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Sudarsono, Wahyudi
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Dentistry

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General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report Pradopo, Seno; Khairani, Firli Cahaya; Sudarsono, Wahyudi; Masyithah, Masyithah; Tedjosasongko, Udijanto
Indonesian Journal of Dental Medicine Vol. 1 No. 1 (2018): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.191 KB) | DOI: 10.20473/ijdm.v1i1.2018.1-4

Abstract

Background: Cerebral palsy described as a spectrum of movement and posture disorders which result from pathological injury to the developing fetal or infant brain. Many conditions associated with cerebral palsy require surgery. Purpose: This article presents case report of a 15-year old, autistic male patient with cerebral palsy who required urgent management of multiple gangren radix, multiple pulpitis and gingivitis. Case Management: General anaesthesia was chosen for the purpose of behaviour management. The dental procedure were restoration with flow able composite of 7 teeth, extraction of 15 gangren radix, scaling of maxilla and mandibular region, also preventive treatment with topical aplication of fluoride. Discussion: Principles to the care of a such patient including early recognition, parental support, multi-disciplinary planning of procedure requiring general anesthesia, continuity of anesthesia care, and clear guidelines about the perioperative management of uncooperative children. Dental surgery under general anaesthesia was done, the patient was received restoration with flow able composite of 7 teeth, extraction of 15 gangren radix, scaling calculus at maxilla and mandibular region, also preventive treatment with topical aplication of fluoride. Conclusion: The case report showed that dental treatment should be done in patient with cerebral palsy and autism comprehensively.
Management of Avulsed Teeth using Fixed Orthodontics Appliances and Fiber Splint: A Case Series Wahluyo, Soegeng; Saskianti, Tania; Sudarsono, Wahyudi; Ernestine Harta, Putu Harlia
Indonesian Journal of Dental Medicine Vol. 1 No. 1 (2018): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.035 KB) | DOI: 10.20473/ijdm.v1i1.2018.14-17

Abstract

Background: Tooth avulsion is defined as the complete displacement of the tooth out of its alveolar socket. The treatment of choice is immediate replantation or if that is not possible, placement of the tooth in an appropriate storage media. Purpose: This paper reported of two cases of treatment management in children who experienced avulsion of the upper central incisor. The first and the second case, discuss about tooth that has been avulsed for 20 hours of unsterilized storage and 4 hours of storage in milk. Case Management: Replantation of those teeth were done by root canal treatment outside the oral cavity first. For the first case followed by splinting method using fixed orthodontics appliances, and for the second case followed by splinting using fiber and composite. Discussion: Evaluation were done every week, until 3 months after replantation to see the the success of the treatment. The progress of two cases with different situation showed good results. Conclusion: The case showed that the tooth that has been avulsed for 20 hours of unsterilized storage and 4 hours of storage in milk could have good prognosis.
Co-Authors Ernestine Harta, Putu Harlia Khairani, Firli Cahaya Masyithah Masyithah, Masyithah Seno Pradopo Soegeng Wahluyo, Soegeng Tania Saskianti Udijanto Tedjosasongko