Indra Hadikrishna
Department Of Oral And Maxillofacial Surgeon, Faculty Of Dentistry, Universitas Padjajaran, Indonesia

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Impacted Lower Third Molar Profile at Dental Hospital of Padjadjaran University Akbar, Muhammad Fauzi; Hadikrishna, Indra; Riawan, Lucky; Lita, Yurika Ambar
Journal of Indonesian Dental Association Vol 5 No 2 (2022): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v5i2.902

Abstract

Introduction: Impacted teeth are teeth that erupt incompletely in the normal eruption period. This situation can be caused by hard or soft tissue obstructions or a lack of arch jaw. Objectives: This study aimed to determine the impacted lower third molar teeth profile by age, sex, class, angulation, treatment, and anesthesia at RSGM UNPAD in 2017-2019. Methods: The study was conducted from February 8, 2020, to March 8, 2020. The study represents the impacted lower third molar teeth profile of patients referred to Outpatient Installation, Central Surgical Installation, and the Radiology Installation. Classification of tooth impaction was based on Pell & Gregory and Winter classifications using ImageJ application, while Intraclass Correlation Coefficient (ICC) was used to confirm data validity. Results: There were 146 impacted dental cases, with a total case of 62 (42.5%) for males and 84 (57.5%) for females. Most impacted teeth occurred in the 12-25 years age group up to 72 (49.3%). A total of 177 impacted teeth mostly occurred in 48 teeth, as many as 91 (51.4%). Impaction class Pell & Gregory class B with 110 (62.1%) cases were found the most. Based on the anterior border of ramus, class II with 164 (91.1%) cases was found the most. Horizontal (79 cases, 44.6%) became the most frequent angulation. The procedures taken were all odontectomy 177 (100%) with more use of local anesthesia 136 (93.2%) compared to general anesthesia 10 (6.8%). Conclusion: Cases of impacted lower third molar teeth at RSGM UNPAD in 2017-2019, were most common in females and mostly in the 12-25 years age group, with Pell & Gregory class IIB classification and Winter horizontal angulation classification, all procedures performed were odontectomy, majority using local anesthesia.
Etiology and Pathogenesis of Unicystic Ameloblastoma Based on The Histopathology Examination Result Analysis Harianto, Azzah Aqillah; Hardianto, Andri; Hadikrishna, Indra
Journal of Indonesian Dental Association Vol 7 No 1 (2024)
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v7i1.1022

Abstract

Unicystic ameloblastoma is a type of ameloblastoma that often occurs at a young age. Unicystic ameloblastoma can occur due to neoplastic transformation from an odontogenic cyst to an odontogenic tumor, ameloblastic transformation of reduced enamel epithelium from developing teeth, or cystic degeneration of solid ameloblastoma. However, there is no convincing evidence has yet been found for each proposed pathogenesis. This study aims to determine the development of etiology and pathogenesis of unicystic ameloblastoma based on the analysis of the results of histopathological examination. This study aims to determine the development of etiology and pathogenesis of unicystic ameloblastoma based on the analysis of the results of histopathological examination. The study was conducted using a systematic review method through searching journals on PubMed, Google Scholar and Scopus using keywords. In the initial search, 1109 journals were obtained, which were then selected based on inclusion criteria, namely English-language journals published in 2017-2020, indexed in Scopus, and relating to the etiology and pathogenesis of unicystic ameloblastoma based on the analysis of the results of histopathological examination, so that 16 journals were obtained. Etiology of the unicystic ameloblastoma has not undergone renewal, and the currently known pathogenesis of the unicystic ameloblastoma is molecular pathogenesis, namely where the development of odontogenic lesions occurs due to pathogenic gene mutations that affect the signaling pathway. The mutation that often occurs is the BRAF V600E mutation which is included in the MAPK signaling pathway.
Karakteristik kasus di Instalasi Gawat Darurat Rumah Sakit Gigi Dan Mulut sebelum dan selama pandemi COVID-19: observasional deskriptif Qurrataayuni, Rahimahullah Kamilatinnisa; Sjamsudin, Endang; Hadikrishna, Indra
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 35, No 3 (2023): Desember 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v35i3.48819

Abstract

ABSTRAKPendahuluan: Pandemi COVID-19 berdampak pada mobilitas dan pelayanan kesehatan di Indonesia. Regulasi pemerintah terutama untuk pelayanan kesehatan gigi yaitu hanya menerima pasien emergensi saja, bahkan beberapa negara menggunakan teledentistry untuk mengurangi risiko penularan lewat aerosol. Penelitian ini bertujuan untuk mengetahui karakteristik kasus di Instalasi Gawat Darurat (IGD) sebelum dan selama pandemi COVID-19. Metode: Penelitian observasional deskriptif melalui teknik total sampling dari data sekunder seluruh rekam medis pasien di IGD Rumah Sakit Gigi dan Mulut Unpad Bandung periode 2018-2022. Data yang dikumpulkan berupa data pasien dengan diagnosis penyakit, terapi, usia, dan jenis kelamin. Hasil: Pasien sebelum pandemi COVID-19  berjumlah 392 orang dengan diagnosis terbanyak  adalah Gingivitis Kronis 123 (31,4%) kasus; dan Pulpitis Reversible 59 (15,1%). Selama pandemi COVID-19 jumlah pasien 136 dengan diagnosis terbanyak adalah Cleft Lip and Palate 33 orang (24,3%) kasus; dan Abses Mulut 17 (12,5%) kasus. Jenis kelamin perempuan (50,9%) lebih banyak mengunjungi IGD sebelum pandemi, sedangkan kunjungan laki-laki (62,5%) selama pandemi. Jenis tindakan berjumlah 593 dengan usia terbanyak 20 hingga 60 tahun. Simpulan: Jumlah kunjungan pasien IGD RSGM Unpad lebih banyak sebelum pandemi dengan jenis kelamin perempuan, dan kasus terbanyak Gingivitis Kronis serta Pulpitis Reversible. Selama pandemi jenis kasus terbanyak Cleft Lip and Palate dan Abses Mulut.Kata kunci: Instalasi gawat darurat, pandemi COVID-19, pulpitis, fraktur dentoalveolar.Characteristic of cases in emergency room RSGM Unpad before and during the COVID-19 pandemic: descriptive observationalABSTRACTIntroduction :The COVID-19 pandemic has had an impact on mobility and health services in Indonesia. Government regulations, especially for dental health services, include only accepting emergency patients, and some countries even use teledentistry to reduce the risk of transmission via aerosols. This study aims to determine the characteristics of cases in the Emergency Room at RSGM Unpad before and during the COVID-19 pandemic. Method: A descriptive observational study using a total sampling technique from secondary data on all medical records of patients at the Dental and Oral Hospital Emergency Room, Unpad Bandung, for the 2018-2022 period. The data collected was in the form of patient data with disease diagnoses, therapy, age, and gender. Results: Patients before the COVID-19 pandemic totaled 392 people with the most diagnoses being Chronic Gingivitis 123 (31.4%) cases; and Reversible Pulpitis 59 (15.1%). During the COVID-19 pandemic the number of patients was 136 with the most diagnoses being Cleft Lip and Palate 33 people (24.3%) cases; and Mouth Abscess in 17 (12.5%) cases. Females (50.9%) visited the emergency room more before the pandemic, while males (62.5%) visited during the pandemic. Totaled therapy 593 was given with the most age being 20 to 60 years. Conclusion: The number of visits by Emergency Room patients at RSGM Unpad was higher before the pandemic, with the female gender, and the highest cases of Chronic Gingivitis and Reversible Pulpitis. During the pandemic, the most common types of cases were Cleft Lip and Palate and Mouth Abscess.Keywords: emergency unit, pandemic COVID-19, pulpitis, fracture dentoalveolar.
Prevalensi Dan Terapi Anomali Vaskular Pada Rongga Mulut Di Departemen Bedah Mulut Dan Maksilofasial Hudiworo K.D, Bambang; Hadikrishna, Indra; Marwansyah Oli’I, Eka
Journals of Ners Community Vol 14 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

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.2.191-200

Abstract

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.
Correlation between nutritional status values based on World Health Organization child growth standard values and serum albumin levels with wound healing: an observational study Imam Nugroho, Muhammad Adityo; Sjamsudin, Endang; Hadikrishna, Indra
Padjadjaran Journal of Dentistry Vol 38, No 1 (2026): March 2026
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol38no1.62096

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Introduction: Cleft lip and/palate (CL±P) is a congenital disorder that affects the orofacial area, and often associated with problems like feeding difficulties, which may lead to poor nutritional status. Management of cleft lip (CL) requires surgical procedures and wound healing process. Factors influencing wound healing include nutritional status and albumin status. The aim of this study was to analyze the correlation between nutritional status values based on World Health Organization child growth standard values and serum albumin levels with wound healing as measured by Healing Index Scale. Method: This study was conducted on 40 patients with unilateral CL±P who underwent palatoplasty procedure. Participants were selected using a non-probability purposive sampling technique. Saliva samples were collected before palatoplasty and on postoperative day 7 to assess albumin levels, while wound healing was evaluated on day 7 using the Healing Index Scale. Data were analyzed using the Spearman rank correlation test. Results: The nutritional status of patients was predominantly normal in both preoperative (75%) and postoperative day 7 (60%) assessments. Wound healing on day 7 showed that most patients were in the good category (72.5%), while 11 patients (27.5%) were classified as poor. Correlation analysis revealed a very weak and non-significant relationship between WHO child growth standard scores and salivary albumin levels, as well as non-significant relationship between WHO CGS nutritional status and the day 7 healing index in patients undergoing palatoplasty. Conclusion: No significant correlation was found between nutritional status, salivary albumin levels, and wound healing outcomes in patients undergoing palatoplasty.