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ABSTRACT MAIN LECTURE
Clinical Impact of Missed Anatomy of
The Root Canal System
Marino Sutedjo
General Practitioner, Dentsply, Indonesia ABSTRACT
It is generally understandable that a major cause of the failure of root canal therapy is an inability to localize and treat all of the canals of the root canal system. The risk of missing anatomy during root canal treatment is high because of the complexity of the root canal system. One must understood that all teeth may have extra roots and/or canals, but the incidence is higher in premolars and molars. In addition, lateral ramifications of the root canal system may be present in all teeth with a significant frequency, increasing the probability of leaving untreated spaces after root canal therapy. Prevention of missed anatomy starts with good pre-operative radiographs, even though radiographs have limitations in assessing the number of canals and the presence of accessory canals and anastomoses. A correct access cavity preparation is of central importance in localizing the orifices of the root canals. The impact of missed anatomy on the outcome of endodontic treatment is difficult to predict although theoretically it will be a failure. The clinical impact of missed anatomy can be clearly demonstrated with a large number of re-treatment case reports available in the literature; in the majority of these cases, failure of endodontic therapy is associated with untreated canal space. Localization and treatment of this missed anatomy typically leads to complete clinical and radiographic healing. Oroanthral Fistula: How To Prevent And Manage
Properly
David B. Kamadjaja
Oral & Maxillofacial Surgery Department, Faculty of Dentistry, Airlangga University, Indonesia
ABSTRACT
Oroanthral communication (OAC) is unexpected communication between maxillary sinus and oral cavity which may occur after extraction of posterior maxillary teeth. Undetected post extraction OAC may eventually become oroanthral fistula (OAF) which is a permanent communication between maxillary sinus and oral cavity. OAF usually result in chronic infection of the affected anthrum (sinusitis) which further complicate the condition. It is therefore important that OACs be identified and managed accordingly in order to prevent the occurence of OAFs because they, if do occur, would usually require longer and more complicated treatment. This paper outlines various aspects of maxillary anthrum related to dental extractions and discusses the step-by-step procedures in the management of oroanthral communication as well as oroanthral fistula. Correspondence : David Buntoro Kamadjaja, Oral & Maxillofacial Surgery Department, Faculty of Dentistry, Airlangga University, Indonesia, email: Orthodontic Compliactions Cnsiderations to
Remember
to Prevent Running into Problems
Chng Chai Kiat
Dental Service KK Women's and Children's Hospital, Singapore ABSTRACT

The risks associated with orthodontic treatment are a reality, complications being a result of a multifactorial process, including aspects related to patient, orthodontist and the technical features of orthodontic appliances and procedures.These can be prevented by knowing the possible complications that may arise from orthodontic treatment and can be limited through identification and implementation of best treatment alternative for each individual case. Patient's compliance is an important factor that can contribute to a high standard outcome, with minimum side effects. In this lecture, we will be covering complications in relation to TMJ, periodontal, allergies and to the dental structures in general. Treatment planning will also be covered to show how best to plan an orthodontic treatment to minimise complications from arising. Correspondence : Chng Chai Kiat, Dental Service KK Women's and Children's The Flow, When, and Where
Rudi Wigianto
General Practitioner, Rudi Dental Clinic, Denpasar, Bali
ABSTRACT

Modifications of composite resin, as one of tooth restoration materials, are not only on the use of bonding, phisical and aesthetic properties, but also on how to use, which is getting easier on its application. Flowable composite resin is known to have many advantages, that it can prevents marginal leakage, high shrinkage on pulpal wall, with minimally invasive occlusal class I. This flowable composite can also be used to repair: porcelain fractures in non-stress-bearing area, leakage in amalgam fillings, any defect on enamel, and also for cementation or luting in porcelain and composite resin veneers. Flowable composite can also be used for surface texturing using brush. Latest generation of this flowable composite is bulky type that can be used in large cavities. This will easier our restoration work while also prevents porousity and high shrinkage. Keywords: flowable composite resin, bulky flowable, texturing, porousity,
composite filling

Correspondence:
Rudi Wigianto, Rudi Dental Clinic, Denpasar, Bali; Em Sleep Apnea: The Case for Oral Appliances
Himawan Halim
Department of Orthodontics, Faculty of Dentistry Trisakti University, Indonesia
ABSTRACT


There are different therapeutic option for treating obstructive sleep- disordered breathing, non and surgical. Non surgical therapeutic option is the using oral appliances.An oral appliance such as oral myofunctional appliance is commonly regarded as a simple, silent, bed-partner friendly, less invasive, reversible, tolerable, and efficacious choice.Orthodontists, based on their knowledge and training with functional appliances and their skills to evaluate jaw position and tooth movement, are ideally suited to provide oral appliances as an effective form of therapy. Correspondence: Himawan Halim, Department of Orthodontics, Faculty of Dentistry Trisakti University, Indonesia, email: Dental Implant Failure; Related Factors and
Clinical Cases
Watanabe Megumi
Oral and Maxillofacial Prosthodontics and Oral Implantology The University of Tokushima, Institute of Health Biosciences, ABSTRACT
Oral implant therapy has been accepted as a predictable dental treatment and is recognized as effective treatment option for edentulous during patients. As is widely known, the success rate of dental implant is more than 95%, but there are still some cases of failure. In this presentation, I will show clinical cases of ‘dental implant failure' and how we tried to recover them in the University of Tokushima Japan. Correspondence : Watanabe Megumi, Oral and Maxillofacial Prosthodontics and Oral Implantology Department, The University of Tokushima, Institute of Health Biosciences, JAPAN, emai Dentoalveolar Infection: Clinico Pathological Case
Widowati Witjaksono
Kulliyyah of Dentistry, International Islamic University Malaysia
ABSTRACT

The dental abscess is a difficulty of decay of the tooth. It can also be caused by tooth trauma when a tooth is chipped or broken. Any opening
in the enamel of the tooth lets bacteria in to cause an infection of the tooth
center known as the pulp. The infection can spread from the tooth root and
into the bones which support the tooth. Bacteria from dental caries (a tooth
cavity) can extend into the gums, the cheek, the throat, beneath the tongue,
or even into the jaw or facial bones. A dental abscess can become very
painful when tissues become inflamed or due to the pressure within the
abscess. A gum or gingival abscess is the result of infection or trauma to the
surface of the gum tissue.
abscesses are the result of an
infection that has moved deeper into gum areas, and a periapical abscess
refers to a tooth with an infection of the pulp. The success of both periodontal
and periapical abscesses therapy depends on the elimination of both disease
processes, whether they exist separately or as a combined lesion. Diagnosis
is paramount to determining the course of treatment and overall prognosis.
This paper aims at presenting a comprehensive review of several aspects of
periodontal and periapical lesions.

Key words: Periodontal lesion, periapical lesion, dentoalveolar infection

Correspondence:
Widowati, Kulliyyah of Dentistry, International Islamic University Malaysia, Bandar Indera Mahkota 25200, Kuantan, Pahang Darul Makmur, Malaysia, Management of Complete Denture in
Flat Edentulous Ridge
Mee-Kyoung Son
Department of Prosthodontics, Chosun University, KOREA ABSTRACT

Loss of teeth induces the patient's psychological, aesthetic and functional problems. If the edentulous condition persists for a long time, problems such as severe alveolar bone resorption, degenerative changes of TMJ, muscle atrophy can be caused and the treatment would be very difficult and complicated. Therefore, before the problems occur, the aesthetic and functional recovery through the complete denture fabrication is needed. Some edentulous patients who visit dental clinic for the complete denture have severely resorbed ridges caused by anatomic, metabolic, and mechanical factors. The treatment for atrophied ridges is a clinical challenge faced by dentists because prosthodontic rehabilitation of a patient with compromised edentulous ridges in a conventional manner is a difficult task. Severe ridge resorption results in increased inter-arch space, sunken appearance of cheeks, non retentive dentures without ability to withstand the masticatory forces, unstable dentures with associated pain and discomfort. The negative effects of ridge atrophy should be managed by modifying the conventional procedures of fabricating a complete denture. In this presentation, modifications in occusal, impression and polished surfaces of denture will be described to manage the patient who has flat edentulous ridge. Correspondence: Mee-Kyoung Son; Department of Prosthodontic, Chosun University Dental School, Gwangju, KOREA; Direct Aesthetic Restorations For One And All
Jennifer Neo
Endodontics, Operative Dentistry and Prosthodontics, Faculty of Dentistry, National University of Singapore ABSTRACT

Composite resins have become the standard of care in many situations. Yet, this seemingly simple technique is fraught with problems if we as dentists do not pay attention to the number of issues arising from the use of material. Armed with this knowledge, we will be able to maximize the use of composites in numerous situations providing a quality of care that is not only aesthetic but certainly minimally invasive and of satisfactory longevity for our patients. Correspondence: Jennifer Neo; Endodontics, Operative Dentistry and Prosthodontics Department, Faculty of Dentistry, The Current Concept of Anchorage System in
Orthodontic Treatment
Narmada Ida Bagus
Department of Orthodontic, Faculty of Dentistry Airlangga University Surabaya-Indonesia. ABSTRACT

The anchorage system is part of orthodontic theraphy and the resistance to unwanted tooth movement due to reaction of buccal segment
for space closure. Orthodontic tratment of malocclusion with the problems
severe crowding, excessive overjet, bimaxillary protrusion and many
posterior teeth mutilated, the operator should be able to determine minimum,
medium, maximum and maximum plus of anchorage to achieve treatment
goal. Extraoral anchorage, such as head gear, is traditionally used to
reinforce anchorage and the current concept of anchorage system is TADs (
Temporary Anchorage Devices) are many terms used in orthodontic skeletal
anchorage such as, skeletal anchorage system, mini-screw, micro-screw,
mini-implant, micro-implant and mini-screw implant. Placement of TAD is
minimally invasive and often completed using only local anesthesia. Its can
be usually inserted through the gingival tissue into bone with a srew driver.
The location chosen should be the optimial one in terms of anatomic
limitations and biomechanical considerations

Key words: anchorage, orthodontic treatment

Corespondence:
Ida Bagus Narmada, Departement of Orthodontic, Faculty of Dentistry Airlangga University Surabaya-Indonesia. Jln. Mayjend Prof Dr Moestopo No 47 Surabaya 60132. E-mail: . Mobile phone: + 62 81 131 6694, Fax: + 62 31 5020 Botulinum Toxin And Filler Augmentation As
Minimal Invasive Aesthetic Procedures In Dentistry
Adri D. Prasetyo, Djoko Widodo
REJUVA Skin & Beauty, Surabaya, Indonesia

ABSTRACT


Introduction :
In modern dentistry, patients are demanding not only
enhancement to their dental esthetics, but also their overall facial esthetics.
To achieve the demanded results can be challenging especially in dental
practice. No single modality can accomplish all the complex aesthetic
impacts needed for satisfactory improvements. Neuromodulation using
Botulinum toxin and soft tissue augmentation via hyaluronic acid fillers may
be used to correct aesthetic defects such as wrinkles, thin lips, asymmetrical
facial appearances, peribuccal volume loss, and others.
Objective: To review botulinum toxin and filler augmentation as minimal
invasive aesthetic procedures in dentistry.

Materials and Methods: Technical details, aesthetic benefits and risks
regarding botulinum toxin and filler augmentation with hyaluronic acid to
refine dental and overall facial esthetics are described. Typical instructional
cases of patients were detailed.
Results:
Dental and overall facial esthetics are effectively achieved using
botulinum toxin and filler augmentation. Using correct methods based on
anatomical approach and clinical knowledge, these minimal invasive
aesthetic procedures are performed safely with minimal risk of complication.
Analysis and Conclusion:
Anatomical analysis and patient selection are

essential to achieve effective results. It is also important that patients receiving these procedures understand the realistic expectations, advantages and limitations. Botulinum toxin and filler augmentation indicated for dental and overall facial aesthetics may be considered as minimal invasive aesthetic procedures in dentistry.
Correspondence : Adri D. Prasetyo, REJUVA Skin & Beauty, Surabaya,
Bitter Taste as Dipsruptive Sign in Homeostasis
Jenny Sunariani
Oral Biology Department, Faculty of Dentistry, Airlangga University, Surabaya-Indonesia

ABSTRACT

Background. Taste is very important in human life, without taste the
world seems so nothing. Taste is divided into five basic tastes. The five basic tastes
are commonly recognized by a receptor. Humans can perceip these tastes through
sensory organs called taste buds, concentrated on the upper surface of the tongue.
Scientists have described five basic tastes as bitter, salty, sour, sweet, and umami.
Inspite of the five basic tastes, human can also recognize two additional tastes, such
as: water taste and metal ic taste. Each of taste has a different function, but it totally
depends on each other to work well. One of the most important tastes is bitter taste.
Bitter is usual y known as an unpleasant taste, but inspite of this condition, bitter taste
indicates so many effects in human's body. If someone feels the bitter taste of
excesive, it shows there are some disturbances in his body. Bitter taste is perceipted
when there is a bitter subtance entering in the mouth. Bitter taste is perceipted by α1-
G Protein, is usual y called gustducin. This protein wil activate phospholipase C
(PLC). PLC in human is divided into two components,such as: Dialglyicerol (DAG)
and Inositol Tri-phosphat (IP3). IP3 wil release Ca2+ from Endoplasmic Reticulum to
cytosol. This increasement of Ca2+ wil be perceipted as a bitter taste. Bitter taste is
commonly known when there are so many Ca2+ in cel , not only by IP3 but also by
through pass on the membrane calcium. Bitter taste is commonly perceipted in some
conditions, such as: someone doing too many exercises, fasting, someone suffering
fever and cancer. Purpose: The main purpose of publishing this journal is to let
someone know about the realtionship between bitter taste and homeostasis.
Conclusion: The mechanism of bitter taste is to increasement intracellular Ca2+ that
can caused depolarization, potensial action wil be
occurred and there arose a bitter
taste improvement in the oral cavity.
Key words: Taste, bitter taste, IP3, DAG.
Correspondence : Jenny Sunariani; Oral Biology Department, Faculty of
Surabaya-Indonesia; The Concept of Bacteriotherapy in Dentistry
Asteria Descintha

ABSTRACT

Day in and day out there is a battle going on in your mouth. Bad bacteria attack your teeth and gums causing gum disease, bleeding and potentially the loss of teeth. The body's own good bacteria fight the bad ones, but our modern life style makes their job difficult. They need reinforcements. Three out of four adults will experience gum disease in their lifetime. The incidence of gum disease is high, underlining the importance of recognizing the signs of early gum disease (gingivitis) before it may progress to periodontitis and eventually lead to the destruction of bone and tooth loss. Almost all gum disease is caused by bacterial plaque. Some bacteria in
plaque release substances which may be irritating and toxic to the gum
tissue resulting in a local inflammation in the gum tissue. The disease is
progressive and often the patient does not experience until the teeth are
loose and ready to be lost. Frequently the signs of the gum disease cannot
be seen just by looking in the mouth.

The most common cause of gingivitis is inadequate oral hygiene. The first measure in gingivitis treatment is to instruct the patient on good oral hygiene practices and to regularly visit dental professionals for tooth cleaning in order to remove plaque. However, booth gingivitis and plaque may develop again even with thorough brushing and flossing. The effect of professional cleaning lasts one to three weeks before plaque and gingivitis start to develop again. Bacteria constitute a major component of the oral environment where more than 800 different microbial species co-exist, making the oral cavity the most diverse microbial population of the body. The biofilm is the preeminent form by which colonies of microbes grow., proliferate and mature. A balanced oral microbial environment is essential for the promotion of health and prevention of gum disease. The ecological plaque hypothesis states that caries and periodontitis, the most common biofilm-associated diseases in the world, originate from a disturbance in the balance and diversity in the biofilm. Contributing causes maybe inadequate oral hygiene, incorrect diet, stress and/or other factors which determine the micro-ecology. The oral micro flora is at least as complex as the gastro-intestinal and vaginal micro flora and consists of hundreds of different kinds of bacteria
away. Some beneficial bacteria are referred to as probiotics. The term
probiotics comes from the Greek pro bios (for life) and is defined by WHO as
"live microorganisms which when administered in adequate amounts confer a
health benefit on the host". Most friendly bacteria belong to a group known as
lactic acid bacteria (
Lactobacillus), which are naturally found in the mouth,
stomach and intestines from the first days after birth and throughout life.
However, modern hygiene standards and changes in eating habits have
resulted in a reduction of these bacteria compared with just a few decades
ago. By taking probiotics daily it is possible to restore the good and natural
balance in the mouth and recreate the healthy ecology.

Lactobacillus reuteri (L. reuteri) is recognised as a true probiotic thanks to its documented positive effects on human health and that it meets all the requirements of a modern probiotic. L. reuteri is a natural colonizer in humans from time we are born and is even found in the milk of breastfeeding mothers. It is one of very few species of Lactobacillus that uniquely adapted to reside in the digestive and oral tract of man and to interact with us in symbiosis. L. reuteri Prodentis is the patented combination of two complementary strains of Lactobacillus reuteri that were originally isolated from human breast milk and saliva. Lactobacillus reuteri DSM 17938 and ATCC PTA 5289 are specifically selected for their exclusive properties of colonozation in the oral cavity, fixation to mucins and biofilms effects. Supplementation of Lactobacillus reuteri Prodentis affects the oral micro flora locally by competing for binding sites and nutrients with
pathogenic bacteria. In addition,
Lactobacillus reuteri Prodentis produces
reuterin that directly inhibits growth of pathogenoc bacteria.
Lactobacillus
reuteri Prodentis does not only suppress the emergence of endogenous
pathogens and prevent superinfection with exogenous pathogens, but might
also protect the host by stimulating the immune system.

Lactibacillus reuteri Prodentis is the first and only probiotic spesifically formulated to restore the oral micro flora in a natural, fast and simple way. It is the most studied probiotic in oral health. To date more than ten studies have been published proving its safety and health promoting affects. Clinical studies have shown the synergistic properties of Lactobacillus reuteri Prodentis in reducing plaque, halitosis, gingivitis and periodontitis. Orthognatic Surgery on Post Labio and
Palatoplasty Patient
Setyo Harnowo
Case on 31 years old woman with a diagnosis of Class III Malocclusion Angle with 12 mm overjet post labio and palatoplasty. Etiology from family there is no one who suffer labio and palatochisis (including the 60% of the causes are unknown / congenital). Possibly related to his father's job in nuclear reactor, there are cases from the children of his father colleague in nuclear reactor who suffer cleft lip and palate, eye abnormalities, mental retardation and deaf mute. Therapy history : Labioplasty surgery in 1982 (age 100 days). Palatoplasty surgery in 1983 and 1984 (age 1 and 2 years). Repeated Labioplasty in 1993 (age 10 years) and 1994 (age 11 years). Orthodontic treatment from 1997 through 2013 (age 15-31 years) and orthognatic surgery in 2013. Sefalometri analysis result : skeletal analysis SNFH 9o, SNA 79o (Normal 80o-82o). Soft tissue analysis result of pre operation Kṏle, SNA perpendicular with upper lip (Normal). Based on the analysis of soft tissue post operation Gonzales Ulloa, FHP line perpendicular with NA exactly intersection with chin soft tissue (Normal). Discussion of Oral Surgery and Orthognatics agreed that the patients underwent surgery to reserve only the lower jaw, the operation is performed with Sagital Split Osteotomy Method, followed by fixation intermaxilla upper and lower jaw during one month. After fixation intermaxilla to improving continue with orthodontic treatment again. After orthodontic treatment complete can be continued with prostodontic treatment to replace the missing tooth. Correspondence: Setyo Harnowo, Universitas Pertahanan, Jl. Salemba Raya No.14, Jakarta Pusat , Tel. (021) 3924177, Fax. (021) 3924235 How to Use of Autonomic Drugs in Dentistry
Hypertensive Patient
Rukma Juslim
Cardiology Department , Medical Faculty Hang Tuah University, Ramelan Hospital ABSTRACT

Autonomic drug is one of a large group of drugs that mimic or modify the function of the autonomic nervous system. It is a drug withsimilar effects to those of the effector agents in the two systems which are called Sympathomimetic or Parasympathomimetic drugs. The use of Autonomic drugs in dentistry hypertensive patient can be a problem, especially for Sympathomimetic effect. The small amounts of epinephrine (combined with local anesthetics) that may be used in routine dental procedures are unlikely to be a problem. Hypertensive or High Blood Pressures, sometimes called Arterial hypertension, is a chronic medical condition in which the blood pressures in the artery is elevated. The JNC VII reports said that any blood pressure above than 130/80 mmHg is called Hypertension. In order to detect hypertension accurately, good measurement of blood pressure is necessary. Dental treatment is contraindicated in patients with severe hypertension. Betablokers are no longer recommended as first-line treatment by the US JNC, but remains asthe second choice among others. Betabloker is an important protective effect in some certain cases. Perioperative death from cardiac causes and myocardial infarction were reduced by bisoprolol in high risk patients undergoing vascular surgery. Poldermans D et al. Betablokers are effective, acting not centrally but through a reduction of peripheral manifestations of anxiety such as tremor and tachycardia. If a patient on a nonselective beta-blocker receives a systemic dose of epinephrine, however, the beta-blocker prevents the vasodilation. THE EFFECTS OF HYPERBARIC OXYGEN
THERAPY TO REGULATE NITRICOXIDE
PRODUCTION ON WOUND HEALING
Dian Mulawarmanti
Laboratorium Biochemistry, Oral Biology Faculty of Dentistry University of Hang Tuah

ABSTRACT


Hyperbaric oxygen therapy ( HBOT ) is a therapy in which patients breathe
100 % pure oxygen at a pressure of more than one atmosphere absolute
(ATA ) in a pressurized chamber . HBOT increases the amount of oxygen
that is carried in the plasma . As adjunctive therapy in the healing process of
wounds , HBOT has been shown to enhance wound angiogenesis and
granulation tissue formation and accelerates wound closure . One of the
properties of HBOT is an anti - inflammatory effect and is correlated with the
healing process by increasing the production of Nitric Oxide which may play
a role in wound healing. The purpose of this paper is to describe the effects
of HBOT in increasing the production of nitric oxide in wound healing .
Keywords : hyperbaric oxygen, nitric oxide, anti-inflammatory, wound repair

Corespondence : Dian Mulawarmanti, Oral Biology Departement faculty of
Dentistry HangTuah University, Jl. Arif Rahman Hakim 150 Surabaya 60111 Indonesia, Telp 031-5912191. Email: dianmulawarmanti@yahoo.com Cardio-Pulmonary Resuscitation : Is it a must for
Dentist ?
Philia Setiawan
Cardiac Anesthesiologist Consultant, Intensive Care Consultant Dr. Soetomo Hospital Surabaya – Faculty of Medicine, Airlangga
ABSTRACT

Basic Cardio-Pulmonary Resuscitation (CPR) is a basic level competence which is a must for many who involved in mass activities, since sudden cardiac arrest event can be anywhere and at anytime. It is more important for health care providers as we introduce many substances to human body that may react differently. Accidental intravenous of local anesthetic agent that injected by a dentist may cause a severe bradycardia leading to cardiac arrest. Further concern for high risk patients, any stress during dental procedures may trigger cardiac events. Cardio-pulmonary resuscitation for the first seconds may change the survival rate, while waiting for the expert team for further cardiac arrest management. Basic CPR consists of Airway Management, Breathing assistance and External Cardiac Compression. CPR 2010 is the latest version for cardiac arrest resuscitation. Since the cause of cardiac arrest mostly is ventricular fibrillation, cardiac compression is the most important procedure allowing the oxygen flows to important organs. In 2010 CPR guidelines, the sequence of resuscitation become C – A – B ( Cardiac compression, Airway and Breathing Management.) and more frequent uninterrupted cardiac compression, 30 : 2 (breathing assistance) to buy time of defibrillation. A chain of resuscitation, Call for help, immediate proper CPR, timely shock and good post cardiac arrest care, is needed to provide a high
survival rate of cardiac event.

Correspondence : Philia Setiawan, Cardiac Anesthesiologist Consultant,
Intensive Care Consultant, Dr. Soetomo Hospital Surabaya – Faculty of
Medicine, Airlangga University, em The Role of NSAIDs for Acute Dental Pain
Maftuchah Rochmanti
Pharmacology Department, Faculty of Medicine, Airlangga
ABSTRACT
Everyone had experienced dental pain regardless of the cause and all dentists treat ever. But whether drugs or combinations of drugs are appropriate for dental pain? And whether the drugs are given also in accordance with the patient's condition is so diverse ? Dental pain may be nociceptive pain ( inflammatory pain ) , vascular pain , neuropathic pain or psychological pain . Acute inflammatory pain and are generally derived from the tooth , the pulp and periodontal tissues , often encountered in daily practice . Vascular pain characterized by severe pain, unilateral , intraoral , short and episodic migraine may manifest . Neuropathic pain such as trigeminal neuralgia that occurs in general due to dysfunction or damage to both somatic and autonomic innervation . Various management approaches have often raised include pharmacotherapy, clinical psychology, acupuncture, etc., but whether it is satisfying for clinicians in pain management in daily practice? In this paper, discussion is limited to pharmacologic approach. Various medications are used to overcome pain medications can be classified as non- steroidal anti -inflammatory (NSAIDs) , opioids , drugs that act on the central nervous system such as tramadol , morphine sulphate tablets (MST) , tricyclic tranquilizers such as amitriptyline , an inhibitor of N - methyl - D - aspartate (NMDA) such as ketamine , amantadine , an anti - epileptic drugs such as gabapentin , pregabalin , and membrane -stabilizing drugs such as mexilitene, tocainamide and so on . These medications should certainly be used in accordance with the severity , type and location of pain where the pain comes from pain receptors in peripheral sensory nerve fibers , spinal cord and central nervous system . NSAIDs can be used at different levels of severity of pain . Divided according to the nature and type of pain , NSAIDs can be combined either with opioid
drugs , anti - epileptic drugs , tranquilizers or inhibiting NMDA . NSAID drug selection
should consider the potential , safety , mechanism of action , pharmacokinetic profile
and of course affordability and availability in the community . Things that should be
avoided is the shared use of two or more drugs that work on the same pain receptors
, such as the use of two types of NSAIDs at the same time , this action wil only
increase the side effects of the drug rather than increasing the potential for anti- pain.
Correspondence: Maftuchah Rochmanti, Pharmacology Department, Faculty of
Medicine, Airlangga University

SHORT LECTURER 1
Description of Mandible Cortical Bone Height in
Patients with Type-2 Diabetes Mellitus and Suspect
Lusi Epsilawati1, Azhari1
Department of Dentomaxilofacial Radiology, Faculty of Dentistry, Padjadjaran University, Bandung, West Java, Indonesian ABSTRACT
Background
: Osteoporosis and diabetes mellitus is a systemic disease in which both
lead to decreased bone quality. Decrease in bone quality can be analyzed by
measuring the mandible cortical bone height. Mentale index is an index that can be
used for assessment the height cortical bone in the mandible. This Assessment use
the panoramic radiograph.
Purpose: The purpose of this study was to analyze the ratio of mandibular cortical
bone height in patients with type 2 diabetes mellitus and osteoporosis with panoramic
radiography.
Methods and Materials: The study is descriptive study. Samples were secondary
data were 14 panoramic radiographs of patients suspected osteoporosis, 13 pieces of
patients with type 2 diabetes mellitus and 5 normal patients as a control. All data is
the data of patients who come to the clinic RSGM Dentistry Padjadjaran.
Results: The results showed that mandible cortical bone height in patients with
diabetes mellitus-value of 2.37 mm by 2.31 mm, whereas in patients with
osteoporosis showed a lower value which is 1.7mm in the right and left 1.8 mm.
Conclusion: The conclusion that can be drawn from this study is the decline in the
quality of bone in patients with osteoporosis is more common when compared with
patients with type 2 diabetes mellitus
Key Word: Osteoporosis, Diabetes mellitus type 2, Cortical Bone height, Panoramic
Radiograph
Correspondence : Lusi Epsilawati, drg., M.Kes Dentomaxil a Facial Radiology
Faculty Of Dentistry University Padjadjaran Telp. 081802092026 Email:
lusiepsilawati@yahoo.com

SHORT LECTURER 2
FIBER COMPOSITION ANALYZED FOR ALGINATE IMPRESSION
MATERIAL WITH CASSAVA STARCH (Manihot Utilisima)
Mirna Febriani
Departement of Material and Technology, Faculty of Dentistry Prof Dr Moestopo (B) University
ABSTRACT
Back ground
: Alginate impression material is a common dental impression
material used in producing a removable partial denture. A research done by
Febriani (2009) was found that alginate impression material with cassava
starch has physical properties still in ANSI/ADA no 18/1992.
Objective:To analyze fiber composition alginate impression material with
cassava starch. Material and methods: All material in this research
including Tulip alginate impression material of normal set type, cassava
starch of Pak Tani brand, Aquadest and proximat test for composition
analysing test.
Result: Alginate impression material with cassava starch has fiber 2.98,
protein 0.84, water 6.03, ash 44.17, fat 0.24, and carbohydrate 45.74.
Conclusion: Alginate impression material with cassava starch contains
water, fat, protein, ash and carbohydrate higher than alginate impression
material standard.
Key words: alginate impression material, composition test.
Correspondence: Mirna Febriani, Office: Departemen of Material and
Technology, Faculty of Dentistry Prof Dr Moetopo (B) University, Address:
Bintaro Permai Raya No. 3, Jakarta Selatan, Post code: 12330, Phone/Fax :
73885254/73885253 , E-mail: mirnarifky@yahoo.com SHORT LECTURER 3
ASSESMENT OF DENTAL IMPLANT IN CBCT
Emy Khoironi, Nurianingsih R
Departement of Dentomaxillofacial Radiology, Faculty of Dentistry, Hang Tuah University. Departement of Dentomaxilofacial Radiology, Faculty of Dentistry, Padjadjaran University
ABSTRACT
Background:
Placement technique of dental implant needs accuracy and
exactness that important to be examined and analyzed before so a
satisfactory result can be obtained. Radiograph examination considered
would be very useful to well-analyze in two-dimensional or three-dimensional.
Three-dimensional radiograph or CBCT-3D able to give complete and
accurate informations.
Objective: The objective of this study was to find standard criteria of dental
placement by using CBCT-3D of alveolar bone before implant placement was
done.
Discussion: CBCT-3D able to interpret various things needed to determine
the treatment plan and evaluation after dental implant placement compared
with two dimensional radiograph.
Conclusion: CBCT-3D has advantage to analyze compared to other
radiographs and very useful in terms of dental implant placement.
Keywords: Dental implant, CBCT-3D

Correspondence:
Emy Khoironi, Office: Departemen of Radiology, Faculty
of Dentistry Hangtuah University, Address: Arif Rahman Hakim 150
Surabaya, Indonesia. Post Code (60111), Telepon/ Fax: 031 591 2191, HP: 081 330 349 837, E-mail:emykaha@gmail.com. SHORT LECTURER 4
ANTI BACTERIAL EFFECT OF THE MOUTHWASHES CONTAINING
CHLORHEXIDINE, POVIDONE IODINE, FLUORIDE WITH ZINC
SUPPLEMENTATION AGAINST PLAQUE MIX BACTERIA,
S.MUTANS AND P.GINGIVALIS
Betadion Rizki Sinaredi , Seno Pradopo, Teguh Budi Wibowo
Departement Pediatric Dentistry, Airlangga University, Surabaya, Indonesia
ABSTRACT

Background: Caries and periodontal disease prevalence in Indonesian children are
stil high. Approximately 90% of Indonesian children have been infected with caries
disease. Effort to decrease the prevalence of caries and periodontal disease are using
mechanical methods and chemical methods, mouthwashes. Mouthwashes in the
market contain Chlorhexidine, Povidone Iodine and Fluoride with Zinc
supplementation.
Purpose: The purpose of this study was to evaluate the efficacy of the Chlorhexidine,
Povidone Iodine and Fluoride with Zinc supplementation against mix bacteria that
found in the plaque, S.mutans and P.gingivalis.
Method: The disk diffusion test was selected to measure the efficacy each of the
mouthwashes. Each of the bacteria, mix bacteria from plaque (obtained from 6
subject), S.mutans (obtained from clinical isolation) and P.gingivalis (ATCC
No.33277) were being inoculated and spread in the petridish containing MHA. Paper
disk containing the mouthwashes were placed in the middle of the petri dish and
incubated for 24 hours in the 37o temperature (anaerob for P.gingivalis, aerob for
S.mutans and mix bacteria). Diameter of inhibition that surrounds the paper disc is
measured and compared between each of the active ingredients used.
Result: There was significant difference in diameter measurement between each
group with the mean diameter of Chlorhexidine was highest of all experimental
groups.
Conclusion: Chlorhexidine was found to be more effective in all experimental group
compared with Povidone Iodine and Fluoride with Zinc supplementation.
Keywords: Mouthwash, Chlorhexidine, Fluoride, Povidone Iodine, S.mutans,
P.gingivalis
Correspondence: Betadion Rizki Sinaredi, Departemen Ilmu Kedokteran Gigi Anak,
Fakultas Kedokteran Gigi Universitas Airlangga, Jalan Prof.Dr.Moestopo 47 Surabaya
60132. Email
SHORT LECTURER 5
FABRICATION OF NANOFIBERS WITH SOL-GEL METHOD
FOLLOWED BY ELECTROSPINNING.
Gantini Subrata
(Bagian Prostodonsia, Fakultas Kedokteran Gigi, Universitas Padjadjaran)
ABSTRACT
Background : In this new era, nano fibers with large surface area are really
needed for various applications. In regeneratif medicine (biomedical
applications ),nano fibers is used as tissue engeneering (scaffold), drug
release, wound dressing etc. In dentistry is used as a filler in restoration such
as in composite filling materials which is known as nanocomposite, to
strenghten dental posts, as a filler for denture base, porcelain veneer etc. But
yet not every dentist and researcher fully understand this big chances.
Purpose : The purpose of this paper is to give dentists, researchers and all

who are interested in, an understanding about nanofibers, sol-gel method,
electrospinning and its procedures. In this paper is discussed the importance
of nano, nanofibers, sol-gel and electrospinning method and its
manufacturing. Here is described how to produced nanofiber by combination
method; sol-gel and electcrospinning. In conclusion nano fibers can be made
simply by using the sol-gel method and electrospinning.
Keywords : nanofibers, sol-gel method, electrospinning, zilica-zirconia

Correspondence
: Gantini Subrata, Prosthodontia Department Faculty of
Dentistry Padjajaran University, Jl. Raya Bandung Sumedang KM 21,
Jatinangor 45363, Telepon: (022) 7794120 Faksimile: (022) 7794121 Email: gantinisubrata@yahoo.com SHORT LECTURER 6
NICOTINE EFFECTS ON THE NUMBER OF OSTEOCLAST
AND OSTEOBLAST AFTER DENTAL IMPLANT
PLACEMENT
(Animal laboratory experimental study in New Zealand rabbits)
Nina Nilawati
Departement of Periodontia, Faculty of Dentistry HangTuah University ABSTRACT
Introduction: Smoking is a factor that can interfere the success rate of
dental implants . In most smokers, dental implant failures before getting a
load are higher than non smokers. Nicotine is the main ingredient in tobacco
cigarettes and the purpose this study aimed to explore the nicotine effect on
osteoclast and osteoblast cell to osseointegration in dental implant.
Methods: This study was performed on New Zealand rabbits through

measurement the value of osseointegration by Implant Stability Quotient
(Osstell), the number of osteoclast and osteoblast by histology test. This
study is an animal experimental laboratory research with post test control
group design. The number of rabbits in this study was 16, divided into 2
groups. Group 1 was a control group at week 1 and week 8, Group 2 was a
treatment group at week 1 and week 8. The treatment group given nicotine
injection, 1 week before implant placement until the end of the research. The
dose of nicotine was 2,5 mg/kg BW/day.
Result: Statistical analysis found significant differences the controls and
treatment group (p<0,05). At the first week and eigthth week on the
treatment group, it showed that nicotine increase the number of osteoclast
and decrease osteoblast.
Conclusion: Nicotine can increase the number of osteoclasts and decrease
osteoblasts that causing the inbihition of osseointegration of dental implant.
Key words: Dental implant, nicotine, osteoclast, osteoblast, osseointegration
Correspondence: Nina Nilawati, Office: Departemen of Periodontia, Faculty
of Dentistry Hangtuah University, Address: Arif Rahman Hakim 150
Surabaya, Indonesia. Post Code (60111), Phone/ Fax: 031 591 2191, E-mail: nina.nilawati@yahoo.co.id. SHORT LECTURER 7
VIABILITY OF FIBROBLAST CELLS ON SEVERAL
COMMERCIAL BEVERAGES AS AN ALTERNATIVE MEDIA
STORAGE FOR AVULSED TEETH
Bingah Fitri Melati, Herawati, FX. Suhariadji
Post graduated student, Departement of Pediatric Dentistry, Airlangga Department of Pediatric Dentistry, Airlangga University Department of Pediatric Dentistry, Airlangga University
ABSTRACT
Background:
The main treatment for the avulsed tooth is replantation. The cells in
periodontal ligament of the avulsed tooth must be protected from damage and loss of
normal cell metabolism so that required storage media which have optimal osmolarity,
nutritional adequacy, proper pH and easy to obtained. Recommended storage media
for avulsed teeth is Hank's Balanced Salt Solution (HBSS) because it has electrolytes
and glucose. However HBSS is not always available when the trauma occurs.
Purpose: To determine the viability of fibroblasts in three commercially beverages
which were coconut water, isotonic drinks and milk.
Method: BHK-21 cells that had been grown and placed in micro plate induced with
coconut water, isotonic drinks and milk. The cells were measured with colometric
assay and ELISA reader.
Result: All of the commercial beverages in this study showed a percentage above
50%; it appeared that all sample solution had no toxic effect on fibroblasts. The
highest viability of fibroblast was found in coconut water 97% fol owed by isotonic
drinks 87% and the lowest in milk 79%.
Conclusion: The study suggested that high viability of fibroblast found in coconut
water, isotonic drinks and milk.
Keyword: Avulsed teeth, Storage media, coconut water, viability of fibroblast.
Correspondence: Bingah Fitri Melati, Departemen Ilmu Kedokteran Gigi Anak,
Fakultas Kedokteran Gigi Universitas Airlangga, Jalan Prof. Dr. Moestopo No 47
Surabaya 60132. E-mail: bingahfitrimelati@gmail.com

SHORT LECTURER 8
MINERAL CONTENT DIFFERENCES BETWEEN LOW AND
HIGH CARIES INDEX OF PRIMARY TEETH
Edina Hartami , Irmawati , Herawati
Post graduated student, Departement of Pediatric Dentistry, Airlangga Department of Pediatric Dentistry, Airlangga University Department of Pediatric Dentistry, Airlangga University
ABSTRACT
Background
: Dental caries prevalence in children increased because of the
habit of bottle feeding, however with the same amount of milk consumption,
there are children suffer with caries and free caries. One of the etiologies of
dental caries is tooth quality (host). The tooth quality was influenced by levels
of minerals that have resistance to dental caries. Mineral composition of the
enamel primary teeth consist of Ca, P, Mg, Zn, Al, Sr, Mn, Fe, Na, K, and F.
Purpose: The purpose of this study was to compare the mineral content of
primary teeth in low and high caries index children.
Methods: This study was using exfoliated deciduous anterior teeth from
fourteen children aged 5-7 years, divided into 2 groups, low and high caries
index children. Tooth mineral content was measured by X-ray fluorescence.
Result: by using parametric Independent t-test, there were significant
differences in level of mineral Ca and P between low and high caries index
children (p ˂ 0,05).
Conclusion: The conclusion of this study was mineral content of Ca and P in
low caries index children was higher than high caries index children.

Key words: mineral content, primary tooth caries index

Correspondence: Edina Hartami, Departemen Ilmu Kedokteran Gigi Anak,
Fakultas Kedokteran Gigi Universitas Airlangga, Jalan Prof. Dr. Moestopo 47 Surabaya 60132. Em
SHORT LECTURER 9
CORRELATION BETWEEN INTECANTHAL DISTANCE AND
THE MESIODISTAL WIDTH OF THE MAXILLARY ANTERIOR
TEETH IN JAVANESE BOYS
Grace Prawira1, Teguh Budi Wibowo2, Seno Pradopo2
1Post graduated student; 2Staff of Departement Pediatric Dentistry, Airlangga University, Surabaya, Indonesia
ABSTRACT
Background:
Risk of trauma occurs in several boys by losing their anterior teeth that
caused by extracting them. They could be restored by denture application, which the
esthetic side is mainly concerned.
Purpose: the purpose of this study was to determine the proportional relationship
between facial dimension and anatomic landmark with the width of the maxil ary
anterior teth that potentially provide a guide for teeth selection.
Method: A hundred adults (12-14 years old) with well aligned maxil ary anterior teeth
and minimal attrition were selected for this study. Using direct measurement with
caliper we determined the intercanthal distance and intercanine width. For all the
subjects in the study, mean, standard deviation, maximum and minimum values
(range) were calculated. Pearson correlation test was done to estimate the correlation
between the variabebles. Ration (‘r' factor) between the mean of al the variables were
calculated.
Result : the means (standard deviation) of ICD were 30,72 mm (2,62), respectively,
the intercanine width were 30,09 mm (1,89). There was positive correlation between
intercanthaldistance with intercanine width. Conclusion: there are various methods of
selection of teeth but their applicability varies due to the ethnic differences between
populations. The results can help to use the correlation of these measurements for
rehabilitating local edentulous adult patients as their pre-losing records were not
available

Keywords:
intercanthal distance, intercaninus width, ratio

Correspondence : Grace Prawira Putri, Departemen Ilmu Kedokteran Gigi Anak,
Fakultas Kedokteran Gigi Universitas Airlangga, Jalan Prof. Dr. Moestopo 47
Surabaya 60132. Email: grace.sunito@gmail.com
SHORT LECTURER 10
ANTIMICROBIAL ACTIVITY OF ZINC OXIDE EUGENOL
PASTE, CALCIUM HIDROXIDE+ IODOFORM, AND MINERAL
TRIOXIDE AGGREGATE AS PULP TREATMENT OF
PRIMARY TEETH
Hesti Muharini, Seno Pradopo, Prawati Nuraini
Post graduated student, Departement of Pediatric Dentistry, Airlangga University Department of Pediatric Dentistry, Airlangga University Department of Pediatric Dentistry, Airlangga University ABSTRACT
Background: Endodontic therapy is a commonly treatment in pediatric dentistry in order to
prevent premature exfoliation in primary tooth .The successful of this therapy is directly af ected by the success of eliminating pathogen microorganism that infects root canal, which can be accomplished by conducting disinfection, preparation root canal and filling the root canal.
Purpose: The purpose of this study was to examine in vitro the antimicrobial ef ects of three

experimental pastes containing zinc oxide eugenol paste, calcium hydroxide associated iodoform paste and Mineral Trioxide Aggregate (MTA) paste. Methods: Three microbial strains (Porphyromonas ginggivalis, Enterococcus faecalis and
Fusobacterium nucleatum) obtained from the American Type Culture Collection (ATCC) were
inoculated in Brain Heart Infusion (BHI) and incubated at 37° C for 24 hour. For the agar

diffusion test (ADT) 7 petri plates with 20 mL of BHI agar were inoculated with 0,1 mL of the microbial suspension, using sterile swab that were spread on the medium. Three cavities were made in each agar plate (total=21) and completely filled with one of the root canal paste. The plates were pre-incubated for 1 h at room temperature and then incubated at 37°C for 24 h. The inhibition zone around each well was recorded in mm.
Result: There is significant difference between the inhibition level of ZnOE, calcium hydroxide

and iodoform and MTA on three bacteria groups of Porphyromonas ginggivalis, Enteroccus faecalis, and Fusobacterium nucleatum (p)0,000 (p<0,05). Porphyromonas ginggivalis was inhibited by MTA more ef ectively (p<0,05), while Enteroccus faecalis, and Fusobacterium nucleatum were more ef ective to be inhibited by ZnOE (p<0,05). Conclusion: The in-vitro test on microbial activity from three pastes of pulp treatment showed
that MTA had the highest inhibition level on the Porphyromonas ginggivalis, while ZnOE had the

highest inhibition level on Enteroccus faecalis, and Fusobacterium nucleatum
Keywords: antimicrobial activity, zinc oxide eugenol, calcium hydroxide, mineral trioxide

aggregate
Corespondence: Hesti Muharini, Departemen Ilmu Kedokteran Gigi Anak, Fakultas Kedokteran
Gigi Universitas Airlangga, Jalan Prof. Dr. Moestopo 47 Surabaya 60132. Email:
SHORT LECTURER 11
THE USE OF MINI DENTAL IMPLANT IN THE POSTERIOR
(Case Report)
Hans Goenawan
Lakdogi TNI AL-Jakarta ABSTRACT

The use of dental implants for single and/or multiple edentulous cases has increased significantly in recent years. They areused not only in normal cases, but also in special cases when the alveolar bone resorption occuredverticaly and/or horizontaly. Mini dental implant is an implant with less than 3.1 mm diameter and the length more than 10 mm. There are many brands and companies produce mini dental implants. Mini dental implant generally indicated in cases when the alveolar bone width are very limited because of bone resorption process or in cases when the mesio-distal edentulous width is too narrow. In this case report will be discussed the use of mini dental implant in the posterior region, the indications, treatment planning and techniques to
achieve the optimal success and how to choose the mini dental implant for
the cases and how to use the mini dental implant for posterior cases with a
proper treatment planning.
Correspondence : Hans Goenawan, The Green, Manhattan Forum , B1 no
11, BSD City, Tangerang Selatan , Banten, Indonesia 15322. Email :

SHORT LECTURER 12
ACCURACY OF DEMIRJIAN'S AGE ESTIMATION IN DEUTERO
MALAY CHILDREN
Retno Dewati, Els S. Budipramana, Sindy Cornelia
Post graduated student, Departement of Pediatric Dentistry, Airlangga University Department of Pediatric Dentistry, Airlangga University Department of Pediatric Dentistry, Airlangga University
ABSTRACT
Background: Tooth formation is widely used to assess dental maturity and predict
age of growing children. Demirjian et al in 1973, formulated the method of dental age
estimation in French - Canadian population with reference to the panoramic
radiographs. It is based on eight calcification stages which span from the first sign of
tooth calcification to apex closure for the seven left permanent mandibular teeth.
Purpose: The purpose of this study was to evaluate the accuracy of Demirjian's age
estimation in 8 – 13 years Deutero Malay children.
Method: We selected 62 dental panoramic radiographs of 30 boys and 32 girls for
estimating the age with Demirjian's technique. A paired samples t-test was performed
to search for significant age differences between the obtained age estimation with
Demirjian's method (dental age) and the chronological age based on medical record.
Result: The overestimation of the age was confirmed. Then, the index was calculated
as an instrument for adapting Demirjian's method in Deutero Malay population. The
index resulted in percent of the mean of chronological age divided by dental age of
each samples group: boy is 92,7%, girl is 96,1%, boy and girl is 94,5%. The new data
(after being multiplied by index) was analyzed for statistical differences with the
chronological age using paired samples t-test. The result was no significant difference
between the new data and the chronological age.
Conclusion: The conclusion was Demirjian's method could be applied in 8-13 years
children of Deutero Malay with modification, so that helpful in dental forensic for
estimating chronoloical age of cadaver.
Keywords: dental forensic, chronological age estimation, Demirjian

Correspondence : Retno Dewati, Departemen Ilmu Kedokteran Gigi Anak, Fakultas
Kedokteran Gigi Universitas Airlangga, Jalan Prof. Dr. Moestopo 47 Surabaya 60132.
Email : dhew_bale@yahoo.com

SHORT LECTURER 13
THE DIFFERENCE OF S. MUTANS COLONY BETWEEN
MICROHYBRID AND NANOHYBRID FLOWABLE
COMPOSITE RESINS SURFACE
Setyaningrum Kusuma Wardani, Prawati Nuraini, Sindy Cornelia
Postgraduate Student, Department Pediatric Dentistry, Airlangga University Department of Pediatric Dentistry, Airlangga University ABSTRACT
Background: Surface attributes of a restoration play an important role in adherence
of plaque bacteria. The formation of biofilm and bacterial accumulation on dental
materials may lead to the development of secondary caries. S. mutans can adhere to
the entire surface of oral cavity and visible light composite resins.
Purpose: The aim of the present study is to examine the effect of different surface
polishing methods on the amount of S. mutans colony adherence to the surface of two
restorative materials.
Method:
a total 20 specimens were prepared from each material; micro hybrid and
nano hybrid flowable composite resin. For each material, the specimens were
randomly divided into two groups (n=10). Group 1: polished with alumunium oxide
disc (enhance); Group 2: polished with diamond finishing bur (fine finishing). The
specimens of 5 mm diameter and 3 mm in thickness were immersed in saliva for one
hour, than the samples were put into bacteria suspension, incubated for 24 hours at
37oC. Final solution was dropped into TYC plate. The amount of S. mutans was
determined by the plate counting method. The data were statistically analyzed by
using independent t-test.
Result:
a significant different of S. mutans colony on the surface between microhybrid
and nanohybrid flowable composite resins finished with enhance and with fine
finishing bur.
Conclusions: the amount of S. mutans adherence on the surface of microhybrid was
higher than the nano hybrid flowable composite resin. Enhance polishing
methodpossesses significantly lower adherence compared with fine finishing method
in both composite material.
Keywords: S. mutans, bacterial adherence, flowable composite resin, polishing
method
Correspondence: Setyaningrum Kusuma Wardani, Departemen Ilmu Kedokteran
Gigi Anak, Fakultas Kedokteran Gigi Universitas Airlangga, Jalan Prof. Dr. Moestopo
47 Surabaya 60132, Indonesia. Email

SHORT LECTURER 14

THE SUCCESFULL OF PERIODONTAL TREATMENT WITH
SCALING ROOT PLANNING COMBINED WITH HOST
MODULATION ON PERIODONTITIS PATIENTS WITH
DIABETES
Novita Pratiwi
PPDGS Periodontia Student Dentistry Faculty Airlangga University
ABSTRACT
Background :
Periodontitis is a common problem in patients with diabetes, as much
as 75% of diabetic patient had periodontitis.
Diabetes can stimulate the chronic
release of proinflammatory cytokines that have a deleterious effect on periodontal
tissues. Conventional periodontal treatment in patient periodontitis with diabetes is
ineffective.
Objective : For the patient periodontitis with diabetes type 2 we give unusual
treatment. Scaling root planning and oral antibiotics to eliminate the pathogenic
bacteria combined with host modulation terapy which is enable to support
regeneration of periodontal tissue.
Case : An 62 years old male with Diabetes history fel unpleasant because of mobility
tooth in maxil ary anterior region. There's no allergic history. On clinical examination
we found 4 mm pocket depth, gingival indeks score 2, periodontal indeks score 6.
Case Management : For the treatment we have done Scaling root planing, fol owed
by consumtion Amoxil in and Metronidazole, and also NSAID per-oral as Host
Modulation Terapy.
Conclusion. therapeutic mechanical scaling and root planning combined with host
modulation therapy proves successful repair of periodontal tissue destruction in
periodontitis patients with diabetes.


Keywords :
Diabetes, Host Modulation, Periodontitis

Correspondence : Drg. Novita Pratiwi. Departemen Periodonsia, Fakultas
Kedokteran Gigi Universitas Airlangga Jl. Mayjen. Prof. Dr. Moestopo No. 47
Surabaya 60132, Indonesia. E-mail : atau

SHORT LECTURER 15
THE USE OF LOW DOSE DOXYCYCLINE FOR
AGRESISIVE PERIODONTITIS THERAPY
( CASE REPORT)
Dwi Wahyu Indrawati, Ernie Madratna Setiawati
Resident of Periodontia FKG Unair Departemen Periodonsia, FKG Unair
ABSTRAK
Agresif periodontitis caused by lokal infection factors.others factor can be
effecs the disease among other duo the stress factor,systemic disease,and
idiopathic factors,the disease is usually accompanied by periodontal demage
is quite extensive and accompanied by periodontal damage is quite extensive
and accompanied by bone resobsi alveoli.periodontitis disease surference an
object is therefore a factor stress.patient woment 30 year old,unmarried with
agreat demage on the upper and lower jaw tooth,there is a loosening of three
derajat ,the resobsi and alveoli bone care periodonsia for six months.
Key word : periodontitis agresif, emotional stress, low doxycyclin.


Corespondence : Dwi Wahyu Indrawati, Resident at Periodontia
Department, Faculty of Dentistry, Airlangga University, Jalan Prof. Dr.
Moestopo 47 Surabaya 60132. Email : indrawatidwi55@yahoo.com POSTER : 01

CROSSBITE ANTERIOR TREATMENT WITH INCLINE BITE
PLANE (CATLANS APPLIANCES) IN MIXED DENTITION
(Perawatan gigitan silang anterior dengan menggunakan incline bite plane (catlans appliances) pada fase geligi pergantian) Ike Ratna Dewi
RSUD Banjarbaru Kalimantan Selatan
ABSTRACT
Background:
Anterior crossbite is the term used to describe an abnormal labiolingual
relationship between one or more maxil ary and mandibular incisor teeth. Different
techniques have been used to correct anterior crossbite. Single tooth anterior dental
crossbite is the commonly encountered malocclusion during the development of
occlusion in children. The presence of anterior crossbites may cause mandibular
displacement, if left untreated may lead to restriction of maxil ary growth, traumatic
occlusion, and may lengthen the treatment time.The anterior crossbite should be
treated immediately to prevent futher damage to the periodontium and attrition.
Various treatment options such as removable and fixed appliances have been
suggested by different authors in the past literature.
Purpose:This paper cases of anterior crossbite corrected using Incline Bite Plane in
a short period of a weeks without any damage to the tooth or the periodontium.
Case: In this case report children aged eight years old with anterior crossbite was
corrected with incline bite plane method.
Case Management: An acrylic incline bite plane cemented to the lower anterior
teeth to correct in locked anterior teeth. An incline bite plane approximately ¼ inch in
length is then added, extending at a 45 degree angle to the long axis of the lower
incisors.
Conclusion: This would suggest that the prognosis of the tooth is good. This fixed
appliance is a simple and traditional method which does not depend on patient
cooperation to reverse the bite.

Keyword:
Anterior crossbite, Incline bite plane, mixed dentition


Correspondence:
Ike Ratna Dewi, RSUD Banjarbaru Kalimantan Selatan, Palang
Merah Street No.02 Banjarbaru 70714, Indonesia, hp 081251203558, email.
ratnadewi ke@gmail.com

POSTER : 02
THE EFFECT OF STICHOPUS HERMANII TO PREVENT THE
ORTHODONTIC RELAPS MOVEMENT
Noengki Prameswari, Syamsulina Revianti, Arya Brahmanta
Orthodontic Laboratory*, Biology Oral Laboratory Dentistry Faculty Hang
ABSTRACT
Background:
. Relapse Orthodontic is the return, fol owing correction, any change
from the final tooth position at the end of treatment relapse, could be a return to the
original teeth position, caused by factors unrelated to the orthodontic
treatment.Stichopus hermani is one of the best fishery commodities in Indonesia. It is
natural and contain various active ingredient such as hyaluronic acid,chondroitin
sulphate,cell growth factor, EPA DHA, flavonoid that might reduce relaps orthodontic.
Objectives: The aim of this study is to investigate the effect of Stichopus hermanii to
prevent the orthodontic relaps movement .
Material and Method: The experiment was held by Post Test Only Group design.
Thirty twomale Cavia Cobaya were divided into four groups. K(-) group as negative
control group (without treatment), K(+) group as positive control group which is give
with orthodontic mechanical forces, and the other groups P1, P2, were give with
orthodontic mechanical forces and stichopus hermanii 2,5 % and 3 %. After treatment
the rats were sacrificed. The orthodontic relaps movement of each group was
measured by caliper in mm length.
Results: This study showed that orthodontic relaps movement was significantly
differences in group P1 compare to K(-) and K(+), group P2. K(+) and P2, whereas
the other data showed no significantly differences.
Conclusion : Stichopus hermani 2,5 % could prevent orthodontic relaps movement
in Cavia cobaya after releasing fol owing orthodontic mechanical forces.
Keywords: Stichopus hermanii, orthodontic mechanical forces, orthodontic relaps movement.

Correspondence
: Noengki Prameswari. Orthodontic Laboratory. Faculty of Dentistry Hang
Tuah University, Surabaya – Indonesia, Jl. Arif Rahman Hakim 150, Surabaya 60111 Indonesia,
Telp 031-5912191. Email : noengki.prameswari@gmail.com POSTER : 03
TEST OF BACTERICIDAL EFFECT BETWEEN METHANOL

EXTRACT OF 80 % MAULI BANANA STEMS AND
POVIDONE IODINE 1 % AGAINST STREPTOCOCCUS
Maharani Laillyza Apriasari *, Amy Nindia Carabelly**
*Oral Medicine Departement Study Program of Dentistry, ** Oral Biology Department Study Program of Dentistry, Lambung Mangkurat University ABSTRACT
Background: There are a lot of traditional medicine that can be used as the
alternative medicine. One of them is 80% methanol extract of mauli banana stems
which is proven as a potential antibacterial agent if applied in the wound. Some
people in North of Hulu Sungai Banjarmasin are using it as the agent for healing the
wound. The gold standar for healing the wound is Povidone iodine that has an
antibacteriocid effect. The therapies that have been given to reduce the colonies of
Streptococcus mutans in oral cavity is modern medicine, such as povidone iodine 1%
which had side effects such as toxicity, systemic absorption, and delayed healing.
Purpose:
The aim of this research was to compare bactericidal effect between 80%
methanol Extract of mauli banana stems and 1% povidone iodine against
Streptococcus mutans. Methods: The method uses pure laboratory experimental with
post test only design and complete randomized design. The given treatments were
80% methanol Extract of mauli banana stems and 1% povidone iodine which also
used as the positive control. The treatment replication was done 16 times. 80%
methanol Extract of mauli banana stems were tested and compared with 1%
povidone iodine using paper disk diffusion method to measure the diameter of
inhibition zone to Streptococcus mutans colonies.
Result: 80% methanol Extract of mauli banana stems has antibacterial effect against
Streptococcus mutans with average radical zone 15 mm and less effective than
Povidone iodine 1% which showed average radical zone 17 mm.
Conclusion: 80% methanol Extract of mauli banana stems has antibacterial effect
against Streptococcus mutans but less effective than Povidone iodine 1%.


Keywords
: antibactericidal ef ect, 80% methanol Extract of mauli banana stems, 1% povidone
iodine, Streptococcus mutans.


Correspondence
: Maharani Laillyza Apriasari, Program Studi Kedokteran Gigi Fakultas
Kedokteran Universitas Lambung Mangkurat, Jl Veteran 128 B, Banjarmasin, Kalsel, email: POSTER : 04
Knowledge Level of Productive-Age-Patient in Dental
Hospital University of Hang Tuah Surabaya About HIV/AIDS
Disease.
Steven Pangestu*, Dwi Hariyanto**, Isidora Karsini S***.
* Student, Dentistry Hang Tuah University ** Lecturer at Departement of Dental Public Health Faculty of Dentistry University Of Hang Tuah Surabaya *** Lecturer at Department of Oral Medicine Faculty of Dentistry Hang Tuah ABSTRACT
Background
: This world has encounter a vicious virus called HIV/AIDS. This virus
slowly but sure kil ed every people they infected and there's stil no cure for this virus.
In Indonesia this virus has infected 33.2 mil ions people and kil ed 2.1 mil ions people
and most of it's victims are people at the age of 20-29. This virus are not well known,
so the number of victims each year became increase.
Purpose: This research is want to know about how many people understand about
HIV/AIDS virus.
Methods: We have deviced a test in which the people have to answer the
questionnaire. We used this questionnaire to study 49 peoples, aged between 15-64
years, who visited Hang Tuah's dental hospital. By spread questionnaires to 49
peoples, without distinguish between men or women, and ask them to fil it. The
results of the answer we calculated and classified it by the criterion. There are four
criterions: very aware (9-12), aware (6-8), not aware (3-5), really do not aware (0-2).
From the answer of the people, those wil help us to gauge the knowledge.
Result: Most of the people we tested were very aware of this virus, and mostly of the
people who known are the people with higher level education.
Conclusion: Our HIV/AIDS knowledge is a valuable standard of the knowledge of
people who aware or not aware about HIV/AIDS virus. From this test we can gain
valueable information about HIV/AIDS virus.


Key Words
: HIV/AIDS, People, Knowledge, Hang Tuah


Correspondence
: Dwi Hariyanto. Dental Public Health Dentistry Faculty Hang Tuah
University. Jl. Arif Rahman Hakim 150 Surabaya. Telp 031-5912191. Email
dwi_surabaya@yahoo.com
POSTER : 05
INCIDENCE RATE OF TEMPORO MANDIBULAR
DISORDERS (TMD) DUE THE MISSING OF THE FIRST
PERMANENT MOLARS MANDIBULAR
Deby Kania Tri Putri *, Bayu Indra Sukmana**
*Conservative Departement Study Program of Dentistry, ** Oral Surgery Department Study Program of Dentistry, Lambung Mangkurat University ABSTRACT
Background
: Losing teeth of mandibular first permanent molars in

Banjarmasin have high prevalence while installing removable and fixed
denture by only (3.0%). This suggests that many cases of tooth loss is not
offset by rehabilitation treatment. This will lead to arch function decreased by
30%.
Objective: To determine the incidence rate for temporo mandibular disorder
(TMD) due the loss of teeth mandibular first permanent molars.
Methods: Conduct anamnestic and dysfunction index to subjects that fit the
inclusion criteria. Overall the data collected and grouped according to data
obtained by descriptive methods.
Results : Calculated percentage of TMD due loss of the mandibular first
molar by classification and gender.
Conclusion: TMJ dysfunction in women have most high frequency than

men. Classification of severe TMJ dysfunction are shown in subjects with
missing teeth 46 and who lost both its molar 36 and 46

Keywords
: Incidence Rate, Temporo Mandibular Disorders (TMD), missing
of the first permanent molars mandibular

Correspondence : Bayu Indra Sukmana. Program Studi Kedokteran Gigi
Fakultas Kedokteran Universitas Lambung Mangkurat, Jl Veteran 128 B,
Banjarmasin, Kalsel, em POSTER : 06
SYSTEMIC OBSERVATION-SURGICAL PERIODONTIC
APPROACH IN THE MANAGEMENT OF AMLODIPINE
INDUCED GINGIVAL ENLARGEMENT
Rahmidian Safitri, Hardini Dyah Astuti, Poernomo Agoes
Department of Periodontology, Faculty of Dentistry Airlangga University
ABSTRACT
Background :
Drug induced gingival enlargement is frequently observed in patients
taking three main group of drugs like calcium channel blockers (CCBs),
immunosuppressant's and anticonvulsants. Amlodipine belongs to the
dihydropyridine-a third generation calcium channel blockers agents that may cause
the side effect of drug-induced gingival enlargement and oral bacteria intervention due
to calculus retention. This case report describes the management of gingival
enlargement in a hypertensive patient taking amlodipine.
Objective :
This case report was aimed to discuss the treatment and maintenance of
systemic observation-surgical periodontic approach to restore gingival enlargement
Case report :
A 47-years old man was referred to the Department of Periodontology,
Faculty of Dentistry, Airlangga University complaining of swellings and bleeding on
his gingiva in all region. He felt very uncomfortable as the swelling interfered while
chewing and sometimes there was bleeding spontaneously and halitosis. He had
hypertension since 5 years and was on medications Captopril 12,5 mg daily during 4
years and Amlodipine 5mg daily during last 1 year. A provisional diagnosis and
systemic observation-periodontal phases treatment were taken to restore gingival
enlargement condition.
Case Management :
Systemic observation of medication use, periodontal phases
treatment such as scaling root planning, periodontal surgery as flap and gingivectomy,
home oral hygiene maintenance, control recall every month during first 3 months were
taken.
Conclusion :
The successful of combination careful y systemic observation-surgery
periodontal approach are promising to maintain Amlodipine induced gingival
enlargement.

Keywords : Amlodipine, Gingival enlargement, Systemic observation, Surgical
periodontic

Correspondence : Rahmidian Safitri .Department of Periodontology, Faculty of
Dentistry Airlangga University, Prof Dr Moestopo 47, Surabaya
POSTER : 07
SWEET TASTE STIMULATION POTENTIALLY INCREASE
THE PAIN TOLERANCE THRESHOLD
Yani Corvianindya Rahayu
Department of Oral Biology, Faculty of Dentistry, University of Jember
ABSTRACT

Background: Sweet taste stimulation may possibly be applicable in the field
of dentistry, and to relieve pain during injection of local anesthetic. In the
present study, oral administration of sucrose and xylitol have been reported
to increase the pain threshold.
Objective: The aim of this study was to determine the mechanism of sweet
taste stimulation on pain tolerance threshold.
Review: A-delta fibers contribute to the sensation of pain, and C fibers
contribute to pain pressure in the submucosa during injection of local
anesthetic. The increase in pain threshold from sucrose and xylitol is caused
by enhanced secretion of endogenous opioids and activation of the
descending pain inhibitory system. The distribution in dorsal horn of spinal
cord of A-delta and C fibers react to noxious stimulation. Serotonergic and
noradrenergic neurons in descending pain modulatory system and
endogenous opioids in the superficial layer of the trigeminal subnucleus
caudalis both contribute to the pain-inhibiting effects of sweet taste
stimulation. This may result an increasing of pain tolerance threshold.
Conclusion: Sweet taste stimulation may potentially inhibit pain and increase

the pain tolerance threshold.

Keywords:
mechanism, sweet taste, stimulation, pain threshold

Correspondence : Yani Corvianindya Rahayu. Oral Biology Department.
University of Jember. Jalan Kalimantan No. 37 Kampus Tegalboto Jember
Jawa Timur 68121 Indonesia, Email : ryanicorvianindya@yahoo.com
POSTER : 08

FACIAL TYPES DETERMINATION BASED ON FM ANGLE

MEASUREMENT IN CEPHALOMETRIC ANALYSIS
Rudy Joelijanto
Departement of Orthodontic Faculty of Dentistry University of Jember ABSTRACT
Background :
Cephalometric analysis is used in dentistry especially in
orthodontics which is to study the growth of craniofacial, enforce the
diagnosis or analyze abnormality of craniofacial, to study facial types,
determine the treatment plan of orthodontic, evaluate any cased had been
treated, to analyze functionally and to do research. FM angle mesurement is
useful to determine facial types. Facial types are correlated to the shape of
jaw arch.
Objective : The purpose of this paper is to discuse about facial type
determining, based on FM angle measurement on cephalometric analysis in
order to determine treatment plan.
Methods : FM angle is an angle formed by FHP and mandible plan. FHP
(Frankfort Horizontal Plane) is plane that through orbita and porion points.
Result : When the resultant of FM angle is 260 ± 3 it is included in

mesofacial type. When FM angle is < 260 ± 3 so that it is included in
brachyfacial type and if FM angle is > 260 ± 3 it is included in dolichofacial
type.
Conclusion : Facial types will affect in determining treatment plan, there
should be jaw expansion or tooth extraction.
Keywords : cephalometric analysis, face type, orthodontic treatment.

Correspondence :
Rudy Joelijanto Departement of Orthodontic Faculty of
Dentistry University of Jember. Jalan Kalimantan No. 37 Kampus Tegalboto
Jember Jawa Timur 68121 Indonesia, Email : kaditya_rakan@yahoo.co.id
POSTER : 09

A SIMPLE TECHNIQUE FOR FIXING PREMAXILLA AFTER
OSTEOTOMY IN PROTUDED PREMAXILLA PATIENT POST
LABIOPLASTY AND PALATOPLASTY
Eddy Hermanto*, Sunardi Mangundjaja **
*Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Hang **Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Padjajaran University Background : Patients post labioplasty and palatoplasty with protuded
premaxilla require surgical setback of the premaxilla with osteotomy. There
was no consensus for the setback osteotomy because it is usually difficult to
fix the premaxilla after osteotomy. Due to financial constrains and the
distances traveled, the patient prefer to come for fewer procedure.
Objective: The aim of this paper to report repositioning of the protuded

premaxilla as functional and aesthetic treatment
Case: An8 years old girl with protuded premaxilla have been performed
labioplasty and palatoplasty. The procedures of these case were setback
osteotomy and immobilization with intraosseous wire.
Case management : The premaxilla was immobilized using simple
technique of Dentaurum wire fixation, after osteotomy and bone graft was
placed in the alveolar cleft. Palatal closure was achieved with two flap
technique.
Conclusion :
Setback osteotomy of protuded premaxilla with intraosseous
wire is simple procedure but the result was satisfactory.

Key Words :
Set back osteotomy, labioplasty and palatoplasty, protuded
premaxilla, intraosseous wire

Correspondence :
drg Eddy Hermanto,Sp BM. Dentistry Faculty Hang Tuah
POSTER : 10
SUCCESSFUL MANAGEMENT OF "BLACK TRIANGLE"
USING SUBEPITHELIAL CONNECTIVE TISSUE GRAFT
Winarto Chandra*, Poernomo Agoes W.2
*Resident of Post Graduate Program of Periodontics, Faculty of Dentistry, Airlangga University **Department of Periodontics, Faculty of Dentistry, Airlangga University ABSTRACT
Introduction: Open gingival embrasures are a common occurrence in adult
population with a history of periodontal disease. Open gingival embrasure
show a loss of interdental papilla which usually refer as the "black triangles"
occur in more than one- third of adults. Most of the treatment for black
triangle usually treated with orthodontic treatment and restorative treatment.
However this treatment is unsatisfied, as we want to regenerate the
interdental papilla. One of the most difficult goals of periodontics in the field
of reconstruction, regeneration and esthetic aspect of periodontal therapy is
the surgical reconstruction of the lost interdental papilla. Loss of interdental
papilla could result in patient complaints such as phonetic problems, food
impaction, functional problems and esthetic concern. Subepithelial
connective tissue graft was used to treat open gingival embrasure, better
aesthetics can be achieved because of a better color match of the grafted
tissue to adjacent area.
Objective: To provide information about a successful surgical reconstructive
of interdental papilla using a subepithelial commective tissue graft and
evaluated clinically for 3 months.
Case: Female, 25 years-old visit "Rumah Sakit Gigi dan Mulut" public service
hospital Airlangga University, Surabaya in May 2012, she complained about
her black spot at anterior lower region after scaling and root planning (SRP)
treatment by dentist and she came to Rumah Sakit Gigi dan Mulut Airlangga
University.
Case management: full thickness flap is dissected on the lingual aspect of

the interental area. The flap is elevated labially, folded and sutured to create the new papilla at the facial part of the interdental area. The lingual which is open then covered by a subepithelial gingival graft then sutured to the facial part of interdental papilla, then coronally reposition flap was done for the lingual side. Then evaluated pre- and post treatment. After 3 month post flap
surgery the interdental papilla has increased
Conclusion: Subepithelial connective tissue graft was able to increase the
papilla height with interdental papilla lost <6 mm.
Key words : Loss of interdental papilla, black triangle, subepithelial

connective tissue graft
Correspondence : Winarto Chandra. Departemen Periodonsia, Fakultas
Kedokteran Gigi Universitas Airlangga Jl. Mayjen. Prof. Dr. Moestopo No. 47
Surabaya 60132, Indonesia.
POSTER : 11
RESTORING FACIAL BALANCE AND FUNCTION WITH
ANTERIOR TEETH PROSTHESES
Widaningsih, Meinar Nur Ashrin
Departement of Prosthodontics, Faculty of Dentistry, Hang Tuah University ABSTRACT
Background:
Contradiction in functional problems often occurs during the
making of full dentures. Patients expect near-real prostheses in aesthetically
and functionally, particularly in chewing and speech function.

Review:
In these following cases, the problems are facial anatomical
landmarks, mouth cavity and jaw shape of the patients that has changed due
to resorbing of the alveolar ridge of upper jaw upwards to the palate, and
resorbing of the alveolar ridge of lower jaw forward to the anterior.
Conclusion: Some efforts are done to overcome these problems: reduction
to the vertical dimension during measurement of biting height, precise centric
occlusion, and arrangement of anterior teeth not directly on the ridge for the
upper jaw, as for the lower jaw, the anterior dentures are placed towards
lingual direction.
Keywords
: Full dentures, esthetic and function, vertical dimension, dentures
arrangement
Correspondence : Meinar Nur Ashrin, drg., PhD, Faculty of Dentistry, Hang
Tuah University, Jl. Arif Rahman Hakim No. 150 Surabaya, Telp. (031) 5945864, 5912191, email: meinar.ashrin@gmail.com POSTER : 12

MAKING FULL DENTURE WITH A FLAT RIDGE OF THE
MAXILLA AND MANDIBLE IN PATIENT WITH POST STROKE

(CASE REPORT)
Debby Saputera*, Sukaedi**, Mefina S Kuntjoro**
*Resident of Prosthodontics Faculty Of Dentistry Airlangga University **Department of Prosthodontics Faculty Of Dentistry Airlangga University
ABSTRACT
Background
: In the case of post stroke patients who have lost teeth longer and do
not use ful denture may occur that flat ridge conditions. The condition of the flat ridge,
have any impact on the stability and retention of dentures is difficult to achieve.
Medical rehabilitation in this condition required special measures is using the shortest
treatment time. Making ful denture can be optimized with the use of fully adjustable
articulator that can be adjusted condyle angle and bennet angle patients.
Purpose : To get the denture retention and stability on flat ridge can be use of ful y
adjustable articulator.
Case : Men age 80 years, come to the clinic specialist prosthodontics faculty of
dentistry airlangga university to making ful denture in the maxil a and mandible.
Patients had a stroke during this, already wearing dentures, but often problematic
bacause denture often loose when used for mastication.
Case management : high initial bite determination using centric tray which is then
connected to facebow transfer for move the position of the maxil a and mandible
patient into the articulator. Functional printing is closed mouth method with the
appliance gnathometer and use accessories articulator in making teeth.
Conclusion : High determination bite, accurate and precise printing, the principles of
making teeth is fulfil ed with the help of ful y adjustable articulator wil result in intimate
contact between the denture and mucosal tissue underneath so in get the denture
retentive and stable.

Key Words : full denture, flat ridge, fully adjustable articulator

Correspondence
: Debby Saputera. Department of Prosthodontics, Faculty Of
Dentistry Airlangga University. Jl. Mayjen. Prof. Dr. Moestopo No. 47 Surabaya
60132, Indonesia. Email: debbysaputera@gmail.com
POSTER : 13

DISTRIBUTION OF VISITS THE PATIENT PARTICIPANTS
ASKES TO POLY DENTAL PUBLIC HEALTH CENTER IN
JEMBER BASED ON GOOGLE EARTH
Hestieyonini Hadnyanawati
Dental Public Health Department Faculty of Dentistry Jember University
ABSTRACT
Background
: Askes or health insurance is one of the health care insurance is
managed by the Government. One of utilization service askes by society is service for
outpatient poly dental public health center. The utilization of cards askes by the public
can be seen through the distribution of visits his patient askes to poly dental public
health center. There are 49 public health centers in Jember. The varying geographical
conditions public health center in Jember can use geographic information system
based Google Earth. Description of the distribution of visits the patient participants
Askes to poly dental public health center Jember is presented in the form of
geographic information systems based on Google Earth.
Purpose: The purpose of this research is to know the description of the distribution
visits the patient participants Askes to poly dental public health center in Jember
based on Google Earth. Method: This type of research is observational descriptive.
Data sources secondary derived from the District Health Office of Jember. Data
obtained in 2010, 2011 and 2012 years. Data is processed and presented in the form
of partial and non-partial.
Results: The result of this study visit participants patients Askes to poly dental public
health center in Jember showed average of + 5.59% (2010), 6.57% (2011) and
6.19% (2012).
Conclusion: the distribution of visits the patient participants Askes to poly dental
public health center in Jember based google earth uneven.
Key words: distribution of visits the patient, askes, Google earth

Correspondence : Hestieyonini Hadnyanawati Dental Public Health Department
Faculty of Dentistry Jember.University. Jalan Kalimantan No. 37 Kampus Tegalboto
Jember Jawa Timur 68121 Indonesia, Email
POSTER : 14
RELATIONSHIP BETWEEN THE ACTIVATION OF NFΚB
PRODUCING CELLS AND ALVEOLAR BONE DESTRUCTION
IN LPS-INDUCED PERIAPICAL INFLAMMATION
Dian Agustin Wahjuningrum
Department of Conservative Dentistry Faculty of Dentistry Airlangga
ABSTRACT
Backgrounds.
Infiltration of inflammatory cells is induced by penetration of bacteria
and bacterial by products, including lipopolysaccharide (LPS), from infected root
canals into the periapical tissues. These cells produce various chemical mediators,
which characterize the periapical inflammation by activation NFκB. NFκB wil
producing cytokines. Especially, interleukin-1 synthesized by macrophages is a typical
mediator in the periapical lesions, and it is involved in the bone resorption
Purpose: The aim of this study is to evaluate the expression of NFκB and IL-1
producing cells into the periapical lesions induced by application of LPS to the pulp
chamber in experimental animals.
Method. Non-treatment animals were served as a control (Group A, n=7). LPS was
applied into the exposed pulp chamber of molars (Group B, n=7). Phosphate buffered
saline (PBS) was used instead of LPS (Group C, n=7). LPS was applied into gingival
sulcus (Group D, n=7). Three weeks later, animals were sacrificed, and extracted
samples were prepared for immunohistochemical study.
Results.
The data was analysis by Anova (SPSS 13) The results by statistic analysis
were showed expressions NFkB and IL-1 in group B were significantly different
between group A and B p = 0,001*(p<0,05).
Conclusion.
These results suggest that macrophages are involved in both
progression and resolution of periapical inflamation induced by LPS. Macrophage
expressing NFκB wil release cytokines like IL-1, may play an important role in
increasing the destructive mediators in periapical lesions.
Keywords :
NFκB, Lipopolysaccharide, periapical inflamation, bone resorption

Correspondence:
Dian Agustin W, c/o: Departemen Konservasi Gigi, Fakultas
Kedokteran Gigi Universitas Airlangga. Jl. Mayjen. Prof. Dr. Moestopo no 47
Surabaya 60132, Indonesia. E-mail
POSTER : 15
LEVEL OF CREACTIVE PROTEIN (CRP) AMONG
CARDIOVASCULAR DISEASE PATIENTS WITH CHRONIC
PERIODONTITIS IN CARDIOVASCULAR DEPARTEMENT OF
DR. SOETOMO NATIONAL HOSPITAL SURABAYA
Yoifah Rizka, Joeristanti Soelistyaningroem, Muhammad Aminuddin
Periodontics Departement, Dentistry Faculty Hang Tuah University, Surabaya Cardiovascular Departement, Mitra Keluarga Cibubur Hospital, Jakarta Cardiovascular Departement, Medical Faculty Airlangga University, Surabaya
ABSTRACT
Background:
Periodontitis is a local inflammatory process mediating destruction of periodontal
tissues triggered by bacterial insult. However, this disease is also characterized by systemic inflammatory host responses that may contribute, in part, to the recently reported higher risk for cardiovascular disease (CVD) among patients with periodontitis. Moderate elevation of C-reactive protein (CRP) has been found to be a predictor of increased risk for CVD. Elevated CRP levels in periodontal patients have been reported by several groups. In this study, we examined whether CRP plasma levels are increased in periodontitis and if there is a relation to severity of periodontal disease.
Methods: CRP serum levels were assessed using reagenImmulite C-Reactive Protein ® /

Immulite ® 1000 high-sensitivity CRPas asolid-phase, chemiluminescent immunometric assay in 100 subjects which diagnosed cardiovascular disease with chronic periodontitis.Periodontal Disease Index (PDI) were measuredby clinical at achment loss, probing depths, and gingivarecessionat six selection teeth : 16, 21, 24, 36, 41,44 known as Ramfjord teeth. Results:The measurement of Periodontal Disease Index (PDI) in 100 subjects with
Cardiovascular Disease are Mild periodontitis (6,1%), Moderate periodontitis (70,4%), Severe

periodontitis (23,5%) and only 2% with normal periodontal tissue. Increases in CRP levels were observed in these subjects. Subjects with high levels of clinical at achment loss (Severe periodontitis)had significantly higher mean of CRP levels (7,522 ± 0,3580 mg/L), moderate periodontitisare(5,284 ± 0,3138 mg/L) CRP levels and (2,017 ± 0,3656 mg/L) CRP levels for mild periodontitis
Conclusions:The positive correlation between CRP and periodontal disease might be a

possible underlying pathway in the association between periodontal disease which a chronic inflammation as one of risk factor for Cardiovascular Disease in these patients.
Keywords : C- Reactive Protein, Periodontal diseases/ periodontitis , cardivaskular disease,
pathogenesis,

Correspondence : Yoifah Rizka, Periodontics Departement, Dentistry Faculty, Hang Tuah
University. Jl. Arif Rahman Hakim 150, Surabaya 60111 Indonesia, Telp 031-5912191. Email :
POSTER : 16
CYTOTOXICITY OF STICHOPUS HERMANII WHOLE
EXTRACT TO GINGIVA FIBROBLAST STEM CELL
Rima Parwati Sari
Department of Oral Biology, University of Hang Tuah ABSTRACT
Background: Stichopus hermanii contain rich glycosaminoglycans and
triterpene glycoside which is much less, so it can be used for the treatment of
wound healing. Gingival fibroblasts was the most substantial in the gingival
connective tissue plays an important role in wound healing and has a unique
tolerance in the oral mucosa. For used in oral mucosa extract whole
Stichopus hermanii, it is necessary to test compatibility, one of them with
acytotoxicity assay. Stem cells are widely studied today in the medical field
due to a very larger olein the treatment, especially to replace damaged cells.
Purpose : The aim of this study was to determine the extract whole

Stichopus hermanii cytotoxicity against stem cell gingival fibroblasts.
Methods : The sample of this research is that stem cells taken from human
gingival fibroblasts were awakened and grown until confluent and the
amount and distributed in 96-well plate. Further into the wells included
100mL test solution at various concentrations ranging series of
concentrations of 1% -0.00390625%.Once through customs procedures MTT
assay, the test results read by ELISA reader at a wave length of 595nm.
ELISA reader results were analyzed through ANOVA and Tukey HSD test.
Results:The results of ANOVA and Tukey HSD test showed that there was
no significant difference between each group.
Conclusion: Wholeextract of Stichopus hermanii not toxic to stem cells
gingival fibroblasts

Keyword : cytotoxicity, Stichopus hermanii, stem cell gingiva fibroblas

Correspondence:
Rima Parwati Sari, c/o: Bagian Biologi Oral,
FakultasKedokteran Gigi Universitas Hang Tuah. Jl. ArifRahman Hakim No.
150 Surabaya 60111, Indonesia. E-mail: rima.sari @ yahoo.com POSTER : 17
BIOCOMPATIBILITY OF ANADARA GRANOSA CLAMP
SHELL HYDROXYAPATITE GRAFT ON FIBROBLAST CELL
Gabrielle SherllyanaKartono, Widyastuti, Henry WahyuSetiawan
Student Faculty of Dentistry Hang Tuah University PeriodonticDepartement of Hang Tuah University Oral Surgery Departement of Hang Tuah University ABSTRACT
Background:
Periodontitis that can lead to tooth loss needs a regenerative
therapy and one of the materials is bone graft. Various kind of graft materials
have been used to regenerate bone defects due to periodontal disease. In
the past 30 years a variety of synthetic bone graft have been developed with
the aim to minimize disease transmission. In this study we used
Anadaragranosa clamp shells because they are a new source and haven't
been used before as a graft material.
Purpose: The aim of this study was to examine the toxicity
ofAnadaragranosa clamp shell hydroxyapatite graft by counting the amount
of fibroblast living cells after being treated. Material and Method: This

experiment used 44 wells of BHK-21 fibroblast culture cell which divided into
11 groups : cell control, media control group without cell and treatment
groups were treated with 54mg/ml, 27mg/ml, 13,5 mg/ml, 6,75 mg/ml, 3,375
mg/ml, 1,6875 mg/ml, 0,8437 mg/ml, 0,4218 mg/ml, 0,2109 mg/ml blood
cockle shell graft. These cells were read by ELISA reader and the cell
viability were measured based on the optical density result.
Result:There was significant difference (p=0,000) and there were more than
77,63 percents of living fibroblast cells on all treatment groups.
Conclusion:Anadaragranosa clam shell hydroxyapatite graft was

biocompatible with BHK-21 fibroblast cell culture.

Keywords :
Anadaragranosa, graft,biocompatibility,hydroxyapatite


Correspondence:
Widyastuti, Periodontia Departement faculty of Dentistry
HangTuah University, Jl. Arif Rahman Hakim 150 Surabaya 60111 Indonesia, Telp 031-5912191. Email: widyastutihew@yahoo.com POSTER : 18

THE INHIBITION EXTRACT LEAVES OF THE SOURSOP
(ANNONA muricata linn) TO BACTERIA GROWTH OF
MIXED PERIODONTOPATHOGEN
Felicia Septiana Tenggara, Yoifah Rizka, Kristanti Parisihni
Laboratorium Periodonsia Fakultas Kedokteran Gigi Universitas Hang Tuah
ABSTRACT
Background:
Periodontitis is a periodontal disease caused by mixed
periodontopathogen bacteria. The bacteria were dominated by gram-negative
bacteria. Soursop fruit (Annona muricata) leaves have been known having
antibacterial effect against gram-positive and gram-negative bacteria, thus
assumed to have antibacterial effect on bacteria caused periodontal disease.
Purpose: To examine the inhibition effect of Annona muricata leaf extract to
the growth of mixed periodontopathogen bacteria.
Methods: Subjects were mixed periodontopathogen bacteria with total of 30
samples, divided into 6 groups (n = 5). Four groups were given the extract
with different concentrations of 15 mg/ml, 30 mg/ml, 45 mg/ml and 60 mg/ml,
while two other groups served as positive and negative controls. Extracts
were prepared by maseration method. Sample of bacteria were innoculated
in Mueller Hinton agar, tested by disk diffusion method. The inhibitory effect
was observed by measuring the diameter of inhibition zones on agar media.
Data were analyzed by ANOVA and LSD test.
Results: The result of LSD test showed significant difference (p<0,05)

between all concentrations and control except on the group concentration of
45 mg/ml and 60 mg/ml. Conclusion: Annona muricata leaves extract could
inhibit the growth of mixed periodontopathogen bacteria.
Keywords: periodontitis, mixed periodontopathogen bacteria, soursop
leaves, extract, Annona muricata linn.
Correspondence : Yoifah Rizka, Periodontics Department, Faculty of
Dentistry Hang Tuah University, Arif Rahman Hakim 150 Surabaya 60111 Indonesia, Phone 031-5912191, e-mail : yoi.riez@yahoo.co.id POSTER : 19
IN VITRO CYTOTOXICITY INVESTIGATION OF
Nannochloropsis occulata EXTRACTTO HUMAN GINGIVAL
FIBROBLAST STEM CELLS
Syamsulina Revianti, Kristanti Parisihni
Department of Oral Biology Faculty of Dentistry Hang Tuah University
ABSTRACT
Background
: Nannochloropsis occulata has many biological activities such as
analgesic, anti-inflammatory, antioxidant and antibacterial properties thus potentially
explored as therapeutic agent in oral disease.
Objective : This study aims to evaluate cytotoxic effect of Nannochloropsis occulata
extracts in human gingival fibroblast stem cells.
Method : The study is an experimental laboratories research with post test only
control group design. Nannochloropsis occulata extractsin concentration of 0,3125%;
0,625%; 1,25%; 2,5%; 5%; 10%; 20%, 40%; and 80% were tested its cytotoxicity on
human gingival fibroblast stem cell. For the in vitro toxicityassay, serial concentration
of Nannochloropsis occulata extracts was applied to human gingival fibroblast stem
cell cultures in conditioned media. The cells (1x105) were cultured in 96 well plates
and allowed toattach for 5 days before treatment with serial concentration of
Nannochloropsis occulata extracts for 24 hperiod.Cell viability was assessed by the
mitochondrial dependent reduction of yellow MTT (3-(4, 5-dimethylthiazol-2-yl)-2, 5-
diphenyl tetrazolium bromide) to purple formazan. The data concerning cell
viabilitywere statistically analyzed using two-way ANOVA test and LSD multiple
comparison testat 5% significance level.
Result : Nannochloropsis occulata extracts showed toxicity in the concentration of
2,5% above and not cytotoxic in the concentrations below (p<0,05).
Conclusion :Nannochloropsis occulata extracts was not cytotoxic effect on human
gingival fibroblast stem cellin the concentration below 2,5%,
Keyword : Nannochloropsis occulata extracts, cytotoxicity, fibroblast gingiva stem cell
Correspondence: Syamsulina Revianti, Department of Oral Biology, Faculty of
Dentistry Hang Tuah University, Surabaya – Indonesia, Jl. Arif Rahman Hakim 150,
Surabaya
POSTER : 20
CLINICAL DIAGNOSIS OF VARICELLA ZOSTER
(CHICKEN POX) (CASE REPORT)
Astrid Palmasari, Isidora KS, Dwi Setyaningtyas, Nafiah,
Stefani Lengkong
Lecturer at Department of Oral Medicine Faculty of Dentistry Hang Tuah Undergraduate Student at Faculty of Dentistry Hang Tuah University
ABSTRACT
Background
:Varicella zoster virus (VZV) is a DNA virus morphologically similar to
the HSV and apparently responsible for two completely dissimiliar disease in humans,
namely, chickenpox (varicella) and herpes zoster(Shingles) It is usually, but not
invariably, a mild, self-limited disease
in otherwise healthy children, but the severity of disease and risk of complications are
usual y greater in adolescents and adults. Transmission occurs via airborne droplets,
or contact with infected respiratory tract secretions or vesicular lesions. Oral lesion
may appear on the hard palate, pillar of fauces, uvula and appear like small ulcers,
with a red halo. The rash initially manifest as pink maculopapular lesions that develop
into itchy vesicles on the back, chest, face and scalp. Other clinical manifestations
include malaise, fever, and lymphadenopathy.
Purpose : This case report is aimed to discuss diagnosis and management of
varicella with malaise, fever.
Case : Patient, female 14 years old came with chief complaint of malaise, fever,
headache and multiple vesicle,ulcer and crustae on the facial and single ulcer on the
oral cavity. The diagnosis was Varicel a (Chicken pox).
Case Management : Patient was prescribed with acyclovir 200 mg 5 times per day,
analgesic, antibiotic, antiseptic mouthwash, multivitamin and high calory high protein
dietary. Oral pain disappeared in 3 days, and after 10 days ulcer in facial and mouth
healed.
Conclusion : Diagnosis of Varicella zoster could be get from detail anamnesis and
examination.

Key Words
: Varicella, acyclovir, benzydamine HCl

Correspondence :
Astrid Palmasari, Bagian Ilmu Penyakit Mulut Fakultas
Kedokteran Gigi Universitas Hang Tuah Surabaya, Jl.Arief Rahman Hakim 150,
Surabaya. E-mail: pastrid81@yahoo.com.
POSTER : 21
THE HEAD CONDYLE RESORPTION CONNECTED BY FHS
LEVEL IN PATIENT OSTEOPOROSIS
WITH PANORAMIC RADIOGRAPHY
Azhari, Lusi Epsilawati, Pramanik F
Department of Dentomaxilofacial Radiology, Faculty of Dentistry, Padjadjaran University
ABSTRACT
Backgrounds:
Osteoporosis is a systemic disease in which a decline in
bone quality and increased levels osteocalsin as a detector of osteoporosis.
Examination for these abnormalities does with BMD examination. Panoramic
radiography is one tool to detect this disease. Head of condyle is a sign that
examined the panoramic radiography.
Objective: The aim of this study was to assess the resorption of the head
condyle associated with FHS with suspected osteoporosis.
Methods: This study uses the analytic description. Samples derived from 10
panoramic radiographs. Analysis uses multiple regressions analysis,
calculated by ANOVA test.
Result: The results of this study found a positive correlation between the
resorption of the head with the condyle with FHS levels. Beside that there is
a correlation between BMD and resorption examination condyle head.
Conclusion: In Patients suspected of osteoporosis than proved by BMD and
levels osteocalsin, panoramic radiographs especially when viewed from the
head of the condyle resorption can be quite helpful.

Keywords: Head of the condyle, Osteoporosis, Osteocalsin

Correspondence: Azhari ,drg., M.S., Sp.RKG (K) Lusi Epsilawati, drg.,
M.Kes Dentomaxilla Facial Radiology Faculty of Dentistry Padjadjaran University Telp. 081802092026 Em POSTER : 22
COLLAGEN TYPE I ON THE WOUND HEALING PROCESS
OF DENTAL EXTRACTION WITH DIFFERENT MOLECULAR
WEIGH OF CHITOSAN
(RESEARCH ARTICLE)
Sularsih
Departement of Dental Material and Technology, Dentistry Faculty of Hang
ABSTRACT
Objectives:
The applications of chitosan in the medical field are determined by the
specification of the deacetylation degree and molecular weight.
Purpose: The aim of this study was to account the rate of collagen type 1 on wound
healing process of dental extraction in Rattus norvegicus for 7 and 14 days using
chitosan gel with high molecular weight and low molecular weight.
Methods: Rattus nornegicus strain wistar male, aged 8-16 weeks, divided into 3
groups, namely group 1 which given chitosan gel with high deacetylation degree and
high molecular weight, group II which given chitosan gel with high deacetylation
degree and low molecular weight and group III as control which were not given
chitosan gel. Chitosan gel were applied into the socket of dental extraction. Rat was
decaputated 7 and 14 days after chitosan gel application and the jaw in the treated
regions and control group were cut for immunohistochemical examination using type 1
collagen monoclonal antibody to observe collagen type I. Data were analyzed using t
test.
Results: The result showed significant differences in collagen type 1 for 7 and 14
days observation (p<0,05).The number of collagen type 1 were found higher in the
group which given chitosan gel with high deacetylation degree and high molecular
weight.
Conclusion: Chitosan gel with high deacetylation degree and high molecular weight
become more active and have high chemical reactivity. It can increase the number of
collagen type 1 on wound healing process of dental extraction.

Keys words:
Chitosan,molecular weight,collagen type 1
Correspondence:
Sularsih, c/o: Departemen of dental material, Dentistry faculty of
Hang tuah University, Arif Rachman Hakim 150 Surabaya. E-mail:

POSTER : 23
HYPERBARIC OXYGEN THERAPHY FOR HERPERTIFORMIS
RECURRENT APHTHOUS STOMATITIS
1.Dwi Setianingtyas, Nafi'ah, 1.Cane L, 2.Astrid P, 3.Ramadhan HP
1. Departement of Oral Medicine, Faculty of Dentistry Hang Tuah University Surabaya and Dental departement of Dr Ramelan Naval Hospital Surabaya. 2. Departement of Oral Medicine, Faculty of Dentistry Hang Tuah University Surabaya. 3. Departement of Rontgenology, Faculty of Airlangga University Surabaya. ABSTRACT
Recurrent Aphthous Stomatitis (RAS) was an open wound in the oral cavity
which is recurrent. Until now, the etiology was idiopathic, so the therapy has
not specifically fixed. Considering the chief complaint of RAS was painfull,
which cause disturbed food intake. Many factors which are known to have
influence in the wound healing, among others in oxygenation hyperbaric
oxygen theraphy was a theraphy wth continuous pure oxygen to the body
with air pressure greater than normal atmospheric pressure. The reason is to
increase the concentration of oxygen at all body tissues. So basically, in
literature study theory, there is relationship between wound healing using
hyperbaric oxygen theraphy

Key words: Recurrent Aphthous Stomatitis, Hyperbaric Oxygen therapy,
Atmosphere
Correspondence: Dwi Setianingtyas, Departement of Oral Medicine, Faculty
of Dentistry Hang Tuah University, Arief Rahman hakim street 150 Surabaya 60111. Indonesia. Phone : (031) 5945864, Ext 204. Fax : 031 – 84743. E-m POSTER : 24
CORRELATION OF THE MANDIBULAR CORTICAL BONE
HEIGHT WITH ALKALINE PHOSPHATASE VALUE IN
PATIENT SUSPECT OSTEOPOROSIS WITH PANORAMIC
RADIOGRAPHY
Farina Pramanik, Azhari, Lusi Epsilawati
Dentomaxillofacial Radiograph, Faculty of Denstisry,University of Padjadjaran

ABSTRACT

Backgrounds: Osteoporosis is a metabolic bone disease characterized by a
reduction in mass and deterioration of bone microarchitecture. One of the
symptoms the mandibular cortical bone height reduction by panoramic
radiographs. Another way that can help detect osteoporosis is to look for
levels of alkaline phosphatase in the blood.
Objective : The purpose of this article is to look at the correlation between
the height of the mandibular cortical bone with alkaline phosphatase levels in
patients with osteoporosis. The aim of this study was to assess cortical bone
height correlated with the alkaline phosphatase levels in patients with
suspected osteoporosis.
Materials and methods: This study used a descriptive analytic method.
Population of 18 pieces complete with panoramic radiography blood test that
consisted of 14 patients with osteoporosis and 4 pieces normal conditions.
The collected data was then analyzed with regression and correlation
analysis.
Result: The results obtained by the correlation between the height of the
mandibular cortical bone alkaline phosphatase value.
Conclusion: Panoramic radiography can be used as a medium for detecting
osteoporosis and alkaline phosphatase levels is one good marker in
detecting osteoporosis

Keywords: Mandibular cortical bone height, alkaline phosphatase,
osteoporosis, and panoramic radiography
.

Correspondence :
Farina Pramanik.,drg., MM. Department of Radiology,
Faculty of Dentistry, Padjadjaran University. Sekeloa Selatan I Bandung,
40132. Hp: 081 221 72 983. E-mail: iyank_drg@yahoo.com
POSTER : 25

THE RITE OF DEATH THE STUDIES ON END OF LIFE CARE
AS A BEREAVEMENT MANIFESTATION FOR TERMINAL
ILLNESS PATIENTS AND HIS FAMILY IN THE SEVERAL
CITY OF EAST JAVA
Head of Dental Public Health Sciences, Faculty of Dentistry, University of Hang Tuah Surabaya. ABSTRACT
Bacground : Associated with chronic end-stage patients (terminal il ness), due to
il ness or physical abilities elderly patient of il ness. The objective conditions would
impact on rationality and construction in the maintenance, construction also about end
of life, and the good end of life after death, so with his family fol owing a good
treatment as a manifestation of a sense of bereavement, not regardless of culture,
ethnicity, religion and socio-economic status.
Methods : This study uses Husserl's phenomenological approach in which an
individual has a reflective consciousness and act to do on that awareness. In this
case, the experience of il ness resulting end of life (terminal il ness) to be part of
"ever," he was experiencing, and "near of the object that is being experienced."
Surabaya chosen because there are ethnic and religious diversity. Meanwhile, the
unit of analysis is the patient who is or ever experienced a fatal il ness (terminal
il ness), including elderly parents and family members. The patient who is the subject
divided into 2 (two), namely: hospitalized and at home. Data collection techniques
used, observation and in-depth interviews.
Results : result of research carried out at several informants with different
backgrounds chronic diseases suffered by various socio-economic backgrounds.
Analysis of the results showed that the phenomenon of pain as fate and misfortune,
as negotiations inpatient physician and patient, waiting for patients, and substitute of
nurse "role".
Conclusion : that the patient's treatment decision doesn't just based on the severity
of the disease, but also social and economic factors. There is a difference of
understanding the construction of the hospital and family activities while waiting for
patients in the hospital.
Keywords: terminal il ness, elderly patient, end of life, a bereavement

Correspondence: Sudibyo, Faculty of Dentistry, University of Hang Tuah Surabaya,
Jl. Arif Rahman Hakim No.150. Tilp. 0315912191, 0816515100, e-mail:
sudibyo_2008@yahoo.com
POSTER : 26

ORTHODONTIC TREATMENT IN UPPER ARCH DDM WITH
MANDIBULAR CROWDING CAUSED BY UNFINISHED
REMOVABLE ORTHODONTIC TREATMENT
(Case Report)
Oktrivina Prihantini *, Ari Triwardhani**
* Orthodontic Private Practice ** Lecturer, Department of Orthodontic, Airlangga University ABSTRACT
Introduction :
Disharmony dento maxillar a disproportion between teeth size
and the arch. One of clinical appearance that can be seen is crowding with
several signs. Which can be seen in this patient upper arch, with mutilation
in mandibular first premolar causing increasing in overbite, overjet and
moderate crowding in mandibular.

Objectives : The purpose of this treatment is to eliminate crowding, reduce
overjet, overbite and establish good relationship between maxilla and
mandibula.
Case : An Indonesia-Javanese female 25 years old. Patient presented dento-
skeletal class I maloclussion with severe crowding at maxilla and moderate
crowding in mandibula. Permanent first premolar mutilation at mandibula in
both sides. With increasing overjet and overbite.
Case Management : Edgewise appliances was bonded, extraction maxillary
first premolar, odontectomy mandibular third molar , canine retraction,
maxillary anterior retraction. Overbite and overjet correction and mandibular
leveling unraveling.
Result : In the end of treatment crowding was eliminate, good esthetic and
function was established.
Key words : Orthodontic treatment, DDM, mandibular first premolar
mutilation.
Correspondence :
Oktrivina Prihantini. Email: vina_orto@yahoo.com
POSTER : 27

THE INHIBITION EFFECT OF AVICENNIA MARINA MANGROVE LEAVES
EXTRACT TO THE GROWTH OF MIXED PERIODONTOPATHOGEN
BACTERIA
Adrianus Bagus Krisnata, Yoifah Rizka, Dian Mulawarmanti
Undergraduate Student Program Faculty of Dentistry Hang Tuah University PeriodonticDepartement of Hang Tuah University Oral Biology Departement of Hang Tuah University
ABSTRACT
Background
: Periodontitis is a periodontal tissue disease in which one of main
factors is caused by bacteria periodontopathogen. Some antibacterial drugs had been
used to eliminate the mixed periodontopathogen on periodontitis. A natural
antibacterial compounds could have benefit as alternative drug on that matter.
Avicennia marina is one of mangrove species which has potent as a source of
antibacterial compound, such as flavonoid, alkaloid, terpenoid, tannin, and saponin.
Purpose : The aim of this research was to study the inhibitory effect of mangrove
leaves (Avicennia marina) on the growth of mixed periodontopathogen bacteria with
various concentrations.
Methods : Mangrove leaves was extracts with ethanol 96%. Mixed
periodontopathogen bacterial was inoculated on Brain Heart Infusion (BHI) medium.
The antibacterial effect of Avicennia marina extract to the growth of mixed
periodontopathogen were tested by diffusion methods with 3 concentration 750
g/ml,
1500
g/ml and 3000 g/ml, each consisted of 6 samples. The Inhibition effect were
examined by measuring the clear zone surrounding diffusion disc with a digital
calipers, stated in mil imeters.
Result : Data were analized with ANOVA (one way) test and result showed the
significant different (p < 0,05) between all groups and it was found that there is
inhibition growth power of mixed periodontopathogen bacterial by leaf extract of
Avicennia marina with concentration 750
g/ml (0,8067 mm), 1500 g/ml (0,9067
mm), 3000
g/ml (1,2167 mm), DMSO 1% (0 mm) and minosiklin 0,1% (42,835 mm)
Conclusion : Leaf extract of Avicennia marina could inhibit the growth of mixed
periodontopathogen bacteria.

Keywords : Avicennia marina, antibacterial, periodontal disease, mixed
periodontopathogen bacterial
.
Correspondence : Yoifah Rizka. Periodontic Laboratory. Dentistry Faculty Hang
Tuah University. Jl. Arif Rahman Hakim 150 Surabaya. Telp 031-5912191. Email
yoi.riez@yahoo.co.id
POSTER : 28

ANTERIOR CROSSBITE CORRECTION WITH INCLINE BITE PLANE
(CASE REPORT)
Fahmi Fuadi*, Arya Brahmanta**
*Clinical Student Faculty of Dentistry Hang Tuah University Surabaya ** Departement of Orthodontics Faculty of Dentistry Hang Tuah University
ABSTRACT
Anterior crossbite as a dental malocclusion resulting from the abnormal axial
inclination of one or more anterior maxillary teeth. There are several method
for solving this problem, one of them is inclined bite plane. Incline bite plane
is a simple functional appliance used in the lower arch jaw wich work as bite
jumper. In this case report we would like to describe removable incline bite
plane in a 10 years girl with class III malocclusion, SNA 86, SNB 87, ANB -1,
overjet -2mm, overbite 1.5 and concave facial profile. This apliance was
applied for only 1 month for anterior crossbite correction. The result showed
that the anterior crossbite can be corrected by incline bite plane.
Key word: anterior crossbite,axial inclination, inclined bite plane
Corespondence: Arya Brahmanta, Bagian Ortodonti Fakultas Kedokteran
Gigi Universitas Hang Tuah, Jl. Arif Rahman Hakim 150 Surabaya 60111
Indonesia, Telp 031-5912191, e-mail: arya.brahmanta@gmail.com.
POSTER : 29
LASER THERAPY: NEW INSIGHT IN ANUG MANAGEMENT
Wenni Kannis Qorinna*, Rikko Hudyono**
* Klinik Utama Prima Medistra, kudus ** RSGMP Fakultas Kedokteran Gigi Universitas Jenderal Soedirman

ABSTRACT :
Background
: Necrotizing ulcerative gingivitis (NUG) is a microbial disease of the
gingiva, characterized by the death and sloughing of gingival tissue. Until today the
treatment of NUG consists of alleviation of the acute inflammation and antibiotics.
Very little literature, if any, had described theuse of laser in NUG management,
Purpose : The purpose of this report is to give a new insight in treatment alternative
for NUG
Case Report : A woman 36-year-old came to our clinic with chief complain of severe
pain on her gingiva. She has got the pain for 10 days, and had got ciprofloxacin twice
a day from her previous doctor, but showed ineffective. Intraoral examination showed
a pseudomembrane on her gingiva in some areas.
Case management : Laser had been introduced to treat the ulcer. No antibiotics had
been administered in this therapeutic session. The effect of laser may be seen directly
after the laser had initiated. In 3 days the pain had been diminished and the patient
had a ful mouth scaling. After 7 days, the gingiva had completely recovered.
Discussion
: Laser has an ability to kil all bacterial contamination on the gingival
surface without causing mucosal damage. This ability may decrease the bacterial load
and at the same time causing protein denaturation and hemostatic effect beneath the
pseudomembrane. The effect of biostimulation had been seen in this case. However it
is usual y take more than one week to ful y recover, in this case 3 days after laser
therapy, the gingiva showed recovery.
Conclusion : Laser is a new treatment choice for NUG. It may offer faster healing,
less tendency for antibiotics prescription, more comfortable for the patient.

Keywords : NUG, laser, biostimulation, protein denaturation, hemostatic
Correspondence : Rikko Hudyono. RSGMP Fakultas Kedokteran Gigi Universitas
Jenderal Soedirman Purwokerto. Email : rharmani@yahoo.com
POSTER : 30
DIRECT IMPLANT PLACEMENT AND LOADING:
CHALLENGING THE BRANEMARK CONCEPT
AP. Hudyono*, Rikko Hudyono**
* Klinik Utama Prima Medistra, ** RSGMP Fakultas Kedokteran Gigi Universitas Jenderal Soedirman
ABSTRACT
Background
: Since Branemark's first implant invention, implant had been rapidly
evolved. Branemark believed that implant shal be placed after the bone is healed
completely and the prosthetic is placed after osseointegration occurs. However, this
approach cause a long treatment time.
Purpose : The aims of this paper is to give a new paradigm of direct implant
placement.
Case Report : A woman 43-year-old came to our clinic with a chief complaint of tooth
no #15 fractured while eating. This tooth was previously endodontically treated and a
composite onlay was placed over it.
Case management : Tooth no #15 was fractured. We decided to place an implant
directly after the extraction. The tooth was extracted using a periotome, an implant
5.3x12 mm was inserted. Allograft was used to fil the bone defect and a healing
abutment was placed to facilitate abutment and crown placement in the next day.
Discussion : New paradigm of implant placement and loading had been shifted
dramatically. Based on theory of bone biology, a stress less than 150 micro Newton is
needed to prevent bone resorption. Placing an implant directly and load it at few days
can be successful as we can have the initial fit at the placement. The prosthetic had to
be free of occlusal traumatism especially from the lateral forces.
Conclusion : Direct implant placement and loading are biologically-based protocol.
The success and failure are the same as the usual implant protocol.
Keywords : Direct placement, direct loading, osseointegration, micromovement,
atraumatic extraction
Correspondence : Rikko Hudyono. RSGMP Fakultas Kedokteran Gigi Universitas
Jenderal Soedirman Purwokerto. Email : rharmani@yahoo.com

POSTER : 31
APICAL GRANULOMA TREATMENT IN OPEN APEX BY
USING CALSIUM HIDROXIDE (CAOH)
Jessica Novia W, Aprilia
Undergraduate Student Program Faculty of Dentistry HangTuah University Conservation Department Faculty Of Dentistry Hangtuah University ABSTRACT
Background :
The success of root canal treatment is based on total elimination of
root canal content, thorough cleaning, shaping and obturation of root canal system.
Calcium hydroxide is recommended as intra-canal medicament because of its
antibacterial properties, tissue dissolving ability, inhibition of tooth resorption and
indication of tissue repair by hard tissue formation. Apexification is a
process/procedure well recognized and accepted by clinicians and researchers.
Calcium hydroxide is most commonly used to induce an apical hard issue barrier. An
immature tooth that develops pulpal or periapical disease presents special problems.
Because the apex has not yet completely formed, conventional root canal treatment
procedures would be unpredictable. The walls of the root canals are frequently
divergent and open apexes make debridement and obturation difficult. Thus closure of
root apex is very essential for success of the endodontic treatment. Although different
materials are used for the apexification procedure, calcium hydroxide is the material
of choice for apical barrier formation and healing. There are different opinions
regarding frequency of CaOH dressing change to induce complete closure of the
apex. Granuloma periapical is a growing mass of granulation tissue surrounding the
apex of a nonvital tooth and rising in response to necrosis of the tooth pulp.
Case : A student, 19th, came and wanted to fix her left upper front teeth were fracture
± 7th ago because of accident.
Case management :The management for this case is Endodontic intracanal with
apexification and Crown (for post endodontic).
Conclusion : Calsium hidroxide can reduce or eliminate periapikal lesion.
Keywords : Apeksifikasi, Calsium hidrokside, granuloma

Corespondence : Aprilia, Conservation Departement Faculty of Dentistry HangTuah
University. Address: Arif Rahman Hakim 150 Surabaya, Indonesia. Post Code
(60111), Telepon/ Fax: 031 591 2191. Email : drg.aprilia.spkg@gmail.com
POSTER : 32
THE EFFECT OF TIME INTERVAL OF 1, 2, 3 MONTHS POST-
TOOTH EXTRACTION TO RETENTION AND STABILITY OF
FULL DENTURE IN RSGM FKG UHT SURABAYA
Rahmawaty Andriany*, Paulus B. Teguh* , Henry Wahyu ***
*Mahasiswa Fakultas Kedokteran Gigi Universitas Hang Tuah **Laboratorium Prostodonsia Fakultas Kedokteran Gigi Universitas Hang Tuah *** Laboratorium Bedah Mulut Fakultas Kedokteran Gigi Universitas Hang Tuah ABSTRACT
Background:
The fabrication of ful denture was often found that many patient have
to extract their teeth due to ful denture's treatment purposes. The time interval of
post-tooth extraction and the commencement of the ful denture fabrication wil affect
the outcome of the ful denture treatment.
Objective: The aim of this study was to determine effect of the time interval post-
tooth extraction in the fabrication of upper ful denture retention and stability in RSGM
FKG UHT.
Methods: This study was an observational analytic with cross sectional study design.
analysis of the data using non-parametric Kruskal-Wal is test. Upper ful denture
which fit the criteria were divided into the interval of 1, 2 and 3 months post-tooth
extraction and were checked for the retention and stability during insertion and given
scores ranging from 0-3 for its retention and 0-2 for its stability
Results: Results showed that the average score for retention and stability at each
time interval. At intervals of 1, 2, and 3 months post-tooth extraction, the mean
retention score are 1.5, 1.75, 2.25 respectively while stability are 1.5, 1.5, 2
respectively. The average score based on the stability and retention intervals tested
by Kruskal Wal is test and get a value for the variable respectively which are time
interval, retention and stability scores p = 0.71, p = 0.93, p = 0.26 where all p> 0. 05.
Conclusion: The time interval of 1, 2, 3 months post-tooth extraction did not have
effect on the retention and stability of ful denture in RSGM FKG UHT.

Keywords:
ful denture, retention, stability, time interval
Correspondence : Paulus B. Teguh, Laboratorium Prostodonsia, Fakultas
Kedokteran Gigi Universitas Hang Tuah, Jl. Arif Rahman Hakim 150 Surabaya 60111
Indonesia, Telp 031-5945894, 031-5945894, e-mail : paulusteguh@yahoo.co.id
POSTER : 33
CORRECTION OF UNILATERAL POSTERIOR CROSSBITE
AND ANTERIOR OPENBITE IN PERMANENT DENTITION
WITH ORTHODONTHICS REMOVABLE APPLIANCES
Eka Pramudita D* Arya Brahmanta**
*Undergraduate Programs at Department of Orthodontics Faculty of Dentistry Hang Tuah University **Lecturer at Department of Orthodonthics Faculty of Dentistry Hang Tuah University Background : The corredtion of class I malocclusion with unilateral posterior
crossbite and anterior openbite in permanent dentition is very important,
because this condition has a bad effect in many aspect, such as : aesthetic,
mastication and fonetic for the patient.
Objective : The aim of this case report is to know the mechanism of
orthodontics removable appliances for managing class I malocclusion
together with unilateral posterior crossbite and anterior openbite in
permanent dentiton.
Case :
In this case report we would like to present a 11-years-old girl with

class I malocclusion together with unilateral posterior crossbite and anterior
openbite, SNA 79° ; SNB 74°; ANB 5° ; Overjet 4 mm ; Overbite -5 mm and
Convex facial profile.
Case Management : Orthodontics removable appliances such as :
expansion screw is used to correct unilateral posterior crossbite ; palatal
spring, button and labial bow is used to correct anterior openbite.
Conclusion : The result of this treatment indicated that orthodontics
removable appliances technique can be considered an effective therapy for
correction class I malocclusion with unilateral posterior crossbite and anterior
openbite in permanent dentition.

Keywords :
Anterior Openbite, Permanent Dentition, Posterior Crossbite,
Orthodonthics Removable Appliances.

Correspondence : Arya Brahmanta. Laboratorium Ortodonsia, Fakultas
Kedokteran Gigi Universitas Hang Tuah, Jl. Arif Rahman Hakim 150
Surabaya 60111 Indonesia, Telp 031-5945894, 031-5945894, e-mail :
POSTER : 34
ORTHODONTICS REMOVABLE FIXED APPLIANCES IN
MANAGING TREATMENT OF DENTAL CLASS I
MALOCCLUSION WITH MAXILLARY MIDLINE DIASTEMA
RELATED TO MESIODENS AND BIMAXILLARY DENTAL
PROTRUSION
Stevanus Chandra Sugiarto Budijono*, Arya Brahmanta**
* Student, Departement of Orthodontics Faculty of Dentistry Hang Tuah University ** Lecturer, Departement of Orthodontics Faculty of Dentistry Hang Tuah University
Abstract
Background : The correction of class I malocclusion with maxillary midline
diastema related to mesiodens in child patient is one of moderate
biomechanical in orthodontics. Maxillary midline diastema is resulting from
mesiodens caused poor facial aesthetic.
Objective :The aim of this case report is to know the mechanism of Watkin
appliance in managing early treatment of dental class I malocclusion with
maxillary midline diastema related to mesiodens.
Case : This case report presents an 11-year-old boy with dental class I
malocclusion with maxillary midline diastema related to mesiodens and
bimaxillary dental protrusion, SNA 83○, SNB 76○, ANB 7○, overjet 4 mm,
overbite 6 mm, the diastema was 5 mm and convex facial profile.
Case Management : Firstly, we extract the mesiodens to correct the
diastema. Watkin appliance consists of incisor bands with tubes and the
watkin free sliding arch. This Appliance was ideal for retracting and rotating
incisor teeth as desired. Any incisor rotation that was required could be done
simultaneously by bending the arch wire laterally by the amount and in the
direction that would cause precise correcting forces.

Conclusion : The result of this case showed that Watkin appliance is can be
considered to be therapy choice for maxillary midline diastema.

Key words: Maxillary midline diastema, Mesiodens, Watkin appliance
Correspondence: Arya Brahmanta, Bagian Ortodonti Fakultas Kedokteran
Gigi Universitas Hang Tuah, Jl. Arif Rahman Hakim 150 Surabaya 60111 Indonesia, Telp 031-5912191, e-mail: arya.brahmanta@gmail.com POSTER : 35
THE EFFECTS OF CHITOSAN BIOMATERIAL ON THE
INHIBITION OF MATRIX METALLOPROTEINASE 8 (MMP-8)
IN WOUND HEALING PROCESS
Sularsih*, Endah wahjuningsih**
*Departement of Dental Material and Technology, Dentistry faculty,Hang Tuah University **Departement of Oral Biology, Dentistry faculty, Hang Tuah University Background : Chitosan is a linear polysaccharide that consists of β-(1-4(-2-
acetamido-d-glucose and β-(1-4(-2-amino-d-glucose units derived from
partial deacetylation of chitin.
Objective : This study is to know about chitosan effect
on the inhibition of
matrix metalloproteinase 8 (MMP-8) in wound healing process.
Review : Chitosan in one of abundant, renewable, non toxic, biodegradable
carbohydrate polymer and available largely in the exoskeleton of shellfish
and insects. It has similar characteristics with glycosaminoglycans (GAGs),
an extracellular macromolecule that is important in wound repair. The
extracellular degradation of collagen and other matrix components is
regulated by a complex system of enzyme is called matrix metalloproteinase
(MMPs). Chitosan has inhibition MMP-8 effect in wound healing process. It
has activity to release transforming growth factor β1 (TGF β1) that plays the
role of increasing new collagen transcription and production of collagen. The
expression of MMP-8 in human PDL fibroblast and macrofag is decreased by
TGF β1. The balance between deposition and degradation of collagen would
determine integrity and the strength of tissue.
Conclusion: Chitosan inhibits the expression of MMP-8 by releasing TGF
β1, which will result in accelerated wound healing process.

Keywords
: chitosan, MMP-8 , wound healing process
Correspondence: Sularsih, c/o: Departemen of dental material, Dentistry
faculty of Hang tuah University Gigi, Arif Rachman Hakim 150 Surabaya 60111. E-m POSTER : 36
IDENTIFICATION OF BONE DENSITY VALUES ON
HOUNSFIELD UNITS
(LITERATURE REVIEW)
Radiology Department Faculty of Dentistry Hang Tuah University
ABSTRACT
Objective
: The aim of this study was to describe and to discuss how
accurate conversion from CT number into HU. A review of the current
literature is presented and the study methods are discussed.
Review : Density of available bone influence the clinical success of dental

implants. Computed Tomography (CT) is an established method for acquiring
bone images before performing dental implant surgery. It allows precise
three-dimensional evaluation of anatomic structures and direct measurement
of bone density, expressed in Hounsfield units (HU), characteristics that
provide important information about the bone. Conversion of CT numbers
into HU becomes a problem.
Conclusion : Various authors have calculated machine-specific conversion
factors from CT numbers to HU. However their results are impaired by the
underlying (unexpressed) assumption that the CT numbers are consistent
throughout the volume of interest.

Keywords : hounsfield unit, CT numbers, bone density

Correspondence :
Sarianoferni,drg.,M.Kes. Radiology Department Faculty
of Dentistry Hang Tuah University.Jl. Arif Rahman Hakim No. 150 Surabaya, Telp. (031) 5945864, 5912191 POSTER : 37
PERIPHERAL GIANT CELL EPULIS IN A 5 YEARS OLD BOY
Isidora K S*, Palmasari A**, RizkaY***, Sarianoferni***, Abuzar***
Student of Dentistry Faculty Hang Tuah University and lecturers at Dentistry Faculty Hang Tuah University ABSTRACT
Background
. Giant cell granuloma occurs either as a peripheral exophytic
lesions on the gingival ( giant cell epulis, peripheral giant cell reparative
granuloma). Peripheral giant cell lesions are considered to be examples of
benign inflammatory hyperplasia in which cells with fibroblastics, osteoblastic
and osteoclastic potentials predominate. The lesions are highly vascular;
hemorrhage is a prominent clinical and histologic feature.
Objective: of this paper is want to report about a large nodule between 84
and 85 in 5 years old boy. The nodule grew until about 3 cm in size in the last
3 months. It bleeds easily by a light trauma.
Case : The is a nodule between 84 and 85 in 5 years old boy that wanted to
be treated pedodonticcally. By panoramic foto the sources of the epulis
clearly detected.
Case Management : The management of the case was, examined the
nodule intensly and refer to Dr.Soetomo Hospital, because he had to have
his JAMKESKIN card. Meanwhile he was given Vitamins, herba mouth gargle
and some liquid- high- nutrition- foods. of this case was, by the easily
bleeding condition, we had to be very caution for a more serious illness. The
examinations in the Dr.Soetomo Hospital were complete. The results were
normal in the general conditions, except for the PLT concentration. According
to the fund that was minimal, his parents postponed the continueity of the
schedule. Meanwhile the herba's gargle ( the most medicament that easily
make by themselves ) was dayly used. The lesion reduced and not bleed
anymore.
Conclusion.
The epulis that easily bleeds, for the patient from lower level,
had to be treated with a natural herba medicament that was able for them.
Keywords : Epulis easily bleeding, general check up, herbal medicine.

Correspondence : Astrid Palmasari. Dentistry Faculty Hang Tuah University,
Jl. Arif Rahman Hakim 150 Surabaya 60111. HP.: 0813 3055 7474,
POSTER : 38
IMPROVING DENTAL PRACTICE WITH HOLISTIC THEME
Dwi Hariyanto*, Arya Brahmanta** *Departement of Dental Public Health Faculty of Dentistry University Of Hang Tuah Surabaya ** Department of Orthodontics Faculty of Dentistry University of Hang Tuah
Abstract
Improving dental practice were not difference from effort of service. As a
effort of service has two major should achieved : benefit and satisfaction of
service. Improving dental practice with holistic care, whereas not only for
dental and oral health but also involved generalized for overall health care,
will giving satisfaction according to profesional procedure for operator and
patient
Key word : improving practice, dentist, holistic care

Correspondence
: Dwi Hariyanto. Dental Public Health Dentistry Faculty
Hang Tuah University. Jl. Arif Rahman Hakim 150 Surabaya. Telp 031-5912191. Email dwi_surabaya@yahoo.com POSTER : 39
ROOT CANAL TREATMENT AT TEETH WITH FIXED
ORTHODONTIC TREATMENT
Moh. Basroni Rizal*; Linda Rochyani**
*Undergraduate student Program Faculty of Dentistry Hang Tuah University **Department of Conservative Dentistry Faculty of Dentistry Hang Tuah Background : The periapical abscess results from an infection of the pulpal
tissue causing the pulp to become necrotic. It is formed when pus escapes
from walls of the pulp chamber and the root canal(s) through the apical
foramen. An area of pus and fluid accumulation forms in the bone
surrounding the apex of the tooth and is accompanied by continuous pain
and increases when there is pressure . Root canal treatment is the removal
of the pulp tissue necrosis, after all necrotic pulp tissue is removed, the root
canal sterilized, then root canal obturation well.
Case : The author reports the case of root canal treatment with acute
periapical abscess in the teeth 21 which are class 4 composite restoration
and is undergoing fixed orthodontic treatment in female patients 20 years old.
Case Management : Metapex root canal treatment is used as a dressing
material, then performed the root canal obturation, with subsequent cavity in
composite restorations because patients undergoing fixed orthodontic
treatment so that restoration can not be made. Prognosis is good in this
case.
Conclusion: Root canal treatment can be performed on teeth that are in

fixed orthodontic treatment.

Keyword: Root canal treatment, periapical abcess

Correspondence: Linda Rochyani, Laboratorium Konservasi Gigi Fakultas
Kedokteran Gigi Universitas Hang Tuah Surabaya, Jl. Arif Rahman Hakim
150 Surabaya. No Telp. 08563142257. email: lindarochyani@yahoo.co.id POSTER : 40
THE MANAGEMENT OF CHRONIC ULCERS ON BOTH OF
THE LATERAL BORDERS OF THE TONGUE
Nafi'ah., Palmasari A.,Isidora KS., Lukisari C.,Nirmala D.
Lecturers and student in Dentistry Faculty Hang Tuah University ABSTRACT
Background
: Ulcer is the most common lesion that occur in the mouth.
Stomatitis Aphthousa Reccurrent is one of the lesion and usually healed
within maximal 14 days. Another ulcer that caused by trauma, will healed
when yhe irritant was eliminated. Lateral posterior of the tongue is the place
that mostly a persistent ulcer will become malignant.
Objective : The purpose of this paper was wanted to show the management

of the chronic ulcer on both of the lateral posterior border of the tongue.
Case : The case was a 54 years old female, complain of a pain in all of her
oral mucosa. The pain was recurrent ever since her husband passed away,
about 5 years ago. She had already visited some doctors, taken many
medicines, wheather modern or traditional. The ulcers still persist ever since.
Case Management ; The management of the case was, recorded all of the

histories and sending the person to be examined by FNAB from the
Dr.Ramelan's Hospital. The result was a chronic supurative inflammatory
infection. She received vitamin, mouth gargle, antacid and corticosteroid
orally. From the histories of the illness, she had to be given some
medicaments that hopefully regain her conditions
Conclussion. The therapy of some chronic ulcerations in the posterior lateral

border of the tongue had to be supported by an HPA's examination. As a
General Practitioner, had to be very familiar with the changes in the oral
mucosa, to avoid a severe and dangerous progress of the lesions.
Keywords : Ulcers, chronic, lateral border of the tongue
.
Correspondence : Isidora Karsini Dentistry Faculty Hang Tuah University
Jl.Arif Rahman Hakim 150, Surabaya 60111. HP.: 0818 319 612., e-mail :
POSTER : 41
PERIODONTIC- ENDODONTIC TREATMENT AT
PERIAPICAL LESION
(SUSPECT CYST)
Hansen Kurniawan
Resident of Graduate Program of Periodontics, Faculty of Dentistry, Airlangga University
ABSTRACT
Background
In this case report, we present a periapical lesion case (suspect

cyst) and was treated with Periodontic-Endodontic Treatment. Periapical
lesions develop as sequelae to pulp disease. They often occur without any
episode of acute pain and (are) discovered on routine radiographic
examination. The incidence of cysts within periapical lesions varies between
6 and 55%
Case :
a 40-years old man had been pain and swelling in right upper lateral
incicivus, with radiographic picture oval radiluscent at apical right upper
lateral incicivus with radiopague margin. The patient had heavy staining and
calculus. The patient also has habit of smoking, drinking and bruxism.
Case management, endodontic treatment have been done on right upper
lateral incicivus and scaling root planning on maxilla and mandibula. Post
scaling and endodontic treatment, control patient recall after 3 month
treatment to radiographic photo for evaluation of periodontic – endodontic
treatment.
Conclusion, Periodontic – endodontic treatment able to treat periapical
lesions (suspect cyst) with proper, routine treatment and regulary control.

Keywords: Periapical lesion , periodontic- endodontic treatment

Correspondence :
Hansen. Dentistry Faculty Airlangga University. Jl Prof Dr
Moestopo 47 Surabaya.


POSTER : 42
THE INHIBITITION EXTRACT FRUIT OF THE SOURSOP
(ANNONAMURICATA LINN) TO BACTERIAL GROWTH OF
MIXED PERIODONTOPATHOGEN
Vita Narastri Mayangsari, Yoifah Rizka, Kristanti Parishini
Undergraduate student Program Faculty of Dentistry Hang Tuah University PeriodonticDepartement of Hang Tuah University Oral Surgery Departement of Hang Tuah University ABSTRACT
Background:
Periodontitis is a periodontal disease caused by mixed
periodontopathogen bacteria. The bacteria were dominated by gram-negative
bacteria. Soursop fruit (Annona muricata linn) have been known having antibacterial
effect against gram-positive and gram-negative bacteria, thus assumed to have
antibacterial effect on bacteria caused periodontal disease. The effect of the soursoup
fruit extract to inhibit the growth of mixed periodontopathogen bacteri has never been
researched before.
Purpose: To examine the inhibition effect of Annona muricata fruit extract to the
growth of mixed periodontopathogen bacteria.
Methods: Subjects were mixed periodontopathogen bacteria with total of 30 samples,
divided into 6 groups (n = 5). Four groups were given the extract with different
concentrations of 5%, 10%, 20% and 40%, while two other groups served as positive
and negative controls. Extracts were prepared by maseration method. Sample of
bacteria were innoculated in Muel er Hinton agar, tested by disk diffusion method. The
inhibitory effect was observed by measuring the diameter of inhibition zones on agar
media. Data were analyzed by ANOVA and LSD test.
Results: The mean of the inhibition effect for each concentration group were 5% =
6,38 mm; 10% = 7,02 mm; 20% = 7,96 mm; 40% = 8,55 mm; positive control = 17,35
and negative control = 6 mm, result showed the significant difference on ANOVA test
(p<0.05). The result of LSD test showed significant difference between all
concentrations and control.
Conclusion: Annona muricata fruit extract could inhibit the growth of mixed
periodontopathogen bacteria.
Keywords: periodontitis, mixed periodontopathogen bacteria, soursop fruit extract,
Annona muricata linn.

Corespondence: Yoifah Rizka. Periodontic Laboratory. Dentistry Faculty Hang Tuah
University. Jl. Arif Rahman Hakim 150 Surabaya. Telp 031-5912191. Email
yoi.riez@yahoo.co.id
POSTER : 43
THE INHIBITION EFFECTS OF NANNOCHLOROPSIS
OCULATA EXTRACT TOWARDS THE MIXED
PERIODONTOPATHOGEN BACTERIA
Insana Arina P, Kristanti Parishini, Yoifah Rizka
Undergraduate student Program Faculty of Dentistry Hang Tuah University Oral Surgery Departement of Hang Tuah University PeriodonticDepartement of Hang Tuah University ABSTRACT
Background :
Periodontal disease is multifactorial disease where the bacteria
caused is mixed periodontopathogen. Antibiotics often used to support the treatment
of periodontal disease but it has some disadvantages such as gastrointestinal
disorder and teeth discolourization. Extracts of Nannochloropsis oculata has been
known having antibacterial effect against negative gram microorganism, potential to
be explored as the therapy to periodontal disease.
Purpose : The aim of this study was to determine the inhibitory effects of N. oculata
extract to the growth of mixed periodontopathogen bacteria at concentration of 10%,
20%, 40% and 80%.
Methods : The antibacterial effects of N. oculata extract to the growth of mixed
periodontopathogen were tested by diffusion methods with 4 concentration 10%, 20%,
40% and 80%, each consisted of 6 samples. The inhibition effects were examined by
measure the diameter of the clear zone around the disc. Data were analyzed by
Anova fol owed by LSD test.
Result : The result showed the clear zone around the disc of N. oculata extract in all
concentration, the greater concentration of the extract the greater diameter of the
clear zone. Mean of inhibition zone at concentrations of 10% (6.12 mm), 20% (6.34
mm), 40% (6.66 mm), 80% (7,24 mm), DMSO 1% (6.00 mm) and tetracycline (10.59
mm). Showed meaningful distinction between the group experiment with negative
control. N. oculata extract could inhibit the growth of mixed periodontopathogen
(p<0,05). The largest diameter of the clear zone was in the concentration of 80%.
Conclusion : N. oculata extract could inhibit the growth of mixed
periodontopathogen.
Key words : Periodontal disease, antibacterial, mixed periodontopathogen
bacteria,
Nannochloropsis oculata.

Corespondence:
Insana, Undergraduate Student Program, Faculty of Dentistry
Hangtuah University, Address: Arif Rahman Hakim 150 Surabaya, Indonesia. Post
Code (60111), Telepon/ Fax: 031 591 2191, Email
POSTER : 44
MANAGEMENT OF PROTRUSION CLASS I MALOCCLUSION WITH
ORTHODONTIC REMOVABLE APPLIANCE AND ELASTIC
(CASE REPORT)
William Andreas Bisono, AryaBrahmanta
Undergraduate, Faculty of Dentistry, Hang TuahUnversity Department of Orthodontic Faculty of Dentistry, Hang Tuah University
ABSTRACT

Background: Protrusion is a condition where the maxillary anterior teeth
protrude beyond normal overjet. The protrusion itself affects the appearance
and aesthetic grade.
Purpose: The aim of this case report is to know the management of
protrusion using the removable orthodontic appliance and elastic.
Case: This case report presents a 9 years old boy with protrusion class I

malocclusion. SNA 800, SNB 750, ANB 50, overjet 5 mm, overbite 3 mm. and
convex profile.
Case management: Removable orthodontic appliance and elastic was

applied to this patient. Elastic was used to substitute the labial bow, the
advantage of elastic is it could push the teeth constantly without any
activation.
Conclusion: Therefore the using of elastic could decrease the overjet
quicker than labial bow.

Keywords: protrusion, removable appliance, elastic

Corespondence : Arya Brahmanta, Department of Orthodontic Faculty of
Dentistry, Hang Tuah University, Address: Arif Rahman Hakim 150
Surabaya, Indonesia. Post Code (60111), Telepon/ Fax: 031 591 2191,
Email: arya.brahmanta@gmail.com


POSTER : 45
RELATIONSHIP BETWEEN SELF SATISFACTION ABOUT
FACIAL APPEARANCE AND
ORTHODONTIC TREATMENT NEED
Ariel Vincent Widjaja, Ratna Hartati, Dwi Hariyanto
Undergraduate, Faculty of Dentistry, Hang TuahUnversity Department of Orthodontic Faculty of Dentistry, Hang Tuah University Dental Public Health Department Faculty of Dentistry, Hang Tuah University ABSTRACT
Background :
Orthodontic patients at RSGM UHT treated by clinical students, have
average age of 6-14 years old as a young adolescence. Failure in treatment often
happened because lack of motivation from the patients. Patients motivation to seek
orthodontic treatment depends on their self satisfaction on facial appearance. Study
about correlation between self satisfaction about facial appearance with orthodontic
treatment at 6 grade SD Sekolah Alam Insan Mulia Surabaya has not been studied
yet.
Objectives :To determine relationship between self satisfaction about facial
appearance and orthodontic treatment need at 6 grade SD Sekolah Alam Insan Mulia
Surabaya.
Material and Methods:
A survey of 41 children, was carried out at SD Sekolah Alam
Insan Mulia Surabaya. The subjects were interviewed using a questionnaire
consisting of questions concerning smile, dental appearance and desire for
orthodontic treatment. Interocclusal records was made and assessed using the ICON.
Analysis with Spearman test.
Results:There is no significant correlation between self satisfaction about facial
appearance with orthodontic treatment need (R = -0.211 and P = 0.186). 53,7%
respondent feel satisfied with facial appearance and 80,5% need orthodontic
treatment.
Conclusion: There is no correlations between self satisfaction about facial
appearance with orthodontic treatment need.
Keywords :
Young adolescence, treatment need, self satisfaction, facial appearance.

Correspondence: Ratna Hartati, Bagian OrtodontikKedokteran Gigi, Fakultas
Kedokteran Gigi Universitas Hang Tuah, Jl. Arif Rahman Hakim 150, Surabaya 60111
Indonesia, Telp 031-5912191
POSTER : 46
CITOTOXICITY OF DEMINERALIZED FREEZE DRIED
APICAL TOOTH ALLOGRAFT ON FIBROBLAST CELLS
VIABILITY FROM BHK-21
Stephanie Salim, Widyastuti, Soemartono
Student Faculty of Dentistry Hang Tuah University Periodontic Departement of Hang Tuah University, Oral Surgery Departement of Hang Tuah University ABSTRACT
Background

: Bone graft is one of the regenerative therapy which is needed
to treat periodontal diseases. There are four kinds of bone grafts based on its donor,
allograft, xenograft, alloplast and autograft. Demineralized Freeze-Dried Bone
Allograft (DFDBA) is one of the most commonly used allograft material in dentistry to
form new bones because the effect of bone induction protein which is BMP. BMP is
produced by demineralisation. This experiment used post-extraction teeth material
which is considered having similar composition with bone on dentin and cementum
area, where collagen type 1 is found.
Purpose : The aim of this research is to examine the cytotoxicity of DFDATA on the
viability fibroblast cell from BHK-21.
Material and Methods: This experiment used microplate with 44 wells of BHK-21
fibroblast culture which divided into 11 groups, cell control group without any
treatment, media control group without cell and 9 treatment groups were treated with
DFDATA: 54mg/ml, 27mg/ml, 13,5 mg/ml, 6,75 mg/ml, 3,375 mg/ml, 1,6875 mg/ml,
0,8437 mg/ml, 0,4218 mg/ml dan 0,2109 mg/ml. These cells were incubated for 24
hours before and after treatment. Then, these cells were read using Elisa reader and
the cell viability percentage were measured based on the OD (optical dencity) result
and viable cell count.
Result : There is significant difference (p=0,000) on all treatment group. Al treatment
group had more than 50% of cell viability.
Conclusion: Demineralized Freeze Dried Apical Tooth Allograft is not toxic to
fibroblast cell viability from BHK-21.
Keywords : Demineralized, Tooth, Allograft, Graft, Cytotoxicity
Correspondence: Sthepanie Salim, Faculty of Dentistry Hang Tuah University, Arif
Rahman Hakim 150 Surabaya 60111 Indonesia, Telp +6231 5912191, e-mail:
little2_fani@hotmail.com
POSTER : 47
A CORRECTION OF CLASS II MALOCLUSSION DIVISION ONE IN
MIXED DENTITION WITH TWIN BLOCK FUNCTIONAL APPLIANCE
(CASE REPORT)
Yulianti Kartini Sunur, Arya Brahmanta
Undergraduate Student at Faculty of Dentistry Hang Tuah University Departement of Orthodontic Faculty of Dentistry Hang Tuah University ABSTRACT
Background:
Class II skeletal maloclussion division I is one of the most
commonly encountered scenarios in clinical orthodontics. This is often
caused by an underlying discrepancy in the growth of the jaws, ranging from
mandible deficiency, maxilla prognatism, or both.

Purpose: The purpose of this case report is to describe the efficacy of twin
block intervention as functional appliance for correction of class II skeletal
maloclussion division I.
Case management:
This case report demonstrate the use of twin block
appliance in a 10 years old girl with skeletal and dental class 2 maloclussion,
convex facial profile, overjet 10mm, overbite 6mm SNA 84°, SNB 76°, and
ANB 8°. Twin block is a removable functional appliance that consist of two

bite lock, upper and lower witch interlock at 70 degree, which work together
to posture the lower jaw forward. This frees up the "locked-in" lower jaw and
encourages it to grow to its fullest potential to correct underdeveloped lower
jaw.
Conclussion:
The twin block could be an effective intervention to correct
skeletal class II maloclussion division I in mixed dentition case.
Keyword :
class II skeletal maloclussion, twin block.
Correspondence: Arya Brahmanta, Bagian Ortodonti Fakultas Kedokteran
Gigi Universitas Hang Tuah, Jl. Arif Rahman Hakim 150 Surabaya 60111 Indonesia, Telp 031-5912191, e-m POSTER : 48
INHIBITION OF RHIZOPHORA MUCRONATA BARK
EXTRACT AGAINST GROWTH OF MIXED
PERIODONTOPATHOGEN BACTERIA
Gaharu Firdianto, Yoifah Rizka, Kristanti Prisihni
Mahasiswa Fakultas Kedokteran Gigi Universitas Hang Tuah Periodonsia Fakultas Kedokteran Gigi Universitas Hang Tuah Mikrobiologi Fakultas Kedokteran Gigi Universitas Hang Tuah
ABSTRACT
Background:
Periodontitis is a disease of the periodontal tissues which one of the
primary etiology is mixed periodontopathogen, dominated by gram-negative bacteria.
Rhizophora mucronata bark as one of the mangrove plant species have the
antibacterial effect against gram positive and gram negative bacteria, thus potentially
developed as antibacterial agent in periodontal disease.
Purpose : Examine the inhibition effect of Rhizophora mucronata bark extract to
bacterial periodontopathogen pathogen.
Methods: Subjects were mixed bacterial periodontopathogen total of 42 samples
were divided into 7 groups (n = 6). Five groups were given the extract with different
concentrations of 5mg/ml, 10 mg/mlp kin , 20 mg/ml, 40 mg/ml, and 80 mg/ml, control
positive group was given minocicline 0,1 % and control negative was given aquadest
steril. Extracts was prepared by percolation method, sample of bacteria were
innoculated in Muler Hinton agar. The inhibitory effect was observed by measuring the
diameter of inhibition zones on agar media.
Results: Data was analyzed by ANOVA and LSD test (P = 0.05). The results show
each extract and control groups had significant differences. With an average diameter
of eachdisc is obtained as fol ows:5 mg/ml= 6.23mm, 10 mg/ml= 6.51mm; 20
mg/ml=6.91mm, 40 mg/ml=7.70mm, 80 mg/ml=13.55mm; positive control=45.24, and
negative control=6 mm.
Conclusion: Rhizophora mucronata bark extract could inhibit the growth of bacteria
mixed periodontopathogen and the effevtive inhibitory concentration is 80 mg/ml but
it smal er than positive control (minosiklin 0,1%)

Keywords:
periodontitis, mixed periodontopathogen bacteria, Rhizophora mucronata
barks

Correspondence : Yoifah Rizka. Periodontic Laboratory. Dentistry Faculty Hang
Tuah University. Jl. Arif Rahman Hakim 150 Surabaya. Telp 031-5912191. Email
yoi.riez@yahoo.co.id
POSTER : 49
CHARACTERIZATION OF WATER EXTRACT GOLD SEA
CUCUMBER (STICHOPUS HERMANII)
Damaiyanti D. W. Saptaswari D
Post Graduated Program Magister Science of Dentistry Airlangga University ABSTRACT
Background.
Indonesia is the country with the biggest sea cucumbers
world's producer. So far, sea cucumbers are only used as a side dish alone.
Indonesia can provided added value and high economic value of gold sea
cucumber through right procedure. A lot of gold sea cucumbers active
substance that are suspected to have an influence on wound healing. For the
best result, extract gold sea cucumber must be prepare with correct
procedure. Extraction choosen depends on miltifactorial. Water extract is one
of a safe procedure with a small risk that may damage parts of the active
substance
Objectives. The aim of this study is to know the characterization of water

extract gold sea cucumber (Stichopus hermanii).
Methods. Gold sea cucumbers were collected, homogenized with distillated
water and shaken with water-bath shaker. Then extract was freeze dried, the
result then characterized using spectrophotometer.
Results. The largest component to fewest component of water extract gold
sea cucumber is total protein 76,82%, essential amino acid 48,11%, non
essential amino acid 28,70%, glycoprotein 4,62%, collagen 4,05%, GAG's
1,62%, proteoglycan 1,13%, heparin sulfat 1,02%, calcium 59%, saponin
56%,heparin 38%, hyaluronat acid 29%
Conclusion: There is many active substance of water extract gold sea
cucumber that involed in wound healing process.

Keywords: gold sea cucumber, active substance, water extract, wound
healing

Correspondence : Dian W Damaiyanti, Post Graduated Magister Science of
Dentistry Airlangga University Surabaya. Address : Rungkut Tengah 6 B no
20 D Surabaya. Office: Praktik sosial Nurul Hayat, Pulowonokromo no.140. Phone : 08563385805. Emai POSTER : 50

MANAGEMENT CLEFT LIP/PALATE OF A 10 DAYS OLD
NEONATUS
Dyah Ayu R, Ayulistya P, Istien Wardani
Lecturer at Department of Pedodontic Faculty of Dentistry Hang Tuah
ABSTRACT
Background: Cleft lip/palate are a congenital anomaly. Insidence cleft
lip/palate are one in 800 live births worldwide with wide cultural variation,
male>female. Cleft lip/palate makes some problem, like swallowing,
speaking, and esthetic.
Purpose
: The purpose of this case report is to describe the efficiency of
feeding plate for patient with palatoschizis.

Case management: This case report a male 10 days old neonates, has
class III unilateral of Veanus's Classification. He can not nursing well and
using nasogastric tube. We apply a feeding plate so he can nursing well and
the growth increase.

Conclussion:
Feeding palate on cleft lip/palate can help patient to nursing
well. The patient can reach the rule of ten to prepare the surgery to correct
the cleft lip/palate.
Keyword
: cleft palate,maxilla feeding plate, nursing

Correspondence : Dyah Ayu Retnowulan, Bagian IKGA Fakultas Kedokteran
Gigi Universitas Hang Tuah, Jl. Arif Rahman Hakim 150 Surabaya 60111 Indonesia, Telp 031-5912191. POSTER : 51

ANTIBACTERIAL ACTIVITY OF SEA CUCUMBER EXTRACT
TO Porphyromonas Gingivalis IN VITRO
*Oral Biology Departement of Hang Tuah University **PeriodonticDepartement of Hang Tuah University ABSTRACT
Background :Periodontitis is the disease of periodontal tissue which is the second
common oral disease worldwide and affected the systemic health in general.
Porphyromonasgingivalisis one of main periodontopathogenic bacteria related to
periodontitis. The recent local adjunctive therapy in periodontitis is antibiotic
treatment. Sea cucumber is a marine vertebratae used as traditional medicine and
has been known to have antibacterial properties so it's potentially be explored as
antibacterial agent in dentistry.
Aim : to examine the antibacterial activity of sea cucumber extract Sticopushermani
and Holothuriaatrato Porphyromonasgingivalis.
Methods :The study is an experimental laboratory research with post test only control
group design. The samples were divided into 5 groups each consisted of 6 samples
i.e : positive control was given tetracycline, negative control was given DMSO 1%,
treatment group were given each of Sticophushermaniiand Holothuriaatraextract with
concentration of 20%, 40% and 80%. Antibacterial activity test was performed by disk
diffusion method on Muel er Hinton agar. Diameter of inhibition zone was measured
with digital caliper.
Result : All treatment groups in all concentration showed inhibition zones but less
than tetracycline as positive control. Non parametric statistical analysis Kruskall Wal is
showed the significant difference on Sticophushermani extract 40% and 80% and
Holothuriaatraextract 80% compared to negative and positive control group (p<0,05).
Conclusion :Sticophushermani extract on the concentration of 40%, 80% and
Holothuriaatraextract on the concentration of 80% have antibacterial activity against
Porphyromonasgingivalis.
Key words :Sticopushermani , Holothuriaatra
, Porphyromonasgingivalis
Corespondence : Dian Mulawarmanti, Oral Biology Departement faculty of Dentistry
HangTuah University, Jl. Arif Rahman Hakim 150 Surabaya 60111 Indonesia, Telp
031-5912191. Email: dianmulawarmanti@yahoo.com

POSTER : 52
MINIMUM BACTERICIDAL CONCENTRATION (MBC) OF
ARECHA CATECHU FOR MIXED PERIODONTOPATHOGEN
BACTERIA
Widyastuti*, RadikaFahmi Siddiq**
*PeriodonticDepartement, Faculty of Dentistry, Hang Tuah University. **Student, Faculty of Dentistry, Hang Tuah University ABSTRACT
Background :
Periodontitis is a periodontal tissue disease that one of the
main etiologic is periodontopathogen bacteria that effects the supporting
tissues of the teeth. Most of the bacteria associated with periodontitis are
Gram negative. Antimicrobial was used to inhibit the growth of bacteria in
dental plaque which caused periodontitis. This experiment was using extract
of Arecha catechu as an antimicrobial.
Objective : This experiment was done to examine minimum bactericidal
concentration (MBC)of betel nut (Arecha catechu) to the growth of mixed
periodontopathogen bacteria.
Material and Methode : Periodontopathogen bacteria sample were taken
from cultured mix periodontopatogen bacteria. Sample were divided into 5
groups which were K1 and K2 (control), where a sterile aquadest was given
and P1, P2 and P3 groups (treated with infusum of Arecha catechu with the
concentration of 80%, 90% and 100%). The sample were inoculated in BHI
agar media. The inhibition effect was observed by counting the diameter of
inhibiton zone on the agar media.
Result : Data were analyzed with ANOVA, the result showed extract of
Arecha catechu can inhibit the growth of periodontopathogen bacteria
between P1, P2 and P3 groups Conclusion : Extract of Arecha catechu
inhibited 80% was a minimum bactericidal concentration (MBC)for mixed
periodontopathogen bacteria.

Keywords
:Periodontitis, mixed periodontopathogen bacteria, extract of
Arecha catechu.
Corespondence : Widyastuti, Periodontia Departement faculty of Dentistry
HangTuah University, Jl. Arif Rahman Hakim 150 Surabaya 60111 Indonesia,
Telp 031-5912191. Email: widyastutihew@yahoo.com POSTER : 53
EFFECT OF AVICENNIA MARINA SP LEAF EXTRACT TO RAT
GINGIVAL CATALASE LEVEL INDUCED BY MIX
PERIODONTOPATHOGEN BACTERIA
Widyastuti*,Syamsulina Revianti**
*Department of Periodonsia, Faculty of Dentistry Hang Tuah University **Department ofOral Biology Faculty of Dentistry Hang Tuah University ABSTRACT
Background :Periodontal disease is the second largest oral disease in
Indonesia population caused by infection of periodontopathogen bacteria.
Most of the bacteria of periodontitis are Gram negative anaerobic bacteria.
Avicennia marina sp is a natural product that has some medical potential
regarding to its nutritional contents including antioxidant activity.
Objectives :The aim of this study is to investigate the effect of Avicennia

marina spextract on catalase activities in gingival Wistar rats induced mix
periodontopathogen bacteria.
Material and Methods: The study is an experimental laboratories research

with post test only control group design.Fivety male Wistar rats divided into
five group. Group-1 group was negative control group, group-2 group was a
positive control group, and the other groups were induced by mixed
periodontopathogen bacteria and treated with Avicennia marinaspleaf extract
on various concentration. After treatment, the rats were sacrificed. Gingival
catalase level (mg/ml) of each group was measured. All of datas were
analyzed by one way ANOVA and LSD multiple comparison testat 5%
significance level.
Result: This study showed that gingival catalase level was significantly lower
in group-2 than group-1. Gingival catalase level in treatment group was
significantly higher than control positive group.
Conclusion: Avicennia marina sp leaf extract can increase rat gingival
catalase level.
Key words: Avicennia marina sp leaf extract, periodontitis, catalase

Correspondence: Widyastuti, Department of Periodonsia, Faculty of
Dentistry Hang Tuah University, Surabaya – Indonesia, Jl. Arif Rahman Hakim 150, Surabaya 60111 Indonesia, Telp 031-5912191, e-mail: POSTER : 54
PORCELAIN ONLAY RESTORATION ON THE FIRST LOWER
MOLAR AFTER ROOT CANAL TREATMENT
(CASE REPORT )
Twi Agnita C, Aprilia
Lecturers at Faculty of Dentistry, Hang Tuah University,
ABSTRACT
Background
This paper is a case report of porcelain onlay restoration which
was made on the first lower molar after root canal treatment. Onlay is an
alternative forEndodontically treated teeth it provides cuspal protection, this
type of restorations sometimes called a partial crown.Thecaseis
afemalepatient, age 19 yearsold, withpulpnecrosisinthe maxillarylowerteeth.
This case report describes a minimally invasive, aesthetic solution to provide
cuspal coverage after root canal treatment. The restoration were examinated
for marginal integrity, anatomis form, surface and color for a period of 12
months. This restoration was in function at the end of evaluation periode.
There was adverse event the all ceramic restoration exhibited the least
plaque growth, have excellent biocompatibility, inertness, improved physical
bonding and natural appearance.
Key words : dental porcelain,endodontics

Contact person : Twi Agnita C : 08123083029; e-mail : Jl. ArifRahmanHakin 150, Surabaya 60111. Telp. 031 – 5912191. POSTER : 55
POTENCY OF RHIZOPORA MUCRONATA'S BARK
EXTRACT IN INHIBITING THE GROWTH OF
STREPTOCOCCUS MUTANS COLONY
Dwi Andriani*. Dian W Damaiyanti*, Aulia Dwi Maharani**
*Departement of Oral Biology, Faculty of Dentistry Hang Tuah University **Undergraduate Magister Program Public Health Airlangga University
ABSTRACT
Background
. Streptococcus mutans cariogenicity is based on the ability to
produce and tolerate large amounts of acid. Rhizophora mucronata have
broad spectrum antibacterial properties that can inhibit the growth of gram-
positive or gram negative bactery.
Purpose. The objective of this study was to examine minumum inhibition
concentration(mic) against streptococcus mutans.
Methods. Subjects were 32 samples of s.mutans, divided into 8 groups (n =
4). Six groups were given the extract with different concentrations of 50%
,25%, 12,5%, 6,25%, 3,125%, 1,56% , control positive group was given
eugenol 0,025mg/ml and control negative was given 1% dmso. Extracts was
prepared by percolation method, sample of bacteria were innoculated from
patients's saliva. The inhibitory effect was observed by measuring the
diameter of inhibition zones (clear zone) on agar media with digital calipers.
Data were analyzed with kolmogorov smirnov and one-way anova
Result. There were significant difference between each concentration (50%-
p=0,015; 25%-1,56%-p=0,000) and control positive. There were significant
difference between concentration (50%-p=0,000; 25%-p=0,001; 1,56%-
p=0,001) and no significant difference between concentration (12,5%-
p=0,083; 6,25%-p=0,091; 3,125%-p=0,054) and control negative.
Conclusion rhizopora mucronata's extract has inhibition potency against
streptococcus mutans. The minimum inhibitory concentration (mic) is 50% in
bark's stem extract.
Keywords rhizopora mucronata, streptococcus mutans, minimum inhibitory
concentration

Correspondence: Dwi Andriani Hang Tuah University Jln.Arif Rahman
Hakim 150 Surabaya Telp.+62315912191 e-mail: riadwiandriani@yahoo.com
POSTER : 56
PHOSPHATE LEVELS TOOTH AFTER SMEARED WITH
SHELL ANADARA GRANOSA'S GEL
Puguh Bayu Prabowo, Widyasri Prananingrum, Maria Setiabudi
Department of Dental Material Faculty of Dentistry, Hang Tuah University
ABSTRACT
Background:
Demineralization is the early process of dental caries as a
results of bacterial fermentation of carbohydrate substrates. If there is
calcium dan phosphate in sufficient quantities, the reminalization will occurs
as a natural repair process for non cavitated lesions. Anadara granosa shell
is among the source of calcium and phosphate.
Purpose: The aim of this study was to describe the phosphate levels of
enamel after smear it with Anadara granosa shell.
Methods: In this study, Anadara granosa shell manufactured in gel. Then
smear one drop of it on enamel surface 2 times a day and immersed the
samples in artificial saliva. The samples (n=24) were labial of bovine incisive,
3 years old that it were divided into 4 groups. Group I was a control group
and group II, III, IV were treated group for 3,14 and 28 days. Measurement of
calcium levels was conducted by titration analysis . All data were analyzed by
One - Way ANOVA test with a significance level of 5%.
Results: It showed significant differences in the phosphate levels of enamel
between groups (p=0,000.
Conclusion: Smearing with Anadara granosa shell in gel 2 times a day for

3,14 and 28 days can increase the phosphate levels of enamel.
Key words : Phosphate, enamel, Anadara granosa shell

Correspondence
:
Puguh Bayu Prabowo, c/o: Departemen Ilmu Material dan
Kedokteran Gigi, Fakultas Kedokteran Gigi Universitas Hang Tuah. Jl. Arif
Rahman Hakim No. 150 Surabaya. E-m


DENTAL EXPO
EXHIBITORS
American Orthodontic Majalah Cobra & UNPAD BRI & Medik BookStore UMICO & Dentsply Novartis Cataflam
ACKNOWLEDGMENT

We thanks to express our thanks to the following sponsors and
exhibition participants such as : Euro Dental, Grandio Dental, Pepsodent, SDS Medan, ASRI Batik, American Orthodontic, Sensodyne, MMP, Dental Jaya, Majalah Cobra & UNPAD, Tawada, 3M, Fondaco, Bintang Saudara, Citydent, BRI & Medik BookStore, 3S, DG Dent, Olsen Dental, Cobra Dental, UMICO & Dentsply Thomasong, Novartis Cataflam

Source: http://hangtuah.ac.id/fkg/images/stories/programe_book_abstract_all.pdf

Abstract_reci3

                                                         Scientific  Committee   Teresa  Giraldez  (Hospital  Universitario  Ntra.  Sra.  de  Candelaria,  Tenerife,  Spain)   Luis  A.  Pardo  (Max  Planck  Institute  for  Experimental  Medicine,  Göttingen,  Germany)  

Scola notes+en+vue+du+synode+extraord inaire+des+ÈvÍques+sur+la+famille.pdf

REVUE PUBLIÉE TOUS LES TROIS MOIS PAR UN GROUPE DE PROFESSEURS DE L'INSTITUT D'ÉTUDES THÉOLOGIQUES FACULTÉ DE THÉOLOGIE DE LA COMPAGNIE DE JÉSUS – BRUXELLES OCTOBRE-DÉCEMBRE 2014 J.-M. CARRIÈRE S.J. Une loi qu'on ne peut saisir?Remarques sur la loi nouvelle dans l'Évangile de Jean . . . . . . . . . Le Synode extraordinaire des évêques sur la famille . . . . . . . . .