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"Behçet’s Disease (BD) is a multisystem inflammatory disorder characterized by recurrent oral-genital ulcers, ocular inflammation and frequently involves the joints, skin, central nervous system and gastrointestinal tract. We reported a case of severe BD in 30 years old male patient with oral-genital ulcerations and ocular involvement. He had suffered from the disease since twelve years ago and ocular involvement has lead to blindness of the right eye. Eye drop treatment for eight years, was suspected to cause lichenoid lesion on the buccal mucosa. Management of this patient included the application of topicalsteroid, 1 % povidone iodine and oral hygiene promotion. We concluded that disease condition, poor oral hygiene, disability and less compliance of the patient could slowed the acceleration of lesions healing. Elimination local exacerbating factors and a good coordination between dentist-patient and among medical team work are required to achieve the optimal recovery and to minimize complication of its treatment in the oral cavity."

"Recurrent aphthous stomatitis (RAS) is an inflammatory condition of oral mucosa and is very common that occur in 20% of population, in which 80% of all cases are minor type. Etiology remains unknown but there are factors that can precipitate the attack, known as predisposing factors, which are haematinic deficiency, food hypersensitivity, bacterial or viral infection, hormonal changes, psychological stress, drugs and local trauma. Management of minor RAS are symptomatic and also discovering all predisposing factors which may play role in order to give the appropriate treatments to all predisposing factors. The appropriatetreatment for all predisposing factors is to prevent recurrency or reduce the severity of RAS.This paper presents 2 cases of minor RAS which have bacterial infection from poor oral hygiene; local trauma from radices, irritating tooth cusp and rough surface of calculus; haematinic deficiency; physical / psychological stress and food hypersensitivity, as predisposing factors. The management of those cases are scaling, grinding irritating cusp, giving advice of proper and healthy diet including vitamin supplementation, finding any stress factor and also overcome it. We concluded that finding and eliminating predisposing factors can reduce recurrency and severity of RAS."

"Latar Belakang: Perubahan genetik pada p53 menyebabkan imortalisasi dan kecenderungan sel bertransformasi menjadi neoplasma. Imortalisasi ini berhubungan dengan pemeliharaan panjang telomer oleh telomerase. hTERT adalah komponen kunci telomerase yang aktivitasnya ditekan oleh p53.Tujuan: Menganalisis profil protein hTERT pada sel galur KSSRM HSC-3 dan HSC-4 serta jaringan mukosa mulut normal. Metode: Profil protein hTERT dianalisis menggunakan teknik SDS-PAGE dan Gel Doc, Quantity One.Hasil: Protein hTERT diekspresikan oleh sel galur KSSRM mulut tipe HSC 3 dan HSC 4 serta 2 dari 17 sampel protein jaringan mukosa mulut normal.Simpulan: Protein hTERT yang diekspresikan oleh sel galur KSSRM berhubungan dengan kondisi mutan p53. Adanya ekspresi protein hTERT pada jaringan mukosa mulut normal diperkirakan karena adanya sel keratinosit dan infiltrasi sel hematopoietik.

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Backround: Genetic alteration on p53 allows cellular immortalization and predisposes cells to neoplastic transformation. This immortalization is related to telomere length maintenance by telomerase. hTERT is a key component of telomerase, which activity is suppressed by p53.Objectives: To analyze the hTERT protein profile in HSC-3 and HSC-4 OSCC cell lines and normal human oral mucosa tissue. Methods: SDS-PAGE and Gel Doc, Quantity One were used for analyzing hTERT protein profile.Results: hTERT protein expressed in HSC-3 and HSC-4 OSCC cell lines and 2/17 protein samples of normal human oral mucosal tissues.Conclusion: hTERT protein that was expressed by OSCC cell lines is related to their status of mutant p53. The existing of hTERT protein on normal human oral mucosas tissue may be caused by keratinocyte cells and infiltrated hemapoietic cells."

"Every drug can produce side effect even when used according to standard or recommended methods of administration. Side effect of drugs can involve every organ and system of the body and are frequently mistaken for signs of underlying disease. Similarly, the mouth and associated structures can be affected by many drugs or chemicals. Good oral health including salivary function is very important in maintaining whole body health.Certain drugs can cause change in the oral cavity. Intrinsic discoloration can occur with the tetracyclines and extrinsic stains are associated with certain metal containing liquids. Gingival hyperplasia can occur with some anticonvulsants, calcium channel blockers, and cyclosporin. Xerostomia are produced by antihypertensives, antipsikosis, antihistamin, antikolinergik and many other drugs. Regarding different parts of the oral system, drug side effects can be categorized to oral mucosa and tongue, periodontal tissue, dental structures, salivary glans, cleft lip and palate, muscular and neurological disorders, taste disturbances, and drug-induced oral infection.The knowledge about drug-induced oral side effects helps dentist and to better diagnose oral disease, administer drugs, improve patien compliance during drug therapy, and many influence a more rational use of drugs."

"Oral mucositis (OM) is an inflammatory and ulcerative process of the mucosa of the mouth that result from the administration of radiotherapy and/or chemotherapy or blood and marrow stem cell transplant. The incidence and severity of OM will vary from patient to patient, that correlates with the risk factors. The risk factors are patient related factors and therapy related factors. We reported a case in a 33 years old woman patient with OM grade IV accompanied with oral candidiasis who is undergoing radiotherapy in Cipto Mangunkusumo Hospital for her nasopharyngeal cancer. The estimated risk factors of the severity OM in this case are the patient gender, poor oral hygiene,poor nutritional status, decreased saliva production, dose total andfractional radiation, and the staging of cancer. Chlorhexidine gluconate 0.2 % mouthwash and Mycostatin oral supension administration was decreased the severity of OM in this patient, nevertheless not yet totally recovery because another risk factors that can affect OM and dental management can not optimally controlled. It’s concluded that identification and control of oral mucositis risk factors are required for minimize severity of OM, to achieve the better quality of life patient."

"One of the traditional plants that has been broadly known as the healthand healing plants is Aloe vera. It is often use to treat burns, wounds, abrasions, skin disease, alopecia, and irritation. It is further more used as a hair washed to promote hair growth and as general cosmetics to improve the complexion and to smoothen the skin. The aim of the study was to examine and compare the reaction of fresh Aloe vera and distillate Aloe vera on the inflammed oral mucosa caused by hydrogen peroxide 10%. 14 rats were used in this research and divided into 4 groups; fresh Aloe vera group (4rats), distillate Aloe vera group (4 rats), control group I (3 rats), and control group II (3 rats). All rats in each group received 9x10 minutes application of hydrogen peroxide 10% on their vestibulum mucosa, for 3 days, except rats in control group I received application of aquadest. On the 4th day, all rats in each group received 9x5 minutes with their own group's material for 3 days. The histological examination was done by scoring the density of lymphocytes in the inflammation area. Statistical result shows that there are differences of oral mucosa reactions between distillate Aloe group and fresh Aloe group. Fresh Aloe group shows the decrease of lymphocytes cell higher than distillate Aloe group. Based on this research, it can be concluded that application with fresh Aloe vera can cure oral mucosa inflammation cause by hydrogen peroxide 10% than application with distillate Aloe vera."

"The oral mucosa is the target of a number of infectious processes caused by a range of organism. Viruses is one of the organism which is considered in oral mucosa damage. Recently, the main viruses causing oral mucosal infections are the large herpes group. This article discuss herpes simplex virus and varicella zoster virus that cause herpetic stomatitis and gherpes zoster with particular attention to the typical oral manifestations current treatment options. Dentists should recognice the clinical appearances of the diseases, so the appropriate therapy can be done."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 435-438Heat Shock Protein (HSP) is a molecular chaperone that prevents stress induced aggregation of partially denatured proteins and promotes their return to native confimations when the condition is favorable. Asmolecular chaperones, the HSP protect protein structure and activity, thereby preventing disease, but they may contribute to cell malfunction if they are perturbed. In inracellular quantities and cellular localizalion of HSP was changed in response to anoxia/hypoxia, heat and oxidation, and in relation to pathological status. This review discuses the role of HSP in several human medical condition particularly in oral mucosa."

"Oral mucous inflammation is common in our community. Therefore we need an anti-inflammatory medicine with affordable price, relative low adverse effects, and easily obtained in our environment. Sweet fennel is a plant that widely used in our community as a decorating plant, food flavouring and herbal medicine for various diseases. The affectivity for fennel has not been clinically examined. Therefore we are interested in finding our the affectivity of sweet fennel as an alternative anti-inflammatory. The aim of this research is to examine and compare reaction of both crushed and distilled fennel fruit on inflamed oral mucosa caused by hydrogen peroxide 10%. 14 rats were used and divided into 4 groups, and controls (6 rats). They received hydrogen peroxide 10% applications on vestibulum mucosa for there days to make the inflammation. After that they received crushed and distilled fennel. There days later they were killed and the vestibulum mucosa was excised for microscopic slides. The results show that the crushed the redness of oral mucosa. The conclusion is fennel could reduce an inflammation and there is no difference of healing either by crushed or distilled fennel."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 12-16A case of chronic bullous type mucocutaneus disease involving oral mucosa was reported from a 56 years old man with never healed oral ulcers and wound on the perianal skin for three years. There were also red and black sports on the limb and back skin and a lesion on nail. Painful oral lesion consisted of mucous erosion, desquamative gingivitis, and sloughing area on palate and tongue. The patient is diabetic. The first perianal skin diagnosis was granulomatous candidiasis with differential diagnosis pemphigus vegetans and acuminatum condiloma. However, the histopathologic examination did not support those diagnosis. After several histopathologic examinations, the latest perianal skin diagnosis was lichen planus with differential diagnosis granulomatous vasculitis, bowenoid papulosis and pyoderma gangrenosum. Other skin diagnosis was erythema multiforme. Oral diagnosis was mucous membrane pemphigoid with differential diagnosis lichen planus, Behcet's syndrome and erythema multiforme oral histopathologic examination showed a sub-epithelial blister, which supported mucous membrane pemphigoid. A lip balm, prednisone 5 mg oral rinse and multivitamins were given but oral improvement started after blood sugar level controlled. Conclusion: lt is not yet known whether skin and oral mucous lesions are from the same disease or not."