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Dental implant is a material used in replacing missing teeth. The osseointegration process of dental implants will be affected by the macrodesign of the fixtures. This study aimed to review the dental implant macrodesign in the past 10 years. This study was conducted in a systematic review method using two electronic databases (PUBMED and Science Direct). Only randomized controlled trials (RCTs) published in the last 10 years were used for this review. All the search results were filtered using Preferred Reporting Items for Systematic Reviews And Meta-Analyses and should fulfill some predefined inclusion criteria. The last step was to assess the methodological quality of the studies using the JBI Checklist for RCT. The search identified 357 studies with only 23 that going through full-text analysis, resulting in 14 articles included in the review. In total, 19 different implant brands were used in 12 different countries. Dental implant macrodesigns were divided into collar design, implant shape, thread geometry, and platform design. The macrodesign features of the implant were mostly developed in the variation of thread geometry and collar design.

Pendahuluan: Resesi gusi pada regio anterior rahang atas seringkali menjadi perhatian dari segi estetik, bentuk dan fungsi. Resesi dapat terjadi pada satu atau beberapa gigi dan pada satu atau beberapa permukaan, sehingga menyebabkan kehilangan perlekatan dan terbukanya permukaan akar. Tujuan laporan kasus ini mempresentasikan keberhasilan perawatan resesi gusi kelas I Miller menggunakan teknik tunneling connective tissue graft. Laporan kasus: Pasien wanita, 37 tahun, datang dengan keluhan hipersensitifitas pada gigi depan dan belakang rahang atas serta gigi-gigi terasa lebih memanjang. Pemeriksaan klinis menunjukkan resesi gusi yang bervariasi sebesar 2-4 mm tanpa melibatkan mucogongival junction yang meluas dari gigi 15 sampai 25. Terdapat tambalan glass ionomer pada daerah servikal gigi 22 sampai 24. Hasil pengukuran lebar gusi berkeratin lebih dari 3 mm. Diagnosa dari kasus ini adalah kelainan mucogingival multipel Kelas I Miller. Rencana perawatan yang akan dilakukan adalah prosedur tunneling connective tissue graft pada regio anterior labial rahang atas 22 sampai 24. Prosedur dilakukan dengan menutup bagian akar yang terbuka menggunakan connective tissue dari daerah palatal area premolar yang kemudian difiksasi dengan teknik jahitan anchorage. Perawatan ini menunjukkan hasil berupa penambahan ketebalan gusi berkeratin dan pengurangan sensitifitas akar tanpa adanya kekambuhan setelah enam bulan pasca bedah. Simpulan: Teknik tunneling dengan connective tissue graft dapat menjadi pilihan pada perawatan resesi gusi kelas I Miller dalam kasus ini berhasil menutup seluruh permukaan akar yang terbuka dan tidak terjadi relaps setelah enam bulan. Kata kunci: Connective tissue graft, resesi, penutupan akar, tunneling.. ABSTRACT Introduction: Gingival recession in the maxillary anterior region is often becoming aesthetical, shape, and functional concern. Recession can occur on one or several teeth and one or more surfaces, causing attachment loss and the root surface opening. This case report was aimed to present the successful treatment of Miller Class I gingival recession with the tunnelling connective tissue graft technique. Case report: Female patient, 37 years old, presented with complaints of hypersensitivity in the front and back of the maxilla and elongated-teeth sensation. Clinical examination showed gingival recession varying by 2-4 mm without involving the mucogingival junction extending from teeth 15 to 25. A glass ionomer filling was performed in the cervical area of teeth 22 to 24. The measurement result was keratinised gingival width of more than 3 mm. The case diagnosis was multiple Miller Class I mucogingival abnormalities. The treatment plan performed was the tunnelling connective tissue graft procedure in the maxillary anterior labial region 22 to 24. The procedure was performed by covering the exposed root using the connective tissue from the palatal area of the premolar area, which was then fixed with an anchorage suture technique. This treatment increase in keratinised gingival thickness and reduction in root sensitivity without recurrence after six months after surgery. Conclusion: Tunneling connective tissue graft can become an option in the treatment of Miller Class I gingival recession. In this case, it succeeded in covering the entire exposed root surface and does not relapse after six months. Keywords: Connective tissue graft, recession, root coverage, tunneling.

Background: Periodontitis has been referred to as the sixth complication of diabetes. A number of studies found a higher prevalence of periodontal disease among diabetes patients than among healthy controls. Objective: The objective of the study was to determine the periodontal status and periodontal treatment needs (TN) of diabetes mellitus Type 2 patients attending Talaga Bodas Community Health Center, Bandung City, Indonesia. Methods: This descriptive study included 30 subjects with diabetes mellitus Type 2. The periodontal tissue status and periodontal TN were determined using the Community Periodontal Index of TN. Data on periodontal status and TN are presented in percentages based on subject, sextant, and duration of diabetes mellitus. Results: Periodontitis (53.3%) was more common than gingivitis (43.3%) among diabetes mellitus Type 2 patients. Scaling and root planing were the treatments most commonly required in the diabetes mellitus patients (n = 21.70%) and sextants (n = 81.65.9%). A longer period of diabetes mellitus was associated with a tendency toward more severe periodontal disease and more complex periodontal TN. Conclusion: The prevalence of periodontitis was higher than gingivitis among patients with diabetes mellitus Type 2. The TN of diabetes mellitus Type 2 patients comprised mostly scaling and root planing.

Aim: This study aims to evaluate the clinical assessment results of periimplant soft tissue with morse taper (internal abutment connection). Methods: The study was conducted using a rapid review by searching the articles from PubMed NCBI and Cochrane by using keywords. All articles were selected by the year, duplication, title, abstract, full-text, and finally, all selected articles were processed for final review. Following clinical parameters were included; Periimplant Probing Pocket Depth (PPD), Plaque Score (PS), modified Plaque Index (mPI), Mucosal Thickness (MTh), Gingival Height (GH), periimplant mucosal zenith, Pink Esthetic Score (PES), Bleeding On Probing (BOP), Sulcus Bleeding Index (SBI), and modified Gingival Index (mGI). Results: 9 selected articles were obtained from the initial literature searching count of 70 articles. The overall samples included 326 morse taper implants. Based on the evaluation, 3 out of 4 articles reported pocket depth < 4 mm, no bleeding was reported in 2 out of 4 articles. 4 out of 4 articles reported low plaque accumulation, low soft tissue recession was reported in 3 out of 3 articles, and 4 out of 4 articles reported acceptable PES values. Conclusion: The evaluations indicate that the morse taper (internal abutment connection) has favorable assessment results based on various clinical parameters.

Introduction: The surgical procedure of dental implant comprising one stage surgery for the non-submerged implant design and two stages for submerged. Submerged design is frequently used in Faculty of Dentistry Padjadjaran University as it is safer in achieving osseointegration. This study has been carried out to evaluate resistant capacity of an implant component design submerged against failure based on location and the value of internal stress during the application of mastication force using the 3D Finite Element Method (FEM). Methods: The present study used a CBCT radiograph of the mandibular patient and Micro CT Scan of one submerged implant. Radiograph image was then converted into a digital model of 3D computerized finite element, subsequently inputted the material properties and boundary condition with 87N occlusion load applied and about 29N for the shear force. Results: The maximum stress was found located at the contact area between the implant and alveolar crest with stress value registered up to 193.31MPa located within an implant body where is understandable that this value is far below allowable strength of titanium alloy of 860 MPa. Conclusion: The location of the maximum stress was located on the contact area between the implant-abutment and alveolar crest. This implant design is acceptable and no failure observed under mastication load.

The post is used to retain a core that supports the definitive restoration. One of the important factors in the prognosis of post-endodontic restoration system is the post space preparation design which effects to the distribution of stresses. The purpose of this study was to analyze the effect of post space preparation design at the cervical area of the root to the stress distribution on static loading using (two dimensions) finite element method. This was a numeric simulation study using two 2D digital models: seat and non-seat design of maxillary central incisors using commercial software of finite element. The procedures of pre-processing, solution, and post-processing were used to evaluate the distribution of internal stress caused by static loading 110 N which was applied at 135° angle with tooth longitudinal axis on the palatal surface of the core. Both models of restoration with cast post-core of Orden alloy were divided into 15,400 triangular elements. This study showed that the stress distribution from the loading location to the location of stress concentration and the value of maximum stress at cervical part of the root at non-seat design was lower than the seat design (seat design 3.69 times greater than non-seat). This study proved that non-seat design distributes stress better than seat design.

The distribution of ABO blood groups may vary among nations and races. ABO blood group is associated with its susceptibility to several diseases. Aggressive periodontitis (AP) is a multifactorial disease, influenced by several risk factors, such as microbiology, immunology, genetic, and environmental. Microbiology is the main etiology of AP, but genetic factor also has a big role in periodontal disease, especially AP. As a genetic factor, the ABO blood group may have a role in periodontal disease. The study aimed to find out the distribution of ABO blood groups among patients with AP. This study used a descriptive method with a retrospective approach. The data was taken from the medical record of AP patients from January 2015 to December 2018. The data were taken by the total sampling technique. The results showed that from 40 patients with AP in the department of Periodontology, University of Padjadjaran Dental Hospital, Bandung, Indonesia. 11 people were A blood type (27.5%), 15 people were B blood type (37.5%), 3 people were AB blood type (7, 5%), and 11 people were O blood type (27.5%). Most aggressive periodontitis patients had B blood type. [ABSTRACT FROM AUTHOR]