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Puput Wulandari
"Latar belakang: Celah bibir dan palatum atau cleft lip and palate (CLP) merupakan kelainan kongenital multifaktorial yang mengakibatkan pasien memiliki defek pada jaringan lunak dan keras di bagian bibir dan palatum. Pasien celah bibir dan palatum umumnya menderita gangguan estetik dan fungsi stomatognatik. Sehingga, untuk mengembalikan fungsinya maka harus dilakukan perawatan rekonstruksi tulang alveolar. Baku emas dalam perawataan ini ialah menggunakan autologous bone grafting. Namun, perawatan ini masih memiliki kekurangan sehingga dikembangkan perawatan yang baru dengan teknik rekayasa jaringan dengan sel punca mesenkim. Salah satu sumber sel punca mesenkim yaitu berasal dari jaringan pulpa gigi yaitu sel punca pulpa gigi permanen atau dental pulp stem cells (DPSCs) dan sel punca pulpa gigi sulung atau stem cells from human deciduous teeth (SHED). Kemampuan osteogenik dari sel punca merupakan salah satu faktor pertimbangan untuk pemakaian sel dalam rekayasa jaringan rekonstruksi tulang. Sementara kemampuan osteogenik dari SHED dan DPSCs CLP belum diketahui.
Tujuan: Mengetahui potensi kemampuan dan perbandingan potensi osteogenik dari sel punca gigi permanen dan sulung pasien celah bibir dan palatum dengan melihat ekspresi gen Alkaline phosphatase (ALP) dan Collagen Type I Alpha 1 (COL1A1).
Metode: Sampel RNA yang diperoleh dari ekstraksi RNA sel jaringan pulpa gigi sulung dan permanen pasien celah bibir dan palatum diuji dengan Real-Time Polymerase Chain Reaction (RT-PCR) menggunakan primers Alkaline Phosphatase (ALP), Collagen Type-I (COL1A1) dan Glyceraldehyde 3-Phosphate Dehydrogenase (GAPDH) sebagai housekeeping gene.
Hasil: Ekspresi relatif gen ALP pada sel punca pulpa gigi sulung pasien celah bibir dan palatum mengalami penurunan dibandingkan dengan sel punca gigi permanen pasien celah bibir dan palatum. Sementara untuk ekspresi gen COL1A1 pada sel punca pulpa gigi sulung pasien celah bibir dan palatum tidak memiliki perbedaan dibandingkan dengan sel punca gigi permanen pasien celah bibir dan palatum.
Kesimpulan: Sel punca pulpa gigi sulung dan permanen pasien celah bibir dan palatum memiliki potensi kemampuan osteogenik dikarenakan keduanya mengekspresikan gen marker osteogenik seperti ALP dan COL1A1.

Background: Cleft lip and palate (CLP) is a multifactorial congenital disorder that results in patients having soft and hard tissue defects in the lips and palate. Patients with cleft lip and palate commonly suffer from aesthetic and stomatognathic function disorders. Therefore, to restore its function, alveolar bone reconstruction treatment must be done. The gold standard in this treatment is to perform autologous bone grafting. However, as autologous bone grafting still has associated shortcomings, new treatments using tissue engineering techniques with mesenchymal stem cells are being developed. One of the mesenchymal stem cells sources that can be used is derived from dental pulp tissue, namely permanent dental pulp stem cells (DPSCs) and primary dental pulp stem cells or stem cells from human deciduous teeth (SHED). Osteogenic ability of the stem cells is one of the factors considered for the use of cells in tissue engineering bone reconstruction. Osteogenic ability of SHED and DPSCs hasn’t been fully explored.
Objective: To determine the potential ability and to compare osteogenic potential of DPSCs and SHED from cleft lip and palate patients by looking at the expression of the Alkaline Phosphatase (ALP) and Collagen Type I Alpha 1 (COL1A1) genes.
Methods: RNA samples obtained from RNA cells extraction in deciduous and permanent dental pulp tissue of patients with cleft lip and palate were tested with Real-Time Polymerase Chain Reaction (RT-PCR) using Alkaline Phosphatase (ALP) primers, Collagen Type I Alpha 1 (COL1A1) primers and Glyceraldehyde 3-Phosphate Dehydrogenase (GAPDH) primers as housekeeping gene.
Results: The relative expression of ALP genes in SHED from CLP patients decreased compared to DPSCs from patients with CLP. As for the expression of the COL1A1 gene, there was no difference in expression between SHED from patients with cleft lip and palate and DPSCs in patients with cleft lip and palate.
Conclusion: SHED and DPSCs CLP has osteogenic abilities.
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Depok: Fakultas Kedokteran Gigi Univeritas Indonesia, 2019
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Azra Nadhira
"Latar Belakang: Celah bibir dan palatum merupakan salah satu kelainan bawaan yang menyebabkan defek jaringan keras sehingga dikembangkan perawatan rekonstruksi tulang berbasis teknik rekayasa jaringan sebagai alternatif perawatan. Sumber sel stromal mesenkim dapat diperoleh dari pulpa gigi sulung dan gigi permanen. Kemampuan diferensiasi osteogenik sel stromal pulpa gigi sulung dan gigi permanen sudah banyak dilaporkan. Pada pasien celah bibir dan palatum, terdapat gen-gen yang diekspresikan berbeda dan kemampuan diferensiasi osteogenik sel stromal pulpa gigi sulung dan gigi permanen pasien celah bibir dan palatum belum diketahui. Tujuan: Mengevaluasi perbandingan kemampuan diferensiasi osteogenik sel stromal pulpa gigi sulung dan gigi permanen pasien celah bibir dan palatum melalui deposisi kalsium. Metode: Sel stromal pulpa gigi sulung dan gigi permanen pasien celah bibir dan palatum dikultur menggunakan medium osteogenik selama 21 hari kemudian dilakukan pewarnaan Alizarin Red dan kuantifikasi terhadap deposisi kalsium. Hasil: Sel stromal pulpa gigi sulung dan gigi permanen yang dikultur menggunakan medium osteogenik menunjukkan adanya deposisi kalsium yang tinggi. Sel stromal pulpa gigi sulung dan gigi permanen tidak menunjukkan perbedaan nilai rerata absorbansi, intensitas pewarnaan, dan area pewarnaan yang bermakna secara statistik (p ≥ 0,05). Kesimpulan: Sel stromal pulpa gigi sulung pasien celah bibir dan palatum memiliki kemampuan diferensiasi osteogenik yang ekuivalen dengan sel stromal pulpa gigi permanen pasien celah bibir dan palatum.

Background: Cleft lip and palate is one of the most common congenital anomalies resulting in hard tissue defects therefore tissue engineering is currently developed as an alternative treatment. The source of mesenchymal stromal cells can be obtained from human exfoliated deciduous teeth (SHED) and dental pulp (DPSCs). Osteogenic differentiation abilities of SHED and DPSCs have been widely studied. In cleft lip and palate patients, there are several differentially expressed genes and the osteogenic differentiation abilities of SHED and DPSCs in cleft lip and palate patients have not yet been known. Purpose: To compare the osteogenic differentiation abilities of SHED and DPSCs in cleft lip and palate patients by calcium deposition. Methods: SHED and DPSCs isolated from cleft lip and palate patients were cultured using osteogenic medium for 21 days then added Alizarin Red staining and the calcium deposition were quantified. Result: Both SHED and DPSCs that cultured in osteogenic medium demonstrated high calcium deposition. SHED and DPSCs did not show any statistically significant differences in the average absorbance values, staining intensity, and staining areas (p ≥ 0,05). Conclusion: SHED and DPSCs in cleft lip and palate patients have equivalent ability of osteogenic differentiation by calcium deposition."
Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2021
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Nathania Wilona
"Latar Belakang : DPSC dan SHED merupakan sumber sel stromal yang dapat digunakan untuk rekayasa jaringan sebagai alternatif perawatan pasien dengan CLP. Penelitian terdahulu menunjukkan ekspresi gen Homeobox pada DPSC pasien dengan CLP dibandingkan subjek normal. Gen Homeobox merupakan sekelompok gen yang mengkodekan serangkaian domain protein yang berperan dalam proses awal perkembangan dan diferensiasi sel saat embriogenesis. Dalam kelompok homeobox ini, terdapat gen SHOX yang berperan dalam pembentukan kerangka tulang pada tahap embriogenesis. Penelitian ini dilakukan untuk memvalidasi perbedaan ekspresi gen pada kelompok sampel DPSC dan SHED subjek normal dan pasien CLP. Tujuan : Melakukan evaluasi karakteristik sel pada sampel DPSC subjek normal dengan pasien CLP; DPSC dengan SHED pasien CLP. Metode : Menggunakan template RNA dari 3 kelompok sampel yaitu DPSC subjek normal, DPSC pasien CLP, dan SHED pasien CLP. Lalu, sintesis cDNA dan dilakukan metode RT-qPCR untuk melihat ekspresi gen SHOX dari setiap kelompok sampel. Hasil : Tidak terdapat perbedaan ekspresi gen SHOX pada perbandingan kelompok sampel DPSC normal dengan pasien CLP, dan kelompok DPSC CLP dengan SHED CLP. Kesimpulan : DPSC dan SHED subjek normal dan pasien CLP memiliki karakteristik gen SHOX yang sama.

Background : DPSC and SHED are the sources for tissue engineering as an alternative treatment for patients with CLP. Previous studies showing expression of homeobox genes in DPSC of normal compared to CLP patients. Homeobox genes encode a series of protein domains that is involved in the process of development and cell differentiation. There is a SHOX gene involved in the bone skeleton formation during embryogenesis. This study was conducted to validate the differences in gene expression between the sample groups of DPSC and SHED of normal and CLP subjects. Objective : To evaluate the cell characteristics in sample groups of DPSC in normal and CLP subjects; DPSC and SHED in CLP subjects. Methods : Using RNA template of 3 sample groups, namely DPSC of normal subjects, DPSC of CLP subjects. cDNA was synthesized and the RT-qPCR method was used to see the SHOX gene expression of each group. Result : There was no differences in SHOX gene expression in the comparison of DPSC normal with CLP patients, and the DPSC and SHED in subjects with CLP. Conclusion : DPSC and SHED in normal subjects and CLP patients have the same characteristics of SHOX gene."
Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2022
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Zahra Savira
"Latar Belakang: Celah bibir dan palatum (CLP) merupakan salah satu kelainan kongenital yang menghasilkan defek jaringan lunak maupun jaringan keras dan membutuhkan perawatan rekonstruksi tulang alveolar dan palatum. Celah bibir dan palatum dianggap berasal dari anomali proliferasi sel akibat faktor genetika. Autologous bone graft adalah baku emas untuk memperbaiki defek tulang palatum pada pasien CLP. Namun demikian, perawatan tersebut membutuhkan prosedur yang invasif. Perawatan melalui rekayasa jaringan dapat menjadi alternatif perawatan. Rekonstruksi tulang alveolar melalui rekayasa jaringan membutuhkan jumlah sel yang banyak sehingga kapasitas proliferasi sel punca merupakan aspek penting dalam penerapan klinis. Sel punca pulpa gigi sulung (SHED) dan sel punca pulpa gigi permanen (DPSCs) dapat menjadi sumber sel yang ideal karena memiliki kapasitas proliferasi yang tinggi, kemampuan diferensiasi ke berbagai tipe sel, isolasi yang mudah, dan aksesibilitas yang baik. Namun, kapasitas proliferasi SHED dan DPSCs pasien CLP belum diketahui.
Tujuan: Penelitian ini bertujuan membandingkan kapasitas proliferasi SHED dan DPSCs pasien celah bibir dan palatum.
Metode: SHED dan DPSCs dari pasien CLP dikultur hingga mencapai 70%-80% confluent. Kapasitas proliferasi sel setelah dikultur selama 24 jam, 48 jam, dan 72 jam dianalisis melalui uji MTT.
Hasil: SHED setelah dikultur 24 jam menunjukkan nilai rata-rata optical density yang lebih tinggi secara signifikan (p<0,05). SHED dan DPSCs setelah dikultur 48 jam dan 72 jam tidak menunjukkan perbedaan nilai rata-rata optical density secara statistik (p>0,05).
Kesimpulan: SHED pasien CLP memiliki kapasitas proliferasi lebih tinggi secara signifikan hanya pada 24 jam pertama. Pada 48 jam dan 72 jam pertama, SHED dan DPSCs pasien CLP memiliki kesamaan kapasitas proliferasi.

Background: Cleft lip and palate (CLP) is one of orofacial congenital malformations that results in both soft tissue and hard tissue defect. It requires reconstruction of the maxillary alveolar cleft. Cleft lip and palate is thought to be came from anomalies of cell proliferation caused by genetic factors. Autologous bone graft have been the gold standard treatment to repair maxillary alveolar and palate clefts. However, such treatment needs an invasive procedure that may induce pain. To overcome those disadvantages, tissue engineering has received attention to be new alternative treatment.
Reconstruction of maxillary alveolar cleft requires huge number of stem cells so that proliferative capacity is important traits before clinical application. Stem Cells from Exfoliateed Deciduous Teeth (SHED) and Dental Pulp Stem Cells (DPSCs) can be ideal sources of stem cell since they are known to have high proliferative capacity, multilineage differentiation, ease of isolation, and well accesibility. However, proliferative capacity of SHED and DPSCs isolated from CLP patients have not yet known.
Objective: The aim of this study was to compare proliferative capacity between cultured stem cells from exfoliated deciduous teeth and dental pulp stem cells isolated from cleft lip and palate patients.
Methods: SHED and DPSCs isolated from cleft patient were cultured until it reached 70%-80% confluency. Proliferative capacity after culturing for 24 hours, 48 hours, and 72 hours were analyzed using MTT Assay.
Results: SHED after culturing for 24 hours showed higher optical density average value significantly (p<0,05). SHED and DPSCs after culturing for 48 hours and 72 hours has no difference optical density average value significantly (p>0,05).
Conclusions: SHED from cleft patients showed higher proliferative capacity significantly only on first 24 hours culturing. SHED and DPSCs have similar proliferative capacity on 48 hous and 72 hours culturing."
Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2019
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Lulu Amanda Zatalini
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Latar Belakang: Celah bibir dan palatum merupakan kelainan kongenital yang paling sering terjadi pada regio orofasial. Pasien celah bibir dan palatum menunjukkan sejumlah permasalahan seperti defek tulang alveolar yang lebar, kehilangan gigi kongenital, supernumerary teeth, hipoplasia dan gigi impaks. Autologous alveolar bone grafting dianggap sebagai perawatan gold standard untuk rekonstruksi tulang alveolar dengan menggunakan tulang kanselus dari puncak ilium anterior. Namun, pengambilan tulang ilium bersifat invasif dan memiliki potensi terjadinya komplikasi. Mengingat hal tersebut, teknik rekayasa jaringan yang memanfaatkan scaffolds, faktor pertumbuhan, dan sel punca dipertimbangkan sebagai pilihan perawatan yang baru. Sel punca mesenkim bisa didapatkan dari jaringan pulpa, yang disebut dengan sel punca pulpa gigi sulung atau stem cells from exfoliated deciduous teeth (SHED) dan sel punca pulpa gigi permanen atau dental pulp stem cells (DPSC). Salah satu kriteria yang harus dimiliki sel punca mesenkim adalah mengekspresikan surface marker CD73, CD90, dan CD105. Pada pasien normal, penelitian yang membandingkan karakteristik antara SHED dan DPSC telah membuktikan bahwa keduanya merupakan sel punca mesenkim dengan mengekspresikan surface markersesuai dengan kriteria. Namun, pada pasien celah bibir dan palatum belum banyak diteliti. Tujuan: Menganalisis perbedaan persentase sel yang mengekspresikan surface marker (CD73, CD90, dan CD105) pada SHED dan DPSC pasien celah bibir dan palatum. Metode: Sel punca pulpa gigi sulung dan gigi permanen diisolasi dari jaringan pulpa pasien celah bibir dan palatum. Persentase sel yang mengekspresikan surface marker (CD73, CD90, dan CD105) dianalisis dengan uji flow cytometryHasil: Analisis flow cytometry menunjukkan bahwa baik SHED maupun DPSC mengekspresikan masing-masing surface marker dalam persentase yang tinggi (>90%). Setelah dilakukan uji Independent T-test untuk membandingkan ekspresi masing-masing surface markerpada kedua grup, didapatkan hasil >0,05. Kesimpulan:  Tidak terdapat perbedaan bermakna antara ekspresi masing-masing surface marker pada SHED dan DPSC pasien celah bibir dan palatum.


Background: Cleft lip and palate is the most common congenital anomaly in the orofacial region. Cleft lip and palate patients present with a number of complaints such as wide alveolar bone defects, congenitally missing teeth, supernumerary teeth, hypoplastic dan impacted teeth. Autologous bone grafting is considered to be the gold standard for alveolar bone reconstruction using the cancellous bone harvested from the anterior iliac crest. However, the procedure is invasive and carries a risk of complications. Bearing all that in mind, tissue engineering that utilizes scaffolds, growth factors, and stem cells arises as a new therapeutic option. Mesenchymal stem cells can be obtained from dental pulp, which are called stem cells from exfoliated deciduous teeth (SHED) and dental pulp stem cells (DPSC). One of the criterias to define mesenchymal stem cells is the expression of surface markers CD73, CD90, and CD105. In normal patients, both SHED and DPSC have been known to express those surface markers. However, the expression of CD73, CD90, and CD105 in SHED and DPSC from cleft lip and palate patients has not been fully explored. Objective: To analyze the difference in the percentage of cells that express CD73, CD90, and CD105 in SHED and DPSC from cleft lip and palate patients. Methods: SHED and DPSC were isolated from dental pulp. The expression of surface markers were analyzed with flow cytometry. Results: Flow cytometry analysis showed that SHED and DPSC from cleft lip and palate patients highly express (>90%) surface markers that are associated with mesenchymal stem cells such as CD73, CD90, and CD105. The Independent T-Test was then performed to see a comparison between the expression of each surface marker in both groups and the value was >0.05. Conclusions: There is no significant difference between the percentage of cells that express each surface marker in SHED and DPSC from cleft lip and palate patients.

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Jakarta: Fakultas Kedokteran Gigi Universitas Indonesia , 2019
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Tasya Sabila Bisyir
"Latar Belakang: Sumber sel stromal yang paling ideal digunakan dalam rekayasa jaringan adalah sel stromal pulpa gigi permanen (DPSC) dan sel stromal pulpa gigi sulung (SHED) dikarenakan sifat proliferasinya yang tinggi. Pada penelitian sebelumnya, dinyatakan bahwa terdapat peningkatan ekspresi gen homeobox salah satunya yaitu gen ALX4 sebagai pada pasien celah bibir dan palatum dengan subjek normal. Gen ALX4 adalah gen homeobox dibawah famili Alx dan memiliki peran langsung dalam perkembangan dan pembentukan kepala serta wajah serta mentranslasi protein yang meregulasi perkembangan dan proliferasi sel, pendewasaan dan diferensiasi sel, pergerakan sel, dan pertahanan sel. Namun, karakteristik DPSC dan SHED dilihat dari ekspresi gen ALX4 pada subjek normal dan pasien celah bibir dan palatum belum diketahui. Tujuan: Mengevaluasi karakteristik DPSC dan SHED subjek normal dan pasien CLP berdasarkan ekspresi gen ALX4. Metode: DPSC subjek normal, DPSC pasien celah bibir dan palatum, dan SHED pasien celah bibir dan palatum diperoleh dari bahan biologis tersimpan Laboratorium Oral Biologi Fakultas Kedokteran Gigi Universitas Indonesia. Selanjutnya ekspresi gen ALX4 dan housekeeping gene GAPDH diuji dengan two step quantitative RT-PCR (RT-PCR). Hasil: Tidak terdapat perbedaan ekspresi gen ALX4 baik diantara DPSC subjek normal dengan DPSC CLP (p=0,407) maupun DPSC CLP dengan SHED CLP (p=0,145). Kesimpulan: Tidak terdapat perbedaan karakteristik sel stromal pulpa gigi permanen dan sel stromal pulpa gigi sulung pada subjek normal dengan pasien celah bibir dan palatum berdasarkan ekspresi gen ALX4

Background: The most ideal sources of stromal cells used in tissue engineering are dental pulp stem cells (DPSC) and stem cells from human exfoliated deciduous teeth (SHED) due to their high proliferative properties. In previous studies, it was stated that there was an increase in the expression of homeobox genes (differentially expressed genes (DEGs), one of which was the ALX4 gene as in cleft lip and palate patients with normal subjects. The ALX4 gene is a homeobox gene under the Alx family and has a direct role in the development and formation of the skull and human face, along with the ALX4 proteins that regulate cell development and proliferation, cell maturation and differentiation, cell movement, and cell defence. However, the characteristics of ALX4 gene expression in DPSC and SHED in normal and cleft lip and palate patients are not known. Objective: To evaluate and compare the characteristics of Dental Pulp Stromal Cells (DPSC) and Stromal Cells from Human Exfoliated deciduous teeth (SHED) in cleft lip and palate and normal subjects by the expression of the ALX4 homeobox gene. Methods: DPSC of normal subjects, DPSC of CLP patients, SHED of CLP patients were obtained from stored biological material in the Oral Biology Laboratory, Faculty of Dentistry, University of Indonesia. Then, the examination of ALX4 gene expression was tested by Real-Time Polymerase Chain Reaction (RT-PCR) Results: There was no difference in ALX4 gene expression between DPSC in normal subjects and DPSC in cleft lip and palate subjects (p=0,407) and between DPSC in cleft lip and palate subjects and SHED in cleft lip and palate subjects (p=0,145). Conclusion: There were no differences in the characteristics of the pulp stromal cells of permanent and primary teeth in normal subjects with cleft lip and palate subjects through the expression of the ALX4 gene."
Jakarta: Fakultas Kedokteran Gigi Universitas Indonesia, 2021
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Helena Wiradjaja
"Latar belakang: Celah bibir dan palatum adalah kelainan bawaan yang mempengaruhi regio orofacial. Perawatan yang menjadi baku emas untuk pasien celah bibir dan palatum adalah autologous bone graft. Namun, perawatan ini masih invasif dan ada beberapa kekurangannya sehingga perlu teknik rekayasa jaringan dengan sel stromal. Sel stromal mesenkim yang terdapat dalam rongga mulut adalah sel stromal pulpa gigi sulung (SHED) dan sel stromal pulpa gigi permanen (DPSC). Kemampuan diferensiasi osteogenik SHED dan DPSC pada subjek normal sudah diketahui. Namun, kemampuan diferensiasi osteogenik dengan ekspresi gen RUNX-2 pada DPSC dan SHED pasien celah bibir dan palatum belum diketahui secara pasti. Tujuan: Membandingkan kemampuan diferensiasi osteogenik sel stromal pulpa gigi permanen pasien celah bibir dan palatum dengan sel stromal pulpa gigi sulung pasien celah bibir dan palatum melalui ekspresi gen RUNX-2. Metode: DPSC celah bibir dan palatum dan SHED celah bibir dan palatum dikultur dengan medium osteogenik dan tanpa medium osteogenik selama 21 hari. Sampel RNA diperoleh kultur sel stromal pulpa gigi permanen (DPSC) dan sel stromal pulpa gigi sulung (SHED) pasien celah bibir dan palatum. Selanjutnya diuji ekspresi gen RUNX-2, dan housekeeping gene 18S dengan Real-Time Polymerase Chain Reaction (RT-PCR). Hasil: Tidak ada perbedaan kemampuan diferensiasi sel stromal pulpa gigi permanen pasien celah bibir dan palatum dengan sel stromal pulpa gigi sulung pasien celah bibir dan palatum melalui ekspresi gen RUNX-2. Kesimpulan: Kemampuan diferensiasi osteogenik sel stromal pulpa gigi sulung pasien celah bibir dan palatum ekuivalen dengan sel stromal pulpa gigi permanen pasien celah bibir dan palatum.

Background: Cleft lip and palate are congenital anomalies that affect the orofacial region including lips, alveolar ridge, hard palate, and soft palate. Patients with cleft lip and palate have impaired esthetic and stomatognathic functions. The gold standard treatment for cleft lip and palate patients is an autologous bone graft. However, this treatment is still invasive and has some limitations therefore requires tissue engineering techniques by using stromal cells. Mesenchymal stromal cells that are found in the mouth are stromal cells from human exfoliated deciduous teeth (SHED) and dental pulp stromal cells (DPSC). The osteogenic differentiation of SHED and DPSC normal subjects are well known. Nevertheless, the osteogenic differentiation capacity by RUNX-2 mRNA expression in DPSC and SHED cleft lip and palate patients is still need to be elucidated. Objective: To compare the osteogenic differentiation capacity of stromal cells from human exfoliated deciduous teeth and dental pulp stromal cells in cleft lip and palate patients through RUNX-2 gene expression. Methods: DPSC and SHED cleft lip and palate patients were cultured with and without osteogenic medium for 21 days. RNA sample were collected from cell culture followed by the examination of RUNX-2 and 18S gene expression were tested by Real-Time Polymerase Chain Reaction (RT-PCR). Result: There was no difference in osteogenic differentiation capacity between DPSC and SHED cleft lip and palate patients through RUNX-2 gene expression. Conclusion: The osteogenic differentiation capacity of SHED was equivalent to DPSC of cleft lip and palate patients."
Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2021
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Najmi Affifi
"Latar Belakang: Subjek celah bibir dan palatum membutuhkan perawatan rekonstruksi tulang berbasis rekayasa jaringan dengan menggunakan sel stromal mesenkim. Sel stromal mesenkim merupakan sel yang banyak digunakan untuk regenerasi tulang karena mempunyai kemampuan proliferasi tinggi. Sel tersebut dapat berasal dari pulpa gigi sulung (SHED) dan
pulpa gigi permanen (DPSCs) yang dapat berdiferensiasi menjadi osteoblas. Pada penelitian
sebelumnya telah ditemukan beberapa karakteristik DPSCs dan SHED pada subjek celah bibir dan palatum, namun kemampuan diferensiasi dari sel stromal pulpa subjek celah bibir dan palatum belum diketahui. Tujuan: Mengevaluasi kemampuan diferensiasi osteogenik dari sel stromal pulpa gigi permanen dan sulung pada subjek celah bibir dan palatum melalui
ekspresi gen Collagen Type I Alpha I (COL1A1). Metode : Sampel RNA yang diperoleh dari kultur RNA DPSCs dan SHED subjek celah bibir dan palatum, dengan Real-Time Polymerase Chain Reaction (RT-PCR) menggunakan primers Collagen Type I Alpha I (COL1A1), serta 18S sebagai housekeeping gene. Hasil : Tidak terdapat perbedaan ekspresi relatif gen COL1A1 antara sel stromal pulpa gigi permanen dan sel stromal pulpa gigi sulung pada subjek celah bibir dan palatum. Kesimpulan : SHED memiliki kemampuan diferensiasi osteogenik yang sama dengan DPSCs karena keduanya dapat mengekspresikan gen marker osteogenik COL1A1.

Background: Cleft lip and palate subject need bone reconstruction based tissue engineering treatment with mesenchymal stromal cells (MSC). One of the most mesenchymal stromal cells that can be used is derived from dental pulp tissues, such as primary tooth pulp or stem cells from human deciduous teeth (SHED) and dental pulp stem cells (DPSCs) which can differentiate into osteoblasts. In previous studies, several characteristics of DPSCs and SHED of the cleft lip and palate subjects have been found. However, osteogenic differentiation ability of dental pulp stromal cells from cleft lip and palate subject is unknown.
Objective: To determine the osteogenic differentiation ability of DPSCs and SHED of cleft lip and palate subjects through the expression of the Collagen Type I Alpha I (COL1A1) gene.
Methods: RNA samples obtained from the culture of DPSCs and SHED of lip and palate cleft subjects, with Real-Time Polymerase Chain Reaction (RT-PCR) using primers Collagen Type I Alpha I (COL1A1) and 18S as a housekeeping gene.
Results: There was no difference in the relative expression of COL1A1 gene between DPSCs and SHED of CLP subjects.
Conclusion: SHED has the same osteogenic differentiation ability as DPSCs because they can express osteogenic marker genes COL1A1.
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Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2020
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Priska Natassya
"Latar belakang: Rekayasa jaringan memerlukan adanya sel yaitu sel punca mesenkim, scaffold dan faktor pertumbuhan. Dalam rekayasa jaringan tulang, salah satu faktor pertumbuhan yang berperan adalah IGF-1. IGF-1 apabila berikatan dengan IGF-1R dapat mengaktivasi berbagai jalur persinyalan yang berpengaruh terhadap proliferasi dan diferensiasi sel. Sebaliknya apabila IGF-1 berikatan dengan IGFBP3 maka akan menghalangi IGF-1 untuk berikatan dengan IGF1-R. pada penelitian pendahuluan ditemukan bahwa pada pasien celah bibir dan langit – langit memiliki peningkatan ekspresi IGF-1 yang signifikan jika dibandingkan dengan pasien normal namun kemampuan proliferasi dan diferensiasinya setara dengan pasien normal.
Tujuan : untuk mengetahui apakah jalur persinyalan IGF-1 pada proses proliferasi dan diferensiasi osteogenik DPSCs dari pasien NSCL/P.
Metode: pemberian anti IGF-1R dan IGFBP3 lalu diuji qPCR dan MTT untuk melihat proliferasi sel lalu sel osteogenic medium lalu diuji qPCR dengan osteogenic marker untuk melihat diferensiasi osteogeni sel.
Hasil : dengan pemberian anti IGF-1R dan IGFBP3 dapat mempengaruhi proliferasi dan diferensiasi osteogenik sel baik di kelompok CLP maupun di kelompok kontrol apabila mendapat perlakuan yang sama tetapi tidak berbeda bermakna secara statistik. Sebaliknya, ditemukan ada perbedaan bermakna bila kelompok CLP yang diberi perlakuan dibandingkan dengan kelompok kontrol yang tidak diberi perlakuan.
Kesimpulan: over ekspresi dari IGF-1 pada DPSCs pasien NSCL/P mempengaruhi proliferasi dan diferensiasi osteogenik sel.

Background: Tissue engineering requires the presence of cells, namely mesenchymal stem cells, scaffolds and growth factors. In bone tissue engineering, one of the growth factors that plays a role is IGF-1. IGF-1 when it binds to IGF-1R can activate various signaling pathways that affect cell proliferation and differentiation. On the other hand, if IGF-1 binds to IGFBP3, it will prevent IGF-1 from binding to IGF1-R. In a preliminary study, it was found that cleft lip and palate patients had a significant increase in IGF-1 expression compared to normal patients, but their proliferative and differentiation abilities were equivalent to those of normal patients.
Objective: to determine whether the IGF-1 signaling pathway is involved in the proliferation and osteogenic differentiation of DPSCs from NSCL/P patients.
Methods: administration of anti-IGF-1R and IGFBP3 then tested qPCR and MTT to see cell proliferation then medium osteogenic cells then tested qPCR with osteogenic markers to see the differentiation of osteogenic cells.
Results: the treatment with antiIGF-1R and IGFBP3 can affect the proliferation and osteogenic differentiation of cells in both the CLP group and the control group when receiving the same treatment but not statistically significant. On the other hand, there is a significant difference when the treated CLP group is compared with the untreated control group.
Conclusion: overexpression of IGF-1 on NSCL/P DPSCs affects the proliferation and differentiation of osteogenic cells
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Jakarta: Fakultas Kedokteran Gigi Universitas Indonesia, 2022
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Alya Hana Firdanisa
"Latar Belakang: Celah bibir dan palatum adalah keadaan dimana terdapat gangguan fusi atau celah abnormal bawaan pada daerah bibir atas, alveolar, dan palatum serta dapat menimbulkan masalah pada penderita seperti gangguan estetika dan masalah saat berbicara. Perawatan rekonstruksi tulang dengan autologous bone graft merupakan baku emas pada perawatan pasien celah bibir dan palatum, tetapi perawatan ini memiliki kekurangan sehingga dikembangkan alternatif perawatan seperti teknik rekayasa jaringan. Sumber sel stromal mesenkim yang digunakan dapat berasal dari jaringan pulpa gigi seperti sel stromal pulpa gigi sulung dan sel stromal pulpa gigi permanen. Kemampuan diferensiasi osteogenik sel stromal pulpa gigi sulung dan permanen pasien celah bibir dan palatum merupakan salah satu pertimbangan untuk penggunaan sel autologous dalam perawatan teknik rekayasa jaringan, sedangkan kemampuan diferensiasi osteogenik dari sel stromal pulpa gigi pasien CLP belum diketahui.
Tujuan: Membandingkan kemampuan diferensiasi osteogenik sel stromal pulpa gigi sulung dan gigi permanen pasien celah bibir dan palatum melalui ekspresi gen ALP.
Metode: Sampel yang diisolasi dari jaringan pulpa gigi sulung dan gigi permanen pasien celah bibir dan palatum dikultur pada medium osteogenik, dilakukan ekstraksi RNA dan diuji dengan Real-Time Polymerase Chain Reaction (RT PCR) menggunakan primers alkaline phosphatase (ALP) dan 18s housekeeping gene.
Hasil: Ekspresi relatif gen ALP pada sel stromal pulpa gigi sulung pasien celah bibir dan palatum setelah dilakukan uji statistik tidak memiliki perbedaan bermakna bila dibandingkan dengan sel stromal pulpa gigi permanen pasien celah bibir dan palatum (nilai p = 0.156).
Kesimpulan: Sel stromal pulpa gigi sulung dan gigi permanen memiliki kemampuan diferensiasi osteogenik karena dapat mengekspresikan marker osteogenik ALP.

Background: Cleft and lip palate is a condition where there is fusion disturbance or abnormal congenital cleft in the upper lip, alveolar, and palate area that can cause problems in patients such as aesthetic disorder and problem with talking. Autologous bone graft reconstruction treatment is the gold standard in treating cleft lip and palate patients, but this treatment has associated shortcomings so that alternative treatments such as tissue engineering techniques have been developed. The source of the mesenchymal stromal cells used can be derived from dental pulp tissue namely stem cells from human deciduous teeth and permanent dental pulp stromal cells. The osteogenic differentiation ability from dental pulp stromal cells of primary and permanent teeth in cleft lip and palate patients is one of the considerations for the use of autologous cells in the treatment of tissue engineering techniques, while the osteogenic differentiation ability of dental pulp stromal cells in cleft lip and palate patients has not been fully explored.
Objective: To compare the osteogenic differentiation capacity of primary and permanent dental pulp stromal cells in cleft lip and palate patients.
Methods: Samples isolated from primary and permanent dental pulp stromal cells in cleft lip and palate patients were cultured, RNA were extracted and tested by Real-Time Polymerase Chain Reaction (RT PCR) using alkaline phosphatase primers (ALP), and housekeeping gene in the form of 18s. Results: The relative expression of ALP in primary dental pulp stromal cells in cleft lip and palate patients was comparable to permanent dental pulp stromal cells in cleft lip and palate patients (p value = 0.156).
Conclusion: The primary and permanent dental pulp stromal cells have comparable ability to differentiate into osteogenic lineage and both cells tested can express the osteogenic gene of ALP.
"
Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2021
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