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Dental Journal (Majalah Kedokteran Gigi)
Published by Universitas Airlangga
ISSN : 19783728     EISSN : 24429740     DOI : -
Core Subject : Health,
The Dental Journal (Majalah Kedokteran Gigi) (e-ISSN:2442-9740; p-ISSN:1978-3728) is published by the Faculty of Dental Medicine, Universitas Airlangga. Its diciplinary focus is dental science and dental hygiene. The Dental Journal (Majalah Kedokteran Gigi) is published in English on a quarterly basis with each 50-60 page edition containing between nine and eleven scientific articles on research, study literature and case studies. Contributors to the Dental Journal (Majalah Kedokteran Gigi) included: dental researchers, dental practitioners, lecturers, and students drawn from Indonesia and a wide range of other countries.
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Articles 652 Documents
EFFECTS OF SIDESTREAM TOBACCO SMOKE ON P53 EXPRESSIONS IN RATTUS NOVERGICUS TONGUE EPITHELIAL MUCOSA Angriany, Dian; Ernawati, Diah Savitri; Parmadiati, Adiastuti Endah; Hendarti, Hening Tuti; Zain, Rosnah Binti
Dental Journal (Majalah Kedokteran Gigi) Vol 52, No 3 (2019): (September 2019)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v52.i3.p138-141

Abstract

Background: Smoking, both active and passive, has been widely recognised as toxic to the human body, since it induces several forms of cancer, including that affecting the oral cavity. Benzopyrene, the carcinogen contained in tobacco smoke, can even lead tocarcinogenesis which potentially affects the regulation of cell apoptosis in both active and passive smokers. Purpose: This study aims to investigate the carcinogenic effects of cigarette smoke on apoptosis of rat tongue mucosae through p53 expression. To determine the risk of malignant transformation through tumor suppressor genes in the apoptotic pathway. Methods: Rattus norvegicus subjects were divided into four groups, namely Treatment Group 1 exposed to sidestream cigarette smoke for four weeks (P1), Treatment Group 2 exposed to sidestream cigarette smoke for eight weeks (P2), Control Group not exposed to sidestream cigarette smoke for four weeks (K2), and Control Group (K) not exposed to sidestream cigarette smoke for eight weeks (K2). The exposure process was conducted using a smoking pump and alternating exposure. Four micron-thick sections of formalin were subsequently fixed together with paraffin embedded biopsy material from tongue mucosa of Rattus norvegicus. The tissue sections from the treatment groups were then analyzed immunohistochemically to compare the expressions of p53 and Bcl-2 proteins with those of the control groups. Results: The T-test results indicated statistically significant differences in the expressions of p53 between the 4-week control group (K1) and the 4-week treatment group (P1) (p=0.01, p<0.05) as well as between the 8-week control group (K2) and the 8-week treatment group (P2) (p=0.03, p<0.05). Conclusion: Exposure to cigarette smoke can induce changes in tumor suppressor genes and also affect the regulation of cell apoptosis, thus changing cell structure and leading to malignancy.
PERIPHERAL OSSIFYING FIBROMA OF THE ANTERIOR MAXILLARY GINGIVA Anugraha, Ganendra; Sumarta, Ni Putu Mira
Dental Journal (Majalah Kedokteran Gigi) Vol 52, No 4 (2019): (December 2019)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v52.i4.p204-208

Abstract

Background: Peripheral ossifying fibroma is a rejuvenation of the reactive gingiva, usually occurring in the anterior maxillary gingiva. The condition is often clinically ambiguous when diagnosed on the basis of gingival hyperplastic lesions such as focal fibrous hyperplasia, peripheral giant cell granuloma, peripheral fibroma and pyogenic granuloma because peripheral ossifying fibroma has a tendency to recur with a ratio of around 20%. The literature on the subject predominantly classifies peripheral osifying fibroma as an epulis type, but it has also been identified as a peripheral mesenchymal tumor presenting similar clinical symptoms to ossified fibrous epulis. Purpose: The purpose of this article is to explain the rare case of peripheral ossifying fibroma in the anterior maxillary gingiva which can be clinically misdiagnosed as reactive gingival hyperplastic lesions. Case: A case report of peripheral ossifying fibroma in the left lateral incisor and canine of the maxillary gingiva in a 26 year-old male. The patient chiefly complained of a painless, slow growing gingival enlargement on the upper left jaw during the previous five years. Clinical examination confirmed it to be a single, hard swelling in the 21-24 region, pale in color and with a rough surface. Case management: The procedure constituted a complete surgical excision of the lesion together with the underlying periosteum curettage intended to prevent recurrence. The histopathologic examination results indicated tissue with squamous epithelial lining, stroma consisting of fibroblasts, and immature trabecula with osteoblastic rimming between collagen tissue without signs of malignancy. Osteoblastic rimming has specific features in histopathologic examination of ossifying fibroma. Conclusion: Peripheral ossifying fibroma is a rare solitary enlargement in the oral cavity frequently misdiagnosed as ossified fibrous epulis. A definitive diagnosis is made by means of histopathologic examination. The condition has a low reccurance rate.
EFFECTIVENESS OF ANADARA GRANOSA SHELL-STICHOPUS HERMANNI GRANULES AT ACCELERATING WOVEN BONE FORMATION FOURTEEN DAYS AFTER TOOTH EXTRACTION Sari, Rima Parwati; Kurniawan, Hansen
Dental Journal (Majalah Kedokteran Gigi) Vol 52, No 4 (2019): (December 2019)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v52.i4.p177-182

Abstract

Background: Post-extraction complications can cause alveolar bone resorption. Hydroxyapatite-tricalcium phosphate (HA-TCP) is one potential bone graft material that can be synthesized from Anadara granosa shell. Another biomarine, Stichopus hermanni, contains hyaluronic acid which can accelerate bone formation on the fourteenth day. Purpose: This study aims to prove the effectiveness of Anadara granosa shell-Stichopus hermanni granules in weaving bone formation fourteen days after tooth extraction. Methods: Twenty-five male Wistar rats were divided into five groups. Their lower left incisor was extracted with gelatin being administered to the control group (C) and granule scaffold derived from Anadara granosa (AG) shell and Anadara granosa shell-Stichopus hermanni at concentrations of 0.4%-0.8%-1.6% (AGSH1-AGSH2-AGSH3) to the treatment group. This study developed a HA-TCP synthesized from Anadara granosa combined with whole Stichopus hermanni to create granule scaffolds by means of a freeze-dried method. The jaw was removed on the fourteenth day post-tooth extraction. Observation of HPA involved the use of an Image Raster®. The resulting data was subjected to analysis by ANOVA and tukey-HSD tests (p<0.05). Results: Data showed the mean of C=0.157±0.078; AG=1.139±0.371; AGSH1=1.595±0.291; AGSH2=1.740±0.308; and AGSH3=1.638±0.286. Statistical analyses showed significant differences in the woven bone area (mm2) between C and the treatment groups AG;AGSH1;AGSH2; AGSH3; and between AG and the AGSH2 groups. Conclusions: Scaffold granules from Anadara granosa shells and Stichopus hermanni effectively accelerate the bone formation process with the most effective being Stichopus hermanni at a concentration of 0.8%.
Correlation between estrogen and alkaline phosphatase expression in osteoporotic rat model Salim, Sherman
Dental Journal (Majalah Kedokteran Gigi) Vol 49, No 2 (2016): (June 2016)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (467.71 KB) | DOI: 10.20473/j.djmkg.v49.i2.p76-80

Abstract

Background: Osteoporosis is a systemic disease that can decrease bone density as a result of imbalance bone remodeling and bone resorption. Estrogen reduction due to menopause can increase osteoclast activity and furthermore decrease bone density. Estrogen can stimulate alkaline phosphatase (ALP) expression, collagen type I and osteocalcin in bone remodelling process. Ovariectomized rat is a common animal for studying patofisiology, diagnosis and treatment osteoporosis patient. Purpose: To evaluate correlation between estrogen and ALP expression in osteoporotic rat model mandible. Methode: 18 female wistar rats, 2 months old, 200 grams were divided into 2 groups, ovariectomized group and sham surgery as control group. Surgery was done under intra muskular anesthesia using combination 2% xylazine 1cc and 10% ketamine 1cc. After 12 weeks, mandible was taken for ALP examination and blood from heart was taken to evaluate the amount of estrogen. Result: There was significant correlation between estrogen and ALP expression in osteoporotic rat model mandible. Conclusion: The amount of estrogen can influence ALP expression activity.
Correlation between working positions and lactic acid levels with musculoskeletal complaints among dentists Putriwijaya, Fiory Dioptis; Berniyanti, Titiek; Diyatri, Indeswati
Dental Journal (Majalah Kedokteran Gigi) Vol 49, No 4 (2016): (December 2016)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.781 KB) | DOI: 10.20473/j.djmkg.v49.i4.p201-205

Abstract

Background: Musculoskeletal complaints have been common for dentists since their body is unknowingly often in inappropriate positions when caring for patients. For example, they bend towards patients, suddenly move, and then rotate from one side to another. The repetitive movements are done in long term. High activities and sufficient recovery time can cause a buildup of lactic acid in their blood leading to obstruction of the energy intake from the aerobic system in their muscle cells, resulting in fatigue. As a result, such conditions trigger decreased muscle performances. Purpose: This study aimed to determine the correlation between working positions and lactic acid levels with the risk of musculoskeletal disorders among dentists at Public Health Centers in Surabaya. Method: This research was an analytical observational research using cross sectional approach. Sampling technique used in this research was cluster random sampling with nineteen samples. To evaluate the working positions of those samples, a rapid entire body assessment (REBA) method was used. Meanwhile, to observe the musculoskeletal disorders of those samples, a Nordic body map was used. Data obtained then were analyzed using Pearson correlation test with a significance level (p<0.05). Result: Results of data analysis using the Pearson correlation test showed that the significance value obtained was 0.036. It indicates that there was a correlation between the working positions and the lactic acid levels with the musculoskeletal disorders in those dentists. The results of the Pearson correlation test also revealed that there was a correlation between the working positions and the lactic acid levels among those dentists with a significance value of 0.025. Conclusion: It may be concluded that the wrong body positions during working can increase lactic acid level in the body of dentists. The increased level of lactic acid then can affect their muscles, leading to the high risk of musculoskeletal disorders.
Genetic variability of Candida albicans in HIV/AIDS patient with and without ARV therapy and non HIV/AIDS Rahayu, Retno Puji; P, Widiyanti; M, Arfijanto
Dental Journal (Majalah Kedokteran Gigi) Vol 45, No 1 (2012): (March 2012)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (453.686 KB) | DOI: 10.20473/j.djmkg.v45.i1.p28-34

Abstract

Background: Oral candidiasis is the mostly found oral manifestation in HIV/AIDS infected patient caused by immunocompromised especially immunodeficiency. Clinical symptoms is severe pain in oral cavity and dry mouth because of xerostomia which cause the loss of appetite. Candida albicans (C. albicans) is normal flora in oral cavity which plays as opportunistic pathogen and also the cause of oral candidiasis. Almost 90% of HIV–infected patient have oral candidiasis. This condition is clinical problem which has not been well-managed yet. C. albicans colonized oral mucous cavity has different genetic variability for each strain. Phenotype of C. albicans has been determined by genetic factor and environtment. This condition stimulate differences of genotype among various strain of C. albicans in the world. Purpose: The purpose of this research is to analyze the genetic variability of C.albicans which colonized in the mucous oral cavity of HIV/AIDS patient in Surabaya in the treatment with and without ARV therapy and non HIV/AIDS. Methods: This research has been identify and characterize the prevalent strain of C. albicans isolat in Surabaya (East Java) in HIV/AIDS infected patient with oral candidiasis by method of Iatron candidal check. The highlight of this research including cytology examination by Papanicoloau staining, C. albicans culture, spheroplast making, DNA isolation and genetic variability checking by randomly amplyfied polymorphism DNA (RAPD). Results: C. albicans colonizing oral mucosa of non-HIV patients had a predisposition of farther genetic relationship (genetic distance of 0.452) with C. albicans colonizing oral mucosa of HIV ARV and HIV non-ARV patients. The genetic distance was ranging between 0 and 1, where 9 was long genetic distance and 1 was short genetic distance. In contrast, C. albicans colonizing oral mucosa of HIV ARV have predisposition of closer genetic relationship (genetic distance of 0.762) with C. albicans colonizing oral mucosa of HIV non-ARV patients. Conclusion: The conclusion of this research were C.albicans colonizing HIV/AIDS patiens with and without ARV showed no high genetic variability between C.albicans isolate in HIV patients. There fore, the character of C.albicans colonizing HIV ARV and HIV non-ARV patients had similar genotype predisposition of closer relationship value with C.albicans colonizing oral mucosa non HIV patients.Latar belakang: Oral candidiasis merupakan manifestasi kelainan rongga mulut yang paling sering timbul pada penderita HIV/AIDS karena kondisi immunocompromised terutama defisiensi imun. Gejala klinisnya berupa nyeri hebat di rongga mulut dan mulut kering karena xerostomia yang menyebabkan hilangnya nafsu makan. Candida albicans (C. albicans) berperan sebagai patogen oprtunistik dan merupakan penyebab Kandidiasis rongga mulut. Hampir 90% penderita terinfeksi HIV mengalami kandidiasis rongga mulut. Kondisi ini merupakan masalah klinis yang belum teratasi dengan baik. Kolonisasi C. albicans di mukosa rongga mulut mempunyai variabilitas genetic yang berbeda untuk tiap strainnya. Fenotip C. albicans ditentukan oleh faktor genetic dan lingkungan. Kondisi ini menstimulir perbedaan genotip di antara berbagai strain C. albicans di dunia. Tujuan: Tujuan penelitian ini adalah meneliti korelasi antara hubungan genetik yang menunjukkan variasi genetik kolonisasi C. albicans pada rongga mulut dan insidens kandidiasis rongga mulut pada penderita HIV/AIDS dan non-HIV/AIDS. Metode: Penelitian ini mengidentifikasi dan mengkarakterisasi strain Candida albicans isolat Surabaya (Jawa Timur) pada penderita HIV/AIDS dengan kandidiasis rongga mulut dengan metode iatron candidal check. Penekanan dalam penelitian ini termasuk pada pemeriksaan sitologi dengan pengecatan Papanicoloau, kultur C. albicans, pembuatan spheroplast, isolasi DNA dan pemeriksaan variabilitas genetik dengan randomly amplified polymorphism DNA (RAPD). Hasil: C. albicans yang berkolonisasi di rongga mulut pada penderita non-HIV mempunyai predisposisi hubungan genetik (jarak genetik 0.452) dengan C. albicans yang berkolonisasi di rongga mulut pada penderita HIV yang mendapatkan terapi ARV dan non ARV. Jarak genetic bervariasi antara 0 dan 1, dimana 9 dalah jarak genetik terpanjang and 1 adalah jarak genetik terpendek. Sebaliknya, C. albicans yang berkolonisasi di rongga mulut pada penderita HIV yang menerima terapi ARV memiliki predisposisi hubungan genetic yang lebih dekat (jarak genetic 0.762) dibandingkan C. albicans yang berkolonisasi di rongga mulut pada penderita HIV non-ARV. Kesimpulan: Sebagai kesimpulan, penelitian ini menunjukkan bahwa C. albicans isolate Surabaya yang mengkolonisasi penderita HIV/AIDS dengan ARV dan non ARV memiliki hubungan kekerabatan genetik yang sama dibanding dengan pasien non HIV/AIDS.
Pengaruh lama pemberian aspirin pada ekspresi protein KI-67 dan ketebalan epitel mukosa rongga mulut tikus Wistar jantan (The effect of aspirin administration period on KI-67 expression protein and oral epithelial mucosal thickness in male Wistar mice) Arinawati, Dian Yosi; Susilowati, Heni; Supriatno, Supriatno
Dental Journal (Majalah Kedokteran Gigi) Vol 47, No 3 (2014): (September 2014)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1074.865 KB) | DOI: 10.20473/j.djmkg.v47.i3.p135-140

Abstract

Background: Aspirin has been widely used as an anti-inflammatory, antipyretic, and analgesics drugs. It has seriously side effects like gastrointestinal ulceration, delayed healing ulcer, and oral mucosal ulceration when Aspirin is administered for long time. Purpose: The aim of study was to examine the effect of Aspirin administration period on Kiehl-67 (KI-67) protein expressions and oral mucosal epithelial thickness in male Wistar mice. Methods: Experimental laboratory study with post-test only control group design was performed and 40 male Wistar mice were used in this experiment. The samples were divided into 2 groups. Group I was treated with Aspirin, whereas group II was receive aquadest. Each group was divided into 5 subgroups for assessment of the length administration effect. All of mice were sacrificed on day 1, 3, 5, 7 and 10 after treatment. Aspirin was orally administrated with doses of 9 mg/kg body weight. The buccal right of mice oral mucosal tissue was sliced and delivered for immunohistochemistry staining using anti-KI-67. Hematoxylin-eosin (HE) staining was performed to measure the oral epithelial thickness. Examination of KI-67 expressions and oral epithelial thickness were performed by using ImageJ software. Two-way Anova and Kruskall-Wallis test were carried-out for data analysis with significant level of 95%. Results: The results revealed that the administration of Aspirin in mice on day 1, 3, 5, 7, and 10 was markedly decreased in the KI-67 protein expressions and oral epithelial thickness compared with that of control (p<0.05), otherwise the duration of Aspirin administration did not affect mucosal epithelial thickness. Conclusion: Aspirin administration period has the potential to suppress the KI-67 protein expression within 10 days; the effect in line with the length of duration. The epithelial thickness was not influenced by the length of Aspirin administration.Latar belakang: Aspirin digunakan sebagai anti inflamasi, anti demam, dan anti nyeri. Aspirin merupakan obat yang aman, namun dilaporkan menimbulkan efek samping berupa kerusakan gastrointestinal dan kerusakan mukosa rongga mulut apabila dikonsumsi dalam jangka panjang. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh lama pemberian Aspirin terhadap ekspresi KI-67 dan ketebalan epitel rongga mulut tikus galur Wistar. Metode: Jenis penelitian eksperimental laboratories dan menggunakan 40 tikus jantan galur Wistar. Hewan coba dibagi menjadi 2 kelompok, yaitu kelompok perlakuan Aspirin dan kontrol akuades. Masing-masing kelompok dibagi menjadi 5 subkelompok berdasarkan lama pemberian Aspirin, yaitu 1, 3, 5, 7 dan 10 hari. Dosis yang diberikan 9 mg/kg berat badan sekali per hari. Mukosa bukal tikus kemudian dipotong untuk pengecatan KI-67 dan hematoxylin-eosin (HE). Ekspresi KI-67 dan ketebalan epitel diukur menggunakan software ImageJ. Data dianalisis menggunakan Two-way Anova and KruskallWallis dengan tingkat kepercayaan 95%. Hasil: Lama pemberian Aspirin hari ke 1, 3, 5, 7 dan 10 dapat menurunkan ekspresi KI-67 (p<0.05) dan ketebalan epitel dibandingkan kontrol, namun lama pemberian tidak berpengaruh terhadap mukosa epitel. Aspirin dapat menurunkan ketebalan epitel rongga mulut dibandingkan kontrol (p<0.05). Simpulan: Pemberian Aspirin dapat menurunkan ekspresi KI-67 pada sel epitel mukosa rongga mulut tikus galur Wistar; efek tersebut berbanding lurus dengan durasi pemberian sampai hari ke-10. Lama pemberian Aspirin tidak berpengaruh terhadap ketebalan mukosa rongga mulut tikus galur Wistar.
Root canal overfilling as an influencing factor for the success of endodontic treatment Sabir, Ardo
Dental Journal (Majalah Kedokteran Gigi) Vol 38, No 4 (2005): (December 2005)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (695.439 KB) | DOI: 10.20473/j.djmkg.v38.i4.p194-197

Abstract

The goal of endodontic treatment is to keep the teeth as long as possible in the mouth. The obturation process in the root canal is one of the most important processes in endodontic treatment. The purpose of this article is to explain that overfilling is an influencing factor to the success of endodontic treatment. It has been widely known that overfilling should be avoided during an obturation process. Overfilling of the root canal is indicated only in cases which will be followed by apicoectomy, when the foreign material is removed. Accidental overfilling may occur with soft material (for example, certain pastes and cements) or with solid material (such as gutta-percha or silver cones). Such overfilling may cause an unnecessary mechanical and chemical irritation, which hinders the repair of periapical tissue, and thus, diminishes the probability of a successful endodontic treatment prognosis. Many things could cause overfilling, which makes overfilling unpleasant feeling for the patient such as severe pain, periapical lesion, gingival discoloration, periodontal ligament breakage, or even paresthesia. There are several ways to overcome this root canal overfilling, from the conventional endodontic treatment up to endodontic surgery. The main conclusion from this article is to avoid overfilling and the importance of clinicians’ compliance to the right procedures.
Combination of natural teeth and osseointegrated implants as prosthesis abutments in a posterior cantilever bridge Kamadjaja, Michael Josef Kridanto
Dental Journal (Majalah Kedokteran Gigi) Vol 41, No 2 (2008): (June 2008)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (601.829 KB) | DOI: 10.20473/j.djmkg.v41.i2.p56-61

Abstract

Dental implants have been used for several decades. Patients of all ages have chosen dental implants to replace a single tooth or several teeth or to support partial or full dentures. This paper reports two cases of patients treated with dental implant as alternative to replace the missing teeth and connected with natural tooth as abutments in a fixed restoration with distal cantilever bridge. The underlining reasons that we decided to make such kind fixed prostheses are because of clinically imposible to put the implant on certain area and the patients asked for prostheses as optimum as possible, so the mastication function could return to the homeostasis condition. The benefit of these treatments are that prostheses could be made as optimum as possible with a more economic price, so the patients feel quite satisfied. The result shows that a few years after the treatments finished there is no any disadvantageous effect of connecting teeth to implants as abutments in fixed partial dentures and there is no sign of a harmful effect to the opposing teeth either.
Piperin and piplartin as natural oral anticancer drug Bidarisugma, Berlian; Balbeid, Sarah Usman; Irmawati, Anis
Dental Journal (Majalah Kedokteran Gigi) Vol 44, No 4 (2011): (December 2011)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (413.308 KB) | DOI: 10.20473/j.djmkg.v44.i4.p215-219

Abstract

Background: Since the last few decades, oral cancer as pathology has become an attention in medicine and dentistry. The majority cases of oral cancer are affecting people with smoking habit and alcohol consumption. Many herbs contain substances which can stop cancer cells proliferation, such as Piper retrofractum/Retrofracti fructus, an herb plant from Piperaceae family which contains piperin and piplartin. Purpose: The purpose of this study was to examine the mechanism of piperin and pilplartin as natural oral anticancer drug. Reviews: Piperin and piplartin has function as antioxidant that can protect body cell from damage caused by free radicals. Piperin works synergistically with another bioactive substance like capsaicin and curcumin. Piperin increase the number of serum and life time of serum from a few nutrition substance like co-enzyme Q10 and beta-carotene. Beta-carotene can catch reactive O2 and peroxil radicals. The activity of anticancer piplartin related with obstruction of proliferation cell rate, observe form Ki67 reduction as antigen in nucleus that associated with G1, S, G2, and M phase in cell cycle. Comparing with piplartin, piperin is more potential to inhibit proliferation rate of Ki67, but piplartin’s antiproliferation mechanism will increase if supported by piperin. Conclusion: Piperin and piplartin contained in Javanese chili are potential for natural oral anticancer, by directly or indirectly suppress tumor cell development by increasing the number of immunity cells (immunomodulator), and by inhibiting cell proliferation with reduction of Ki67, nucleus antigen that associated with G1,S,G2, dan M phase of cell cycle.Latar belakang: Sejak beberapa dekade terakhir, patologi kanker rongga mulut telah banyak menjadi perhatian di bidang kedokteran dan kedokteran gigi. Risiko paling tinggi ditemukan pada penderita perokok dan peminum alkohol. Banyak tanaman herbal yang memiliki kandungan untuk menghambat pertumbuhan sel kanker atau antiproliferasi sel, seperti tanaman herbal yang berasal dari suku Piperaceae, salah satunya adalah cabe jawa (Piper retrofractum) yang mengandung piperin dan piplartin. Tujuan: artikel ini bertujuan untuk mengetahui mekanisme kerja piperin dan pilplartin sebagai antikanker alami rongga mulut. Tinjauan pustaka: Piperin dan piplartin berfungsi sebagai antioksidan yang dapat melindungi sel tubuh dari kerusakan akibat radikal bebas. Piperin bekerja secara sinergis dengan zat-zat bioaktif lainnya seperti capsaicin dan curcumin. Piperin meningkatkan jumlah serum dan umur serum dari beberapa substansi nutrisi seperti koenzim Q10 dan betakaroten. Betakaroten mampu menangkap oksigen reaktif dan radikal peroksil. Aktivitas antitumor piplartin berhubungan dengan penghambatan laju proliferasi sel, ditinjau dari reduksi Ki67 yaitu antigen pada inti sel yang berasosiasi dengan G1, S, G2, dan M pada siklus sintesa sel. Dalam mekanisme kerjanya piplartin akan lebih meningkat aktivitas antiproliferasinya jika disinergiskan dengan piperin. Kesimpulan: Piperin dan piplartin yang terkandung dalam cabe jawa berpotensi sebagai antikanker rongga mulut alami, dengan menekan perkembangan sel tumor baik secara langsung maupun tidak langsung melalui peningkatan sel imun (immunomodulator), dengan penghambatan laju proliferasi sel, ditinjau dari reduksi Ki67, yaitu antigen pada inti sel yang berasosiasi dengan G1, S, G2, dan M pada siklus sintesis sel.

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