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All Journal Medali Jurnal : Media Dental Intelektual Dentika Dental Journal Journal of Dentistry Indonesia Majalah Kedokteran Gigi Indonesia Dental Journal (Majalah Kedokteran Gigi) Journal of Health and Dental Sciences
Anandina Irmagita
Faculty Of Dentistry, Universitas Indonesia
Dentistry Health Professions Public Health

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Role of Dentists in the Management of Behcet’s Disease: A Case Report Patoni, Nurfianti Ahmad; Sitheeque, Mohaideen AM.; Sarsito, Afi Savitri; Soegyanto, Anandina Irmagita; Wimardhani, Yuniardini Septorini
Journal of Dentistry Indonesia Vol. 25, No. 2
Publisher : UI Scholars Hub

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Abstract

Behcet’s disease (BD) is a multi-system recurrent inflammatory disorder occurring in the form of vasculitis of an unknown etiology. It most frequently affects oral and genital mucosa, skin, eyes, joints, and blood vessels. The definitive diagnosis of BD is based on major symptoms such as recurrent oral and genital ulcers and recurrent skin and ocular lesions, accompanied by symptoms related to various systems. However, early BD manifestations are very similar to recurrent aphthous stomatitis (RAS). Several years from its first appearance are often required for a definitive diagnosis. Objective: To describe a dentist’s role in BD management in a patient with a history of highly recurrent RAS. Case Report: We evaluated a 38-year-old man with a 10-year history of recurrent oral ulcers, accompanied by skin and eyes lesions. His intraoral examination revealed multi-sized ulcers with a yellowish-white base and regular edges, surrounded by an erythematous halo. Ulcers were located on the tongue, floor of the mouth, and gingival mucosa. Although BD diagnosis was not histopathologically confirmed, the patient’s lesions met the International Criteria for Behcet’s disease with a score of 5. Oral ulcers were managed with chlorhexidine mouthwash 2 times/day and supportive measures. A multidisciplinary approach was used for this patient to provide comprehensive treatment. Conclusion: Dentists can be the first clinicians to detect the possible development of BD in patients with symptoms similar to RAS, but additionally having skin and eye lesions.
ORAL MUCOSAL BURN CAUSED BY THE TOPICAL APPLICATION OF A CLOVE OIL CONCENTRATE Sutrania Dewi Sulaksana; Anandina Irmagita Soegyanto
Jurnal Medali Vol 4, No 1 (2022): Media Dental Intelektual March 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.4.1.65-70

Abstract

Background: Clove is an herb that has been known for centuries as natural remedy and food preservatives. Despite its several important biological activities such as antioxidant activity, antimicrobial, antinociceptive, and antiviral effects, clove’s end product can cause some tissue reaction that varies from low-grade local to serious reactions such as anaphylactic reaction. This case report aim to discuss on clove oil extract effect when applied topically to oral mucosal.Case Presentation: A 30-year-old female came to Oral Medicine Clinic of Universitas Indonesia Dental Hospital, with complaint of painful multiple mouth ulceration since 3 weeks earlier that got worsen in the past 2 days after clove oil extract topical application. She had a history of canker sore in every 2 months since her adolescence. Extra oral examination showed desquamation and brown crust on lips. Intraoral examination revealed multiple, shallow, irregular ulcers, surrounded by diffuse erythema, on buccal mucosa, soft palate, anterior dorsum of the tongue, and lower anterior muco buccal fold. Subjective and clinical examination were consistent with oral mucosal burn and the patient was instructed to discontinue clove oil usage, while prescribed with Chlorhexidine Gluconate 0,2% mouthwash and Vaseline album.Conclusion: The increasing practice of herbal medicine, such as cloves products, should raise our awareness since when used inappropriately, it could cause oral mucosal burn. In the management of these cases, dentist must perform thorough anamnesis and examination to establish accurate diagnosis and plan proper treatment.
Leukoplakia in HIV patients and risk of malignancy: A case report Yuli Fatzia Ossa; Anandina Irmagita Soegyanto; Diah Rini Handjari; Endah Ayu Tri Wulandari
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 3 (2020): September 2020
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.v53.i3.p159-163

Abstract

Background: Oral potentially malignant disorder (OPMD) was defined by the World Health Organization (WHO) as an oral lesion which shows abnormalities with potential to become malignant. Leukoplakia is one such OPMD that may present in patients with human immunodeficiency virus (HIV), with the condition of HIV presenting a heightened risk of malignancy. Purpose: This case report aims to describe the initial finding and case management of an oral lesion that was suspected as leukoplakia in an HIV-positive patient on antiretroviral therapy (ART). Case: A 34-year-old male patient was referred to the Oral Medicine Division from an HIV clinic at Dr. Cipto Mangunkusumo General Hospital, Jakarta, with a chief complaint of dental caries. The patient was HIV and hepatitis C positive and already undergoing ART. Case Management: During the intraoral examination, we found multiple caries, poor oral hygiene and a single thin white plaque lesion on the right buccal mucosa around the second and third mandibular molar region. The white plaque was painless, irregular, clearly demarcated, could not be rubbed off and did not disappear when stretched. History of trauma in this area was non-contributory and the lesion had gone unnoticed prior to oral examination. The patient had an existing smoking habit of 25 years. As clinical examination suggested leukoplakia, a biopsy was arranged. Conclusion: Leukoplakia is defined as a potentially malignant lesion. The risk of shifting into malignancy can be higher for patients who are HIV positive. Especially in HIV-positive patients, special measures are needed to prevent shifting into malignancy, such as early detection, elimination of risk factors, performing excisional biopsy and regular intraoral examination.
Drug Related Cheilitis Along with Developed Angular Cheilitis: Case Report: Keilitis Terkait Obat Kemudian Muncul Angular Keilitis : Laporan Kasus Amatul Firdaus Ramadhan; Anandina Irmagita Soegyanto; Febrina Rahmayanti
Dentika: Dental Journal Vol. 27 No. 1 (2024): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v27i1.14369

Abstract

Isotretinoin is used to treat severe acne, and despite the therapeutic benefits, it has many side effects, including cheilitis on lips. This case report reviewed the importance of assessing the medical and pharmacological histories during anamnesis in the management of drug-related and angular cheilitis. Case: A 22-year-old female patient presented with complaints of dry, cracked, bleeding, and pain on the upper and lower lips, which occurred 7 days ago. Previous similar complaints were reported, although not severe. The patient had habits of lip licking, low water intake, and an irregular menstrual cycle. There was a history of using Roaccutane (isotretinoin) for acne treatment. Extraoral examination showed dry, desquamated lips with crusts, while intraoral examination had no abnormalities. Case management: The patient was prescribed NaCl 0.9%, Vaseline album, and hydrocortisone cream 1% twice daily. However, during treatment, angular cheilitis developed, prompting the prescription of miconazole cream 2% twice daily. One month later, all of the patient’s complaints were successfully treated with no subjective issues. Proper history taking and examinations were fundamental to making the right decisions and definite treatment plans.
FACTORS INFLUENCING SUCCESSFUL MANAGEMENT OF DENTURE-RELATED LESIONS IN ELDERLY PATIENTS Anandita Riska, Pratiwi; Ratna Kumala, Indrastiti; Anandina Irmagita , Soegyanto
Journal of Health and Dental Sciences Vol. 4 No. 1 (2024): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

The denture-related oral mucosal lesion is a heterogeneous clinical and histopathological tissue alteration commonly found among older people. Dental management requires understanding dental and medical aspects and paying attention to many other factors. A 62-year-old male came to Universitas Indonesia Dental Hospital complaining of painful soreness and redness at the corner of his mouth. The patient had hypertension and had not routinely taken Amlodipine in the last three years. A blood count examination revealed normal results, except for a slightly low MCV. Diagnosis of angular cheilitis was established along with denture stomatitis and median rhomboid glossitis. Angular cheilitis was healed after administration of 0.2% Miconazole cream. Unfortunately, the patient could not use the drug correctly, so denture stomatitis and median rhomboid glossitis have not entirely resolved yet. The predisposing factors of denture-related oral mucosal lesions might be local or systemic. Proper pharmacological treatment and appropriate dental health education will make a good prognosis. However, the patient's compliance and cooperation will determine the success of dental treatment. It is essential to enhance patient compliance and overcome the treatment challenges to achieve optimal results in managing denture-related oral mucosal lesions of elderly patients. DOI : 10.54052/jhds.v4n1.p35-46
Management of oral manifestation of toxic epidermal necrolysis due to antituberculosis drugs Dwi Handayani; Anandina Irmagita Soegyanto; Indriasti Indah Wardhany
Majalah Kedokteran Gigi Indonesia Vol 12, No 1 (2026): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.97512

Abstract

Toxic epidermal necrolysis (TEN) is severe and potentially fatal hypersensitivity reactions, frequently triggered by drugs, characterized by extensive epidermal detachment on mucocutaneous. Drugs that have adverse effects on TEN are antibiotics, anticonvulsants, antiviral, antitubercular, uric acid lowering and nonsteroidal anti-inflammatory drugs (NSAID). This case report discusses the management of TEN oral manifestations caused by anti-tuberculosis drugs (ATD). A 56-year-old male inpatient at Universitas Indonesia Hospital (RSUI) was referred to Oral Medicine Unit due to dry and bleeding lips. He was diagnosed with TEN due to ATD. Extra oral examination showed brown crust on upper and lower circumoral area and blackish red crusts on the upper and lower lips with minor bleeding. Intra oral examination revealed multiple erosions, ulcers, and poor oral hygiene. The established working diagnosis was oral manifestation of TEN, which was managed with NaCl 0.9% solution, clobetasol propionate 0.05% and Vaseline® album concoction, antibiotic cream, chlorhexidine gluconate 0.2% mouthwash, and educating the patient to maintain oral hygiene. The therapy improved the patient’s condition. In the comprehensive management of TEN, dentists play an important role in treating oral manifestations and improving patient’s oral health through adequate food intake and nutritional balance for better quality of life and prognosis.
Diagnostic challenge and biopsychosocial approach in burning mouth syndrome management Ni Putu Yessy Karmila Putri; Anandina Irmagita Soegyanto; Indriasti Indah Wardhany; Ambar Kusuma Astuti; Ratna Kumala Indrastiti
Majalah Kedokteran Gigi Indonesia Vol 12, No 1 (2026): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.98771

Abstract

Burning mouth syndrome (BMS) is a chronic pain disease marked by a prolonged burning sensation in clinically healthy oral mucosa, commonly occurs in fifth to seventh decade women with hormonal changes or psychological problems. Establishing a diagnosis that excludes any apparent organic cause for BMS complaints can be challenging. This case study aimed to determine how the diagnosis and biopsychosocial approach were made in the management of BMS patients. A 53-year-old female patient presented to the Oral Medicine Clinic, Dental Hospital, Faculty of Dentistry, Universitas Indonesia, with a two-month history of burning sensation throughout the oral mucosa and radiating pain affecting the tongue and gums. Last menstrual cycle was three years ago. She admitted to feeling stress and anxiety over her mouth condition and family problems. Extraoral examination revealed dry lips, and intraoral examination showed normal oral mucosa and multiple missing teeth. The Depression Anxiety Stress Scale (DASS-21) showed moderate anxiety and stress levels. The patient was diagnosed with burning mouth syndrome. Reassurance was given on the first visit to help reduce anxiety caused by chronic pain, along with the use of prescribed combination of neurotropic vitamins containing analgesic and stress management. After six weeks, the pain and burning sensation subsided. In order to effectively manage BMS in patients with psychological conditions, a thorough evaluation and comprehensive therapy are important. A successful combination of psychological and medical strategies will be greatly beneficial in the treatment of BMS patients.
Challenges in the Management of Spontaneous Gingival Bleeding in Patients with Hemophilia A: A Case Report Rakanda Rizki Ramdhani Duddyarto; Anshari S. Hasibuan; Rahmat Cahyanur; Anandina Irmagita
Dentika: Dental Journal Vol. 29 No. 1 (2026): Dentika: Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v29i1.25434

Abstract

Hemophilia A, a hereditary bleeding disorder caused by factor VIII deficiency, often leads to prolonged bleeding during oral conditions and invasive dental procedures. This case report shows that poor oral hygiene and adverse oral habits can be influenced by underlying systemic conditions, showing the importance of comprehensive patient evaluation and multidisciplinary management. A 38-year-old man was referred to the Oral Medicine Clinic with complaints of painless spontaneous gingival bleeding in the left upper jaw accompanied by poor oral hygiene. The patient was not taking any routine medications at the time of presentation but underwent cryotherapy periodically since teenager, with the most recent treatment performed in 2013. Laboratory examination showed a normal platelet count, mild leukocytosis, and a prolonged activated partial thromboplastin time, showing a high risk of bleeding. The patient was prescribed chlorhexidine mouthwash by the Oral Medicine Clinic to help control plaque and gingival inflammation. Successful dental management of hemophilia A patients depends on stabilization of hemostasis, prevention of oral inflammation, and good collaboration between the dentist and hematologist before any invasive procedure is performed.
Co-Authors Afi Savitri Sarsito Amatul Firdaus Ramadhan Ambar Kusuma Astuti Anandita Riska, Pratiwi Anshari S. Hasibuan Diah Rini Handjari Dwi Handayani Endah Ayu Tri Wulandari Febrina Rahmayanti Indriasti Indah Wardhany Ni Putu Yessy Karmila Putri Patoni, Nurfianti Ahmad Rahmat Cahyanur Rakanda Rizki Ramdhani Duddyarto Ratna Kumala Indrastiti Sitheeque, Mohaideen AM. Sutrania Dewi Sulaksana Yuli Fatzia Ossa Yuniardini Septorini Wimardhani