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"Stomatitis Aphtous Rekuren (SAR) merupakan kondisi inflamasi kronis yang terjadi pada mukosa mulut yang ditandai dengan terbentuknya ulser. Patch mukoadhesif dapat ditujukan untuk melindungi ulser dari lingkungan mulut dan meningkatkan efektivitas terapi RAS dengan memperpanjang durasi perlekatan. Kurkumin merupakan senyawa yang memiliki aktivitas antiinflamasi sedangkan brazilin memiliki aktivitas antimikroba yang keduanya dapat digunakan untuk terapi RAS. Oleh sebab itu, tujuan penelitian ini adalah membuat dan mengevaluasi patch mukoadhesif dari ekstrak kayu secang dan kurkumin untuk terapi RAS. Patch mukoadhesif dibuat dengan teknik solvent casting dengan menggunakan polikarbofil dan etil selulosa sebagai polimer. Bahan padat dilarutkan dengan etanol lalu ditambahkan plasticizer kemudian dituang ke dalam cawan petri. Patch dibuat dengan 3 formulasi kurkumin-ekstrak kayu secang yang berbeda, yaitu 1:1 (F1), 3:1 (F2), dan 1:3 (F3). Patch yang terbentuk dievaluasi sifat fisiko-mekanik serta profil pelepasannya. Patch memiliki bobot yang seragam dengan ketebalan kurang dari 0,1 mm. Nilai kekuatan tarik sekitar 10,0 N/cm2, kekuatan mukoadhesif berkisar 6,7 sampai 7,5 N/cm2 dan mampu melekat hingga 2 jam. Dalam waktu 2 jam, brazilin telah terdisolusi sebanyak 100,58 % (F1) hingga 104,75% (F3) sedangkan kurkumin terdisolusi sebanyak 97,15% (F3) hingga 101,64% (F1). Secara keseluruhan, patch dapat dibuat dan memiliki karakteristik fisiko-mekanik dan profil pelepasan obat yang baik.

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Recurrent Aphtous Stomatitis (RAS) is a chronic inflammatory disease of the oral mucosa characterized by the formation of ulcers. Mucoadhesive patch is designed to protect the ulcers from the oral environment and increase the effectiveness of RAS therapy by prolonging the duration of attachment. Curcumin is compound that have antiinflammatory activity while brazilin have antimicrobial activity, both of which can be used for RAS therapy. For those reasons, this study aimed to produce and evaluate mukoadhesive patch containing sappanwood extract and curcumin for RAS therapy. Mucoadhesive patch were prepared by solving casting method using polycarbophil and ethyl cellulose as polymers. The patch were made in 3 formulations with different concentration of curcumin and sappanwodd extract, namely 1:1 (F1), 3:1 (F2), and 1:3 (F3). Mucoadhesive patch were evaluated of physicomechanical properties and dissolution profile. The patch of all formulations have a uniform weight with a thickness of less than 0,1 mm. The tensile strength of the patch were around 10,0 N/cm2 and mucoadhesive strength were in range of 6,7 to 7,5 N/cm2 and was able to adhere for up to 2 hours. Within 2 hours, the release of brazilin reached 100,58 % (F1) to 104,75% (F3) while the release of curcumin was 97,15% (F3) to 101,64% (F1). In conclusion, the patch has been produced with good physicomechanical properties and drug release profile."

"Oral lichen planus (OLP) is a rather common oral disease, mainly affecting adults, occurring more often in women than in men. The etiopathogenesis is still unclear. The diagnosis may be cumbersome, even in the presence of a biopsy. In addition, there are several lesions that may resemble lichen planus (lichenoid lesions) both clinicallyand histopathologically. Treatment of OLP can only be symptomatic and usually consists of topical application of corticosteroids. The disease is characterized by remissions and exacerbations and may persist in some patients lifelong. There is an ongoing debate in the literature as whether OLP is a potentially malignant disease. Because of this uncertainty, annual follow-up is advised."

"Latar Belakang: Mukositis merupakan salah satu efek samping yang timbul akibat kemoterapi. Mukositis menyebabkan timbulnya rasa sakit, ketidaknyamanan, kesulitan berbicara, menelan, makan, minum, kekurangan nutrisi, kelemahan sistemik hingga infeksi. Probiotik mengandung mikroorganisme nonpatogen yang memberikan manfaat bagi kesehatan dan membantu dalam pencegahan inflamasi pada rongga mulut. Beberapa studi telah melaporkan manfaat probiotik bagi kesehatan oral. Tujuan: Menganalisis efek probiotik Lactobacillus casei terhadap keadaan klinis mukosa oral pada anak dengan Leukemia Limfositik Akut yang menjalani kemoterapi sebelum berkumur probiotik L.casei, setelah berkumur L.casei selama 7 hari dan 14 hari. Metode Penelitian: Penelitian dilakukan di RS Kanker Dharmais dan RS Kramat 128. Sebelas pasien yang memenuhi kriteria. Tiga hari setelah pemberian kemoterapi, peneliti memeriksa keadaan klinis rongga mulut menggunakan Oral Assessment Guide (OAG). Pasien kemudian mulai berkumur probiotik L.casei dua kali sehari selama 7 hari dan 14 hari. Skor OAG diperiksa kembali setelah berkumur probiotik L.casei selama 7 hari dan 14 hari. Hasil: Terdapat penurunan skor OAG yang bermakna antara sebelum berkumur dengan setelah berkumur probiotik L.casei selama 7 hari dan 14 hari. Kesimpulan: Probiotik L.casei memberikan efek pada anak dengan leukemia limfositik akut yang menjalani kemoterapi dan dapat menjadi terapi alternatif terhadap mukositis oral.

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Mucositis is one of the side effects induced by chemotherapy. It results in pain, discomfort, difficulties in talking, swallowing, eating, drinking, poor nutrition, systemic weakness and life-threatening infections. Probiotics contain nonpathogenic live microorganisms that give benefit to our health and help in preventing inflammation in the oral cavity. Several studies have reported the use of probiotics for oral health purposes. Objective: To analyze the effect of probiotic Lactobacillus casei to clinical appearance of oral mucosa in children with Acute Lymphocytic Leukemia that underwent the chemotherapy process before gargling, 7 days after gargling, and 14 days after gargling with probiotic. Methods: The study was held in National Cancer Hospital “Dharmais” and Kramat 128 Hospital. Eleven patients were meet the criteria. Three days after the chemotherapy started, the researcher checked the patient’s oral mucosa condition using Oral Assessment Guide (OAG). Then the patient started to gargle the probiotic twice a day for 7 days and the researcher rechecked the score of oral mucositis after 7 days and 14 days. Results: There was a significance decreasing OAG score between before gargling with 7 days and 14 days after gargling L.casei probiotics. Conclusion: L.casei probiotics gave effects in children with acute lymphocytic leukemia during chemotherapy and could be an alternative therapy for oral mucositis."