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Penilaian faktor predisposisi recurrent aphthous stomatitis dengan menggunakan Kessler psychological distress scale, food recall, dan food frequency questionnaireAssessment of predisposing factors for recurrent aphthous stomatitis using Kessler psychological distress scale, food recall, and food frequency questionnaire Ayu Galih Permata Dewi; Erna Herawati; Indah Suasani Wahyuni
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Recurrent aphtous stomatitis merupakan kelainan mukosa rongga mulut, dengan ulser berbatas regular secara berulang. Etiologi belum diketahui, tetapi ada beberapa faktor predisposisi yang dapat menginisiasi, antara lain defisiensi stres dan nutrisi. Laporan kasus ini bertujuan membahas penentuan faktor predisposisi recurrent aphtous stomatitis minor terkait defisiensi nutrisi dan stres emosional dengan menggunakan indikator pengukuran stres dan asupan nutrisi. Laporan Kasus: Seorang wanita berusia 23 tahun mengeluhkan sariawan pada bibir, sakit saat makan, dan berulang 2 bulan sekali. Pasien jarang makan sayur dan buah, serta banyak pekerjaan. Secara klinis ulser berdiameter 2mm, ditutupi pseudomembran putih kekuningan, dengan margin reguler pada mukosa labial kanan atas. Pasien didiagnosis recurrent aphtous stomatitis minor dan diterapi dengan gel Triamcinolone acetonide 0,1%. Faktor predisposisi yaitu stress diukur dengan kuisioner Kessler psychological distress scale, dan asupan nutrisi diukur dengan food recall 24 jam dan food frequency questionnaire. Tingkat stres skala 35 dikategorikan stres berat. Berdasarkan Angka Kecukupan Gizi (AKG) pasien mengalami defisiensi nutrisi terutama asam folat dan zat besi. Penyembuhan terjadi lebih lama, sekitar 16 hari, dibandingkan pasien recurrent aphtous stomatitis pada umumnya. Simpulan: Faktor predisposisi recurrent aphthous stomatitis dapat dinilai dengan menggunakan Kessler psychological distress scale, food recall dan food frequency questionnaire.Kata kunci: Recurrent aphtous stomatitis minor, faktor predisposisi, Kessler psychological distress scale, food recall questionnaire, food frequency questionnaire. ABSTRACTIntroduction: Recurrent aphthous stomatitis is a mucosal abnormality of the oral cavity, with regular border ulcers. The aetiology is unknown, but several predisposing factors can initiate, including stress deficiency and nutrition. This case report was aimed to discuss the determination of predisposing factors of minor aphthous stomatitis related to nutritional deficiencies and emotional stress by using indicators of stress measurement and nutritional intake. Case Report: A 23-years-old woman was complaining mouth ulcers, pain while eating, and recurred every two months. The patient was rarely eating vegetables and fruit, and having a lot of working burden. The ulcer was having a diameter of 2mm clinically, covered with a yellowish-white pseudomembrane, with a regular margin on the right upper labial mucosa. The patient was diagnosed with minor aphthous stomatitis and treated with a 0.1% Triamcinolone acetonide gel. Stress predisposing factors were measured by the Kessler psychological distress scale questionnaire, and the nutritional intake was measured by the 24-hours food recall and a food frequency questionnaires. The 35 scale stress level was categorised as severe stress. Based on the Recommended Dietary Allowance (RDA), the patient was having nutritional deficiencies, especially folic acid and iron. Healing process occurred longer, around 16 days, compared to patients recurrent aphthous stomatitis in general. Conclusion: Predisposing factors for recurrent aphthous stomatitis can be assessed using Kessler’s psychological distress scale, food recall and food frequency questionnaire.Keywords: Recurrent aphthous stomatitis minor, Kessler psychological distress scale, food recall questionnaire, food frequency questionnaire.

Temuan klinis dan manajemen kasus ulserasi rongga mulut terkait trauma iatrogenikClinical findings and management of iatrogenic trauma-related oral ulceration cases Erna Herawati; Theodora Adhisty Dwiarie
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 31, No 2 (2019): Agustus 2019
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Ulser merupakan kelainan pada mukosa mulut yang dapat dialami oleh setiap orang. Ulserasi dapat terjadi akibat berbagai etiologi salah satunya adalah trauma iatrogenik. Trauma iatrogenik adalah trauma yang disebabkan secara tidak disengaja oleh praktisi kesehatan pada saat perawatan medis atau prosedur diagnosis. Tujuan dari laporan kasus ini adalah untuk membahas lesi ulserasi pada mukosa mulut akibat trauma iatrogenik yaitu penggunaan tongue retractor pada saat melakukan bedah flap gingiva pada wanita berusia 22 tahun. Laporan kasus: Pasien datang dengan keluhan sariawan pada bawah lidah sebelah kiri sejak ± 5 hari yang lalu dan pasien merasa sakit saat makan dan menggerakan lidah. Kurang lebih 7 hari yang lalu dilakukan pembedahan pada gusi kiri bawah. Dua hari kemudian terasa sakit pada daerah bawah lidah yang berdekatan dengan gusi tersebut dan terlihat sariawan yang cukup besar. Pasien sudah menggunakan antibiotik, analgetik, obat kumur selama satu minggu. Pemeriksaan ekstraoral terdapat deskuamasi pada bibir. Pemeriksaan intraoral menunjukkan ulser di dasar mulut kiri, berbentuk oval atau memanjang, diameter ± 15 mm, tepi eritema, batas ulser tidak beraturan, permukaanya ditutupi pseudomembran berwarna putih kekuningan. Diagnosis pada pasien ini adalah ulser traumatik terkait trauma iatrogenik. Pasien diberikan triamcinolone acetonide 0,1% dan multivitamin. Setelah tiga hari menggunakan obat tersebut, rasa sakit sudah hilang dan sariawan sembuh dalam waktu 3 minggu. Simpulan: Ukuran lesi trauma iatrogenik pada kasus ini cukup besar dari pada ulser lainnya dan berbentuk oval yang sesuai dengan instrumen penyebab trauma tersebut. Manajemen kasus ulser traumatik yang utama adalah harus menghilangkan faktor penyebabnya dan pemberian obat anti inflamasi serta nutrisi yang adekuat untuk membantu proses penyembuhan ulser.Kata kunci: Anti inflamasi, trauma iatrogenik, ulser traumatik. ABSTRACTIntroduction: Ulcer is an oral mucosa abnormality that can be experienced by anyone. Ulceration can occur due to various etiologies, one of which is iatrogenic trauma. Iatrogenic trauma is trauma caused accidentally by a health practitioner during medical treatment or diagnostic procedure. The purpose of this case report was to discuss oral mucosa ulceration lesions due to iatrogenic trauma, namely the use of tongue retractors when performing gingival flap surgery in a woman aged 22 years old. Case report: The patient came with complaints of canker sores under the left tongue since approximately five days before and the patient feels the soreness each time she eats and moving her tongue, approximately seven days before, a surgery on her lower left gingiva was performed. Two days after, the pain in the lower area of the tongue adjacent to the gingiva was felt, and visible sore was quite large. The patient has been using antibiotics, analgesics, and mouthwash for one week. An extraoral examination performed was lips desquamation. Intraoral examination revealed ulcers at the base of the left mouth, oval or elongated, ± 15 mm in diameter, erythema margins, irregular border of the ulcer, the surface was covered with a yellowish-white pseudomembrane. The diagnosis of this patient was an iatrogenic trauma-related ulcer. The patient was given 0.1% triamcinolone acetonide and a multivitamin. After three days using the medications, the pain has disappeared, and the canker sores were recovered within 3 weeks. Conclusion: The size of iatrogenic trauma lesion, in this case, is quite large compared to other ulcers with an oval-shaped following the shape of the instrument causing the trauma. The main management of traumatic ulcer case is to eliminate the causes and the provision of anti-inflammatory drugs and adequate nutrition to help the ulcer healing process.Keywords: Anti-inflammation, iatrogenic trauma, traumatic ulcer.

Penatalaksanaan kasus denture stomatitisManagement of denture stomatitis case Erna Herawati; Dwi Novani
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Denture stomatitis adalah inflamasi mukosa mulut yang berkontak dengan permukaan anatomis geligi tiruan. Denture stomatitis umumnya terjadi pada daerah palatal, gambaran klinisnya berupa macula eritomatous atau granular. Beberapa faktor yang dapat menyebabkan denture stomatitis adalah trauma gigi tiruan yang longgar yang dapat juga disertai adanya invasi mikroba terutama Candida spp. Tujuan laporan kasus adalah membahas mengenai penatalaksanaan denture stomatitis pada seorang wanita berusia 49 tahun yang menggunakan gigi tiruan yang longgar dan mempunyai keluhan rasa sakit pada saat mengunyah. Laporan Kasus: Hasil pemeriksaan visual ekstra dan intra oral dengan menggunakan alat dasar dan cahaya dental unit ditemukan terdapat nodula disertai ulser pada linggir lingual rahang bawah premolar kiri. Tatalaksana pada kasus yang menghilangkan iritan yaitu mengurangi landasan gigi tiruan yang menekan lesi tersebut dan mengurangi waktu penggunaan gigi tiruan yang sudah longgar, serta aplikasi triamcinolon 0.1% pada lesi ulserasi. Lesi ulserasi sembuh dalam waktu 1 minggu dan nodula mengecil dalam waktu satu bulan. Tahap selanjutnya, dibuatkan gigi tiruan yang baru. Simpulan: Penatalaksanaan kasus denture stomatitis dapat dilakukan dengan cara menghilangkan iritan dan pemberian obat anti inflamasi.Kata kunci: Denture stomatitis, nodula, ulser. ABSTRACTIntroduction: Denture stomatitis is inflammation of the oral mucosa in contact with the anatomical denture surface. Denture stomatitis generally occurs in the palatal area, and the clinical feature is an erythomatous or granular macula. Some factors that can cause denture stomatitis are loose denture trauma which can also be accompanied by microbial invasion, especially Candida sp. The purpose of this case report was to discuss the management of denture stomatitis in a 49-years-old woman who used loose dentures with complaints of pain when chewing. Case Report: The results of extra and intraoral visual examination using a basic instrument and dental unit light were found to have nodules accompanied by ulcers on the lingual margin of the left mandibular premolar. Management of cases that eliminate irritants was aimed to reduce the denture base which suppresses the lesion and reduces the time of loose denture usage, with the application of Triamcinolone acetonide 0.1% to ulcerated lesions. Ulcerated lesions were recovering within one week, and the nodules were shrinking within one month. The next treatment plan was making a new denture. Conclusion: Management of denture stomatitis case can be performed by removing irritants and administration of anti-inflammatory medication.Keywords: Denture stomatitis, nodules, ulcer.

Etiologi, Distribusi Lokasi, dan Terapi Ulser Traumatik pada Pasien di Rumah Sakit Gigi dan Mulut Universitas Padjadjaran Erna Herawati; Nanan Nur'aeny
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 8, Nomor 3, Desember 2021
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v8i3.1022

Introduction: Oral mucosal ulceration can be caused by local or systemic factors. One of the local factors often expressed by patients is the result of being bitten. Research data on oral mucosal ulceration has not been widely published, especially in Indonesia, so the purpose of this study was to provide information on the etiology, site distribution and therapy of traumatic ulcers in patients at the Dental Hospital, Universitas Padjadjaran (RSGM Unpad). Methods: A descriptive study, with data obtained secondary from the medical records of patients at the RSGM. Data presentation is done by tabulation and percentage. Results: There were 44 patients consisting of 15 males (34.05%) and 29 females (65.95%), with an age range of 17 – 55 years. Trauma which is the most common cause of ulcers is due to accidentally biting, the most common site is the buccal mucosa, and the most widely used drug is a combination of vitamins and anti-inflammatory which was given to 10 patients with traumatic ulcers (22.7%). Conclusion: The most common cause of oral ulcers is trauma, and the most common trauma in adults is the result of accidentally biting.

THE SALTY TASTE THRESHOLD AND TONGUE CLEANING HABITS IN HEALTHY YOUNG ADULT MALE SMOKERS Marcella bt Mohamad Azlin; Erna Herawati; Nanan Nur'aeny
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 7, Nomor 2, Desember 2020
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v7i2.470

Introduction: Smoking has adverse effects on the body such as various types of cancer, coronary heart diseases, stroke, peripheral vascular diseases, and oral changes including decreased taste sensation. There have been many studies on the effects of smoking on taste threshold, but specific studies in a group of young adult males and data on the frequency of tongue cleaning habits have not been reported. This study aims to determine the salty taste threshold and tongue cleaning habits in healthy young adult male smokers. Methods: This study was a descriptive cross-sectional study, and the subjects were taken by consecutive sampling. The criteria for the subjects were healthy males, aged 18-24 years old, who had a habit of smoking 10 cigarettes or more per day and had smoked for more than 1 year. A questionnaire was conducted including data on tongue cleaning habits before measuring the salt taste threshold using various concentrations of sodium chloride solution which are 0,012M, 0,014M, and 0,016M. Introduction: Smoking has adverse effects on the body such as various types of cancer, coronary heart diseases, stroke, peripheral vascular diseases, and oral changes including decreased taste sensation. There have been many studies on the effects of smoking on taste threshold, but specific studies in a group of young adult males and data on the frequency of tongue cleaning habits have not been reported. This study aims to determine the salty taste threshold and tongue cleaning habits in healthy young adult male smokers. Methods: This study was a descriptive cross-sectional study, and the subjects were taken by consecutive sampling. The criteria for the subjects were healthy males, aged 18-24 years old, who had a habit of smoking 10 cigarettes or more per day and had smoked for more than 1 year. A questionnaire was conducted including data on tongue cleaning habits before measuring the salt taste threshold using various concentrations of sodium chloride solution which are 0,012M, 0,014M, and 0,016M. Results: Subjects consisted of 76 healthy young adult male smokers for 3-8 years. There were 39%, 53%, and 8% of subjects with a salty taste threshold at concentration 0.012M, 0.014M and 0.016M respectively. Most subjects had a smoking habit for 4 years (36%), and the tongue cleaning habit was not found in the majority of subjects (46%).Conclusion: Most of the subjects had a salty taste threshold higher than normal and more subjects do not have the habit of cleaning the tongue.

JUMLAH KOLONI CANDIDA ALBICANS PADA PENDERITA HIPERTENSI DAN NON HIPERTENSI DENGAN COATED TONGUE Fitri Rahmadhanti Nurfajrina; Nanan Nur'aeny; Erna Herawati; Yuti Malinda
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 7, Nomor 1, Juni 2020
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v1i1.471

Pendahuluan: Candida albicans merupakan mikroorganisme komensal dalam rongga mulut. Pertumbuhan berlebih Candida albicans dapat dipengaruhi oleh kondisi sistemik maupun faktor lokal. Kondisi sistemik seperti penggunaan obat anti hipertensi pada penderita hipertensi dapat mempengaruhi munculnya gangguan dalam rongga mulut seperti hiposalivasi. Salah satu faktor lokal yang penting adalah kondisi kebersihan mulut dengan salah satu indikatornya seperti terdapatnya lapisan putih pada dorsum lidah atau coated tongue. Tujuan penulisan ini adalah menyajikan informasi mengenai jumlah koloni Candida albicans dari saliva penderita hipertensi dan non hipertensi yang memiliki coated tongue. Metode: Penelitian bersifat deskriptif dengan pendekatan cross-sectional. Sebanyak 26 subjek terdiri atas 13 subjek penderita hipertensi dan 13 subjek non hipertensi. Pengambilan saliva menggunakan metode oral rinse concentrate yaitu subjek berkumur dengan larutan phosphate buffer saline (PBS) kemudian ditampung dalam container steril. Identifikasi spesies Candida dilakukan pada medium Chromogenic agar kemudian koloni dihitung menggunakan colony counter dengan pengulangan sebanyak 2 kali. Hasil: Koloni Candida albicans didapatkan hanya pada 50% subjek dalam kedua kelompok. Jumlah koloni Candida albicans dari penderita hipertensi yaitu dengan rata-rata 1429 CFU/ml koloni, dan rata-rata dari 7 subjek non hipertensi yaitu 11300 CFU/ml. Simpulan: Jumlah rata-rata koloni Candida albicans pada kelompok subjek non hipertensi dengan coated tongue lebih tinggi daripada kelompok hipertensi dengan coated tongue, hal ini menunjukkan bahwa coated tongue sebagai salah satu penanda buruknya kebersihan mulut perlu untuk mendapat perhatian dalam hal penanganan maupun pencegahannya.

Faktor predisposisi stomatitis aftosa rekuren minor pada pasien rumah sakit gigi dan mulut unpad Predisposing factors of minor recurrent aphthous stomatitis in patients at rumah sakit gigi dan mulut fkg unpad Masfi Afifah; Erna Herawati; Wahyu Hidayat
Padjadjaran Journal of Dental Researchers and Students Vol 6, No 3 (2022): Oktober 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v6i3.33554

ABSTRAK Pendahuluan: Stomatitis Aftosa Rekuren (SAR) adalah kelainan pada mukosa mulut yang ditandai dengan keberadaan ulser berulang tanpa tanda-tanda penyakit lainnya. Etiologi SAR sampai saat ini belum diketahui secara pasti, akan tetapi terdapat faktor predisposisi SAR diantaranya genetik, hormonal, stress, dan defisiensi nutrisi. Penelitian ini bertujuan untuk mengetahui faktor-faktor predisposisi SAR minor pada pasien rumah sakit gigi dan mulut (RSGM) Unpad. Metode: Jenis penelitian ini adalah cross sectional dan deskriptif menggunakan teknik survei. Populasi penelitian ini adalah pasien SAR minor di RSGM Unpad dengan metode Purposive Sampling didapatkan subyek riset berjumlah 30 orang pada periode Januari – Februari 2020. Data hasil penelitian diperoleh dari kuesioner faktor predisposisi SAR, PSS-10, dan FFQ. Hasil: Faktor predisposisi pada pasien adalah faktor tunggal dan kombinasi beberapa faktor yaitu stres (10%); stres dan defisiensi nutrisi (36,67%); genetik, stres, dan defisiensi nutrisi (26,67%); hormonal, stres, dan defisiensi nutrisi (10%); genetik, hormonal, stres, dan defisiensi nutrisi (16,66%). Tingkat stres didominasi oleh stres sedang (83,33%). Simpulan: Faktor predisposisi pada pasien SAR minor di RSGM Unpad terdiri dari genetik, hormonal, stres, dan defisiensi nutrisi. Mayoritas pasien memiliki lebih dari satu faktor predisposisi. Kombinasi faktor predisposisi didominasi oleh 2 faktor yaitu stres dan defisiensi nutrisi (vitamin B12, asam folat, dan zat besi).Kata Kunci: stomatitis aftosa rekuren; faktor predisposisi; kuesioner. ABSTRACTIntroduction: Recurrent Aphthous Stomatitis (RAS) is an abnormality in the oral mucosa characterized by the presence of recurrent ulcers without other signs of disease. Etiology of RAS is still unknown, but there are several predisposing factors for RAS including genetic, hormonal, stress, and nutritional deficiencies. This study aims to determine the predisposing factors for Recurrent Aftosa Stomatitis (RAS) in patients who came to dental hospital (RSGM) Unpad. Methods: This research used a descriptive cross-sectional and survey method. The sampling method was purposive sampling of 30 minor RAS patients at RSGM Unpad in the period January - February 2020. All research subjects were given a questionnaire regarding the predisposing factors of RAS, Perceived Stress Scale-10, and Food Frequency Questionnaire. Result: Predisposing factors in patients was a single factor and combination of factors that is stress (10%); stress and nutritional deficiencies (36.67%),; genetic, stress, and nutritional deficiencies (26.67%); hormonal, stress, and nutritional deficiencies (10%); genetic, hormonal, stress, and nutritional deficiencies (16.66%). Stress levels in patients are dominated by moderate stress (83.33%) Conclusion: Predisposing factors in minor RAS patients at RSGM Unpad consist of genetic, hormonal, stress, and nutritional deficiencies. The majority of patients have more than one predisposing factor. The combination of predisposing factors is dominated by two factors which are stress and nutritional deficiencies (vitamin B12, folic acid, and iron).Keywords: recurrent aphthous stomatitis; predisposing factors; questionnaire.

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