Abstract

Hemorrhage occurs in most of the dental care. Untreated hemorrhage could cause excessive blood loss, hypotension, and cyanosis. A Natural resource that reported has an hemostatic effect is ethanol extract of betel leaves (Piper betel, Linn).The aim of this study is to find the minimum concentration of ethanol extract of betel leaves which capable of shortening the bleeding time in mice. The experimental study used pretest-posttest with control group design was conducted on 35 mice that divided into 7 group which are negative control, positive control (feracrylum 1%), the ethanol extract of betel leaves 1%, 5%, 10%, 15%, and 20%. All mice were injected heparin intravenously. Mice’s tail was cut at diameter 3 mm and pretest bleeding time was counted. Mice’s tail was recut at diameter 4 mm, given treatment for 5 seconds and posttest bleeding time was counted. Results of paired t-test showed that reduction of bleeding time between pretest and posttest was significant (p<0,050). The enhancement of ethanol extract of betel leaves concentration leads to better hemostatic effect. Results of ANOVA test showed that comparison of posttest bleeding time among groups was significant (p<0,050). The minimum concentration of ethanol extract of betel leaves which capable of shortening the bleeding time in mice is 5%.

Highlights

  • Hemorrhage is a discharge of blood from the wounds or abnormalities in the blood vessels (Borle, 2014)

  • Mild hemorrhage occurred in 88.6% of all cases of dental care and did not require special treatment while severe hemorrhage occurred in 11.4% of all cases of dental care (Borle, 2014)

  • Intravenous heparin injection is done to ensure that the hemostatic effects of ethanol extract of betel leaves are not from hemostatic effects that come from the body of mice (Gray, Hogwood & Mulloy, 2012)

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Summary

Introduction

Hemorrhage is a discharge of blood from the wounds or abnormalities in the blood vessels (Borle, 2014). Hemorrhage occurs in most of the dental care, such as tooth extraction, scaling, and gingivectomy. Hemorrhage that occurs in areas of the teeth and mouth will not quickly stop because this area has always been active, such as during speech and mastication (Borle, 2014). Mild hemorrhage occurred in 88.6% of all cases of dental care and did not require special treatment while severe hemorrhage occurred in 11.4% of all cases of dental care (Borle, 2014). Untreated hemorrhage could cause excessive blood loss, hypotension, and Molekul, Vol 12. No 1, Mei 2017 : 23 – 29 cyanosis of the lips and nail area (Sam, 2008; Borle, 2014)

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