Background. Lymphadenopathy is a common clinical feeding an anomaly in the size and consistency of lymph nodes. Local bacterial infection causes cervical adenopathy when the lymph nodes responded to local infection. Cervical lymphadenopathy is a common problems in pediatric. Lymph node with more than 10 mm diameter is usually considered abnormal. Lymph node enlargement caused by a chronic infection is known as chronic lymphadenopathy. Objectives. Discovery management of chronic lymphadenopathy in children with poor oral hygiene.Case. A 9-year-old boy came to Pediatric Dentistry Specialist Gusti Hasan Aman Dental Hospital with his parents with a complaint of pain in his right tooth posterior mandible for the last week. The patient had received medication, however the pain still existed. Extraoral examination revealed symmetrical face, a node on the middle neck sizing 30 mm in diameter for 4 years. The lump was treated several times with no progress in size. Intraoral examination revealed a cavity in posterior lower left tooth and painful in the last 5 days without any treatment. Plaque score showed poor oral hygiene.Case Management. Based on extraoral examination, the nodule on the neck reduced in size from 30 mm to 7 mm after treatment with antibiotic, anti-inflammatory medication, dental care and control periodic for oral hygiene management. Conclusion. Early detection and accurate lymphadenopathy diagnosis is important for successful therapy. Oral hygiene improvement can help in the healing process of chronic lymphadenopathy which occurred for 4 years. Keyword: Limphadenophaty chronic, Oral hygiene, Staphylococcus aureus
Background: Lactobacillus acidophilus is a bacterium which plays a role in dental caries. It is believed as a pioneering bacterium in advanced caries and much likely to be isolated in dentin caries zone, resulting in the needed for tooth restoration. The use of 2% Chlorhexidine digluconate as cavity cleanser is recommended as an effort to prevent seconday caries but can cause side effects. One of the natural materials that can be used as a cavity cleanser is ulin bark extract (Eusideroxylon zwageri), a traditional medicine originally from Kalimantan, because it contains phenolic, flavonoid, tannin, alkaloid, saponin and terpenoid. Purpose: To discover the inhibitory activity of ulin bark extract on Lactobacillus acidophilus growth. Methods: This was a true experimental laboratory and post test only with control group design, that used 20%, 40%, 60%, 80%, 100% concentrations of ulin bark extracts and K(+) 2% Chlorhexidine digluconate. Difussion method was used to test inhibitory activity with 6 treatment groups and 4 replications, comprising a total of 24 samples. All groups were incubated for 24 hours at 37ºC temperature. The inhibition zone was measured using calipers. Results: The 20%, 40%, 60%, 80% and 100% concentration of ulin bark extracts and 2% Chlorhexidine digluconate had an average inhibition zone of 7.17 mm, 9.02 mm, 11.14 mm, 13.06 mm, 15.17 mm and 19.22 mm. One Way ANOVA and Post Hoc Bonferroni tests showed significant difference between all groups. Conclusion: Ulin bark extract can inhibit Lactobacillus acidophilus growth starting from 20%, 40%, 60%, 80% and 100% concentration.
Background: Knowledge and attitudes of parents are important in underlying the formation of children's dental and oral hygiene behavior because parents are the foundation for children's behavior and also influence children's development and independence. The role and practice of parents can affect the dental and oral problems of special needs children which will increase when they are older. Purpose: Analyzing the relationship between parents’ knowledge and attitude toward oral hygiene of special needs children. Material And Methods: This study uses correlational analysis with a cross-sectional approach, the sampling technique is a simple random sampling technique. The study was held at SLB Negeri Samarinda with a total sample of 52 respondents using questionnaires to parents and examine children’s oral hygiene then the data were analyzed using the Spearman rank test. Results: Parent’s knowledge of (40,4%) in the moderate level, parent’s attitudes of (75%) in the positive category, and special need children’s oral hygiene of (55,8%) in the moderate category. The Spearman Rank test on parents’ knowledge obtained a significance of 0.000 (p<0,05) which means there is a relationship between parent knowledge toward oral hygiene of special needs children and the measurement of parent attitudes obtained a significance of 0.000 (p<0,05) which means there is a relationship between parent attitudes toward oral hygiene of special needs children Conclusion: The higher of knowledge and attitudes of parents toward oral hygiene, the better oral hygiene of special need children will.Keywords: Oral hygiene of special needs children, parent attitude, parent knowledge
Background: Malocclusion is dentofacial growth deviation from its normal size and shape, thus causing abnormal occlusion. One of its etiology is heredity. Removable twin block, a functional appliance that can be used in interceptive orthodontic treatment, can be used to treat Class II malocclusion with large overjet in children during skeletal growth and development. Case: An 11-year-old boy came to pediatric dental specialist clinic with Class II division 1 Angle malocclusion (SNA 82°; SNB 74°; ANB 8°, CVM CS 4, overjet 14 mm, overbite 7 mm, and convex profile). Removable twin block for Class II malocclusion was chosen as the therapy. Case management: Removable twin block appliance with acrylic occlusal bite block was used on maxilla and mandible separately. An angle of 70° was made in the occlusal bite block, which was made based on the bite registration wax during centric occlusion. This device is used 24-hours a day. Monthly dental visit was done to reduce the maxillary and mandibular occlusal bite blocks. After 9 months, an overjet of 5 mm was obtained. Cephalometry calculations became SNA 82°; SNB 7 9 °; ANB 3 °. The patient was given further phase 2 treatment with fixed orthodontic appliance. Conclusion: With proper case selection and good patient cooperation, removable twin block appliance can correct skeletal malocclusion, improve facial profile, reduce overjet and overbite, and correct molar relations.
Background: Cases of Early Childhood Caries (ECC) are recognized as a significant health problem. ECC can cause health complications in children such as persistent pain, loss of appetite, difficulty eating and abscesses. WHO data in 2018 states that there are 60% -90% of caries cases that occur in children. Many parents, especially mothers, are still not aware that maintaining healthy teeth and mouth is important. Objective: To find out how the level of knowledge and attitudes of mothers about oral health on the severity of ECC in early childhood are related. Methods: The method used in this study is a literature review with a narrative review procedure. Results: The results of the review of the articles stated that mother's knowledge was in the good category, mother's attitude was in the positive category and ECC conditions in children under five based on def-t included in the high category. Conclusion: There is a correlation between knowledge and attitudes of mothers about oral health on early childhood caries in children under five.Keywords: Early childhood caries, Mother’s attitude, Mother’s knowledge.ABSTRAKLatar Belakang: Early Childhood Caries (ECC) dikenal sebagai masalah kesehatan yang signifikan. ECC dapat menimbulkan komplikasi kesehatan pada anak seperti nyeri yang persisten, kehilangan nafsu makan, kesulitan makan dan abses. Data WHO tahun 2018 menyebutkan ada 60%-90% kasus karies yang terjadi pada anak-anak. Orang tua terutama ibu masih banyak yang belum menyadari bahwa menjaga kesehatan gigi dan mulut adalah hal yang penting. Tujuan: Untuk mengetahui bagaimana hubungan tingkat pengetahuan dan sikap ibu tentang kesehatan gigi dan mulut terhadap tingkat keparahan ECC pada balita. Metode: Metode penelitian ini adalah literature review dengan prosedur narative review. Hasil: Mayoritas pengetahuan ibu masuk dalam kategori kurang baik, mayoritas sikap ibu masuk dalam kategori negatif dan kejadian ECC berdasarkan indeks def-t masuk dalam kategori tinggi. Kesimpulan: Terdapat hubungan antara pengetahuan dan sikap ibu tentang kesehatan gigi dan mulut terhadap early childhood caries pada anak balita.Kata kunci: Early childhood caries, Pengetahuan ibu, Sikap ibu.
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