Leonardo Jaya Setiadi Tanumiharja
Universitas Medika Suherman, Indonesia

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Public knowledge about smoking as a triggering factor for oral cavity cancer Arief Siddik Taufan; Shelly Lelyana; Dicha Yuliadewi; Leonardo Jaya Setiadi Tanumiharja
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2221

Abstract

Smoking habits in Indonesia are still very high. Approximately 80-90% of oral cancers are caused by smoking, cigars, pipes, and chewing gum. Ignorance of the negative impacts of smoking is considered to be the root of this contradictory situation. The purpose of this study was to determine how the knowledge of rural communities about smoking as a cause of oral cancer has changed. This study aimed to determine how the knowledge of rural communities about smoking as a triggering factor for oral cancer. This study was descriptive and observational with a cross-sectional design. Respondents totaling 171 residents of Margaluyu Village, Pangalengan District, Bandung Regency were selected based on inclusion and exclusion criteria. Data were collected using questionnaires completed during the study and processed using SPSS. The study showed that the majority of residents had low knowledge about smoking as a triggering factor for oral cancer. This can be seen from 92.4% of respondents having a score below 55%, 6.4% of respondents having a sufficient score of 56% - 74%, and 1.2% of respondents having a score above 75%. This study concludes that in Margaluyu Village, Pangalengan District, Bandung Regency, public knowledge about cigarettes as a cause of oral cancer is generally still low.
Fissure tongue condition in a patient with down syndrome: A case report Leonardo Jaya Setiadi Tanumiharja; Anna Nur Azizah; Edria Benita Tampubolon; Patoni Patoni; Marvin Jaya Setiadi Tanumiharja
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2222

Abstract

Fissured tongue is a normal variation of the tongue in which the surface of the dorsum of the tongue has fissures, with varying depths. This condition is commonly found in patients with Down's syndrome. The patient comes with complaints of increasing tongue sensitivity to spicy and sour tastes. In general, patients do not feel any complaints or pain if the fissures are not too deep but there is a risk of food ingesting in these cracks. Fissured tongue will become a pathological condition if the depth reaches >5mm, causing the patient to seek treatment. The purpose of this case report is to provide an overview of patients who have Down's syndrome accompanied by fissured tongue. The patient in this case report was not given any medication and was only given oral health education and oral hygiene instructions both directly and to the patient's guardian.
Prosthodontic rehabilitation of a complete edentulous patient with mandibular prognathism: A case report Leonardo Jaya Setiadi Tanumiharja; Marvin Jaya Setiadi Tanumiharja; Winny Suwindere; Imanuella Stevanie Jovanca Situmorang; Metta Sari Sutanto; Joni Putra Nasution
Science Midwifery Vol 14 No 3 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i3.2415

Abstract

Background: Rehabilitation of completely edentulous patients with mandibular prognathism remains a clinical challenge because abnormal maxillomandibular relationships compromise denture retention, stability, occlusion, and function. Evidence describing prosthodontic management of this condition is still limited. Objective: To describe the prosthodontic rehabilitation of a completely edentulous patient with mandibular prognathism using complete dentures with an edge-to-edge tooth arrangement. Case Presentation: A 57-year-old male presented with complete edentulism for approximately ten years and complained of impaired mastication and speech. Clinical examination revealed a prognathic mandibular relationship with a 2-mm mandibular deviation to the right and severe alveolar ridge resorption. Treatment: The patient underwent conventional complete denture fabrication including preliminary and final impressions, jaw relation recording, semi-adjustable articulator mounting, and edge-to-edge anterior tooth arrangement to accommodate the skeletal discrepancy. Results: One month after denture insertion, clinical evaluation demonstrated satisfactory denture retention and stability without mucosal ulceration or occlusal interference. The patient reported improved chewing ability, speech, aesthetics, and overall satisfaction with the prosthesis. Clinical Significance: Edge-to-edge tooth arrangement can be considered a practical treatment option for complete denture rehabilitation in selected patients with mandibular prognathism, providing acceptable retention, stability, and functional outcomes despite unfavorable jaw relationships.
Guided biofilm therapy before recession type 2 coverage: Case report Leonardo Jaya Setiadi Tanumiharja; Winny Suwindere; Edria Benita Tampubolon; Tasya Virania Adristi; Michella Wynne Wijaya
International Journal on Health and Medical Sciences Vol. 4 No. 3 (2026): August: Medical and Health Science
Publisher : Institute of Accounting Research and Novation (IARN)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/healmed.v4i3.764

Abstract

Recession Type 2 defects are challenging because interproximal attachment loss reduces the predictability of complete root coverage. This case report describes the integration of a structured Guided Biofilm Therapy protocol into presurgical and supportive care for a 26-year-old male smoker with a Recession Type 2 defect at tooth 41 after unsuccessful orthodontic treatment. At baseline, the plaque index was 93% and bleeding on probing was 36%. Tobacco-cessation counselling, individualised oral-hygiene instruction, biofilm disclosure, air polishing, and site-specific instrumentation were provided over three preparatory visits. Before surgery, the plaque index and bleeding on probing had decreased to 7% and 4%, respectively. The defect was then treated with a laterally closed tunnel and a palatal subepithelial connective tissue graft. At 6 months, the plaque index was 11% and bleeding on probing was 5%; at 12 months, the corresponding values were 7% and 5%. Complete clinical root coverage was maintained at both follow-ups, and serial radiographs showed changes suggestive of increased interproximal bone fill. The favourable outcome followed a combined program of risk-factor control, professional biofilm management, surgery, and maintenance; the independent effect of Guided Biofilm Therapy cannot be determined from a single case. Standardised controlled studies are required to clarify its adjunctive value in periodontal plastic surgery.