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All Journal Majalah Kedokteran Gigi Indonesia Dentino: Jurnal Kedokteran Gigi Dental Journal (Majalah Kedokteran Gigi)
Bramasto Purbo Sejati
Study Program Of Oral And Maxillofacial Surgery, Faculty Of Dentistry, Universitas Gadjah Mada, Yogyakarta
Dentistry

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Quality of life of patients with lower jaw benign tumor post resection and mandibular reconstruction Sejati, Bramasto Purbo; Rahardjo, Rahardjo; Arindra, Pingky Krisna
Majalah Kedokteran Gigi Indonesia Vol 6, No 1 (2020): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.35990

Abstract

The quality of life of patients becomes an essential part of the success of an intervention since it is used as an outcome measure. Mandible resection will cause discontinuities that can degrade the quality of life of patients. Extensive resectionand reconstruction will affect the quality of life of patients after resection and reconstruction surgery as compared with that before the surgery. On this basis, cross-sectional study was conducted among 27 patients suffering from benignmandibular tumors undergoing surgical procedure of marginal resection, segmental resection, or hemimandibulectomy at Dr. Sardjito genral hospital in 2010-2015. Quality of life of patients after mandibular resection and reconstruction was measured with modified oral health impact profile (OHIP-14). An assessment of the quality of life before and after surgery was based on gender and type of reconstruction and it was analyzed using t-test and one-way ANOVA. It was revealed that the quality of life of patients with benign tumors increased significantly (p=0,000), and that gender differences did not significantly affect the improved quality of life (p=0.433). The mean score of patient’s quality of life was highest on the type of marginal resection (mean value =14.50), and the lowest was on segmental resection (mean value=7.50), but the type of resection did not significantly influence the improved quality of life (p=0.152). Resection and reconstruction procedures under taken by Oral and Maxillofacial Surgeon at Dr. Sardjito general hospital can improve the quality of life of patients with benign tumors of the lower jaw.
Quality of life of patients with lower jaw benign tumor post resection and mandibular reconstruction Pingky Krisna Arindra; Bramasto Purbo Sejati; Rahardjo Rahardjo
Majalah Kedokteran Gigi Indonesia Vol 6, No 1 (2020): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.35990

Abstract

The quality of life of patients becomes an essential part of the success of an intervention since it is used as an outcome measure. Mandible resection will cause discontinuities that can degrade the quality of life of patients. Extensive resectionand reconstruction will affect the quality of life of patients after resection and reconstruction surgery as compared with that before the surgery. On this basis, cross-sectional study was conducted among 27 patients suffering from benignmandibular tumors undergoing surgical procedure of marginal resection, segmental resection, or hemimandibulectomy at Dr. Sardjito genral hospital in 2010-2015. Quality of life of patients after mandibular resection and reconstruction was measured with modified oral health impact profile (OHIP-14). An assessment of the quality of life before and after surgery was based on gender and type of reconstruction and it was analyzed using t-test and one-way ANOVA. It was revealed that the quality of life of patients with benign tumors increased significantly (p=0,000), and that gender differences did not significantly affect the improved quality of life (p=0.433). The mean score of patient’s quality of life was highest on the type of marginal resection (mean value =14.50), and the lowest was on segmental resection (mean value=7.50), but the type of resection did not significantly influence the improved quality of life (p=0.152). Resection and reconstruction procedures under taken by Oral and Maxillofacial Surgeon at Dr. Sardjito general hospital can improve the quality of life of patients with benign tumors of the lower jaw.
ODONTECTOMY MANAGEMENT WITH LOCAL ANESTHESIA IN PATIENT WITH OPEN-ANGLE GLAUCOMA Bramasto Purbo Sejati; Bambang Dwiraharjo; Elizabeth Riyati Titi Astuti
Dentino : Jurnal Kedokteran Gigi Vol 6, No 2 (2021)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v6i2.12005

Abstract

Background: Glaucoma is characterized by optic neuropathy with increased intraocular pressure. The high prevalence of impaction causes some glaucoma patients to require odontectomy. There are no contraindications to odontectomy in glaucoma patients, but special preparation is needed to prevent recurrence during the procedure. Glaucoma recurrence is precipitated by increased intraocular pressure which correlates with elevated systemic blood pressure with increased intraocular pressure and corticosteroid use. Therefore, dentists must be vigilant in choosing an atraumatic odontectomy procedure, anesthetic dose and techniques, as well as administering the type and dose of analgesics. Objective: This paper reports a case of mandibular third molar odontectomy with local anesthesia in a patient with open-angle glaucoma, which is a rare case and in this case there is a high risk of complications. Case: A 26-year-old male patient complained of pain in the left back gum when chewing. Orthopantomographic radiographic examination showed impacted 38. The patient has been diagnosed with open-angle glaucoma for 5 years. An odontectomy was performed under local anesthesia. Durante surgery, bleeding is minimal and does not cause recurrence of glaucoma. Postoperative evaluation gave good results, minimal complications, and no recurrence of glaucoma.Conclusion: Odontontectomy with local anesthesia in glaucoma patients requires special preparation in the form of atraumatic surgical procedures and perioperative pharmacotherapy management in the form of pre-emptive analgesia, selection of a maximum of two ampoules of lidocaine and epinephrine 1:80,000 with the mandibular block anesthetic technique, and using multimodal analgesia in combination with NSAIDs without corticosteroids. Keywords: Complications, Glaucoma, Odontectomy
An intraoral approach to minimize morbidity in a pediatric trauma case Baskara, Bima; Bernardo, Lucas Pedro; Rahajoe, Poerwati Soetji; Sejati, Bramasto Purbo; Haryosuwandito, Erdananda
Dental Journal (Majalah Kedokteran Gigi) Vol. 58 No. 1 (2025): March
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v58.i1.p81-87

Abstract

Background: Maxillofacial fractures are rare in children. The treatment of fractures in children differs from that of adults due to the growth process of the jaw and dental development. The intraoral approach does not result in facial scars or nerve injury. Furthermore, it allows direct visualization of occlusion confirmation during the plate placement. Purpose: This case report describes a pediatric comminuted mandibular fracture that underwent open reduction with an intraoral approach. Case: A 13-year-old boy with a mandibular fracture was referred by the neurosurgery department. Clinical examination found a hematoma in the left submental region and discontinuity of the mandibular symphysis without a wound in the extraoral region. Coleman's sign and a vertical step between teeth 41 and 31 and teeth 33 and 34 with anterior open bite were found intraorally. A CT scan disclosed more than two fracture lines that involved the mandibular symphysis and a basal triangle fracture. The patient was diagnosed with a symphysis mandibular comminuted fracture with open bite malocclusion. Case management: Open reduction and reconstruction plate placement with an intraoral approach was performed under general anesthesia. The patient had no complaints during the two-month evaluation, and the plate was planned for removal in the third month postoperatively. Conclusion: In this case, open reduction with an intraoral approach was able to restore bone architecture without functional or aesthetic complications. This may be because the patient could be treated like an adult, as he had almost reached skeletal maturity due to his age. However, periodic observation is necessary to evaluate jaw growth.
Fibrous epulis: a case report on the management of a massive benign tumor on the right mandible with local anaesthesia Aji, Bayu Anggoro; Mulato, Agus; Sejati, Bramasto Purbo; Widiastuti, Maria Goreti
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91763

Abstract

Epulis is a gingival hyperplasia that originates from the connective tissue of the periodontal membrane, caused by chronic irritation. Fibrous epulis presents clinically with or without a stalk; has a pale color, a resilient consistency, well-defined borders, firm texture; does not easily bleed; and does not cause pain. When epulis reaches a significant size, it can interfere with oral cavity function and the patient's nutritional intake. An 82-year-old female patient presented at the oral surgery clinic of RSPAU Hardjolukito with a complaint of a lump on the right mandible. The patient reported that the lump had appeared since the last several months and caused difficulties eating and speaking. Clinical examination revealed a mass with resilient consistency, well-defined borders, firm texture, no tendency to bleed, and no pain, measuring 4.5 x 2.5 x 2.5 cm on the right mandible, preventing the patient from chewing and closing her mouth. The lesion was removed surgically under local anesthesia and histopathological examination findings showed fibromyxoid connective tissue, confirming the definitive diagnosis of fibrous epulis without signs of malignancy. No complications occurred, and the patient reported a significant improvement in the oral cavity function and facial aesthetics. This case highlights the importance of early identification and appropriate management to achieve good outcomes with minimal risk. Excision with local anesthesia is a safe option to avoid the risks associated with general anesthesia.
Enucleation of radicular cyst in the maxillary area Marito, Tresy Charlotte; Haryosuwandito, Erdananda; Arindra, Pingky Krisna; Sejati, Bramasto Purbo
Majalah Kedokteran Gigi Indonesia Vol 11, No 3 (2025): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91486

Abstract

Radicular cyst is a true cyst that develops in association with a root of non-vital teeth. Radicular cyst is the most common cyst in the oral cavity with a percentage of 50% of all cysts in the oral cavity. Radicular cysts are usually asymptomatic and may cause swelling, tenderness, or tooth mobility. Another problem is due to the neoplastic transformation of the epithelial lining; however, this case is very uncommon. Management of radicular cysts consists of endodontic treatment, apicectomy on the root of non-vital teeth or decompression by enucleation, and extraction of the related teeth.A 63-year-old female patient came to RSGM Prof. Soedomo with a complaint of swollen gums in the area of upper front teeth that had been present for approximately a year with no associated pain. The patient previously had a panoramic X-ray examination, and the result revealed a radicular cyst. Biopsy aspiration results showed that there were cholesterol crystal-filled cysts. There was no history of systemic disease. The patient was treated by enucleation of the radicular cyst followed by extraction of the related teeth using general anesthesia. The patient was periodically evaluated postoperatively. The wound healing process was evaluated as expected, and the patient's complaints reduced. Clinical examination accompanied by radiographic examination and biopsy aspiration showed the presence of a radicular cyst. Treatment options, including cyst enucleation, depended on several factors, such as an expansion of the lesion, size and association of the cyst with surrounding tissue, as well as the patient’s systemic condition. Irrigation and drainage of the bone cavity and curettage of the remaining tissue should be done to ensure the lesion has been removed completely. The remaining bone spicules were shaped and smoothed, and primary wound closure was performed in order to minimize recurrency and complication.
Co-Authors Aji, Bayu Anggoro Bambang Dwiraharjo Baskara, Bima Bernardo, Lucas Pedro Elizabeth Riyati Titi Astuti Haryosuwandito, Erdananda Marito, Tresy Charlotte Mulato, Agus Pingky Krisna Arindra Poerwati Soetji Rahajoe, Poerwati Soetji Rahardjo Rahardjo Rahardjo Rahardjo Widiastuti, Maria Goreti