https://e-journal.unair.ac.id/IJDM/issue/feed Indonesian Journal of Dental Medicine 2025-03-25T11:35:48+07:00 Dr. Alexander Patera Nugraha drg, M. Imun, M.Kes., Sp.Ort alexander.patera.nugraha@fkg.unair.ac.id Open Journal Systems <p><strong>Indonesian Journal of Dental Medicine</strong> (<a href="https://portal.issn.org/resource/issn/2722-1253" target="_blank" rel="noopener">e-ISSN 2722-1253</a>) is a scientific open access journal published by the Faculty of Dental Medicine, Universitas Airlangga and collaboration with <strong>Persatuan Dokter Gigi Indonesia (PDGI)</strong>. The disciplinary focus is dentistry and dental hygiene. Since 2018, this journal has been published twice in<strong> June and December</strong>. Open Journal Systems (OJS) has been applied to all processes at the indonesian journal of dental medicine. This journal is indexed by <strong>DOAJ</strong>.</p> <p>For the author, please read these journal guidelines. If the manuscript submitted is not appropriate with the guidelines or written in a different format, it will <strong>BE REJECTED</strong> by the editors before further review. All the articles received will be reviewed by peer-reviewers with double-blind methods.</p> https://e-journal.unair.ac.id/IJDM/article/view/66086 Impact of VAPE use on dental and oral health among male dental students 2025-01-30T08:06:53+07:00 Mohammed Hassan Khalaf Maryam.h@codental.uobaghdad.edu.iq Maryam Hameed Alwan maryam.h@codental.uobaghdad.edu.iq <p><strong>Background: </strong>The emergence of vaping as a popular alternative to traditional smoking has raised concerns regarding its potential impact on oral health. specifically affects the oral health of dental students, who are not only consumers of these products but also future practitioners tasked with educating patients on oral hygiene and health risks<strong>. purpose: </strong>This study investigated the dental and oral health impact of VAPE among male dental students. <strong>Methods:</strong> A self-administered questionnaire comprising 20 questions was meticulously designed to gather relevant data about their VAPE use and its implications on dental and oral health. <strong>Results</strong>: 43% of participants reported using VAPE, predominantly employing salt nicotine (48.8%) over free base nicotine (27.9%). The dental health statuses, assessed using the Decayed, Missing, and Filled Teeth (DMFT) index, showed that 35.6% had a DMFT score of 3 or higher, while 37.6% had scores below 3, and 26.7% reported a DMFT of 0. Most participants (57.4%) visited the dentist rarely, with no distinction between VAPE users and non-users. However, significant differences in aspects such as breathing, sleep quality, and fitness were noted between VAPE users and non-users (p:0.002, p:0.05, and p:0.00; p&lt;0.05), respectively. <strong>Conclusion:</strong> As E-cigarettes smoking is becoming more widely growing habit within the young age group, more oral and physiological consequences begin to rise, such as a significantly higher prevalence of mouth dryness, cough and ultimately, worsened bodily functions including a lower breathing quality and reduced level of fitness.</p> 2025-03-20T00:00:00+07:00 Copyright (c) 2025 Mohammed Hassan Khalaf, Maryam Hameed Alwan https://e-journal.unair.ac.id/IJDM/article/view/68219 A Spatial Mapping of Children's Toothache Prevalence and Its Determinants 2025-02-10T09:00:41+07:00 Ninuk Hariyani ninuk_hariyani@yahoo.co.id Defita Ayu Laisyaina ninuk_hariyani@yahoo.co.id Crisna Tri Kuswanda ninuk_hariyani@yahoo.co.id Tsaniya Kamilah ninuk_hariyani@yahoo.co.id Retno Palupi retno-p@fkg.unair.ac.id Agung Sosiawan agung-s@fkg.unair.ac.id Kaushik Sengupta ninuk_hariyani@yahoo.co.id <p><strong>Background: </strong>Toothache is the most common oral pain and has been confirmed as a public health problem. World Health Organization (WHO) stated that oral health problem impacts 90% of pre-adolescent, ranging from the feeling of distressing pain, nutritional intake disturbance, to the extent of school absence. Geospatial Information System (GIS) is a method to describe a data in a spatial geographic mapping, it can be a valuable tool to explore the relationships between health and its determinant factors, and also show the locations where the problem occurs. <strong>Purpose</strong>: To describe the geospatial mapping of toothache prevalence and its determinant behavioural factors among Indonesian children. <strong>Methods</strong>: It is a secondary data analysis of the 5<sup>th</sup> wave of Indonesian Family Life Survey (IFLS) data. The 7,010 respondents’ data from children aged 5-15 years old were analysed and mapped using Quantum GIS. Geospatial data mapping was conducted by inserting toothache prevalence and its determinant factors to the geographical map. <strong>Results</strong>: Based on the mapping, there are a consistent pattern of the prevalence, in which South Sulawesi and South Kalimantan provinces have the very high number in toothache prevalence, bad sugar consumption behavior and bad toothbrushing behavior. <strong>Conclusions</strong>: This study showed the prevalence and distribution of toothache and its behavioural determinants among children age 5-15 years old in Indonesia, across provinces. Therefore, toothache among Indonesian children is an oral health problem that needs attention and intervention.</p> 2025-03-20T00:00:00+07:00 Copyright (c) 2025 Ninuk Hariyani, Defita Ayu Laisyaina, Crisna Tri Kuswanda, Tsaniya Kamilah, Retno Palupi, Agung Sosiawan, Kaushik Sengupta https://e-journal.unair.ac.id/IJDM/article/view/67374 Interrelationship of body mass index, dental caries, and oral health behaviour: Insights from Primary School in Surabaya, Indonesia 2025-01-06T15:04:41+07:00 Ratri Maya Sitalaksmi ratri.maya.s@fkg.unair.ac.id Nadia Kartikasari nadiakartikasari@fkg.unair.ac.id Primanda Nur Rahmania ratri.maya.s@fkg.unair.ac.id Onny Eryanto Limantoro ratri.maya.s@fkg.unair.ac.id Yora Wardati ratri.maya.s@fkg.unair.ac.id Charlie Saputra Prajugo ratri.maya.s@fkg.unair.ac.id Annete Juwita Yukuri ratri.maya.s@fkg.unair.ac.id Hananah Oktalidial Putri ratri.maya.s@fkg.unair.ac.id Tiara Eva Dhamayanti ratri.maya.s@fkg.unair.ac.id Riddo Adli Rudhanton ratri.maya.s@fkg.unair.ac.id Aisyah Rachmadani Putri Gofur ratri.maya.s@fkg.unair.ac.id <p><strong><span class="fontstyle0">Background: </span></strong><span class="fontstyle2">Dental caries is one of global health issues, with various factors such as Body Mass Index (BMI) and oral hygiene behaviours influencing its prevalence. Understanding the relationship between BMI and dental caries, as well as the oral hygiene practices, is essential for developing effective prevention strategies. Interventions on these factors are<br />vital for mitigating the effects of dental caries on overall health. </span><strong><span class="fontstyle0">Purpose: </span></strong><span class="fontstyle2">This study aims to examine the correlation between dental caries and BMI in relation to oral and dental health behaviours. </span><strong><span class="fontstyle0">Methods</span></strong><span class="fontstyle2"><strong>:</strong> BMI and Decay, Missing, and Filled Teeth (DMF-T) data were collected from 5th-grade elementary school students, along with responses to an Oral and<br />Dental Health Care Questionnaire. Statistical analysis was conducted using the Kruskal-Wallis Test (p&lt;0.05) and DwassSteel-Critchlow-Fligner (DSCF) (p&lt;0.05). </span><strong><span class="fontstyle0">Results: </span></strong><span class="fontstyle2">No significant differences in caries indices were observed between genders (p&gt;0.05). The majority of participants were classified as underweight, and this group demonstrated a lower caries index. A comparison of DMF-T scores across various BMI categories revealed a statistically significant difference (p&lt;0.05). Furthermore, the post hoc test indicated a significant difference in BMI between the very low and low groups within the DMFT category (p&lt;0.05). </span><strong><span class="fontstyle0">Conclusion: </span></strong><span class="fontstyle2">The findings suggest that good oral health practices is affecting the relationship between BMI and dental caries. Thus, the importance of promoting proper oral hygiene and early intervention to prevent dental caries and improve overall health outcomes. Preventive efforts should target at-risk groups, focusing on<br />lifestyle and oral health education.</span> </p> 2025-03-20T00:00:00+07:00 Copyright (c) 2025 Ratri Maya Sitalaksmi, Nadia Kartikasari, Primanda Nur Rahmania, Onny Eryanto Limantoro, Yora Wardati, Charlie Saputra Prajugo, Annete Juwita Yukuri, Hananah Oktalidial Putri, Tiara Eva Dhamayanti, Riddo Adli Rudhanton, Aisyah Rachmadani Putri Gofur https://e-journal.unair.ac.id/IJDM/article/view/47133 Knowledge of xerostomia in the elderly in Rejosari Village, Lamongan Regency, East Java 2024-12-23T10:08:10+07:00 Natasya Fauzia Sukmawati natasya.fauzia.sukmawati-2021@fkg.unair.ac.id Adinda Ratna Fitri adinda.ratna.fitri-2020@fkg.unair.ac.id Desiana Radithia deisy.radithia@fkg.unair.ac.id Adiastuti Endah Parmadiati adiastuti-e-p@fkg.unair.ac.id Nurina Febriyanti Ayuningtyas nurina-ayu@fkg.unair.ac.id Fatma Yasmin Mahdani fatmayasminmahdani@fkg.unair.ac.id <p><strong>Background:</strong> Xerostomia, or dry mouth, is a subjective sensation often linked to hyposalivation, affecting oral and overall health. With a global prevalence of 5.5% to 46%, it is more common in the elderly due to factors like polypharmacy, systemic diseases, and age-related salivary gland changes. Xerostomia impacts daily activities such as speaking, chewing, and swallowing, reducing quality of life. Rejosari Village in Lamongan Regency, East Java, has a high elderly population and a well-established healthcare center for seniors (Posyandu Lansia), making it an ideal setting for studying awareness and knowledge of xerostomia.<strong> Purpose:</strong> To describe the level of knowledge of xerostomia among elderly people in Rejosari Village, Lamongan Regency, East Java. <strong>Methods: </strong>This descriptive observational study utilized an online questionnaire distributed via Google Forms. Participants were selected through consecutive sampling, focusing on elderly individuals who met the inclusion criteria. Of the 75 respondents who completed the questionnaire, 70 were included in the final analysis. Data were analyzed descriptively, categorizing knowledge levels into high, moderate, and low. <strong>Results:</strong> Among the 70 eligible respondents, 70.00% exhibited a high level of knowledge about xerostomia. Meanwhile, 22.86% were classified as having moderate knowledge, and 7.14% had low knowledge levels. These findings indicate that most elderly residents in Rejosari Village are well-informed about xerostomia, although knowledge gaps persist among certain groups. <strong>Conclusion:</strong> The elderly’s knowledge about xerostomia in Rejosari Village, Lamongan Regency, East Java is dominated in the high knowledge category.</p> 2025-03-20T00:00:00+07:00 Copyright (c) 2025 Natasya Fauzia Sukmawati, Adinda Ratna Fitri, Desiana Radithia, Adiastuti Endah Parmadiati, Nurina Febriyanti Ayuningtyas, Fatma Yasmin Mahdani https://e-journal.unair.ac.id/IJDM/article/view/67390 The Knowledge Level of Students at the Faculty of Dental Medicine, Universitas Airlangga Regarding the Forensic Odontology Field 2025-01-20T07:59:52+07:00 An'nisaa Chusida an-nisaa-c@fkg.unair.ac.id Beta Novia Rizky beta.novia@fkg.unair.ac.id Arofi Kurniawan arofi.kurniawan@fkg.unair.ac.id Jennifer Natasha Pantoro an-nisaa-c@fkg.unair.ac.id Nabila Firdausi Rizki Setiyono an-nisaa-c@fkg.unair.ac.id Mumtaz Ramadhani Putra Pesat Gatra mumtaz.ramadhani.putra-2019@fkg.unair.ac.id <p style="margin: 0cm; text-align: justify;"><strong><span lang="EN-US" style="font-size: 10.0pt; color: black;">Background</span></strong><span lang="EN-US" style="font-size: 10.0pt; color: black;">: Forensic odontology is a field concerned with the use of dental evidence to identify the age, race, gender of victims and suspects in mass disasters, abuse, and organized crime. General dentists are required to have basic knowledge and expertise in forensic dentistry. Aspiring dentists in dental professional education must demonstrate mastery in both medical and dental sciences, which is a requirement to fulfill the dentist competency standard. Forensic dentistry supports preclinical and clinical skills in both basic and applied dentistry. Therefore, research is necessary to determine the level of knowledge of undergraduate dental students, dental professional education students, and dental specialist program students regarding the field of forensic odontology. Information about the level of knowledge was obtained by using a questionnaire that inquired about the content of the material measured. In this study, the research subjects were undergraduate dental students, dental professional education students, and dental specialist program students at the Faculty of Dental Medicine, Universitas Airlangga.<span class="apple-converted-space"> </span><strong>Purpose</strong>: Analyze the level of knowledge of students at the Faculty of Dental Medicine, Universitas Airlangga, regarding the field of forensic odontology.<span class="apple-converted-space"> </span><strong>Methods</strong>: This study is an analytical observational study with a cross-sectional research design. This study used Google Forms for data collection with closed questionnaires.<span class="apple-converted-space"> </span><strong>Results</strong>: According to the results of this study, a significant majority of respondents, specifically 83.3%, demonstrated a level of knowledge in the good category.<span class="apple-converted-space"> </span><strong>Conclusion</strong>: the Faculty of Dental Medicine, Universitas Airlangga students had knowledge levels in a good category regarding the field of forensic odontology.</span></p> 2025-03-20T00:00:00+07:00 Copyright (c) 2025 An'nisaa Chusida, Beta Novia Rizky, Arofi Kurniawan, Jennifer Natasha Pantoro, Nabila Firdausi Rizki Setiyono, Mumtaz Ramadhani Putra Pesat Gatra https://e-journal.unair.ac.id/IJDM/article/view/42252 Snack Consumption Behavior and Tooth Decay-Related Pain during Corona Virus Disease-19 Pandemic 2025-02-10T09:04:17+07:00 Retno Palupi retno-p@fkg.unair.ac.id Dania Artha Fakhrunnisa dania.artha.fakhrunnisa-2021@fkg.unair.ac.id Asma' Sya'bania asmasyabania@gmail.com Fatiha Az-Zahra fathaazzhr@gmail.com <p><strong>Background:</strong> The corona virus disease-19 (COVID-19) pandemic has greatly affected community lives. The self-quarantine has an impact on the occurrence of psychological stress and the tendency to consume snacks. Dentist practice activities are limited in order to avoid the spread of this virus. As a result, oral and dental health is less controlled, and the habit of consuming cariogenic snacks during the pandemic increases the risk of dental problems. <strong>Purpose:</strong> This study aimed to analyze the correlation between snack consumption behavior and tooth decay-related pain complaints in the productive age population during the COVID-19 pandemic. <strong>Methods:</strong> This study design was an analytic observational study with a cross-sectional approach. The data collection used online questionnaires in the form of Google Forms to obtain the answer to snack consumption behavior. The population of this study was a productive age group population who lived in Surabaya. The total number of respondents in this study was 163 people. <strong>Results:</strong> The correlation test result showed a significant correlation (p &lt; 0.05) between the snack consumption behavior and tooth decay-related pain, but there was no significant correlation between the snack consumption behavior and the habit of maintaining oral health. <strong>Conclusion:</strong> During the COVID-19 pandemic, there was an increase in snack consumption that leads to tooth decay-related pain complaints in the age-productive population in Surabaya.</p> 2025-03-21T00:00:00+07:00 Copyright (c) 2025 Retno Palupi, Dania Artha Fakhrunnisa, Asma' Sya'bania, Fatiha Az-Zahra https://e-journal.unair.ac.id/IJDM/article/view/52733 Chitosan mucoadhesive patch combination of rambutan (Nephelium lappaceum L) peel extract decrease leukocyte cell in gingivitis animal model 2025-03-24T11:36:50+07:00 Trining Widodorini trining.fk@ub.ac.id Maheswari Nestivia Safitri safitrinestivia@gmail.com <p><strong>Background: </strong>Gingivitis, or inflammation of the gingiva, is characterized by increased leukocyte cells as a sign of an inflammatory response. A mucoadhesive patch made from chitosan combined with <em>rambutan </em>(<em>Nephelium lappaceum L) </em>peel extract can reduce inflammation in the gingiva. Chitosan has been proven to inhibit bacterial growth. Meanwhile, rambutan peel extract, as an active ingredient, acts as an anti-inflammatory and anti-bacteria. <strong>Purpose: </strong>This study aimed to examine the impact of administering rambutan (<em>N. lappaceum L.</em>) peel extract in chitosan mucoadhesive patches made from blood clam shell waste as a treatment for gingivitis on the total leukocyte cell count in white rats. <strong>Methods: </strong>This research used a true-experimental, post-test-only randomized control group design study, an in vivo study. Wistar rat (<em>Rattus novergicus</em>) gingiva was induced with lipopolysaccharide (LPS) <em>Porphyromonas gingivalis </em>(Pg) for two days and then treated with a mucoadhesive patch for six consecutive days. Histological preparations were made with hematoxylin eosin (HE) staining using a light microscope to observe the total number of leukocyte cells in Wistar rat (<em>R. novergicus</em>) gingival tissue. <strong>Results: </strong>Based on the outcomes of this study, the Kruskal-Wallis statistical test obtained the total number of leukocyte cells, showing a significant decrease (p &lt; 0.05) at the active ingredient concentrations of 10% and 15% rambutan (<em>N. Lappaceum L.</em>) peel extract in chitosan mucoadhesive patches against the positive control group. <strong>Conclusion: </strong>Rambutan (<em>N. lappaceum L.</em>) peel extract in chitosan mucoadhesive patches was able to reduce total leukocyte cell count in gingivitis of Wistar rats (<em>Rattus novergicus</em>).</p> 2025-03-24T00:00:00+07:00 Copyright (c) 2025 Trining Widodorini , Maheswari Nestivia Safitri https://e-journal.unair.ac.id/IJDM/article/view/52916 Pregnant women’s knowledge about pregnancy gingivitis and oral health related to quality of life at Bagor Health Center 2025-03-24T13:21:34+07:00 Trining Widodorini agriscasalva_@student.ub.ac.id Agrisca Salvabella Ardiana agriscasalva_@student.ub.ac.id <p><strong>Background: </strong>The formation of biofilm in plaque at the gingival border and the inflammatory reaction to bacteria create gingivitis, an inflammatory reaction of the gingiva. Due to increases in the hormones progesterone and estrogen, pregnancy is a physiological process that might result in physical or psychological changes. Many oral and dental health issues have an impact on pregnant women’s quality of life. <strong>Purpose: </strong>The study’s goal was to ascertain how pregnant women’s quality of life was impacted by their awareness and knowledge about pregnancy gingivitis and dental health maintenance. <strong>Methods: </strong>An analytical observational study was used. Total sampling is the method used for sampling. Utilize a questionnaire to assess understanding, and use the Modified Gingival Index (MGI) to assess the gingivitis score. Multiple linear regression was utilized after the Spearman test in data analysis. <strong>Results: </strong>The findings indicated a relationship between pregnant women’s quality of life and their level of awareness regarding maintaining oral health and pregnancy gingivitis. Inside has a detrimental coefficient value of -1.202, which means that pregnant women’s knowledge increases with decreasing quality-of-life scores, which reflect a good quality of life. A positive coefficient (2.717) is substantially influenced by gingival state, indicating that a lower level of inflammation corresponds to a higher quality of life. <strong>Conclusion: </strong>Pregnant women’s quality of life is influenced by their level of awareness and knowledge about pregnancy gingivitis and maintaining their oral health. Pregnant women’s quality of life is directly correlated with their ability to maintain oral health.</p> 2025-03-25T00:00:00+07:00 Copyright (c) 2025 Trining Widodorini, Agrisca Salvabella Ardiana https://e-journal.unair.ac.id/IJDM/article/view/71271 External beam radiation therapy for oral squamous cell carcinoma: A narrative review 2025-03-25T11:35:48+07:00 Jihan Fahira siscameida@fkg.unair.ac.id Akmalisnani Putri Rifasky siscameida@fkg.unair.ac.id Mileniatri Evriany Lestari Pakphan siscameida@fkg.unair.ac.id Lusia Dinda Puspa L siscameida@fkg.unair.ac.id Yasmin Kamila Putri siscameida@fkg.unair.ac.id Zakiyyah Darojah siscameida@fkg.unair.ac.id Dhea Rima Rohita Z siscameida@fkg.unair.ac.id Haedar Ilhamuddin K siscameida@fkg.unair.ac.id Jasmine Salwa SS siscameida@fkg.unair.ac.id Gabriella Benedictine O siscameida@fkg.unair.ac.id Malika Fadiyah siscameida@fkg.unair.ac.id Adila Dzakiyya Rahmi siscameida@fkg.unair.ac.id Arini Hurun’in siscameida@fkg.unair.ac.id Farah Richana Fajrin siscameida@fkg.unair.ac.id Aisyah Qonita Nurfitri siscameida@fkg.unair.ac.id Covina Reyhana Azriella siscameida@fkg.unair.ac.id Annisa Tiara Diva siscameida@fkg.unair.ac.id Moza Zikra Loveisca siscameida@fkg.unair.ac.id Ni Nengah Diandhary B siscameida@fkg.unair.ac.id Sisca Meida Wati siscameida@fkg.unair.ac.id <p><strong>Background: </strong>Oral cancer is a malignancy that occurs in the oral cavity. Many factors cause oral cancer, namely alcohol consumption, tobacco smoking, smokeless tobacco, chronic irritation, and others. external beam radiation therapy (EBRT) is a technology commonly used in the standard treatment of head and neck cancer. <strong>Purpose: </strong>The aim of this review was to determine the effectiveness of EBRT for oral squamous cell carcinoma. <strong>Review: </strong>Lip carcinoma has a higher chance of healing compared to other cancers that usually appear in the neck and head. Lip carcinoma can be cured through radiation therapy, namely external beam radiation therapy (EBRT). EBRT can be combined withbrachytherapy, which can improve cancer healing. <strong>Conclusion: </strong>EBRT can be used for oral squamous cell carcinoma cancer treatment. However, there are some disadvantages of EBRT that need to be reviewed based on the conditions in the patient’s case.</p> 2025-03-25T00:00:00+07:00 Copyright (c) 2025 Jihan Fahira, Akmalisnani Putri Rifasky, Mileniatri Evriany Lestari Pakphan, Lusia Dinda Puspa L, Yasmin Kamila Putri, Zakiyyah Darojah, Dhea Rima Rohita Z, Haedar Ilhamuddin K, Jasmine Salwa SS, Gabriella Benedictine O, Malika Fadiyah, Adila Dzakiyya Rahmi, Arini Hurun’in, Farah Richana Fajrin, Aisyah Qonita Nurfitri, Covina Reyhana Azriella, Annisa Tiara Diva, Moza Zikra Loveisca, Ni Nengah Diandhary B, Sisca Meida Wati https://e-journal.unair.ac.id/IJDM/article/view/48342 White sponge nevus as a hereditary disease: A brief narrative review 2024-12-23T10:07:25+07:00 Fatma Yasmin Mahdani fatmayasminmahdani@fkg.unair.ac.id Karlina Puspasari fatmayasminmahdani@fkg.unair.ac.id Ida Bagus Pramana Putra Manuaba fatmayasminmahdani@fkg.unair.ac.id Salsabila Fitriana Putri fatmayasminmahdani@fkg.unair.ac.id Naqiya Ayunnisa fatmayasminmahdani@fkg.unair.ac.id Diah Savitri Ernawati fatmayasminmahdani@fkg.unair.ac.id Hening Tuti Hendarti fatmayasminmahdani@fkg.unair.ac.id <p><strong>Background: </strong>White sponge nevus (WSN) is an autosomal dominant hereditary genetic disorder characterized by thickened keratin in the oral mucosa that appears folded, wavy, spongy, thick, and rough. WSN do not have the potential to become malignant, but an accurate diagnosis is still needed to prevent unnecessary treatment and reduce potential remissions and exacerbations due to infection. <strong>Purpose: </strong>to provide a detailed description of white sponge nevus as a hereditary disease by means of narrative review. <strong>Review: </strong>A literature search using ScienceDirect and PubMed yielded results between 2012 and 2024. The keywords of the search strategy were “hereditary disease” and “white sponge nevus” or “Cannon’s disease” or “white folded gingivostomatitis” or “leukokeratosis.”. White sponge nevus (WSN) was first discovered by Hyde in 1909 and usually occurs in children and people under 20 years old. The main etiology of WSN is an autosomal dominant hereditary genetic disorder; KRT4 and KRT13 are specific keratin encoders that cause WSN, and there are predisposing factors such as bacterial infection, smoking, and alcohol consumption. <strong>Conclusion: </strong>In determining the diagnosis of WSN, it is necessary to carry out blood tests, subjective examinations, objective examinations, and supporting examinations in the form of exfoliative cytology and biopsies. As well as the need for comprehensive treatment, even though the prognosis of this disorder is good.</p> 2025-03-25T00:00:00+07:00 Copyright (c) 2025 Fatma Yasmin Mahdani, Karlina Puspasari, Ida Bagus Pramana Putra Manuaba, Salsabila Fitriana Putri, Naqiya Ayunnisa, Diah Savitri Ernawati, Hening Tuti Hendarti