Insisi merupakan hal yang sering dilakukan pada praktik kedokteran gigi. Penanganan standar untuk luka insisi adalah suturing. Suturing dapat menyatukan jaringan yang terluka dengan baik namun dapat menimbulkan ketidaknyamanan pada beberapa pasien. Salah satu metode alternatif suturing adalah lem jaringan. Bahan yang umum digunakan untuk lem jaringan adalah 2 octyl-cyanoacrylate. Penggunaan bahan ini cukup nyaman tetapi berisiko menimbulkan inflamasi seperti pada suturing. Lem jaringan wound healing sheet (WHS) yang berbahan dasar ekstrak Aloe vera dan albumin telur ayam kampung diharapkan mampu menjadi metode alternatif untuk penyembuhan luka insisi pada gingiva. Penelitian ini bertujuan untuk mengetahui efektivitas WHS dalam menyembuhkan luka insisi gingiva. Metode: Sebanyak 24 ekor tikus jantan (Rattus norvegicus galur Wistar) dengan gingiva yang telah diinsisi dibagi menjadi empat kelompok, yaitu K1 (kontrol negatif tanpa perlakuan), K2 (kontrol positif perlakuan suturing), K3 (WHS konsentrasi 50%), dan K4 (WHS konsentrasi 100%). Perlakuan dilakukan selama tujuh hari. Data yang diperoleh dianalisis menggunakan One Way ANOVA dan dilanjutkan dengan Post Hoc LSD. Hasil: Nilai persentase penyembuhan luka dari yang tertinggi ke yang terendah berturut-turut adalah K4, K3, K1, dan K2. Nilai jumlah fibroblas dari yang tertinggi ke yang terendah berturut-turut adalah K4, K3, K2, dan K1. Hasil p-value (p < 0,05) menunjukkan terdapat perbedaan yang signifikan antarkelompok sampel pada kedua data tersebut. Simpulan: Wound healing sheet ekstrak daun Aloe vera dan albumin telur ayam kampung efektif untuk penyembuhan luka insisi gingiva.Kata kunci: Wound healing; Aloe vera; lem jaringan; albumin; putih telur Wound healing sheet with Aloe vera extract and free-range chicken egg albumin (Gallus domesticus) for healing of gingival incisions

- Oral and dental health is a condition that needs to be considered and maintained to improve the quality of life. One of the efforts made to maintain dental and oral health in the school environment is by conducting UKGS (Usaha Kesehatan Gigi Sekolah). In UKGS activities, teachers have a role in providing emergency treatment to relieve pain. The emergency treatment administered by teachers in schools can perform in cases such as avulsions, choking, and abscesses. This community service aims to increase the role of elementary school teachers through UKGS to maintain, improve the oral health of all students at SDN in the Karangtengah area, Baturaden District, Purwokerto. The method of implementation was basely on optimizing the potential of UKGS teacher cadres, including identification of target schools and participants, pre-test implementation, maturation, coaching, enhancement of UKGS teacher cadres. Coaching and training have been carried out for UKGS supervisors for abscess, choking and avelse conditions. Post-test activities to gain insight into emergency medicine and relieve tooth and mouth pain. Results: p data analysis using the Wilcoxon asymp test.sig.(2-tailed) of 0.001 (<0.05), this value indicates that there is an influence on the level of knowledge about emergency medicine. The analysis performed with the Wilcoxon Test; there was a significant difference (sig = 0.001, p <0.05). There was an increase in the average pre-test value of 76.92 and post-test of 97.85.Conclusion: There is increasing knowledge about emergency medicine to relieve tooth and mouth pain in elementary school teachers.

Introduction: Incision wounds are injuries caused by dental surgery procedures. Suturing is the gold standard for post-incision management, but it can cause patient discomfort. Tissue glue can be used for wound healing, but its carcinogenicity still needs to be investigated. A Wound Healing Sheet (WHS) made of Aloe vera extract and free-range chicken egg albumin is expected to be an alternative material. Angiogenesis is a highly observable part of wound healing, as newly formed blood vessels support nutrition, act as a scaffold for cells to migrate to the wound area, and play an essential role in wound healing. This study aimed to analyze the effect of WHS made from Aloe vera extract and free-range chicken egg albumin (Gallus domesticus) on the number of vascular that show the acceleration of healing in gingival incision wounds. Methods: Quasi experimental study with a total sample of 24 male rats (Rattus norvegicus Wistar strain) with gingival incision were divided into four groups, namely T1 (50% WHS treated group), T2 (100% WHS treated group, S (suturing treated group as positive control), and NC (negative control, without treatment). The treatment was performed throughout seven days. The data obtained were analyzed statistically using One-way ANOVA and Post Hoc LSD. Results: The highest vascular count was in the T2 Group (8+1.63); followed by T1 (7+1.60); S (7+ 1.49); and NC (4+1.41). Statistical analysis showed that there was a significant difference between groups S, T1, T2 with NC (p-value < 0.05); interestingly, there was no significant difference between S, T1, T2 (p-value > 0.05). Conclusion: Wound Healing Sheet made of Aloe vera extract and free-range chicken egg albumin (Gallus domesticus) can accelerate the angiogenesis process on gingival incision wound in rats.Keywords: wound healing, aloe vera, gallus domesticus, egg white, angiogenesis

Background. Often when planning implant therapy, there is a need to augment or replace bone that has been lost. The alveolar defects may occur as a result of tooth loss due to extraction, advanced periodontal diseases or trauma, long term use of removable appliances, dehiscence and fenestration defects, developmental defects/clefts, congenitally missing teeth and odontogenic cysts and tumors. Insufficient bone volume can be brought about by hard tissue augmentation. This techniques have led to increased predictability in reconstruction of alveolar ridge defects and functional implant placement. Purpose. To describe the methods of hard tissue augmentation which can be done with block grafts (autografts and allografts), particulate grafts (cortical and cancellous), xenografts, or synthetic materials. Review. The reconstruction of a normal alveolar housing, in height and width, is imperative to achieve a harmonious balance between biology, function, and aesthetics. Depending on the size and morphology of the defect, horizontal or vertical, various augmentation procedures can be used. Soft tissue management is a critical aspect of hard tissue augmentation procedures. Incisions, reflection, and manipulation should be designed to optimize blood supply and wound closure. The design and management of mucoperiosteal flaps must consider the increased dimensions of the ridge after augmentation as well as esthetics and approximation of the wound margins. The surgical procedure needs to be executed with utmost care to preserve the maximum vascularity to the flap and minimize tissue injury. Conclusion. Alveolar ridge defects can be classified by using Seibert’s classification or HVC System. The treatment of alveolar ridge defect before implant placement can be done with hard tissue augmentation.