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All Journal Dentika Dental Journal Journal of Dentistry Indonesia Majalah Kedokteran Gigi Indonesia Jurnal Multidisiplin Madani (MUDIMA)
Ambar Kusuma Astuti
Department Of Oral Medicine, Faculty Of Dentistry, Universitas Indonesia, Jakarta 10430
Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Industrial & Manufacturing Engineering Social Sciences

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A Case of Inconspicuous Recurrent Herpes Labialis Mimicking Unilateral Angular Cheilitis Mandasari, Masita; Astuti, Ambar Kusuma; Rahmayanti, Febrina
Journal of Dentistry Indonesia Vol. 25, No. 3
Publisher : UI Scholars Hub

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Abstract

Recurrent herpes labialis (RHL) is a common manifestation of herpes simplex virus (HSV) reactivation in immunocompetent individuals, whereas angular cheilitis is an inflammatory lesion occurring on one or both lip commissures and is induced by local and/or systemic conditions. We describe a case of RHL eruption on the corner of the mouth, easily mistaken as angular cheilitis. Case Report: A 21-year-old male presented to our dental hospital with a 3 day history of a painful, unilateral lesion on the left corner of his mouth. The lesion featured an erythematous base with a yellowish crust that extended outward. We diagnosed the lesion as RHL. We prescribed chlorhexidine solution and topical acyclovir to be applied onto the lesion. At 2 weeks follow-up, the lesion was resolved. An RHL lesion that erupts on the corner of the mouth may initially resemble angular cheilitis. However, the typical clinical presentation, history of recurrence, and the absence of predisposing factors for other lesions suggested an infection caused by HSV. Conclusion: RHL which occurred at one side of the mouth corner can be similar with unilateral AC. But, detailed history taking and clinical observation led to correct diagnosis and management.
Multiple Oral Ulcerations in a Seizure Patient with Undiagnosed Brain Arteriovenous Malformation Astuti, Ambar Kusuma; Rahmayanti, Febrina
Journal of Dentistry Indonesia Vol. 28, No. 1
Publisher : UI Scholars Hub

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Abstract

Multiple ulcerations are rarely caused by a traumatic event, but seizures can induce repeated injury to the oral mucosa. A patient with a seizure history possesses a challenge in their dental management. Objective: In order to describe a case of multiple oral ulceration in a post-seizure patient with undiagnosed arteriovenous malformation (AVM) in the left parietal lobe and provide short guidelines for dentists in managing patient with a seizure history. Case report: A 23-years old female had multiple oral ulceration in the right and left buccal mucosa and her tongue. She reported having a seizure attack six days before. The patient never had a history of seizures or recurrent oral ulceration. During the seizure, improper placement of the spoon caused further damage to her oral mucosa. The trigger of her seizure is unknown. Based on the neurological consultation, she had an AVM on the left temporal lobe. In order to relieve pain, mouthwash containing aloe vera, sodium hyaluronate, glycyrhettinic acid, and polyvinylpyrrolidone (PVP) was prescribed. Conclusion: Dentists should be aware that oral mucosal injury can be related to a seizure disorder. A proper history and examination are essential to make an appropriate diagnosis. A safe dental treatment in seizure patients can be delivered accordingly.
Multiple Clinical Findings on The Tongue: Variants of Normal or Pathologic Condition? (A Case Report): Temuan Klinis Multipel pada Lidah: Variasi Normal atau Kondisi Patologis? (Sebuah Laporan Kasus) Alhayu, Yurina; Rahmayanti, Febrina; Astuti, Ambar Kusuma
Dentika: Dental Journal Vol. 24 No. 2 (2021): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v24i2.7220

Abstract

Various normal and pathologic findings might occasionally be found on the tongue and might confuse some patients and clinician due to its atypical presentation. This case report aimed to present a case report of multiple oral findings related to variants of normal and pathological findings on the tongue: geographic tongue, fissured tongue, and central papillary atrophy. A 53-year-old male patient came to Universitas Indonesia Dental Hospital for a dental check-up. Objective examination in the tongue showed depapilated areas surrounded by keratinized lining in the ventral and lateral left and right area of the tongue, multiple fissures in all over the dorsum of the tongue, and an ovoid redness area in the middle of 2/3 posterior dorsum part of the tongue. All those findings were asymptomatic. Those clinical findings were diagnosed as geographic tongue, fissured tongue, and central papillary atrophy. This case presents unique multiple variants of normal and pathological findings in the tongue. It is important to an oral health professional to have knowledge and ability to determine normal anatomy, variants of normal and pathological lesions. Patients should be informed and educated about oral mucosa normal variations and related clinical findings so they would not develop unnecessary anxiety. Keywords: central papillary atrophy, fissured tongue, geographic tongue, normal variations
Early Detection and Treatment Speech Delay Children of Preschool Age (Multi-Site Study of 3 Preschool Institutions in Malang City) Astuti, Ambar Kusuma; Efendi, Mohammad; Rahman, Diniy Hidayatur; Ediyanto
Jurnal Multidisiplin Madani Vol. 4 No. 1 (2024): January, 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/mudima.v4i1.7848

Abstract

This study aims to understand: (1) forms of speech delay (2) internal and external factors that affect speech delay, (3) indicators that affect child development (4) procedures for handling speech delay. In order to be able to reveal the phenomena that occur in the community, researchers used the Multisite Study research design where data collection in this study used descriptive qualitative methods with interview, observation and documentation techniques. The researchers conducted interviews with subject parents/teachers in class. Observations researchers do by observing the subject while in the school environment and also at home. Meanwhile, in order for the findings that the researchers carried out to be declared valid, the validity of the data used (1) observation persistence, (2) triangulation, and (3) reference adequacy.The results of the study show that children who experience speech delay or are late in speaking are more dominant due to wrong parenting and a lack of educational/parenting knowledge for parents starting from pregnancy until the child is born. Excessive giving of gadgets makes children less able to carry out 2-way interactions so that it affects children's language development which causes children's communication and behavior to deviate
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.
Co-Authors Alhayu, Yurina Anandina Irmagita Diniy Hidayatur Rahman Ediyanto Febrina Rahmayanti Indriasti Indah Wardhany Mandasari, Masita Mohammad Efendi Ni Putu Yessy Karmila Putri Ratna Kumala Indrastiti