinforced Composite (FRC) has higher fracture strength. By combining the chemical adhesive and esthetic characteristic of composite with strength enhancement of the plasma treated, high modulus, reinforcing ribbon, hence FRC splint will resist the load-bearing forces of occlusion and mastication and improves the healing response. A male patient, 40 year of age with tooth mobility at 11 and 21, and the patient felt the increase of teeth mobility, extruded and diastema had estranged since final six-month. The use of intra coronal splinting could overcome tooth mobility, close the diastema, and improve the healing responses. Keywords: Chronic Adult Periodontitis, initial treatment, mobility teeth

SCIENTIFIC PRESENTATION – 106

PROBIOTIC CHEWING GUM FOR PREVENTION OF HALITOSIS

Vega Roosa Fione*, Anton Rahardjo** * Post graduate Student in Department of Dental Public Health and Preventive Dentistry, Faculty

of Dentistry, University of Indonesia ** Dept. Dental Public Health and Preventive Dentistry, Faculty of Dentistry University of Indonesia

Introduction: Halitosis is caused by many factors and bacteria one of the causes. A method

to eliminate halitosis is through the control of bacterial growth. Probiotics can inhibit the growth of bacteria that produce VSC (Volatile Sulphur Compond), VSC is the source of halitosis. There are many products of probiotics in the market such as yogurt, lozenges and chewing gum. Objective:

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The aim of this review is to discuss the prevention of halitosis by using probiotic chewing gum. Disscussion: This paper will discuss that the probiotic chewing gum contains Lactobacillus reuteri, a natural Lactobacillus that helps to restore natural balance, is able in developing healthier gums and teeth. Lactobacillus reuteri has a binding ability to mucus and to colonize. The Lactobacillus reuteri suppresses periodontal pathogens and cariogenic pathogens. Conclusion: the use of chewing gum contained probiotics can be recommended as an effort to eliminate halitosis. Keyword: Halitosis, Probiotic Chewing Gum

SCIENTIFIC PRESENTATION – 107

A REVIEW LITERATURE USE OF AMALGAM BONDING SISTEM AS CORE POST ENDODONTIC

Wahdaniah Masdy

Resident of Department Of Conservative Dentistry Faculty of Dentistry Hasanuddin University

The amount of tooth structure that remains after root canal treatment and post space preparation is paramount. Endodontic and restorative treatment must be aimed to preserving tooth structure to provide strength and resistance to fracture of the pulpless tooth. Reconstruction of endodontically treated teeth with major destruction is a difficult process in dental practice. Sometimes the remaining dental structure doesn't give sufficient retention and resistance to the restoration to stand up with masticatory forces. When destruction is more extended and strength is critical, silver amalgam is still the choice. Due to the difficulty in creating a core in posterior teeth with major destruction, the main purpose of this paper is to develop a technique that, in our opinion, improves the buildup core process by using amalgam bonding system. Keywords: core, amalgam bonding system, post endodontic

SCIENTIFIC PRESENTATION – 108 LAMININ IMUNOEXPRESSION AS OCCURRENCE INDICATOR OF DENTINAL BRIDGE ON

CALCIUM HYDROXIDE PULP CAPPING

Wazillah Nasserie Dental Conservation Staff, Faculty of Dentistry, Padjajaran University

Calcium Hydroxide is a natural material which can be produce from limestone (chalk), reef

and sea critter shells. In dental conservation field, the material is commercially available both in the form of powder and paste, where it can be use in a variety of dental treatment such as pulp capping. The formation of dentinal bridge on pulp capping treatment is part of the wound healing phase. This process is imunohystochemically indicated with the existence of various protein which act as fibronectin and laminin. The purpose of this experiment is to measure laminin expressions on calcium hydroxide pulp capping treatment Direct pulp capping conducted in 28 days on class V cavity of 96 buccal molar surface of 12 local dogs. The experiment subject divided into 3 groups, calcium hydroxide pulp capping using powder form, calcium hydroxide pulp capping using paste form and control group. Imunohystochemical staining performed on all sample.

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The result of the experiment shows laminin expressions occurred in all sample with different intensity where pulp capping using powder Calsium Hydroxide gives better result then the paste form.(p<0,05) Keyword: Calcium Hydroxide, laminin, pulp capping

SCIENTIFIC PRESENTATION – 109

THE EFFECT OF BLACK CUMMIN APLICATION TO ORAL MUCOUS INFLAMMATION.

Widurini.DS. Sarwono AT, Septiana NS, Auerkari EI Departement of Oral Biology. Fac. Of Dentistry. Univ.of Indonesia

The black cummin is usually used as cooking spices and jamu. It is also believed that the

black cumin can cure the oral mucous inflammation (stomatitis). However, none of the studies suggested that the black cummin is a proper medication for stomatitis. It is the purpose of the present study to investigate whether or not black cumin can cure stomatitis. The black cumin extract is divided into solution and cream, with 100% molarity. Ten Wistar Strain LMR mouse were used in this study, two of them were randomly taken and divided into two control groups. The rest of them is taken into treatment groups of solution and of cream. The application area is the fornix vestibulum. The hydrogen peroxide applied to control group number 2, solution group, and cream group respectively, for three times application with 5 minutes interval in three consecutive days. On the 4th day, the aquadest applied to control group number 1 and 2, the solution group of solution and the cream group applied for five minutes in three times interval of ninety minutes. The aquadest application at negative control group (number 1) held for five minutes in three times 5 minutes interval. Histological scoring is evaluated by using Eda S and Fukuyamas techniques. Based on this study, it is concluded that both black cumin extract with solution and cream form can cure the stomatitis. keywords: oral mucous, inflammation, the black cumin

SCIENTIFIC PRESENTATION – 110 THE RELATIONSHIP BETWEEN BIRTH WEIGHT AND ENAMEL DEFECT PROBABILITY IN

SMALL FOR GESTATIONAL AGE CHILDREN

Willyanti Syarif Pediatric Dentistry Department Faculty of Medicine Padjadjaran University

Teeth development occurs in prenatal period. Enamel defect could be caused by genetic

and environmental factor happened both at prenatal and post natal period. Intra Uterine Growth Restriction (IUGR) is a systemic condition in prenatal period, cause small gestational age (SGA) baby, as well as disturbances in deciduous teeth development. The purpose of this study was to get the relationship between birth weight and enamel defect probability in small gestational age (SGA) children. Research design was Cohort, with clinical epidemiology and given sample size technique. The total samples of 153 SGA children were enrolled in this study. By oral examination enamel defect were none, mild, and severe. Then, the filled data were including birth weight, length, hypoxia, and gender. The regression logistic multinomial analysis showed that birth weight p<0.05, referring to significant relationship between birth weight and severity of enamel defect in

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deciduous teeth in SGA children. The result indicated that, the lesser birth weight, the higher probability of severity enamel defect. Conclusion: there is significant relationship between birth weight and severity of enamel defect in SGA children. Keywords: IUGR, SGA, Enamel Defect.

SCIENTIFIC PRESENTATION – 111

THE ANATOMY REVIEW ON BRUXISM

Wita Anggraini Anatomy Department Faculty of Dentistry Trisakti University

Bruxism, often referred to as "gnashing," is the act of involuntary teeth grinding, either while

awake or asleep. The purpose of this paper is to review the anatomical factors and anatomical principles of bruxism management. Bruxism results primarily in tooth damage and jaw pain and may be caused by psychological effects of everyday stress. In some cases, bruxism causes severe damage to the teeth. Bruxism occurs in adults and children. The cause for bruxism is unknown. Factors that may contribute to the condition include stress, facial or oral trauma, nervous system malfunction, poor diet, and allergies. Alcohol and drug use also increase the occurrence of bruxism. The mild cases of bruxism may not be a cause for concern. However, the more severe cases of teeth grinding may lead to the following complications: teeth damage, chronic headaches, facial pains, temporomandibular disorders and bite changes. These are the harmful complications of bruxism. The cure for bruxism is dependent on the root cause of the teeth grinding disease. Key words: Bruxism, teeth grinding

SCIENTIFIC PRESENTATION – 112 DENTAL CARIES AS AN INFECTIOUS DISEASE AND ITS RELATIONSHIP WITH A WINDOW

OF INFECTIVITY

Yufitri Mayasari*, Armasastra Bahar** *Magister Program of Community Dentistry, **Department of Preventive and Public Health

Dentistry, Faculty of Dentistry, University of Indonesia

Dental caries disease is known as behavior disease, but now it is known as infectious disease that can spread. The transmission can occur horizontally and vertically. Most of transmission occurs vertically, the mother or primary caretaker has been identified as the principal source of the bacterial infection viz. the transmission of Streptococcus mutans. Children with low or non-detectable levels of Streptococcus mutans at an early age are at lower risk of caries in their primary teeth. From the study in Brazil it was found that the colonization of Streptococcus mutans occurred in the period 11 to 33 months of age, whereas according to a study in USA, the colonization occurred in the period 6 to 36 months of age. This is called the window of infectivity. If the Streptococcus mutans level is low or non-detectable at the age period of the colonization, the child will have a low caries risk up to the age of 5 years. If the child is free from Streptococcus mutans at the age of 5 years old, the child will have a low risk of caries until the age of 12 years old. Keywords: Dental caries, Streptococcus mutans, Window of infectivity, Caries Risk

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SCIENTIFIC PRESENTATION – 113 THE LOCAL SOY-MILK-HONEY AS A GOOD NUTRITION FOR MANDIBULAR HEALTH IN

GERIATRIC PATIENS

Zahreni-Hamzah Staff Fac. of Dentistry - Jember University

One of many changes in oral tissue in geriatric patients is smaller mandibular size, thin and

short. This conditions rise many problems such as in traumatics, prosthodontics, and cosmetics dentistry. This condition can prevent by consuming some local nutrition. Generally, the advantage of local nutrition are cheap, more convenience to found, not stored in long time, fresh, so many importance substances still good condition for consume. For this reasons, Mixed Local Soy-milk-honey/MLSMH can be a one of good nutrition alternatif for maintain form and size of mandibular changes because it has many substances that concern have synergistic functions and many biological activities for healthy mandibular bone. The aim of this article is explain the advantages of MLSMH as one of good nutrition for mandibular health. Because right now, the Indonesian people still concerned that a local nutrition is not good, because it is cheap so it has not a good substances for health. The conclusion is MLSMH as one of Indonesian nutrition can consume for maintain mandibular size and health. Keywords: MLSMH /Mixed Local Soy-Milk-Honey, good nutrition, mandibular size

SCIENTIFIC PRESENTATION – 114

THE ROLE OF LOCAL SOY-MILK-HONEY ON PREVENTION MANDIBULAR BONE DAMAGE IN RATS

Zahreni-Hamzah, Didin Erma Indahyani, Peni Pujiastuti

Staff Fac. of Dentistry - Jember University

The Soy Milk and The honey respectively have been used to prevent bone damage. Generally, more individual not prefer to consume soy-milk from local soybeans. MLSMH considered to prevent mandibular bone damage, because it has many substances those have synergistic functions and many biological activity for mandibular bone. The aims of this research are analyses the effects of The Local Soy-Milk from local/baluran variety, Glysine max (L) Merril mixed by honey from coffee areal estate bees in Mixed Local Soy-milk-honey/MLSMH to proliferation of osteoblast and osteoclast. The Methods: 24 male Wistar rats were equally divided in 4 groups, such are the saline as control group (group 1), β-APN group (group 2), MLSMH +saline group (group 3), and MLSMH +β-APN (group 4). Experimental alveolar bone damage was induced by beta-aminoproprionitrile (β-APN) once daily subcutaneous administration of at a dose of 5 mg/0.4 ml per 100 g of body weight for 40 days and intake MLSMH by gaster sondage twice a day at 8-9 a.m and 3-4 p.m. The Results under this experiment conditions showed that (1) number of osteoblast decreased in group 2, and increased in group 3 and 4. There are not significant different in group 3 and 4; (2) number of osteoclast very increased in group 2, and decrease in group 3 and 4. There are not significant different between group 1, 3 and 4 (p<0.05). The conclusion of this research is MLSMH may prevent mandibular bone damage in rats by increasing of osteoblast and decreasing of osteoclast. Keywords: MLSMH /Mixed Local Soy-Milk-Honey, TNF- α, IL-1β, mandibular bone

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ACKNOWLEDGEMENTS The Board of Committee of the 6th FDI-IDA Joint Meeting and Balikpapan International Dental Exhibition 2010 would like to express our thanks to: § THE PROVINCIAL LOCAL GOVERNMENT OF EAST KALIMANTAN § THE CITY LOCAL GOVERNMENT OF BALIKPAPAN § MAIN LECTURERS § ORAL AND POSTER PRESENTATION CONTRIBUTORS § PARTICIPANTS § Cahaya Kharisma § Tawada Healthcare § Kalbe Group § Sensodyne § Surya Mandala § Segara Banyu Perkasa § Novartis § Henli Jaya § PT Fadzkuruni § Eurodenta § American Ortho § Panasia § Dentsply § KALBE § Ivoclar Vivadent § Bintang saudara § Global Dent § Cobra Dental § Soka Kuning § CV Raya Denta § Ties Farma