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Serial kasus berbagai metode perawatan dislokasi sendi temporomandibula berdasarkan jenis dislokasinyaCase series of various temporomandibular joint dislocation treatment methods based on the dislocation type Dina Novianti; Endang Syamsudin; Winarno Priyanto
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 2 (2021): Agustus 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i2.29712

Abstract

Pendahuluan: Dislokasi sendi temporomandibula (TMJ) merupakan suatu keadaan dimana kondilus keluar dari fosa glenoidalis ke arah superior, posterior atau anterior melewati eminentia artikularis dan seringkali disertai dengan spasme otot-otot pengunyahan. Penanganan yang terlambat dapat menimbulkan komplikasi berupa asimetri wajah dan menggangu pengunyahan. Tujuan penulisan kasus ini adalah menyampaikan serial kasus perawatan dislokasi sendi temporomandibular berdasarkan jenis dislokasinya. Laporan kasus: Empat tipe kasus dislokasi TMJ datang ke IGD dan Poli Bedah Mulut dan Maksilofasial Rumah Sakit Hasan Sadikin Bandung dengan riwayat dislokasi yang berbeda. Pasien berjenis kelamin dua laki-laki dan dua perempuan, berusia 33 hingga 66 tahun dengan faktor predisposisi menguap. Klasifikasi dislokasi yaitu akut dan kronis. Perawatan keempat kasus berupa reduksi manual, menggunakan metode Hippocrates dan wrist pivot, hingga pembedahan dengan miotomi. Simpulan: Keadaan dislokasi yang berbeda memerlukan perawatan yang berbeda. Kasus akut dapat segera dilakukan reduksi manual, sedangkan kasus kronis memerlukan pembedahan. Keterlambatan penanganan yang tepat dapat membuat keadaan menjadi lebih berat sehingga memerlukan penanganan yang lebih kompleks dan biaya yang lebih besar. ABSTRACTIntroduction: Temporomandibular joint (TMJ) dislocation is a condition in which the condyle exits the glenoid fossa superiorly, posteriorly, or anteriorly through the articular eminence and is often accompanied by mastication muscle spasm. Delayed treatment can cause complications in the form of facial asymmetry, thus interfere with mastication. The purpose of the case series was to present a case series of temporomandibular joint dislocations treatment based on the dislocation type. Case reports: Four different patients with four types of TMJ dislocation cases came to the ER and the Oral and Maxillofacial Surgery Clinic of Hasan Sadikin Hospital Bandung, with different dislocation histories. The patients were two males and two females, aged 33 to 66 years, with predisposing factors of yawning. Classifications of dislocations were acute and chronic. The four cases’ treatments were manual reduction, each using the Hippocrates method and wrist pivot, up to surgery with myotomy. Conclusions: Different dislocation conditions require different treatments. Acute cases can be directly reduced manually, while chronic cases require surgery. Delay in proper handling will severe the situation, requiring more complex treatment with higher costs.
Korelasi antara gangguan sendi temporomandibular dengan tingkat stres pada personel korps Pasukan Khas Tentara Nasional Indonesia Angkatan Udara di JakartaCorrelation between temporomandibular joint disorders and stress levels in corps personnel typical of Indonesian Air Force Special Forces Corps in Jakarta Irna Nadhira Aulia; Endang Syamsudin; Kismanto Kismanto; Thomas Budi Satria
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 1 (2021): April 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i1.28896

Abstract

Pendahuluan: Tugas yang dihadapi oleh personel TNI AU mengandung tantangan baik secara mental maupun fisik terhadap tubuh sehingga dapat menimbulkan stres dan berpotensi mempengaruhi fungsi sendi temporomandibular. Tujuan penelitian ini adalah untuk menganalisis korelasi gangguan sendi temporomandibular dengan tingkat stres pada personel Korps Paskhas TNI AU yang bertugas di Jakarta. Metode: Jenis penelitian survei dengan pendekatan analisis korelasional. Teknik yang digunakan menggunakan purposive sampling sesuai kriteria inklusi yang ditetapkan. Pengukuran menggunakan masing-masing 10 pertanyaan menggunakan kuesioner Fonseca dan Perceived Stress Scale. Jumlah responden yang terlibat sebanyak 95 orang yang ditentukan dengan menggunakan metode Slovin. Hasil: Penilaian gangguan sendi temporomandibular berdasarkan skor kuesioner Fonseca didapatkan kategori ringan 33,7% dan sedang 6,3%. Penilaian tingkat stress berdasarkan skor Perceived Stress Scale, ringan 65,2%, sedang 32,7%, dan berat 2,1%. Hasil analisis korelasi Spearman memperlihatkan terdapat korelasi yang signifikan antara gangguan sendi temporomandibular dengan tingkat stres sebesar 17,97% (p-value<0,05). Simpulan: Terdapat korelasi antara gangguan sendi temporomandibular dengan tingkat stres pada personel Korps Paskhas TNI AU di Jakarta.Kata kunci: Gangguan sendi temporomandibular, stres, Korps Paskhas TNI AU. ABSTRACT Introduction: Duties carried out by Indonesian Air Force personnel challenges both mentally and physically, leading to stress and the potential to affect the temporomandibular joint function. The purpose of this study was to analyse the correlation of temporomandibular joint disorders with the stress level of the Indonesian Air Force Special Forces Corps personnel on duty placement in Jakarta. Methods: This research was survey research with a correlational analysis approach. The technique used was purposive sampling according to established inclusion criteria. The measurement used ten questions, each using the Fonseca questionnaire and the Perceived Stress Scale. The number of respondents involved was 95 people who were determined using the Slovin method. Results: Assessment of temporomandibular joint disorders based on the Fonseca questionnaire score resulted in 33.7% of respondents found in the mild category while 6.3% were in the moderate category. Assessment of stress levels based on the Perceived Stress Scale score resulted as follows: light 65.2%, moderate 32.7%, and heavy 2.1%. The Spearman correlation analysis results showed a significant correlation between temporomandibular joint disorders and a stress level, in the value of 17.97% (p-value<0.05). Conclusion: There is a correlation between temporomandibular joint disorders with the level of stress on the Indonesian Air Force Special Forces Corps personnel on duty placement in Jakarta.Keywords: Temporomandibular disorder, stress, the Indonesian Air Force Special Forces Corps.
Tooth extraction complication and treatments at the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Universitas Padjadjaran Bandung Harnastiti Wirastriajeng; Lucky Riawan; Endang Syamsudin
Padjadjaran Journal of Dentistry Vol 19, No 2 (2007): July 2007
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.65 KB) | DOI: 10.24198/pjd.vol19no2.14185

Abstract

The patient’s dental conditions who visited the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Padjadjaran University, Bandung, were generally in a severe damage stage, causing problems in extraction. This condition, as well as the operator ’s (co-assistant student) that still have limited capability,  may increase the risk of complication. This study was conducted at the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Padjadjaran University. It is conducted from March 13 to May 13, 2007. It is aimed at finding out the types of tooth extraction complications including the treatments towards the problems. This study was a prospective descriptive using the survey method. The study showed that there were 70 cases (64% ) of complications occurred, namely, 37 cases (6.68%) in the maxilla, and 33 cases (5.96% ) in the mandible. The complications that occurred consisted of root fracture (41 .43%), crown fracture (32.86% ), soft tissue laceration (14 .29%), maxillary sinus perforations (2.86% ), syncope (2.86% ), swelling (2.86% ), and secondary hemorrhage (2.86% ).
Karakteristik pasien dan diagnosis pencabutan gigi pada pasien di klinik eksodonsia RSGM Universitas PadjadjaranCharacteristics patient and indications of tooth extraction of patients at the exodontia clinic Padjadjaran University Dental Hospital Cynthia Deianira Dewi; Endang Syamsudin; Indra Hadikrishna
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 34, No 2 (2022): Agustus 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v34i2.37719

Abstract

ABSTRAKPendahuluan: Pencabutan gigi adalah tindakan mengeluarkan gigi dari soketnya. Pencabutan gigi dilakukan jika terdapat indikasi medis dan sosial dengan epidemiologi di tiap negara berbeda. Penelitian ini bertujuan untuk mengetahui karakteristik dan indikasi pencabutan gigi pasien di klinik Eksodonsia RSGM Universitas Padjadjaran dari tahun 2014-2018. Metode: Metode penelitian yang digunakan adalah deskriptif retrospektif. Data diambil dari rekam medis pasien yang datang untuk dilakukan tindakan pencabutan gigi. Data meliputi jenis kelamin, usia, pekerjaan, tingkat pendidikan, dan diagnosis. Pengambilan sampel dilakukan dengan teknik total sampling. Hasil: Terdapat 2165 gigi yang dicabut dari 1535 pasien. Pencabutan gigi yang dilakukan karena penyakit periodontal 1465 gigi (67,67%), karies dan penyakit pulpa 517 gigi (23,88%), persistensi gigi sulung 76 gigi (3,50%), gigi dengan lesi patologis 60 gigi (2,80%), impaksi 14 gigi (0,64%), perawatan preprostetik 11 gigi (0,50%), perawatan ortodontik 10 gigi (0,50%), gigi supernumerary 5 gigi (0,23%), gigi malposisi 6 gigi (0,27%), dan gigi patah atau fraktur 1 gigi (0,05%). Karakteristik pasien didapatkan terbanyak pada jenis kelamin perempuan 861 (56%), kelompok umur 12-25 tahun 626 (41%), kelompok pelajar/mahasiswa 495 (32%), dan tingkat pendidikan SMA sebanyak 794 (52%). Simpulan: Perempuan dewasa muda dari kalangan pelajar atau mahasiswa merupakan karakteristik pasien yang paling banyak ditemukan di Klinik eksodonsia RSGM Universitas Padjadjaran dengan indikasi pencabutan gigi terbanyak yaitu penyakit periodontal, karies, dan penyakit pulpa.Kata kunci: indikasi; pencabutan gigi; karies; periodontal; penyakit pulpaABSTRACTIntroduction: Tooth extraction is a procedure to remove the tooth from its socket. Tooth extraction performed if there are any medical and social indications with different epidemiology in each country. This study aimed to determine tooth extraction indication and characteristic of patients at exodontia clinic Padjadjaran University Dental Hospital in 2014-2018. Methods: The research used descriptive retrospective as the method. Data were taken from the medical record of patients who came for tooth extraction procedure. The data include gender, age, occupation, level of education, and diagnosis. Sampling was done using total sampling. Results: There were 2165 teeth extracted from 1535 patients. Tooth extraction performed due to periodontal disease were 1465 teeth (67.67%), followed by caries and pulp disease 517 teeth (23.88%), over-retained primary teeth 76 teeth (3.50%), teeth associated with pathologic lesions 60 teeth (2.80%), impacted teeth 14 teeth (0.64%), preprosthetic extraction 11 teeth (0.50%), orthodontic reasons 10 teeth (0.50%), supernumerary teeth 5 teeth (0.23%), malposed teeth 6 teeth (0,27%), and fractured teeth 1 teeth (0.05%). The most common patient characteristics were female 861 patients (56%), 12-25 years old age group 626 patients (41%), students 495 patients (32%), and level of educations was high school 794 pasien (52%). Conclusion: Female young adult among students or college students were the most common characteristic of patients in exodontia clinic Padjadjaran University Dental Hospital with the most common reasons for tooth extraction were Periodontal disease, caries and pulp disease.Keywords: indication; tooth extraction; caries; periodontal; pulp disease