Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Latar belakang. Periodontitis memiliki angka prevalensi yang tinggi diberbagai populasi dunia termasuk salah satunya Indonesia. Penyakit ini menyebabkan kehilangan jaringan penyangga gigi pada penderita. Salah satu parameter dalam mengetahui tingkat keparahan penyakit yakni melalui pengukuran clinical attachment loss (CAL). Berbagai faktor risiko berperan dalam inisiasi dan progresivitas penyakit periodontal. Penelitian terdahulu menunjukkan variasi distribusi CAL berdasarkan faktor risiko. Studi mengenai distribusi CAL pada pasien periodontitis dilakukan sebagai acuan dalam mengidentifikasi faktor risiko yang berpengaruh terhadap tingkat keparahan penyakit. Tujuan. Memperoleh distribusi CAL pada penderita periodontitis di RSKGM FKG UI tahun 2018–2020 beserta faktor risiko yang mempengaruhinya. Metode penelitian. Penelitian deskriptif dengan desain studi potong-lintang menggunakan data sekunder dari rekam medis RSKGM FKG UI tahun 2018–2020 yang memenuhi kriteria inklusi, pengambilan sampel dilakukan dengan teknik consecutive sampling. Hasil penelitian. CAL yang paling umum ditemukan termasuk dalam kategori parah (80%), proporsi terbesar terdapat di regio posterior rahang atas (15,36%). Mayoritas hasil pengukuran indeks plak baik (41,4%) dan indeks kalkulus buruk (32,9%) dengan CAL parah. Sebagian besar subjek memiliki titik kontak tidak normal (47,1%). Sejumlah 52,1% subjek tidak dipengaruhi faktor risiko malposisi dan mengalami CAL parah. Mayoritas tidak dipengaruhi faktor risiko trauma oklusi dengan 35% mengalami CAL parah, trauma oklusi terkait artikulasi merupakan faktor risiko yang paling umum ditemukan (17,9%). Distribusi subjek menunjukkan 87,1% tidak merokok; 71,4% tidak merokok dan mengalami CAL parah. Subjek penelitian mayoritas orang dewasa (92,1%); sebagian besar mengalami CAL parah (75,7%). Jenis kelamin 59,3% perempuan dan 40,7% laki-laki; 48,6% merupakan subjek perempuan dengan CAL parah. Kesimpulan. Penderita periodontitis di RSKGM FKG UI tahun 2018–2020 mayoritas mengalami CAL parah. Pengukuran indeks plak menunjukkan sub kelompok terbesar pada kategori baik dengan CAL parah dan indeks kalkulus buruk. Sebagian besar gigi yang mengalami CAL terparah pada subjek memiliki titik kontak tidak normal dan tidak terdapat malposisi. Ditemukan mayoritas tidak memiliki faktor risiko trauma oklusi. Data yang terkumpul menunjukkan sebagian besar subjek tidak merokok. Penderita periodontitis paling banyak pada kelompok usia dewasa dan berjenis kelamin perempuan. ......Introduction. Periodontitis is a disease with high prevalence rate in various world populations including Indonesia. The disease causes loss of tooth–supporting tissue in patients. One of the parameters in determining the severity of the disease is through the measurement of clinical attachment loss (CAL). Various risk factors play a role in the initiation and progression of periodontal disease. Previous studies have shown variations in the distribution of CAL based on risk factors. A study on the distribution of CAL in periodontitis patients was carried out as a reference in identifying risk factors that influence the severity of the disease. Objectives. To obtain the distribution of CAL in periodontitis patients at RSKGM FKG UI in 2018–2020 along with contributing risk factors. Methods. Descriptive study with cross-sectional design using secondary data from the medical records at RSKGM FKG UI in 2018–2020 along with inclusion and exclusion criterias, sampling was carried out using consecutive sampling technique. Results. The most common CAL found was in the severe category (80%), with the largest proportion in the maxillary posterior region (15.36%). Majority of plaque index measurements were categorized good (41.4%) and calculus index mostly bad (32.9%) accompanied with severe CAL. Most of the subjects had abnormal tooth proximal contact (47.1%). A total of 52.1% of the subjects did not have tooth malposition accompanied with severe CAL. Majority were not affected by occlusal trauma with 35% having severe CAL; articulation- related occlusal trauma was the most common risk factor found (17.9%). Distribution of subjects showed that 87.1% were non-smokers; with 71.4% non-smokers having severe CAL. Subjects mostly consisted of adults (92.1%); most of them had severe CAL (75.7%). Gender proportion showed 59.3% female and 40.7% male; 48.6% were female subjects with severe CAL. Conclusion. Periodontitis patients at RSKGM FKG UI in 2018–2020 experienced severe CAL. Plaque index measurements mostly categorized good with severe CAL, along with poor calculus index. Majority of the teeth with most severe CAL in the subjects had abnormal proximal contact and no malposition. It was found that the majority had no risk factors regarding trauma from occlusion. The data collected showed that most of the subjects were non-smokers with majority of the patients being adult females.

Abstrak :
ABSTRAK
Background: periodontitis is a major cause of chronic infection in diabetic patients. Diabetic patients have four-fold risk of having cardiovascular disease. Chronic inflammation caused by periodontitis, a non-traditional cardiovascular risk factor is widely known to play a major role in atherogenesis. Among non-diabetics, an association has been found between periodontitis and arterial stiffness, but in diabetic patients the result is inconsistent. No study has investigated either the proportion of periodontitis or its correlation with arterial stiffness in type 2 diabetes population in Indonesia. Methods: this study was a cross-sectional study involving 97 patients with type 2 diabetics, who were recruited on Endocrinology Clinic from April to August 2017. Periodontitis was measured for pocket depth, clinical attachment loss and bleeding on probing by a periodontist. Carotid-femoral PWV (Pulse Wave Velocity) was measured using SphygmoCor Xcel with cuff-based tonometry technique. Results: periodontitis was found in 99% type 2 diabetic subjects and 78% of them had severe periodontitis. There was no significant correlation found between pocket depth, clinical attachment loss and cfPWV (r=0.024, p=0.407 and r=0.011, p=0.456); whereas there was a weak positive correlation between pocket depth and PWV (r=0.294, p=0.041) in well-controlled type 2 diabetics. Conclusion: most of type-2 diabetics had severe periodontitis; however, the correlation between periodontitis and arterial stiffness could not be concluded in this study.

Abstrak :
Latar belakang : Penyakit periodontal disebabkan oleh akumulasi plak mengandung kumpulan mikroorganisme patogen yang memicu respons imun host, menyebabkan pelepasan mediator inflamasi. Peradangan jaringan periodontal yang bersifat kronis menyebabkan inflamasi sistemik derajat rendah dan peningkatan kadar sitokin, seperti Interleukin 1 Beta (IL-1β). Respons imun yang konstan terhadap antigen terus menerus terjadi pada penderita long Covid. Terdapat persamaan respons inflamasi menunjukkan potensi hubungan antara periodontitis dengan infeksi COVID-19. Evaluasi parameter klinis periodontal subjek dengan dengan dan tanpa riwayat COVID-19 memberikan pemahaman dampak COVID-19 terhadap kesehatan periodontal Tujuan: Menganalisis hubungan penyakit periodontal dan riwayat COVID-19 dengan parameter klinis periodontal dan kadar sitokin IL-1β. Metode : Subjek penelitian berjumlah 36 orang terbagi menjadi tiga kelompok yaitu sehat periodontal, gingivitis dan periodontitis dengan parameter klinis periodontal yang diperiksa yaitu kehilangan perlekatan klinis / CAL, indeks plak / PI, perdarahan papila interdental / PBI dan gingival index (GI). Peneliti menganalisis hasil perbandingan nilai CAL, PI, PBI, dan GI pada subjek penyakit periodontal dengan riwayat COVID-19 dan kadar interleukin dengan ELISA. Hasil: Terdapat perbedaan subjek sehat, dan subjek penyakit periodontal dengan parameter klinis periodontal CAL, PI, PBI, GI yang signifikan (p<0.05). Kecenderungan peningkatan parameter klinis periodontal CAL, PI, PBI, GI sesuai keparahan penyakit periodontal. Subjek riwayat COVID-19 memiliki kadar sitokin IL-1β lebih tinggi dibandingkan tanpa riwayat (p<0.05). Terdapat hubungan parameter klinis Gingival Index (GI) pada subjek Gingivitis dan PBI dengan kadar sitokin IL-1β pada subjek riwayat COVID-19. Kesimpulan: Terdapat hubungan penyakit periodontal dan riwayat COVID- 19 dengan parameter klinis periodontal dan kadar sitokin IL-1β. Studi ini menunjukkan bahwa penyakit periodontal merupakan faktor resiko keparahan dari infeksi COVID dan sebaliknya. ......Background: Periodontal disease, including gingivitis and periodontitis, is caused by the accumulation of plaque containing a group of pathogenic microorganisms that trigger the host's immune response, leading to the release of inflammatory mediators. Chronic inflammation of the periodontal tissues causes low-grade systemic inflammation and an increase in cytokine levels, such as Interleukin 1 Beta (IL-1β). Constant immune responses to continuous antigen exposure occur in individuals with long Covid. The similarity in inflammatory responses indicates a potential connection between periodontitis and COVID-19 infection. Evaluating the clinical parameter periodontal of subjects with and without a history of COVID-19 provides insights into the impact of COVID-19 on periodontal health Objective: To analyze the relationship between periodontal disease and a history of COVID-19 with clinical parameter periodontal and IL-1β cytokine levels. Methods: The study included 36 participants divided into three groups: a healthy periodontal group, a gingivitis group, and a periodontitis group. The clinical parameter periodontal was assessed using clinical attachment loss (CAL), plaque index (PI), papillary bleeding index (PBI), and gingival index (GI). The researcher analyzed the mean values of CAL, PI, PBI, and GI in patients with periodontal disease, considering their history of COVID-19 and interleukin levels using ELISA. Result: Significant differences were found between subjects with healthy clinical parameter periodontal and those with periodontal disease, as indicated by the values of CAL, PI, PBI, and GI (p <0.05). There was a trend of increasing CAL, PI, PBI, and GI values in line with the severity of periodontal disease. Subjects with a history of COVID-19 showed higher levels of IL-1β cytokine compared to those without a history (p <0.05). There was a relationship between clinical parameter periodontal (Gingival Index - GI) in subjects with gingivitis and PBI with the IL-1β cytokine levels in subjects with a history of COVID-19. Conclusion: There is relationship between periodontal disease and a history of COVID-19 with clinical parameter periodontal and IL-1β cytokine levels. This study suggests that periodontal disease is a risk factor for the severity of COVID-19 infection.

Abstrak :
Latar Belakang: Informasi diagnostik tinggi tulang bukal atau lingual dari radiograf sangat penting untuk menegakkan diagnosis, rencana perawatan dan prognosis periodontitis. Destruksi tulang alveolar pada pasien periodontitis tidak hanya terjadi pada interproksimal melainkan juga mencakup permukaan bukal dan/atau lingual yang berada pada dimensi ketiga di radiograf konvensional. Destruksi yang terjadi di bukal dan/atau lingual tidak dapat terlihat secara langsung dari radiograf dua dimensi. Tujuan: Untuk memperoleh signifikansi hasil evaluasi sisa tulang bukal atau lingual secara klinis dibandingkan dengan prakiraannya secara radiografis. Metode: Studi potong lintang dilakukan pada 68 rekam medis dan radiograf intraoral gigi molar satu atau dua rahang bawah dengan evaluasi kehilangan tulang 2 sampai 6 mm atau secara radiografis digolongkan moderate. Evaluasi secara klinis menggunakan data kehilangan perlekatan, dan secara radiografis dengan menghitung jarak dari CEJ (cementoenamel junction) ke defek tulang bukal dan/atau lingual. Analisis statistik dilakukan dengan uji Wilcoxon. Hasil: Nilai rata-rata pengukuran secara klinis adalah 4,28±0,99 mm dan secara radiografis adalah 3,97±1,13 mm. Rentang perbedaan hasil evaluasi prakiraan radiografis dan klinis berkisar antara 0-1,9 mm dengan rata-rata perbedaan sebesar 0,31±0,50 mm. Kesimpulan: Terdapat perbedaan bermakna antara hasil evaluasi prakiraan sisa tulang bukal dan/atau lingual secara radiografis dibandingkan klinis, dengan kecendrungan tinggi tulang secara radiografs tidak separah kondisi klinisnya yaitu lebih rendah 0 – 1.9 mm. ......Background: Radiographs provide diagnostic information of the buccal and lingual bone height that is essential in the diagnosis, treatment plan, and prognosis of periodontitis. Alveolar bone loss in periodontitis patients does not only occur at proximal areas but also involves the third dimensional aspects at the buccal and/or lingual two-dimensional radiographs. Objective: To acquire the significancy of the remaining buccal or lingual bone height assessed clinically in comparison with the radiographc estimation. Method: The cross sectional study was conducted on 68 medical records and intraoral radiographs of the lower first or second molar with moderate 2-6 mm alveolar bone loss. Clinical evaluation was performed using the loss of attachments data at the buccal and/or lingual surface, and the radiographic assessment was done by calculating the distance from CEJ (cementoenamel junction) to buccal and/or lingual bone defects. The datas were then analysed using the Wilcoxon test. Results: The average value of clinical compared to radiographic measurement was 4.28±0.99 mm and 3.97±1.13 mm consecutively. The difference between the estimated radiographic and clinical evaluation results was varied between 0-1.9 mm with the average difference value of 0.31±0.50 mm. Conclusion: There was a significant difference between the estimated evaluation results of the remaining buccal and/or lingual alveolar bone height evaluated clinically compared to the radiographic estimation, with a tendency that the estimated height of the radiographic assessment was not as severe as its clinical condition by 0-1.9 mm.