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All Journal Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Babali Nursing Research
Anjani, Khamila Gayatri
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Dentistry Energy Health Professions Medicine & Pharmacology Nursing Physics

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Delayed Healing of Traumatic Ulcers Due to Toothpicks Injuries Exacerbated by Psychological Stress in Teledentistry Patients Puspitasari, Yeni; Anjani, Khamila Gayatri; Zulkarnain, Hakim; Dian Artanty
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54402

Abstract

Background: A traumatic ulcer is a mucosal lesion caused by direct physical, mechanical, thermal, or chemical trauma to the mucosa, such as from malocclusion, ill-fitting dentures, or bad habits like using toothpicks. Treatment aims to alleviate pain, eliminate the primary source of trauma, and promote healing of the ulcer. The objective of this case report is to document traumatic ulcers resulting from mechanical trauma exacerbated by stress. Case Report: A male patient presented with an ulcer that had been present for three weeks after accidentally injuring himself with a toothpick. The ulcer had not been treated previously. The patient reported experiencing high levels of stress and sleep deprivation due to working on his thesis. Clinical photos provided by the patient revealed a solitary, white-to-yellowish ulcer, approximately 5x3 mm in size, on the left lateral side of the tongue. The patient was prescribed an antiseptic anti-inflammatory aloe vera extract gel via teledentistry. Discussion: Under stress, the HPA axis releases corticotropin-releasing hormone (CRH) from the hypothalamus, activating the adrenal cortex to release glucocorticoids. The interaction between glucocorticoids and proinflammatory cytokines is a physiological mechanism that links stress and wound healing. Glucocorticoids can interfere with the inflammatory response and reduce white blood cell activity, thereby affecting wound healing. Conclusion: Traumatic ulcers can be exacerbated by psychological conditions such as stress. Dentists and healthcare providers should conduct thorough patient history assessments, clinical examinations, and provide appropriate therapy and oral health education to promote effective ulcer healing.
The role of CBCT in diagnosing and managing cleft lip and palate Anjani, Khamila Gayatri; Rachmawati, Ika; Epsilawati, Lusi; Pramanik, Farina
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 1 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v9i1.1275

Abstract

Objectives: Cleft lip and palate (CLP) are one of the most common types of congenital maxillofacial lesions. Cleft lip and palate patients often deal withspeech, masticatory and hearing problems, dental and craniofacial anomalies, and psychosocial issue. The aim of this study is to determine the role of cone beam computed tomography (CBCT) in diagnosing CLP. Case Report: A 25-year-old female was referred to dentomaxilllofacial radiology department in Universitas Padjadjaran Dental Hospital for a CBCT examination of a cleft palate. Three-dimensional image analysis provides superior and more detailed information compared with conventional plain two-dimensional (2D) radiography, with the added benefit of 3D printing for preoperative treatment planning and regenerative therapy. The result showed a radiolucent area between teeth 21 and 23, agenese teeth 22. These findings led to cleft palate unilateral complete at sinistra region. CBCT imaging provides a detailed picture of the cleft in three dimensions view that can helps for determining the treatment plan based on the classification of cleft lip and palate. Conclusion: Available evidence implies that 3D imaging methods not only can be used for documentation of CLP patients, but also can determining the treatment plan. 3D CBCT radiograph are more informative than conventional 2D.
Co-Authors Dian Artanty Farina Pramanik Hakim Zulkarnain Lusi Epsilawati Puspitasari, Yeni Rachmawati, Ika