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Challenges in diagnosing traumatic ulcers: case report: Tantangan dalam menegakkan diagnosis ulser traumatik: laporan Kasus Devi Nasution; Riani Setiadhi
Makassar Dental Journal Vol. 8 No. 3 (2019): Vol 8 No 3 Desember 2019
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.913 KB)

Abstract

Background: Traumatic ulcer is a common ulcer lesion that similar to other oral lesions such as oral squamous cell carcinoma (OSCC) making it a challenge for clinicians in establishing the diagnosis. Objective: Describing the challenges and difficulties in establishing the diagnosis of a confusing oral lesion. Case report: A 48-year- old woman complained of a painful indurated lesion on her left lateral tongue for 3 weeks, accompanied by numbness causing difficulties in eating. There were sharp 37 and 38 teeth. The ulcer’s clinical feature was similar to OSCC makingitdifficulttoestablishthediagnosis.Basedontheseclinicalfindings, the patient was diagnosed as traumatic ulcer and differentiated diagnosis with OSCC. The patient was treated with topical corticosteroid, vitamin B12, folic acid and extraction of the sharp teeth. Conclusions: A thorough anamnesis and recognizing clinical findings are the keys to establish diagnosis appropriately in order to provide proper treatment.
PENGARUH OBAT KUMUR HERBAL DENGAN KANDUNGAN ZAT AKTIF FLAVONOID, SAPONIN, DAN TANIN TERHADAP HALITOSIS (STUDI LITERATUR) Eddea Marselyna A.D.; Riani Setiadhi; Vinna Kurniawati Sugiaman
Oceana Biomedicina Journal Vol 5 No 2 (2022): Oceana Biomedicina Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/obj.v5i2.29

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Introduction: Herbal mouthwash has been developed for its antibacterial properties. Halitosis is bad breath that comes from the mouth. Volatile sulfur compounds (VSCs) are the result of oral bacterial activity production, by Porphyromonas gingivalis which is an gram-negative anaerobic bacteria causing halitosis. Flavonoids have the potential to be an antioxidant and have antibacterial, anti-inflammatory, anti-allergic and anti-thrombotic activities, while saponins and tannins are a group of active plant compounds that are phenolic, have a septic taste and antibacterial activity. The aim of this literature study was to improve knowledge about the effect of herbal mouthwashes with active substances of flavonoids, saponins and tannins on halitosis. Methods: Literature review using research results, articles and other literatures related to herbal mouthwash and medicinal plant content against halitosis. Results: Some researchers had shown that herbal mouthwashes with antibacterial content in the form of flavonoids, saponins and tannins could inhibit the growth of oral bacteria such as Streptococcus mutans, Porphyromonas gingivalis and Streptococcus sanguinis, which would inhibit plaque formation, reducing halitosis, overcoming gingivitis, increasing salivary pH and reducing salivary viscosity. Conclusion: Based on the search results of the search, it can be concluded that herbal mouthwash containing active substances of flavonoids, saponins and tannins has an effect in overcoming halitosis.
Infeksi virus herpes simplex tipe 1 yang tereaktivasi oleh paparan sinar matahari Nuri Fitriasari; Riani Setiadhi
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 7, No 1 (2021)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.65358

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Virus herpes simplex tipe 1 termasuk ke dalam famili Herpesviridae dan subfamili Alphaherpesvirus dengan manusia sebagai reservoir alami virus herpes. Virus herpes simplex tipe 1 bermanifestasi pada oral dan perioral. Setelah terjadi infeksi primer, subkeluarga alphaherpesvirinae akan laten pada saraf ganglia dan dapat reaktivasi. Terjadinya reaktivasi alpha herpesvirinae salah satunya dikarenakan paparan sinar matahari. Laporan kasus ini memaparkan tentang infeksi virus herpes simplex tipe 1 yang tereaktivasi oleh paparan sinar matahari. Pasien laki-laki berusia 37 tahun berobat ke Poliklinik Ilmu Penyakit Mulut RSUP dr. Hasan Sadikin Bandung didiagnosa intraoral herpes rekuren dan kandidiasis pseudomembran akut. Pasien mengeluhkan sudah 1 bulan ini terdapat banyak sariawan pada lidah, gusi dan tenggorokan terasa nyeri sehingga sulit untuk makan dan minum dan lama kelamaan timbul warna putih pada lidah. Ada riwayat demam pada awal terjadi sariawan, riwayat alergi disangkal, pernah sariawan sebelumnya tetapi tidak separah seperti saat ini serta bekerja di kebun dalam satu bulan terakhir. Sudah berobat ke beberapa dokter gigi tetapi tidak ada perbaikan. Penanganan yang dilakukan meliputi, anamnesis, pemeriksaan ekstra oral danintral oral, pemeriksaan laboratorium imunoserologi dan mikrobiologi, tatalaksana farmakologi dan non farmakologi. Pasien menunjukkan perbaikan yang signifikan dalam pengobatan 3 minggu. Artikel ini memaparkan paparan sinarmatahari dapat menyebabkan reaktivasi infeksi virus herpes simplex tipe 1.
ORAL LEUKOPLAKIA, THE FIRST CLINICAL FINDING OF ORAL SQUAMOUS CELL CARCINOMA (OSCC): A CASE REPORT Embun Manja Sari; Fika Faradilla Drakel; Riani Setiadhi
Dentino : Jurnal Kedokteran Gigi Vol 7, No 2 (2022)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v7i2.14618

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Background: Oral squamous cell carcinoma (OSCC) is preceded by oral potentially malignant disorders (OPMD). Oral leukoplakia (OL) is a non-scrapable white plaque lesion on oral mucosa and one of OPMD. Lack of knowledge about signs and symptoms of OPMD and health care providers are responsible for delays in establishing the diagnosis. Objectives: to improve health care provider’s knowledge and the importance of detecting leukoplakia as an early sign of malignancy. Case: A 30-year-old woman came to the oral disease clinic at Hasan Sadikin Hospital complaining of canker sores and a lump on right tongue that had not been healed since 3 months ago. She had history of chronic irritation on tongue which was bitten by linguoversion tooth 46. Intraorally there was a solid mass, irregular edge in lateral right tongueat region tooth 46, 1.5 x 0.5 cm in size and a white plaque at region 46-48, 11 x 10 mm in size, could not be scrapped, unpainful on touched but felt sore when eating and drinking. Based on anamnesis, extraoral and intraoral examination, the working diagnosis was suspected fibroma region 46 and OL region 46-48. Case management: Pharmacological manage,ment was povidone-iodine mouthwash and referred to Oral Surgery Department. Well-differentiated OSCC was made as definitive diagnosis, based on histopathological examination and CT-Scan which showed bilateral lymph nodes enlargement. The patient was referred to Haemato-oncology Department for chemotherapy. Conclusion: it is important to do histopathological examination and CT-Scan as an effort for establishing OL as the early sign of malignancy. Keywords :          Oral cancer, Oral leukoplakia, Oral potentially malignant disorders 
The effectiveness of chlorhexidine gluconate mouthwash for recurrent intraoral herpes: A case report Muhammad A. Farisyi; Riani Setiadhi
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Abstract

Objective: Recurrent intraoral herpes (RIH) is one of the common oral diseases that causes painful ulcers. Mouthwashes are widely used for prevention and treatment of various oral and dental diseases. Chlorhexidine oral rinses may be useful for controlling intraoral Herpes simplex virus type 1 (HSV-1) infection, related virucidal effects and also inhibition of viral replication. This case report describes the effectiveness of chlorhexidine gluconate mouthwash therapy in patient with RIH. Case Report: A 50-year-old male patient complained of ulcers at lip and tongue since 10 days before, the patient had applied triamcinolone oral paste to the lesion but it did not improved. Oral ulcers frequently repeated and appeared in different places. Intraoral examination showed multiple ulcers at buccal mucosa and dorsum of tongue, as well as scrapable white plaques on tongue. The laboratory examination showed IgG Anti HSV 1 was reactive. RIH was made as the diagnosis, based on clinical and laboratory examination. Results: After 1 month therapy of 0.2% chlorhexidine gluconate mouthwash, vitamin B12, and folic acid the oral lesions were improved. Conclusion: The chlorhexidine mouthwash is effective for RIH therapy in reducing pain and accelerating wound healing.
COMPREHENSIVE MANAGEMENT OF ORAL FRAILTY IN MULTIPLE SYSTEMIC DISEASES GERIATRIC PATIENT Novia Tri Hasanah; Riani Setiadhi
Dentino : Jurnal Kedokteran Gigi Vol 8, No 1 (2023)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v8i1.16074

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ABSTRACTBackground Oral frailty is an important geriatric syndrome characterized by decreases in oral function that coincides with declines in cognitive and physical function. Objective: The aim of this case report is to describe the comprehensive management of oral frailty in a medically compromised geriatric patient prior to cardiovascular surgery. Case: A 64-year-old male patient complained of pain in swallowing and sore mouth since two days before. He had multiple systemic diseases, including infective endocarditis, acute kidney injury, type II diabetes mellitus, thrombocytopenia, and electrolyte-fluid imbalance. Extra-oral examination showed lymphadenitis, icteric sclera, and dry-exfoliative lips. Intra-oral examination revealed tongue depapillation, frothy saliva, and dry mucosa with poor oral hygiene. The scraped-off white plaque leaving erythematous area was found on the dorsal and ventral tongue, buccal mucosa, and hard palate. Irregular multiple major ulcers, surrounded by erythema, well-demarcated with yellowish concave base, and covered by thick yellowish-green sputum at the soft palate to the uvula. The diagnosis was exfoliative cheilitis, aphthous-like ulcer, acute pseudomembranous candidiasis, and moderate xerostomia. A D-E-N-T-A-L questionnaire was used to evaluate oral frailty, and the cumulative result was seven. Case Management: The patient was treated with 100% petroleum jelly, 0.12% chlorhexidine digluconate mouthwash, and chlorine dioxide-zinc mouthwash three times a day. The oral lesions showed significant improvement after one week of treatment. Conclusion: Appropriate therapy for oral lesions and eliminating the infection could be considered to minimize the long-term effect of oral frailty. The comprehensive management of oral frailty could be beneficial for improving the quality of life. Keywords: Geriatric, Oral frailty, Oral lesion, Systemic disease
TERAPI IMUNOSUPRESAN PADA PASIEN ANEMIA APLASTIK DENGAN PERDARAHAN GUSI: MENYEMBUHKAN ATAU MEMPERPARAH? Revi Nelonda; Eliza Kristina Munthe; Riani Setiadhi
Odonto : Dental Journal Vol 6: Special Issue 1. April 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (640.81 KB) | DOI: 10.30659/odj.6.1.23-29

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Background: Aplastic anemia (AA) is a hematologic disorder characterized by hypoplastic bone marrow and peripheral pancytopenia. The main symptoms are fatigue and bleeding. In the oral cavity, gingival bleeding is the common complaint.Case Management: A 18-year-old female patient referred from internal medicine department due to swelling of palate since 2 days before that interrupted eating activity. She routinely consumes Sandimun®100 mg tablets. A 2 x 1 cm black blood clot in anterior hard palate and ulcerative lesion at dorsal tongue regio 45 surrounded by necrotic area were found on intra oral examination. Patient was diagnosed with necrotizing ulcer-related neutropenia accompanied by AA-associated hemorrhagic bullae in the hard palate. Patient treated with mouthwash containing 0.1% hyaluronicacid and 1% feracrylum.Discussion: Immunosuppressant is the AA gold standard therapy. Cyclosporine (CsA) as imunosupressant is common drug to prevent T cells from attacking stem cells in bone marrow. The side effects of CsA is gingival hiperplasia.Conclusions: Gingival bleeding and gingival hiperplasia due to thrombocytopenia and the use of cyclosporine are vicious circles that need to be aware. With comprehensive management, good oral conditions will be obtained, therefore the quality of life can increase.
VIRUS AS A CAUSE OF SALIVARY GLAND DISEASES Etis Duhita Rahayuningtyas; Riani Setiadhi
Odonto : Dental Journal Vol 6: Special Issue 1. April 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (571.981 KB) | DOI: 10.30659/odj.6.1.37-42

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Background: Enlargement in the extraoral region with the absence of abnormal dental and periodontal structures are sometimes seen in dental practice, sometimes followed by xerostomia. Enlargement of the acute nonsuppurative salivary glands has been associated with several types of viruses. The purpose of this paper is to review salivary gland diseases associated with non-HIV and HIV viral infections.Discussion: Non-HIV viruses which were detected in the salivary glands including Paramyxovirus, cytomegalovirus (CMV), Hepatitis C virus (HCV), human papilloma viruses (HPV), Epstein-Barr virus (EBV), human herpes simplex virus (HHSV-8), and coxsackie virus. HIV-associated salivary gland disease typically presents with xerostomia and/or intraglandular lymph nodes, and diffuse infiltrative lymphocytosis syndrome (DILS). The most common viral infection conditions in salivary gland disorders are mumps and HIV. Enlargement and inflammation of the glandular structures will affects the control of salivary secretion by nerves. Parasympathetic nerves block conducted signals to the salivary glands, so the salivary flow isdecreased.Conclusion: There is association between viral infection and diseases of thesalivary gland. By knowing sequelae viruses on the salivary gland, dentists are expected to understand the clinical condition and therapeutic that should be given to the patients.
MANAGEMENT OF BURNING MOUTH SYNDROME: A LITERATURE REVIEW I Nyoman Gede Juwita Putra; Riani Setiadhi
Odonto : Dental Journal Vol 6: Special Issue 1. April 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (688.084 KB) | DOI: 10.30659/odj.6.1.43-50

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Background: Burning mouth syndrome (BMS) is a chronic idiopathic oral dysaesthesia that presents as a burning sensation in the oral cavity usually without any specific oral lesions or laboratory findings. Burning sensations may appear on the buccal mucosa, hard and soft palate, tongue and lips. BMS appears to be more prevalent in postmenopausal women. The term menopause is often used for a condition in which the permanent cessation of the primary function of the ovaries in humans that occurs especially in middle-aged women. Available evidence suggested that BMS is a multifactorial disorder with physiological basis. Pathophysiology of BMS remains unclear. The etiopathogenesis in most patients who complain of burning sensations have interactions with several factors such as local, systemic, and/ or psychogenic factors. The aim of this literature review was to assess and evaluate the management of BMS comprehensively.Discussion: The therapy of BMS including hormone replacement therapy,systemically therapy, such as antidepressants, clonazepam and topical medication (clonidine and capsaicin) and reassurance as the stress management.Conclusion: Proper management of the BMS involves the combination of pharmacologic treatment and psychotherapy, as well as reassurance is an important thing
BACTERIAL INFECTIONS-INDUCED ORAL ERYTHEMA MULTIFORME IN A SEPTIC CHILD: A RARE CASE REPORT Amira Shafuria; Riani Setiadhi
Dentino : Jurnal Kedokteran Gigi Vol 8, No 2 (2023)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v8i2.17528

Abstract

Background: Sepsis is a medical emergency condition that triggers an immune response due to an infectious process. Causative organisms in sepsis including viruses, bacteria, fungi, and parasites. Microorganism infection is one of the etiologies of erythema multiforme. Objective: This case report was aimed to describe the bacterial infection as a trigger for oral erythema multiforme in a septic child. Case: A 12-years-old boy was referred to the Oral Medicine Department. Extraoral showed a symmetric face and he was using a nasogastric tube. There were erosive lesions and tend to bleed, hemorrhagic crusts on the upper and lower lips. Laboratory test results revealed increasing in leukocyte (15,880/µL), procalcitonin (24.58 ng/mL), and C-reactive protein (3.67 mg/L). The identified microorganisms in pus specimens including gram-positive coccus and gram-negative rods as well as the isolated bacterial colonies were Enterococcus faecalis, Klebsiella pneumoniae, and Citrobacter koseri. The diagnosis was oral erythema multiforme induced by bacterial infections. Case management: The medications given by the Pediatric Department were cefotaxime vial 1 gram, metronidazole 500 mg/100 ml, and paracetamol 1 gr/100 ml. The Oral Medicine Department gave the instructions for compressing the lips with gauze soaked in 0.9% Sodium Chloride solution four times a day to remove crusts and accelerate wound healing. Oral lesions showed significant improvement after 7 days of therapy. Conclusion: Oral erythema multiforme in a pediatric patient could be induced by sepsis of bacterial infection. The microbial infection causes the release of endotoxins that trigger erythema multiforme. Keywords: Bacterial infection, Oral erythema multiforme, Sepsis.