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Prevalensi Dan Terapi Anomali Vaskular Pada Rongga Mulut Di Departemen Bedah Mulut Dan Maksilofasial Bambang Hudiworo; Indra Hadikrishna; Eka Marwansyah Oli’I
Journals of Ners Community Vol 13 No 1 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i1.2499

Anomali vaskular adalah kelainan kongenital dan abnormal neonatal bersifat benign lesions serta dapat terjadi di kepala-leher pada usia anak-anak dan dewasa dengan regio yang sering terjadi di lidah,bibir,mukosa bukal,dan palatum. Anomali vaskular diklasifikasikan menjadi dua klasifikasi utama,yaitu tumor vaskular dan malformasi vaskular. Penelitian dilakukan dengan studi deskriptif retrospektif dan dilaksanakan di Rumah Sakit Umum Pusat dr. Hasan Sadikin. Kriteria inklusi penelitian yaitu rekam medis pasien terdiagnosa anomali vaskular periode Januari 2019–Desember 2020. Terdapat 38 kasus anomali vaskular pada rongga mulut yang dilakukan perawatan di Kelompok Staff Medis (KSM) Bedah Mulut dan Maksilofasial RSHS. Kelompok mayoritas pasien berusia 13-24 tahun sebanyak 21 orang. Pasien perempuan adalah golongan yang sering berobat di RSHS yaitu sebanyak 27 orang. Tipe anomali vaskular yang umum terjadi adalah vena malformasi berjumlah 18 kasus atau 47% dari seluruh total kasus. Regio yang sering terjadi adalah di labii inferior superior berjumlah 14 kasus atau 37%. Terapi yang sering diberikan adalah injeksi scleroting agent dan eksisi sebanyak 34 kasus. Anomali vaskular rongga mulut adalah kelainan yang sering ditemukan di KSM Bedah Mulut dan Maksilofasial RSHS dengan terapi yang umum diberikan adalah injeksi scleroting agent dengan tujuan untuk minimalisir komplikasi setelah tindakan operasi.

Prevalensi Dan Terapi Anomali Vaskular Pada Rongga Mulut Di Departemen Bedah Mulut Dan Maksilofasial Bambang Hudiworo K.D; Indra Hadikrishna; Eka Marwansyah Oli’I
Journals of Ners Community Vol 13 No 1 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i1.2527

Anomali vaskular adalah kelainan kongenital dan abnormal neonatal bersifat benign lesions serta dapat terjadi di kepala-leher pada usia anak-anak dan dewasa dengan regio yang sering terjadi di lidah,bibir,mukosa bukal,dan palatum. Anomali vaskular diklasifikasikan menjadi dua klasifikasi utama,yaitu tumor vaskular dan malformasi vaskular. Penelitian dilakukan dengan studi deskriptif retrospektif dan dilaksanakan di Rumah Sakit Umum Pusat dr. Hasan Sadikin. Kriteria inklusi penelitian yaitu rekam medis pasien terdiagnosa anomali vaskular periode Januari 2019–Desember 2020. Terdapat 38 kasus anomali vaskular pada rongga mulut yang dilakukan perawatan di Kelompok Staff Medis (KSM) Bedah Mulut dan Maksilofasial RSHS. Kelompok mayoritas pasien berusia 13-24 tahun sebanyak 21 orang. Pasien perempuan adalah golongan yang sering berobat di RSHS yaitu sebanyak 27 orang. Tipe anomali vaskular yang umum terjadi adalah vena malformasi berjumlah 18 kasus atau 47% dari seluruh total kasus. Regio yang sering terjadi adalah di labii inferior superior berjumlah 14 kasus atau 37%. Terapi yang sering diberikan adalah injeksi scleroting agent dan eksisi sebanyak 34 kasus. Anomali vaskular rongga mulut adalah kelainan yang sering ditemukan di KSM Bedah Mulut dan Maksilofasial RSHS dengan terapi yang umum diberikan adalah injeksi scleroting agent dengan tujuan untuk minimalisir komplikasi setelah tindakan operasi.

RETROSPECTIVE STUDY OF MAXILLARY CANINES IMPACTED PROFILES AT DENTAL HOSPITAL OF FACULTY OF DENTISTRY PADJADJARAN UNIVERSITY Ginda Adilla Suwandi; Indra Hadikrishna; Farah Asnely Putri; Yurika Lita
Odonto : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: The maxillary canine have a key role in the aesthetics and continuity of the dental arch. Impacted canines are the most frequently impacted teeth apart from the third molars of both the maxilla and mandible. The purpose of this study was to determine and obtain a description of the impact profile of maxillary canines at RSGM UNPAD based on age, sex, classification, type of treatment action plan.Method: This research was a retrospective descriptive study conducted from February to March 2021 based on inclusion and exclusion criteria. The research sample was taken using purposive sampling technique and determination of the impacted image using a classification based on Stivaros Mandal, Ghenoima, and Yamammoto, analyzed with ImageJ software by interobserver and intraobserver. and tested using Kappa statistics for reliability.Result: There were 76 patients who had cases of maxillary canine impaction with an age prevalence range of 10-25 years and the majority occurred in women (42.56%) and men (15.20%). Analysis of the Stivaros and Mandall classification of 59.40% grade III canine impacted patients, the greatest prevalence of the Ghenoima classification in Type E 27.00% and the Yamammoto classification of the largest prevalence in Type II 41.40%. The results of the analysis of the action plan for the treatment of patients with exposure surgery had a percentage of 0.03% and Odontectomy 0.03%.Conclusion: The majority of maxillary canine impacted prevalence occurred at the age of 10-25 years with grade III angulation, mesio-angular position between the anterior-inferior maxillary sinus.

An Overview of antibiotic prescription after tooth extraction across dentist in Bandung City, Indonesia: A Cross-Sectional Study Zahrah Diva Shasya; Farah Asnely Putri; Indra Hadikrishna
Odonto : Dental Journal Vol 9, No 2 (2022): December 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: Tooth extraction is one of minor oral surgical procedure and antibiotics are commonly prescribed before or after the tooth extraction procedure. Antibiotic is used as therapy or to prevent infections after tooth extractions. Recent studies discovered that misuse of antibiotics by dentists has been an issue nowadays. The purpose of this study is to investigate the frequency and varieties of antibiotics post tooth extraction used by dentists in Bandung City.Method: This study uses a quantitative descriptive method with a cross-sectional approach using a questionnaire. The samples in this study are general dentists and specialists in Bandung. The questionnaire was sent to dentists using proportionate stratified random sampling. Result: The most frequently used antibiotics in Bandung City are Amoxicillin 500 mg (83,1%) and Clindamycin (24,3%). Most respondents prescribed antibiotics after tooth extractions for 5 days.Conclusion: A small percentage of Dentists in Bandung City still prescribed antibiotics in conditions that do not always require antibiotics, such as simple post-extraction, irreversible pulpitis, and reversible pulpitis. Broad-spectrum antibiotics are more commonly prescribed to prevent infections. Furthermore, antibiotic usage after simple tooth extraction needs to be done by considering the patient’s condition, diagnosis, and difficulty level of extraction.

CHARACTERISTICS OF UPPER THIRD MOLAR IMPACTION IN BANDUNG CITY POPULATION Alifya Fahira; Indra Hadikrishna; Lucky Riawan; Yurika Ambar Lita
Odonto : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: The third molars (M3) are the most frequently impacted teeth because they are the last to erupt, so they often don’t get enough space to erupt. The characteristics of impacted M3 teeth can be different for each person. This study aims to provide a description of maxillary M3 impaction based on age, sex, classification, treatment, and anesthesia in Bandung City population. Method: This was a descriptive study using secondary data from medical records and panoramic radiographs at RSGM UNPAD with a purposive sampling technique. Determination of the characteristic impaction using a classification based on Archer, Shiller, Jung and Cho, and Killy and Kay, analyzed with ImageJ software by interobserver and intraobserver, and tested using Kappa statistics for reliability.Result: There were 134 impacted teeth from 102 impacted patients with 67 females (66.34%) and most cases occurred in 17-25 years old (60.4%); Class B, 82 cases (60.9%); distoangular angulation, 76 cases (56.72%); Class 3, 76 cases (52.24%); and one fused roots, 83 cases (64.93%). The most common procedure performed was odontectomy (87.25%) with local anesthesia (63.73%)Conclusion: Characteristics of upper M3 impaction in terms of position, angulation, and its relation to age and sex is needed for the diagnosis, so the management plan by the clinician is better and safer. Panoramic radiography can still be used to determine classification and diagnosis in preparing a treatment plan even though it has limitations.

ANALYSIS OF DENTIGEROUS CYST, AMELOBLASTOMA, AND ODONTOGENIC KERATOCYST PANORAMIC RADIOGRAPH AND CBCT: A SCOPING REVIEW Monica Siregar; Suhardjo Sitam; Yurika Ambar Lita; Indra Hadikrishna
Odonto : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: The radiographic images similarity of a dentigerous cyst, ameloblastoma, and odontogenic keratocyst can lead to misdiagnosis. The radiographic images of these lesions can be analyzed using panoramic radiographs and CBCT with quantitative and qualitative methods of analysis. The purpose of this study was to find out what radiographic methods is better to used on panoramic radiograph and cbct to analysis these lesions so that the diagnose could be more objective, to determine the characteristics of these lesions, and to determine the use of CBCT and panoramic radiography in establishing radiodiagnosis of these lesions.Method: This research was conducted using a scoping review, through searching for articles related to the research topic in Pubmed, EBSCOHost, and Google Scholar. Result: Fifty-eight studies and case reports were reviewed in this study. This study analyzed these lesions using quantitative methods based on buccolingual size, density, and lesion volume using CBCT. Qualitative methods were used to analyze border and shapes, associations, internal structures, and locations using panoramic radiography and CBCT. Based on the cases studied, size, border, and shape of these lesions were the least optimal characteristics analyzed by panoramic radiography and CBCT.Conclusion: Ameloblastoma has a higher incidence of multilocular forms than OKC and dentigerous cysts and causes tooth resorption, while dentigerous cysts often cause tooth displacement. CBCT can be a gold standard in analyzing dentigerous cyst, ameloblastoma, and odontogenic keratocyst. Analysis of CBCT images could be more objective because it can be carried out using quantitative methods for calculating the density, volume, and size of the buccolingual expansion. Based on the case reports reviewed, size, border, and shape are the least used in determining suspected radiodiagnosis.

Tatalaksana Pembedahan Fibrous Displasia pada Pasien Remaja dengan Reshaping Mandibula: Laporan Kasus Pebrian Diki Prestya; Asri Arumsari; Indra Hadikrishna; Sri Suryanti
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 10, No 1 (2023): Vol 10 No 1, Juni 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v10i1.1332

Introduction: Fibrous dysplasia is a benign developmental disorder that affects the craniofacial bones among the mandibular bones and is characterized by enlargement as a result of bone being replaced by abnormal fibrous tissue growth. Two types, monostotic or polyostotic lesions, cause a progressively expanding bone lamp, producing cosmetic deformities and functional impairments. Frequently occurs in the posterior region of the mandible bone and is usually unilateral. The etiology of Fibrous dysplasia is not clear but is usually associated with genetic factors. The diagnosis of this deformity is based on clinical, radiological, and histopathological examination. Case Report: A 16-year-old male patient came to the Oral and Maxillofacial Department at Hasan Sadikin General Hospital, Bandung, complaining of a lump in his left lower jaw. The patient complained of a lump that had enlarged in the last 7 years, which caused facial asymmetry. Extraoral examination showed facial asymmetry of the mandibular bone; intraoral examination found a lump with a hard consistency, an elevated vestibule, and no ulceration. Computed tomography (CT) imaging showed a solid mass in the left mandibular area with endosteal scalloping. We planned to remove the hyperplastic bone of the mandible with surgical reshaping. Conclusion: Treatment of this case was challenging because the normal anatomic shape of the mandible bone was hard to achieve. In adolescents, facial asymmetry could occur after surgery because they are still in the growth stage. In this case, we were able to obtain a good prognosis for the patient by removing hyperplastic bone and reconstructing facial deformities

Penatalaksanaan Avulsi Kulit pada Regio Nasolabial dengan Teknik Flap Advancement Bilateral: Laporan Kasus Fadli Ashar; Indra Hadikrishna; Seto Adiantoro
Jurnal Kesehatan Mahardika Vol. 9 No. 1 (2022): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v9i1.100

Cedera jaringan lunak seperti memar hingga cedera yang sangat kompleks merupakan salah satu gejala klinis pada kecelakaan lalu lintas. Pertimbangan perawatan pada cedera tersebut tergantung pada jenis dan tingkat cedera jaringan lunak serta kemampuan operator. Salah satu regio yang menjadi defek pada cedera jaringan lunak adalah nasolabial. Perawatan pada cedera di bagian tersebut membutuhkan teknik tertentu agar menghasilkan penyembuhan luka yang baik serta komplikasi yang minimal. Teknik Prosedur yang digunakan untuk memperbaiki defek bibir atas tergantung pada ukuran dan lokasi defek, kondisi jaringan di sekitarnya, dan etiologi deformitas

Evaluation of Temporomandibular Joint After Orthognathic Surgery with First Orthognathic Surgery Method: Scoping Review Azra Zhafirah Faizah; Abel Tasman Yuza; Indra Hadikrishna
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 2 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i2.6936

Introduction: Dentoskeletal anomalies are defined as aberrations of the maxillofacial complex that negatively impact the dental and skeletal relation. Orthognathic surgery is a treatment option to rehabilitate dentoskeletal anomalies. Surgery first orthognathic is one of the orthognathic surgeries conducted prior to the orthodontic treatment. One of the problems that might occur following the surgery first orthognathic is related to temporomandibular joint disorder (TMD). This study aimed to map the published articles about the clinical evaluation of temporomandibular joint post-surgery first orthognathic. This study used the scoping review method, following the PRISMA-ScR guideline. The search engines utilized in this study were PubMed, ScienceDirect, and Scopus, using keywords as follows, ((surgery first orthognathic) OR (surgery first orthognathic approach)) AND (temporomandibular joint). Review: A total of eight articles suit the inclusion criteria. 119 patients underwent orthognathic surgery using the surgery first orthognathic method. Post-surgery, 25.2% of patients experienced TMD improvement, 70.6% experienced no change in the normal temporomandibular joint, and 4.2% experienced TMD impairment worse than before the surgery. Conclusion: Based on the analysis results of the studies, it can be concluded that surgery first orthognathic inclines to preserve the normal condition of the patient’s temporomandibular joint before the surgery. In some cases, surgery first orthognathic yielded opportunities to relieve the TMD symptoms. However, there is a slight risk following the surgery first orthognathic, i.e., worsening of the TMD and generating new onset of TMD.

Differences in density and particles of the left and right in patients with type 2 diabetes mellitus and non-diabetes mellitus: A descriptive study Hadiputri, Felicia; Epsilawati, Lusi; Damayanti, Merry Annisa; Tjahajawati, Sri; Hadikrishna, Indra
Padjadjaran Journal of Dental Researchers and Students Vol 8, No 2 (2024): June 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v8i2.54091

ABSTRACTIntroduction: One of the complications of diabetes melitus is the impairment of bone health. Various analyses can be used to assess bone quality in patients with type 2 DM, including calculating the number of particles and bone density. This study aims to examine the differences in the density and particles count values of the left and right mandibular bones in patients with and without type 2 DM. Methods: This research utilized an observational descriptive method with a cross-sectional study design. The population comprised all panoramic radiographs from patients with and without T2DM, while the sample was determined by selecting data that met specific criteria. A total of 34 radiographs with T2DM and 34 radiographs without T2DM were included in the study. ImageJ software was used to analyze the density and the number of bone particles of each panoramic radiograph, both on the left and right side. The data were processed with statistical analysis, specifically the Mann-Whitney U test with significance determined at a p-value >0.05. Results: The average density values for the right and left sides in patients with T2DM were 92.998, while in patients without T2DM, it was 102.582. The difference in mandibular density was significant, with p-values 0.01 for the right side and 0.009 for the left side.The average number of bone particles in patients with T2DM is 24.087, compared to 25.205 in patients without T2DM, and not significantly different, with p-values 0.466 for the right side and 0.051 for the left side. Conclusions: Differences in mandibular density were observed between patients with and without T2DM, leading to increased fragility of the mandibular bone in T2DM patients. However, no significant differences were found in the number of bone particles between patients with and without T2DM.Perbedaan densitas dan partikel tulang mandibula kiri dan kanan pada penderita diabetes melitus tipe 2 dan bukan diabetes melitus tipe 2 menggunakan : studi deskriptifABSTRAK Pendahuluan: Salah satu komplikasi diabetes melitus adalah terganggunya kesehatan tulang. Banyak analisis yang dapat digunakan untuk menilai kualitas tulang pada penderita DM tipe 2, seperti menghitung jumlah partikel dan densitas tulang. Tujuan penelitian ini adalah melihat perbedaan nilai densitas dan jumlah partikel pada tulang mandibula kiri dan kanan pasien penderita dan bukan penderita DM tipe 2. Metode: Penelitian ini dilakukan dengan metode deskripsi observasional dengan pendekatan cross-sectional. Populasi merupakan semua radiograf panoramik dari pasien penderita dan bukan penderita DM tipe 2, sedangkan sampel ditentukan dengan memilih data yang sesuai kriteria. Data keseluruhan yang terkumpul berjumlah 34 radiograf dari pasien penderita DM tipe 2 dan 34 radiograf pada pasien bukan penderita DM tipe 2. Setiap radiograf panoramik, baik mandibula kiri maupun kanan, dianalisis nilai densitas dan jumlah partikelnya menggunakan software ImageJ. Data kemudian diolah dengan uji statistik Mann-Whitney U dengan p-value >0,05 dianggap signifikan. Hasil: Nilai rerata densitas kanan dan kiri pasien penderita DM tipe 2 adalah 92,998 dan pasien bukan penderita DM tipe 2 adalah 102,582. Perbedaan densitas bernilai signifikan dengan p-value 0,01 pada sisi kanan dan 0,009 pada sisi kiri. Nilai rata-rata partikel tulang pasien penderita DM tipe 2 adalah 24,087 dan pasien bukan penderita DM tipe 2 adalah 25,205, namun tidak berbeda signifikan, dengan p-value 0,466 untuk sisi kanan dan 0,051 untuk sisi kiri. Simpulan: Ditemukan perbedaan pada nilai densitas pasien penderita DM tipe 2 dibandingkan dengan pasien bukan penderita DM tipe 2. Hal ini menyebabkan tulang mandibula menjadi lebih rapuh sekalipun jumlah partikel tulang pada pasien penderita DM tipe 2 tidak mengalami perbedaan dibandingkan pasien bukan penderita DM tipe 2.

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