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All Journal Journal of Case Reports in Dental Medicine MDJ (Makassar Dental Journal)
Inayah, Yayah
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Dentistry Health Professions

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Interdisciplinary management of delayed replantation of avulsed immature maxillary incisivus centralis teeth: A case study Inayah, Yayah; Nurwahidah, Nurwahidah; Agustin, Rosdiana
Journal of Case Reports in Dental Medicine Vol 6, No 2 (2024)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v6i2.230

Abstract

Objective: The aim of this treatment is to preserve the tooth and surrounding bone for several years.Methods: A nine-year-old girl presented with avulsion of both maxillary central incisor teeth due to falling off a bicycle after 1 day of previous incident. Treatment guidelines for immature avulse permanent teeth with prolonged extra-oral time were performed for the teeth and extra-oral endodontic treatment was completed by the pediatric dentist. After being repositioned and fixed by the oral surgeon using an arch bar, the tooth was stabilized for 8 weeks, 20 weeks and prophylactic antibiotics were prescribed. Clinical and radiographic controls were done after 2 months, 4 months and 6 months. During this period there was still no improvement in the attachment of the avulsed tooth to the surrounding bone, and it is currently under treatment control with a composite wire splint.Results: The prevalence of avulsion cases in children increases between the ages of 7 to 9 years due to incomplete root development and minimal resistance of the alveolar bone/periodontal ligament (PDL) to extrusion forces during the period of tooth eruption.Conclusion: Dental avulsion replantation treatment should be performed immediately but delayed replantation cases can still be performed.
Dental management of cutaneous fistula ar mandible et causa pulp necrose 46 in a pediatric patient with suspected ADHD: A Case Report Inayah, Yayah; Harmawaty, Harmawaty
Journal of Case Reports in Dental Medicine Vol 6, No 1 (2024)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v6i1.217

Abstract

Objective: The purpose of this paper is to report the success of root canal treatment (PSA) on the mandibular right first molar for the management of periapical abscess accompanied by cutaneous fistula ar mandible. Methods: This case report describes the management of dental abscess submandibular dextra et causa pulp necrosis of tooth 46 with root canal treatment of tooth 46. Emergency management of dental abscess submandibular dextra et causa pulp necrosis of tooth 46 was carried out with root canal treatment accompanied by the administration of antibiotics.Results: Pulp necrosis can be caused by various noxious irritant injuries to the pulp. Irritation to the pulp or periradicular tissues can cause inflammation. Microbial/Bacterial is the most common cause of inflammation. Microorganisms found in dental caries are the main source of irritation to the pulp and periradicular tissues. Microorganisms in caries produce 4 toxins that can penetrate the pulp through the dentinal tubules. This initial response results in a focal accumulation of chronic inflammatory cells such as macrophages, lymphocytes and plasma cells. Conclusion: There was no active swelling in the patient so it was indicated for root canal treatment.
Management of intruded primary teeth using computer-controlled local anesthetic delivery systems: Tatalaksana gigi susu yang intrusi menggunakan sistem anestesi lokal yang dikendalikan komputer Permatasari, Andi Sri; Syahrir, Syakriani; Inayah, Yayah; Wijaya, Wiwik Elnangti; Hamudeng, Adam Malik; Nurrahma, Rifaat; Alwi, Ita Purnama
Makassar Dental Journal Vol. 14 No. 3 (2025): Volume 14 Issue 3 December 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i3.1429

Abstract

Intrusion is the most common trauma in children. Management of intruded deciduous teeth includes spontaneous re-eruption or ex-traction. Pain management during extraction is performed with local anaesthesia, but this can cause fear and pain in patients. This case report describes the management of an intruded primary tooth using a computer-controlled local anaesthesia system (CCLAD). A 6-year-old boy presented with an intruded maxillary primary incisor following a fall from stairs the previous day. Clinical findings included swelling and ulceration of the lip and chin, haematoma, and gingival ulceration. Ellis Class IX fractures were no-ted in teeth 51, 61, and 62 with severe intrusion (grade III), slight mobility, and fusion of 61-62. Panoramic imaging revealed age-nesis of teeth 22. After one week of observation for spontaneous re-eruption, extraction of teeth 51, 61, and 62 was performed due to the risk to the permanent replacement teeth. Anaesthesia was administered using the P-ASA (palatal-alveolar superior anterior) technique with SleeperOne5 (CCLAD), improving patient comfort and reducing fear. Monitoring over 12 months showed no com-plications. It was concluded that SleeperOne5 as a CCLAD with the P-ASA anaesthesia approach is a useful alternative for ma-naging multiple impacted anterior deciduous teeth.
Co-Authors Adam Malik Agustin, Rosdiana Harmawaty, Harmawaty Ita Purnama Alwi, Ita Purnama NURWAHIDAH NURWAHIDAH Permatasari, Andi Sri Rifaat Nurrahma, Rifaat Syahrir, Syakriani Wijaya, Wiwik Elnangti