BLOK 4 SKENARIO 1

Fasilitator :
Drg. Dhona Afriza, M.Biomed

Ketua : Milly Adhlin Raihan

Sekretaris : Dea Ignacia Manurung
 GROUP 3
Khadijah Putri Nopani 2110070110027
Kevin Richardo Lubis 2110070110028
Syaida Erma Putri 2110070110029
Erthasya Aura Abrialihan 2110070110029
Miftahul Hafiz 2110070110031
Dea Ignacia Manurung 2110070110032
Dinda Oktavianisca 2110070110033
M Habib Al Fajar 2110070110034
M Shalahuddin Al Majiid 2110070110035
Marshanda Delon 2110070110036
Nadhilah Safirah 2110070110037
Milly Adhlin Raihan 2110070110038
Muhammad Bintang Anugrah 2110070110039
 HEALTH SEMINAR

In the framework of World Oral Health Day, FKG Unbrah

students held a scientific seminar by inviting many
speakers in the field of dentistry. One of the speakers, drg
X, is an Oral Specialist, delivered material on the effect of
stress on oral health. He said that the metabolic processes
of nutrition, behavior, reproduction, growth,
gastrointestinal, cardiovascular, nervous and renal systems
and their various responses to all forms of stress, all of
these functions are coordinated by the endocrine system.
The emergence of stress will activate the hypothalamic-
pituitary-adrenal axis (HPA axis). The activation of the
HPA axis will stimulate the adrenal glands to increase the
secretion of the hormone cortisol through a negative
feedback process. One of the clinical features in the oral
cavity due to stress is the appearance of Wickham striae on
the oral mucosa.
 Classification of Terms

1. Gastrointestinal 2. Hypothalamus-hipophysis 3. Cortisol hormone

the term digestive organs
consisting of digestive organs
which are divided into 2 groups of
organs in the digestive tract and
complete digestive organs.
a small area located in the middle of a type of hormone produced by the adrenal
the brain between the pituitary glands to improve the function of the
gland and the thalamus, a complex body's response to a certain situation
gland that secretes peptide
hormones

4. HPA’s Axis 5. Wickham Striae

It is a major part of the a white line seen in the pulp that is in contact
neurodocrine system that controls with the oral mucosa.
reactions to stress and also has an
important function in regulating
many bodily functions such as
digestion, immunity, mood and
emotion.
 6. Adrenal Gland 7. Negative feedback

The function of this gland is to occurs when some system output function,
regulate the body's metabolism, to process or mechanism feeds back in terms
reproduce stress-causing of reducing fluctuations in the confinement
hormones and to produce and caused by changes in intake or other
regulate sex hormones, especially disturbances
estrogen

8. Cardiovasculer 9. endocrine system

is a system that functions to is a glandular control system without ducts that

circulate blood throughout the produces hormones that circulate in the body
body through the bloodstream to affect other
organs.
Scenario Chart
 Learning Objective
1. Students are able to understand and explain related to the
endocrine system.
2. Students are able to understand and explain the types &
functions of endocrine glands.
3. Students are able to understand and explain the working
mechanism of hormones.
4. Students are able to understand and explain the manifestation of
stress hormones.
5. Students are able to understand verses/hadith related to
scenarios.
 1. Students are able to understand and explain related to the endocrine system.

The endocrine system is a control system of ductless glands that produce

hormones that circulate in the body through the bloodstream to affect other
organs. The endocrine system is closely related to the nervous system,
controlling and integrating body functions. Endocrine glands will release their
secretions directly into the blood. The endocrine glands consist of the islets of
Langerhans and parathyroid, gonads, adrenal glands, pituitary, thyroid and
thymus. Endocrine glands together with the nervous system control, and these
two systems work together for body homeostasis, and secrete chemical
compounds in the form of hormones and distribute them through the blood to
cells/tissues/organs towards the target.
2. Students are able to understand and explain the types & functions of endocrine glands.

1. pituitary gland (pituitary)

The pituitary gland is a cell located at the base of the brain and is connected to the
hypothalamus by the pituitary stalk, or hypothalamic infundibulum.
2. Sex Glands (gonads)
The gonads are the main reproductive (sex) organs, consisting of the testes in males and ovaries
in females. Apart from being an exocrine gland to produce sperm, the testes also act as an
endocrine gland in secreting the hormone testosterone (androgens).
3. Thyroid gland.
Located at the front of the neck is very important in metabolism, this thyroid gland is in the form
of twin cups and between them is an area that is arranged in layers like a roof. The thyroid gland
detects two types of hormones, namely: Thyroxine or tetraiodothyronine (T4), 90% of the total
secretion of the thyroid gland and Triiodothyronine (T3), secreted in small amounts.
4. Parathyroid glands
The parathyroid glands are four small organs each about the size of an apple seed, located on
the anterior surface of the thyroid gland and separated from the thyroid gland by a connective
tissue capsule. Produces parathyroid hormone which plays an important role in phosphate
metabolism and calcium metabolism.
3. Students are able to understand and explain the working mechanism of
hormones.

There are several types of hormones, including steroids, amino acid

products, as well as polypeptides and proteins. The hormones differ
in their molecular structure (eg, size and chemical properties). Due to
differences in structure, their mechanisms of action (eg, whether
they can enter target cells and how they modulate the activity of
these cells) are also different. Steroids, which are produced by the
gonads and parts of the adrenal glands (eg, adrenal cortex), have a
molecular structure similar to that of cholesterol. The molecules can
enter their target cells and interact with receptors in the fluid that
fills the cell (i.e., the cytoplasm) or in the cell nucleus. The hormone
receptor complex then binds to certain regions of the cell's genetic
material (i.e. DNA), thereby regulating the activity of certain
hormone-related genes.
4. Students are able to understand and explain the manifestation of stress
hormones.
1. Cortisol hormone
Cortisol hormone is produced by the kidneys, which produces glucocorticoids,
causing a decrease in the function of SIga, Ige and neutrophils, causing
decreased immune function against bacteria. If there is excess cortisol, bacteria
can thrive, and cortisol is the main stress hormone, RAS is a manifestation of oral
disease.

2. Adrenaline hormone
Adrenaline is a hormone produced by the adrenal glands after getting a signal
from the brain when a stressful situation arises. Adrenaline cooperates with
another stress hormone, namely norepinephrine which is responsible for deciding
the reaction when stress arises.

3. Norepinephrine
This hormone is the same as Adrenaline which is secreted by the adrenal glands
and comes from the brain. The function of the hormone Norephnephryne is to
keep us focused and awake during stress, we will become more alert, unable to
sleep, and focus on problems.
5. Students are able to understand verses/hadith related to scenarios.

• Narrated by Imam Thabrani): "Pry it out, clean your teeth from the leftovers of 5
foods, because that act is and cleanliness together with faith and faith with
people in heaven". This hadith explains that it is important to clean the teeth
and mouth because cleanliness is part of faith and can also prevent plaque
formation and prevent caries.
• (HR Muslim): "The parable of the believers in terms of loving, caring and loving
one another is like one body, if one member of the body is sick, the whole body
is awake and hot."
• (Sura Al-An'am verse 141): "It is he who makes gardens with lofty and untie the
variety of fruit when he bears fruit, and fulfill his right) on the day of picking it,
and do not overdo it, verily Allah does not like people who are extravagant.
Thank You
 QUESTION

1. MUHAMMAD HAIKAL (070):APA SAJA GANGGUAN YG DISEBABKAN HORMON?

2. PARASTIA (046) : BAGAIMANA HUBUNGAN ANTARA HORMON STRESS DENGAN KEADAAN PADA SAAT
MENGALAMI STRESS
3. YESSA AFRI (069): BAGAIMANA CARA KERJA HORMON KORTISOL DAN PERANNYA TERHADAP TUBUH KITA