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Emergency management of temporomandibular joint dislocation with manual reduction Abidin, Zefry Zainal; Baehaqi, Ronny
Journal of Case Reports in Dental Medicine Vol 1, No 2 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1629.312 KB) | DOI: 10.20956/jcrdm.v1i2.96

Abstract

Objective:Present serial case management of temporomandibular joint dislocation in emergency unit and to provide information on emergency handling in the case of temporomandibula joint especially for dentist.Method: Datas of temporomandibular joint dislocation cases were collected from October 2016 to March 2017 with a cross sectional study presented by Oral and Maxillofacial Resident in RSUD Dr Soetomo Surabaya.Results: Nine patients were managed. In totalmales accounted for 66,67% of the patients, and yawning was the most frequent etiological factor. Acute TMJ dislocation had the highest frequency in this study. The management conducted was giving muscle relaxant, manual repositioning and head bandage. Manual reduction of TMJ dislocation can be divided into three approaches, intraorally, extraorally and a combination between the two approaches; intraorally by using Hippocrates’ technique and Wrist Pivot technique. The extraoral approach does not involve fingers in the oral cavity. Applying these three approaches could be distinguished by clinical examination and patient history.Conclusion: Temporomandibular joint dislocation is one of the problem in dentistry that requires direct management and could cause complications if immediate treatment is not givenKeywords: Dislocations, Manual Reduction , Temporomandibular joint
Comparison of Germ Count Levels Based on Zone at Central Operating Theatre Facility Dr. Soetomo General and Academic Hospital Ismawati, Nining Dwi Suti; Kurniati, Neneng Dewi; Nugraha, Andreas Pratama; Baehaqi, Ronny; Taufiqurrahman, Irham; Nurrahman, Tri
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 6 No. 2 (2025): October
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Central of Disease Control state that Healthcare-Assoxiated Infections (HAI’s) prevalence on Surgical Site Infection (SSI) reach up 121.800 in patient surgery cases and increase mortality risk up to 12-times. Surgical site infection (SSI) are one of the causes of morbidity, mortality, increased length of stay, costs, and patient complaints, including in orbital surgery. This study was conducted at Central Operating Theatre Facility Dr. Soetomo General and Academic Hospital as surgical service facility includes 22 operating room and supporting facilities. Therefore, the Central Operating Theater Facility is higher risk of nosocomial infection. The purpose of this study was to compare the floor germs and air germs based on zones in the Central Operating Theater Facility. This study was done from September 2023 to December 2024 with cross-sectional quantitative and observational method. Total population are 43 rooms with sample size of  26 rooms were calculated using Lemeshow formula and the locations are determined randomly. Data analysis used Kruskal-Wallis test to compare the variable and descriptive analysis used frequency distribution. The results show significant difference in the counts of germ floor based on zones (p-value 0.047) and there is significant difference in the counts of germ air based on zones (p-value 0.047) at Central Operating Theater Facility. The most common germ found on floors is Staphylococcus haemolyticus, while the most common germ found in the air is Staphylococcus epidermidis.