Monday, 27 June 2011

Bahasa Tertunda pada Anak Usia 2 Tahun

Language and communication! Yeah, that are two basic thing that are needed badly by human. No lives exist without that things. Language is complex issue, relating to physical, psychological, physiological, and cultural. Language does develop since our first contact with our very first environment, include since in our mother womb. This article emphasizes to the language delay to the kids living in the institutions.

Sunday, 26 June 2011

Hindari Infeksi Pasca Tindik Telinga!

I thought that my jaw was hanging for several second reading the tittle of the newsletter sending to me from Medscape. Yeah, about ear piercing under pediatric issues. I was thinking about some punk rock band or tattooing activity but then relieved that it was actually about ear piercing for our children. You know, one hole for an ear, I think it's fine. I already had my ears pierced too. Once is enough.

Saturday, 25 June 2011

Migrain Dapat Menjadi Faktor Risiko Stroke (Heartwire)

Recently, I just found that I should filter my subscription to Medline, Medscape and Emedicine because I ticked all of issues there and wished to read all of it. What a greedy! Then I realized that my inbox was jammed with hundred of them. Instead of reading, I was busy emptying and re-filter it again. Sigh! What a waste of the time. And now, I rearrange my subscription. I only subscribe several topic that really hit my interest. Yup, mostly about dental and oral health, and of course hypertension and diabetes mellitus. Lately I found that I became fond of woman (perempuan) issues, that I finally make a new blog about it! Hahaha!). Anyway, this posting was taken from Medscape and Heartwire. Glad if you spend a little time to sit and read it heartfully. And don't worry, I translated it for you.

Friday, 24 June 2011

Scardovia wiggsiae adalah Agen Penyebab ECC?

Scardovia wiggsiae is not a new masterpiece of JRR Tolkien. Neither a new indie rock band in my town. Scardovia wiggsiae is a bacteria, specifically found in severe carious lesion in children. This bacteria is considered as a culprit in ECC! What is ECC? Let's find out then. This article was written in English, but I translated it to Indonesian so it will be convenience for you to read (especially who understand Indonesian). The actual article was published at Wednesday, 18 May 2911 12:17 Pada penelitian sebelumnya, peneliti mengidentifikasi Streptococcus mutans sebagai agen penyebab utama Early Childhood Caries (ECC). Sekarang peneliti menyatakan bahwa Scardovia wiggsiae, spesies bakteri baru yang berhubungan dengan gigi, juga merupakan agen utama dalam patogenesis penyakit ini. Artikel yang menjelaskan penelitian ini disorot dalam Journal of Clinical Microbiology. Tujuan penelitian ini adalah untuk mengidentifikasi agen bakteri yang harusnya dipertimbangkan dalam usaha “mencegah pembentukan lubang”, Menurut pernyataan Anne Tanner, dari Institut Forsyth, Cambridge, MA. ECC merepresentasikan salah satu kondisi infeksi kronis yang paling sering terjadi pada anak-anak di Amerika Serikat. Hampir 25% anak-anak di Amerika Serikat menderita karies. Penelitian tersebut membandingkan antara populasi bakteri yang berasal dari berbagai sampel plak gigi. Sampel-sampel ini didapatkan dari anak-anak yang mempunyai karies dalam. Sampel kemudian dibandingkan dengan plak anak-anak yang tidak mempunyai karies. Peneliti menemukan bakteri penyebab menggunakan RNA ribosom 16S (16S rRNA). Ribosom yang bertanggung jawab menciptakan kode genetik berbagai protein. 12S rRNA ditemukan berbeda diantara bakteri yang teridentifikasi. Telah diketahui bersama bahwa keasaman tinggu mengakibatkan erosi email dan pembentukan karies aktif. Dengan demikian, hanya bakteri toleran asam yang dapat berlanjut hidup pada media asam yang kemudian akan disebabkan karies. Peneliti membuat kultur bakteri pada media asam untuk menentukan spesies yang berkontribusi dalam pembentukan karies. Dr. Tanner berkata, “Kami mendeteksi patogen karies utama pada ECC, S. mutans, pada sebagian ebsar anak-anak dengan karies kronis”. Meski demikian, peneliti juga mengidentifikasi agen bakteri baru, Scardovia wiggisae dalam konsentrasi tinggi pada sampel yang berasal dari anak-anak dengan karies parah. Beberapa sampel ini bahkan tidak mengandung S. mutans, agen kausatif utama karies dentis. Karena bakteri S. wiggisae mampu hidup bahkan dalam media asam tinggi, peneliti menarik kesimpulan bahwa bakteri ini kemungkinan berperan dalam proses karies. Dr. Tanner menyatakan bahwa langkah-langkah untuk memberantas bakteri kariogenik termasuk obat kumur yang mengandung bahan chlorhexidine, povidone iodine dan fluoride. Langkah lain yang dapat dilakukan adalah menggunakan pengganti gua seperti xylitol pada permen karet. Dr. Tanner menyarankan bahwa menghilangkan karbohidrat/ gula dari diet, bakteri kaiogenik akan menjadi kurang asam dan juga tidak mampu bersaing dengan bakteri plak non-kariogenik lainnya. Reference: Credit picture:

Thursday, 23 June 2011

Teeth Whitening at Your Home

You don't have to force yourself to have white teeth via expensive way. It is indeed challenging to have white teeth, both for the patient and for the dentist. But, little is known that this manner can be attempted at your own home. So, teeth whitening? Get your own white teeth now!

Pada suatu waktu, satu-satunya pilihan yang tersedia bagi mereka yang ingin memutihkan gigi adalah bleaching yang bisa dilakukan oleh dokter gigi. Sekarang, produk pemutih gigi terjual bebas di pasaran yang dapat digunakan untuk mendapatkan gigi putih di rumah sendiri. Meskipun demikian, baik produk profesional ataupun home produk menggunakan bahan kimia berbahaya. Beberapa produk ini bahkan dapat menimbulkan efek samping seperti gigi sensitif yang berarti menyelesaikan salah satu masalah gigi tetapi menambah satu masalah baru.

Monday, 20 June 2011

The Trigeminal Nerve

For you who want to know the english version of Trigeminal nerve, I gladly posted it for you all. As expected, this nerve plays an ultimately important rule towards the future (doh!), I mean, to the sensory and motorist in head and neck. Plus, this nerve is very essential in dentistry. All good dentist and dental student should understand the anatomy of this nerve. "So, do you have any nerve to say no, O dental student?", inquire a voice in my head.

Alright, this post was copied and pasted from, so I just minor additional arm here. I just thought that I actually already post the Indonesian version, but I found it nowhere. Sigh...I might forget to post it.

Early Childhood Caries (ECC): In Depth

Okay, this might be my first posting about pediatric topic . Actually this article was about nursing, but I found that in my country, Indonesia, this role is mandatory for dentist to. So whenever there is "dokter gigi" translation there, in the original post, it supposed to be written nurse. Oh, well, let's read it thoroughly.

Sunday, 19 June 2011

Waspada terhadap 'Super Toxic' STEC pada Travelers, kata CDC

I was browsing net yesterday and found a blog that embed information about STEC. The tittle said so, and the prologue did so. So what is this STEC? I was previously find the meaning or at least the abbreviation via google, and Voila! found dozens of it. But what I want to share is about Shiga Toxin-producing Escherichia coli. The newest strain that is considered as a 'super-toxic' bug infected Germany population and peoples who recently traveled there. I actually received a newsletter from but haven't read it enthusiastically until one blogger posted it (I thought he took the news from Yahoo or somewhere) and I felt a little bit annoyed. Why I felt annoyed? Because I think that their (Europe) countermeasures are indeed very efficient. Unlike in here, my Indonesia. So I decided to translate it and post it here. Don't worry, the article was already translated to Indonesia, though my English is so-so. Alright then, happy reading!

Saturday, 18 June 2011

Komplikasi Beberapa Saat Setelah Operasi

Several complications can really happen after you got your tooth extracted. This should not become operator's fear. Patients indeed might feel anxious about what they experience, but if the dentist know what to do next and have already explained it beforehand, rest assured that it is nothing to fret about. Oh, yeah, some complications might be come from nature, lack of patient hygiene or operator negligence.

The complications include alveolitis (dry socket), bleeding, infection, and trismus...

Lepasnya bekuan darah
Komplikasi yang paling sering, paling menakurkan dan paling sakit setelah pencabutan gigi adalah dry socket atau alveolitis (osteitis alveolar). Biasanya dimulai pada hari ke 3 – 5 sesudah operasi. Keluhan uatamanya adalah rasa sakit yang sangat hebat. Pada pemeriksaan terlihat alveolus yang terbuka, terselimuti kotoran dan dikelilingi berbagai tingkatan peradangan gingiva. Kebersihan mulut kurang atau buruk. Regio molar bawah adalah daerah yang sering terkena, khususnya alveolus molar ketiga.

Penyebab alveolitis dan temuan yang konsisten adalah hilangnya bekuan darah akibat lisis, mengelupas atau keduanya. Alveolitis ini biasanya disebabkan oleh streptococcus, tetapi lisis mungkin bisa juga terjadi tanpa keterlibatan bakteri. Diduga trauma berperan karena mengurangi vaskularisasi, yaitu pada tulang yang mengalami mineralisasi yang tinggi pada pasien lanjut usia. Didasarkan hal tersebut, pada waktu melakukan pencabutan pada pasien lanjut usia atau pasien dengan gangguan kesehatan, perlu dilakukan packing profilaksis dengan pembalut obat-obatan pada alveolus mandibula.

Untuk perawatan dipersyaratkan tindakan yang tenang, halus dan hati-hati. Bagian yang mengalami alveolitis diirigasi dengan larutan saline yang hangat dan diperiksa. Palpasi yang hati-hati menggunakan aplikator kapas membantu dalam menentukan sensitivitas. Apabila pasien tidak tahan terhadap hal tersebut, maka dilakukan anestesi topikal atau lokal sebelum melakukan packing. Pembalut obat-obatan dimasukkan ke dalam alveolus. Pembalut diganti sesudah 24 – 48 jam, kemudian diirigasi dan diperiksa lagi. Kadang diperlukan resep analgetika.

Friday, 17 June 2011

50 Fakta yang Sebaiknya Diketahui (Atau 50 Fakta Paling Tidak Berguna!)

Good day, Everyone! I hope you live your life to the fullest. Here are 50 Things Everyone Should Know (Or 50 Completely Useless Facts). I have already found this article everywhere in English, but none bothered to translate it to Indonesian. Well, since I found it a few days ago, I would like to share it to all of you. Okay, here we go:
1. Kata “queue” adalah satu-satunya kata dalam bahasa Inggris yang tetap diucapkan sama seperti halnya jika empat huruf terakhirnya dihilangkan.
2. Kumbang mempunyai rasa seperti apel, tawon seperti biji pinus dan cacing seperti daging babi goreng.
3. Dari semua huruf dalam bahasa Inggris, kata “set” mempunyai paling banyak arti.

Sunday, 12 June 2011

Collaboration between Dentist and Physician: Are we in the Same Team?

A dentist should consult a physician when a systemic disorder is suspected, when a person's ability to withstand general anesthesia or extensive oral surgery must be evaluated, or when an emergency occurs in a dental office.

A physician should consult a dentist when a child has abnormal growth manifested by peculiar facies(1), delayed tooth eruption, or gross malformation or malalignment(2) of teeth as well as when a patient has a cleft lip or palate, a jaw fracture, an oral neoplasm, or a newly discovered lump in the neck. A prosthodontist(3) experienced in maxillofacial prostheses can help mask or compensate for congenital or acquired facial or intraoral defects. Other reasons for a dental consultation include obscure facial pain, unexplained swelling or cellulitis(4) of the neck that may have originated in an infected tooth, and infection of the parapharyngeal(5) space that may indicate an abscess of a lower posterior tooth. In FUO(6) or a systemic infection of inapparent cause, a dental cause of bacteremia(7) should be considered.

Saturday, 11 June 2011

Gambaran Radiologis Maxilla dan Mandibula Extraoral

T wo same picture at two consecutive posts? No kidding! I just realized that the previous post might gave a teaser about normal radiology appearance of maxilla and mandibula extraorally. There were a lot of arrow indicate several anatomic landmark that sometimes superimposed with another landmark. No wonder! It's all because radiograph is 2D projection of 3D structures. One should understand what normal radiograph looks like before stated that it was abnormal. Please do remember that sometimes we might experience what so called normal variation (which is not an abnormal). Oh, yeah, about the interpretation of the picture above, please continue reading.

Friday, 10 June 2011

Radiology: Gambaran Radiologis Maxilla dan Mandibula

What is more essential than diagnose a disease or disorder of jaws and teeth via X-ray? Umm...Technique? Wait, instruments? is it? The correct answer for this prologue question is KNOWLEDGE about the normal anatomy about them. Yup, by mastering or at least acknowledging their normal appearance in 3D and 2D, one can diagnose a disease or disorder of jaws and teeth. Of course, X-ray is considered as supporting examination, but we can't enjoy pizza without yeast, right? あれ? Do you get what I mean? Ehehe... Well, here I post my very first lecture about radiology.

Managing Patients Who Have Seizure Disorders: Dental and Medical Issues

This post was about my journal reading when I was at Oral Surgery Department. Each students - every senior clerkship - at Gadjah Mada University have to present at least one journal presentation as it is the prerequisite. My supervisor was drg. E. Riyati, M.Kes, Sp.BM and she likes systemic issues, so I choose seizures disorder.

Speaking of which, I actually have to re-apply to Oral Surgery Department after my cycle there was already run out. I should have three more extraction with my supervisor approval and of course, journal presentation. I love doing work at this department. So, without any other pera-pera, I presented you this.