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MANAGEMENT OF ORAL LICHEN PLANUS TRIGGERED BY STRESS Dermawan, IGN Putra; Gede Juwita Putra, I Nyoman
Interdental: Jurnal Kedokteran Gigi Vol 17 No 1 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i1.1935

Introduction: Oral lichen planus (OLP) is a mucocutaneous disorder that rarely occurs around us and only involves the layer of the stratified squamous epithelium. Oral lichen planus is more common in women aged 30 - 65 years. The etiology of this disorder is not yet known, but there are severe predisposing factors that play a role,such as hepatitis C virus infection, food, drugs, malignancy and psychological factors. Purpose: This case report aims to describe the treatment of stress induced OLP. Case Report: A 46 year old man presented with complaints of stinging on the inner right and left cheeks for one month ago. The patient admits that he has a lot of thoughts related to family problems. It is found that the lesion resembles a white streak withredness that forms in the intraoral area. Case management: The patient was given therapy in the form of topical corticosteroids and consulted to psychiatry and got improvement after 1 week of treatment. Discussion: The treatment of OLP lesions is a treatment that requires collaboration between the dentist, the patient and the patient's family. Corticosteroid therapy is the gold standard treatment given to people with OLP. Corticosteroids are widely used in medicine because of their strong effect and fast anti-inflammatory reaction. Corticosteroids are widely used for the management of inflammatory diseases. Besides supporting therapy in consultation with a psychologist or psychiatrist to deal with stress disorders. Conclusion: Treatment of OLP lesions is a complex treatment. Corticosteroid therapy, both topical and systemic, is the most appropriate therapy and the role of a psychologist or psychiatrist is needed in managing patient stress to increase the percentage of patient recovery.

EFFECTIVENESS COMPARISON OF CAMBODIAN LEAF EXTRACT (Plumeria acuminata Ait) WITH JATROPHA LEAF EXTRACT (Jatropha curcas L) IN HEALING OF MINOR RECURRENT APHTOSA STOMATITIS (RAS) Dermawan, IGN Putra; Kemala Dewi, Intan; Juwita Putra, I Nyoman Gede
Interdental: Jurnal Kedokteran Gigi Vol 17 No 2 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i2.2933

Introduction: Recurrent aphthous stomatitis (RAS), also known as canker sores, is an inflammation that occurs in the oral mucosa. Frangipani leaf extract and jatropha leaf extract are known to contain saponins, tannins and flavonoids that function as wound healers and antimicrobials. Purpose: Determine whether the administration of frangipani leaf extract (Plumeria acuminata Ait) is more effective in curing recurrent aphthous stomatitis than jatropha leaf extract (Jatropha curcas L). Materials and Methods: The method used is experimental study with a purposive sampling of 30 people. frangipani leaf extract (Plumeria acuminata Ait) and jatropha leaf extract (Jatropha curcas L) were applied to each of 15 samples. Statistical calculations using the Independent T-test. Result and Discussion: The results showed that the mean difference in diameter reduction of recurrent aphthous stomatitis in the first sample group of frangipani leaf extract (Plumeria Acuminata Ait) was 1.13 mm, while in the second sample group Jatropha leaf extract (Jatropha curcas L) was 0.47 mm. From the results of the Independent T-Test test on frangipani leaf extract (Plumeria acuminata Ait) obtained a sig value of 0.002 (p<0.05) and jatropha leaf extract (Jatropha curcas L) of 0.002 (p<0.05), indicating that there is the difference between the use of frangipani leaf extract (Plumeria acuminata Ait) and jatropha leaf extract (Jatropha curcas L) in the treatment of recurrent aphthous stomatitis. Conclusion: frangipani leaf extract (Plumeria acuminata Ait) was more effective in curing recurrent aphthous stomatitis (SAR) than jatropha leaf extract (Jatropha curcas L).

MANAGEMENT OF HERPES LABIALIS TRIGGERED BY STRESS Ganesha, Raziv; Sari, Rina Kartika; Putra, I Nyoman Gede Juwita
Interdental: Jurnal Kedokteran Gigi Vol 17 No 2 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i2.2966

Introduction: Herpes Labialis is the most common form of orofacial herpes, beginning with a feeling of vesicle formation at the vermilion margin of the lips and the surrounding area within 24 hours and then rupture, superficial erosion occurs which is then covered with crusts. Herpes labialis occurs in 50-75% of individuals exposed to HSV-1 infection in the oral cavity and often has a recurrence followed by prodromal symptoms. Reactivation can occur due to triggers in the form of decreased immune conditions due to weather changes, fever, sun exposure, emotional stress, trauma, menstruation, systemic diseases, allergies, and immunosuppression. Case: 22 years old female with a complaint of a wound on the angular lip, initially the patient had a fever for 2 days then a fluid-filled blister appeared which then rupture. Case management: The diagnosis is made using anamnesis, clinical and supporting examination. CBC and Antybody Titer HSV-1 show value under normal for eosinophil and reactive for IgG HSV-1 established. Patient take medicine topical antiinflammation 3 time a day and multivitamins 1 time a day. Discussion: HSV-1 infektion is latent and can reaktivation. Under Stress Condition can caused a reduced circulating population of immune cells such as IL-6, TNFÎ±, Lymphocites B, NK cell, dan Monocytes which HSV-1 Reactivation. Conclusion: Management in case can be successful if the clinician understand HSV-1 Infection Manifestation and added Suporting Examination. In Addition, cooperation from the patien is needed to manage stress so that the disease no more recurrence

MANAGEMENT OF BURNING MOUTH SYNDROME: A LITERATURE REVIEW I Nyoman Gede Juwita Putra; Riani Setiadhi
ODONTO : Dental Journal Vol 6: Special Issue 1. April 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.6.1.43-50

Background: Burning mouth syndrome (BMS) is a chronic idiopathic oral dysaesthesia that presents as a burning sensation in the oral cavity usually without any specific oral lesions or laboratory findings. Burning sensations may appear on the buccal mucosa, hard and soft palate, tongue and lips. BMS appears to be more prevalent in postmenopausal women. The term menopause is often used for a condition in which the permanent cessation of the primary function of the ovaries in humans that occurs especially in middle-aged women. Available evidence suggested that BMS is a multifactorial disorder with physiological basis. Pathophysiology of BMS remains unclear. The etiopathogenesis in most patients who complain of burning sensations have interactions with several factors such as local, systemic, and/ or psychogenic factors. The aim of this literature review was to assess and evaluate the management of BMS comprehensively.Discussion: The therapy of BMS including hormone replacement therapy,systemically therapy, such as antidepressants, clonazepam and topical medication (clonidine and capsaicin) and reassurance as the stress management.Conclusion: Proper management of the BMS involves the combination of pharmacologic treatment and psychotherapy, as well as reassurance is an important thing

Suplementasi mikronutrien pada pasien eritema multiforme dengan penurunan kualitas eritrositMicronutrient supplementation in erythema multiforme patients with decreased erythrocyte quality I Nyoman Gede Juwita Putra; Suniti Suniti; Nanan Nur'aeny; Indah Suasani Wahyuni
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.31871

Pendahuluan: Eritema multiforme (EM) adalah penyakit peradangan akut yang merupakan reaksi hipersensitivitas pada mukokutan dan jarang ditemukan. Gambaran klinis EM berupa lesi erosi-ulseratif dan memiliki tendensi perdarahan. Kualitas eritrosit yang menurun dapat mempengaruhi proses penyembuhan penyakit ini, namun hal ini dapat diatasi dengan pemenuhan asupan mikronutrien. Tujuan laporan kasus ini untuk memaparkan hasil terapi suplementasi mikronutrien yang diberikan untuk tatalaksana EM pada pasien yang mengalami penurunan kualitas eritrosit. Laporan kasus: Seorang wanita berusia 21 tahun mengeluhkan perdarahan bibir dan sariawan dalam rongga mulut, terasa sakit sejak 3 minggu sebelumnya. Riwayat keluhan yang sama pernah dialami 7 tahun sebelumnya. Pemeriksaan ekstraoral memperlihatkan krusta hemoragik pada bibir, sedangkan hasil pemeriksaan intraoral menunjukkan ulserasi multipel pada hampir seluruh mukosa rongga mulut. Hasil pemeriksaan laboratorium menunjukkan adanya penurunan kualitas eritrosit berdasarkan parameter Mean Corpuscular Volume (MCV), Mean Cell Hemoglobin (MCH), dan Mean Cell Hemoglobin Concentration (MCHC); peningkatan jumlah eritrosit; dan eosinofil pada borderline atas, serta anti HSV-I IgG non-reaktif. Diagnosis pasien adalah eritema multiforme dengan riwayat stomatitis aftosa rekuren (SAR). Tatalaksana farmakologis diberikan asam folat dan vitamin B12 sebagai suplementasi mikronutrien. Diberikan pula chlorhexidine digluconate 0,12% mouthrinse sebagai antiseptik, dan petroleum jelly untuk pelembab bibir. Lesi oral pasien sembuh setelah 2 minggu terapi. Simpulan: Suplementasi mikronutrien berperan penting dalam mempercepat penyembuhan lesi mukosa oral pada pasien eritema multiforme yang mengalami penurunan kualitas eritrosit. Mikronutrien berupa asam folat dan vitamin B12 berperan penting dalam sintesis DNA eritrosit, pembelahan sel, dan perbaikan jaringan. Kata kunci: Mikronutrien, eritema multiforme, kualitas eritrosit. ABSTRACTIntroduction: Erythema multiforme (EM) is an acute inflammatory disease as a hypersensitivity reaction to mucocutaneous and is rarely found. The clinical feature of EM is an erosive-ulcerative lesion with a tendency of bleeding. Decreasing erythrocyte quality can affect its healing process, although able to be overcome by fulfilling the micronutrient intake. The purpose of this case report was to describe the results of micronutrient supplementation therapy given in the management of EM patients with decreasing erythrocyte quality. Case report: A 21-year-old woman complained of lip bleeding and oral thrush, which felt pain three weeks prior. A similar complaint history had been experienced in the previous seven years. Extraoral examination revealed haemorrhagic crusting on the lips, whereas intraoral examination showed multiple ulcerations of almost the entire oral mucosa. Laboratory examination results showed a decreasing erythrocyte quality based on the parameters of Mean Corpuscular Volume (MCV), Mean Cell Haemoglobin (MCH), and Mean Cell Haemoglobin Concentration (MCHC); an increasing number of erythrocytes and eosinophils in the upper borderline, as well as non-reactive anti-HSV-I IgG. The patient was diagnosed with erythema multiforme with a history of recurrent aphthous stomatitis (RAS). Pharmacological management was performed by given folic acid and vitamin B12 as micronutrient supplementation. Also, given a 0.12% chlorhexidine digluconate mouth rinse as an antiseptic and petroleum jelly for lip balm. The patient’s oral lesions resolved after two weeks of therapy. Conclusion: Micronutrient supplementation plays an essential role in accelerating the oral mucosal lesions healing in erythema multiforme patients with decreasing erythrocyte quality. Micronutrients in folic acid and vitamin B12 play an important role in erythrocyte DNA synthesis, cell division, and tissue repair.Keywords: Micronutrient, erythema multiforme, erythrocyte quality.

MANAGEMENT OF HERPES LABIALIS TRIGGERED BY STRESS: Tatalaksana Herpes Labialis yang dipicu kondisi stress (Laporan Kasus) Raziv Ganesha; Rina Kartika Sari; I Nyoman Gede Juwita Putra
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 17 No. 2 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i2.2966

Introduction: Herpes Labialis is the most common form of orofacial herpes, beginning with a feeling of vesicle formation at the vermilion margin of the lips and the surrounding area within 24 hours and then rupture, superficial erosion occurs which is then covered with crusts. Herpes labialis occurs in 50-75% of individuals exposed to HSV-1 infection in the oral cavity and often has a recurrence followed by prodromal symptoms. Reactivation can occur due to triggers in the form of decreased immune conditions due to weather changes, fever, sun exposure, emotional stress, trauma, menstruation, systemic diseases, allergies, and immunosuppression. Case: 22 years old female with a complaint of a wound on the angular lip, initially the patient had a fever for 2 days then a fluid-filled blister appeared which then rupture. Case management: The diagnosis is made using anamnesis, clinical and supporting examination. CBC and Antybody Titer HSV-1 show value under normal for eosinophil and reactive for IgG HSV-1 established. Patient take medicine topical antiinflammation 3 time a day and multivitamins 1 time a day. Discussion: HSV-1 infektion is latent and can reaktivation. Under Stress Condition can caused a reduced circulating population of immune cells such as IL-6, TNFα, Lymphocites B, NK cell, dan Monocytes which HSV-1 Reactivation. Conclusion: Management in case can be successful if the clinician understand HSV-1 Infection Manifestation and added Suporting Examination. In Addition, cooperation from the patien is needed to manage stress so that the disease no more recurrence

MANAGEMENT OF ORAL LICHEN PLANUS TRIGGERED BY STRESS : PENATALAKSANAAN ORAL LICHEN PLANUS PADA RONGGA MULUT IGN Putra Dermawan; I Nyoman Gede Juwita Putra
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 17 No. 1 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i1.1935

Introduction: Oral lichen planus (OLP) is a mucocutaneous disorder that rarely occurs around us and only involves the layer of the stratified squamous epithelium. Oral lichen planus is more common in women aged 30 - 65 years. The etiology of this disorder is not yet known, but there are severe predisposing factors that play a role,such as hepatitis C virus infection, food, drugs, malignancy and psychological factors. Purpose: This case report aims to describe the treatment of stress induced OLP. Case Report: A 46 year old man presented with complaints of stinging on the inner right and left cheeks for one month ago. The patient admits that he has a lot of thoughts related to family problems. It is found that the lesion resembles a white streak withredness that forms in the intraoral area. Case management: The patient was given therapy in the form of topical corticosteroids and consulted to psychiatry and got improvement after 1 week of treatment. Discussion: The treatment of OLP lesions is a treatment that requires collaboration between the dentist, the patient and the patient's family. Corticosteroid therapy is the gold standard treatment given to people with OLP. Corticosteroids are widely used in medicine because of their strong effect and fast anti-inflammatory reaction. Corticosteroids are widely used for the management of inflammatory diseases. Besides supporting therapy in consultation with a psychologist or psychiatrist to deal with stress disorders. Conclusion: Treatment of OLP lesions is a complex treatment. Corticosteroid therapy, both topical and systemic, is the most appropriate therapy and the role of a psychologist or psychiatrist is needed in managing patient stress to increase the percentage of patient recovery.

EFFECTIVENESS COMPARISON OF CAMBODIAN LEAF EXTRACT (Plumeria acuminata Ait) WITH JATROPHA LEAF EXTRACT (Jatropha curcas L) IN HEALING OF MINOR RECURRENT APHTOSA STOMATITIS (RAS) : Perbandingan Efektifitas Ekstrak Daun Kamboja (Plumeria Acuminata Ait) Dengan Ekstrak Daun Jarak Jauh (Jatropha Curcas L) Terhadap Penyembuhan Minor Recurrent Aphtosa Stomatitis (Ras) IGN Putra Dermawan; Intan Kemala Dewi; I Nyoman Gede Juwita Putra
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 17 No. 2 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i2.2933

Introduction: Recurrent aphthous stomatitis (RAS), also known as canker sores, is an inflammation that occurs in the oral mucosa. Frangipani leaf extract and jatropha leaf extract are known to contain saponins, tannins and flavonoids that function as wound healers and antimicrobials. Purpose: Determine whether the administration of frangipani leaf extract (Plumeria acuminata Ait) is more effective in curing recurrent aphthous stomatitis than jatropha leaf extract (Jatropha curcas L). Materials and Methods: The method used is experimental study with a purposive sampling of 30 people. frangipani leaf extract (Plumeria acuminata Ait) and jatropha leaf extract (Jatropha curcas L) were applied to each of 15 samples. Statistical calculations using the Independent T-test. Result and Discussion: The results showed that the mean difference in diameter reduction of recurrent aphthous stomatitis in the first sample group of frangipani leaf extract (Plumeria Acuminata Ait) was 1.13 mm, while in the second sample group Jatropha leaf extract (Jatropha curcas L) was 0.47 mm. From the results of the Independent T-Test test on frangipani leaf extract (Plumeria acuminata Ait) obtained a sig value of 0.002 (p<0.05) and jatropha leaf extract (Jatropha curcas L) of 0.002 (p<0.05), indicating that there is the difference between the use of frangipani leaf extract (Plumeria acuminata Ait) and jatropha leaf extract (Jatropha curcas L) in the treatment of recurrent aphthous stomatitis. Conclusion: frangipani leaf extract (Plumeria acuminata Ait) was more effective in curing recurrent aphthous stomatitis (SAR) than jatropha leaf extract (Jatropha curcas L).

Oral manifestation and management of food hypersensitivity reaction in children: a case report: Manifestasi oral dan penatalaksanaan reaksi hipersensitif terhadap makanan pada anak: laporan kasus I Gusti Ngurah Putra Dermawan; I Nyoman Gede Juwita Putra
Makassar Dental Journal Vol. 11 No. 1 (2022): Volume 11 Issue 1 April 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i1.522

Introduction: Food hypersensitivity reaction is a reaction that harms the body to food or food additives whose reactions can be mediated through two different mechanisms, immunological and non-immunological. Objective: This article reports on case and management of hypersensitivity reactions to food. Case: A 10-year-old girl came with thrush on the tongue for 3 days ago, sore and painful; previously consumed traditional fried snack. Ulcerated lesions, multiple, shallow, sunken base with yellowish color surrounded by an erythematous margin on the anterior of the tongue. Total IgE examination was 535.6 IU/mL from the range 0-387 IU/mL. The diagnosis leads to allergic stomatitis. The patient was instructed to apply a tongue compress with hyalu-ronic acid 0.025% mouthrinse then apply triamcinolone acetonide 0.1% in orabase 3 times a day and multivitamin. Conclusion: Knowing the oral clinical signs of this reaction can determine the appropriate treatment plan in handling similar cases, especially in children.

MANAGEMENT OF BURNING MOUTH SYNDROME: A LITERATURE REVIEW I Nyoman Gede Juwita Putra; Riani Setiadhi
Odonto : Dental Journal Vol 6: Special Issue 1. April 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: Burning mouth syndrome (BMS) is a chronic idiopathic oral dysaesthesia that presents as a burning sensation in the oral cavity usually without any specific oral lesions or laboratory findings. Burning sensations may appear on the buccal mucosa, hard and soft palate, tongue and lips. BMS appears to be more prevalent in postmenopausal women. The term menopause is often used for a condition in which the permanent cessation of the primary function of the ovaries in humans that occurs especially in middle-aged women. Available evidence suggested that BMS is a multifactorial disorder with physiological basis. Pathophysiology of BMS remains unclear. The etiopathogenesis in most patients who complain of burning sensations have interactions with several factors such as local, systemic, and/ or psychogenic factors. The aim of this literature review was to assess and evaluate the management of BMS comprehensively.Discussion: The therapy of BMS including hormone replacement therapy,systemically therapy, such as antidepressants, clonazepam and topical medication (clonidine and capsaicin) and reassurance as the stress management.Conclusion: Proper management of the BMS involves the combination of pharmacologic treatment and psychotherapy, as well as reassurance is an important thing

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