CASE REPORT ; MANAGEMENT OF CHRONIC PERIODONTITIS AFTER 2 MONTHS OF TRAFFIC ACCIDENTS

2022 The availability of domestic raw materials is gradually decreasing, while the need for energy sources is increasing. Therefore, it is necessary to have the availability of renewable energy sources, one of which is biomass. In this study, researchers will discuss the waste of sugarcane bagasse and orange peel which can be used as briquettes. Usually, these wastes are only used as animal feed, sometimes they are just thrown away. The goals and benefits expected by the author in this study are, to provide information that the manufacture of briquettes from bagasse and Pacitan orange peel can be used as an alternative fuel. So, it can be implemented to reduce fossil fuels, whose availability is getting less and less. In the study, the best results were on the adhesive variable 20% ratio 1:2 with a calorific value of 5,949,114 cal/gram, 9% moisture content, 9% ash content.


INTRODUCTION
Reconstruction of bone damage of teeth has been done for many years with varying degrees of success (Feuillet, Keller, & Agossa, 2018). If the procedureis done with a full understanding of the applicable biological principles and if the proper clinical techniques are used, it can be very successful (Davis et al., 2020).

Heru Maksmara
Case Report; Management of Chronic Periodontitis After 2 Months of Traffic Accidents 499 Most of orofasial trauma involving teeth and supporting tissue structure that is a true dental emergency, though, the absence of teeth having a healthy support network to return to normal after trauma (Eden, Onetto, & O'Connell, 2021). Rational therapy can be taken to overcome this problem, starting from accurate diagnosis and assess signs and symptoms occur, multiple traumas are very difficult to overcome. Intraoral examination, checking for bleeding and swelling are also mucosal tissue and gingival lacerations, when it is covered with blood clots and suction clean with tampons alone (Hogrefe, 2020). Abnormality such as tooth shape regardless of the socket, fracture crack too. Shakiness of teeth horizontally and vertically by moving the fingers slowly assessed course, percussion and pressure checks are very hurt (Natterson-Horowitz & Bowers, 2020).
Orofacial trauma causes great damage to the tissue structures supporting the teeth (Pigg et al., 2021). To repair the damage/loss of tissue structures supporting the teeth, we can do the restoration/remodeling tissue structures supporting the teeth (Hernández-Monjaraz, Santiago-Osorio, Monroy-García, Ledesma-Martínez, & Mendoza-Núñez, 2018). Reconstruction of the bone teeth support is an action seeking return of biomedical with the patient's teeth still remain in place, with some improvement in the structure of the tooth supporting tissue (Yu et al., 2021). Reconstruction of these teeth may include one or several teeth, in order to maintain masticatory function, comfort, and or aesthetic (Duong et al., 2022). Transplantation is a tissue graft, required for the correction of anatomic surgical repair during fracture and osteotomy, without interrupting vascularization as well as the fixation stability of the bone construction (Dalisson et al., 2021).
Bone is a dynamic tissue that undergoes a process of continuous remodeling in stable condition and there is a balance between the processes of bone resorption and deposition (Sykes, Bradfield, & Naidu, 2021). Remodeling process begins with the activation phase which is described by the displacement of osteoclast precursors into the bone area that will resorp and the occurrence of cell attachment and fusion of osteoclast precursor cells into multinucleated osteoclasts (Jann, Gascon, Roux, & Faucheux, 2020). The second phase is the phase of resorption, bone by osteoclasts resorption possibly helped by the existence of mononuclear phagocytes to the resorption area (Sivaraj et al., 2022). The opposite happens next stage in which cells resembling mononuclear phagocytes resorption modify the surface and form a morphological structure, identified as a cement line (Lerner, Kindstedt, & Lundberg, 2019). This phase is followed by phase formation where osteoblasts differentiate on the side and start resorption on steoid and deposition in bone (Isojima & Sims, 2021). The end of this phase is characterized by a resting phase, the absence of osteoid is left between the lining cells and bone which mineralized.
Hydroxyapatite polyurethane sponge is a alloplast -bone graft material that has the ability and osteoconduction and osteoinduction (Bajuri, Selvanathan, Dzeidee Schaff, Abdul Suki, & Ng, 2021). Presence of bone morphogenic proteins (BMPs) to bone graft material will alter the cells -the cells into osteoblasts around, helping mesenchymal cell migration, adhesion and osteogenesis in intraboni damage. In the histological study of this material showed the regeneration of cementum, periodontal ligament and alveolar bone, in humans the presence of new attachment apparatus. Clinical studies have also demonstrated an increase in probing depth and significant clinical attachment level.