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"Latar belakang: Fokus desinfeksi saluran akar saat ini telah mengalami perubahan dari desinfeksi agresif menjadi proteksi selektif, yang memiliki tujuan utama untuk menciptakan lingkungan yang sesuai, oleh karena itu, bahan irigasi alami sebagai pendamping mulai banyak diteliti potensialnya karena relatif aman. Larutan irigasi dengan kualitas optimal yang dapat membersihkan saluran akar secara menyeluruh sendiri masih belum tersedia dan meskipun ada perkembangan baru di bidang penelitian yang relevan, solusi yang lebih mendekati kualitas ideal belum dikembangkan. Cuka apel dapat dijadikan sebagai bahan alternatif alami yang aman untuk mengeliminasi biofilm sekaligus smear layer, sehingga berpotensi untuk dikembangkan lebih lanjut. Tujuan: Mengetahui perbedaan efek antibakteri bahan irigasi sintetik NaOCl 1,5% dan 2,5% dibandingkan dengan larutan cuka apel terhadap E. faecalis. Metode: Biofilm E. faecalis isolat klinis dibagi menjadi tujuh kelompok sampel untuk dipaparkan dengan bahan uji larutan cuka apel konsentrasi 2,5%, 5%, 10%, kontrol positif NaOCl 1,5%, 2,5% dan kontrol negatif tanpa perlakuan, efek antibakteri dilihat menggunakan metode MTT Assay dan hitung koloni. Hasil: Didapatkan hasil dari kedua uji yang dilakukan bahwa larutan cuka apel konsentrasi 2,5% memiliki efek antibakteri terhadap biofilm E. faecalis tertinggi dibandingkan dengan konsentrasi 5% dan 10%. Kesimpulan: Efek antibakteri larutan cuka apel 2,5%, 5%, dan 10% lebih rendah dibandingkan dengan larutan NaOCl 1,5% dan 2,5% terhadap biofilm E. faecalis.

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Introduction: The current focus of root canal disinfection has changed from aggressive disinfection to selective protection, which has the main goal of creating a suitable environment, therefore, natural irrigation materials as a companion have begun to be studied for their potential because they are relatively safe. Irrigation solutions of optimal quality that can thoroughly clean root canals on their own are not yet available and despite new developments in the relevant research area, solutions closer to the ideal quality have not yet been developed. Apple cider vinegar can be used as a safe natural alternative for eliminating biofilm as well as the smear layer, so it has the potential to be developed further. Objective: To determine the differences in the antibacterial effect of synthetic irrigants NaOCl 1,5% and 2,5% compared to apple cider vinegar solution against E. faecalis. Methods: Clinical isolates of E. faecalis biofilm were divided into seven sample groups to be exposed to test materials for apple cider vinegar concentrations of 2,5%, 5%, 10%, positive control NaOCl 1,5%, 2,5%, and negative control without treatment, the antibacterial effect was seen using the MTT Assay method and colony count. Results: The results of the two tests were obtained that a 2.5% concentration of apple cider vinegar had the highest antibacterial effect on E. faecalis biofilm compared to 5% and 10% concentrations. Conclusion: The antibacterial effect of 2,5%, 5%, and 10% apple cider vinegar solutions was lower than 1,5% and 2,5% NaOCl solutions on E. faecalis biofilm.

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"Latar Belakang: American Association of Endodontist (AAE) (2021) menganjurkan penggunaan irigasi NaOCl 1,5% - 3% dan EDTA 17% pada prosedur regeneratif endodontik. Namun, kedua larutan irigasi tersebut memiliki efek terhadap sel punca dan jaringan dentin. Oleh karena itu bahan pengganti bersumber dari bahan alami mulai diteliti, salah satunya adalah cuka apel. Tujuan: Menganalis efek larutan cuka apel berbagai konsentrasi dan larutan irigasi sintetik terhadap topografi dan kekasaran permukaan dentin saluran akar. Metode: 28 spesimen dentin setebal 1 mm dibagi random pada 7 kelompok, lalu tiap kelompok terdiri dari 4 spesimen. Spesimen dentin direndam dengan aquades, NaOCl 1,5%, NaOCl 2,5%, EDTA 17%, larutan cuka apel 2,5%, 5% dan 10% dengan volume 1,8 ml selama 1 menit. Pengamatan topografi dan analisis kekasaran permukaan dentin saluran akar dilakukan dengan mikroskop digital. Hasil: Terdapat efek larutan cuka apel berbagai konsentrasi dan larutan irigasi sintetik terhadap topografi dan kekasaran permukaan dentin saluran akar yang dievaluasi dengan mikroskop digital. Namun tidak terdapat perbedaan efek larutan cuka apel konsentrasi 2,5%, 5% dan 10% dibandingkan dengan NaOCl 1,5%, 2,5% dan EDTA 17% terhadap kekasaran permukaan dentin saluran akar. Kesimpulan: Larutan cuka apel memiliki efek terhadap kekasaran permukaan dentin saluran akar. Nilai rerata kekasaran permukaan terendah adalah cuka apel 2,5% walaupun nilainya tidak berbeda bermakna dengan larutan uji lainnya.

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Background: The American Association of Endodontist (AAE) (2021) recommends the use of 1.5% - 3% NaOCl irrigation and 17% EDTA in regenerative endodontic procedures. However, these two irrigant solutions had an effect on stem cells and dentine tissue. Therefore, substitutes derived from natural ingredients have begun to be researched, one of which is apple vinegar. Objective: To analyze the effect of various concentrations of apple vinegar and synthetic irrigation solutions on topography and surface roughness of root canal dentin Method: 28 specimens of 1 mm thick dentin were randomly devided into 7 groups, then each group consisted of 4 specimens. Dentin specimens were immersed in distilled water, 1.5% NaOCl, 2.5% NaOCl, 17% EDTA, 2.5%, 5% and 10% apple vinegar solution with 1.8 ml volume of solution for 1 minute. The topography and surface roughness observation was carried out using digital microscope. Results: There was effect of apple vinegar solutions with various concentrations and synthetic irrigant solutions on topography and surface roughness of root canal dentin evaluated by digital microscopy. However, there was no difference in the effect of apple vinegar solution concentrations of 2.5%, 5% and 10% compared to 1.5%, 2.5% NaOCl and 17% EDTA on surface roughness of root canal dentin. Conclusion: Apple vinegar solution has an effect on surface roughness of root canal dentin. The lowest average surface roughness value was 2.5% apple vinegar, although the value was not significantly different from the other test solutions."

"Latar Belakang: Invasi mikroorganisme kedalam pulpa dan tubuli dentin merupakan penyebab infeksi saluran akar. Enterococcus faecalis merupakan bakteri yang sering ditemukan dalam infeksi primer, sekunder maupun persisten, memiliki kemampuan membentuk biofilm dan dapat bertahan hidup dalam kondisi yang ekstrim tanpa nutrisi sehingga bakteri ini sangat sulit dieliminasi. Preparasi kemomekanis tidak cukup untuk menghilangkan infeksi. Diperlukan suatu bahan irigasi untuk membantu menghilangkan  bakteri sehingga menyempurnakan preparasi saluran akar. Bahan irigasi herbal diperlukan sebagai alternatif pengganti bahan irigasi kimia untuk meminimalisir efek toksik dan resisten, namun tetap memiliki efek antibakteri yang setara dengan bahan irigasi kimia.Tujuan: Menganalisa efek antibakteri larutan ektrak kayu secang terhadap biofilm E. faecalis isolat klinis.Metode: Biofilm E. faecalis isolat klinis dibagi menjadi enam kelompok perlakuan untuk dipaparkan dengan bahan uji ekstrak kayu secang dengan konsentrasi 312 µg/ml, 625 µg/ml, 1250 µg/ml, 2500 µg/ml, 5000 µg/ml dan CHX 2% kemudian diuji dengan metode hitung koloni dan MTT assay.Hasil: Didapatkan hasil dari kedua uji yang dilakukan bahwa konsentrasi optimum yang memiliki efek antibakteri setara dengan CHX 2% adalah konsentrasi 625 µg/ml. Kesimpulan: Larutan ekstrak kayu secang memiliki efek antibakteri terhadap biofilm E. faecalis isolat klinis yang setara dengan CHX 2%.

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Background: Microorganism invasion to the pulp and dentinal tubules is the cause of root canal infection. Enterococcus faecalis  commonly found in primary, secondary and persitent infection because it has ability to form biofilms and can survive in extreme conditions without nutrition, so these bacteria are very difficult to obliterate. Chemomechanical preparation not enough to eliminate infection. Materials needed to eliminate bacteria. Herbal irrigation required as an alternative chemical materials  to minimize toxicity and resistant effect, but still have an antibacterial effect comparable to chemical irrigation materials.

Objective: To analyze the antibacterial effects of secang heartwood againts E. faecalis biofilm clinical isolates.

Methods: em>E. faecalis biofilms were clinically suitable isolates into six treatment groups to be presented with secang heartwood extract test materials with a concentration of 312 µg/ml, 625 µg/ml, 1250 µg/ml, 2500 µg/ml, 5000 µg/ml and CHX 2% then examined by the colony forming unit and MTT assay methods.

Results: Obtained results from both test carried out that the optimum concentration which has an antibacterial effect along with 2% CHX is concentration of 625 µg/ml.

Conclusion: Secang wood extract solution has an antibacterial effect on E. faecalis bioflim clinical isolates that are comparable to CHX 2%."

"Latar Belakang: Radikal bebas memiliki sifat destruktif pada perawatan kedokteran gigi, salah satunya pada prosedur perawatan saluran akar. Pada perawatan saluran akar, bahan irigasi yang selama ini digunakan dapat menyebabkan kerusakan pada saluran akar karena memiliki senyawa radikal bebas. Oleh karena itu, perlu ditemukan bahan alami herbal yang dapat menjadi sumber antioksidan sebagai penangkal radikal bebas yang dapat berperan positif dalam perawatan saluran akar. Penelitian sudah banyak dikembangkan oleh para peneliti untuk menjadikan larutan ekstrak daun jeruk purut dan larutan cuka apel Malang sebagai obat herbal terstandar dari Indonesia hingga fitofarmaka. Salah satu pengujian yang harus dilakukan adalah pengujian antioksidan karena pada kedua bahan alami herbal tersebut ditemukan senyawa antioksidan berupa fenol dan flavonoid pada uji fitokimia dan GCMS. Tujuan: Penelitian ini bertujuan untuk melihat perbedaan aktivitas dan kadar antioksidan pada larutan ekstrak daun jeruk purut dan larutan cuka apel Malang pada berbagai konsentrasi. Metode: Penelitian ini merupakan eksperimental laboratorik dengan metode DPPH. Sampel uji berupa larutan 10%, 5%, dan 2,5% ekstrak daun jeruk purut dan cuka apel Malang yang dibuat serial konsentrasi dengan pengenceran. Uji aktivitas antioksidan dilakukan dengan melihat perubahan warna pada larutan, dari warna ungu menjadi warna kuning apabila terdapat aktivitas antioksidan di dalam larutan uji. Selanjutnya dilakukan pengukuran kadar antioksidan dengan melihat tingkat absorbansi menggunakan Spektrofotometer UV/VIS dengan panjang gelombang 517 nm dan kemudian dilakukan pengulangan sebanyak 3 kali. Setelah itu, dilakukan perhitungan persentase inhibisi dan didapatkan kadar IC50 antioksidan. Kemudian, perbedaan kadar antioksidan keduanya dilakukan uji statistik Independent T-Test. Hasil: Terdapat aktivitas antioksidan pada larutan ekstrak daun jeruk purut dan larutan cuka apel Malang. Larutan ekstrak daun jeruk purut dapat dideteksi dengan larutan induk konsentrasi 0,1% dengan kadar antioksidan 347,691 µg/ml dan larutan cuka apel Malang dapat dideteksi dengan larutan induk 5% dan 2,5% dengan kadar antioksidan 8375,25 µg/ml dan 8021,162 µg/ml. Keduanya memiliki perbedaan kadar antioksidan secara statistik. Kesimpulan: Terdapat perbedaan kadar antioksidan pada larutan ekstrak daun jeruk purut dan larutan cuka apel Malang dengan berbagai konsentrasi. Larutan ekstrak daun jeruk purut efektif menangkal radikal bebas pada konsentrasi sekitar 0,03%, sedangkan larutan cuka apel Malang efektif pada konsentrasi sekitar 0,8%.

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Background: Free radicals have destructive properties in dental treatments, one of which is in root canal procedures. In root canal treatment, irrigation materials that have been used can cause damage to the root canal because they have free radical compounds. Therefore, it is necessary to find natural herbal ingredients that can be a source of antioxidants as an antidote to free radicals that can play a positive role in root canal treatment. Many studies have been developed by researchers to make kaffir lime leaf extract solution and Malang apple vinegar solution as standardized herbal medicines from Indonesia to phytopharmaceuticals. One of the tests that must be done is antioxidant testing because the two natural herbal ingredients are found antioxidant compounds in the form of phenols and flavonoids in phytochemical and GCMS tests. Objective: This study aims to see the differences in antioxidant activity and levels in kaffir lime leaf extract solution and Malang apple vinegar solution at various concentrations. Methods: This research is a laboratory experiment with DPPH method. Test samples in the form of 10%, 5%, and 2.5% kaffir lime leaf extract solution and Malang apple vinegar solution were made in serial concentrations by dilution. Antioxidant activity test was conducted by looking at the color change in the solution, from purple to yellow color if there is antioxidant activity in the test solution. Furthermore, the antioxidant content was measured by looking at the absorbance level using UV/VIS Spectrophotometer with a wavelength of 517 nm and then repeated 3 times. After that, the percentage of inhibition was calculated and the IC50 value of antioxidant was obtained. Then, the difference in antioxidant levels between the two was carried out Independent T-Test statistical test. Results: There is antioxidant activity in kaffir lime leaf extract solution and Malang apple vinegar solution. Kaffir lime leaf extract solution can be detected with 0.1% concentration mother liquor with antioxidant levels of 347.691 µg/ml and Malang apple vinegar solution can be detected with 5% and 2.5% mother liquor with antioxidant levels of 8375.25 µg/ml and 8021.162 µg/ml. Both have statistically different antioxidant levels. Conclusion: There are differences in antioxidant levels in kaffir lime leaf extract solution and Malang apple vinegar solution with various concentrations. Kaffir lime leaf extract solution is effective against free radicals at a concentration of about 0.03%, while Malang apple vinegar solution is effective at a concentration of about 0.8%."

"ABSTRAKLatar belakang: Kegagalan perawatan saluran akar dapat disebabkan oleh mikroorganisme yang resisten. E.faecalis merupakan bakteri resisten dengan prevalensi yang paling banyak ditemukan pada kegagalan perawatan saluran akar. E.faecalis dapat membentuk biofilm di dalam saluran akar sehingga 1000 kali lebih resisten terhadap fagositosis, antibodi, dan antimikroba dibandingkan dalam bentuk planktonik. Diperlukan larutan irigasi dari bahan alami atau herbal, yang efektif membuhun E.faecalis untuk menghindari efek samping yang diakibatkan oleh bahan irigasi sintetik. Tujuan: Menganalisis efek antibakteri Xanthorrhizol yang berasal dari Curcuma xanthorriza Roxb terhadap biofilm Enterococcus faecalis isolat klinis. Metode: Dilakukan uji hitung koloni dan MTT Assay untuk menilai persentase eradikasi E.faecalis setelah pemaparan xanthorrhizol dengan berbagai konsentrasi (0,5%, 0,75%, 1%, 1,25%, dan 1,5%) serta CHX 2% sebagai kontrol positif. Hasil: Analisis data menggunakan uji One-Way ANOVA dan uji Post-Hoc Bonferroni untuk melihat perbedaan antar kelompok. Xanthorrhizol konsentrasi 0,5%, 0,75%, 1%, 1,25%, dan 1,5% mampu menurunkan jumlah biofilm E.faecalis isolat klinis. Xanthorrhizol konsentrasi 1% secara statistik tidak berbeda bermakna dengan CHX 2% dalam kemampuannya sebagai antibakteri E.faecalis (p>0,05) namun berbeda bermakna dengan kelompok 0,5%, 0,75%, 1,25%, dan 1,5% (p>0,05) dengan nilai eradikasi E.faecalis lebih rendah. Kesimpulan: Dari hasil penelitian dapat disimpulkan bahwa xanthorrhizol efektif sebagai antibakteri terhadap biofilm E.faecalis.

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ABSTRACTBackground: Failure of root canal treatment can be caused by resistant microorganisms. E.faecalis is the most prevalent resistant bacterium found in root canal treatment failure. E.faecalis can form biofilms inside root canal so that it is 1000 times more resistant toward phagocytosis, antibodies, and antimicrobials than when it is in its planktonic form. An irrigation solution made from natural or herbal ingredients, which effectively kills E.faecalis is needed to avoid side effects caused by synthetic irrigation materials. Objective: To analyze the antibacterial effect of xanthorrhizol derived from Curcuma xanthorriza Roxb on clinical isolates of Enterococcus faecalis biofilm. Method: Colony count and MTT Assay were performed to assess the percentage of E.faecalis eradication after exposure to xanthorrhizol with various concentrations (0,5%, 0,75%, 1%, 1,25%, and 1,5%) and CHX 2% as a positive control. Results: Data analysis used One-Way ANOVA test and Bonferroni Post-Hoc test to see differences between groups. Xanthorrhizol concentrations of 0,5%, 0,75%, 1%, 1,25%, and 1,5% were able to reduce the number of clinical isolates of E.faecalis biofilms. Xanthorrhizol 1% concentration was not statistically significantly different from 2% CHX in its ability as an antibacterial to E.faecalis biofilm (p>0,05) but was significantly different from groups of 0,5%, 0,75%, 1,25%, and 1,5% (p>0,05) with lower E.faecalis eradication values. Conclusion: From the study results, can be concluded that xanthorrhizol is effective as an antibacterial against E.faecalis biofilms."

"Latar Belakang: E.faecalis isolat klinis merupakan bakteri yang menyebabkan lesi periapeks persisten. Bioceramic dan Mineral Trioxide Aggregate merupakan siler yang mempunyai sifat anti bakteri. Tujuan: Untuk menganalisis efek anti bakteri siler Bioceramic dan MTA terhadap E.faecalis isolat klinis pada waktu 2 menit segera , 4 jam initial setting , 1 dan 7 hari setelah pengadukan siler. Metode: Efek anti bakteri siler Bioceramic dan MTA diperiksa dengan direct contact test. Masing-masing siler dikontakkan langsung dengan E.faecalis isolat klinis 2 menit, 4 jam, 1 dan 7 hari setelah pengadukan siler. Suspensi ini dioleskan pada medium agar dan diinkubasi 24 jam untuk melihat koloni bakteri yang tumbuh CFU/ml. Hasil: Terdapat perbedaan bermakna antara siler Bioceramic dan MTA pada waktu 7 hari, antara siler Bioceramic pada waktu 2 dan 4 jam serta waktu 4 jam dan 7 hari setelah pengadukan siler. Kesimpulan: siler Bioceramic dan MTA mempunyai efek anti bakteri yang baik terhadap E.faecalis pada saat segera, initial setting, dan 1 hari setelah pengadukan siler, pada waktu 7 hari setelah pengadukan, siler MTA yang paling baik. Siler MTA mempunyai efek anti bakteri yang konstan sampai 7 hari Keywords : Entereococcus faecalis isolat klinis, Siler Bioceramic dan Mineral Trioxide Aggregate MTA

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Background: E.faecalis isolate clinic is a kind of bacteria that cause persistent periapical lesion. Bioceramic and Mineral Trioxide Aggregate are sealers that having antibacterial properties.

Aim: To analyze antibacterial effect of Bioceramic and MTA sealers against E.faecalis isolate clinic at 2 minutes fresh , 4 hours initial setting , 1 day and 7 day after mixed the sealers.

Methods: Antibacterial effect of Bioceramic and MTA sealers was assessed by direct test contact. Each sealer was contacted with E.faecalis isolate clinic at 2 minutes, 4 hours, 1 day and 7 days after mixed the sealers. This suspension was swab in agar medium and incubated for 24 hours. The colony in agar plates is counted with colony forming unit CFU .

Result: The significant differences was shown by Bioceramic and MTA at 7 days, between Bioceramic at 2 minutes fresh and 4 hours initial setting also at 4 hours initial setting and 7 days after mixed the sealer.

Conclusion: Both of Bioceramic and MTA sealers have a good antibacterial effect at fresh, initial setting and 1 hour after mixed the sealer but at 7 days, MTA was the greater. MTA sealer has a constant antibacterial effect until 7 days. "

"Latar Belakang: Fokus disinfeksi saluran akar telah berubah dari disinfeksi agresif menjadi seleksi protektif dalam prosedur regeneratif endodontik. Larutan irigasi sintetik yang digunakan hingga saat ini toksik terhadap sel punca pulpa, salah satunya yang memiliki kemampuan proliferasi dan transdiferensiasi tinggi adalah hDPSCs. Oleh sebab itu, penelitian terkait disinfeksi berbahan alami yang mampu mempertahankan viabilitas sel punca terus berkembang pesat. Salah satu larutan irigasi alami yang bersifat antimikrobial dan agen kelator adalah larutan cuka apel. Untuk menjadikannya obat herbal terstandar hingga fitofarmaka, perlu diidentifikasi kelompok senyawa kimia dan uji viabilitas hDPSCs.Tujuan: Menganalisis pengaruh larutan cuka apel berbagai konsentrasi terhadap viabilitas hDPSCsMetode: hDPSCs ditambahkan DMEM+FBS10% (kontrol negatif), EDTA 17% (kontrol positif), larutan cuka apel dengan konsentrasi 2,5%, 5%, dan 10% dengan enam kali pengulangan. Selanjutnya, persentase viabilitas hDPSCs didapat dari MTT assays melalui microplate reader dalam nilai absorbansi. Data kemudian diolah statistik melalui uji parametrik One-way ANOVA.Hasil: Nilai rerata viabilitas sel hDPSC pada semua kelompok perlakuan bernilai diatas 70% sehingga tidak toksik menurut standar ISO dengan rerata viabilitas tertinggi pada kelompok 2,5% dan terendah pada kelompok EDTA 17% diikuti kelompok 10%.Kesimpulan: Larutan cuka apel dapat diidentifikasi kelompok senyawa kimia dan nilai viabilitas sel paling tinggi pada konsentrasi 2,5%.

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Background: Focus on root canals disinfection have shift from aggressive to protective selection in regenerative endodontic procedures. Synthetic root canals irrigation that had been used until now are toxic toward pulp stem cells, one of them, hDPSCs which have higher proliferation and transdifferentiation ability. Therefore, research on natural disinfection which maintain stem cell viability keep developing rapidly. One of the natural disinfection that has antimicrobial effect and chelating agent is apple cider vinegar. To standardized it as modern medicine, need to identify group of chemical compounds and analyzing the viability percentage of hDPSCs.

Objective: Analyze the impact of apple cider vinegar solution in various concentrations on viability of hDPSCs.

Methods: hDPSCs were given DMEM+FBS10% (negative control), 17% EDTA (positive control), apple cider vinegar solution in 2.5%, 5% and 10% concentrations with six repetitions. Percentage viability of hDPSCs were analyze from MTT assays with microplate reader in absorbance value. Then, data were proccessed statictically with parametric One-way ANOVA.

Results: The average viability of hDPSCs were above 70% which considered non-toxic according to ISO, with the highest cells viability in 2.5% and the lowest cells viability in 17% EDTA followed by 10% groups.

Conclusion: Apple cider vinegar solution’s chemical compounds can be identified with the highest cells viability were at 2.5%."

"[ABSTRAKCuka apel telah lama digunakan untuk menekan nafsu makan dengan tujuan untuk menurunkan berat badan. Namun, belum banyak bukti penelitian ilmiah yang membuktikan pengaruh penekanan nafsu makan tersebut. Dengan demikian peneliti melakukan sebuah studi eksperimental dengan hipotesis yang akan diuji adalah efektivitas cuka apel dalam menurunkan nafsu makan tikus tidak sebaik yang dimiliki mazindol. Jenis tikus yang digunakan sebagai sampel penelitian adalah tikus Sprague Dawley dengan berat 190- 250 gram. Sampel berjumlah 24 ekor dan dibagi dalam 3 kelompok, yaitu kelompok kontrol (sebagai kontrol negatif), kelompok mazindol (sebagai kontrol positif), dan kelompok cuka apel. Semua sampel mendapat perlakuan yang sama. Nafsu makan, yang ditunjukkan oleh berat sisa makanan yang diamati selama 2 minggu. Data berat sisa makanan dianalisis menggunakan uji hipotesis One Way Anova dan uji Post Hoc. Peneliti mendapati ada perbedaan bermakna secara statistik berat sisa makanan antara kelompok kontrol dan kelompok cuka apel (p = 0,000) dengan uji One Way Anova dan (p = 0,000) dengan uji Post Hoc. Sementara itu, tidak adanya perbedaan bermakna terlihat pada kelompok kontrol dan mazindol (p = 0,623)dengan uji Post Hoc. Dengan demikian disimpulkan efektivitas cuka apel dalam menurunkan nafsu makan lebih baik daripada mazindol.

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ABSTRACTApple cider vinegar has beend used for ages in suppressing appetite in order to lose weight. Meanwhile, there are only few valid studies regarding this matter. Thereby, researcher conducted an experimental study and define the effectiveness of apple cider vinegar is not as good as mazindol for suppressing appetite as the hypothesis. Researcher used Sprague Dawley strain rats which weight are 190-250 grams as research sample. Twenty four rats devided into 3 groups, that is control group (as negative control), mazindol group (as positive control), and apple cider vinegar group. All samples given same treatment. Appetite assessed by the weight of leftovers which has been monitored for 2 weeks. The data of leftovers analyzed by One Way Anova and Post Hoc hyphoteses tests. Researcher found that there is significance difference of leftovers between control and apple cider vinegar group (p = 0,000) using One Way Anova test and (p = 0,000) using Post Hoc test. Meanwhile there is no significance difference between control and mazindol group (p = 0,623) using Post Hoc hypothesis test. In conclusion, the effectiveness of apple cider vinegar in suppressing appetite is better than mazindol.;Apple cider vinegar has beend used for ages in suppressing appetite in order to lose weight. Meanwhile, there are only few valid studies regarding this matter.Thereby, researcher conducted an experimental study and define the effectiveness of apple cider vinegar is not as good as mazindol for suppressing appetite as the hypothesis. Researcher used Sprague Dawley strain rats which weight are 190-250 grams as research sample. Twenty four rats devided into 3 groups, that is controlgroup (as negative control), mazindol group (as positive control), and apple cider vinegar group. All samples given same treatment. Appetite assessed by the weight of leftovers which has been monitored for 2 weeks. The data of leftovers analyzed by One Way Anova and Post Hoc hyphoteses tests. Researcher found that there is significance difference of leftovers between control and apple cider vinegar group (p = 0,000) using One Way Anova test and (p = 0,000) using Post Hoc test.Meanwhile there is no significance difference between control and mazindol group (p = 0,623) using Post Hoc hypothesis test. In conclusion, the effectiveness of apple cider vinegar in suppressing appetite is better than mazindol., Apple cider vinegar has beend used for ages in suppressing appetite in order to lose weight. Meanwhile, there are only few valid studies regarding this matter.Thereby, researcher conducted an experimental study and define the effectiveness of apple cider vinegar is not as good as mazindol for suppressing appetite as the hypothesis. Researcher used Sprague Dawley strain rats which weight are 190-250 grams as research sample. Twenty four rats devided into 3 groups, that is controlgroup (as negative control), mazindol group (as positive control), and apple cider vinegar group. All samples given same treatment. Appetite assessed by the weight of leftovers which has been monitored for 2 weeks. The data of leftovers analyzed by One Way Anova and Post Hoc hyphoteses tests. Researcher found that there is significance difference of leftovers between control and apple cider vinegar group (p = 0,000) using One Way Anova test and (p = 0,000) using Post Hoc test.Meanwhile there is no significance difference between control and mazindol group (p = 0,623) using Post Hoc hypothesis test. In conclusion, the effectiveness of apple cider vinegar in suppressing appetite is better than mazindol.]"

"Latar belakang: Jeruk memiliki khasiat untuk kesehatan karena megandung vitamin, antioksidan, dan senyawa lain. Jeruk purut (Citrus Hystrix) merupakan jenis jeruk yang memiliki senyawa fenol yang tinggi. Jeruk purut memilki potensi antibakteri terhadap bakteri Gram-positif dan Gram-negatif. Daun jeruk purut mengandung senyawa bioaktif seperti flavonoids, fenolik, tannin dan minyak esensial. Pada fase vegetative, kandungan flavonoid jeruk purut tertinggi pada daun tua. Efek antibakteri flavanoids adalah dengan mekanisme menghambat sintetik asam nukleat, menghambat fungsi membran sitoplasma sel, dan merubah permeabilitas membran sehingga memengaruhi sifat patogenitas bakteri Tujuan: Mendapatkan perbedaann efek antibakteri berbagai konsentrasi larutan ekstrak daun jeruk purut terhadap biofilm Enterococcus faecalis. Mendapatkan perbedaan efek antibakteri larutan ekstrak daun jeruk purut konsentrasi 2,5%, 5%, 10% dan 20% dan NaOCl 2,5% terhadap bakteri Enterococcus faecalis. Metode: Empat kelompok sampel diuji dengan larutan ekstrak daun jeruk purut masing masing 2,5%, 5%, 10%, dan 20%. Kelompok kontrol positif dilakukan pemaparan NaOCl 2,5%, dan kelompok kontrol negatif tanpa perlakuan. Efek antibakteri dilihat dari jumlah koloni pada media BHI agar. Hasil: Rerata koloni bakteri Enterococcus faecalis dari masing masing kelompok dengan nilai p=0,00 (berbeda bermakna). Nilai koloni tertinggi pada kelompok kontrol negatif dan larutan ekstrak daun jeruk purut 2,5% dan terendah pada kelompok kontrol positif dan larutan ekstrak daun jeruk purut 20%. Kelompok ekstrak daun jeruk purut dengan konsentrasi 2,5%, 5%, 10% dan 20% menunjukan perbedaan bermakna dengan kompok positif NaOCl 2,5% dan kelompok kontrol negatif. Kelompok ekstrak daun jeruk purut dengan konsentrasi 2,5% juga memiliki perbedaan bermakna dengan konsentrasi 10% dan 20%. Kesimpulan: Konsenstrasi larutan ekstrak daun jeruk purut 20% memiliki efek antibakteri Enterococcus faecalis yang paling baik dibandingkan pada konsentrasi 10%, 5%, 2,5%. Efek antibakteri larutan ekstrak daun jeruk purut 2,5%, 5%,10% dan 20% terhadap bakteri Enterococcus faecalis lebih rendah dibandingkan dengan larutan NaOCl 2,5%.

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Citrus contains vitamin, antioxidant, and other compounds that beneficial to the health. Lime (Citrus Hystrix) contains high concentration of phenol that has antibacterial potential against gram-positive and gram-negative bacterias. Lime leaf contains bioactive compounds such as flavonoids, phenolic, tannin, and essential oils. In vegetative state, old lime leaf contains the highest concentration of flavonoids. Flavonoids inhibit synthetic of nucleatic acid and citoplasmic cell membrane's function of bacteria, and affect bacterial pathogenetic by altering its membrane permeability.Objective: To obtain the difference of antibacterial effects of various lime extract concentration (2,5%; 5%; 10%; and 20%) and 2,5% of NaOCl against Enterococcus faecalis biofilm. Methods: Four sample groups tested using 2,5%; 5%; 10%; and 20% concentration of lime extract. 2,5% concentration of NaOCl was used as positive control group and no treatment was used as negative control group. Antibacterial effects were observed by the amount of bacterial colonies in BHI agar. Results: The mean of Enterococcus faecalis in each group with p=0.00 (significant). Negative control group and 2.5% lime extract concentration group had the highest amount of bacterial colonies. Positive control group and 20% lime extract concentration group had the lowest amount of bacterial colonies. All sample groups showed significant difference with positive and negative control group. 2.5% lime extract group had significant difference with group of 10% and 20% lime extract concentration. Conclusion: 20% lime extract concentration showed higher potential of antibacterial against Enterococcus faecalis than 2,5%; 5%; and 20% concentration. Antibacterial effects of lime extract in every concentration groups were lower than 2,5% NaOCl"

"Latar Belakang : E. faecalis merupakan bakteri yang mampu membentuk biofilm dan banyak ditemukan pada kasus kelainan periapeks. Tujuan : Mengetahui perbandingan daya antibakteri ekstrak kulit jeruk lemon (Citrus limon l.) dan klorheksidin 2% terhadap biofilm E. faecalis dari isolat klinis. Metode : Menilai kekeruhan larutan biofilm E. faecalis pasca pemaparan bahan uji, dengan ELISA reader. Hasil : Terdapat daya antibakteri ekstrak kulit jeruk lemon (Citrus limon l.) terhadap biofilm E. faecalis tetapi tidak terdapat perbedaan bermakna dengan klorheksidin 2% (p>0.05). Kesimpulan : Daya antibakteri ekstrak kulit jeruk lemon (Citrus limon l.) terhadap biofilm E. faecalis sebanding dengan klorheksidin 2%.

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ackground : E. faecalis has the ability to form biofilm and is often found in cases of periapical lesions. Aim: To compare the effectivity of lemon peel extract and 2% chlorhexidine against biofilm of E. faecalis. Method : Score the turbidity of E. faecalis biofilm after immersion in antibacterial agent, with ELISA reader. Result : Lemon peel extract has antibacterial effectivity against E. faecalis biofilm but has no significant difference compared to 2% chlorhexidine (p>0.05). Conclusion : Antibacterial effectivity of lemon peel extract against E. faecalis biofilm is equal to2% chlorhexidine. "