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"Internal connection implants have been attracting attention in recent years leading to their being adopted for many implant systems and an increase in market share over other connections. However, internal connection implants have only been used clinically for a short period of time resulting in few clinical studies investigating outcomes and a lack of comparative clinical evidence to support their use over external hex systems at this time. Given the fact that clinical evidence is lacking regarding implant connection performance comparisons, it is important to understand what information clinicians use to choose between systems. The purpose of this study regarding implant decision-making was to ask clinicians to provide subjective evaluations of internal connection implants, in comparison with external connection implants. The survey was constructed to cover four aspects of interest; general responder information, surgical procedures and experience, prosthodontic treatments and outcomes, and implant complications. The dentists’ responses indicated that internal connection implants are as user-friendly as external hex implants with respect to implant surgery, but they are favored for prosthodontic handling because impression coping and abutment placement are felt to be easier. In addition, it was revealed that dentists strongly feel that there is a lack of biological and prosthodontic evidence to support the use of internal connection implants. The findings reveal the responding clinicians recognize that they often make decisions without compelling evidence to favor one system over another. Decisions are often based on perceived ease of use or third party (colleague or manufacturer) input. For future investigations, we will seek to better understand the relative influence and validity of all forms of information used (especially third party input), as well as what barriers exist to clinicians’ use of more evidence based data."

"Pemasangan implan gigi sudah dilakukan di Klinik Periodonsia Rumah Sakit Khusus Gigi dan Mulut Universitas Indonesia sejak tahun 2009. Evaluasi jangka panjang kondisi klinis implan gigi belum pernah dilakukan di RSKGM FKG UI dan Indonesia. Tujuan: Mengevaluasi kondisi klinis jaringan peri-implan paska perawatan implan gigi di Klinik Periodonsia RSKGM FKG UI periode pemasangan tahun 2009-2014. Metode Penelitian: Subjek terdiri dari 11 pasien dengan 29 implan gigi. Pemeriksaan klinis terdiri dari pemeriksaan indeks kebersihan mulut, kegoyangan implan gigi, kedalaman probing, resesi gingiva, kehilangan perlekatan klinis dan perdarahan gingiva. Hasil: Kegoyangan implan gigi tidak ditemukan. Perdarahan gingiva terdapat pada 72,4 implan gigi. Rerata kedalaman probing 3,97 1,35 mm, resesi gingiva 0,45 0,57 mm, dan kehilangan perlekatan klinis 0,62 0,82 mm. Analisis statistik menunjukkan tidak terdapat perbedaan kedalaman probing, kehilangan perlekatan klinis dan perdarahan gingiva berdasarkan indeks kebersihan mulut yang berbeda, namun terdapat perbedaan resesi gingiva berdasarkan indeks kebersihan mulut yang berbeda. Kesimpulan: Evaluasi klinis jaringan peri-implan memberikan hasil yang baik.

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Dental implant treatment has been done in Periodontal Clinic Rumah Sakit Khusus Gigi dan Mulut Universitas Indonesia since 2009. There is no long term clinical evaluation of dental implant in RSKGM FKG UI and Indonesia.

Aim: To evaluate the peri implant tissue after dental implant placement in Periodontal Clinic RSKGM FKG UI 2009 2014.

Method: There were 11 patients with 29 dental implants. Clinical evaluation consists of oral hygiene measurement, mobility test, probing measurement, gingival bleeding test, and measurement of gingival recession and clinical attachment loss.

Results: There was no implant mobility. Gingival bleeding found in 72,4 of the dental implant. The mean probing depth 3,97 1,35 mm, gingival recession 0,45 0,57 mm, and clinical attachment loss 0,62 0,82mm. There was no statistical difference in probing depth, loss of attachment, and gingival bleeding compared with different oral hygiene, but there was statistical difference in gingival recession compared with different oral hygiene.

Conclusion: Clinical evaluation of peri implant tissue showed good condition. "

"Inflamasi gingiva adalah kondisi patologis yang paling sering disebabkan oleh plak bakteri.Secretory immunoglobulin A (sIgA) adalah immunoglobulin yang menonjol pada saliva dan merupakan mekanisme pertahanan spesifik utama rongga mulut.Secretory immunoglobulin A meningkat jika terdapat stimulus imunologi lokal, salah satunya adalah alat ortodonti cekat.Pada penggunaan alat ortodonti cekat juga terjadi peningkatan akumulasi plak dan inflamasi gingiva. Penelitian mengenai hubungan sIgA dengan inflamasi gingiva menunjukkan hasil yang bervariasi Penelitian ini bertujuan untuk menganalisis hubungan antara kadar sIgA saliva dan inflamasi gingiva pada anak yang menggunakan alat ortodonti cekat. Sampel saliva didapatkan dari 16 anak yang menggunakan alat ortodonti cekat dengan inflamasi gingiva dan 16 yang menggunakan alat ortodonti cekat tanpa inflamasi gingiva. Seluruh subjek dilakukan pemeriksaan Gingival Index untuk menilai inflamasi gingiva,dan sample saliva diukur kadar sIgAnya dengan ELISA. Hasil penelitian menunjukkan terdapat hubungan positif lemah tidak bermakna antara kadar sIgA saliva dan inflamasi gingiva pada anak yang menggunakan alat ortodonti cekat (r =0,282 p=0.290). Semakin tinggi kadar sIgA saliva pada anak yang menggunakan alat ortodonti cekat, maka semakin tinggi inflamasi gingivanya.

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Gingival Inflammation is a pathologic condition that often caused by bacterial plaque. Secretory immunoglobulin A (sIgA) is the main immunoglobulin in saliva and specific defense mechanism in oral cavity.Secretory immunoglobulin A is stimulated by local immune factor. Orthodontic fixed appliance is one of the local factor. Fixed appliance may increase the value of plaque and gingival inflammation. Research about correlation between sIgA level and gingival inflammation shows vary results. This study aimed to analyze correlation between salivary sIgA and gingival inflammation in children with fixed ortodontic appliance.Saliva samples were collected from 32 children with ortodontic appliance. Sixteen of them have gingival inflammation, and 16 of them have no gingival inflammation. Gingival Index were examined and use ELISA to asses salivary sIgA level. The study showed there is weak and not significant positive correlation between salivary sIgA level and gingival inflammation in children with orthodontic appliance (r =0,282 p=0.290)."