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All Journal Nusantara Medical Science Journal Journal of Dentomaxillofacial Science
Endang Sjamsudin
Department Of Oral And Maxillofacial Surgery, Faculty Of Dentistry, Padjadjaran University, Bandung Indonesia
Dentistry Materials Science & Nanotechnology Neuroscience

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Characteristics of Pain Based on Numerical Rating Scale in Maxillofacial Trauma Patients Treated with Open Reduction Internal Fixation Yohanes Yoppy Purnomo; Endang Sjamsudin; Eka Marwansyah Oli'i
Nusantara Medical Science Journal Volume 6 Issue 1, January - June 2021
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v6i1.13855

Abstract

Introduction: Open Reduction Internal Fixation (ORIF) is one of the maxillofacial bone fracture treatment procedures. Post-surgical pain is generally assessed by Numerical Rating Scale (NRS). Objective: To obtain information about pain characteristics in post-ORIF patients based on NRS. Methods: This study is an observational study with a retrospective descriptive approach. The research was conducted at Hasan Sadikin General Hospital (RSHS) Bandung in January 2018 - December 2019 based on medical record data. The data collected included age, gender, fracture area, diagnosis, duration of surgery, number of plates and screws, pre-surgical and post-surgical pain based on NRS, pain intensity measured every 8 hours postoperatively for 24 hours. Results: In this study, 65 medical records were obtained. The most frequent characteristics of the subjects were young adults aged 17-30 years (56.92%) and males (86.15%). The most frequent fracture locations were the mandible area (48.67%) and the most frequently performed surgery was at the mandibular area (60.46%). Regarding the duration of the surgery, most of the surgeries lasted for 61-120 minutes (32.30%) with the most used plates were plates (1-10 holes) and plates (11-20) holes, both having the same percentage (38.46%), and the most frequently used screw was screw (1-10) (49.23%). The most frequently used analgesics was Ketorolac (87.69%) and The NRS pain scale for ORIF was a mild type of surgery with an NRS scale of 1-3. The mean of pre-ORIF surgery patients showed a mild pain intensity with a percentage of 92.30% and postoperatively resulted in mild pain with a percentage of 95.38%. Conclusion: Characteristics of pain based on NRS in maxillofacial trauma patients treated with ORIF indicate mild pain and could be the result of the influence of analgesic drugs or subjective assessments, therefore, further research is needed to obtain a more precise assessment of the pain.
Correlation between levels of patient satisfaction and the value of cephalometric skeletal analysis in post-orthognatic surgery patients Joni Putra; Endang Sjamsudin; Asri Arumsari; Abel T. Yuza
Journal of Dentomaxillofacial Science Vol. 7 No. 2 (2022): (Available online: 1 August 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i2.1385

Abstract

Objective: The purpose of this study was to analyze the level of patient satisfaction after orthognathic surgery and the correlation between the patient satisfaction level after orthognathic surgery and the results of the cephalometric skeletal analysis. Material and Methods: This study were patients who had orthognathic surgery either BSSO, Osteotomy Le Fort 1, or Double Jaw Surgery. First, the subjects filled out a questionnaire about patient satisfaction after orthognathic surgery, the second was taking cephalometric radiographs which were then analyzed by the Steiner method by measuring the angles of SNA, SNB, ANB, and GoGN-SN. Results: The results of the study on 10 research subjects showed that all questionnaire scores were in the "satisfied" category. Cephalometric skeletal analysis of all cephalograms showed 50% normal SNA angle, 10% normal SNB angle, 80% normal ANB angle, and 90% normal GoGN-SN angle. The Concordal Kendall test results show the correlation coefficient value of 0.534 or 53.4%. Conclusion: On average, patients are very satisfied with the orthognathic surgery they have undergone. There is a correlation between the level of patient satisfaction after orthognathic surgery and the results of the cephalometric skeletal analysis.
The differences in severity of temporomandibular joint disorder before and after orthognathic surgery Akmalia Hardini; Endang Sjamsudin; Abel T. Yuza; Seto A. Sadputranto
Journal of Dentomaxillofacial Science Vol. 7 No. 3 (2022): (Available online: 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i3.1414

Abstract

Objective: The aim of this study was to analyze the differences in the severity of Temporomandibular Joint (TMJ) disorders before and after orthognathic surgery. Material and Methods: This type of research is analytical observation with 10 subjects, who will perform orthognathic surgery at the Oral and Maxillofacial Surgery section in the Dental and Oral Hospital and Hasan Sadikin Hospital, then perform TMJ clinical examination with the Helkimo index, filling out the Fonseca questionnaire before and after orthognathic surgery and Cone Beam Computed Tomography (CBCT) photos 7 months after orthognathic surgery. Statistical analysis using paired data test (Wilcoxon test). Results: The results of the paired data test calculation showed that there was a difference in the degree of severity before and after surgery which was statistically significant with results-p <0.05 where after surgery there was a decrease in the severity of TMJ with using the Helkimo index and the Fonseca questionnaire. Conclusion: Orthognathic surgery can reduce the severity of temporomandibular joint disorders, assessed by Helkimo index and Fonseca questionnaire.
The difference in signs of temporomandibular joint disorders between Airforce Pilot Corps, Paskhas Corps, and Supporting Corps in Indonesian Airforce Basaria Manurung; Endang Sjamsudin; Indra Hadikrishna
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Abstract

Objective: This study aims to analyze the difference in signs of TMJ disorders in Indonesian Air Force soldiers. Material and Methods: This was a cross sectional study. The research subjects were 39 Indonesian Air Force soldiers who were underwent periodic health check up at Lakespra Dr. Saryanto Jakarta who had met the inclusion and exclusion criteria.. The data obtained were tested with one way Anova, Kruskal Wallis and Mann Whitney test by SPSS. Results: The three groups had signs of TMJ disorders in different proportions. The Paskhas Corps had the highest percentage of abnormalities in the examination of muscle palpation, TMJ palpation, and TMJ auscultation of 23%, 23%, and 53.85%, respectively. Meanwhile, the Airforce Pilot had the most abnormalities in mandibular movement, about 92%. The results of statistical tests showed that there were significant differences in the TMJ auscultation examination in the three groups, but not on other examinations. Conclusion: Exercises and heavy physical loads in the Paskhas Corps can affect the masticatory muscles and cause microtrauma in the TMJ resulting in the occurrence of TMJ symptoms is higher.
Co-Authors Abel T. Yuza Abel T. Yuza Abel T. Yuza Akmalia Hardini Asri Arumsari Basaria Manurung Eka Marwansyah Oli'i Indra Hadikrishna Joni Putra Joni Putra Seto A. Sadputranto Yohanes Yoppy Purnomo