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"Latar belakang: Menganalisis kualitas hidup yang berhubungan dengan kesehatan gigi dan mulut pada perempuan usia paruh baya dan lansia. Perempuan paruh baya berusia antara 45-59 tahun dimasukkan sebagai subjek penelitian karena masa ini sangat penting untuk persiapan menyongsong masa lansia. Tindakan pencegahan perlu dilakukan secara dini untuk mencapai kualitas hidup lansia yang optimal. Hasil penelitian ini dapat memberikan informasi dan landasan bagi pengembangan kebijakan bidang kesehatan gigi dan mulut.Metode: Penelitian ini adalah penelitian potong lintang yang dilakukan di Kecamatan Bekasi Timur, Jawa Barat dengan subyek perempuan usia 45-82 tahun. Pengukuran kualitas hidup yang berhubungan dengan kesehatan gigi dan mulut dilakukan menggunakan kuesioner yang telah diterjemahkan ke Bahasa Indonesia dan telah divalidasi.Hasil: 86.4% subjek memiliki kualitas hidup yang berhubungan dengan kesehatan gigi dan mulut dengan kategori baik. Jumlah gigi hilang berkorelasi lemah dengan kualitas hidup yang berhubungan dengan kesehatan gigi dan mulut (koefi sien korelasi= -0,133, P= 0,041).Kesimpulan: Kualitas hidup yang berhubungan dengan kesehatan gigi dan mulut tidak tergantung pada jumlah gigi hilang. Temuan ini membuka wawasan terhadap pentingnya edukasi dan penyuluhan pada perempuan paruh baya dan perempuan lansia mengenai pentingnya menjaga kesehatan gigi dan mulut. Pengembangan kebijakan bidang kesehatan gigi dan mulut agar lebih difokuskan pada tindakan promotif, dan dilaksanakan di pusat pelayanan kesehatan, klinik, rumah sakit dan panti werdha.

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AbstractBackground: To assess oral health-related quality of life in Indonesian middle-aged and elderly women. Middle? aged women between 45-59 years old were included in this study, because this stage of life is important to prepare them entering the old age. Prevention could be done earlier in order to achieve optimum quality of life for the elderly. The purpose of writing this paper is to inform the policy maker to develop a framework in oral health prevention.Method: Cross-sectional study was done at East Bekasi district, West Java on 236 women 45-82 years of age. Measurement of health related quality of life was performed using the Oral Health-Related Quality of Life (OHRQoL) questionnaire. This questionnaire has already been translated to Indonesian language and has already been validated.Result: About 86.4% of subjects had a good oral health-related quality of life. Number of missing teeth and oral health-related quality of life have a weak correlation (correlation coeffi cient= -0.133, P= 0.041) .Conclusion: Oral health-related quality of life did not depend on the number of missing teeth. These fi ndings may have implication for promoting education to middle-aged and elderly women in Indonesia about the importance of oral health.This policy frame work will be recommended to be implemented in hospitals, clinics, community care and institutional care."

"ABSTRAKOrofacial pain includes pain associated with the hard and soft tissues of the head, face, neck and all of the intraoral structures. Upon painful episodes, consuming analgesics or traditional medicine are relatively common. It is also a common sense that high cholesterol and hypertension may contribute to the pain. Since most pain sufferers are women, estrogen is proposed to be a modulator of pain perception. Nevertheless, the mechanism of pain modulation in women is still in controversy. Systemic manivestations of periodontal disease are widely accepted. However, the role of pedodontal disease as an etiology of orofacial and musculoskeletal pains is rarely discussed. Recent study in medical psychoneuroimmunology may reveal the possibility of periodontal disease as an etiology of these painful symptoms. The objective of this study is to reveal the possibility of periodontal disease as an etiology of orofacial and musculoskeletal pains. Periodontal treatments were done to women who suffered from orofacial and musculoskeletal pains, resulting in the dissapearing of the symptoms. Regarding to the amazing results, the conclusion is that especially in women, periodontal disease may cause orofacial and musculoskeletal pains especially in women."

"Nyeri dan kualitas hidup terkait kesehatan setelah intervensi bedah jaringan lunak mulut: keuntungan penggunaan laser Nd:YAG. Teknologi laser neodymium-doped yttrium aluminum garnet (Nd:YAG) telah banyak digunakan untuk bedah jaringan lunak mulut. Penelitian terdahulu memperlihatkan bahwa bedah laser menurunkan angka morbiditas dan komplikasi. Tujuan: Penelitian ini bertujuan membandingkan penggunaan laser Nd:YAG dan pisau bedah untuk tatalaksana bedah lesi jaringan lunak mulut. Metode: Studi ini memeriksa 118 lesi yang dilakukan bedah. Grup 1 (G1) terdiri dari 77 kasus yang ditatalaksana dengan laser Nd:YAG; Grup 2 (G2) terdiri dari 41 kasus yang ditatalaksana bedah dengan pisau bedah. Nyeri akut paska operasi dievaluasi dengan visual analogue scale (VAS), numeric rating scale (NRS) dan verbal rating scale-6 (VRS-6) pada hari operasi dan 1, 3 dan 7 hari setelah operasi. HRQoL dievaluasi pada hari ke-10 menggunakan kuesioner dengan skor 0-45. Data dianalisis dengan STATA 12 (StataCorp LP, College Station, Texas, USA). Hasil: Tidak ada perbedaan bermakna antara skor VAS dan NRS pada kedua grup. Namun, terdapar perbedaan bermakna pada skor nyeri dengan VRS-6 di hari ke-1 (47,14% vs 13,16%) dan hari ke-3 (62,86% vs 21,05%) kedua grup. Penelitian ini memperlihatkan bahwa HRQoL pada G1 lebih baik daripada G2. Simpulan: HRQoL yang lebih baik dan nyeri paska operasi yang lebih rendah terlihat pada pasien yang dilakukan bedah laser Nd:YAG. Hasil ini kemungkinan berkaitan dengan efek bio-modulasi dari laser.

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The new technology such as the neodymium-doped yttrium aluminum garnet (Nd:YAG) laser has been used for oral soft tissue surgery. Previous study shown that laser surgery resulted in lower morbidity and complication rates. Objective: This study aims to evaluate the differences in the post-operative course associated to the use of Nd:YAG laser and to cold blade after oral soft tissue surgery. Methods: One-hundred and eighteen comparable surgical interventions were evaluated. Group 1 (G1) included 77 interventions performed with Nd:YAG laser; group 2 (G2) 41 with cold blade. Acute post-operative pain was evaluated with visual analogue scale (VAS), numeric ratingscale (NRS) and verbal rating scale-6 (VRS-6) on the same day of surgery, and at 1, 3 and 7 days after surgery.The HRQoL was evaluated on day 7 using a 0-45 score range questionnaire. Data were analyzed using the software STATA 12 (StataCorp LP, College Station, Texas, USA). Results: No statistically significant differences could be highlighted in VAS and NRS scores. The VRS-6 scores resulted statistically significant at days 1 and 3. At day 1, 47.14% of patients in G1 and 13.16% in G2 had no pain; at day 3, 62.86% in G1 and 21.05% in G2 had no pain. The HRQoL in G1 was statistically higher than G2. Conclusion: The better HRQoL and the lower post-operative pain observed in laser-treated patients may be associated to the possible bio-modulating effect of the laser."

"IntroductionOlmsted syndrome is a rare palmoplantar keratodermal disease that has not previously been reported to have an association with periodontal disease. The aim of this study is to report and document a case of Olmsted syndrome with evidence of severe periodontal disease.Case reportA 38-year old Saudi male patient presented to the dental clinic diagnosed previously with Olmsted syndrome. Clinical and radiographic examinations were done and provided evidence of the typical clinical findings in Olmsted syndrome and evidence of severe periodontal disease. The patient had severe generalized hyperkeratotic lesions on the palms, soles, and perioral skin as well as hyperkeratosis of oral mucosa at multiple sites.ConclusionThis case report documents the first reported case of Olmsted syndrome to be associated with severe periodontal disease. The altered differentiation of oral mucosa linked to Olmsted syndrome may contribute to the periodontal disease. Patients diagnosed with this syndrome should receive a comprehensive oral examination to determine whether periodontal destruction is a significant component of their disease or not."

"It has been proposed that minor oral surgery can be performed safely in patients taking antithrombotic therapy without interrupting treatment; however, there is little evidence-based guidance about how to manage postoperative hemorrhage in patients taking antithrombotics, and few randomized trials that help to inform the risk–benefit ratio of continuing or suspending antithrombotic therapy. The aim of this study was to identify risk factors for postoperative hemorrhage to create a protocol for patients undergoing minor oral surgery with antithrombotic therapy. One hundred and two patients were enrolled, who subsequently underwent 142 minor oral surgical procedures while taking antithrombotic therapy. Demographic details including age and sex, laboratory coagulation investigations, and episodes of postoperative hemorrhage were recorded. The prothrombin time-international normalized ratio (PT-INR) of participants taking warfarin was <3.0 in all cases (mean 1.89 ± standard deviation 0.52; range 1.11–2.82). The activated partial thromboplastin time (APTT) was significantly associated with postoperative hemorrhage, which was significantly increased in patients taking warfarin alone or in combination with an antiplatelet agent compared with an antiplatelet agent alone. In 7 cases, postoperative hemorrhage continued for 4 days and more, requiring additional local hemostatic management. Our findings suggest that minor oral surgery can be performed under antithrombotic therapy without the need of discontinuing the antithrombotic agents. Local hemostatic materials did not suppress postoperative hemorrhage. APTT is a possible prediction factor for postoperative hemorrhage in such patients and, therefore, should be determined prior to minor oral surgery in addition to PT-INR value."