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Abstrak :
ABSTRAK
Splin intrakorona sebagai terapi tambahan pada perawatan periodontal: laporan dua kasus. Berkurangnya panjang akar yang tertanam dalam jaringan periodontal dapat menyebabkan kegoyangan gigi. Melakukan splin gigi yang goyang ke gigi yang lebih stabil menggunakan prinsip stabilisasi beberapa akar gigi dapat dilakukan. Splin sementara dalam perawatan periodontal bertujuan untuk mencegah migrasi patologis, mengembalikan fungsi kunyah, menstabilkan gigi sebelum/sesudah operasi, dan mengevaluasi prognosis. Penggunaan splin intrakorona masih kontroversial dan hanya ada sedikit literatur yang mendukung bahwa terapi ini berguna dalam mencapai jaringan periodontal yang sehat. Kami melaporkan dua kasus untuk mengevaluasi efek spin intrakorona dalam perawatan kasus periodontal. Splin intrakorona digunakan sebelum, selama dan sesudah terapi periodontal regeneratif yang menggunakan graf tulang. Penyebab kegoyangan gigi dihilangkan dan prinsip, syarat serta tatacara splin diikuti untuk mendapatkan hasil yang maksimal untuk perawatan periodontalnya. Kedua kasus dievaluasi secara radiograf 10 bulan setelah operasi dan memperlihatkan hasil yang baik. Splin merupakan terapi suportif sebelum selama dan sesudah operasi, namun bukan satu-satunya cara untuk mendapatkan stabilitas oklusi.

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Reduction of the amount of tooth roots which are embedded in their periodontium could cause tooth mobility. Splinting a weaker tooth with a more stable one, and using the principle of the multiple-root stabilization is one way to overcome tooth mobility. Temporary splinting aims to prevent pathological migration, restore masticatory function, stabilize teeth before/after surgery, and evaluate the prognosis of periodontal treatment. The use of intracoronal splint is still controversial because there are only a few studies that have evaluated the effect of splinting on periodontal health. We report two cases to evaluate the effect of intracoronal splint on periodontal treatment. Two periodontal cases that use intracoronal splint before, during, and after periodontal regenerative therapy using bone graft. Causes of tooth mobility were removed and the splinting principles, terms and guidelines were mastered to get the maximum results of periodontal treatment. Both cases were evaluated radiographically 10 months after treatment. In these cases, intracoronal splint has supported the therapy before, during, or after surgery. Splinting is only for adjunctive therapy, and does not serve as the sole method in getting occlusal stability.

Abstrak :
Latar Belakang: Mobilitas gigi atau kegoyangan gigi dapat disebabkan oleh kekuatan oklusal yang melebihi batas fisiologis periodonsium. Ketika gigi beroklusi akan menghasilkan kekuatan oklusal. Terdapat tiga tipe oklusi saat gerakan lateral mandibula, yaitu oklusi seimbang, group function, dan cuspid protected. Tujuan: Mengetahui hubungan antara oklusi seimbang, group function, dan cuspid protected dengan mobilitas gigi; dan mengetahui tipe oklusi yang banyak menyebabkan mobilitas gigi. Metode: Penelitian analitik observasional dengan rancangan cross-sectional. Subjek penelitian adalah mahasiswa program akademik FKG UI angkatan 2005-2008 yang berusia 17-23 tahun sebanyak 78 orang yang diambil secara purposive sampling. Analisis statistik secara univariat berupa distribusi masing-masing variabel, dan secara bivariat berupa uji Fisher. Hasil: Uji Fisher menunjukkan tidak terdapat hubungan antara oklusi seimbang, group function, dan cuspid protected dengan mobilitas gigi (p > 0,05). Statistik deskriptif belum dapat membuktikan tipe oklusi yang banyak menyebabkan mobilitas gigi. Kesimpulan: Tidak terdapat hubungan antara oklusi seimbang, group function, dan cuspid protected dengan mobilitas gigi pada mahasiswa program akademik Fakultas Kedokteran Gigi Universitas Indonesia Angkatan 2005-2008. Dan tidak dapat membuktikan bahwa oklusi seimbang banyak menyebabkan mobilitas gigi.

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Background: Tooth mobility or tooth looseness can result from occlusal forces which overload the limit of periodontal physiologic. When teeth occlude, it will result in occlusal forces. There are three types of occlusion during lateral movement of the mandible; balanced occlusion, group function, and cuspid protected. Objective: To identify the relationship between balanced occlusion, group function, and cuspid protected with the tooth mobility; and to identify the type of occlusion which is the most causing the tooth mobility. Method: This research is observational analysis using cross-sectional study. The subjects are 78 preclinical dental students from University of Indonesia Class 2005-2008, aged 17-23 years old which were taken by purposive sampling. Univariate statistical analysis is distribution of each variables, and bivariate statistical analysis is using Fisher test. Result: Fisher test showed that there was no relationship between balanced occlusion, group function, and cuspid protected with the tooth mobility (p > 0,05). Descriptive statistic was not able to prove the type of occlusion which is the most causing the tooth mobility. Conclusion: There was no relationship between balanced occlusion, group function, and cuspid protected with the tooth mobility on preclinical dental student from University of Indonesia Class 2005-2008. And, there is no evidence that balanced occlusion is the most causing the tooth mobility.