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Peripheral ossifying fibroma of the anterior maxillary gingiva Ganendra Anugraha; Ni Putu Mira Sumarta
Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 4 (2019): December 2019
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v52.i4.p204-208

Abstract

Background: Peripheral ossifying fibroma is a rejuvenation of the reactive gingiva, usually occurring in the anterior maxillary gingiva. The condition is often clinically ambiguous when diagnosed on the basis of gingival hyperplastic lesions such as focal fibrous hyperplasia, peripheral giant cell granuloma, peripheral fibroma and pyogenic granuloma because peripheral ossifying fibroma has a tendency to recur with a ratio of around 20%. The literature on the subject predominantly classifies peripheral osifying fibroma as an epulis type, but it has also been identified as a peripheral mesenchymal tumor presenting similar clinical symptoms to ossified fibrous epulis. Purpose: The purpose of this article is to explain the rare case of peripheral ossifying fibroma in the anterior maxillary gingiva which can be clinically misdiagnosed as reactive gingival hyperplastic lesions. Case: A case report of peripheral ossifying fibroma in the left lateral incisor and canine of the maxillary gingiva in a 26 year-old male. The patient chiefly complained of a painless, slow growing gingival enlargement on the upper left jaw during the previous five years. Clinical examination confirmed it to be a single, hard swelling in the 21-24 region, pale in color and with a rough surface. Case management: The procedure constituted a complete surgical excision of the lesion together with the underlying periosteum curettage intended to prevent recurrence. The histopathologic examination results indicated tissue with squamous epithelial lining, stroma consisting of fibroblasts, and immature trabecula with osteoblastic rimming between collagen tissue without signs of malignancy. Osteoblastic rimming has specific features in histopathologic examination of ossifying fibroma. Conclusion: Peripheral ossifying fibroma is a rare solitary enlargement in the oral cavity frequently misdiagnosed as ossified fibrous epulis. A definitive diagnosis is made by means of histopathologic examination. The condition has a low reccurance rate.
TOOTH EXTRACTION FOR HIV PATIENTS: A COMMUNITY SERVICE Sumarta, Ni Putu Mira; Rizqiawan, Andra; Anugraha, Ganendra; Barus, Liska; Dewantara, Danang; Kusumawardhini, Pralita; Musta'inah, Ita
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 6 No. 1 (2024): APRIL 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v6i1.50454

Abstract

Introduction: Patients with HIV often encounter significant oral health difficulties that can impact their overall well-being. Tooth extraction stands as a pivotal intervention to address these issues. A community service was conducted to give free tooth extraction to HIV patients and to educate patients on how such procedures can enhance their oral health by eliminating dental focal infections. Furthermore, it includes a survey component to assess patient satisfaction levels. Methods: A community service was conducted from June-August 2023 by Department of Oral and Maxillofacial Surgery at the Faculty of Dental Medicine, Universitas Airlangga, in collaboration with Yayasan Mahameru-Surabaya, Universitas Airlangga Dental Hospital. The objective was to provide oral health education, screening and tooth extraction to HIV patients, member of Yayasan Mahameru Surabaya. Tooth extractions was done by staffs and residents, telemedicine follow-up was conducted seven days post-extraction. A satisfaction survey utilizing semi-quantitative questionnaires was done to evaluate the patients' experiences with the service. Results: Forty-five HIV patients screened and 16 patients receiving tooth extraction.  The results of the survey showed that patients were satisfied with this community service activities. Questionaire  result: ease of  access to health provider (50%), ease in obtaining service (68%) patient safety during treatment (81,25%) and sufficient facility (75%). Conclusion: Community service in providing free tooth extraction for HIV patients is an effective method to ease patients accessing dental services and patients showed good satisfaction with dental services.
Unilateral cleft lip surgery symmetry observation with Millard I and Tennison techniques Salsabila, Rizentya; Kresnaputri, Dewi Rarasati; Sieman, Riani; Anugraha, Ganendra
Indonesian Journal of Dental Medicine Vol. 7 No. 2 (2024): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v7i2.2024.52-56

Abstract

Background: In line with the development of Millard I and Tennison cleft lip surgery techniques, there are also advantages and disadvantages to each technique. The Cleft Lip Symmetry Index (CLCSI) was used to measure the symmetry of each measurement variable from the results of unilateral cleft lip surgery so that it could be represented by an objective number. Purpose: This study aims to observe the surgery results using Millard I and Tennison techniques in unilateral cleft lip patients. Methods: This study used descriptive study by observing the symmetry of lateral philtrum height, vermillion height, cupid’s bow width, cupid’s bow height, and nostril width after labioplasty using the Millard and Tennison technique in unilateral cleft lip patients in Surabaya, Madura, and Malang. Results: The results of the CLCSI modification for the Millard technique can be summarized that nostril width ranged from 78.82 - 195.04. Lateral philtrum height ranged from 62.5 - 107.62. Cupid’s bow width ranged from 72.17 - 155.29. Cupid’s bow height ranged from 96.43 - 487.5. Vermilion height ranged from 84.62 - 131.11. The results of the CLCSI modification for the Tennison technique can be summarized that nostril width ranged from 88.89 - 171.43. Lateral philtrum height ranged from 48.92 - 109.04. Cupid’s bow width ranged from 89.26 - 166.15. Cupid’s bow height ranged from 73.81 - 311.11. Vermilion height ranged from 72.14 - 138.46. Conclusion: It’s difficult to obtain completely symmetrical surgical results because of many factors that affect the outcome of the operation in both Millard I and Tennison methods.
Efficacy of Hyperbaric Oxygen Therapy in Systemic Lupus Erythematosus Patients Undergoing Maxillofacial Surgery Eko Mukti Wibowo; Ganendra Anugraha; Agung Satria Wardhana
Majalah Biomorfologi Vol. 35 No. 1 (2025): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v35i1.2025.69-80

Abstract

Highlights SLE is the most common autoimmune disease that requires management after maxillofacial surgery. Hyperbaric oxygen therapy is a treatment that can help accelerate recovery in patients.   Abstract Background:  Systemic Lupus Erythematosus (SLE) is a common multifactorial autoimmune disease that carries a high risk of osteoporosis and fractures. The delivery of oxygen to the body's tissues through hyperbaric oxygen treatment (HBOT) promotes the healing of wounds and shortens the typical recovery time for patients. The way tissues react to illnesses and injuries can be altered by HBOT. Objective: This article aimed to determine the use of hyperbaric oxygen therapy (HBOT) post-maxillofacial surgery in SLE patients. Materials and Method: This research used a scoping review approach, accessing electronic databases like PubMed, Scopus, Science Direct, Elsevier, and Google Scholar. Discussion: SLE is characterized by producing various autoantibodies that interact with endogenous antigens, favoring widespread inflammatory injury. SLE impacts the immune system, diminishing its ability to defend against infections. Hyperbaric oxygen therapy refers to administering 100% oxygen to a patient inside a pressurized chamber with a pressure higher than one atmosphere at sea level. The surgical placement of the implant into the mandible or maxilla allows it to be retained during functional loading, as the bone integrates with the implant during growth. Conclusion: HBOT can improve the host response by activating inflammatory cells and ensuring optimal oxygen tension in people with SLE. This can help with osteogenesis and neovascularization, which fill empty spaces with new blood vessels or bone tissue.
Empowering Women in Pioneering Oral Health Initiatives for Elderly with Hypertension Gilang Rasuna Sabdho Wening; Ganendra Anugraha; Jihan Az' Zahra' Medina; Maulida Putri Syarifina; Mayang Aziza Hanif Ardianto; Naqiya Ayunnisa; Nathania Nurani Fripertiwi; Ni Putu Clara Pitaloka
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I1.2025.56-64

Abstract

Background: An epidemiology study at Menur Public Health Center revealed that the highest case of hypertension was found in the late elderly (56-65 years) in the period of September-October 2023, most of them have dental and oral problems. Based on data, most elderly (41.82%) don’t seek any treatment when they experience toothache due to limited access and lack of individual awareness. Therefore, an empowerment program of periodic basic oral screening by cadres in Posyandu is needed for early detection to overcome possible obstacles when visiting the dentist experienced by elderly with hypertension. Objectives: To provide training for cadres in Posyandu Werda Asih regarding basic oral screening through the "Srikandi" program to improve oral health-seeking behavior for elderly with hypertension. Method: The program was conducted by providing direct training to cadres through guidebooks and posters. The program was evaluated using post-test related to basic oral screening and checklist sheet for skills. Results: After training, all cadres in Posyandu Werda Asih for the Elderly (100.00%) had a good level of understanding with an average score of 14 (the lowest score was 13 (18.18%), the highest score was 15 (18.18%)). The skills evaluation showed that all cadres (100%) were able to conduct all of the examination. Conclusion: According to post-test and checklist results, the "Srikandi" program can improve cadres' understanding and ability to perform basic oral screening. This will allow cadres to identify early dental and oral health issues and promote oral health-seeking behavior in the elderly with hypertension.
Management of Double Impacted Teeth 22 and 23 Combination of Fixed Orthodontics and Surgical Exposure Muntadir , Lila; Anugraha, Ganendra; Winoto, Ervina Restiwulan; Heriyanto, Eddy; Silviana, Nur Masita
Academia Open Vol 10 No 1 (2025): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.10.2025.11828

Abstract

Background: Double impaction of two teeth in the same region specifically tooth 22 and tooth 23 is a rare condition that requires a combined treatment approach involving fixed orthodontics and surgical exposure. Fixed orthodontic treatment is essential to prepare space, guide tooth movement after surgical exposure, prevent root resorption, and correct overall malocclusion. Surgical exposure is performed to expose the tooth crown, preserve the alveolar bone, avoid root exposure, and facilitate the attachment of buttons and ligatures. Impacted teeth can affect the stomatognathic system, facial growth, and aesthetics. The maxillary incisors and canines play a critical role in occlusion, masticatory function, and facial aesthetics, thus requiring appropriate management. Objective: To describe the management of a double impaction case in the anterior left maxillary region of a 19-year-old female patient using a combined approach of fixed orthodontic and surgical treatment. Methods: The patient underwent fixed orthodontic treatment and sequential extraction of premolars 14 and 24 to create space for the eruption of the impacted teeth and to correct the midline before surgical exposure. Post-surgical exposure, orthodontic treatment was continued to guide both teeth into proper alignment within the dental arch. Results: Teeth 22 and 23 successfully erupted with good occlusion. The patient's masticatory function and facial aesthetics improved over a 2-year period following surgical exposure. Conclusion: Fixed orthodontic treatment combined with surgical exposure is an effective strategy for managing double impaction of anterior teeth in the left maxillary region, considering the position of the crowns, tooth inclination, and root apex morphology of the impacted teeth. Highlights: Double impaction of teeth 22 and 23 is rare and affects function and aesthetics. Combined surgical and orthodontic treatment effectively guided tooth eruption. Treatment restored occlusion, midline, and facial aesthetics over 2 years. Keywords: Anterior tooth double impaction, surgical exposure, fixed orthodontic treatment
Comparison outcome of open and close reduction treatments for parasymphysis mandibular fractures Fardhani, Annisa; Rizqiawan, Andra; Mulyawan, Indra; Anugraha, Ganendra
Dental Journal (Majalah Kedokteran Gigi) Vol. 56 No. 4 (2023): December
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v56.i4.p268-272

Abstract

Background: Mandibular fracture is a condition of mandibular discontinuity. The treatment aims to reconstruct the appropriate anatomical position. Reduction is the process of repositioning fracture fragments to their original anatomical positions, which can be done by open and closed techniques. Open reduction is more invasive, and the possibility of nerve or blood vessel injury and infection postoperatively is greater. Closed reduction also has postoperative complications such as muscle atrophy, periodontal tissue and mucosa damage, speech disorders, and nutritional disorders. In the final determination of the treatment plan, the advantages, disadvantages, and risks of each treatment and the risk of complications should be sufficiently discussed with patients and the patient's guardians. Purpose: This case aims to compare the outcome of open reduction and internal fixation (ORIF) with closed reduction treatment in the management of mandibular parasymphysis fractures. Cases: Two case studies of mandibular parasymphysis fractures. Clinically, each patient had mandibular displacement and occlusion disturbance before treatment. Case Management: The treatment plan is considered by the patient's age and fracture type. One patient received ORIF, and the other received close reduction treatment with gradual repositioning. Malocclusion after treatment was absent in both cases. Conclusion: Open reduction is recommended for displaced parasymphysis fractures. In cases where the open reduction technique cannot be performed, the closed technique can be an alternative, especially on non-displaced or minimally displaced parasymphysis fractures.