Evaluasi In Vitro Viabilitas Sel Fibroblas Akibat Penambahan Larutan Binahong pada Kalsium Hidroksida sebagai Bahan Pelindung Pulpa

Penulis

  • Catur Septommy Departemen Biomaterial, FKG, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia
  • Venna Verdania Lhea Khrisna Prodi S1 Kedokteran Gigi, FKG IIK Bhakti Wiyata Kediri, Indonesia
  • Dyah Noviana Primasari Departemen Biomaterial, FKG, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia
  • Eka Resti Efrata Departemen Biomaterial, FKG, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia
  • Devy Ratriana Amiati Departemen Biologi Oral, Fakultas Kedokteran Gigi Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia
  • Asa Karina Departemen Biomaterial, FKG, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia

DOI:

https://doi.org/10.54082/jupin.1937

Kata Kunci:

Antiinflamasi, Binahong, Kalsium Hidroksida, Viabilitas Fibroblas

Abstrak

Kalsium hidroksida Ca(OH)₂ merupakan bahan pelindung pulpa dengan efek antibakteri tinggi, namun bahan ini masih memiliki kelemahan yaitu terdapat hambatan ikatan antara kristal hidroksiapatit dan jaringan kolagen. Hal ini menyebabkan terjadinya ruang mikro antara bahan pelindung pulpa dengan jaringan dentin yang berpotensi terjadinya infeksi ulang. Respons inflamasi yang tertunda dan berkepanjangan akibat infeksi berulang menyebabkan nekrosis pulpa. Fibroblas pulpa  dengan makrofag secara aktif mempengaruhi diferensiasi makrofag dari M1 (pro-inflamasi) ke M2 (anti-inflamasi). Daun binahong secara tradisional dipakai sebagai obat luka karena memiliki sifat antiinflamasi. Penelitian ini bertujuan mengevaluasi pengaruh penambahan larutan binahong pada Ca(OH)₂ terhadap viabilitas fibroblas selama 24 jam inkubasi. Uji viabilitas fibroblas BHK-21 dilakukan menggunakan metode MTT assay selama 24 jam dengan lima kelompok perlakuan (0%,3%,5%,10%, dan 15%) binahong. OD (Optical Density) dari ELISA reader digunakan untuk memnghitung jumlah sel fibroblas yang hidup. Kelompok Ca(OH)₂ dengan 10–15% binahong menunjukkan peningkatan viabilitas sel hingga 129,8–142,8% dibanding kontrol (p<0,05) dan pada post hoc test kedua kelompok (10% dan 15%) tersebut memliki perbedaan tidak bermakna (α>0,05). Larutan binahong pada kalsium hidroksida mampu meningkatkan jumlah sel fibroblas dalam inkubasi 24 jam. Penambahan ekstrak binahong meningkatkan viabilitas fibroblas sehingga berpotensi mengurangi sitotoksisitas Ca(OH)₂ sebagai bahan pelindung pulpa

Referensi

Akin, D., Atalayin Ozkaya, C., Armagan, G., Birim, D., Ates, M., & Tezel, H. (2024). Biological and physical properties of calcium hydroxide-based pulp-capping materials and their modifications. Journal of Oral Science, 66(2), 91–95. https://doi.org/10.2334/josnusd.23-0288

Akter, R., Moral, M. A. A., & Asaduszaman, M. (2023). The Radiographic Outcome of Biodentine and Calcium Hydroxide as Indirect Pulp Capping Agent in the Management of Deep Caries. International Journal of Medical Science, Volume 10. https://doi.org/10.14445/23939117/IJMS-V10I1P104

Álvarez-Vásquez, J. L., & Castañeda-Alvarado, C. P. (2022). Dental Pulp Fibroblast: A Star Cell. Journal of Endodontics, 48(8), 1005–1019. https://doi.org/10.1016/j.joen.2022.05.004

Barbosa-Ribeiro, M., Arruda-Vasconcelos, R., de-Jesus-Soares, A., Zaia, A. A., Ferraz, C. C. R., de Almeida, J. F. A., & Gomes, B. P. F. A. (2019). Effectiveness of calcium hydroxide-based intracanal medication on infectious/inflammatory contents in teeth with post-treatment apical periodontitis. Clinical Oral Investigations, 23(6), 2759–2766. https://doi.org/10.1007/s00784-018-2719-0

Best, S., Ammons, C. L., Karunanayake, G. A., Saemundsson, S. R., & Tawil, P. Z. (2021). Outcome Assessment of Teeth with Necrotic Pulps and Apical Periodontitis Treated with Long-term Calcium Hydroxide. Journal of Endodontics, 47(1), 11–18. https://doi.org/10.1016/j.joen.2020.09.005

Chmilewsky, F., Jeanneau, C., Laurent, P., & About, I. (2014). Pulp Fibroblasts Synthesize Functional Complement Proteins Involved in Initiating Dentin–Pulp Regeneration. The American Journal of Pathology, 184(7), 1991–2000. https://doi.org/10.1016/j.ajpath.2014.04.003

Fournis, C. L., Jeanneau, C., Giraud, T., Karim, I. E., Lundy, F. T., & About, I. (2021). Fibroblasts Control Macrophage Differentiation during Pulp Inflammation. Journal of Endodontics, 47(9), 1427–1434. https://doi.org/10.1016/j.joen.2021.06.015

Franklin, R. A. (2021). Fibroblasts and macrophages: Collaborators in tissue homeostasis. Immunological Reviews, 302(1), 86–103. https://doi.org/10.1111/imr.12989

Ghadah Abdulrahman, A.-Q., Endytiastuti, E., Ardhani, R., Sutardjo Rus Sudarso, I., Pidhatika, B., Fauzi, M. B., Susilowati, H., Kristanti, Y., & Handajani, J. (2024). Evaluating the Efficacy of Gelatin-Chitosan-Tetraethyl Orthosilicate Calcium Hydroxide Composite as a Dental Pulp Medicament on COX-2, PGP 9.5, TNF-α Expression and Neutrophil number. F1000Research, 13, 1258. https://doi.org/10.12688/f1000research.156336.2

Kintoko, K., Karimatulhajj, H., Elfasyari, T. Y., Ihsan, E. A., Putra, T. A., Hariadi, P., Ariani, C., & Nurkhasanah, N. (2017). Effect of Diabetes Condition on Topical Treatment of Binahong Leaf Fraction in Wound Healing Process. Traditional Medicine Journal, 22(2), 103–110. https://doi.org/10.22146/tradmedj.27921

Luo, M., Zhao, F., Cheng, H., Su, M., & Wang, Y. (2024). Macrophage polarization: An important role in inflammatory diseases. Frontiers in Immunology, 15. https://doi.org/10.3389/fimmu.2024.1352946

Matin, M. H., Jahromi, M. Z., Fesharaki, M., & Sharif, M. O. (2015). Cytotoxicity of Triple Antibiotic Paste and Calcium Hydroxide against Cultured Human Dental Pulp Fibroblasts. Journal of Dental School, 33(3), 196–204. https://doi.org/10.22037/jds.v33i3.24702

Nejatbakhsh Samimi, L., Farhadi, E., Tahmasebi, M. N., Jamshidi, A., Sharafat Vaziri, A., & Mahmoudi, M. (2020). NF-κB signaling in rheumatoid arthritis with focus on fibroblast-like synoviocytes. Autoimmunity Highlights, 11(1), 11. https://doi.org/10.1186/s13317-020-00135-z

Paramitta, V. A., Heni, T. H., & Susilowati, S. (2015). The Effect of Calcium Hydroxide on Fibroblast Cells Viability. The Indonesian Journal of Dental Research, 1(2), 105–108. https://doi.org/10.22146/theindjdentres.9996

Pellizzari, G., Hoskin, C., Crescioli, S., Mele, S., Gotovina, J., Chiaruttini, G., Bianchini, R., Ilieva, K., Bax, H. J., Papa, S., Lacy, K. E., Jensen-Jarolim, E., Tsoka, S., Josephs, D. H., Spicer, J. F., & Karagiannis, S. N. (2019). IgE re-programs alternatively-activated human macrophages towards pro-inflammatory anti-tumoural states. EBioMedicine, 43, 67–81. https://doi.org/10.1016/j.ebiom.2019.03.080

Plum, M., Beier, J. P., & Ruhl, T. (2025). Delayed cutaneous wound healing in young and old female mice is associated with differential growth factor release but not inflammatory cytokine secretion. Biogerontology, 26(1), 37. https://doi.org/10.1007/s10522-024-10179-7

Pratiwi, D. M. N., Yuliani, S. H., & Samirana, P. O. (2024). Studies on anti-inflammatory activity and wound-healing property of secondary metabolite of Anredera cordifolia (Ten.) Steenis leaves: A review. Journal of Applied Pharmaceutical Science.

https://doi.org/10.7324/JAPS.2025.206872

Siani, A., Infante-Teixeira, L., d’Arcy, R., Roberts, I. V., El Mohtadi, F., Donno, R., & Tirelli, N. (2023). Polysulfide nanoparticles inhibit fibroblast-to-myofibroblast transition via extracellular ROS scavenging and have potential anti-fibrotic properties. Biomaterials Advances, 153, 213537. https://doi.org/10.1016/j.bioadv.2023.213537

Sidhartha, E., Yang, J. J., Dimara, R. S. N., Rahmawati, F., & Purba, S. W. D. (2024). Phytochemical Screening, Antioxidant and Antifungal Activity Test of Binahong Leaf Extract (Anredera cordifolia (Ten.) Steenis). European Journal of Advanced Chemistry Research, 5(1), 1–8. https://doi.org/10.24018/ejchem.2024.5.1.151

Sri Sumartiningsih, -. (2009). Pengaruh Pemberian Binahong (Anradera Cordifolia) Terhadap Sel Radang Dan Sel Fibroblast Pada Hematoma Regio Femoris Ventralis Rattus Norvegicus Strain wistar Jantan [Thesis, Universitas Airlangga]. http://lib.unair.ac.id

Suswidiantoro, V., Pratiwi, M., Raykar, M. H., Safutri, W., & Putri, D. K. (2025). Comparison of binahong (Anredera cordifolia) (Ten. Steenis) and red betel (Piper crocatum) leaves ointment formulations toward length of laceration and bleeding time in rats. Multidisciplinary Science Journal, 7(3), 2025162–2025162. https://doi.org/10.31893/multiscience.2025162

Tedjakusuma, F., & Lo, D. (2022). Functional properties of Anredera cordifolia (Ten.) Steenis: A review. IOP Conference Series: Earth and Environmental Science, 998(1), 012051. https://doi.org/10.1088/1755-1315/998/1/012051

Widuri, A., Rianto, B. U. D., Indrawati, L. P. L., Heriyanto, D. S., & Febriansah, R. (2025). Anredera cordifolia Extract in Reducing Immunoglobulin E Expression in Wistar Rats Allergic Model. Indonesian Journal of Pharmacy, 74–81. https://doi.org/10.22146/ijp.11055

Zaugg, L. K., Banu, A., Walther, A. R., Chandrasekaran, D., Babb, R. C., Salzlechner, C., Hedegaard, M. A. B., Gentleman, E., & Sharpe, P. T. (2020). Translation Approach for Dentine Regeneration Using GSK-3 Antagonists. Journal of Dental Research, 99(5), 544–551. https://doi.org/10.1177/0022034520908593

Diterbitkan

21-11-2025

Cara Mengutip

Septommy, C., Khrisna , V. V. L., Primasari, D. N., Efrata, E. R., Amiati, D. R., & Karina, A. . (2025). Evaluasi In Vitro Viabilitas Sel Fibroblas Akibat Penambahan Larutan Binahong pada Kalsium Hidroksida sebagai Bahan Pelindung Pulpa. Jurnal Penelitian Inovatif, 5(4), 3137–3146. https://doi.org/10.54082/jupin.1937