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Taufik Sumarsongko
Universitas Padjadjaran
Dentistry Health Professions

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Presurgical nasoalveolar molding modifikasi Hotz-Kogo dengan single nasal stent untuk perawatan pra-bedah bayi celah bibir dan langit-langit unilateral komplitHotz-Kogo modified presurgical nasalveolar molding with single nasal stent for pre-surgical treatment of complete unilateral cleft lip and palate infant Gian Nur Alamsyah; Lisda Damayanti; Taufik Sumarsongko
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 3 (2022): Maret 2022 (Suplemen 3)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i3.30906

Abstract

ABSTRAK Pendahuluan: Defek kongenital pada daerah kraniofasial yang sering terjadi adalah celah bibir dan langit-langit (CBL). Bayi dengan CBL unilateral memiliki ciri khas pada sisi bercelah, premaksila akan berotasi dan terproyeksi ke luar, filtrum dan columella akan memendek pada satu sisi, dan miring ke arah sisi tidak bercelah. Segmen minor maksila akan mengalami hipoplastik dan retroposisi. Presurgical nasoalveolar molding (PNAM) merupakan plat ortopedik yang dapat mereposisi secara pasif segmen alveolar dan kartilago nasal sebelum labioplasty. Desain PNAM dengan modifikasi desain Hotz-Kogo yaitu perpaduan dari plat Hotz yang menutupi segmen alveolar kemudian memanjang ke posterior hingga uvula dipadukan desain plat Kogo dengan peninggian 2 mm di posterior plat yang berperan sebagai close box akan menambah retensi pada plat. Nasal stent memiliki kelebihan mengoreksi kartilago hidung yang immature dan mempertahankan pada posisi yang normal. Tujuan laporan kasus untuk menjelaskan tahapan dan hasil perawatan bayi pra bedah dengan PNAM desain modifikasi Hotz-Kogo dengan single nasal stent bayi celah bibir dan langit-langit unilateral komplit sinistra. Laporan kasus: Diagnosis laporan kasus ini labiognatopalatoschizis unilateral complete sinistra dirawat dengan menggunakan PNAM desain modifikasi Hotz-Kogo dan strapping ekstraoral. Nasal stent kemudian dipasang untuk membentuk kartilago nasal. Posisi premaksila dikoreksi dengan melakukan penyesuaian berkala pada permukaan anatomi PNAM. Hasil perawatan didapat posisi premaksila lebih baik dan celah menyempit, serta morfologi nasal yang lebih simetris antara sisi bercelah dan tidak bercelah. Simpulan: Penanganan pra bedah dengan pembuatan PNAM modifikasi Hotz-Kogo dengan single nasal stent pada bayi CBL unilateral komplit, dapat mengkoreksi posisi premaksila dan memperkecil jarak celah sebelum tindakan labioplasty. Kata kunci: presurgical nasoalveolar molding; nasal stent; celah bibir dan langit-langit. ABSTRACTIntroduction: Congenital defects in the craniofacial area, amongst others, are cleft lip and palate (CLP). Infants with unilateral CLP have a characteristic on the cleft side. The premaxilla will rotate and project outward; the philtrum and columella will shorten on one side and tilt toward the non-cleft side. The minor maxillary segment is hypoplastic and retroposition. Presurgical nasalveolar moulding (PNAM) is an orthopaedic plate that can passively reposition the alveolar and nasal cartilage segments before labioplasty. The PNAM with a modified Hotz-Kogo design combines the Hotz plate that covers the alveolar segment and extends posteriorly to the uvula combined with the Kogo plate design with a 2 mm elevation on the posterior plate, which acts as a close box will increase the retention of the plate. Nasal stents can correct the immature nasal cartilage and maintain it in its normal position. This case report presented the stages and outcomes of presurgical treatment with Hotz-Kogo modified PNAM design with a single nasal stent for infants with unilateral complete left cleft lip and palate. Case report: Diagnosis in this case report was unilateral complete left labiognatopalatoschizis, treated with Hotz-Kogo modified design PNAM and extraoral strapping. A nasal stent was then placed to form the nasal cartilage. The premaxillary position was corrected by making periodic adjustments to the anatomic surface of the PNAM. The treatment results obtained a better premaxillary position, narrowed slits, and a more symmetrical nasal morphology between cleft and non-slit sides. Conclusion: Presurgical treatment with Hotz-Kogo modified PNAM with a single nasal stent in complete unilateral CBL infants can correct the premaxillary position and reduce the gap before labioplasty.Keywords: presurgical nasoalveolar moulding; nasal stent; cleft lip and palate.
Efek perendaman pada landasan akrilik self-cured terhadap viabilitas sel fibroblasImmersion effect on self-cured acrylic base towards the fibroblast cell viability Laurensius Randy Soetono; Taufik Sumarsongko; Lisda Damayanti; Bremmy Laksono
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.18075

Abstract

Pendahuluan: Akrilik merupakan salah satu bahan landasan gigi tiruan yang populer digunakan oleh dokter gigi di bidang prostodonti. Pembuatan gigi tiruan saat ini dapat dilakukan juga oleh tukang gigi sesuai dengan peraturan Permenkes, namun terbatas pada bahan akrilik heat-cured sebagai landasan gigi tiruan. Tukang gigi diketahui sering menggunakan bahan akrilik self-cured sebagai landasan gigi tiruan, tanpa memperhatikan toksisitas dari bahan. Penelitian ini bertujuan untuk mengamati pengaruh toksisitas akrilik self-cured terhadap viabilitas sel fibroblast. Metode: Penelitian menggunakan metode eksperimental in vitro dengan melakukan kontak antara piringan akrilik self-cured dan sel fibroblast REF (Rat Embryonic Fibroblast) selama 48 jam. Piringan akrilik self-cured yang digunakan pada penelitian ini dibuat dengan ukuran diameter 1 cm dan tebal 1 mm. Pengaruh toksisitas piringan akrilik self-cured dilihat dengan membandingkan viabilitas sel fibroblast pada piringan akrilik self-cured yang sudah direndam pada air suhu ruangan (25o C) selama 1 jam dengan monomer sisa yang terukur sebagai kontrol (2,5%). Hasil: Jumlah rata-rata viabilitas sel fibroblast pada piringan akrilik self-cured sebesar 24,04% dan pada kontrol 17,43%. Analisis statistik uji-t menunjukkan nilai p dibawah nilai kemaknaan (p < 0,05), yaitu 0,02. Simpulan: Terdapat pengaruh toksisitas bahan landasan akrilik self-cured terhadap viabilitas sel fibroblast dan adanya perbedaan bermakna pada perendaman piringan akrilik dalam air suhu ruangan selama 1 jam terhadap kontrol.Kata kunci: Akrilik self-cured, sel fibroblas, viabilitas sel. ABSTRACTIntroduction: Acrylic is one of denture base’s materials which are popularly used by dentists in prosthodontic. Denture manufacture can be done by artisans corresponding to National Health Regulation (Permenkes) but is limited on heat-cured acrylic material only. Dental artisans are usually known to use self-cured acrylic as denture base material, without paying attention to its toxicity. This study was aimed to evaluate the toxicity effect of self-cured acrylic by measuring the viability of fibroblast cells in-vitro. Methods: This research was an in-vitro experimental by contacted self-cured acrylic discs with REF (Rat Embryonic Fibroblast) for 48 hours. Self-cured acrylic discs that used in this research were made in disc shape with 1 cm in diameter and 1 mm thick. Toxicity effect of self-cured acrylic discs was measured by comparing cell viability at self-cured acrylic discs that had been immersed in water with room temperature (25oC) for 1 hour to measured residual monomer as control (2.5%). Results: The research result was showing the average cells viability at self-cured discs was 24.04%, and the control group was 17.43%. The t-test analysis result showed that the p-value was p = 0.02. Conclusion: There was a toxicity effect of acrylic self-cured materials towards the fibroblast cell viability. This research also found a difference between the acrylic self-cured discs that had been immersed in room temperature water for 1 hour with the control group.Keywords: Cell viability, fibroblast cells, self-cured acrylic.
Perbedaan ketinggian tulang kortikal mandibula antara penderita bruxism dan bukan penderita bruxism berdasarkan indeks panoramik mandibularDifferences in the mandibular cortical bone height between bruxism and non-bruxism patients based on the panoramic mandibular index Hana Fauziah; Taufik Sumarsongko; Azhari Azhari
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 2 (2020): Agustus 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i2.26570

Abstract

Pendahuluan: Bruxism adalah aktivitas parafungsi oklusal pada siang atau malam hari dimana terjadi grinding, clenching, dan gnashing. Bruxism dapat memberikan tekanan berlebih pada tulang sehingga tulang beradaptasi melalui proses remodeling tulang yang dapat mengubah jumlah, densitas, dan ketinggian tulang. Perubahan yang terjadi pada tulang dapat dianalisis dengan mengukur ketinggian tulang kortikal mandibula. Salah satu metode pengukuran yang dapat digunakan adalah indeks panoramik mandibula (PMI) melalui radiografi panoramik. Tujuan penelitian ini adalah menganalisis perbedaan ketinggian tulang kortikal mandibula pada penderita dan bukan penderita bruxism. Metode: Jenis penelitian ini adalah analitik cross sectional. Sampel penelitian ini terdiri dari dua kelompok, yaitu 30 sampel radiograf panoramik digital penderita bruxism dan 30 sampel radiograf panoramik digital bukan penderita bruxism. Data dianalisis menggunakan independent t-test pada software MegaStat 10.1. Hasil: Hasil analisis p-value menunjukkan ketinggian tulang kortikal mandibula regio kanan penderita bruxism dan bukan penderita bruxism adalah 0,1517mm dan regio kiri adalah 0,2036mm (p-value>0,05). Simpulan: Tidak terdapat perbedaan ketinggian tulang kortikal mandibula antara penderita bruxism dan bukan penderita bruxism.Kata kunci: Bruxism, kortikal mandibula, indeks panoramik mandibular. ABSTRACTIntroduction: Bruxism is an occlusal parafunction activity during the day or night that includes grinding, clenching, and gnashing. Bruxism can exert excessive pressure on the bone so that the bone adapts through the process of bone remodelling, which can change the amount, density, and height of the bone. Changes that occur in the bone can be analysed by measuring the height of the mandibular cortical bone. One of the measurement methods commonly used was the panoramic mandibular index (PMI) through panoramic radiography. The purpose of this study was to analyse the differences in the height of the mandibular cortical bone in bruxism and non-bruxism patients. Methods: The type of research was cross-sectional analytic. The sample of this study consisted of two groups, which were 30 samples of digital panoramic radiographs of bruxism patients and 30 samples of digital panoramic radiographs of non-bruxism patients. Data were analysed using an independent t-test in the MegaStat 10.1 software. Results: The results of the p-value analysis showed that the mandibular cortical bone in the right region of bruxism and non-bruxism patients was 0.1517 mm, and in the left region was 0.2036 mm (p-value > 0.05). Conclusion: There is no difference in the mandibular cortical bone height between bruxism and non-bruxism patients.Keywords: Bruxism, mandibular cortical bone, panoramic mandibular index.
Co-Authors - Azhari Bremmy Laksono Gian Nur Alamsyah Hana Fauziah Laurensius Randy Soetono Lisda Damayanti