6th FDI-IDA Joint Meeting 2010 Program &amp Abstracts

th
6
FDI WORLD DENTAL FEDERATION
– INDONESIAN DENTAL ASSOCIATION (IDA)
JOINT MEETING
Clinical Excellence and Green Dentistry: Bring Cheerful Smile to the World
November 12-14, 2010

Gran Senyiur, Balikpapan - Indonesia
7 SKP accredited by Indonesian Dental Association (PDGI)
1
Table of Contents
Welcome message: ORGANIZING COMMITTEE 3
Welcome message: INDONESIAN DENTAL ASSOCIATION 4
Welcome message: FDI – WORLD DENTAL FEDERATION 5
Main program 6
Hands on courses 7
Oral presentation program 8
Poster presentation program 10
General information 12
Main Lecture abstracts 14
Scientific Presentation Abstracts 16
Acknowledgement
2
Welcome Message
ORGANIZING COMMITTEE
Assalam alaikum Warahmatullahi Wabarakatuh and Salam Sejahtera for all of us
It is a great pleasure for us to be the organizer of the 6th FDI World Dental Federation and Indonesian Dental
Association Joint Meeting in Balikpapan, a beautiful city in East Kalimantan province on Borneo Island -
Indonesia. We, The Indonesian Dental Association of Balikpapan Branch extend our warmest welcome to all
participants, speakers, and sponsors that make the 6th FDI – Indonesian Dental Association Joint Meeting to
be a successful conference.
The 6th FDI – Indonesian Dental Association Joint Meeting is a scientific meeting of the dental Professionals
with local and international prominent speakers, in form of the program proper of main lectures, hands on
courses, dental exhibition, oral presentation, poster presentation, and other side events. The program of the
6th FDI – Indonesian Dental Association Join Meeting is held on November 12 until 14, 2010 at the Gran
Senyiur Convention Center in Balikpapan. Based on the latest development of science and technology in
dentistry, this joint meeting is being planned and organized to provide scientific and technical forum for
advancing the dental professional knowledge to anticipate the global era. The theme of the event is
“Clinical Excellence and Green Dentistry: Bring Cheerful Smile to the World”.
Lastly I wish to thank all participants, distinguish speakers, dental suppliers and all who contribute for the
success of the 6th FDI - Indonesian Dental Association Joint Meeting in Balikpapan. Hope you not only have
an event for developing our professionalism, but also you could enjoy a nice stay and have a memorable
excursion on the beautiful panorama of east Kalimantan.
Congratulations and success for all of us.

Wassalamu alaikum Warrahmatullahi Wabarakatuh.
Dr. Dyah Muryani

Organizing Committee Chairperson
6th FDI-IDA Joint Meeting and Balikpapan International Dental Exhibition 2010
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Welcome Message
INDONESIAN DENTAL ASSOCIATION
Dear Friends and Colleagues,
The FDI – IDA Joint Scientific Meeting has been a cornerstone in the dental scientific calendar since the first
one was held in Bali in 2000. It has since noted to have a significant role in bridging the relationship
between the Indonesian Dental Association (IDA) and the FDI World Dental Federation. It provides dental
colleagues from all parts of Indonesia with the access to world class speakers as well as national speakers,
and to be part of the global platform through the truly outstanding supports and partnership of the FDI –
Continuing Education Programme.
I am sure that the 6th FDI – IDA Joint Scientific Meeting to be held in November 12-14, 2010 will continue to
be an event that attracts many dental practitioners, following the success of the five previous ones.
Participating in FDI – IDA Joint Scientific Meeting is a must because it provides a different kind of
opportunity, such as to become internationalized in our home country, updating recent knowledge base in
order to provide better services to our patients, the opportunity to fulfill the professional requirement to be
registered as a legal practicing dentist in Indonesia.
On behalf of the Indonesian Dental Association I wish to express my gratitude for the leaders of the FDI
World Dental Federation for their continues supports for the opportunity in keeping abreast with recent
dental advances, for a total of more than three thousand Indonesian Dentists whom attend the previous five
Joint Meetings held in Indonesia in the past decade. I wish also to express our high appreciation for the FDI
– CE Programme manager for Asia Pacific for the wonderful partnership and dedications. Indeed, the FDI –
IDA Joint Scientific meetings has become one of the most important event in Indonesian Dental Calender of
Event.
Last but not least, I wish to thank our FDI guest speakers and our national speakers for sharing their
expertise with us, also my thanks for the sponsors for their contribution and also the great works of the
organizing committee in making this event possible.
The IDA is proud to hold the 6th FDI – IDA Joint Scientific Meeting, wishing you a great meeting and
memorable time in Balikpapan, the beautiful Eastern Hemisphere of Indonesia.
Balikpapan, 12 November 2010
Dr. Zaura Anggraeni, MDS

President
Indonesian Dental Association (IDA)
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Welcome Message
FDI – WORLD DENTAL FEDERATION
The FDI World Dental Federation (FDI) is honored to be a partner of the Indonesian Dental Association (PDGI) in
organizing the FDI/IDA Dental Convention this year in Balikpapan.
Education is a key mission of the FDI. We live in an era of not only knowledge explosion but also technology
explosion. Those who actively practice Dentistry know that we find new discoveries in the areas of dental material,
equipment as well as clinical technique everyday. This is the result of a concerted effort from research among the
academic and dental industry. As new discoveries become available, clinicians find out through a process of
knowledge transfer.
Knowledge transfer is traditionally achieved through journals and magazines. Today, we not only have the
convenience of sitting in our office or home and searching for information through the internet, we also can obtain new
knowledge by attending study groups, scientific courses, meetings and conventions like this one. Therefore there
should be no excuses for anyone of not having the opportunities to pursue new knowledge. In fact, every dental
practitioner should be committed to continuing professional development as a commitment to his/her patients. We owe
it to them.
As I collaborate with your leaders over the years, I come to notice their strong commitment in providing continuing
education opportunities for the dental profession. The FDI is proud to support this year’s Convention by sponsoring
Prof Lakshman Samaranayake to lecture on the important topic of Infection Control in Dentistry, Dr. Phillippe Guettier
to speak on the Current Concepts in Endodontic Treatment, Dr. Kevin H-K Yip to speak on the management of worn
dentition and Dr. How Kim Chuan to speak on Implantology. I wish to thank the dental industry partners in supporting
this event. Last but not the least, this Convention cannot be successful without your participation. Thank you for
taking the time to be here.
Benjamin Franklin who is a forefather of America and the founder of the University of Pennsylvania once said,
“Investment in knowledge yields the highest dividend”. I am confident that you will be completely satisfied with the time
and resources you invest in this wonderfully successful conference. Enjoy the lectures, enjoy the social programs and
enjoy the interactions among your friends and colleagues.
William Cheung, D.M.D., F.A.G.D., F.A.D.I.

CE Programme Director for Asia Pacific
FDI World Dental Federation
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MAIN PROGRAM
Saturday – November 13, 2010
Venue: Grand Ballroom
07.00 – 08.30 Registration
08.30 – 10.00 OPENING CEREMONY
10.00 – 11.15 Prof. F Lakshman Samaranayake:

Infection Control in Dentistry: A constant Challenge
11.15 – 12.15 Dr. Arunee L.:
Oral Biofilm and Caries Control
12.15 – 13.00 Prof Dr Laura Susanti:
New Paradigm of Relationship Between Worn Dentition And
Temporo Mandibular Disorder
13.00 – 14.00 LUNCH
14.00 – 14.45 Dr. Sri Lelyati:
Management of Dentine Hypersensitivity as
Supportive Treatment of Periodontal Disease
14.45 – 15.30 Dr Gatot Sutrisno:
Achieving high esthetic restoration with esthetic fiber post
15.30 – 16.15 Dr Bambang Agustono:
Direct Composite Resin Inlay/Onlay
Sunday – November 14, 2010
09.00 – 10.30 Dr Paulus Januar, Dr Yosi Kusuma Eriwati, Dr Tri Erri Astoeti:
Integrated lectures on Green Dentistry as a new paradigm to
clinical excellence in dental practice
10.30 – 11.00 COFFEE BREAK
11.00 – 12.30 Dr. How Kim Chuan:
Bone level implant: a perfect complement to tissue level implant
12.30 – 13.00 Prof. Dr Aznan Lelo:
NSAID for acute dental pain
13.00 – 14.00 LUNCH
15.30 – 16.00 CLOSING CEREMONY
SPECIAL SESSION
16.15 – 17.00 IDA Dental Continuing Professional Development Commission:
Certification, registration, and licensure for dentists in Indonesia
Dental Trade Exhibitions

Both of local and international suppliers will feature the new model and technology in dental materials and equipment. Special offers
and attractive discounts will also be brought to you for your convenience.
Twenty three Dental distributors/suppliers in 25 booths have participated in this exhibition to showcase their new technology
products of dental materials and equipment.
Welcome Dinner
All participants will be invited to the Welcome Dinner on Saturday October 13, 2010 at The Grand Senyiur Ballroom with traditional
dance and music entertainment.
BEST PAPER AWARDS

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The Scientific Committe of the 6 FDI-IDA Joint Meeting will also select for 3 Best Paper Awards for Research Report, Case Study,
and Literature Study. The best paper will be awarded Rp 2.000.000,- /paper (excluded tax).
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HANDS ON COURSE
Dr Gilang Yubiliana Management of Friday, November 12, 2010

Hypnosis in Dentistry 14.00 – 19.00 am
Venue: Room 2
Participation fee Rp 1.000.000,-
Dr Gatot Sutrisno Simplifying the Saturday, November 13, 2010

mysteries of direct 10.00 – 12.00 am
composites Venue: VIP 2& 3 Chiang Palace A & B
Participation fee Rp 500.000,-
Free gift of dental material from Petron
Clinical – USA to participants
Dr Gatot Sutrisno How, when, and why of Saturday, November 13, 2010
restorative post-cores 16.00 – 18.00 pm
Venue: VIP 2& 3 Chiang Palace A & B
Free gift of dental material from Petron
Clinical – USA to participants
Dr Bambang Agustono Direct Composite Resin Sunday, November 14, 2010

Inlay/Onlay 10.00 – 12.00 am
Venue: VIP 1 Chiang Palace
Free gift to participants: 1 syringe
Tetric N Ceram from Ivoclar
Prof. Susan Eliaz One Visit Bridge Using Sunday, November 14, 2010
Fiber Reinforced 10.00 – 12.00 am
Composite Venue: VIP 2& 3 Chiang Palace A & B
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ORAL PRESENTATION
MERATUS ROOM ROOM 6 ROOM 9 VIP 1 CHIANG PALACE
Novrinda H, Andreas P, Adi Prayitno, Muharjo DHA,
14.00 – 14.20 Suzan Elias: One Visit Irena Winata, Maria Rahardjo A, Darwita RR: Poernomo Suryohudoyo,
Bridge Using Fiber Purbiati: The Role of Participation of Suhartono Taat Putra:
Reinforced Composit CBCT 3D Radiographic Midwives in Maintaining Oral Squamous Cell
Imaging in Orthodontics Oral Health During Carcinoma with HPV
(A Literature Review) Pregnancy at Infection Without p53 and
Kecamatan Serpong - A Cmyc Mutation
Six Month Evaluation
Ariadna A Djais, Tut Wuri
14.20 – 14.40 Tina Anggriany Halim: Susilowati: Expression Anton Rahardjo: Validity Andajani, Ria Puspitawati,
Creating Beauty and of Matrix and Reliability of Pradono Suhardi, Ratna
Natural Smile with Metalloproteinase-8 Questionnaires as Tool Arietta: The Modified Rapid
Composite (MMP-8) Gene in of Severe Periodontal Identification of
Gingival Crevicular Disease Screening in Streptococcus mutans of
Fluid During Pregnant Women OralBiofilm using
Distalization of Upper Conducted by Midwives Polymerase Chain Reaction
Canines or Cadres (PCR) method
Angela Evelyna, Bambang Ria Puspitawati, Aurelia
14.40 – 15.00 Sunendar Purwasasmita, Tita Ratya Utari: The Armasastra Bahar: Tooth Aurelia, Felicia Kathleen, Inez
Nina Djustiana, Zulia Treatment of Anterior Decay Score, Hanida, Stefani Pramudita,
Hasratiningsih: Self Tooth Crowded Case of Knowledge and Practice Lakhsmi A Leepel: Ethanol
Synthesis Al-Si-Zr Upper Jaw with Dental of the Children Aged 9 – Extract and Volatile Oil of
Nanoparticle Filler and Transposition Between 15 Years in Kelurahan Curcuma xanthorrhiza Roxb
It's Microstructure Canine and Lateral Ome, North Maluku. Inhibit Phospholipase
Characterization for Incisor Tooth by Fixed Activity and Growth of
Resin Dental Restorative Appliance (Case Candida albicans
Dental Materials Report)
Lisa R. Amir: Bone Substitute
15.00 – 15.20 Wita Anggraini: The Bintari Eska, Krisnawati: Sudibyo, Dwi Hariyanto: and Injectable Scaffold-Stem
Anatomical Principles of Management of Personal Soft Skills in Cell Based Therapy for Bone
Bruxism Management Ankylosed Teeth in Dentistry Tissue Engineering
Orthodontic Treatment
15.20 – 15.30 break
15.30 – 15.50 Nila Alya Maulidina, Heriandi
Yufitri Mayasari, Hutasoit E, Ismah, E. M. Arief, Akram Sutadi: Early Extraction of
Armasastra Bahar: Dental Soegiharto BM: The Hassan, Raja Azman Two Upper Deciduous Teeth
Caries as an Infectious Effectiveness of Awang: Prevalence, Presented With Bilateral
Disease and Its Sodium Hyaluronate on Causes, Problems and Conical Type Supernumerary
Relationship with a Healing of Traumatic Treatment Needs of Teeth on a 7 Years Old (Case
Window of Infectivity Ulcer Caused by Fixed Gingival Recession: An Report)
Orthodontic Appliances update
Mei Syafriadi, Siska
15.50 – 16.10 Wazillah Nasserie: Maria Purbiati Indratoto, Yumira, Pratiwi Eka Nurlailia DS, Zainul Cholid, Mei
Laminin Laura Susanti Himawan: Muhardini, Riza Syafriadi: The Pre-Erupted
Imunoexpression as Occlusion and Dwijayanti: Study of Mandibular Third
Occurrence Indicator of Temporomandibular Manifestations, Molar Inclination Among 14
Dentinal Bridge on Joint on Normal and Treatment Modalities to 17 Year Old
Calcium Hydroxide Pulp Asymmetrical Faces in and Prognosis of Oral
Capping Orthodontic Cancer In East Java
Perspective From 2004 – 2008
Marcia, Gus Permana Subita:
16.10 – 16.30 Aries Chandra Trilaksana: Olivia Pribadi, Erwin Dini Iswandari: Medical Management of Necrotizing
Treatment of Periapical Siregar: Bone Density as Disciplinary in Context Ulcerative Gingivitis Related
Disorders With A Factor That Influence of Professionalism to Chronic Lymphocytic
Apecresection Orthodontic Mini- Leukemia (A Case Report)
Implants Stability (a
Literature Review)
16.30 – 16.50 Risqa Rina Darwita, E.M. Arief, A.K. Nazirah, Iwan Dewanto, Medi Adi Prayitno, Widya Asmara,
Febriana Setyawati, Herry A. Rehman: Arterial Septario Muharjo DHA, Suhartono Taat
Novrinda, Iradani stiffness in gingivitis: a Infection Control Putra: The Influence Of
Yupitaningrum comparative cross- Implementation at Bisindolylmaleimide Gf
Work Stress And sectional study Dental Practice in 109203x and Phorbol Myristic
Periodontal Disease Yogyakarta City Acetate In Macrophages
Phagocytosis Activity
Toward C. Albicans
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ORAL PRESENTATION
MERATUS ROOM 6 ROOM 9 VIP 1 CHIANG
ROOM PALACE
14.00 – 14.20 Abdul rochim bafagih: Henny O. Danan: Himawan Halim: Willyanti Syarif
Sex in Dentistry Behavior Management Pendulum Appliance Relationship between
in Children with as Space Regainer in Birth Weight and Enamel
Psychological Trauma Orthodontic Treatment Defect Probability in
Due To Dental Small for Gestational
Treatment (Case Age Children
Report)
Zahreni-Hamzah: The Audiawati, Siti Aliyah P: Jusuf Sjamsudin: Erlina Sih Mahanani,
14.20 – 14.40 Local Soy-Milk- Erosive Oral Lichen Orthognathic Surgery Muhammad Firdaus Mohd
Honey As A Good Planus : Clinical in Orthodontic, Why & Shuimi: The Odontoblast
Nutrition For Features and When (Case Report) Density in the Crown and
Mandibular Health In Management in Root of Single Rooted
Geriatric Patiens Children Patient (Case Human Teeth
Report)
Kussulistyowati Putri Helsa Ramelya, Agnes Sukandar, Nia Tetiana Haniastuti
14.40 – 15.00 W., Benny M. Heriandi Sutadi: Ayu Ismaniati: The Role Immunohistochemical
Soegiharto: Botox Management of of Autotransplantation Study of the Innervation
Injection as an Radicular Cyst and in Orthodontic of Human Carious Teeth
Alternative Fibrous Epulis in a 11- Treatment (Literature Using Protein Gene
Treatment For Year Old Girl (A Case Review) Product 9.5
Excessive Gingival Report)
Display (Literature
Review)
POSTER PRESENTATION
Venue: Mirror Room
No AUTHOR(S) TITLE
1. Agi Ardianti, Maria Purbiati Non-Extraction Treatment of Class III Malocclusion With
Anterior Crowding (Case Report)
2. Amiyatun Naini, Suhartini. The Ability to Adhere Candida Albicans of Acrilic Resin and
Valplast Denture Base
3. Anna Ferlinasari, Kamizar Case Report Conventional Retreatment on a Maxillary First
Molar with Broken Instrument in Mesiobuccal Canal
4. Ardo Sabir Using Flavonoids as a Natural Products With High
Pharmacological Potency to Improving Oral Health
5. Ardo Sabir Rat dental pulp tissue reaction after capped with propolis
derived non-flavonoids extract
6. Auerkari EI, Adiwirya MSK, Widurini DS, White Tea Extract Reduces the Viability of Oral SCC Cell Lines
Sandra F, Wicaksono BD in vitro by Inducing Apoptosis
7. Aynie Yunita, Safrida Hoesin Non-Vital Tooth Bleaching of Discolored-Maxillary Central
Incisor: A Case Report
8. Besse Tenri Awaru The Therapeutic Properties of Propolis in Conservative
Dentistry and Endodontic Treatment
9. Boenjamin-Partakusuma F, Ibrahim-Auerkari Anemia and underweight among Indonesian Schoolchildren
E, Dillon DH, Suharsini M1 with Angular Cheilitis
10. Budi Yuwono The Effect of Coffe Consumtions on Bone Wound Healing
11. Budi Yuwono, Abdul Rochim The Effect of Vital Sign on Adrenalin Addition in Local
Anaesthetic on Block Injection of Alveolaris Inferior Nerve
12. Christine A. Rovani Intracoronal Bleaching of discolored non-vital anterior tooth
with Walking Bleach Technique
13. Desi Sandra Sari Calprotectin In Gingival Crevicular Fluids Correlates With
Clinical Parameter And With The Count Of Black-Pigmented
Anaerobes Bacteria On The Aggressive Periodontitis
14. Devy Noviana, Ratna Meidyawati Intentional Endodontic Treatment On Maxillary Second Molar
to Prepare the Tooth as an Abutment for Fixed Partial Denture
15. Dewi Kristiana The effect of Averrhoa Bilimbi Leaf Extract as Denture Cleanser
on The Transversal Strength of Acrylic Resin
16. Didin Erma Indahyani, Izzata Barid , Ari Tri Effect of Lemuru Fish oil on Tooth Structure Following
Wanodya Handayani lipopolysaccharide-induced Periodontal Infection during
odontogenesis in rat
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17. Dini Asrianti Esthetic Onlay as a Restoration of Choice in Post Endodontic
Posterior Tooth (Case Report)
18. Dwi Prijatmoko The Role of Body Composition in Determining Bone Maturity
19. Dyah Juniar Hymawatty The PFAPA Syndrome in Oral Medicine: Differential Diagnosis
and Treatment
20. Dyah Setyorini, Sulistiyani Effectiveness of Fluoride Topical Application on the Number of
Streptococcus Mutans Colony
21. Eddy Hermanto, Andri Hardianto Peripheral Osteoma of the Mandible : a Case Report
22. Emy Ardana Resin Based Root Canal Sealer Combined With Self-Etching
Bonding Agent
23. Febriana Setiawati Sugito The Pattern of Severe-Early Childhood Caries (S-ECC) of
Children Under Three Years Old in DKI Jakarta
24. Febrina Rahmayanti, Yuniardini S Aphthous Like Ulcers in Patient with Gastrointestinal Disorder
Wimardhani (A case report)
25. Femmy Riyeni Puteri, Hendrarlin Soenawan Fiber-Reinforced Composite as A Fixed Space Maintainer : A
Case Report
26. Ferry Jaya, Yosi Kusuma Eriwati Effect of Surface Treatment On Adhesion to Dentin
27. Ferry P Gultom Use Neighbour Joinning Technique to Inactivate Gene cdt
Aggregatibacter Actynomicetemcommitans Bacteria
28. Ganesha Wandawa, Dewi Nurul Hyperbaric Oxygen as Alternative Adjunctive Therapy in
Mustaqimah, Elza Ibrahim Auerkari, Suyanto Treatment of Chronic Periodontitis: Its Effect on Periodontal
Sidik Pathogens
29. Hesti Witasari, Munyati Usman Case report: Endodontic Retreatment using Retreament Rotary
systems
30. I Dewa Ayu Ratna Dewanti Neem leaves (Azadirachta indica) Improved Oral Mucosa
Defense Mechanism Against Candida albicans
31. Iin Eliana Triwahyuni Effect of Immunosupression and C.albicans Infection to The
Macrophage Phagocytosis Activity
32. Imelda Sriulina Sinulingga, Himawan Halim Compromised Treatment of Skeletal Class III Malocclusion in
Adult
33. Indah Ekasari , Faruk Hoesin Treatment of severe crowding case
34. Irmaleny, Narlan Sumawinata, Dewi Fatma, Acute Toxicity Test of an Analgesic Herbal Jatropha Curcas L.
Marline Abdassah Latex on Animal Models
35. Isnandar, Kasman Manullang, Hendro S. Marginal Resection of Cemento-Ossifying Fibroma on Mandible
Yuwono Anterior Region (A Case Report)
36. Jeffrey Limanto, Himawan Halim Management of Dental Anterior Open Bite with Tongue Thrust
Habit Using Combination of Tongue Crib and Manipulation
Braket Placement ( Case Report)
37. Jummyanto Pareang, Andi Sumidarti Anas Comparison of Antibacterials Activity of Citronella Essential
Oil (Cymbopogon winterianus) and Cinnamon Essential Oil
(Cinnamomum burmanii) to the Growth of Bacteria Found in
Caries.
38. Juni Jekti Nugroho Management of Non Vital Immature Teeth (Case Reports and
Review)
39. Kemala. N Treatment of Non-Vital Tooth Discoloration using Internal
Bleaching Technique
40. Mindya Y, Hedijanti J, Niniarty Z.D pBMP-2 Transfection into an Odontoblastic Lineage Cell as a
Stem Cell Contribution for Regenerative Dentin Formation
41. Ratna Farida, Endang Bachtiar , Melissa, The Effect of Gel Containing Anti Streptococcus mutans
Jeng Seriana, Rina Septriani. Serotype-C IgY on the Formation of S.mutans Biofilm (in vitro)
42. Sarwono AT, Widurini, Andajani TW, Arifa Anti-Inflammatory Activity of Outer Layer Aloe Barbadensis
Leaf Extract on Accelerate Healing Process of Oral Mucous
Ulceration
43. Sri Utami, Sri Rejeki, BM Bachtiar, Purwita Effect of Xylitol Chewing Gum on Protein Concentration of
Nurwidyastuti Salivary Mutans Streptococci
44. Widurini.DS. Sarwono AT, Septiana NS, The Effect of Black Cummin Aplication to Oral Mucous
Auerkari EI Inflammation
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POSTER PRESENTATION
Venue: Mirror Room
No AUTHOR(S) TITLE
1. Leliana S Devi AP Management Treatment of Class II Division 1 Malocclusion with
Multiple Diastemas in Lower Arch (Case Report)
2. Leliana S Devi AP, Rina Sutjiati Corrosion Behavior of Titanium Orthodontic Wire
3. Lina Handayani Extirpation of The Tongue Fibroma in Children (Case Report)
4. Lusi Hidayati The Increase of Gingival Sulcus Volume and Calprotectin
Degree on Abutment Teeth Fixed Partial Denture
5. Maria Davina, Dewi Anggraini Margono Case report: Two Types of Endo-Perio Lesions in One Mouth
6. Marta Juslily, Mita Juliawati Establish an Emotional Connection between Patient and
Dentist to achieve High Performance Dental Practice
7. Marty Adani, Faruk Husein Deep Over Bite Correction in Class II Division 2 Malocclusion
Using Reverse Curve Arch Wire
8. Miesje Karmiati Purwanegara Early Detection of Mouth Breathing as a Bad Habit
9. Mita Juliawati , Marta Juslily The Role of Human Resource Management in Dental Practice
10. Muhammad Nurul Amin The Role of Osteoclast and Osteoblast in Accelerating
Orthodontic Tooth Movement
11. Novandyta Hapsari, Nila Kesuma Endodontic Therapy Through Artificial Crown - case report
12. Palupi Kumara Sari, Agus Nurwiadh, Rama Upper Airway Obstruction Caused by Odontogenic Infection
Nusjirwan (Case Report)
13. Patricia Iskandar, Haru Setyo Anggani, Patient's Knowledge About The Benefits and Side Effects of
Retno Widayati Orthodontic Treatment in RSGMP FKG UI
14. R. Indriutami. N. Sumawinata. Endodontic Retreatment on Weine Type 4 Configuration
Mandibular First Premolar
15. Rasmidar Samad, MS, Ra’idah Bulu,Herman Parents Perception Related to Impact of Children Dental and
Yapardi Oral Health to Quality of Life of Their Children in Urban and
Rural Areas in Makassar Municipality
16. Renta Frianty, Krisnawati Treatment of protusion and open bite case with extrusion
upper molar using transpalatal arch as anchorage
17. Rina Sutjiati, Iin Eliana Triwahyuni Decreasing of The Total Number of Cervical Lymph Node Cells
Caused By Immunosupression and Candida albicans Infection
18. Rizka Kusumah Adriani, Daru Indrawati Non-vital Tooth Whitening Treatment with the Walking Bleach
Technique using 35% Hydrogen Peroxide Gel: Case Report
19. Siti Aliyah P Patient Education and Stringent Follow-Up Influencing The
Outcome of Steroid-Treated Erythema Multiforme (Case
Report)
20. Sitti Andi Rahmayanti Laya Descriptive results of the profile of dental practitioners who
use digital dentistry in Malaysia
21. Sulistiyani, Roedy Budi Raharjo Cleft Lip and Cleft Palate in Children: Description and
Treatments
22. Sumintarti, Erni Marlina Oral Traumatic Ulcer
23. Trijani Suwandi The Initial Treatment of Mobility Teeth and Closure Diastema in
Chronic Adult Periodontitis
24. Vega Roosa Fione, Anton Rahardjo Probiotic Chewing Gum For Prevention Of Halitosis
25. Wahdaniah Masdy Use Amalgam Bonding Sistem as Core Post Endodontik
26. Zahreni-Hamzah, Didin Erma Indahyani, The role of Local Soy-Milk-Honey on Prevention Mandibular
Peni Pujiastuti Bone Damage in Rats
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GENERAL INFORMATION
T h e 6 t h FDI – I D A I nt e r na t i o na l J oi nt M e e t i ng &
Balikpapan International Dental Exhibition 2010
: Clinical Excellence and Green Dentistry: Bring

Theme Cheerful Smile to the World
:
Date November 12 -14, 2010
:
Venue Gran Senyiur Hotel & Convention Center, Balikpapan
- Indonesia
:
Official Language English
:
Contact Information PB PDGI
Komp. Maissonette Kramat Jaya Baru B15.. Jl.
Percetakan Negara II, Jakarta 10560 - Indonesia
Phone: +62-21-4253861 / 4257974
Fax: +62-21-4253861
Homepage: www.pdgi.or.id
Email: pbpdgi@cbn.net.id
• Opening Ceremony
All Speaker, delegates, accompanying person, invited guest, trades and visitors are cordially
invited to attend the opening Ceremony on Saturday, 13th November, 2010 from 8.30 – 10 am
at the Grand ballroom. All are to be seated at 08.25 am
• Disclaimer
Whilst every effort is made to ensure all aspect of the meeting mentioned in this announcement
programmes will take place as scheduled, the Organizing Committee reserves the prerogative
to make last minute changes should to need arise.
• Entitlements
Participants and Speakers are entitled to:
v Attend the seminar forum
v Free admission to trade exhibition
v Attend the opening ceremony
v Attend welcome dinner
v Lunch and coffee break coupons will be issued
v Registration Kit and Programme book
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6TH FDI – IDA JOINT MEETING
&
Balikpapan International Dental Exhibition 2010
COMMITTEE
BOARD OF ADVISORY STEERING COMMITTEE
Prof. William Cheung Dr Ugan Gandar (coordinator)
FDI CE Programme Manager for Asia Pacific Dr. Tri Erri Astoeti
Dr. Adiningrum Adiwoso W.
PATRON Dr. Mita Juliawati
Dr. Zaura Rini Anggraeni Dr. Yosi Kusuma Eriwati
President of Indonesian Dental Association Dr. Paulus januar
ORGANIZING COMMITTEE
CHAIRPERSON VICE CHAIRPERSON I:

Dr Dyah Muryani Dr Moesdiono
VICE CHAIRPERSON II:
Dr Ahmad Jaiz
SECRETARY TREASURER
Dr Suheriyono Dr Norma Hada
VICE SECRETARY I: Dr Riza Rusman
Dr Muh. Husdiari
VICE SECRETARY II:
Dr Rosmalia Indah
SCIENTIFIC PROGRAM CEREMONIAL PROGRAM
Dr Agung Dr Cecep Husnul B.
Dr Dita Dr Retno S. Sitoresmi
Dr Fetty Moesdiono Dr Eviwati Sitanggang
FUND RAISING EXHIBITION & EQUIPMENT
Dr Wiyana Dr Andy Widjaja
Dr Deasy Dr Tesa K.
Dr Suryani Astuti Tommy Chairperson of the general affairs section of Balikpapan
Dr Ida Kurniati city local government
PUBLICATION & DOCUMENTATION PUBLIC RELATION
- Dr Irfan S Dr Syukri Wahid
- Dr Tesa S Dr Nina
- Chairpersons of IDA Branches in East Kalimantan Dr I. Budiana
Chairperson of the public relation section of Balikpapan
city local government
TRANSPORTATION REFRESMENTS
Dr Yan Satyawibawa Dr Siti S. Wahyutiarni
Dr Patar Dr Ida Permana
Chairperson of general affair section of Balikpapan city Dr Sekar Dianing
local government
LEISURE PROGRAM
Dr I. Budiana
Disporabudpar of Balikpapan city local goverment
13
MAIN LECTURE ABSTRACT
Infection Control in Dentistry
Lakshman Samaranayake,
Hon DSc, Hon FDSRCSE, BDS, DDS, FRCPath, FCDSHK, FHKCPath, FHKAM (Dent Surg)
Dean and Chair of Oral Microbiology,
Tam Wah-Ching Professor of Dental Science
Faculty of Dentistry, The University of Hong Kong
Current epidemiological data clearly indicate that there is no significant risk of contracting bloodborne or
other infectious diseases through the provision of dental treatment when recommended infection control
procedures are routinely followed. A key element of infection control is the concept of universal precautions,
as a means to reduce the risk of blood borne pathogen transmission (e.g. the Human Immunodeficiency
Virus, Hepatitis viruses and others) in healthcare settings. The primary precept underpinning this concept is
the consideration that all patients are potentially infectious and hence the necessity for implementation of
comprehensive infection control procedures when treating any patient. These universal precautions have in
turn been combined with guidelines designed to reduce the risk of transmission of pathogens from moist
body substances, into a unified set of precautions known as standard precautions. This presentation will
address some of the key elements and issues related to infection control in dentistry, concluding with the
latest information on this issue.
Bone Level Implant – A perfect complement to Tissue Level Implant
Dr How Kim Chuan

BDS (Singapore), MSc Orthodontics (London), FDS RCS (England), FDS RCSEd (Edinburgh), MORTH
RCS (England), MORTH RCSEd (Edinburgh), Cert Oral Implantology (Frankfurt), Diplomate ICOI (USA),
AM (Malaya)
What is Bone Level Implant?

What are the clinical advantages of Bone Level Implant versus Tissue Level Implant?
How to achieve consistent aesthetic emergence profile through Bone Level Implant?
How does the current implant surface technology revolutionize our treatment philosophy?
“The ability to focus attention on important things is a defining characteristic of intelligence.
It is only with the heart that one can see rightly. What is essential is invisible to the eye." --”
The emphasis and direction of implant treatment planning philosophies is a story almost all dentists are
familiar with. There has been a debate like a pendulum swing between tissue level and bone level implants
as to which is the more superior design; Both designs claiming clinical and aesthetic successes in their own
right. The advent of implant surface technology and the innovation in bone control design have
revolutionized the fundamental practice of Implantology. These new technologies have prompted us to
revisit our treatment goals in search of optimal aesthetic and functional results closer to the Mother Nature.
We now must establish three things in implant designs, one being the consistent and predictable healing
with faster osseointegration and greater bone implant contact (BIC) surface area; Second being the
prosthetic connection that predictably eliminate the microgap and micro-mobility; and third being the
flexibility in platform design that give rise to consistent aesthetic emergence profile. The Speaker would use
clinical cases to illustrate the clinical applications of bone level versus tissue level implant and discuss how
the new SLActive implant surface technology transform our clinical practice in implant dentistry.
14
Oral Biofilm and Caries Control
Arunee L.
Dental caries is a chronic, dieto-microbial, site specific disease caused by shifts from protective factors
favoring tooth remineralization to destructive factors leading to demineralization. Caries process is also a
complex interaction among the tooth structure, dietary, salivary, genetic influences and the dental plaque
biofilm. Biofilm is a microbial derived sessile community characterized by cells that are irreversibly attached
to a substratum or interface or to each other, are embedded in a matrix of extracellular polymeric
substances that they have produced, and exhibit an altered phenotype with respect to growth rate and gene
transcription. This presentation will provide the overview of the caries concept, management and review of
anti-caries agents/ current anti-microbial approaches for caries control
Green Dentistry: a new paradigm to clinical excellence in dental practice
Paulus Januar, Yosi Kusuma Eriwati, Tri Erri Astoeti, Endang Jeniati
Central Board Indonesian Dental Association (IDA)
Environmental problem is a serious global problems and dangers that sometimes have gone unnoticed by
the dental professionals. Despite the fact that the problem receives less attention, but the dental
professionals actually can take part in solving the problems. The dental professionals in overcoming the
environmental degradation can be carried out efforts such as purchasing dental supplies that are in
recycled, reused, or replaced versions, efficiently using energy and other resources, also in reducing waste
and pollution. Every dentists use dental materials that were produced from metal, polymer, ceramic or
composite materials. The dental materials should be biocompatible to human and eco-friendly as waste.
Dentists should anticipate the side effects or occupational hazards of dental materials that can occur before
they use them. Selecting the appropriate dental materials and managing it properly will minimize the
hazards and will increase the safety and comfort in dental practice as well as producing successful
treatment to the patients. One of the appropriate approaches that should be done in dental health services
is the concept of Green dentistry. Green dentistry is a revolutionary approach at combining high-quality
conservative dentistry while protecting the patient and the environment. Green Dentistry is about the
commitment to find a more environmental friendly way of dentistry while building relationships with clients
and educating them about proper care. Designing dental health care systems that focus on green dentistry
is critical to assuring patient safety. Dental health services have to make specific requirements in the
disposal of equipment and materials as wastes that have potential environmental hazards, and also make
improving the dental health worker responsibility to be environmentally friendly. Green Dentistry concept
should preferably for patient satisfaction; therefore dental health services can increase patient retention. The
time has arrived to develop a sustainability dental practice that converse the environment by recognizing the
challenges and the opportunities inherent in the approach to sustainability for the excellence and the future
of dental profession.
15
SCIENTIFIC PRESENTATION ABSTRACTS
1. Abdul rochim bafagih Sex in Dentistry
2. Adi Prayitno, Muharjo Oral Squamous Cell Carcinoma with HPV Infection Without
DHA, Poernomo p53 and Cmyc Mutation
Suryohudoyo,
Suhartono Taat Putra
3. Adi Prayitno, Widya The Influence Of Bisindolylmaleimide Gf 109203x Or
Asmara, Muharjo DHA, Phorbol Myristic Acetate In Macrophages Phagocytosis
Suhartono Taat Putra Activity Toward C. Albicans
4. Agi Ardianti, Maria Non-Extraction Treatment of Class III Malocclusion With
Purbiati Anterior Crowding
5. Agnes Sukandar. Nia The Role of Autotransplantation in Orthodontic Treatment
Ayu Ismaniati (Literature Review)
6. Amiyatun Naini, Ability of Acrilic Resin and Valplast as Base of Denture to
Suhartini Adherence of Candida albicans
7. Angela Evelyna, Self Synthesis and Microstructure Characterization of Al-Si-
Bambang Sunendar Zr Nanoparticle for Resin Dental Filler With Precursor
Purwasasmita, Nina Method
Djustiana, Zulia
Hasratiningsih
8. Anna Ferlinasari, Case Report Conventional Retreatment on a Maxillary First
Kamizar Molar with Broken Instrument in Mesiobuccal Canal
9. Anton Rahardjo Validity and Reliability of Questionnaires as Tool of Severe
Periodontal Disease Screening in Pregnant Women
Conducted by Midwives or Cadres
10. Ardo Sabir Using Flavonoids as a Natural Products With High
Pharmacological Potency to Improving Oral Health
11. Ardo Sabir Rat dental pulp tissue reaction after capped with propolis
derived non-flavonoids extract
12. Ariadna A Djais, Tut The Modified Rapid Identification of Streptococcus mutans
Wuri Andajani, Ria of OralBiofilm using Polymerase Chain Reaction (PCR)
Puspitawati, Pradono method
Suhardi, Ratna Arietta
13. Aries Chandra Treatment of Periapical Disorders With Apecresection
Trilaksana
14. Armasastra Bahar Tooth Decay Score, Knowledge and Practice of the Children
Aged 9 – 15 Years in Kelurahan Ome, North Maluku.
15. Audiawati, Siti Aliyah P Erosive Oral Lichen Planus : Clinical Features and
Management in Children Patient (Case Report)
16. Auerkari EI, Adiwirya White Tea Extract Decreases Tumor Cell Viability by
MSK, Widurini DS, Inducing Apoptosis in Oral Squamous Cell Carcinoma in
Sandra F, Wicaksono vitro
BD
17. Aynie Yunita, Safrida Non-Vital Tooth Bleaching And Composite Resin
Hoesin Restoration With Fiber Post Of Discolored- Maxillary Central
Incisor With Inadequate Previous Root Canal Treatment
18. Besse Tenri Awaru The Therapeutic Properties of Propolis in Conservative
Dentistry and Endodontic Treatment
16
19. Bintari Eska, Krisnawati Management of Ankylosed Teeth in Orthodontic Treatment
20. Boenjamin- Anemia and underweight among Indonesian Schoolchildren
Partakusuma F, with Angular Cheilitis
Ibrahim-Auerkari E,
Dillon DH, Suharsini M
21. Budi Yuwono The Effect of Coffee Consumtions on Bone Wound Healing
22. Budi Yuwono, Abdul The Effect of Vital Sign on Adrenalin Addition in Local
Rochim Anaesthetic on Block Injection of Alveolaris Inferior Nerve
23. Christine A. Rovani Intracoronal Bleaching of discolored non-vital anterior tooth
with Walking Bleach Technique (Case Report)
24. Desi Sandra Sari Calprotectin In Gingival Crevicular Fluids Correlates With
Clinical Parameter And The Count Of Black-Pigmented
Anaerobes Bacteria On The Aggressive Periodontitis
25. Devy Noviana, Ratna Intentional Endodontic Treatment in Maxillary second molar
Meidyawati as an Abutment Teeth for Fixed Partial Denture
26. Dewi Kristiana The effect of Averrhoa Bilimbi Leaf Extract as Denture
Cleanser on The Transversal Strength of Acrylic Resin
27. Didin Erma Indahyani, Effect of Lemuru Fish oil on Tooth Structure Following
Izzata Barid, Ari Tri Lipopolysaccharide-Induced Periodontal Infection During
Wanodya Handayani Odontogenesis in Rat
28. Dini Asrianti Esthetic Onlay as a Restoration of Choice in Post
Endodontic Posterior Tooth (Case Report)
29. Dini Iswandari drg, MM Medical Disciplinary in the Context of Professionalism
30. Dwi Prijatmoko The Role of Body Composition in Determining Bone Maturity
31. Dyah Juniar Hymawatty The PFAPA Syndrome in Oral Medicine: Differential
Diagnosis and Treatment
32. Dyah Setyorini, Effectiveness of Fluoride Topical Application on the Number
Sulistiyani of Streptococcus Mutans Colony
33. E.M. Arief, A.K. Arterial stiffness in gingivitis: a comparative cross-sectional
Nazirah, A. Rehman study
34. Eddy Hermanto, Andri Peripheral Osteoma of the Mandible : a Case Report
Hardianto
35. Emy Ardana Resin Based Root Canal Sealer Combined With Self-
Etching Bonding Agent
36. Erlina Sih Mahanani, The Odontoblast Density in the Crown and Root of Single
Muhammad Firdaus Rooted Human Teeth
Mohd Shuimi
37. Erry Mochamad Arief, Prevalence, Causes, Problems and Treatment Needs of
Akram Hassan, Raja Gingival Recession: An update
Azman Awang
38. Febriana Setiawati The Pattern of Severe-Early Childhood Caries (S-ECC) of
Sugito Children Under Three Years Old in DKI Jakarta
39. Febrina Rahmayanti, Aphthous Like Ulcers in Patient with Gastrointestinal
Yuniardini S Disorder (A case report)
Wimardhani
40. Femmy Riyeni Puteri, Fiber-Reinforced Composite as A Fixed Space Maintainer :
Hendrarlin Soenawan A Case Report
41. Ferry Jaya, Yosi
Kusuma Eriwati Effect of Surface Treatment On Adhesion to Dentin
42. Ferry P Gultom Use Neighbour Joinning Technique to Inactivate Gene cdt
Aggregatibacter Actynomicetemcommitans Bacteria
17
43. Ganesha Wandawa, Hyperbaric Oxygen Therapy as Alternative Adjunctive
Dewi Nurul Therapy in Chronic Periodontitis Treatment
Mustaqimah, Elza
Ibrahim
Auerkari,Suyanto Sidik
44. Helsa Ramelya, Management of Radicular Cyst and Fibrous Epulis in a 11-
Heriandi Sutadi Year Old Girl (A Case Report)
45. Henny O. Danan Behaviour Management in Uncooperative Children Due to
Dental Treatment (Case Report)
46. Hesti Witasari, Munyati Case report: Endodontic Retreatment using Retreament
Usman Rotary systems
47. Himawan Halim Space Regainer in Orthodontic Treatment Using Pendulum
Appliance
48. Hutasoit E, Ismah N, The Effectiveness of Sodium Hyaluronate on Healing of
Soegiharto BM Traumatic Ulcer Caused by Fixed Orthodontic Appliances
49. I Dewa Ayu Ratna Neem leaves (Azadirachta indica) Improved Oral Mucosa
Dewanti Defense Mechanism Against Candida albicans
50. Iin Eliana Triwahyuni Effect of Immunosupression and C.albicans Infection to The
Macrophage Phagocytosis Activity
51. Imelda Sriulina Compromised Treatment of Skeletal Class III Malocclusion
Sinulingga, Himawan in Adult
Halim
52. Indah Ekasari, Faruk Treatment of severe crowding case
Hoesin
53. Irene Winata, Maria The Role of Cone Beam Computed Tomography (CBCT) in
Purbiati Orthodontics
54. Irmaleny, Narlan Acute Toxicity Test of an Analgesic Herbal Jatropha Curcas
Sumawinata, Dewi L. Latex on Animal Models
Fatma, Marline
Abdassah
55. Isnandar, Kasman Marginal Resection of Cemento-Ossifying Fibroma on
Manullang, Hendro S. Mandible Anterior Region (A Case Report)
Yuwono
56. Iwan Dewanto, Medi Description of Infection Control Implementation Toward
Septario Dental Practice in Yogyakarta City
57. Jeffrey Limanto, Management of Dental Anterior Open Bite with Tongue
Himawan Halim Thrust Habit Using Combination of Tongue Crib and
Manipulation Braket Placement ( Case Report)
58. Jummyanto Pareang, Comparison of Antibacterials Activity of Citronella Essential
Andi Sumidarti Anas Oil (Cymbopogon winterianus) and Cinnamon Essential Oil
(Cinnamomum burmanii) to the Growth of Bacteria Found in
Caries.
59. Juni Jekti Nugroho Management of Non Vital Immature Teeth (Case Reports
and Review)
60. Jusuf Sjamsudin Orthognathic Surgery in Orthodontic, Why & When (Case
Report)
61. Kemala. N Treatment of Non-Vital Tooth Discoloration using Internal
Bleaching Technique
62. Kussulistyowati Putri W, Botox Injection as an Alternative Treatment For Excessive
Benny M. Soegiharto Gingival Display (Literature Review)
63. Leliana S Devi AP Management Treatment of Class II Division 1 Malocclusion
with Multiple Diastemas in Lower Arch (Case Report)
18
64. Leliana S Devi AP, Rina Corrosion Behavior of Titanium Orthodontic Wire
Sutjiati
65. Lina Handayani The Treatment of Central Diastema With Limited Fixed
Orthodontic Appliance (Case Report)
66. Lisa R. Amir Bone Substitute and Injectable Scaffold-Stem Cell Based
Therapy for Bone Tissue Engineering
67. Lusi Hidayati The Increase of Gingival Sulcus of Gingival Sulcus Volume
and Calprotectin Degree on Abutment Teeth Fixed Partial
Denture
68. Marcia, Gus Permana Management of Necrotizing Ulcerative Gingivitis Related to
Subita Chronic Lymphocytic Leukemia (A Case Report)
69. Maria Davina, Dewi Case report: Two Types of Endo-Perio Lesions in One
Anggraini Margono Mouth
70. Maria Purbiati Indratoto, Occlusion and Temporomandibular Joint on Normal and
Laura Susanti Himawan Asymmetrical Faces in Orthodontic Perspective
71. Marta Juslily, Mita Establish an Emotional Connection between Patient and
Juliawati Dentist to achieve High Performance Dental Practice
72. Marty Adani, Faruk Deep Over Bite Correction in Class II Division 2
Husein Malocclusion Using Reverse Curve Arch Wire
73. Mei Syafriadi, Siska Manifestations, Treatment Modalities and Prognosis of Oral
Yumira, Pratiwi Eka Cancer In East Java From 2004 – 2008
Muhardini, Riza
Dwijayanti
74. Miesje Karmiati Early Detection of Mouth Breathing as a Bad Habit
Purwanegara
75. Mindya Y, Hedijanti J, pBMP-2 Transfection into an Odontoblastic Lineage Cell as
Niniarty Z.D a Stem Cell Contribution for Regenerative Dentin Formation
76. Mita Juliawati , Marta The Role of Human Resource Management in Dental
Juslily Practice
77. Muhammad Nurul Amin The Role of Osteoclast and Osteoblast in Accelerating
Orthodontic Tooth Movement
78. Nila Alya Maulidina, Early Extraction of Two Upper Deciduous Teeth Presented
Heriandi Sutadi With Bilateral Conical Type Supernumerary Teeth on a 7
Years Old (Case Report)
79. Novandyta Hapsari, Endodontic Therapy Through Artificial Crown
Nila Kesuma
80. Novrinda H, Andreas P, Participation of Midwives in Maintaining Oral Health During
Rahardjo A, Darwita RR Pregnancy at Kecamatan Serpong - A Six Month
Evaluation
81. Nurlailia DS, Zainul The Pre-Erupted Study of Mandibular Third Molar Inclination
Cholid, Mei Syafriadi Among 14 to 17 Year Old
82. Olivia Pribadi, Erwin Bone Density as A Factor That Influence Orthodontic Mini-
Siregar Implants Stability (Literature Review)
83. Palupi Kumara Sari Upper airway obstruction caused by odontogenic infection
(Case Report)
84. Patricia Iskandar, Haru Patient's Knowledge About The Benefits and Side Effects of
Setyo Anggani, Retno Orthodontic Treatment in RSGMP FKG UI
Widayati
85. R. Indriutami. N. Endodontic Treatment on Mandibular First Premolar with
Sumawinata Weine Type 4 Configuration
19
86. Rasmidar Samad, MS, Parents Perception Related to Impact of Children Dental
Ra’idah Bulu,Herman and Oral Health to Quality of Life of Their Children in Urban
Yapardi and Rural Areas in Makassar Municipality
87. Ratna Farida, Endang The Effect of Gel Containing Anti Streptococcus mutans
Bachtiar , Melissa, Jeng Serotype-C IgY on the Formation of S.mutans Biofilm (in
Seriana, Rina Septriani. vitro)
88. Renta Frianty, Treatment of protusion and open bite case with extrusion
Krisnawati upper molar using transpalatal arch as anchorage
89. Ria Puspitawati, Aurelia Ethanol Extract and Volatile Oil of Curcuma xanthorrhiza
Aurelia, Felicia Roxb Inhibit Phospholipase Activity and Growth of Candida
Kathleen, Inez Hanida, albicans
Stefani Pramudita,
Lakhsmi A Leepel
90. Rina Sutjiati, Iin Eliana Decreasing of The Total Number of Cervical Lymph Node
Triwahyuni Cells Caused By Immunosupression and Candida albicans
Infection
91. Risqa Rina Darwita, Work Stress And Periodontal Disease
Febriana Setyawati,
Herry Novrinda, Iradani
Yupitaningrum
92. Rizka Kusumah Adriani, Non-vital Tooth Whitening Treatment with the Walking
Daru Indrawati Bleach Technique using 35% Hydrogen Peroxide Gel: Case
Report
93. Siti Aliyah P Patient Education and Stringent Follow-Up Influencing The
Outcome of Steroid-Treated Erythema Multiforme (Case
Report)
94. Sitti Andi Rahmayanti Descriptive results of digital dentistry readiness among
Laya Dental Practitioners in Malaysia
95. Sri Utami, Sri Rejeki, Effect of Xylitol Chewing Gum on Protein Concentration of
BM Bachtiar, Purwita Salivary Mutans Streptococci
Nurwidyastuti
96. Sudibyo, Dwi Hariyanto Personal Soft Skills in Dentistry
97. Sulistiyani, Roedy Budi Cleft Lip and Cleft Palate in Children: Description and the
Raharjo Treatments
98. Sumintarti, Erni Marlina Oral Traumatic Ulcer
99. Suzan Elias One Visit Bridge Using Fiber Reinforced Composite
100. Susilowati Expression of Matrix Metalloproteinase-8 (MMP-8) Gene in
Gingival Crevicular Fluid During Distalization of Upper
Canines
101. Tetiana Haniastuti Immunohistochemical Study of the Innervation of Human
Carious Teeth Using Protein Gene Product 9.5
102. Tina Anggriany Halim Creating Beauty and Natural Smile with Composite
103. Tita Ratya Utari The Treatment of Anterior Tooth Crowded Case of Upper
Jaw with Dental Transposition Between Canine and Lateral
Incisor Tooth by Fixed Appliance
104. Trijani Suwandi The Initial Treatment of Mobility Teeth and Closure
Diastema in Chronic Adult Periodontitis
105. Vega Roosa Fione, Probiotic Chewing Gum For Prevention Of Halitosis
Anton Rahardjo
106. Wahdaniah Masdy Use Amalgam Bonding Sistem as Core Post Endodontik
107. Wazillah Nasserie Laminin Imunoexpression as Occurrence Indicator of
Dentinal Bridge on Calcium Hydroxide Pulp Capping
20
108. Widurini, Tut Wuri Anti-Inflammatory Activity of Outer Layer Aloe Barbadensis
Andajani, Sarwono AT, Leaf Extract on Accelerate Healing Process of Oral Mucous
Arifa Ulceration
109. Widurini.DS. Sarwono The Effect of Black Cummin Aplication to Oral Mucous
AT, Septiana NS, Inflammation
Auerkari EI
110. Willyanti Syarif Relationship between Birth Weight and Enamel Defect
Probability in Small Gestational Age Children
111. Wita Anggraini The Anatomical Principles of Bruxism Management
112. Yufitri Mayasari, Dental Caries as an Infectious Disease and Its Relationship
Armasastra Bahar with a Window of Infectivity
113. Zahreni-Hamzah The Local Soy-Milk-Honey As A Good Nutrition For
Mandibular Health In Geriatric Patiens
114. Zahreni-Hamzah, Didin The role of Local Soy-Milk-Honey on Prevention Mandibular
Erma Indahyani, Peni Bone Damage in Rats
Pujiastuti
21
SCIENTIFIC PRESENTATION - 01
SEX IN DENTISTRY
Abdul Rochim
Oral and Maxillofacial Surgery Department Faculty of Dentistry Jember University
Pain is an unpleasant sensory and emotional experience associated with actual or potential
damage, and usually pain is eliminated by using analgesic. Sex produces endorphin, a material
looks like morphine as sharp analgesic. Objective: The aim of this study was to compare pain
perception relief of patients undergoing severe dental pain medication using amoxicillin+NSAIDs
vs. medication using amoxicillin+NSAIDs+SEX. Materials and Methods: The subjects of the study
were thirty-two married patients with acute severe dental pain and self medicated drug (amoxicillin,
NSAID’s).The subjects were divided into two groups, consisting of 16 patients each group with
medication using amoxicillin+NSAIDs with SEX or without SEX. Patients were randomly assigned
to receive the medication. Two days after the medication, they were assessed using 2 indexes.
The first index was the pain relief index with the score of 0= no relief, 1= mild; 2= good; 3= very
good; 4=excellent. The second index was the pain intensity index with the score of 0= no pain; 1=
mild; 2= moderate; 3= severe. Results: There were significant differences clinically and statistically
on pain relief of the medication with sex greater than those without sex (p<0.05). The group with
sex assessment pain relief: 10 excellences, 4 very good, and 1 good, and the group without sex
only: 1 very good, 5 good, 8 mild and 1 no relief. There were significant differences clinically and
statistically on pain intensity of medication with sex better than those without sex p<0.05. The
group with sex assessment pain intensity: 5 no pain and 10 mild, and the group without sex only 6
mild, 8 moderate and 1 severe. Conclusion: Medication in dental pain with SEX combination is
better than medication without SEX combination.
Keywords: Dental pain, sex, pain intensity, pain relief.
SCIENTIFIC PRESENTATION – 02
ORAL SQUAMOUS CELL CARCINOMA WITH HPV INFECTION

WITHOUT p53 AND cmyc MUTATION
1
Adi Prayitno , Muharjo1, Poernomo Suryohudoyo2, Suhartono Taat Putra2
1
Medical School of Sebelas Maret University
2
Medical School of Airlangga University
Background: In distress situation and the presence of HPV stressor effect, denaturation of
proteins may occur and respond by expressing stress proteins for homeostasis purpose. In distress
situation as new homeostasis was ensue obstacle of apoptosis and to raise cell proliferation with to
induce carcinogenesis. Objectives: The aim of this research was to identify the p53 and c-myc
mutation in OSCC with HPV infection. Materials and Methods: Frozen tissue biopsy sections were
taken from BOSC and OSCC patients collected from Oral and Dental Departement of dr Muwardi
Distric Hospital in Surakarta from January 2007 to January 2008. To amplify L1-HPV gene for fixed
the HPV stressor. To amplify p53 and c-myc genes, continued with SSCP analysis and followed
with measurement using densitometer, to see mutation existence. The collected data were
analyzed using chi-square test. Results: BOSC patient identified 23% with HPV infections and
22
OSCC patient identified 73% with HPV infections. One hundred percent BOSC patient with HPV
infection without mutation in p53 gene and c-myc gene, 81% OSCC patient with HPV infection
without mutation in p53 gene and 91 % OSCC patient with HPV infection had without mutation in c-
myc gene. Conclusion: There were significant differences between BOSC and OSCC with HPV
infection in mutation of p53 and c-myc gene.
Keywords: Carcinogenesis; OSCC; p53; cmyc; mutation
THE INFLUENCE OF BISINDOLYLMALEIMIDE GF 109203X OR PHORBOL MYRISTIC

ACETATE IN MACROPHAGES PHAGOCYTOSIS ACTIVITY TOWARD CANDIDA ALBICANS
Adi Prayitno 1, Widya Asmara 2, Muhardjo 1, Suhartono Taat Putra 3

1
Medical School of Sebelas Maret University
2
Veteriner School of Gajah Mada University
3
Medical School of Airlangga University
Aim: The purpose of this experiment was to know the influence of bisindolylmaleimide (GF
109203x) as protein kinase C inhibitor and phorbol myristic acetate (PMA) as protein kinase C
activator in phagocytosis activity toward C. albicans. Methods: The experimental design used the
method of factorial and orthogonal polynomial. The culture of peritoneal macrophage derived from
BALB/c mice treated with bisindolylmaleimides or PMA concentration varied from 5 ng/ml to 100
ng/ml for 10 minute. Then the C. albicans as an antigen was added and observed after every 30
minute for 120 minutes. The data observed consist of the number of C. albicans thet were attached
or complete phagosome. Two Way Anova was used to analyze the interaction of the manipulation.
Results: Statistical test showed a significant differences in the number of C. albicans that were
attached on outer cell and the number of C. albicans trapped into complete phagosomes, at
different GF 109203x or PMA concentration (p<0,001) and different observed time (p<0,001).
Conclusion: GF 109203x inhibited the phagocytosis activity and PMA activated the phagocytosis
activity. Suggestion: Further experiment in protein kinase C as an important proteins in signal
transduction pathway, especially in fungi infection, was suggested.
Keywords: Macrophages; C. albicans; PKC; Bisindolylmaleimides; PMA.
NON-EXTRACTION TREATMENT OF CLASS III MALOCCLUSION WITH ANTERIOR

CROWDING
Agi Ardianti1, Maria Purbiati2

1
Resident of Orthodontic, 2 Lecturer of Orthodontic
Faculty of Dentistry, University of Indonesia
This case report described the treatment of a patient with skeletal class III malocclusion with
anterior crossbite and crowding, accompanied with hyperdivergent and concave facial profile. The
therapy for the patient was a non surgical, or a non-extraction camouflage therapy with a fixed
orthodontic appliance. The treatment was done by protracting the maxillary incisors and minimum
retraction of the mandibular incisors. After 20 months of treatment, no loss of alveolar process
23
height of the protracted maxillary incisors occurred. A class I canine relationship and substantial
facial profile improvement was gained.
Keywords: Skeletal class III malocclusion, camouflage therapy
THE ROLE OF AUTOTRANSPLANTATION IN ORTHODONTIC TREATMENT

(LITERATURE REVIEW)
Agnes Sukandar.* Nia Ayu Ismaniati**

*Resident of Orthodontics, Department of Orthodontics
**Lecturer of Department of Orthodontics
The absence of teeth, either congenital or due to caries or trauma, presents a challenge for
orthodontist. Orthodontic space closure and prosthetic replacement, either removable denture
,bridge or implant are the main solution for this problem, but sometimes patients don’t want to use
any prostheses. Another cases that also put a challenge in orthodontic treatment are the impacted
and ectopic teeth, especially in maxillary canine and mandibular third molar. Auto-transplantation
is one of the option to solve this problem. Auto-transplantation is the transfer of an organ or tissue
from one site to another in one individual. With auto-transplantation, patients don’t have to use
prostheses or spending a lot of time in closing the space with orthodontic space closure. Auto-
transplantation can reposition the impacted or ectopic teeth in the correct position without having a
long term treatment. Many clinicians have proven the successfulness of auto-transplantation, as
long as auto-transplantation is done by the right procedure. There are several conditions that we
have to concern in order to have a good result in auto-transplantation, such as root development
of the donor teeth, extraction and operation technique and also the recipient space and condition.
Keywords: Missing teeth, ectopic, impacted teeth, auto-transplantation.
THE ABILITY OF CANDIDA ALBICANS TO ADHERE ON ACRYLIC RESIN

AND VALPLAST DENTURE BASE
Amiyatun Naini and Suhartini.

Faculty of Dentistry, Jember University
Introduction: The function of dentures are for chewing and esthetics purposes. Acrylic resin
for denture is more rigid than other materials and uses metal wires for clasps that reduce the
esthetics. A new material called Valplast is more flexible, color matching, thinner, lighter, and
without using wires for attachment than acrylic resin. Plaque and food debris can adhere to
dentures which can increase the amount of Candida albicans and cause denture stomatitis.
Objectives: The aim of this study was to investigate the amount of candida albicans in the acrylic
resin and valplast denture base and to evaluate the adherence of candida albicans in the acrylic
resin and the valplast denture base. Methods: Samples of acrylic resin and valplast plates
(10x10x1 mm) were sterilized in an autoclave at 1210C for 18 minutes, then soaked in sterile saliva
for 1 hour, and then cleaned by PBS twice for 15 minute each. The samples were then
24
contaminated by candida albicans suspension and were incubated at 370C for 24 hours. They
were then entered in 10mL Subaraud’s broth, vibrated by thermolyne for 30 seconds. The candida
albicans were counted by using spectrophotometers. Results: The mean scores of candida
albicans in acrylic resin were 3,1x108 and 3,5x108, and the statistical test resulted the probability of
0.00 (p<0.05) on 95 % significant level. There were significant differences of candida albicans
mean scores in acrylic resin and valplast denture bases. Conclusion: The amount of candida
albicans in the valplast denture base was significantly higher than in the acrylic resin denture base.
It was suggested that intensive plaque control is needed for valplast denture base Users.
Keywords: acrylic resin, valplast, candida albcans
SELF SYNTHESIS AND MICROSTRUCTURE CHARACTERIZATION

OF Al-Si-Zr NANOPARTICLE FOR RESIN DENTAL FILLER
WITH PRECURSOR METHOD
Angela Evelyna*, Bambang Sunendar Purwasasmita**, Nina Djustiana***,

Zulia Hasratiningsih***
* Program of Master of Science Program, Faculty of Dentistry Padjadjaran University, **
Department of Materials Science, Institute Technology of Bandung, *** Department of Dental
Materials Science, Faculty of Dentistry Padjadjaran University
Introduction: Although the science and technology of dental materials is well developed
globally, but Indonesia still has not made its own dental materials yet, particularly esthetic
restorative dental materials. The demand of these materials in our country is very high, while the
supplies are very depended on imported products. Nowadays the most popular restorative
materials are dental composite. One of the constituent of this material is inorganic filler particles.
The fillers are metal oxide nano-particles that used to reduce polymerization shrinkage and
coefficient of thermal expansion and to increase mechanical properties. Precursor method of sol-
gel technique with merang as template could be used to synthesize this nano-particle more
effectively. Purpose: The aim of this study was to synthesize Al-Si-Zr nano-particles using sol-gel
technique with precursor method and merang pulp template and characterize its microstructure.
Materials and Methods: Three precursors of Aluminium nitrat nanohidrat (Al(NO3)2.9H2O), Tetra
ethyl ortho silicate (TEOS), and Zirconium chloride (ZrCl4) were synthesized with sol-gel technique
using merang pulp template to produce Al2O3, SiO2 and ZrO2 metal oxides. The microstructures
of this metal oxide were characterized using X-Ray Diffraction (XRD) and Scanning Electron
Microscope (SEM). Results: The average size of metal oxide particles produced was 41.67 nm
and the microstructure was well dispersed. Conclusion: The synthesis of Al-Si-Zr metal oxide
particle using sol-gel technique and precursor method with merang pulp as template resulted
dispersed nano sized filler particles that could be used as dental restorative resins fillers.
Keywords: Al-Si-Zr ceramic, nanoparticle filler, sol-gel
25
CASE REPORT
CONVENTIONAL RETREATMENT ON A MAXILLARY FIRST MOLAR WITH BROKEN
INSTRUMENT IN MESIOBUCCAL CANAL
Anna Ferlinasari *, Kamizar**

*post graduate student, conservative dentistry, Faculty of Dentistry, University of Indonesia
**lecturer, conservative dentistry, Faculty of Dentistry, University of Indonesia
Root canal treatments can be complicated by procedural accidents happened during the
treatment. This leads to a failure in eliminating microorganisms in the canal. A case of 48 year old
female with an incomplete root canal treatment in the right first mandibular molar with apical
periodontitis, and broken instrument in the mesiobuccal canal will be discussed.
A conventional retreatment was conducted with bypass approach and the canal be cleaned,
shaped, and obturated through the working length. The prognosis of such a case depended on the
bypass procedure.
VALIDITY AND RELIABILITY OF QUESTIONNAIRES AS THE INSTRUMENT FOR SEVERE

PERIODONTAL DISEASE SCREENING TO PREGNANT WOMEN CONDUCTED BY MIDWIVES
OR CADRES
Anton Rahardjo
Dept. of Preventive and Public Health Dentistry
Faculty of Dentistry University of Indonesia.
Introduction: The severity of periodontal disease increases the risk of pre-term labor and
low-weight babies. Despite the fact, periodontal disease screening in community has been hardly
conducted due to limited resources. The aim of the study was to evaluate the validity and reliability
of severe periodontal disease screening in pregnant women using a questionnaire that conducted
by midwives or cadres. Methods: Subjects were sixty-eight pregnant women aged 20-32 years-
old, who visited Posyandu and Puskesmas Serpong. Bleeding on probing (BOP) was measured
using periodontal probes (VIVACARE TPS PROBE, Liechtenstein). The subjects were divided into
2 groups (BOP +/ BOP -) based on having BOP positive in at least 1 tooth site. Nine questions
about gums bleeding experiences during 6-7 months of pregnancy were used as an instrument that
will be tested. Results: The Receiver Operating Characteristic (ROC) curve was plotted to decide
the best cut off point of the BOP positive. The best cut-off point of the questionnaire that answers,
“Yes” was 2, and the sensitivity and specificity of this cut-off point were 69.1 % and 46.6 %
respectively. These findings suggested that questionnaire for pregnant women may be useful on
mass screening for periodontal disease in pregnant women population.
Keywords: Screening instrument, questionnaire, periodontal disease, pregnant women, midwives,
cadres.
26
USING FLAVONOIDS AS A NATURAL PRODUCTS WITH HIGH PHARMACOLOGICAL

POTENCY TO IMPROVING ORAL HEALTH
Ardo Sabir
Faculty of Dentistry, Hasanuddin University
Flavonoids are a widely distributed group of polyphenolic compounds characterized by a

common benzo-γ-pyrone structure, and are ubiquitous in photosynthesizing cells. It is widely
spread in the plant kingdom and currently consumed in large amounts in the daily diet. A myriad of
nutritional benefits has been attributed to these phytochemicals. For centuries, laymen and
physicians have used preparations containing flavonoids as the principal physiologically active
constituents, in attempts to treat human diseases. Flavonoids are capable of modulating the
activity of enzymes and affect the behavior of many cell systems. It is reported that this compound
may possess significant antibacterial, anti-inflammatory, antioxidant, vascular protection and even
anticarcinogenic activities. Therefore, the aim of this review is to discuss the structure and classes
of flavonoids, the biosynthesis of flavonoids, the pharmacokinetics and pharmacodynamics of
flavonoids. It also review the few existing reports on biological and pharmacological activities of
flavonoids to stimulate the interest of clinicians to make further investigations on the therapeutic
application of these natural compounds to improve oral health.
Keywords: flavonoids, pharmacological potency, oral health.
RAT DENTAL PULP TISSUE REACTION AFTER CAPPED WITH

PROPOLIS DERIVED NON-FLAVONOIDS EXTRACT
Ardo Sabir
Department of Conservative Dentistry Faculty of Dentistry, Hasanuddin University
Propolis is a resinous material collected by honey bees from various plants. Many
researches have been showed that it has antibacterial and anti-inflammation activities. Flavonoid is
the main of chemical substance in propolis that has inhibit bacterial growth and reduce the release
of free radicals, suggesting that this component has anti-bacterial and anti-inflammatory properties.
However, there is another chemical substance in propolis that may shows antibacterial dan anti-
inflammatory activities. Therefore, the purpose of present study was to assess the rat dental pulp
tissue reaction after capped with propolis derived non-flavonoids (NFP) extract. Non-flavonoids
substances were purified from an ethanol extract of propolis obtained from South Sulawesi,
Indonesia. A Class I cavity was prepared on the occlusal surface of the right maxillary first molar in
Spraque-Dawley rats. The dental pulp was exposed and then capped with a zinc oxide-based filler
as a control (group I), or NFP (group II). Then, each cavity was filled with glass ionomer cement.
The animals were sacrificed at week 1, 2, or 4. Biopsy samples were obtained, and these were
stained and viewed by light microscopy. The histological examination was based on the presence
of polymorph nuclear leukocytes and macrophages. The results showed that pulp inflammation
occured in both group as early as week 1. However, the inflammation occured in group II was
relatively milder compared to group I at all time period. Therefore, the present results suggest that
application of NFP extract on rat’s dental pulp tissue may inhibit inflammatory process.
27
Keywords: non-flavonoid, propolis, dental pulp, rat.
THE MODIFIED RAPID IDENTIFICATION OF STREPTOCOCCUS MUTANS OF ORALBIOFILM USING

POLYMERASE CHAIN REACTION (PCR) METHOD
Ariadna A Djais, Tut Wuri Andajani, Ria Puspitawati, Pradono Suhardi, Ratna Arietta
Oral Biology Department, Faculty of Dentistry Universitas Indonesia
Streptococcus mutans is the major etiological factor of dental caries. The standard
procedure to identify this bacteria are among others by using cultivation technique. However, it is
material and time consuming. Based on the ability of DNA precipitation by Ethanol absolute, the
same principle were used to modify the standard procedure. The purpose of this study is to modify
the identification of Streptococcus mutans method by Ethanol absolute without cultivating with any
specific culturing media. Oral biofilm are collected using sterile excavator as much as 1 mg weight
respectively. The sample were put into 1.5 ml Ependorf tubes which contained 1 ml Ethanol
absolute, then mixed it well. Collecting the pellet after centrifugation, extracted DNA by InstaGene
Matrix kit by using standard procedure. The purity and estimation the amount of DNA was
measured by A260 and A280 of Spectrophotometer. Detection of Streptococcus mutans using
polymerase Chain Reaction method, using primer GTFB-R and GTFB-F. The PCR product were
visualized by using ELISA and staining with Ethidium Bromide. The procedure method were
cultivated on TYS20B and detection the colonies bacteria using PCR method. The purity DNA was
showed (1.72-1.82) and the amount of DNA was showed (824 -1048) ng/ul. One hundred percent
(10/10) samples could detect Streptococcus mutans. The standard procedure using cultivation on
TYS20B and detection using PCR method has shown the same results.
The modification method using Ethanol absolute without cultivation are able to be any used as
rapid identification of Streptococcus mutans of Oral Biofilms
TREATMENT OF PERIAPICAL DISORDERS WITH APEX RESECTION

(CASE REPORT)
Aries Chandra Trilaksana

Departement of Conservative Dentistry, Faculty Of Dentistry,
Hasanuddin University
Apex resection is one of the treatment performed in endodontic surgery to curettage apical or root resection.
Apecresection was conducted to remove necrotic tissues and to close root apical directly after obturation.
This was the case report of a male patient with symptoms of sore at front teeth and his gums were swollen.
The clinical examination and dental x-rays showed that the teeth of 11 and 12 had periapical disorders
because of dental trauma on traffic accidents. Apecresection was carried out because root canal never dried
from the liquid that made it difficult for a root canal filling. Apecresection followed by obturation were carried
out at the same time. Observation after the treatment showed the healing process in the previously impaired
periapical areas.
Keywords: Apecresection, Endo surgery, Periapical disorders

28
TOOTH DECAY SCORE, KNOWLEDGE AND PRACTICE OF THE CHILDREN AGED 9 – 15

YEARS IN KELURAHAN OME, NORTH MALUKU
Armasastra Bahar
Dept. of Preventive and Public Health Dentistry
Faculty of Dentistry University of Indonesia.
Kelurahan Ome is located in remote area of North Maluku with a population of 1632 people.
Elementary School students in Kelurahan Ome for a long time had not received school dental
services (UKGS), which raised the concerns on the lack of knowledge and practice on oral and
dental health maintenance of school aged children. Aim of this study was to find out the condition
of oral hygiene, knowledge and practices of the children aged 9-15 years in Kelurahan Ome. From
34 children, 18 boys and 16 girls, the average of tooth decay score was 1.88 and there was no
significant difference between boys and girls (p> 0.05). When the children had dental problem,
most of them were seeking dental treatment by themselves using OTC drugs. Most of them did not
know the causes of dental caries, and when they had tooth decay, they thought it had to be
extracted. Based on these findings, dental health education and preventive program as a part of
the school dental services (UKGS) must be activated.
Keywords: UKGS, oral health condition, knowledge, practice, school children
EROSIVE ORAL LICHEN PLANUS: CLINICAL FEATURES AND MANAGEMENT IN CHILDREN

PATIENT
(CASE REPORT)
Audiawati *, Siti Aliyah P**

Oral Medicine Department, Faculty of Dentistry, Universitas Indonesia
Oral lichen planus (OLP) is a chronic inflammatory disease affecting stratified squamous
epithelia which can cause morbidity with unknown aetiology. Oral lichen planus (OLP) presents a
variety of clinical presentation including reticular, atrophic, plaque, erosive and ulceration lesion.
Oral lichen planus (OLP) affects women than men and occurs predominantly in adults over 40,
although younger adults and children may be affected. We reported a rare case of OLP in 16 years
old children female patient in Oral Medicine Department Cipto Mangunkusumo Hospital that was
diagnosed of having erosive OLP augmented on reticular type and complained about school
related stress. In erosive OLP, the main problem is chronic pain complained by most of the patient
and is the reason for seeking professional helps. Management of this patient included the
application of high potency topical corticosteroid e.g 0.05 % clobetasol proprionate and Topical
0.1% Tretinoin with good improvement and stress management with counseling to professional.
Since OLP is a form of chronic disease, it is important to re-examine periodically to reduce the risk
to oral cancer.
Keywords: Erosive Oral Lichen Planus, Children, Management.
29
WHITE TEA EXTRACT DECREASES TUMOR CELL VIABILITY BY INDUCING APOPTOSIS IN

ORAL SQUAMOUS CELL CARCINOMA IN VITRO
Auerkari EI1, Adiwirya MSK1, Widurini DS1, Sandra F2, Wicaksono BD2
1
Dept of Oral Biology, Faculty of Dentistry, University of Indonesia
2
Stem Cell & Cancer Institute
Background: White tea is made from young leaf buds of the tea plant (Camellia sinensis).
In previous studies, white tea has been suggested to inhibit colon cancer precursor cells.
Objectives: This study aimed to determine the effects of white tea extract on SCC cells lines
HSC-2 and HSC-3 originated from Squamous cell carcinoma (SCC). Methods: Antioxidant activity
of white tea was measured using the DPPH method. To check SCC cell viability and apoptosis, HSC-2 and
HSC-3 cells were exposed to white tea maceration extract at concentrations of 50, 100 and 400 µg/mL.
The cell viability was measured by trypan blue exclusion method. The percentage of cells at Sub-G1 in the
cell cycle was measured with sub-G1 apoptosis assay using flow cytometry. Results: The results showed
an antioxidant activity of white tea of 453.3 mg AEA/100 g sample. A significant reduction in cell
viability (p<0.05) was observed at white tea extract concentration of 400 µg/mL for both SCC cell lines, with
IC50 value of 259.4 µg/mL for HSC-2 cells and 365.3 µg/mL for HSC-3 cells. The percentage of cells at
sub-G1 cell cycle showed a significant induction of apoptosis (p<0.05) at the concentration of 400
µg/mL for both cell lines. Conclusion: White tea showed high antioxidant activity. Exposure to
white tea extract at sufficient concentration significantly reduced SCC cell viability and induced
apoptosis in the SCC cell lines HSC-2 and HSC-3. Further study is needed to clarify parallel
benefits in vivo.
Keywords: white tea, DPPH, cell viability, apoptosis, sub-G1 apoptosis assay.
NON-VITAL TOOTH BLEACHING AND COMPOSITE RESIN RESTORATION WITH FIBER

POST OF DISCOLORED- MAXILLARY CENTRAL INCISOR WITH INADEQUATE PREVIOUS
ROOT CANAL TREATMENT
Aynie Yunita*, Safrida Hoesin**

*Post graduate student, Department of Conservative Dentistry,
**Professor of Conservative Dentistry, Faculty of dentistry, University of Indonesia
Introduction: The natural white of teeth is important aspect of smile and affecting individual
attractiveness. When discoloration caused by necrotic pulp was occurred at anterior teeth,
adequate root canal treatment and intracoronal bleaching is needed. Purpose: to report the proper
intracoronal bleaching procedure and composite resin restoration with fiber post of discolored
maxillary central incisor caused by necrotic pulp. Case: A 20 years old female patient complained
that maxillary central incisor darkened since 4 years ago. Clinical examination showed grayish
yellow coronal discoloration with discolored composite filling. There is no subjective pain neither
tenderness to percussion or palpation. Radiographic examination showed inadequate previous root
canal treatment with evidence of underfilling obturation and persistent apical radiolucency. Root
canal retreatment was performed in 2 visits. One week after obturation, intracoronal bleaching
30
procedure with walking bleach method was started. First, 2 mm of GIC base is applied as cervical
seal. The access cavity should be shaped in such a way that remnants of restorative materials,
root-filling materials, and necrotic pulp tissue are completely removed. Build up proximal mesial
wall of cavity with glass ionomer cement. Cavity was cleaned with sodium hypochlorite, dried, and
35% hydrogen peroxide gel was applied. GIC was used as temporary restoration material. The
bleaching agent was changed every 7 days. composite resin with fiber post was used as final
restoration and performed minimum 2 weeks after the bleaching procedure has been finished.
Result: Optimal result was obtained in 2 visits of bleaching ( 2 weeks). The colour was best
matched with the adjacent teeth and esthetically satisfactory. Fiber post and composite restoration
was used to strengthen and rehabilitate the normal function and completed the natural appearance
of tooth. Conclusion: Intracoronal bleaching procedure and composite resin restorastion with fiber
post was successfully effective to enhance patient’s smile.
THE THERAPEUTIC PROPERTIES OF PROPOLIS IN CONSERVATIVE DENTISTRY AND

ENDODONTIC TREATMENT
Besse Tenri Awaru

Postgraduate Student of Conservative Dentistry, Faculty of Dentistry Hasanuddin University
Recently there have been trends of increased trust and awareness on natural products. A
number of investigations had shown the benefits of propolis in conservative dentistry and
endodontic treatment. Propolis had shown favourable laboratories effect when used as direct pulp
capping agent, medicament in endodontic treatment, and anti caries agent, because propolis had
shown to posses potent antimicrobial and anti inflamatory properties. This paper tried to trace out
the propolis used in our specialty which will guide us to explore the possibilities of developing
indigenous dental material and medicament with prosperous economic values.
Keywords: propolis, medicament, anti caries, pulp capping .
MANAGEMENT OF ANKYLOSED TEETH IN ORTHODONTIC TREATMENT
Bintari Eska*, Krisnawati**

*Resident of Orthodontics, **Lecturer of Orthodontics Department,
Background: Ankylosis is a pathologic condition that can be found in the deciduous teeth and
permanent teeth and can be an etiologic factor in the development of malocclusion. It is seen fairly
often, particularly in lower primary molars. The etiology is still unknown, but several predisposing factors
have been identified. Clinically, an affected tooth may manifest different stages of infraocclusion or
even impaction depending on the developmental stage when ankylosis occurs. Objective: To several
the pathogenesis, clinical findings, causes of ankylosed tooth, and various alternative treatments will assist
in determine the diagnosis and proper treatment, so finally will result in successful orthodontic treatment.
Reviews: Diagnosis of ankylosis is usually based on clinical findings but the most definitive
diagnostic test is the failure of the tooth to move following the application of orthodontic forces.
31
Several treatment options have been recommended for the management of ankylosed tooth. The
treatment of ankylosed teeth depends several factors; type of affected tooth (deciduous or
permanent tooth), degree of infraocclusion, age, patient compliance and on the developmental
degree of the successor tooth.
Keywords: Tooth ankylosis, orthodontic treatment
ANEMIA AND UNDERWEIGHT AMONG INDONESIAN SCHOOLCHILDREN WITH ANGULAR

CHEILITIS
Boenjamin-Partakusuma F 1,2, Ibrahim-Auerkari E 1, Dillon DH 1, Suharsini M1,

1
University of Indonesia; 2 Trisakti University
Background: The occurrence of angular cheilitis is believed to be related to anemia, which

is still prevalent among schoolchildren. Objectives: This work aimed to assess the relationship
between anemia and anthropometric status with angular cheilitis, Methods: This cross-sectional
study was conducted in East Jakarta, involving 607 schoolchildren aged 6-12 years. Each subject
underwent assessments of height, weight and hemoglobin concentration. Anthropometic status
were analyzed with WHO AnthroPlus. Capillary blood hemoglobin concentration was determined
by Miniheim 523. Angular cheilitis was diagnosed when there was red lesions or cracks at the
corners of the mouth. Results: The prevalence of underweight, stunting, wasting and anemia
among the subjects was 27.3%, 9.6%, 18.3%, and 12.9%, respectively. Cheilitis was observed in
7.9% of the schoolchildren. The odds ratio for anemia and underwieight for angular cheilitis was
2.67 (p = 0.006; 95% C.I: 1.32, 5.36) and 2.01(p = 0.032; 95 C.I: 1.07, 3.83) respectively.
Conclusions: Anemia and underweight were risks factors for angular cheilitis.
Keywords: anemia, underweight, angular cheilitis
THE EFFECT OF COFFEE CONSUMPTIONS ON BONE WOUND HEALING
Budi Yuwono
Departement of Oral and Maxillofacial Surgery,
Faculty of Dentistry Jember University
Objectives: The purpose of this study was to evaluate the effect of caffeine consumptions
on bone wound healing in Wistar rats. Material and Methods: The study was an experimental
laboratory research, and randomized post test only control group design was used. The samples
were 3 months old male Wistar rats with weight of about 200 g. The 24 rats were divided into 4
groups: Group I was the control group (Co) and the other three groups were Group T1 that was
treated with caffeine diet for 7 days, T2 for 14 days, and T3 for 21 days. The caffeine was given per
oral using sonde with the dosage of 3.78 mg/100g/cc. After the treatment, all groups underwent a
bone preparation with round bur on the alveolar crest in the mesial side of the lower right first molar
and were let for 7 days. Then decapitation for jaw bone preparation for histological examination
were counted for osteoblasts using light microscope. The data were analyzed using One-way
Anova and LSD test. Results: The results indicated that there were significant decrease of the
32
number of osteoblasts when consuming caffeine after 7, 14 and 21 days (p<0.05). Conclusion: It
can be concluded that the longer caffeine intake, the lower the number of osteoblats in bone
wound healing on Wistar rats.
Keywords: Caffeine; Osteoblast; Bone healing
THE EFFECT OF VITAL SIGN ON ADRENALIN ADDITION IN LOCAL ANAESTHETIC ON

BLOCK INJECTION OF ALVEOLARIS INFERIOR NERVE
Budi Yuwono*, Abdul Rochim*

Oral and Maxillofacial Surgery department, Faculty of Dentistry Jember University
Local anaesthetic is widely used in dentistry and commonly added with adrenalin. Adrenalin
as vasoconstrictor is usually used to develop a greater effect of local anaesthetics, but there is also
side effect on vital sign. This study was undertaken to know the effect on vital sign caused by
addition of adrenalin 1:80.000 in local anaesthetic used for dental clinical use. Material and
Methods: A total of 60 healthy students of Faculty of Dentistry Jember University were included in
this randomized double blind clinical trial, divided into two groups, consisting of 30 students in each
group. They were locally injected block anaesthesia on the inferior alveolar nerve. The blood
pressure, the pulse, and the respiration were examined pre and post injection. Results: The mean
scores of respiration pre/post test are 18.39/17.82 (p>0.05), pulse pre/post test are 82.04/84.32
(p>0.05), and diastole pre/post test are 73.79/73.79 (p>0.05). There were no clinical and statistical
differences on the pulse, the respiration and the diastole between pre and post injection. The mean
scores of systole pre/post test were 112.07/114.83 (p<0.05). There was statistical significant
difference but no clinical difference between pre and post injection. Conclusions: The addition of
adrenalin 1:80.000 in local anaesthetic was clinically safe on vital sign.
Keywords: Adrenalin, systole, diastole, pulse, and respiration.
INTRACORONAL BLEACHING OF DISCOLORED NON-VITAL ANTERIOR TOOTH WITH

WALKING BLEACH TECHNIQUE
(CASE REPORT)
Christine A. Rovani
Department of Conservative Dentistry,
Faculty of Dentistry, Hasanuddin University
Dissemination caused by pulp extirpation or traumatically induced internal pulp bleeding into
the dentinal tubules is a possible cause of discoloration of non-vital tooth. Discolorated tooth
especially in the anterior region, could result considerable cosmetic impairment. One of the
popular method commonly use is walking bleach technique. The walking bleach technique is
performed by application of a paste containing 35% Hydrogen peroxide. The bleaching of the tooth
is an alternative therapeutic method that is relatively non-invasive and conserves dental hard
tissue. Two cases of patients with discolorisation on the right upper anterior teeth due to trauma
and caries will be discussed. Diagnosis of the tooth was pulp necrosis, and root canal treatment
33
was planned with intracoronal bleaching material to overcome the discolorisation. After root canal
treatment was finished, walking bleach was carried out 2-3 times until the color of teeth resemble
with the adjacent teeth. One month and three month evaluations after the treatment showed that
the color was remain the same.
Keywords: Intracoronal Bleaching, Walking Bleach, endodontic
CALPROTECTIN IN GINGIVAL CREVICULAR FLUIDS CORRELATES WITH CLINICAL

PARAMETER AND WITH THE COUNT OF BLACK-PIGMENTED ANAEROBES BACTERIA ON
THE AGGRESSIVE PERIODONTITIS
Desi Sandra Sari*

*Department of Periodontology, Faculty of Dentistry, Jember of University
Introduction: Calprotectin is a calcium and zinc-binding cytosolic protein which is

expressed in neutrophil during inflammatory event in the initial steps of inflammation. Plasma level
of calprotectin is elevated in patient with bacterial infection. It exerts profound microbiostatic and
modest microbicidal activities such as black-pigmented anaerobes. The black-pigmented
anaerobes are found predominantly in deep periodontal pocket. In this study, we investigated the
correlation between gingival crevicular fluid (GCF) calprotectin level with the clinical indicator
(probing depth) and with the count of black-pigmented anaerobes bacteria. Methods: Probing
depth at 12 sites of 12 subjects with aggressive periodontitis were examined, then GCF sample
were collected using 2 sterile paperpoints for 30 seconds. The black-pigmented anaerobes were
cultivated in the blood agar medium for 7-14 days. The calprotectin level was analyzed using
ELISA. Results: The GCF calprotectin level increased approximately in proportion to probing
depth (3-7 mm) and showed a significant positive correlated with probing depth (p<0.05). Black-
pigmented anaerobes bacteria stimulates calprotectin release from neutrophil, and there were also
positive correlations between the total content of calprotectin and the count of black-pigmented
anaerobes bacteria (r = 0,669, p<0.05) Conclusion: The calprotectin level in GCF correlates well
with the probing depth and black-pigmented anaerobes bacteria of aggressive periodontitis and it
was suggested that calprotectin may be useful for evaluating the extent of periodontal
inflammation.
Keywords: Calprotectin; Probing Depth; Black-Pigmented Anaerobes Bacteria; Aggressive
Periodontitis.
INTENTIONAL ENDODONTIC TREATMENT IN MAXILLARY SECOND MOLAR AS AN

ABUTMENT TEETH FOR FIXED PARTIAL DENTURE
Devy Noviana1 and Dr. Ratna Meidyawati2

1
Postgraduate Department of Conservative Dentistry,
2
Department of Conservative Dentistry, University of Indonesia
The decision to extract a tooth is a part of the treatment planning and performed after
collecting data about the advantages and disadvantages. Failure to replace a missing teeth is
34
assumed to disrupt the balance of the stomatognatic system and trigger a host of adverse
consequences. Extracting a tooth without replacement not only impaired the chewing ability but
also extrusion of an unopposed tooth into the edentulous space and tilting of the teeth adjacent. A
case of intentional root canal treatment of a 65 years old female due to extrusion of anunopposed
maxillary second molar will be discussed. Root canal treatment will guarantee the prognosis of the
tooth as an abutment for fixed partial denture and treatment planning for the tooth to support the
success of fixed partial denture. In this case profilactic dowel is necessary.
Keywords: consequences of removal teeth, intentional root canal treatment, fixed partial denture
THE EFFECT OF AVERRHOA BILIMBI LEAF EXTRACT AS DENTURE CLEANSER ON

TRANSVERSAL STRENGTH OF ACRYLIC RESIN
Dewi Kristiana
Department of Prostodontics, Faculty of Dentistry Jember University
Introduction: It has been believed for a long time, especially by Indonesian people, that the
Averrhoa Bilimbi leaf has medical efficacy. S. mutans are the bacteria that mostly found in the
plaque. The plaque on a denture may cause inflammation in mucosal tissue under the denture
namely denture stomatitis. Aims: The purpose of this study was to evaluate the effects of Averrhoa
Bilimbi leaf extracts used as denture cleanser with various concentration and immersion time on
the transversal strength of acrylic resin. Methods: The samples were heat-cured resin acrylic
plates that were immersed in Averrhoa Bilimbi leaf extract with concentration of 4%, 8%, and 16%
for 2 days, 10 days and 30 days. Eight samples were immersed in each concentration, and
samples control were immersed in distilled water. Universal Testing Machine was used to measure
the transversal strength of acrylic resin . The data were analyzed using one way ANOVA and LSD
Test. Results: The result showed that there were significant differences between the groups (p<
.05) and there were significant differences on heat-cured resin acrylic plates immersed in Averrhoa
Bilimbi leaf extract with concentration of 4%, 8%, 16% in the transversal strength between the
various concentration and soaking duration. Conclusion: The extract of Averrhoa Bilimbi leaf of
16% concentration with the soaking duration of 30 days decreased the transversal strength of
acrylic resin.
Keywords: Heat cured acrylic, Averrhoa Bilimbi leaf, and transversal strength.
EFFECT OF LEMURU FISH OIL ON TOOTH STRUCTURE FOLLOWING

LIPOPOLYSACCHARIDE-INDUCED PERIODONTAL INFECTION DURING ODONTOGENESIS
IN RAT
Didin Erma Indahyani1), Izzata Barid1) , Ari Tri Wanodya Handayani2)

1)
Department of Oral Biology, 2) Departement of Public Dental Health,
Faculty of Dentistry, Jember University.
35
The aim of the study was to analyze the effect of lemuru fish oil on tooth formation
especially on tooth structure that had periodontal infection during odontogenesis. Thirty Wistar rat,
male, 5 days of age, were divided into 3 groups. As the control group, there was no any treatment
to first group. The second group were injected LPS to trigger periodontal inflammation. The third
group were injected LPS and administered lemuru fish oil orally/day/1 ml/300-350g body weight.
The rats were decapitated on the age of 13 and 21 days. The analysis of tooth structure used the
HHI index. The results of the study showed that the inflammation of periodontal during
odontogenesis produced tooth hypoplasia and hypocalsification. Scoring of HHI index was 9 and 8,
it meant that the hypoplasia and the hypocalsification involved the entire tooth surface. The Lemuru
fish oil was able to suppress the tooth hypoplasia and hypocalsification. Rats that were inducted
LPS and treated with the lemuru fish oil have the HHI index aproximally 5 and 6, it meant that the
tooth hypoplasia and hypocalsification involved one of the surface of the tooth. In addition, there
were more rats without hypoplasia or hypocalcification. It was concluded that the lemuru fish oil
was proficient to prevent the occurrence of tooth hypoplasia and hypocalsification.
Keywords: Fish oil, Lipopolysaccharide, hypoplasia and hypocalcification, odontogenesis.
ESTHETIC ONLAY AS A RESTORATION OF CHOICE IN POST ENDODONTIC POSTERIOR

TOOTH (CASE REPORT)
Dini Asrianti
Department of Conservative Dentistry,
Faculty of Dentistry University of Indonesia
After completing root canal treatment, the remaining hard tissue of the tooth become weak
and tend to fracture. Onlay restoration is still a restoration of choice that can reunited the remaining
hard tissue and reflated optimal function of the tooth in mastication. Onlay restoration firstly
introduce as alloy indirect restoration due to its compressive strength. Unfortunately, some patients
dissatisfied with the esthetic factor of alloy. Replacement of alloy material to other esthetic material
can be a better option. There are some factors that have to be considered to determine indication
of esthetic onlay. A case of two kind of esthetic onlay will be disscused. First case, 54 years old
women, with 14 and 15 post endodontic, normal occlusion, and smile line reach region of 14 and
15 which had a site 2.2 cavity. Placement of all porcelain EMAX onlay was done in this case.
Second case, 33 years old man with 46 post endodontic treatment and site 2.3. cavity, light
occlusal wear and open bite relation at this tooth. Placement of composite resin onlay was done in
this case. At 1 and 3 months recall there were no significant complain or abnormality, either from
clinical and radiograph interpretation.
MEDICAL DISCIPLINARY IN CONTEXT OF PROFESSIONALISM
Dini Iswandari
Indonesian Medical Disciplinary Board (MKDKI)
36
The main goal of health is to create a perfect life of human being as a whole, which includes
every effort in maintaining the health such as good diet, sufficient rest and exercise, using clean
water, etc. From the text above it can be concluded that doctors have to be responsible in
conducting health services especially medical practices, although we fully understand the health
business is not only doctors and health sector responsibilities, but all of human being has to take
part in maintaining their health. Health business is more than just getting a good life / happiness or
postponing deaths, but also maintaining and promoting our health base on medical practice
principal “Primum non nocere” i.e. the most important thing is not getting social and economical
loss. In running their professional duties, doctors are bond with social contract which makes them
have to implement medical care in context of medical profession disciplinary base on 4 main
medical ethics contemporary:
1. Respect for the individual autonomy of each patients as a decision makers
2. Act of doing good for each patients
3. Give equal treatment for each person, regardless of their personal or cultural attributes
4. Avoid of doing harm, and also does not make any loss of physical and mental patients which
includes health matters, security, character, and happiness.
If the professional organizations allow doctors work without professional disciplinary and medical
ethics, it will lead distrust to doctors as a noble profession.
Keywords: medical disciplinary, medical ethics, noble profession
THE ROLE OF BODY COMPOSITION IN DETERMINING BONE MATURITY
Dwi Prijatmoko
Department of Orthodontic, Faculty of Dentistry, Jember University
Determination of Body Composition is an intergral part of Nutritional status assessment. In

recent times, evidence has emerged that body composition plays a significant role in determining
various organs maturity and leads to effect on orthodontic treatment planning, which involve
intervention of jaws development. The aim of this study is to determine the effect of body
composition status on bone maturity based on phalanges radiograph. Sixty javanese boys age 13
years old with variuos body composition were studied. Stature and weight were measured to
determine Body Composition. Body composition of the population were devided into 3 groups
(obese, ideal body weight and thin). Phalanges bone maturity were assed using the Tanner White
predictive methods, and categorized as delayed, average and advance maturation. Results show
that thin boys showed significantly more delayed bone maturity in comparation to that of ideal body
weight (P<0.05) and that of obese population (p<0.01) based on phalanges radiograph
assessment. It is concluded that in orhtodontic treastment, body composition status plays an
important role in predicting facial growth velocity for effective growth modification intervention.
Keywords: Body Composition, Bone maturity, Growth velocity, Orthodontic
THE PFAPA SYNDROME IN ORAL MEDICINE: DIFFERENTIAL DIAGNOSIS AND TREATMENT
Dyah Juniar Hymawatty

Sub Departement of Oral Medicine, Ladokgi RE Martadinata
37
Periodic fever syndrome in children can be present with orofacial manifestations which
contribute to the formulation of differential diagnosis. Because of the early onset of oral lesion in
this syndrome, the oral medicine practitioner may be required to assist in their diagnosis and
management. The periodic fever, aphtous stomatitis, pharyngitis and adenitis (PFAPA) syndrome
has been classified as a type of periodic fever syndrome occuring in early childhood. This article
present a review of the publish literature on this entity and summarizes current therapeutic options.
Keywords: PFAPA syndromes, orofacial manifestations, early childhood.
EFFECTIVENESS OF FLUORIDE TOPICAL APPLICATION ON THE NUMBER OF

STREPTOCOCCUS MUTANS COLONY
Dyah Setyorini, Sulistiyani

Department of Pedodontics, Faculty of Dentistry, Jember University
The main cause of dental caries is streptococcus mutants due to acidogenic condition.
Streptococcus mutants grow well in acid environment and may adhere on tooth surface because of
adhesive extracellular polysaccharide. One of the prevention methods is fluoride topical application
on tooth surface. Fluoride may react on the enamel and replace the hydroxyl group to form fluoride
apatite that is more resistant to acid. The materials commonly used are APF, Sodium Fluoride and
Silane Fluoride. This study aims to know the effectiveness of fluoride topical application of APF,
NaF and Silane Fluoride on the number of Streptococcus Mutans colony. The samples were 28
teeth divided into four groups; APF group, NaF group, Silane Fluoride group and control group.
The data were analyzed using ANOVA test. The result showed that APF was the most effective
material in inhibiting Streptococcus Mutans adhesion to teeth.
Key words: Number of Streptococcus mutants, topical application, fluoride.
ARTERIAL STIFFNESS IN GINGIVITIS: A COMPARATIVE CROSS-SECTIONAL STUDY
¹E.M. Arief, ²A.K. Nazirah, 3A. Rehman

¹Lecturer and Periodontist, ²Graduated from School of Dental Sciences, 3Lecturer and
Pharmacology in University Sains Malaysia
Gingivitis is an inflammatory reaction involving the gingival tissues which is caused by

bacterial plaque. Inflammatory reaction then may cause endothelial damage and facilitate
cholesterol plaque attachment, eventually may lead to the stiffness of arterial walls.
The objectives of this study were to compare arterial stiffness measured as pulse wave
velocity (PWV) between gingivitis patients or cases and those without gingivitis or controls and
determine the correlation between gingival index and plaque score with PWV in patients with
gingivitis. This was a comparative cross-sectional study involving 15 cases and 15 controls. The
Complior® machine was used to measure PWV. Plaque and gingival scores were determined
using periodontal probes and disclosing tablets. There were 9 males and 21 females in the sample.
The mean age of males and females was 22.9 (SD 1.97) years and 22.8 (SD 2.00) years
38
respectively. There was no significant difference in PWV between cases and controls. The median
PWV in cases was 6.3 m/s (IQR 0.80) and 6.4 m/s (IQR 0.70). There was no correlation between
gingival score and PWV (r=0.13) and between plaque score and PWV among cases. Therefore
gingivitis does not seem to be related with arterial stiffness.
Keywords: arterial stiffness, gingivitis, pulse wave velocity
PERIPHERAL OSTEOMA OF THE MANDIBLE: A CASE REPORT
Eddy Hermanto1, Andri Hardianto2

1. Resident of Dept Oral and Maxillofacial Surgery, Faculty of Dentistry University of Padjadjaran.
2. Consultant of Dept Oral and Maxillofacial Surgery, Faculty of Dentistry University of Padjadjaran,
Hasan Sadikin General Hospital-Bandung Indonesia
Background: Osteoma is a benign often asymptomatic neoplasm, consisting of well-

differentiated mature bone. This paper reports a case of peripheral osteoma located in the right
posterior mandibular region and provides a review of the literature about this lesion in the jaws.
Patient and Methods: A 37-year-old man presented with a swelling in the right mandible
posteriorly of 16 years duration. The literature was reviewed and data about location,
histopathology and number of the peripheral osteomas, sex, and age of the patients were
evaluated. Results: Surgical excision was performed under general anesthesia. The patient has
been in good condition six month postoperatively. Conclusion: Peripheral osteomas of the jaw
bones are uncommon, and accordingly, patients with osteoma should be evaluated for Gardner's
syndrome. In addition, it is appropriate to provide both clinical and radiographic follow-up after
surgical excision of a peripheral osteoma.
Key Words: Osteoma; the Mandible; Gardner’s Syndrome
RESIN BASED ROOT CANAL SEALER COMBINED WITH SELF-ETCHING BONDING AGENT
Emi ardana
Faculty of Dentistry, University of Hasanuddin
Successful root canal therapy requires chemomechanical preparation and a complete

obturation of the root canal system with nonirritating biomaterials. One of the major cause of root
canal treatment failures is thus incomplete sealing of the root canal and shortcomings in coronal
restoration. The necessity of using materials capable of forming a bacteria-proof seal between the
root canal system and both the periradicular tissues and the oral cavity has to be confirmed. The
use of dentin bonding agents in combination with gutta-percha cones and a resin-based sealer with
the adhesion of composite resins to dentin has been proved to be better. The bonding agent will
built micromechanical interlock between dentin collagen and resin by forming a hybrid layer. Since
the self etching materials have higher pH values than the acids used with etch-and-rinse adhesive
system, and the self etching materials are not rinsed away but remain in situ and the smear layer is
incorporated in the bonding layers
Keywords: self-etching bonding agents, resin based sealers
39
THE ODONTOBLAST DENSITY IN THE CROWN AND ROOT

OF SINGLE ROOTED HUMAN TEETH
1,2
Erlina Sih Mahanani, 1Muhammad Firdaus Mohd Shuimi
1
School of Dental Sciences, University of Sciences Malaysia, Malaysia
2
Study Program of Dentistry, Faculty of Medical and Health Sciences University of Muhammadyah,
Jogyakarta
Introduction: Odontoblast density in the pulp reflects the scale of pulp reparative responses
as a result of trauma from restorative treatment or caries. Objectives: The purpose of this study
was to measure and compare the odontoblast density in the crown and root of single rooted human
teeth. Methods: The teeth which were collected from Hospital Universiti Sains Malaysia (HUSM)
Dental Clinic were fixed for overnight in 10% formalin and decalcified in 10% nitric acid before
tissue processing and paraffin embedding were done. The samples were then sectioned and
stained with hematoxylin and eosin. Odontoblasts count was carried out under light microscope to
the root and crown at lingual and labial position using tissue processing grid. All data were
analyzed using Kruskal-Wallis test with SPSS version 12 software. Results: The mean scores of
odontoblasts density on labial crown was 316.94 cells/mm pulp dentinal borders, on lingual crown
was 301.28 cells/mm pulp dentinal borders, on labial root was 272.02 cells/mm pulp dentinal
border, and 261.07 cells/mm pulp dentinal border. Conclusion: It was concluded that the labial
crown had the highest odontoblasts density while lingual root had the lowest odontoblasts density.
Keywords: odontoblast density, crown and root teeth, single rooted
PREVALENCE, CAUSES, PROBLEMS AND TREATMENT NEEDS OF GINGIVAL RECESSION:

AN UPDATE
1
Erry Mochamad Arief, 2Akram Hassan, 2Raja Azman Awang
Lecturers and Periodontists in Unit of Periodontics, University Sains Malaysia
Gingival recession appears to be accepted by many patients as an unavoidable part of the

aging process. Indeed, many adult patients will have areas of gingival recession that are stable and
require no treatment. However, in some patients, gingival recession may lead to the exposure of an
unacceptable amount of root surface, causing aesthetic problems, dentin hypersensitive, root
caries, as well as mucogingival problems.
In this review paper include the prevalence, the current concepts of the mechanisms and
aetiology of gingival recession. The problems of any gingival recession are presented and the
treatment needs of the patient with gingival recession are discussed and updated.
Keywords: gingival recession, epidemiology, aetiology, prevalence
40
THE PATTERN OF SEVERE- EARLY CHILDHOOD CARIES (S-ECC)

OF CHILDREN UNDER THREE YEARS OLD IN DKI JAKARTA
Febriana Setiawati Sugito

Department Dental Public Health & Preventive Dentistry – Faculty of Dentistry University of
Indonesia
Introduction: The prevalence and severity of caries in children under three years old are
constantly increasing. One of the causes of this fact is the increased consumption of cariogenic
carbohydrate and lack of mother’s knowledge about feeding and taking care of children oral health.
Objectives: The aim of this research are to discover the pattern of Severe-Early Childhood Caries
(S-ECC), the correlation of the def-s with the type of feeding, the consumption of cariogenic
carbohydrate, and the dental plaque pH with the severity of S-ECC .
Method: This research design was a cross sectional study and conducted on 555 children aged 12
months – 38 months, selected using multistage cluster random sampling. Questionnaire were used
to obtain the socio demographic data of the mother and the child, the type of feeding, including
the frequency and duration of consumption, the child’s habitual consumption of cariogenic
carbohydrate, the mother’s knowledge of dental health, and the mother’s behavior in preserving
their child’s dental hygiene. Intra oral data measured in this research were the severity of caries
(def-s), and the plaque pH. Result: Mean of def-s score was 1.88. The most affected surface was
the labial/buccal surface (26.7%). The bivariate statistical analysis showed that the variables which
correlated with the severity of S-ECC (def-s) were the type of feeding (p= 0,000), the plaque pH
(p=0,000), the habitual consumption of sugary diet (p=0.04), and the age (p=0,000). Conclusion:
There was significant increasing of S-ECC in children 12-38 months by age category, and there
were correlation between the type of feeding, the plaque pH and the habitual consumption of
sugary diet. The etiology of S-ECC was very complex, there were many factors influence the
severity of S-ECC. In this research, the frequency and duration of feeding were not reported
because of the bias in obtain the data.
Keywords: Severe- Early Childhood Caries, type of feeding, sugary diet, plaque pH
APHTHOUS LIKE ULCERS IN PATIENT WITH GASTROINTESTINAL DISORDER

(CASE REPORT)
Febrina Rahmayanti, Yuniardini S Wimardhani

Department of Oral Medicine, Faculty of Dentistry University of Indonesia
Oral mucosal ulceration sometimes looks similar, while there are more than one hundred
oral disease with different characteristic of clinical features. The aim of this paper is to give the
information about aphthous like ulcers and its differential diagnosis. The case described an
aphthous like ulcers in an 8 years old boy with gastrointestinal disorder. The boy had recurrent oral
ulceration since he was 3 years old, and there were extra-oral lesions in his body. His parents said
that their son had gastrointestinal problems. He also has allergic history from his father. The
41
working diagnosis was aphthous like ulcers with major aphthous as differential diagnosis.
Hematologic tests were conducted and we also referred the patient to pediatrician for endoscopic
examination. The results of the test showed anemia and chronic colitis. The diagnosis of this
condition was not major aphthous or recurrent aphthous stomatitis(RAS), but aphthous like ulcers,
because the ulcers lesion did not have RAS’s characteristic and the boy has gastrointestinal
disorder. With comprehensive treatment and holistic approaches, the lesions showed significant
improvement.
Keywords: aphthous like ulcers, gastrointestinal disorder
FIBER-REINFORCED COMPOSITE AS A FIXED SPACE MAINTAINER: A CASE REPORT
Femmy Riyeni Putri, Hendralin Soenawan
Premature primary tooth loss has been known to cause space loss with resultant
malocclusion. To avoid this malocclusion, clinicians prescribe various types of space maintainers.
Space maintainers are fixed or removable appliances used to preserve arch length following the
premature loss or elective extraction of a tooth. Fiber-reinforced composite are new to pediatric
dental market and can be alternative to conventional space maintainer. This case report described
the used of fiber-reinforced composite as a fixed space maintainer for premature loss of right
maxillary first deciduous molar and central deciduous incisors in 5 years and nine months young
boy. Fiber-reinforced composite construct from Kerr Lab was applied as a fixed space maintainer
when there was a loss of 2 teeth in different region of the maxillary arch. This case report showed
that fiber-reinforced composite can be used as a fixed space maintainer with proper case selection,
cooperative patient and a good relationship between pediatric dentist, parents and patient. Fiber-
reinforced composite fixed space maintainer have a good strength, esthetic, can be used as fixed
partial denture by using a pontic, economic and does not need lab procedure.
Keywords: fixed space maintainer, fiber-reinforced composite.
EFFECT OF SURFACE TREATMENT ON ADHESION TO DENTIN
Ferry Jaya *, Yosi Kusuma Eriwati **

*Postgraduate Program of Dental Materials, ** Dept. of Dental Materials
Lack of adhesion in composite resin restorations can be detrimental to the bond strength
between dentin and bonding agents. The selection of bonding systems with its surface treatment to
dentin is crucial in this case. Bonding to dentin is more difficult than enamel since dentin contains
more organic matrix and liquid of dentin tubule. To overcome this condition, dentists should
undertake good adhesion to dentin by choosing the right bonding systems. With new development
of bonding systems, the seventh-generation bonding systems are the all-in-one adhesive that
combine etch, prime, and bond in a single solution, and recently, the eighth-generation bonding
system has been introduced as a self-etching, self-adhering flowable composite technology that
eliminates the need for a separate bonding application step for direct restorative procedures.
42
Dentists are expected to know this new development to improve their ability to better choose of the
right bonding system for the cases of their patient.
Keywords: Surface treatment, Adhesion, Bonding system, Dentin
USE NEIGHBOUR JOINNING TECHNIQUE TO INACTIVATE GENE CDT AGGREGATIBACTER

ACTYNOMICETEMCOMMITANS BACTERIA
Ferry P Gultom
Aggressive periodontitis is a pathological periodontal ligament, gingival connective tissue

and alveolar bone. The disease is often found in young adult patients involving the role of bacteria
Agregatibacter actinomycetemcommitans / Aa as a bacterial trigger periodontal tissue destruction.
From studies in vitro and in vivo (Kirby et al and Nishihara et al, 1995) are known, some
components of Aa such as leukotoxin and cytolethal distending toxin lekotoksin (CDT) has a
capacity as a stimulant eukaroit cells are T cells, B cells, fibroblasts and epithelial to proinflamatori
produce cytokines such as IL-1, IL-6, TNF-α that will stimulate osteoblast cells on the periodontal
tissue to produce RANKL which affects the periodontal tissue damage. Method: to get the CDT
mutant gene, Joinning neighbor technique is used to create a suicide vector carrying the
kanamycin resistance gene together DNA fragments into bacterial CDT. The results showed this
technique successfully inactivate genes that CDT is then performed to produce a homologous
recombinant kanamisisn resistant mutants and natural transformation into Aa bacteria isolated from
dental plaque. Conclusion: This technique is recommended to inactivate all the genes present in
bacteria Aa.
Key Words: Aggregatibacter actinomycetemcommitans,CDT,tehnikNeighbour Joinning
HYPERBARIC OXYGEN THERAPY AS ALTERNATIVE ADJUNCTIVE THERAPY IN

TREATMENT OF CHRONIC PERIODONTITIS
Ganesha Wandawa1, Dewi Nurul Mustaqimah2, Elza Ibrahim Auerkari3,

Suyanto Sidik4
1
Department of Medic, Western Fleet Command Indonesia Navy
2
Practitioner in Jakarta
3
Department of Oral Biology, Faculty of Dentistry, University of Indonesia
4
Department of Internal Medicine, Dr.Mintohardjo Indonesia Naval Hospital
The initial and progression of chronic periodontitis depends on the existence of

microorganisms that cause the disease. Prevalence and proportions of these bacteria may be
associated with the severity of the damage or loss of clinical attachment. The main goal of
periodontal treatment is to stop the process of inflammatory diseases. Treatment consists of
mechanically remove subgingival biofilm and to create environtments to the same microflora, either
in accordance with a healthy periodontal. The treatment of periodontal diseases ranged from
surgery to regenerative and anti infective therapy. But in general it has been accepted that the anti
infective therapy is important in the treatment of periodontal disease. Nevertheless, due to the
prevalence and the complex pathophysiology of periodontitis, until now there is no completely
43
effective treatment of periodontitis. Hyperbaric Oxygen Therapy (HBOT) can be indicated as the
main or adjunctive therapy in the treatment of acute and some systemic diseases such as
ischemic, infectious, traumatic, or inflammatory nature, and usually severe and shows no response
to conventional treatment or the occurrence of refractory. The therapy is primarily directed at
anaerobic infection cases who showed no response to antimicrobial therapy. HBOT can increase
the strength of host factors and antibiotics to penetrate the barrier between the infection and the
host region. Use HBOT as a new approach deserves attention. Such approach is expected to be
useful as an alternative adjunctive therapy to current conventional approaches.
Keywords: Hyperbaric oxygen therapy; Chronic periodontitis; Adjunctive therapy
MANAGEMENT OF RADICULAR CYST AND FIBROUS EPULIS IN AN 11-YEAR OLD GIRL

(A CASE REPORT)
Helsa Ramelya1, Heriandi Sutadi2

1
Residence of Dept. Pediatric Dentistry, Indonesia University
2
Lecturer of Dept. Pediatric Dentistry, Indonesia University
The radicular cyst is the most common cyst of the jaw. The associated tooth usually has a
deep restoration or large carious lesion. The cyst may displace adjacent teeth or cause mild
resorption. The fibrous epulis is applied to any lump arising from gingival, resembles a
fibroepithelial polyp, but also usually has an inflammatory component. Epulis is a lesion which does
not give pain, however, their presence causes difficulties in chewing and eating food. This case
report describes the management of radicular cyst and epulis fibromatosa in a 11-year old girl.
The treatment comprised extraction of the permanent teeth involved and excision fibrous epulis
region 36. Recurrence does not occur since the tooth associated with the pathogenesis of the cyst
has been removed, and epulis removed thoroughly and the source of irritation is removed.
Keywords: radicular cyst, extraction, excision, fibrous epulis
BEHAVIOR MANAGEMENT IN CHILDREN WITH PSYCHOLOGICAL TRAUMA DUE TO

DENTAL TREATMENT
(CASE REPORT)
Henny O. Danan
Pediatric Dentistry, Faculty of Dentistry, University of Indonesia
Children with anxiety for dental treatment often occur at the first experience going to the
dentist or experienced traumatic in the past dental treatment. The purpose of behaviour
management in children with psychological trauma due to dental treatment is to get a good
condition for intra and extra oral and make the children feel more comfortable and want to do the
dental treatment. The term of anxiety/anxiousness itself is referred to disquietude, being in a
worrying / disturbing / discouraging condition or experiencing uncertainty, abnormality, or
impotency. There are some factors that could influence the anxiousness itself, including personal,
external, and dental factors. To facilitate in diagnosing children behavior and in committing proper
44
approach, some classifications based on children behaviors were created. Age also related to
behavior patterns, thus there are variations in behaviors based on age grouping. Good and
effective communication among dentist, parents, and children is necessary for every treatment.
Voice controls including intonation, tone, and volume are very important to gain children attention.
Besides, dentist should use simple words that are easier to understand. Children behavior
management in dental treatment is intended to make children feel comfortable, reduce pain,
perform safe and effective treatment procedures, and to make children and parents accept the
treatment. The approaching methods that can be used are non-pharmacotherapy,
pharmacotherapy, and hypnosis. In this case report, a six year old boy had a pshycological trauma
due to the last dental treatment. Exact anamnesa to the parents and the patient were done to know
the pshycological trauma. With the behaviour diagnosing and the right approaching methods the
patient can pass through the dental treatment with proper indication.
Key words: pshycological trauma, anxiety, behaviour management
CASE REPORT: ENDODONTIC RETREATMENT USING RETREAMENT ROTARY SYSTEMS

Hesti Witasari, Munyati Usman
Department of Conservative Dentistry, University of Indonesia
Endodontic treatment could maintain teeth and eliminate problems that happen in that tooth.
However, Inadequate endodontic treatment, such as incomplete cleansing and shaping of the root
canal treatment which is not in fully working length, could create problem in the periapical tissue.
The problem to do a retreatment especially is in the process of removal-filling material of the
previous endodontic treatment. A case report in removing the root canal filling material with rotary
instrument will discussed. The patient with chronic periapical abscess was admitted after root canal
treatment and hermetic obturation six months ago. Retreatment was conducted using a rotary
system instrument (Micromega) and radiographic evaluation was taken before and after
retreatment. Healing process showed three weeks after retreatment. Conclusion, efficiency and the
effectiveness of the device make the treatment process easier.
SPACE REGAINER IN ORTHODONTIC TREATMENT USING PENDULUM APPLIANCE
Himawan Halim
Head of Orthodontic Dept, Dental Institution REM
Background: During orthodontic treatment, to regain / create space in non extraction case
is the most difficult mechanic in orthodontic. The cooperation of the patient is a major factor for a
successful treatment outcome. Case: This case report will show a 10 years old girl, with skeletal
class I malocclusion with ectopic maxillary cuspid. Case management: Treatment was started with
pendulum and fixed Appliance. Patient’s cooperation was very good so the space regain achieved
faster and more than what according our plan. Conclusion: It is showed that Pendulum Appliance
could be used as alternate appliance in creating space to avoid extraction in the future.
45
THE EFFECTIVENESS OF SODIUM HYALURONATE ON HEALING OF TRAUMATIC ULCER

CAUSED BY FIXED ORTHODONTIC APPLIANCES
Hutasoit E, Ismah N, Soegiharto BM

Department of Orthodontics, College of Dentistry, Universitas of Indonesia
Background: Orthodontic treatment with fixed appliance has both the benefit and also the
side effects such as traumatic ulcer. One of the treatments for traumatic ulcer is the use of
mouthwash containing Sodium Hyaluronate. Objectives: To study the effectiveness of Sodium
Hyaluronate on the healing of traumatic ulcer caused by fixed orthodontic appliance. Methods:
Thirty subjects who had traumatic ulcer caused by fixed orthodontic appliance were divided into
two groups of fifteen subjects. The first group (K1) used Sodium Hyaluronate solution and
the second group (K2) used placebo solution. The patients were instructed to rinse their mouth
with 10 ml of the solution about 2 minutes after tooth brushing, twice a day for four days.
Examinations were done before and after experiments to measure the surface width of the ulcer,
redness and pain intensity. The differences of both experiments were analyzed using
Wilcoxon and Mann U Whitney tests. Results: There were significant differences (p<0.05)
on the reduction of surface width, redness and pain intensity of the traumatic ulcer between
the treated and control groups. Conclusion: The use of mouthwash containing Sodium
Hyaluronate is effective to heal traumatic ulcer caused by fixed orthodontic appliances.
Keywords: sodium hyaluronate, traumatic ulcer, fixed ortodontic appliances
NEEM LEAVES (AZADIRACHTA INDICA) IMPROVE ORAL MUCOSA DEFENSE MECHANISM

AGAINST CANDIDA ALBICANS
I Dewa Ayu Ratna Dewanti

Division of Biomedic, Faculty of Dentistry, University of Jember
Neem is one of the traditional tree medicine and has functioned as immunomodulatory.
Infection disease found in the mouth (80%) is mostly candidiasis caused by C albicans, and
immunity to C albicans is very important. Multidimensional crisis in Indonesia has affected higher
medicine price, therefore people prefer to choose traditional medicine. This review article aims to
explain the potency of neem to overcome C albicans infection. Neem contains many medicinal
substances namely gallic acid, epicatechin, catechin, in all part of its plant, which can be used as
immunomodulator. Researches had proven the effect of neem leaves in increasing TLR4, TLR2,
TNF-α, phagocytosis, while decreasing the amount of colonies in oral mucosa. The C albicans
component interacted with the cell membrane signaling CD14, TLR2 and TLR4 depend on TRAF6,
furthermore it affected phosphatidilinositol and inactivation I-κB in binding NF-κB. After releasing
the I-κB, the transcription factor activities increased, that stimulate gen expression that cause TNF-
α production and phagocytosis activities. Cyclictrisulphide, cyclictetrasulphide of neem could
against Candida albicans directly. Conclusion, neem leaves increased CD14, TLR2, TLR4, TNF
α, phagocytosis activities and decrease the amount of C albicans colonies.
Keywords: Neem; Azadirachta indica; immunomodulatory; Candida albicans
46
EFFECT OF IMMUNOSUPRESSION AND C. ALBICANS INFECTION

TO THE MACROPHAGE PHAGOCYTOSIS ACTIVITY
Iin Eliana Triwahyuni

Oral Medicine Lab., Faculty of Dentistry Jember University
Background: Nowadays, the incidence of oral candidiasis is increasing, parallel to the

increasing of immuno-supressed patient number. Candida infection is opportunistic, because it
becomes pathogenic when the immune system is disturbed. Therefore, immune system is
important factor to protect against candidiasis. Immunologic response of oral candidiasis is not
perceived yet and cellular immunity is presumed to have more play role. Macrophage is one of
nonspecific immune system component that will give response to antigen including C. albicans.
The purpose of this study was to identify the effect of immunosupression and C. albicans infection
to macrophage phagocytosis activity. Methods: This laboratory experimental research used
BALB/c mice that were immuno-supressed and infected by C. albicans. Mice were divided into
three groups: Group 1 (negative control), Group 2 (immuno-supressed), and Group 3 (were
immuno-supressed and infected with C. albicans). Mice were immunosupressed by giving 2-
3mg/mice subcutan injection of prednisolon one day before they were infected. Group 2 and 3
were given tetracycline hydrochloride in drinking water (0,83mg/ml) since one day before they were
infected. C.albicans inoculation was given at zero days. At 2nd day post infection, the mice were
sacrificed and the macrophage phagocytes activity was evaluated by latex beat. Data were
analyzed by One Way ANOVA test and LSD (p=0.05). Results: The result indicated that there was
a decrease in macrophage phagocytes activity at Group 2 and 3. Conclusion: It can be concluded
that immunosupression and C.albicans infection can decrease macrophage phagocytosis activity.
Keywords: immunosupression, C.albicans, infection, macrophage, phagocytosis
COMPROMISED TREATMENT OF SKELETAL CLASS III MALOCCLUSION IN ADULT
Imelda Sriulina Sinulingga1, Himawan Halim2

1
Resident of Orthodontic, 2 Lecturer of Orthodontic
Background: Class III skeletal malocclusion was caused by skeletal discrepancies with
dental discrepancy. Patients with class III malocclusion show clinical signs such as anterior or
posterior crossbite, negative overjet , and concave of facial profile. Compromised treatment are
common for adult patients with mild to moderate class III skeletal malocclusion with acceptable
facial esthetic who do not want surgery because of surgery risks and high cost. Case: 33-year-old
woman patient who had skeletal class III relationship with retruded maxillary, bimaxillary dental
protrusion, with crowding and crossbite anterior. Case management: Four first premolar were
extracted and then retracted anterior teeth. After twenty six months of treatment, anterior crowding
and crossbite were corrected, class I molar and canine relationship were achieved and better soft
tissue profile.
47
Keywords: Compromised treatment, class III skeletal malocclusion, anterior crossbite
TREATMENT OF SEVERE CROWDING CASE
Indah Ekasari 1, Faruk Hoesin2

1
Resident of Orthodontic, Faculty of Dentistry, University of Indonesia
2
Lecturer of Orthodontic, Faculty of Dentistry, University of Indonesia
The most frequent cases of malocclusion are crowding, anterior crossbite and posterior
crossbite. Malocclusion of the teeth can affect the arch of the teeth so they will be assimetrical.
Crowding happen when there is lack of space for alignment of permanent teeth. Previous research
showed that crowding of the teeth are dynamic factors that can affect many factors such as growth
model, morphology of soft tissue, and bad habit. The aim of this case report is to corrected severe
crowding teeth in 25 years 11 month patient with four first premolar extracted. After 20 month of
treatment there are some goals achieved such as crowding anterior are corrected, the tooth
relation at first molar and canine became Class 1. Cross bite was corrected. Overbite and overjet
become normal. The chief complain of patient became corrected. The profil of face and smile of
patient became better.
Keywords: severe crowding, crossbite, extracted premolar
THE ROLE OF CONE BEAM COMPUTED TOMOGRAPHY (CBCT) IN ORTHODONTICS
Irena Winata1, Maria Purbiati2

1
Postgraduate Student in Department of Orthodontic
2
Departement of Orthodontic
Faculty of Dentistry, Universitas Indonesia
Radiographic images play pivotal roles in achieving a thorough diagnosis in various dentistry
fields including orthodontics. Images obtained from conventional x-ray device are two dimensional
(2D) images, but in certain cases a three dimensional (3D) image is needed. A new device called
Cone Beam Computed Tomography (CBCT) can fulfill the necessity of immediate and accurate 3D
oral and maxillofacial images. CBCT also reduces the size of irridiated area thus minimizing the
radiation dose, faster scan time, and relatively lower medical cost compare to medical CT (CT-
scan). A complete and comprehensive knowledge of CBCT clinical applications, case selection,
and interpretation of the images are needed before orthodontist recommends a patient to undergo
CBCT examination.
Key words: CBCT, 3D radiographic images, orthodontics
48
ACUTE TOXICITY TEST OF AN ANALGESIC HERBAL

JATROPHA CURCAS L. LATEX ON ANIMAL MODELS
Irmaleny*, Narlan Sumawinata**, Dewi Fatma***, Marline Abdassah****

*
Doctor Candidate, Faculty of Dentistry, Universitas Indonesia and Staff of Department of
Conservative Dentistry, Faculty of Dentistry, Padjadjaran University
**
Staff of Department of Conservative Dentistry, Faculty of Dentistry, University of Indonesia
***
Staff of Department of Oral Biology, Faculty of Dentistry, University of Indonesia
****Staff of Pharmaceutic, Faculty of Pharmacy, Padjadjaran University
Introduction. Dental pain is a common illness suffered by the society. One of the plants
that commonly used for dental pain relief is the latex of Jatropha curcas L. Scientific data regarding
analgesic effect of Jatropha curcas L. latex has been widely studied, but there is no scientific data
about the safety of its use. Objectives. The aim of this study was to evaluate of the safety usage of
Jatropha curcas L., by performing an acute toxicity test to obtain lethal median doses (LD50).
Methods. Mus musculus Swiss-Webster strain were divided into 6 groups (control group was
given PGA 10%, and the first to the the fifth group were given latex orally at doses of 30, 40, 50,
60, 70 gr/kg body weight respectively). Mortality of the animal was measured every half an hours,
one hour, two hours, 24 hours, 48 hours, 72 hours, seven days, and 14 days. The data were
analyzed by Anova Test. Results. LD50 was 50 gr/kg body weight, non toxic. Conclusion: The
latex of Jatropha curcas L. was classified non toxic material.
MARGINAL RESECTION OF CEMENTO-OSSIFYING FIBROMA ON MANDIBLE ANTERIOR

REGION (CASE REPORT)
Isnandar*, Kasman Manullang.**, Hendro S. Yuwono***
*Resident of Oral and Maxillofacial Surgery Department, Faculty of Dentistry Padjajaran University,
Dr. Hasan Sadikin General Hospital, Bandung,
** Consultant of Oral and Maxillofacial Surgery Department, Faculty of Dentistry Padjajaran
University, Dr. Hasan Sadikin General Hospital, Bandung
*** Consultant of Vaskular Surgery Department, Faculty of Medicine
Padjajaran University, Dr. Hasan Sadikin General Hospital, Bandung
Cemento-ossifying fibroma (COF) is a rare benign tumor which mostly affects the mandible.
The mandibular posterior premolar and molar area is the most common site. It is a painless,
generally slow-growing, benign lesion which enlarges in an expansive manner. It usually detected
in the third and fourth decade of life and is more common in women. Radio graphically they appear
as well-defined unilocular or multilocular intraosseous masses in the premolar-molar region of the
mandible. The lesion is invariably encapsulated and of mixed radiolucent densities. Its
histopathology shows fibrous tissues with calcified structures resembling bone or cementum. This
article reports a rare case of a 20-year-old male with the history of swelling in the mandible anterior
region at the tooth region of 33-43 that caused the difficulty in occlusion. We performed marginal
49
resection and put a bone plate crossing the bone defect. There was no wound dehiscence and
exposed bone plate after one month observation.
Keywords: cemento-ossifyifying fibroma, marginal resection, bone plate
INFECTION CONTROL IMPLEMENTATION IN DENTAL PRACTICE IN YOGYAKARTA
Iwan Dewanto1 , Medi Septario2,

1
Lecturer of Dental Study Program Medical Faculty Muhammadiyah University, Yogyakarta
2
Student of Dental Study Program Medical Faculty Muhammadiyah University, Yogyakarta
ABSTRACT
Dentist as one of health personnel have a general responsibility in public health efforts,
especially in dentistry and particularly in managing dental clinic. Infection control is an effort to
restrain and prevent spreading of infectious diseases in medical and dental practice. The aim of
this study was to describe the infection control implementation in dental practice in the city of
Yogyakarta concerning the availability, the use of means, and the implementation of infection
control. The design of this study was a cross-sectional survey. The method used in this study was
observational technique with the instruments comprised of a check list filled by the surveyor and a
questionnaire filled by the respondents. The samples of this study were taken by simple random
sampling method among the private dental practices in Yogyakarta. The data were analyzed
descriptively. The subjects of this study were 30 dentists in Yogyakarta. The results of this study
showed that in availability, the use of means, and implementation of infection control there were
still shortage in some aspects like the infection control of instruments, the infection control of the
dentist, and the infection control of the clinical room. Based of the findings, it was concluded that
implementation of infection control was not yet implemented well because the lack of dentists’
awareness and the mind set that neglected the impacts, so there was a risk of transmission of
infection diseases that could spread from the dentist to the patient, from the patient to the dentist,
and from the patient to other patients.
Keywords: Dentist, Yogyakarta, infection control
MANAGEMENT OF DENTAL ANTERIOR OPEN BITE WITH TONGUE THRUST HABIT USING
COMBINATION OF TONGUE CRIB AND MANIPULATION BRAKET PLACEMENT
(CASE REPORT)
Jeffrey Limanto*, Himawan Halim**

*Resident of Orthodontics, **Lecturer of Orthodontics Departement,
Faculty of Dentistry, Universitas Indonesia
An open bite malocclusion is one of the most difficult case that the clinician has to deal with.
The complexity of open bite is related to skeletal, dentoalveolar or habit factor. Dental open bite are
generally treated with orthodontics alone, whereas skeletal open bite often require a combination of
orthodontics and orthognatic surgery. To achieve successful treatment of this case, proper diagnosis and
50
treatment plan are needed. One way to correct anterior open bite is by a combination of bad habits
management and manipulation of bracket placement, in which posterior bracket are placed 0.5 mm more
occlusal, while anterior bracket are placed 0.5 mm more gingival. This case report described the
treatment of dental open bite in an adult Indonesian female aged 14 years, who had previously been
treated with removable orthodontic treatment and extraction of one lower incisor by resident from other
dental specialty. The etiology of this case were tongue thrust habit and the extraction of lower first
incisor. The result showed that the open bite was corrected with combination using tongue crib and
modification of bracket placement. After 17 month of treatment an acceptable occlusion was
achieved with improved appearance and an aesthetically pleasing smile.
COMPARISON OF ANTIBACTERIALS ACTIVITY OF CITRONELLA ESSENTIAL OIL

(CYMBOPOGON WINTERIANUS) AND CINNAMON ESSENTIAL OIL (CINNAMOMUM
BURMANII) TO BACTERIAL GROWTH IN DENTAL CARIES
Jummyanto Pareang, Andi Sumidarti Anas

Faculty of Dentistry, University of Hasannudin
Objective: The aim of this study was to compare the inhibited activity of citronella essential
oils (Cymbopogon winterianus) and cinnamon essential oil (Cinnamomum burmanii) on the growth
of bacteria that were found in dental caries. Method: This study was carried out on 45 patients
who came to the dental clinic, Department of Conservation, Faculty of Dentistry, University of
Hasanuddin. The research samples were drawn from forty-five caries smear of patients.
Results: The identification results from the samples showed that the most predominant bacteria
found in the smear caries are Streptococcus species (53%), Klebsiella pneumoniae (20%) and
Staphylococcus aureus (13%). MIC test (minimum inhibition concentration) and inhibition zone of
both cinnamon essential oil and citronella essential oil was determined using the concentration of
essential oil 25% to 100%. The results of the inhibition zone measurement of both essential oils
showed the same inhibitory strength against Streptococcus species (independent sample test, p =
0.934) and Klebsiella pneumoniae (independent samples test, p = 0.203). The difference of the
inhibition essential oil of citronella (cymbopogon winterianus) and essential oil of cinnamon
(Cinnamomum burmanii) was found in testing against Staphylococcus aureus (independent
samples test, p = 0.039).
Conclusion: Essential oils of citronella (Cymbpogon winterianus) and essential oil of cinnamon
(Cinnamomum burmanii) was proven to be effective in inhibiting the growth of bacteria that were
found in caries, and there was a significant difference in inhibitory strength of these two essential
oils in the testing against staphylococcus aureus.
Keywords: Caries, Essential Oil, Cymbopogon winterianus, Cinnamomum burmanii, Citronella,
Cinnamon.
MANAGEMENT OF NON VITAL IMMATURE TEETH: CASE REPORTS AND REVIEW
Juni Jekti Nugroho

Department of Conservative Dentistry, Faculty of Dentistry, Hasanuddin University, Makassar-
Indonesia
51
Root canal treatment on a tooth with pulp necrosis and periapical radiolucency and
immature root apex poses a special challenge for the clinician and requires a specially tailored
treatment plan. The main difficulty encountered is the lack of an apical stop against which to
compact an interim dressing or the root canal obturation material. Apexification aims to induce
apical closure of the open root apex with a hard-tissue barrier, against which a root filling can be
compacted. Numerous procedures and materials have been utilized to induce root-end barrier
formation. This paper presents a brief review of the causes and complications of incomplete root
development and the various treatment options reported in the literature with respect to the
management with case reports.
Key words: open apex, causes, complications, treatment.
ORTHOGNATHIC SURGERY IN ORTHODONTIC, WHY & WHEN
Jusuf Sjamsudin
Faculty of Dentistry University of Airlangga
In orthodontic there are several ways to treat cases, one of it is orthognatic surgery for
skeletal cases. Orthognatic surgery is performed in adult skeletal cases, when standard orthodontic
treatment can’not be done. Doing orthognatic surgery depend on the age and severity of the
skeletal problem. Orthognatic surgery is done in conjunction with regular orthodontic treatment.
This presentation will review why and when orthognatic surgery is done, their advantages and
disadvantages.
TREATMENT OF NON-VITAL TOOTH DISCOLORATION USING INTERNAL BLEACHING

TECHNIQUE
Kemala. N
Conservative Dentistry, Faculty of Dentistry, University of Indonesia
Methods to improve the esthetics of the dentition by tooth whitening are of interest to
dentists, their patients and the public. Tooth discoloration varies in etiology, appearance,
localization, severity and adherence to tooth structure. After eruption of the tooth, pulp necrosis is
one of the main causes of intrinsic discoloration. In well-obturated non-vital tooth, the discoloration
that occurs can be treated by the internal bleaching technique. The method of internal bleaching is
to place the bleaching agent, which acts as a strong oxidizing agent, in the pulp chamber of the
properly-obturated root canal. Internal bleaching technique can be done using thermo-catalytic
procedure, walking bleach procedure, or combination of both. Cervical root resorption is a possible
consequence of internal bleaching and is more frequently observed in teeth treated with the
thermo-catalytic procedure. Present tooth-bleaching techniques are based upon hydrogen peroxide
as the active agent. It is applied directly, or produced in a chemical reaction from sodium perborate
or carbamide perborate. Hydrogen proxide acts as a strong oxidizing agents through the formation
of free radicals, reactive oxygen molecules, and hydrogen peroxide anions. These reactive
molecules attack the long-chained, dark-colored chromophore molecules that cause the
52
discoloration, and split them into smaller, less colored, and more diffusible molecules. The outcome
of the bleaching procedure depends mainly on the concentration of the bleaching agent, the ability
of the agent to reach the chromophore molecules in discolored area, and the duration of times the
agent is in contact with chromophore molecules.
Keywords: tooth discoloration, bleaching technique, bleaching agents.
BOTOX INJECTION AS AN ALTERNATIVE TREATMENT FOR EXCESSIVE GINGIVAL

DISPLAY (Literature Review)
Kussulistyowati Putri W.* Benny M. Soegiharto**

*Lecturer of Department of Orthodontics
Excessive Gingival Display is one of the patient’s chief complains. It can be caused by four
main factors, which consist of skeletal factor, gingival factor, muscular factor and malocclusion.
One of the factors is the hyperfunctional upper lip elevator muscles which can make upper lip
raised higher than average. This muscles consist of musculus Levator Labii Superior, musculus
Levator Labii Superior alaque Nasi, musculus Levator Anguli Oris, musculus Zygomaticus Mayor
and musculus Zygomaticus Minor. Botox can be the alternative treatment for excessive gingival
display. Botox is the toxin produced by Clostridium botulinum, an anaerobic bacterium. Botox
weaken the muscles by cleaving SNARE protein thus blocking the release of acetylcholine from the
motorneuron and blocking the muscular contraction. The botox effect last 3 to 6 months.
Keywords: Botox, excessive gingival display, hyperfunctional upper lip elevator muscles
MANAGEMENT TREATMENT OF CLASS II DIVISION 1 MALOCCLUSION WITH MULTIPLE

DIASTEMAS LOWER ARCH
Leliana S Devi AP
Departement of Orthodontic, Faculty of Dentistry Jember University
Background: Angle Class II division 1 is characterized by maxillary prognatism, mandibular

retrognathism, proinlination maxillary insisives, incompetent upper lips and convex facial profile.
Multiple diastemas occur when there are space between two or more adjacent teeth, and many
factors are the etiology. In the case of multiple diastemas with small spaces, the management is to
close the spaces by moving posterior teeth mesially, or to retract the anterior teeth. Case: A 17
year old male patient with complain that could not close the upper lip easily, in clinical findings the
relation of both caninus, right molars were distoocclusion. The overbite was normal but the overjet
had increase 13.5mm, the median line shifted to the right 1 mm in the maxillary arch and 5 mm in
the mandibular arch. In the lower arch there was impacted lateral right insisive and gangren radix
in the both first molars. Conclusion: The conclusion of the chephalometric analysis was Down :
prognati maxilla with covex facial profile; Stainer: mandibular more backward than maxilla; Wits:
53
class II (AO-BO = 6mm); Soft tissue by Rickets: upper lips was 9 mm in front of E-Line. Case
management: The edgewise orthodontic technique was used in this case, and combined with
class II elastic from begening, for correcting the multiple diastemas, the posterior teeth were
moving mesially. Result: After 2 years the appearance changed significantly, the overjet and the
overbite were normal, patient were able to close well the upper lip, and multiple diastemas in lower
arch had been corrected.
Keywords: Class II division 1, multiple diatemas, class II elastic
CORROSION BEHAVIOR OF TITANIUM ORTHODONTIC WIRE
Leliana S Devi AP, Rina Sutjiati

Departement of Orthodontic, Faculty of Dentistry Jember University
Introduction: Various types of metallic orthodontic wire and stainless steel bracket made of
cobalt-chromium-nickel alloy, nickel-titanium alloys, and beta-titanium alloy are used in the
treatment of malocclusion. For the right orthodontic appliance, one must have a thorough
knowledge of the material from which these appliances are formed. The mechanical and physical
properties of these materials changed greatly under variying condition of manipulation.These
metals undergo chemical or electrochemical reactions with the oral enviroment resulting dissolution
or formation of chemical compounds. Under several situations the oral enviroment is highly
aggressive and leads to corrosion. Objectives: The aim of this study was to determine the
corrosion rates of orthodontic titanium arch wire which was immersed in artificial saliva. Materials
and Methods: The rectangular 0.017x0.025 Beta III Ti (3M Unitek) and CNA (Ortho Organizer)
were used in this study. To measure the corrosion rates, the weight loss, and planed interval test
(t1 = 7 days, t2 = 14 days, t3 = 21 days and t4= 28 days), X-ray Fluorescent spectroscopy was used.
The XRF also identifies the elemental composition of the wire and to investigate the decrease of
elemental composition of wire, before and after the corrosion process by immersion in artificial
saliva. The data were analyzed using Between Subjects Effects and Multiple Comparison test.
Results: The results showed that the corrosion rate of CNA was higher than Beta III Ti.
Conclusion: The percentage of content of the alloys was very influential to the characteristics of
an orthodontic material.
Keywords: Orthodontic wire, Titanium Alloy, Corrosion rate.
THE TREATMENT OF CENTRAL DIASTEMA WITH LIMITED FIXED ORTHODONTIC

APPLIANCE
Lina Handayani
Pediatric Dentistry, Faculty of Dentistry, University of Indonesia
Background: Parents worried and complained about the spacing between central incisor,
therefore they came to the dentist, for improving of their children appearance. Diastema is
regarded as normal in the period of mixed dentition and regarded as abnormal if the gap is still
persistent after the permanent teeth are erupted completely. The possibility of the emerging of
54
central diastema is caused by physiologic, the small size of lateral incisives, missing teeth, midline
supernumerary teeth, procline of upper labial segment, and the prominent frenulum. Case: Case
report, an 8 years old boy, ame with his mother to the pediatric dentistry clinic at RSGMP FKG UI,
with compalined about inisor anterior maxilla already erupted and have spacing with labioversion
position, therefore the boy ould not closed his mouth. According to his mother there was a
supernumerarry teeth behind the maxilary that central incisor, and had ben extracted. Clinical
observation revealed the appearance the boy was protuded, and intra oral the position of #11 and
#21 have spacing with gap ± 4,5mm, labioversion so therefore the boy ould not closed his mouth.
The radiography interpretation showed that have spacing between alveolar bone #11, #21. Case
management: Treatment are interceptive ortodontic with limited fixed appliance design. In limited
fixed appliance, bands and brackets are attached only on upper central incisors. Archwire is
placed on the brackets and teeth are driven using elastometric chain. Chain is attached on mesial
wing to prevent tooth rotation when the diastema is closed. Periodic control visits are necessary if
the diastema is closed before the incisives developed completely. After three months detaching
the appliance and continue with retainer for retention and periodic control everymonth.
Conclusion: If done in favourable situation such as the absence of bone defect and prominent
frenulum, central diastema with limited fixed orthodontic appliance could be succesful.
BONE SUBSTITUTE AND INJECTABLE SCAFFOLD-STEM CELL BASED THERAPY FOR

BONE TISSUE ENGINEERING
Lisa R. Amir
Skeletal deficits and defects are attributable to congenital malformations, oncologic

resection, pathologic degenerative bone destruction, and post-traumatic loss that mainly are
treated with bone graft materials. These materials can be successfully applied to treat a small to
moderate size defect. Yet, the success of treatment of a large bone defect with bone graft
materials remains a challenge which often result in less than ideal patient outcomes. The failure is
mostly arise because of the inability to produce a regeneration which closely resembles the lost
tissues. Because of that, the focus has shifted to the potential of mesenchymal stem cell (MSC)-
based skeletal tissue engineering. The purpose of the review is to discuss the bone substitution
materials and their biological responses. The dental pulp that derived mesenchymal stem cells
reaction when seeded onto locally made injectable scaffold containing Hydroxyapatite (HA) and
Chitosan will be discussed. The understanding of the mechanism of injectable scaffold and stem
cell based therapy is important for the future in the treatment that concerning bone reconstruction.
THE INCREASE OF GINGIVAL SULCUS OF GINGIVAL SULCUS VOLUME AND

CALPROTECTIN DEGREE ON ABUTMENT
TEETH FIXED PARTIAL DENTURE
Lusi Hidayati
Lecture in Dentistry Faculty Jember University
55
The initial use of Fixed Partial Denture need an biokompatible adaptation procces in around
of abutment the of of Fixed Partial Denture. Inflamation is a tissue defences mechanism as initial
response of adaptation procces. The increase of calprotectin concentration and volume of gingival
crevicular fluid are indicators of the inflammation procces before symptom clinical come. The aim
of this research was to investigate the change of gingival crevicular fluid volume and calprotectin
concentration in gingival crevicular fluid of abutment teeth on Fixed Partial Denture.The subjects of
this research were five men with Fixed Partial Denture treatment. The sample were collected with
periopaper GCF strip at time intervals of before preparation, try in, insertion, 3rd day, 7th day, and
14th day and contra lateral teeth as control groups. Evaluation and counting of gingival creviculer
fluid volume were done with traveling microscope with magnification 40X, whereas evaluation of
calprotectin concentration were done using the calprotectin ELISA kit. From two way Anova test
shows that there are significant difference interaction of usage of fixed partial denture between
control group and tested group in creviculer gingival fluid or in concentration of calprotectin with p<
0,05. The conclusion of this study shows that even in creviculer gingival fluid or the concentration
of calprotectin in creviculer gingival fluid there is a increase from try in and peaks at insertion point
and modular depression until normal level starting 7 days after insertion.
Keywords: Fixed Partial Denture, Gingival Creviculer Fluid, Calprotectin
MANAGEMENT OF NECROTIZING ULCERATIVE GINGIVITIS RELATED TO CHRONIC

LYMPHOCYTIC LEUKEMIA
(A CASE REPORT)
*Marcia, **Gus Permana Subita
*Postgraduate Program, Department of Oral Medicine, **Department of Oral Medicine, Faculty of

Dentistry, Universitas Indonesia, Jakarta, Indonesia
Chronic lymphocytic leukaemia (CLL) is one of the common form of leukaemia in all cases.
CLL is relatively indolent haematology malignant disease that is susceptible to oral infection, for
instance necrotizing ulcerative gingivitis (NUG). This report will describe a case of NUG related to
CLL. The patient had CLL since 3 years ago and was hospitalized because of spontaneous
excessive bleeding and pain of the gingival. Haematological investigation revealed a rise in
erythrocyte sedimentation rate (ESR) (120 mm/hour), lymphocyte count (84%) and decrease in red
blood count (RBC) (2.33 million/mm3), haemoglobin (6.8 gr%), haematocrit (22%), platelets
(28x103/mm3). Intraoral examination showed diffuse enlargement, surrounded by erythematous
tissue with spontaneous bleeding on mandible gingiva, and necrotic tissue upon mandible anterior
gingiva on the labial and lingual sides. The mandible anterior interdental papilla was lost. On
palpation, the swelling is slightly tender and painful. Oral hygiene was very poor. These oral
conditions were diagnosed as NUG. Total healing was obtained after 21 days treatment with
emphasis on thorough oral health education, 1.5% hydrogen peroxide and 0.2% chlorhexidine
rinses, debridement and scaling, application of metronidazole gel and administration of 500 mg
metronidazole per oral three times a day. Debridement and scaling was postponed due to the
thrombocytopenia; however complete healing ongoing soon after that. It can be concluded that
NUG can be treated adequately although it was complicated by the systemic condition due to CLL.
Keywords: Chronic Lymphocyte Leukaemia, Necrotizing Ulcerative Gingivitis.
56
CASE REPORT: TWO TYPES OF ENDO-PERIO LESIONS IN ONE MOUTH
Maria Davina1, Dewi Anggraini Margono2

1
Resident of Conservative Dentistry, University of Indonesia.
2
Lecturer of Conservative Dentistry, University of Indonesia.
Endo-perio lesion is responsible for more than 50% of tooth mortality. This lesion manifests
from embryonic, anatomical, and functional relationships between pulp and periodontium. There
are a few types of endo-perio lesion based on the variations in etiology and pathogenesis.
Management of two types of endo-perio lesions in 40 years old patient will be discussed. Her major
complain was on her right maxillary molar (tooth 16) which had an intermittently swelling and a dull
pain in the last few months. A less frequent swelling and pain history was also occurred in the left
maxillary molar (tooth 26). Tooth 16 was non-caries, non-vital, sensitive to percussion and
palpation, 2nd degree mobility, and extruded. The gingival was inflamed and there was a wide deep
pocket toward apex on the palatal side. The radiongraph showed an apical radiolucency + 6mm in
diameter, involving all roots. The tooth was diagnosed as chronic dentoalveolar abscess due to
pulp necrosis from traumatic occlusion, and it was classified as “true combined lesion”. The
treatment planning was a root canal treatment followed by periodontal treatment. Tooth 26 was
vital with gingival recession on palatal side and a wide deep pocket on the mesial side. The tooth
was diagnosed as chronic periodontitis, and classified as “primary periodontal lesion”, and need a
periodontal treatment. Conclusion: Different type of endo-perio lesion requires different treatment
planning. The success of combined lesions depends on both endodontic and periodontal
treatments.
Key words: endo-perio lesion, traumatic occlusion
OCCLUSION AND TEMPOROMANDIBULAR JOINT ON NORMAL AND ASYMMETRICAL

FACES IN ORTHODONTIC PERSPECTIVE
Maria Purbiati Indratoto*, Laura Susanti Himawan**

* Student of Doctoral Program, Faculty of Dentistry, Universitas Indonesia
Lecturer, Orthodontic Department, Faculty of Dentistry, Universitas Indonesia
** Lecturer of Doctoral Program, Faculty of Dentistry, Universitas Indonesia
Professor, Prosthodontic Department, Faculty of Dentistry, Universitas Indonesia
Background: Occlusion is a major aspect in orthodontics, so that orthodontic treatment

should have references in treating occlusion. Nevertheless, orthodontic treatment should not cause
temporomandibular joint disorder. It is clear that there should be a clear reference as a clinical
excellent to provide healthy stomatognathic system for cheerful smile. Purpose: To find the
correlation between occlusion as well as temporomandibular joints and asymmetrical faces,
especially mandibulofacial asymmetry. Review: There have been studies and statements made by
many researchers and reviewers recorded in available and representative literatures. Occlusion is
often associated with temporomandibular joint, yet malocclusion as the cause of joint disorder is
57
still the subject of controversy. Actually, occlusive therapy, including orthodontic treatment,
provides much help for the treatment of joint disorder. Healthy stomatognathic system should not
be achieved only on faces having normal growth pattern. Patients suffering from facial asymmetry
also need healthy and normally-functioning of the whole dentocraniofacial tissues. Conclusion:
conclusion can be made for the benefit of orthodontic treatment on occlusion aspect and its relation
with temporomandibular joints on faces with normal growth pattern. There are also results on the
analysis of the relation between occlusion with its temporomandibular joints and mandibulofacial
asymmetry.
ESTABLISH AN EMOTIONAL CONNECTION BETWEEN PATIENT AND DENTIST TO ACHIEVE

HIGH PERFORMANCE DENTAL PRACTICE
Marta Juslily, Mita Juliawati

dental practitioner, management staff in Trisakti Dental Hospital
To achieve high performance Dental practice nowadays, a dentist needs to understand

knowledge how to communicate with the patient. This will help them to establish good emotional
connection. A lot of research indices that strong satisfaction with a product and service, although a
prerequisite for loyalty, doesn’t always guarantee committed patients. It is required an emotional
connection that bridges between satisfaction and loyalty who makes patients feel so valued and
cared for. Therefore dentists have to acknowledge themselves with basic communication strategy
to gain patients loyalty.
Keywords: Emotional Connection, High Performance Dental Practice
DEEP OVER BITE CORRECTION IN CLASS II DIVISION 2 MALOCCLUSION USING REVERSE

CURVE ARCH WIRE
Marty Adani*, Faruk Husein**

*Resident of orthodontics, Department of Orthodontics
** Lecturer of Department of Orthodontics
Background: This case report was about the treatment of a 13 year old girl who had deep
over bite and crowding in Class II Division 2 malocclusion that was usually treated without
extraction, but in this case it was treated by extracting both the first premolars of maxillary for
crowding correction and midline correction, and intruding and retracting the upper six anterior
teeth. Purpose: The aim of this treatment had been reached in 12 month when deep bite and over
jet had been corrected, the crowding on the upper and lower jaws were also corrected, the canines
became Class I and midline was also corrected. The duration of treatment until debonding was 16
months. Case management: Nance were soldered to the upper first molar bands and used as an
anchor unit for upper space closure, whereas correction of lower anterior teeth that were crowding
were be done by slicing. After the crowding of lower anterior teeth is corrected, deep bite in this
case would be corrected by using reverse curve archwire. At upper teeth, when retractng anterior
58
teeth with bull loop, it also being set up so it has an intrusion effect on anterior teeth. Result of
cephalometry analysis showed some changes in several angles, also dominantly showed upper lip
position on esthetic line, thus picture of patient profile before and after treatment was significantly
different on lip procumbency.
Key words: Class II Division 2, deep bite, reverse curve arch wire
MANIFESTATION, TREATMENT MODALITIES AND PROGNOSIS OF ORAL CANCER IN EAST

JAVA FROM 2004 – 2008
Mei Syafriadi1), Siska Yumira2), Pratiwi Eka Muhardini3), Riza Dwijayanti4)

1)
Division of Pathology, Department of Biomedical Sciences, Faculty of Dentistry, Jember
University, 2),3),4)Co-Ass Student of Jember University Oral and Dental Hospital
Background: The frequency of oral cancer in South East Asia is higher than other countries
in the world with Squamous Cell Carcinoma mostly found as oral cancer in the tongue.
Epidemiological study and experimental evidence indicated a causal relationship on carcinogenicity
with oral habit such as chewing tobacco, betel quid chewing, smoking and drinking. The purpose of
this study was to know the manifestation, treatment modalities and prognosis of oral cancer in East
Java, Indonesia from 2004-2008. Methods: The cross sectional study was performed and
analyzed using analytic descriptive. The data were taken from medical record of patients who were
treated at three biggest referral hospitals in East Java such as Dr. Soetomo Hospital, Dr Saiful
Anwar Hospital and Dr. Soebandi Hospital. Results: Four hundred and one patients of oral cancer
were found from 2004-2008, 274 patients were treated at Dr. Soetomo Hospital, 78 patients at
Saiful Anwar Hospital and 49 patients at Dr. Soebandi Hospital respectively. The highest
percentage of oral cancer was oral squamous cell carcinoma (45.6%) with tongue as the most
common site (30,7%) and parotid gland (21%). The ratio in male is higher than women which is 1.2
: 1. The high risk people who suffered oral cancer are 41-50 years old. Based on treatment modalities,
62% patient were treated with surgery. Conclusion: Oral squamous cell carcinoma in the tongue is
the most common type in oral cancer in East Java and people with fourth decade of life has the
higher risk.
Keywords: Oral squamous cell carcinoma, East Java, Indonesia
EARLY DETECTION OF MOUTH BREATHING AS A BAD HABIT
Miesje Karmiati Purwanegara

Departemen Ortodonti Faculty of Dentistry University of Indonesia
A child in the development phase who repeatedly suffers from infection on his upper
respiratory tract can suffer from the obstruction of upper respiratory tract (OURT). Should OURT
occur continuously over a period of time, the child is likely to develop the habit of mouth breathing
(MB). This leads to obstruction of the growth of dentocraniofacial (DCF) which will result in
morphologic deviation of the DCF, or even deviation of the child’s general physical growth. Other
impacts will be in the form of a mental upset and problems in socializing. These are the reasons
59
why there should be early detection of MB bad habit to prevent any unwanted deviation. For this
purpose, a simple and inexpensive means for the early detection is in the form of a questionnaire.
pBMP-2 TRANSFECTION INTO AN ODONTOBLASTIC LINEAGE CELL AS A STEM CELL

CONTRIBUTION FOR REGENERATIVE DENTIN FORMATION
Mindya Y, Hedijanti J, Niniarty Z.D,

Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia
Introduction: Experimental studies have shown that dental pulp tissue has potential to
regenerate dentin in response to adverse stimuli, such as caries or associated operative
procedures. However, the potential of dental pulp regeneration seems to be limited by regenerative
capacity of the cells involved. Objective: The aim of this study was to evaluate the effects of
transfection of pcDNA-BMP2 gene in proliferation and differentiation of dental pulp tissue in vitro,
by ELISA analysis of ALP production and calcium content of Von Kossa Staining. Methods:
Cultured human dental pulp cells were made after pBMP-2 construction into an odontoblastic
lineage cell in vitro with different concentration. The regenerative capacity was analyzed by ALP-
ase production and calcium content. Results: The ALP-ase concentration at the 5th and 9th
passage was higher than control and the number of mineralized nodules was increased
significantly. Conclusion: pBMP-2 transfection induced odontoblastic lineage cell of dental pulp to
form regenerative dentin formation.
Keywords: BMP-2, dental pulp, odontoblast, stem cell
THE ROLE OF HUMAN RESOURCE MANAGEMENT IN DENTAL PRACTICE

Mita Juliawati, Marta Juslily
dental practitioner, management staff in Trisakti Dental Hospital
In globalization era, particularly, in the era of competitiveness and modern dentistry

world, it is a must for a dentist to find an innovative way in order to maintain and increasing the
visit of the patient. Especially in the problem of patient complaint in dental practice and it might be
caused by human factor. Effort needed to be done include re-evaluation and restructuring in all
sources such as Human Resources in Dental Practice eg, dentist,nurse, frontliners,etc. In order to
obtain optimal services, the human resources in dental practice should consider factors such as
appropriate quality ( standards, effective and efficient, good attitude and positive character) and
quantity (that is the number of dental personnel that apropriate the needs of dental practice)
The final objective is the customer satisfaction and increasing the incoming patient by role of
human resource management in dental practices
Keywords: Role of Human Resources Management, quality and quantity factor, patient
satisfaction
60
THE ROLE OF OSTEOCLAST AND OSTEOBLAST IN ACCELERATING ORTHODONTIC

TOOTH MOVEMENT
Muhammad Nurul Amin

Biomedical and Orthodontic Department, Faculty of Dentistry University of Jember
The orthodontic appliances which are used to correct malocclusion in form of tooth
abnormality, relation abnormality that involving the jaws, growth abnormality on face shaping or
soft tissue abnormality around the mouth. The use of orthodontic appliances to correct
malocclusion involves remodeling process of alveolar bone. This process may be stimulated using
mechanical force obtained from activation of appliance components that applied to stress teeth and
affect the tooth adjacent the tissue including the gingival, periodontal ligament and alveolar bone.
This activation may be conducted base on burdening on teeth. Based on the application of
mechanical force, the area around the teeth is divided into two parts, stressing area and stretching
area. At stressing area, the mechanical force stimulates osteoclast to conduct bone resorption of
alveolar bone whereas on the stretching area, the osteoblast activation develops new bone
formation. The use of orthodontic appliances, in fact, needs a long time span to move the teeth. In
recent years, many researchers have tried to conduct alveolar bone remodeling to accelerate the
tooth movement and be safe for periodontal tissue health. Manipulation of alveolar bone
remodeling, of course, puts target mainly on osteoclast and osteoblast as the main cells which
have role in it.
Keywords: Osteoclast, osteoblast, alveolar bone remodeling, faster orthodontic tooth movement
EARLY EXTRACTION OF TWO UPPER DECIDUOUS TEETH PRESENTED WITH BILATERAL

CONICAL TYPE SUPERNUMERARY TEETH ON A 7 YEARS OLD (CASE REPORT)
Nila Alya Maulidina1, Heriandi Sutadi2

Resident at Pediatric Dentistry Departement 2008, Lecturer at Pediatric Dentistry Departement
Faculty of Dentistry University of Indonesia
Supernumerary teeth are the teeth present in addition to the normal set of teeth. They may
be single, multiple, unilateral or bilateral, erupted or unerupted and in one or both jaws, conical
shaped is the most prevalent type. Present in 1 - 3.5% of world population, mostly in male, the
effect of supernumerary teeth varies from rotation and displacement until no effect at all. Stage of
development and the position of the permanent teeth, analysis of space availability are crucial
during early intervention to prevent further clinical problems. This case report presents with two
peg-shaped supernumerary teeth, underwent early extraction along with their deciduous teeth to
prevent further clinical problem and followed with spontanious eruption of the permanent teeth. In
conclusion, not every supernumerary teeth will lead to malocclusion, in this case report, early
extraction successfully followed by spontaneous eruption of permanent teeth.
Keywords: Supernumerary teeth, Conical type, Early extraction, Malocclusion.
61
ENDODONTIC THERAPY THROUGH ARTIFICIAL CROWN
Novandyta Hapsari1, Nila Kesuma2

1
Postgraduate Conservative Dentistry, 2Department of Conservative Dentistry, Faculty of Dentistry,
University of Indonesia
There are some challenges related to keeping teeth free from endodontic therapy when
accomplishing fixed prosthodontics. Many factors can cause pulpal death, including traumatic tooth
preparation, inadequate provisional restorations, and pulp injury caused by cements or cementing
procedures. Highly restored teeth or those with questionable pulps should be analyzed carefully
before tooth preparation to prevent teeth from symptoms and needed of accomplish endodontic
therapy through the new crowns or prostheses. A case of periapical abscess in central incisor on
25 years old female a year after crown insertion will be discussed. A root canal treatment was
performed through the crown and obturation was completed. Obturation is completed after the root
canal preparation and master cone achieved the right working length.
Key Words: Pulpal death, Endodontic therapy, Tooth preparation, Crown.
PARTICIPATION OF MIDWIVES IN MAINTAINING ORAL HEALTH DURING PREGNANCY AT

KECAMATAN SERPONG - A SIX MONTH EVALUATION
Novrinda H*, Andreas P*, Rahardjo A*, Darwita RR*
* Department of Dental Public Health and Preventive Dentistry – Faculty of Dentistry University of
Indonesia
Background: Midwives have an important role as partners in maintaining the health of

pregnant women, including oral health. The aim of this study was to evaluate the result of Oral
Health Training Program followed by midwives at Kecamatan Serpong. The training program
consisted of dental health education, brainstorming, and simulation of oral health examination
using KASIH (Pregnant Women’s Dental Health Card). Methods: Quantitative and qualitative
approaches were employed. Fourteen midwives were asked on their knowledge regarding
pregnancy related to oral health, utilization, and KASIH card during six month period by interview
and questionnaires. In additional, 3 midwifery lecturers were also interviewed to gather information
regarding midwifery’s curriculum related to oral health. Results: Mean score of knowledge
decreased from 12.28 (post test score after training) to 9.4 (after six months). There were 57% of
the participants remembered to examine dental health to their patients but only 21% using KASIH
card. These were due to lack of confidence, motivation, and equipments. They were ready to
participate in re-training program. There was just a little content about oral health in midwifery’s
curriculum. Conclusions and Suggestions: Midwives still had the motivation to participate in
maintaining pregnant women’s oral health. Reinforcement and refreshing were needed during six
months period to strengthen their participation. Enrichment content about oral health related to
pregnancy in midwifery’s curriculum was suggested.
62
Keywords: Midwife, participation, pregnancy, oral-health, midwifery’s curriculum
THE PRE-ERUPTED STUDY OF MANDIBULAR THIRD MOLAR INCLINATION AMONG 14 TO

17 YEAR OLD
Nurlailia DS*), Zainul Cholid**), Mei Syafriadi***)

*)
Co-Ass Student of Jember University Oral and Dental Hospital, **) Department of Oral and
Maxillofacial Surgery, ***) Division of Pathology, Department of Biomedical Sciences, Dentistry
Faculty, Jember University
Background, the tooth position in the jaws changes continuously due to crown and root
growth. The position of third molar mandible normally is mesioangular position, and then moves
gradually until contacting and resisting to distal part of second molar than sliding and paralleling to
the second molar axis to get eruption way to the oral cavity. The purpose of this research was to
know inclination appearance of pre- erupted stage of the mandible third molar of population among
14 to17 ages grouped to three groups are 14 to 15 ages group, 15 to16 ages group and 16 to 17
ages group. Method, this research was clinical observation study performed at Radiology
Department, Dentistry Faculty of Jember University using 48 samples who selected by selective
random sampling. All samples were x-ray exposed in both left and right side mandible third molar
region with paralleling technique projection and then the inclination was measured and analyzed
using radiogram. Result, showed that among 14 to15 age group had interval inclination of 500 to
560 (43.75%), 15 to 16 ages group had interval inclination of 570 to 700 (80%), and 16-17 ages
group had interval inclination of 640 to 700 (46.67%). Based on sex, the percentage of inclination on
the female and male was different in every age group. Conclusion, it can concluded that the
inclination interval of the mandible third molar from the three groups increased due to the increased
of age.
Key word: Third molar, mandible, inclination
BONE DENSITY AS A FACTOR THAT INFLUENCE ORTHODONTIC MINI-IMPLANTS

STABILITY
(Literature Review)
Olivia Pribadi* Erwin Siregar**
*Lecturer of Department of Orthodontics
Stable anchorage is an important factor for successful orthodontic treatment, especially

when maximum anchorage is necessary. Various techniques have been developed to obtain good
anchorage. Recently, the use of mini-implants to obtain absolute anchorage has become very
popular. Mini-implants have several advantages: no need of patient cooperation, ease of
placement and removal, low cost, can be placed at various site, and can be loaded immediately.
However, sometimes mini-implants have a problem with unwanted loosening. It is important to
ensure the initial stability of mini-implant before it can be used as orthodontic anchorage, because
63
most failures occur during initial stage. Initial stability of mini-implants is essential in clinical use
associated with mechanical locking and immediate loading. Factors associated with mini-implant
stability, such as age, sex, patient’s general conditions, bone quantity and quality, placement sites,
placement procedure, screw implant characteristics, have been reported. Quality (density) of the
bone greatly influence initial stability. Many studies reported that high failure rate in low density
bone. It was reported that bone density differs according to age, sex, and sites.
Keywords: stability, mini-implant, bone density
UPPER AIRWAY OBSTRUCTION CAUSED BY ODONTOGENIC INFECTION

(Case Report)
Palupi Kumara Sari*, Agus Nurwiadh.**, Rama Nusjirwan***

*Resident of Oral and Maxillofacial Surgery Department, Faculty of Dentistry Padjajaran University,
Dr. Hasan Sadikin General Hospital
** Consultant of Oral and Maxillofacial Surgery Department, Faculty of Dentistry Padjajaran
University, Dr. Hasan Sadikin General Hospital
*** Consultant of Cardiothorasic Surgery Department, Faculty of Medicine
Padjajaran University, Dr. Hasan Sadikin General Hospital
Tooth is one of small structures of the body, unfortunately the tooth is related to infectionsm,
and occasionally it can become serious and life threatening. The involvement to the danger spaces
as a result of odontogenic infection is a life threatening event. The facial space involvement to the
airway may be in the anterior part such as in the Ludwig’s angina, or in posterior part such as in the
retropharyngeal space infection. The squelae may be the result of locally induced complication,
such as in the upper airway obstruction. The clinician should be aware of this and carefully and
frequently monitor the airway status to prevent fatal obstruction. If the decision to establish an
artificial airway is delayed, a tracheostomy is the only option.
Keyword: Odontogenic, Airway Obstruction, Tracheostomy
PATIENT'S KNOWLEDGE ABOUT THE BENEFITS AND SIDE EFFECTS OF ORTHODONTIC

TREATMENT IN RSGMP FKG UI
Patricia Iskandar1, Haru Setyo Anggani2, Retno Widayati2

1
Resident of Orthodontic, Faculty of Dentistry, University of Indonesia
2
Lecturer of Orthodontic, Faculty of Dentistry, University of Indonesia
Background: Orthodontic treatment is beneficial for dental and oral health as well as the
psychosocial aspect of patients in respect to an esthetically better dentofacial appearance. Even
so, orthodontic treatment also have some side effects. Thus, before proceeding with orthodontic
treatment, patients need to be informed both of its benefits and side effects. Objectives: The aim
of the study is to identify the level of patient's knowledge about orthodontic treatment in RSGMP
FKG UI, as well as its benefits and side effects on their initial visit in RSGMP FKG UI. Methods:
Questionnaires were given to 100 new patients in RSGMP FKG UI. The knowledge level is
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assessed according to the total answer from respondents. Results and Conclusion: The
knowledge level of patients about orthodontic treatment in RSGMP FKG UI is good. Their
knowledge on the benefits of orthodontic treatment to reduce the risk of caries, periodontal
diseases, anterior teeth trauma, mastication and speech problems, temporomandibular disorders,
as well as psycosocial problem is good. Their knowledge on the treatment's side effects such as
pain, soft tissue trauma, periodontal problems, and temporomandibular disorders are also good.
Even so, their knowledge level on other side effects such as root resorption, enamel and pulp
damage, as well as relaps is still low.
Keywords: knowledge, benefits and side effects of orthodontic treatment
ONE VISIT BRIDGE USING FIBER REINFORCED COMPOSITE
Suzan Elias
Faculty of Dentistry Trisakti University
In the case of the loss of a single tooth, dentist should construct a denture that can fulfill the
requirement for better esthetic, mastication, and phonetics and also to maintain the surrounding
tissues. A removable denture is one of the possibility to solve the problem, although some patiens
may not be satified in wearing a removable denture because the need to remove and insert it, and
some clasps are made for retention of the denture, and not esthetically. Some dentist using
Valplast to make it look better because of the colour of the clasp. Another design for suitable that
may be offered to the patient is a fixed partial denture because it is small and more comfort for the
patients. According to Cooney, Malone-Thylman, and Rosenstiel”s research about the behavior of
patients that using dentures, the prereference of the patients is more to fixed partial denture
restoration. Normally the design of a bridge requires two retainers which will be placed on the
abutment teeth. A full crown as a bridge retainer is an convensional design that must be made on
each abutment tooth. Dentist must sent to the dental lab and need a couple of day to make the
bridge. Using the fiber Reinforced Composite makes it posible for the dentist to make a bridge
without the preparation of all sides of the tooth structure, but only doing preparation in the shape of
an inlay on each abutment tooth. The technique allows the dentist to make a bridge in one visit,
which helps the patients to achive a good appearance because it takes less time and does not
require laboratory assistence, but with satisfactory results.
ENDODONTIC TREATMENT ON MANDIBULAR FIRST PREMOLAR WITH WEINE TYPE 4

CONFIGURATION
R. Indriutami.* N. Sumawinata.**
* Post Graduate student of Conservative Dentistry, ** Professor of Conservative Dentistry, Faculty
of Dentistry University of Indonesia.
The key of root canal treatment success is influenced by operator’s skills and knowledge of
root canal morphology. Root canals are various in shapes and numbers. Due to this various
morphology; and missed root canal can cause failure of treatment if it is unidentified by the
65
operator because it makes the necrotic tissues and microorganism are still persist. This case report
will discuss about an endodontic failure of root canal treatment which is caused by an unidentified
root canal in earlier treatment. The classification of this case is Weine’s type 4 root canal
configuration which means one root canal is divided into two root canals on the apical third. The
retreatment of this root canal has good prognosis because the failure can be identified and the
proper access can be achieved by having a wide orifice opening, so two instruments or two gutta
percha cones can be put together at the same time. The success of this treatment is reported by
the absence of previous persistent clinical symptom. Conclusion: The faulty of the previous
treatment was in the first step of triad endodontic, which is access opening. In this case access
openingwas done insufficiently, leading to unidentified root canal. Access is the first determining
factor of the success of all stages of endodontic procedure, because if access is improper then
cleaning and shaping cannot be done sufficiently and finally the hermetic obturation cannot be
achieved. A root canal treatment failure will be discussed
Keywords: configuration of root canal, mandibular first premolar, unidentified root canal.
PARENTS PERCEPTION ON THE IMPACT OF DENTAL AND ORAL HEALTH TO THE

QUALITY OF LIFE OF THEIR CHILDREN IN URBAN AND RURAL AREAS IN MAKASSAR
MUNICIPALITY
Rasmidar Samad, MS*, Ra’idah Bulu’**,Herman Yapardi**

*Dental Public Health Department, Faculty Of Dentistry, Hasanuddin University
**Post Graduate Student of Dental Public Health Department, Faculty of Dentistry, Hasanuddin
University
The parents’ perception on dental and oral health of their children will influence the
preventive treatment by the dentist and the future of their children’s dental health. Makassar as the
capital city of South Sulawesi province has a community which is divided into rural and urban areas
that each area has their own characteristic and life style. Objective: The aim of this study was to
assess the parents’ perception on dental and oral health and its impact to quality of life in early
childhood/pre-school age of their children. Methods: This study used a cross sectional study
design, held in Makassar municipality with the sample size of 172 person obtained from multistage
random sampling. The measuring instrument in this study was ECOHIS questionnaire (the Early
Childhood Oral Health Impact Scale). The t test was used to analyze the data that was performed
using SPSS version 11.0. Results: In the urban area, based on the perception and the education
level of the parents there was a significant difference in the caries status of their children, but there
was no significant difference in the rural area. Based on the educational level of the parents, there
was a significant difference in quality of life of their children, both in urban and rural areas (p<0.05).
Conclusion: There were differences in the pattern of children caries status and quality of life in
urban and rural areas in Makassar municipality.
Keywords: Perception, quality of life, urban and rural, ECOHIS.
THE EFFECT OF GEL CONTAINING ANTI STREPTOCOCCUS MUTANS SEROTYPE-C IGY ON

THE FORMATION OF S.MUTANS BIOFILM (IN VITRO)
Ratna Farida, Endang Bachtiar , Melissa, Jeng Seriana, Rina Septriani.

66
Department of Oral Biology, Faculty of Dentistry University of Indonesia
Background: S. mutans is the bacteria that cause dental caries. S. mutans serotype-c is
found predominantly in plaque and saliva. IgY anti S. mutans in chicken eggs can inhibit the
formation of dental biofilm by S. mutans. Objective: The aim of this study was to determine the
effect of gel containing anti S. mutans serotype-c IgY on the formation of S. mutans biofilm in vitro.
Methods: The biofilm assay was carried out by using 24 well plates. Well plates were given three
different treatments, which were without gel coated, coated with gel only (control) and coated with
gel containing IgY (treatment). They were added with mixture of artificial saliva with S. mutans, and
incubated for two hours. Biofilm formed on the well plate were determined by optical density
655nm. Results: The average biofilm OD value of the group with gel containing IgY (0.1943+
0.0474) was lower than the group with gel only (0.2109+0.0494), however by statistical analysis
using one way anova showed no significant difference (p=0.313). the average biofilm OD value of
the group without gel (1398+0.0408) was lower than the group with gel only (0.2109+0.0494), and
statistical analysis showed significant difference (p=0.000). The average biofilm OD value of the
group without gel (0.1398+0.0408) was lower than the group with the gel containing IgY
(0.1943+0.0474), statistical analysis showed significant difference (p=0.002). Conclusion: In this
study, gel containing anti S. mutans serotype-c IgY (2%) had the potential to inhibit the formation of
S. mutans biofilm in vitro, however it was not statistically different.
Keywords: Streptococcus mutans serotype-c, biofilm, gel, IgY
TREATMENT OF PROTUSION AND OPEN BITE CASE WITH EXTRUSION UPPER MOLAR
USING TRANSPALATAL ARCH AS ANCHORAGE
Renta Frianty1, Krisnawati2

1
Resident of Orthodontic, 2Department of Orthodontic
Background: Orthodontic treatment of protrusion teeth with molar extrusion need special
consideration. Usually molar extraction and maximum anchorase are needed to correct protusion
teeth. Decision of having reinforce anchorage and choosing teeth that is going to be used as
anchor need the teeth in the best position. Purpose: The aim of this case report was to choose the
method of choosing anchorage of protrusion teeth and open bite with extrusion upper first molar in
20 years old woman that was treated with orthodontic appliance and transpalatal arch as unit
anchorage. Case management: In this case transpalatal arch was chosen to be the anchorage to
both upper second molar with loop modification to mesial so they would be able to help intrusion
both first upper molar. After 19 months of orthodontic treatment, patient’s chief complaint which
was upper maxilla protrusion and open bite were corrected. The patient’s face and smile became
better. This orthodontic treatment also corrected both first upper molar extrusion because there
was no contact with the opposite teeth. This action wolud help the process of making prothese of
missing lower teeth.
Keywords: Protusion, open bite, extrusion
67
ETHANOL EXTRACT AND VOLATILE OIL OF CURCUMA XANTHORRHIZA ROXB INHIBIT

PHOSPHOLIPASE ACTIVITY AND GROWTH OF CANDIDA ALBICANS
Ria Puspitawati, Aurelia Aurelia, Felicia Kathleen, Inez Hanida,

Stefani Pramudita, Lakhsmi A Leepel
Xanthorrhizol of Curcuma xanthorrhiza Roxb. has an anti candidal effect. C. albicans

phospholipase has a role in penetrating the host cells. Objectives: To study the effect of ethanol
extract and volatile oil of C. xanthorrhiza on the growth and the phospholipase activity of C.
albicans. Methods: C. albicans suspension (10-3) was exposed to SDB (negative control), 1%
gentian violet (positive control), ethanol extract (5 mg/L – 30 mg/L), and volatile oil (30% – 55%) of
C. xanthorrhiza. After 48 hours, 10 µl of each suspension was cultured in SDA at room
temperature. The Colony Forming Unit (CFU) was counted after 72 hours, and analyzed using
ANOVA. Phospholipase activity was determined at 72 hours C. albicans cultures on EYA. Results:
Compared to negative control (> 300.000 CFU/ml), C. xanthorrhiza’s ethanol extract (5 mg/L – 30
mg/L) significantly decreased the growth of C. albicans (119 CFU/ml – 9 CFU/ml) with the p>0.05.
Increased concentration (5 mg/L–20 mg/L) of C. xanthorrhiza’s ethanol extract reduced the activity
of C. albicans phospholipase (0.68 – 0.83), and inhibited its activity at the concentration of ≥
22.5mg/L. Similarly, 30% – 40% C. xanthorrhiza’s volatile oil decreased the growth of C. albicans
(37.800 CFU/ml – 600 CFU/ml) compared to control (> 300.000 CFU/ml) and inhibited the growth
in the concentration of ≥ 45%. Thirty to thirty five percent volatile oil reduced the activity of C.
albicans phospholipase (0.695 – 0.88), and inhibited its activity in the concentration of ≥ 40%.
Those exposed to gentian violet showed no growth. Conclusions: Ethanol extract and volatile oil
of C. xanthorrhiza had the capability in inhibiting the growth and phospholipase activity of C.
Ablicans.
Keywords: C. albicans, C. xanthorrhiza, ethanol extract, volatile oil, CFU, phospholipase
DECREASING THE TOTAL NUMBER OF CERVICAL LYMPH NODE CELLS CAUSED BY

IMMUNOSUPRESSION AND CANDIDA ALBICANS INFECTION
Rina Sutjiati, Iin Eliana Triwahyuni

Department of Histology, Faculty of Dentistry Jember University
Department of Oral Medicine, Faculty of Dentistry Jember University.
Introduction: Nowadays, the case of fungal infection in oral cavity is increasing, parallel to
the increasing number of immunosupressed patient. The majority of the cases were caused by
Candida albicans, namely oral candidiasis. Immunity factor is important to overcome Candida
albicans and cervical lymph node (CLN) plays an important role in the oral cavity. Objectives: The
purpose of this study was to evaluate the effect of immunosupression and Candida albicans
infection to the total number of CLN cells. Methods: This laboratory experimental research used
BALB/c mice that was immunosupressed and then infected by C.albicans. Mice were divided into
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three groups: Group 1 was the negative control, Group 2: immunosupressed and Group 3:
immunosupressed and infected with C.albicans. Mice were immunosupressed by injecting
prednisolon 2-3mg/mice subcutaneously, at one day before they were infected and three days after
were infected with C. albicans. Group 2 and 3 were given tetracycline hydrochloride in drinking
water (0,83mg/ml) one day before they were infected. C.albicans inoculation was given at zero
day. At 4th day post infection, mice were sacrificed and the total number of CLN cell was calculated
with haematocytometer. Data were analyzed by One Way Anova test and LSD (p<0.05). Results:
The results indicated that there was a decreasing total number of CLN cells caused by
immunosupression and Candida albicans infection.
Keywords: Cervical lymph node cells, Candida albicans, immunosupression
WORK STRESS AND PERIODONTAL DISEASE
Risqa Rina Darwita*, Febriana Setyawati*, Herry Novrinda*, Iradani Yupitaningrum**

*) Dept. Dental Public Health and Preventive Dentistry Universitas Indonesia
**) Kota Tangerang Health Agency
This study examined the association between occupational stress and the periodontal
disease in factory worker at Tangerang - Banten Province. Objectives: to analyze the relationship
between work stress, social support, and habitual life style and periodontal disease in factory
worker at Tangerang - Banten Province. Method: This study was a cross sectional study. The
subjects of the study were 247 workers from 2 factories in Tangerang Banten province. All subjects
were got dental examination for measuring the Clinical Attachment Level (CAL) and Plaque Index.
Work stress as a psychosocial factors including to the factors of social support and habitual life
style were measured by questionnaire SCL 90, questionnaire survey Diagnostic Stress and
questionnaire Holmes Rahe. The Multiple Linier Regression and Standardization Analysis were
used to analyze for all variables of work stress related to periodontal disease, which was controlled
by plaque index, age, sex, and smoking habit. Results: The prevalence of work stress by quantity
of work load divided into mild work stress was 24.29%, moderate work stress was 69.64% and the
highest work stress was 6.07%. There was significant correlation between work stress because of
quantity work-load with the out-come of periodontal disease (p<0.05). However, there was no
significant correlation between life-stress and psycho-pathology and the outcome of periodontal
disease (p>0.05). The plaque was an indicator to predict the outcome of periodontal disease
(ß=0.304). While the results of standardization analysis indicated that the outcome of periodontal
disease by work stress had the same pattern as controlled by control variables which were plaque,
age, sex, and smoking habit. Conclusion: There was significant correlation between work-stress
because of work-load quantity with the outcome of periodontal disease (CAL), whereas the level of
periodontal disease increased as much as the increasing of work stress because of quantity work-
load.
Keywords: Work stress, life stress, psycho-pathology, periodontal disease
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NON-VITAL BLEACHING OF DISCOLORED TOOTH USING 35% HYDROGEN PEROXIDE GEL

WITH THE WALKING BLEACH TECHNIQUE
(CASE REPORT)
Rizka Kusumah Adriani 1, Daru Indrawati 2

1
Post graduate student of Conservative Dentistry, University of Indonesia
2
Lecturer of Conservative Dentistry, University of Indonesia
Non-vital tooth discoloration is a common problem, and it will cause aesthetic problems for
patients. One way to improve the aesthetic problem of a tooth discoloration is dental bleaching
procedures to restore a tooth back to its normal color. A case discoloration of central incisor on a
29 years old patient due to trauma will be discussed. The treatment consisted of walking bleach
technique using 35% hydrogen peroxide gel after root canal treatment has been performed. This
technique is simple and showed a satisfactory results.
Keywords: non-vital tooth discoloration, walking bleach technique, hydrogen peroxide gel 35%.
ANTI-INFLAMMATORY ACTIVITY OF OUTER LAYER ALOE BARBADENSIS

LEAF EXTRACT ON ACCELERATE HEALING PROCESS OF
ORAL MUCOUS ULCERATION
Widurini, Tut Wuri Andajani, Sarwono AT, Arifa

Department of Oral Biology Faculty of Dentistry University of Indonesia
Background. In Indonesia, Aloe barbadensis leaf is one of the herbal plants used as traditional
medicines in treating many health problems. Previous work showed that 25% of inner layer Aloe
barbadensis extract was effective as anti-inflammatory on the oral mucous of Wistar rats.
Objective: The aim of this study was to know the lowest concentration of outer layer Aloe
barbadensis leaf extract that could accelerate healing process of mucous ulceration on S-D rats.
Methods: Sixty inbreeding S-D rats was applied by applied solution of Hydrogen Peroxide 10%
during three days to induced inflammation on the vestibules of labial inferior mucous. During the
next three days, on the same area was topically applied solution of Natrium Chloride 0.9% (control
group), as well as 6.25%, 12.5%, 25% of outer layer Aloe barbadensis extract (treatment group) for
3 x 5 minutes. On the fourth days, five rats in each group were sacrificed. Then, the same
treatment was done on others groups (control and treatment groups). On the sixth day, five rats of
each group were sacrificed. The last groups were sacrificed on the eighth days. Microscopic slides
were done. Results: Microscopic slides were observed under light microscope and scored.
Statistic analysis with Mann-Whitney test showed significant differences between control and
treatment group (p<0.05). Conclusion: 6.25% of outer layer Aloe barbadensis leaf extract is the
lowest concentration that could accelerate healing process of oral mucous ulceration on S-D rats.
Keywords: Aloe barbadensis, oral mucous ulceration, healing process.
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PATIENT EDUCATION AND STRINGENT FOLLOW-UP INFLUENCING THE OUTCOME OF

STEROID-TREATED ERYTHEMA MULTIFORME
(Case Report)
Siti Aliyah P*
Oral Medicine Department, Faculty of Dentistry, Universitas Indonesia
Erythema multiforme is an inflammatory mucocutaneous disease which etiology remains

unknown. Several precipitating factors including drugs and food have been suggested to trigger the
disease. Systemic corticosteroid therapy is frequently used to treat this condition. A case of 54
year-old female patient diagnosed with erythema multiforme, has been treated with systemic
steroid for several times. Good clinical appearance resulted from the treatment has not been
achieved and she complained that the disease worsen. History of drugs usage without any
physician’s advice every time the disease recurred was revealed. Steroid treatment was
rescheduled for the patient. Thorough patient’s education about the rationale of the steroid
treatment together with strict follow up schedule was also planned. Clinical appearance of
erythema multiforme was resolved after the second follow up visit. Until now patient still
experiences several mild recurrent episodes of erythema multiforme, but longer lesion-free period
was noted. Although steroid is the treatment of choice of erythema multiforme, good treatment
outcome is also strongly influenced by patient’s understanding of the rationale of the treatment and
the importance of follow up during treatment.
Keywords: erythema multiforme, steroid, education, follow up
DESCRIPTIVE RESULTS OF DIGITAL DENTISTRY READINESS AMONG DENTAL

PRACTITIONERS IN MALAYSIA
Sitti Andi Rahmayanti Laya*, Farida Sarkawi**, Siti Noor Fazliah Mohd Noor**
*Dental Officer-Oral Health Clinic AMDI-USM
**Advanced Medical and Dental Institute, Universiti Sains Malaysia
Introduction: Technology application in dentistry evolved dramatically allowing easy data

management. Dental practice equipped by ICT application enable the improvement in work flow
and efficiency due to huge number of software available that serves many non-internet clinical
applications as well as administrative application technology. Despite the advancement of dental
technology, problem still occurs among dentists such as uneasiness and rigidity in using
technology in dentistry. Aims: The purpose of the study was to determine the readiness of dental
practitioners to digital dentistry in Malaysia by using Technology Readiness Index. Methods: The
study was conducted among dentist both in the government and private sector in Malaysia. Survey
was done through distribution of questionnaires through regular mail, direct survey through phone
and visit to dental clinics, and online survey through internet. Around 500 questionnaires were sent
out and only 182 dentists responded (36.4%). Descriptive data were analyzed using SPSS version
17.0. Results: Majority of the respondents were female (64.7%) with age <30 years old (39.1%).
Most dentists hold bachelor degree (69%) and working in the Government sector (59.8%). Most
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dentists had personal computer at home (96.7%) with >5 years experience of using computer
(82.1%) with 76.1% claimed had the experience of using internet. Even though 93.5% had
computers at their clinic, they are not applying digital dentistry (71.7%). Conclusion: Dental
practitioners in Malaysia are keeping pace in applying digital dentistry. Further analysis is needed
regarding the TRI.
EFFECT OF XYLITOL CHEWING GUM ON PROTEIN CONCENTRATION OF SALIVARY

MUTANS STREPTOCOCCI
Sri Utami, Sri Rejeki, BM Bachtiar, Purwita Nurwidyastuti

Introduction: Xylitol chewing gum is widely available and has been known capable of
preventing tooth decay. Mutans streptococci play an important role in dental caries. Every function
in the living of bacteria depends on protein. This study reported that xylitol could change the
expression of mutans streptococci protein profile in vitro. Objectives: The aim of this study was to
determine the effect of xylitol chewing gum on total protein concentration of salivary mutans
streptococci. Methods: Saliva samples were collected from 24 subjects who were instructed to
chew xylitol chewing gum 3 times daily in 25 days. Samples were inoculated on TYS20B medium.
After 2 days, the colonies were inoculated on TYS Broth, respectively. Bradford protein assay
determined the total bacteria protein concentration with Optical Density (OD) at 655 nm
wavelength. Results: Significant decrease (p=0.000) was obtained in total protein concentration
before (896.88004 ± 372.1344) and after treatment (451.37308 ± 245.8180). Conclusion: Xylitol
reduced the total protein concentration of salivary mutans streptococci.
Keywords: protein, mutans streptococci, xylitol chewing gum
PERSONAL SOFT SKILLS IN DENTISTRY
Sudibyo*, Dwi Hariyanto**

*/** Community Dental Public Health, Faculty of Dentistry, Hang Tuah University
This article deals with the importance of the recent notion of soft skills for work-related
dentist, especially its role in dental practice. It is argued that soft skills not only a crucial and
increasingly important topic in careers and career negotiations, but are also part of dentist and
patients relations which tries to take seriously personalities. Soft Skills as opposed to hard skills
(such as technical skills), greatly impacts the personality development of dentist. Organizations
today recognize that the professional development of their dentist play an important part in
maintaining relationships with their customers. Soft skills described as an art, are very often
ignored in dental management. The soft skills are such as: etics, professionalism, leadership,
creativity, team work, communication, critical thinking, problem solving and so on. It is acquired
through experiences and concerned with managing patients, ensuring customer satisfaction and
creating a conducive environment for the dentist to deliver high quality services within on time and
exceeding stakeholder expectations. This paper summarizes the soft skills that can possibly
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improve the success rate of dentist. These dentist, if not managed properly can lead not to success
as a public (patient) good services that beyond expectations.
Keywords: soft skills, hard skills, dentist, and patient.
CLEFT LIP AND CLEFT PALATE IN CHILDREN: DESCRIPTION AND THE TREATMENTS
Sulistiyani, Roedy Budi Raharjo

Department of Pedodontics Faculty of Dentistry Jember University
Cleft lip is an abnormality shaped in form of cleft usually on the upper lip of a child since the child
was born. When it is located at the palate, it is called a cleft palate. The cause of this abnormality is
the failure of palatal fusion in the fetal period due to genetic or environmental factors. Treatment of
these abnormalities involves a team including dentist, dental surgery specialist, plastic surgery
specialist, and pedodontist. There are various appropriate time to conduct the surgery depends on
the type and the severity of the cleft.
Keywords: Cleft lip, cleft palate, treatment, description.
ORAL TRAUMATIC ULCER
Sumintarti*, Erni Marlina*

Departement of Oral Medicine of Hasanuddin University
Traumatic ulcer is an uncovered wound of cutaneous or mucosal tissue that exhibits gradual
tissue disintegration and necrosis that extend deeper from beyond the basal layer of the epithelium
into the dermis caused by trauma. Oral traumatic ulcer may result from physical, chemical, or
thermal trauma to the tissue. Traumatic ulceration characteristically showed as a single localized
deep ulcer with an irregular outline. In contrast, chemical irritation may present as a more
widespread superficial area of erosion, often with a slough of fibrinous exudates. The diagnosis of
traumatic ulcer usually ascertained by the history or clinical examination. . Biopsy is often needed
to establish the diagnosis and to rule out infection or malignancy. Management of this condition
depends on the clinical presentation and symptoms and includes elimination of the suspected
cause, anesthetic topical, antiseptic mouthwash, or simple covering agent. Factitious (self-inflicted)
oral ulceration may also occur and may be difficult to diagnose and manage. Psychiatric advice is
required in some cases. Dental clinicians must aware of traumatic ulcer, and they should be
prepared to provide a diagnosis and treatment, even if there is suspected malignancy.
Keywords: Traumatic ulcer, malignancy, biopsy
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EXPRESSION OF MATRIX METALLOPROTEINASE-8 (MMP-8) GENE IN GINGIVAL

CREVICULAR FLUID DURING DISTALIZATION OF UPPER CANINE
Susilowati
Faculty of Dentistry Hasanuddin University
Introduction: Orthodontic treatment uses forces that produce structural and biochemical
changes in the periodontal spaces that can break the balance between the synthesis and the
breakdown of collagen in the periodontium. Expression of matrix metalloproteinase-8 (MMP-8)
plays an important role in the remodeling of periodontal ligament during orthodontic movement.
Objectives: The purpose of this clinical follow-up study was to reveal the expression of MMP-8
gene in the gingival crevicular fluid (GCF) during distalization of upper canines. Orthodontic fixed
appliances were placed on 8 patients and elastomeric chains exerting 75 grams were attached to
produce canine distalization. GCF samples were collected from the distal side of upper canines
before activation of 1, 2, 3, and 4 weeks after activation. The samples were analyzed using
Reverse Trancriptase Polymerase Chain Reaction (RT-PCR) with GAPDH as a control house
keeping gene . Statistical analyses used Kolmogrov-Smirnov and Saphiro-Wilks for normality test
of the population. Data distribution in its population was normal (p≥ 0.05). Results: The frequency
distribution and percentage of variable showed that the orthodontic force elevated the MMP-8 gene
expression to 12.5% from the baseline on the first week, and then elevated drastically to 62.5 %
on the second week, then dropped to 12.5 % on the third week and it lasted eventually until the
fourth week. Conclusion: It can be concluded that orthodontic forces elevated the expression of
MMP-8 gene until the second week, but decreased afterwards.
Key words: MMP-8, Orthodontic forces, Distalization, GCF
IMMUNOHISTOCHEMICAL STUDY OF THE INNERVATIONS OF HUMAN CARIOUS TEETH

USING PROTEIN GENE PRODUCT 9.5
Tetiana Haniastuti
Department of Oral Biology, Faculty of Dentistry University of Gadjah Mada
Introduction: Human dental pulp is richly innervated by trigeminal afferent axons that sub
serve nociceptive function. Accordingly, they respond to stimuli that induce injury to the pulp tissue.
An injury to the nerve terminals and other tissue components in the pulp stimulates metabolic
activation of the neurons in the trigeminal ganglion which result in morphological changes in the
peripheral nerve terminals. The results of animal studies have demonstrated a sprouting of pulpal
nerve fibers following dental injury. Objectives: The aim of the study was to observe caries-related
changes in the distribution of human pulpal nerve using Protein Gene Product 9.5 (PGP 9.5), a
specific marker for the nerve fiber. Methods: Under informed consent, 15 third molars with caries
at various stages of decay and 5 intact third molars were extracted because of orthodontic or
therapeutic reasons. All samples were observed by micro-computed tomography to confirm the
lesion condition 3-dimensionally, before decalcifying with 10% EDTA solution (pH 7.4). In addition
to HE staining, immunohistochemistry for PGP 9.5 was performed. Results: In normal intact teeth,
PGP 9.5 immunoreactive nerve fibers were seen concentrated beneath the odontoblast cell layer.
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Nerve fibers exhibited an increased density along the pulp-dentin border corresponding to the
carious lesions. Intrapulpal abscesses, when present, were seen to be surrounded by PGP 9.5
immunoreactive fibers. Conclusion: Caries depth could have influenced the degree of neural
sprouting. Caries-induced changes in the distribution of nerve fibers might be functionally important
in the regulation of pulp defense reaction.
CREATING BEAUTY AND NATURAL SMILE WITH COMPOSITE
Tina Anggriany Halim

St. Borromeus Hospital, Bandung
Among several criteria of facial esthetics, the smile has a privileged priority. The lips, the
teeth, and the gingival are the components of the smile. The most charming smile cannot be
considered excellent esthetic if one of the three components does not present a healthy aspects in
its form, color, contour, and texture. Criteria for beauty differ so much across countries, civilization,
ages, and circumstances. Beauty is subjective, it depends on social, familial and personal
influences.
Nowadays information is very easy to get, the development of mass media technology has tended
to internationalize some “universal” beauty criteria, and esthetic dentistry cannot escape this
uniformity: white, perfect, aligned teeth, with upper lip uncovering the maxillary teeth and hiding the
gingival slightly and the lower lip hiding the mandibular teeth.
The increased demand for esthetic teeth make the dentist’s role is becoming more
important, thanks to continuously advances and research in composite resins which can fulfill
dentist quest for esthetic excellence.
Several cases of missing anterior tooth, diastema closure, fractured tooth, and failure of
anterior fillings will be discused.
Key words: esthetics, smile, natural, composite, healthy
THE TREATMENT OF ANTERIOR TOOTH CROWDED CASE OF UPPER JAW WITH DENTAL
TRANSPOSITION BETWEEN CANINE AND LATERAL INCISOR TOOTH BY FIXED
APPLIANCE
Tita Ratya Utari

Study Program of Dentistry Faculty of Medical and Health Science
Muhammadiyah University of Yogyakarta
Dental transposition is an anomaly that the teeth position of the same jaw quadrant change
their position in the dental arch. There are several methods that can be used to treat it, those are
interceptive treatment, up righting and rotation, or tooth extraction. The aim of this paper was to
report the success of the treatment of a case of an upper canine transpose with lateral incisor.
Case: The patient was a boy aged 11 years old who visit the clinic with a complaint about irregular
arrangement of his maxillary front teeth. The left central incisor (tooth 21) rotated 90-degree, there
was mesiodent tooth in the part of palatine. There were the persistence of deciduas teeth of 63 and
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55. The result of radiography observation using Rontgen OPG it seemed that tooth 23 had not
erupted yet and the tooth was located between tooth 21 and 22, and it should be located in the
distal side of tooth 22. Case management: Orthodontic treatment was carried out with fixed
appliance using straight wire bracket. Tooth 23 was pulled to the distal to place it to the correct
position in the distal side of tooth 22 and also the tooth of 63 was extracted. This case report
showed that in transposed teeth, the teeth could be moved to the proper place. Although on
treating dental transposition it requires a long time procedure, but if the treatment was carried out
slowly and carefully, and in accordance with the standard procedures, the result will be very
satisfactory both in aesthetic and functional aspects.
Keywords: Dental transposition, caninus, lateral incisor
THE INITIAL TREATMENT OF MOBILITY TEETH AND DIASTEMA CLOSURE IN CHRONIC

ADULT PERIODONTITIS
Trijani Suwandie
Department of Periodontology Faculty of Dentistry Trisakti University
Chronic Adult Periodontitis is an infectious disease resulting inflammation within the

supporting tissues of the teeth, progressive attachment loss, and bone loss. The clinical
characteristics of the disease are periodontal inflammation, bleeding on probing, pocket formation,
tooth mobility, suppuration, recession, drifting and can be accompanied with pathologic migration.
The initial treatment starts from plaque control, then scaling and root planning, occlusal therapy,
local antimicrobial metronidazole gel and splinting to treat the mobile teeth and diastema closure.
Intra coronal splinting with Fiber Reinforced Composite (FRC) has higher fracture strength. By
combining the chemical adhesive and esthetic characteristic of composite with strength
enhancement of the plasma treated, high modulus, reinforcing ribbon, hence FRC splint will resist
the load-bearing forces of occlusion and mastication and improves the healing response. A male
patient, 40 year of age with tooth mobility at 11 and 21, and the patient felt the increase of teeth
mobility, extruded and diastema had estranged since final six-month. The use of intra coronal
splinting could overcome tooth mobility, close the diastema, and improve the healing responses.
Keywords: Chronic Adult Periodontitis, initial treatment, mobility teeth
PROBIOTIC CHEWING GUM FOR PREVENTION OF HALITOSIS
Vega Roosa Fione*, Anton Rahardjo**

* Post graduate Student in Department of Dental Public Health and Preventive Dentistry, Faculty
of Dentistry, University of Indonesia
** Dept. Dental Public Health and Preventive Dentistry, Faculty of Dentistry University of Indonesia
Introduction: Halitosis is caused by many factors and bacteria one of the causes. A method
to eliminate halitosis is through the control of bacterial growth. Probiotics can inhibit the growth of
bacteria that produce VSC (Volatile Sulphur Compond), VSC is the source of halitosis. There are
many products of probiotics in the market such as yogurt, lozenges and chewing gum. Objective:
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The aim of this review is to discuss the prevention of halitosis by using probiotic chewing gum.
Disscussion: This paper will discuss that the probiotic chewing gum contains Lactobacillus reuteri,
a natural Lactobacillus that helps to restore natural balance, is able in developing healthier gums
and teeth. Lactobacillus reuteri has a binding ability to mucus and to colonize. The Lactobacillus
reuteri suppresses periodontal pathogens and cariogenic pathogens. Conclusion: the use of
chewing gum contained probiotics can be recommended as an effort to eliminate halitosis.
Keyword: Halitosis, Probiotic Chewing Gum
A REVIEW LITERATURE
USE OF AMALGAM BONDING SISTEM AS CORE POST ENDODONTIC
Wahdaniah Masdy
Resident of Department Of Conservative Dentistry Faculty of Dentistry Hasanuddin University
The amount of tooth structure that remains after root canal treatment and post space
preparation is paramount. Endodontic and restorative treatment must be aimed to preserving tooth
structure to provide strength and resistance to fracture of the pulpless tooth. Reconstruction of
endodontically treated teeth with major destruction is a difficult process in dental practice.
Sometimes the remaining dental structure doesn't give sufficient retention and resistance to the
restoration to stand up with masticatory forces. When destruction is more extended and strength is
critical, silver amalgam is still the choice. Due to the difficulty in creating a core in posterior teeth
with major destruction, the main purpose of this paper is to develop a technique that, in our
opinion, improves the buildup core process by using amalgam bonding system.
Keywords: core, amalgam bonding system, post endodontic
LAMININ IMUNOEXPRESSION AS OCCURRENCE INDICATOR OF DENTINAL BRIDGE ON

CALCIUM HYDROXIDE PULP CAPPING
Wazillah Nasserie
Dental Conservation Staff, Faculty of Dentistry, Padjajaran University
Calcium Hydroxide is a natural material which can be produce from limestone (chalk), reef
and sea critter shells. In dental conservation field, the material is commercially available both in the
form of powder and paste, where it can be use in a variety of dental treatment
such as pulp capping. The formation of dentinal bridge on pulp capping treatment is part of the
wound healing phase. This process is imunohystochemically indicated with the existence of various
protein which act as fibronectin and laminin. The purpose of this experiment is to measure laminin
expressions on calcium hydroxide pulp capping treatment
Direct pulp capping conducted in 28 days on class V cavity of 96 buccal molar surface of 12 local
dogs. The experiment subject divided into 3 groups, calcium hydroxide pulp capping using powder
form, calcium hydroxide pulp capping using paste form and control group. Imunohystochemical
staining performed on all sample.
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The result of the experiment shows laminin expressions occurred in all sample with different
intensity where pulp capping using powder Calsium Hydroxide gives better result then the paste
form.(p<0,05)
Keyword: Calcium Hydroxide, laminin, pulp capping
THE EFFECT OF BLACK CUMMIN APLICATION TO ORAL MUCOUS INFLAMMATION.
Widurini.DS. Sarwono AT, Septiana NS, Auerkari EI

Departement of Oral Biology. Fac. Of Dentistry. Univ.of Indonesia
The black cummin is usually used as cooking spices and jamu. It is also believed that the
black cumin can cure the oral mucous inflammation (stomatitis). However, none of the studies
suggested that the black cummin is a proper medication for stomatitis. It is the purpose of the
present study to investigate whether or not black cumin can cure stomatitis. The black cumin
extract is divided into solution and cream, with 100% molarity. Ten Wistar Strain LMR mouse were
used in this study, two of them were randomly taken and divided into two control groups. The rest
of them is taken into treatment groups of solution and of cream. The application area is the fornix
vestibulum. The hydrogen peroxide applied to control group number 2, solution group, and cream
group respectively, for three times application with 5 minutes interval in three consecutive days. On
the 4th day, the aquadest applied to control group number 1 and 2, the solution group of solution
and the cream group applied for five minutes in three times interval of ninety minutes. The
aquadest application at negative control group (number 1) held for five minutes in three times 5
minutes interval. Histological scoring is evaluated by using Eda S and Fukuyamas techniques.
Based on this study, it is concluded that both black cumin extract with solution and cream form can
cure the stomatitis.
keywords: oral mucous, inflammation, the black cumin
THE RELATIONSHIP BETWEEN BIRTH WEIGHT AND ENAMEL DEFECT PROBABILITY IN

SMALL FOR GESTATIONAL AGE CHILDREN
Willyanti Syarif
Pediatric Dentistry Department Faculty of Medicine Padjadjaran University
Teeth development occurs in prenatal period. Enamel defect could be caused by genetic
and environmental factor happened both at prenatal and post natal period. Intra Uterine Growth
Restriction (IUGR) is a systemic condition in prenatal period, cause small gestational age (SGA)
baby, as well as disturbances in deciduous teeth development. The purpose of this study was to
get the relationship between birth weight and enamel defect probability in small gestational age
(SGA) children. Research design was Cohort, with clinical epidemiology and given sample size
technique. The total samples of 153 SGA children were enrolled in this study. By oral examination
enamel defect were none, mild, and severe. Then, the filled data were including birth weight,
length, hypoxia, and gender. The regression logistic multinomial analysis showed that birth weight
p<0.05, referring to significant relationship between birth weight and severity of enamel defect in
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deciduous teeth in SGA children. The result indicated that, the lesser birth weight, the higher
probability of severity enamel defect. Conclusion: there is significant relationship between birth
weight and severity of enamel defect in SGA children.
Keywords: IUGR, SGA, Enamel Defect.
THE ANATOMY REVIEW ON BRUXISM
Wita Anggraini
Anatomy Department Faculty of Dentistry Trisakti University
Bruxism, often referred to as "gnashing," is the act of involuntary teeth grinding, either while
awake or asleep. The purpose of this paper is to review the anatomical factors and anatomical
principles of bruxism management. Bruxism results primarily in tooth damage and jaw pain and
may be caused by psychological effects of everyday stress. In some cases, bruxism causes severe
damage to the teeth. Bruxism occurs in adults and children. The cause for bruxism is unknown.
Factors that may contribute to the condition include stress, facial or oral trauma, nervous system
malfunction, poor diet, and allergies. Alcohol and drug use also increase the occurrence of
bruxism. The mild cases of bruxism may not be a cause for concern. However, the more severe
cases of teeth grinding may lead to the following complications: teeth damage, chronic headaches,
facial pains, temporomandibular disorders and bite changes. These are the harmful complications
of bruxism. The cure for bruxism is dependent on the root cause of the teeth grinding disease.
Key words: Bruxism, teeth grinding
DENTAL CARIES AS AN INFECTIOUS DISEASE AND ITS RELATIONSHIP WITH A WINDOW

OF INFECTIVITY
Yufitri Mayasari*, Armasastra Bahar**

*Magister Program of Community Dentistry, **Department of Preventive and Public Health
Dentistry, Faculty of Dentistry, University of Indonesia
Dental caries disease is known as behavior disease, but now it is known as infectious
disease that can spread. The transmission can occur horizontally and vertically. Most of
transmission occurs vertically, the mother or primary caretaker has been identified as the principal
source of the bacterial infection viz. the transmission of Streptococcus mutans. Children with low or
non-detectable levels of Streptococcus mutans at an early age are at lower risk of caries in their
primary teeth. From the study in Brazil it was found that the colonization of Streptococcus mutans
occurred in the period 11 to 33 months of age, whereas according to a study in USA, the
colonization occurred in the period 6 to 36 months of age. This is called the window of infectivity. If
the Streptococcus mutans level is low or non-detectable at the age period of the colonization, the
child will have a low caries risk up to the age of 5 years. If the child is free from Streptococcus
mutans at the age of 5 years old, the child will have a low risk of caries until the age of 12 years
old.
Keywords: Dental caries, Streptococcus mutans, Window of infectivity, Caries Risk
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THE LOCAL SOY-MILK-HONEY AS A GOOD NUTRITION FOR MANDIBULAR HEALTH IN

GERIATRIC PATIENS
Zahreni-Hamzah
Staff Fac. of Dentistry - Jember University
One of many changes in oral tissue in geriatric patients is smaller mandibular size, thin and
short. This conditions rise many problems such as in traumatics, prosthodontics, and cosmetics
dentistry. This condition can prevent by consuming some local nutrition. Generally, the advantage
of local nutrition are cheap, more convenience to found, not stored in long time, fresh, so many
importance substances still good condition for consume. For this reasons, Mixed Local Soy-milk-
honey/MLSMH can be a one of good nutrition alternatif for maintain form and size of mandibular
changes because it has many substances that concern have synergistic functions and many
biological activities for healthy mandibular bone. The aim of this article is explain the advantages of
MLSMH as one of good nutrition for mandibular health. Because right now, the Indonesian people
still concerned that a local nutrition is not good, because it is cheap so it has not a good
substances for health. The conclusion is MLSMH as one of Indonesian nutrition can consume for
maintain mandibular size and health.
Keywords: MLSMH /Mixed Local Soy-Milk-Honey, good nutrition, mandibular size
THE ROLE OF LOCAL SOY-MILK-HONEY ON PREVENTION MANDIBULAR BONE DAMAGE

IN RATS
Zahreni-Hamzah, Didin Erma Indahyani, Peni Pujiastuti

Staff Fac. of Dentistry - Jember University
The Soy Milk and The honey respectively have been used to prevent bone damage.
Generally, more individual not prefer to consume soy-milk from local soybeans. MLSMH
considered to prevent mandibular bone damage, because it has many substances those have
synergistic functions and many biological activity for mandibular bone. The aims of this research
are analyses the effects of The Local Soy-Milk from local/baluran variety, Glysine max (L) Merril
mixed by honey from coffee areal estate bees in Mixed Local Soy-milk-honey/MLSMH to
proliferation of osteoblast and osteoclast. The Methods: 24 male Wistar rats were equally divided
in 4 groups, such are the saline as control group (group 1), β-APN group (group 2), MLSMH
+saline group (group 3), and MLSMH +β-APN (group 4). Experimental alveolar bone damage was
induced by beta-aminoproprionitrile (β-APN) once daily subcutaneous administration of at a dose
of 5 mg/0.4 ml per 100 g of body weight for 40 days and intake MLSMH by gaster sondage twice a
day at 8-9 a.m and 3-4 p.m. The Results under this experiment conditions showed that (1) number
of osteoblast decreased in group 2, and increased in group 3 and 4. There are not significant
different in group 3 and 4; (2) number of osteoclast very increased in group 2, and decrease in
group 3 and 4. There are not significant different between group 1, 3 and 4 (p<0.05). The
conclusion of this research is MLSMH may prevent mandibular bone damage in rats by increasing
of osteoblast and decreasing of osteoclast.
Keywords: MLSMH /Mixed Local Soy-Milk-Honey, TNF- α, IL-1β, mandibular bone
80
ACKNOWLEDGEMENTS
The Board of Committee of the 6th FDI-IDA Joint Meeting and Balikpapan International
Dental Exhibition 2010 would like to express our thanks to:
§ THE PROVINCIAL LOCAL GOVERNMENT OF EAST KALIMANTAN

§ THE CITY LOCAL GOVERNMENT OF BALIKPAPAN
§ MAIN LECTURERS
§ ORAL AND POSTER PRESENTATION CONTRIBUTORS
§ PARTICIPANTS
§ Cahaya Kharisma
§ Tawada Healthcare
§ Kalbe Group
§ Sensodyne
§ Surya Mandala
§ Segara Banyu Perkasa
§ Novartis
§ Henli Jaya
§ PT Fadzkuruni
§ Eurodenta
§ American Ortho
§ Panasia
§ Dentsply
§ KALBE
§ Ivoclar Vivadent
§ Bintang saudara
§ Global Dent
§ Cobra Dental
§ Soka Kuning
§ CV Raya Denta
§ Ties Farma
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6th FDI-IDA Joint Meeting 2010 Program &amp Abstracts

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6th FDI-IDA Joint Meeting 2010 Program &amp Abstracts

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th

November 12-14, 2010

7 SKP accredited by Indonesian Dental Association (PDGI)

Welcome message: ORGANIZING COMMITTEE 3

Welcome message: INDONESIAN DENTAL ASSOCIATION 4

Welcome message: FDI – WORLD DENTAL FEDERATION 5

Oral presentation program 8

Poster presentation program 10

Main Lecture abstracts 14

Scientific Presentation Abstracts 16

Assalam alaikum Warahmatullahi Wabarakatuh and Salam Sejahtera for all of us

Congratulations and success for all of us.

Dr. Dyah Muryani

Dear Friends and Colleagues,

Balikpapan, 12 November 2010

Dr. Zaura Anggraeni, MDS

William Cheung, D.M.D., F.A.G.D., F.A.D.I.

10.00 – 11.15 Prof. F Lakshman Samaranayake:

Dental Trade Exhibitions

BEST PAPER AWARDS

Dr Gilang Yubiliana Management of Friday, November 12, 2010

Dr Gatot Sutrisno Simplifying the Saturday, November 13, 2010

Dr Bambang Agustono Direct Composite Resin Sunday, November 14, 2010

: Clinical Excellence and Green Dentistry: Bring

CHAIRPERSON VICE CHAIRPERSON I:

Infection Control in Dentistry

MAIN LECTURE ABSTRACT

Bone Level Implant – A perfect complement to Tissue Level Implant

Dr How Kim Chuan

What is Bone Level Implant?

Oral Biofilm and Caries Control

MAIN LECTURE ABSTRACT

Green Dentistry: a new paradigm to clinical excellence in dental practice

ORAL SQUAMOUS CELL CARCINOMA WITH HPV INFECTION

THE INFLUENCE OF BISINDOLYLMALEIMIDE GF 109203X OR PHORBOL MYRISTIC

Adi Prayitno 1, Widya Asmara 2, Muhardjo 1, Suhartono Taat Putra 3

NON-EXTRACTION TREATMENT OF CLASS III MALOCCLUSION WITH ANTERIOR

Agi Ardianti1, Maria Purbiati2

THE ROLE OF AUTOTRANSPLANTATION IN ORTHODONTIC TREATMENT

Agnes Sukandar.* Nia Ayu Ismaniati**

THE ABILITY OF CANDIDA ALBICANS TO ADHERE ON ACRYLIC RESIN

Amiyatun Naini and Suhartini.

SELF SYNTHESIS AND MICROSTRUCTURE CHARACTERIZATION

Angela Evelyna*, Bambang Sunendar Purwasasmita**, Nina Djustiana***,

Anna Ferlinasari *, Kamizar**

VALIDITY AND RELIABILITY OF QUESTIONNAIRES AS THE INSTRUMENT FOR SEVERE

USING FLAVONOIDS AS A NATURAL PRODUCTS WITH HIGH PHARMACOLOGICAL

Flavonoids are a widely distributed group of polyphenolic compounds characterized by a

RAT DENTAL PULP TISSUE REACTION AFTER CAPPED WITH

THE MODIFIED RAPID IDENTIFICATION OF STREPTOCOCCUS MUTANS OF ORALBIOFILM USING

TREATMENT OF PERIAPICAL DISORDERS WITH APEX RESECTION

Aries Chandra Trilaksana

Keywords: Apecresection, Endo surgery, Periapical disorders

TOOTH DECAY SCORE, KNOWLEDGE AND PRACTICE OF THE CHILDREN AGED 9 – 15

EROSIVE ORAL LICHEN PLANUS: CLINICAL FEATURES AND MANAGEMENT IN CHILDREN

Audiawati *, Siti Aliyah P**

WHITE TEA EXTRACT DECREASES TUMOR CELL VIABILITY BY INDUCING APOPTOSIS IN

NON-VITAL TOOTH BLEACHING AND COMPOSITE RESIN RESTORATION WITH FIBER

Aynie Yunita*, Safrida Hoesin**

THE THERAPEUTIC PROPERTIES OF PROPOLIS IN CONSERVATIVE DENTISTRY AND

Besse Tenri Awaru

MANAGEMENT OF ANKYLOSED TEETH IN ORTHODONTIC TREATMENT

Bintari Eska*, Krisnawati**

Angela Evelyna, Bambang Sunendar Purwasasmita, Nina Djustiana,

Budi Yuwono, Abdul Rochim

Irmaleny, Narlan Sumawinata, Dewi Fatma, Marline Abdassah****