R. Agus Nurwiadh
Departemen Bedah Mulut Dan Maksilofasial, Fakultas Kedokteran Gigi, Universitas Padjadjaran, Bandung, Jawa Barat

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Characteristic Of Cleft Lip And Palate At Cleft Center Of Padjadjaran University Dental Hospital: 2 Years Retrospective Study Khamila, Nadya; Nurwiadh, Agus; Putri, Farah Asnely
Jurnal Pendidikan Tambusai Vol. 6 No. 1 (2022): 2022
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v6i1.3067

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Celah bibir dan langit-langit merupakan kelainan kongenital kedua terbanyak di Indonesia. Perawatan kasus ini adalah koreksi bedah, dalam beberapa tahap kehidupan pasien. Tujuan: Ditujukan untuk mempelajari karakteristik kasus celah bibir dan langit-langit di Cleft Center RS ??Gigi Universitas Padjadjaran Metode: Dalam kohort retrospektif, semua pasien yang terdaftar di Cleft Center (Januari 2018 – Desember 2019) ditinjau. Data yang dikumpulkan terdiri dari umur, jenis kelamin, diagnosis, dan sisi celah. Sebanyak 613 pasien ditinjau, dengan pengecualian 13 kasus karena data yang tidak lengkap. Hasil: Celah bibir dan langit-langit (38%) paling banyak ditemukan, diikuti celah langit-langit (35%), dan celah bibir (27%). Pasien laki-laki (58%) lebih sering diamati dibandingkan pasien perempuan (42%). Sumbing paling banyak ditemukan di sisi kiri (70%) daripada di sisi kanan (30%). Kesimpulan: Celah bibir dan langit-langit adalah kasus yang paling banyak diamati pada penelitian ini. Pasien laki-laki lebih terpengaruh. Celah ditemukan sebagian besar di sisi kiri.
Mandibular trauma severity differences on motorcycle riders using half-face helmet and without helmet based on mandible injury severity score Syakuran, Muhammad; Hardianto, Andri; Nurwiadh, Agus
Padjadjaran Journal of Dentistry Vol 34, No 2 (2022): July
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no2.31662

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ABSTRACTIntroduction: The popular half-face helmet places the mandible at high risk of fracture during a motorcycle accident. The anatomical shape and position of the mandible make it more frequent to fracture. The purpose of this study was to compare the severity of mandibular trauma in motorcyclists using half face helmets and without using a helmet based on the Mandible Injury Severity Score (MISS). Methods: This research was a prospective cross-sectional study on 60 research subjects at the Emergency Unit of Hasan Sadikin Hospital, Bandung, between July 2019 - February 2020. The data were analyzed with the Mann-Whitney test to see the severity of mandibular trauma using a half face helmet and without a helmet based on MISS (Mandible Injury Severity Score). Results: Of 60 subjects of motorcycle accidents, 58.3% were <25 years old, 38 (63.3%) used half face helmets and 22 (36.7%) non-helmets, 83.3% of the patients were drivers, and 11.7% were passengers. Most fracture sites are parasymphysis, corpus, condylus, symphysis, and subcondylar. 48.3% of subjects had malocclusion, 56.5 with mild displacement, and 43,3% with moderate removal. The average MISS score for half face helmet users was 5.71 and compared to 7.45 for non-helmets. Based on the Mann Whitney test results, the MISS value was not significantly different. Conclusion: Riders who wore half face helmets and those who didn’t wear helmets have the same risk of mandibular trauma based on the MISS. Motorcycle users should use a full face helmet to prevent mandibular fractures during traffic accidents.Keywords: MISS, trauma of mandible, half face helmet, traffic accidents.
Tingkat pengetahuan dokter gigi mengenai perawatan darurat infeksi odontogen Qalbi, Shafa Aini; Sjamsudin, Endang; Nurwiadh, R. Agus
Padjadjaran Journal of Dental Researchers and Students Vol 7, No 1 (2023): Februari 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v7i1.40498

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ABSTRAKPendahuluan: Infeksi odontogen menjadi salah satu penyakit umum yang paling banyak ditemukan di rongga mulut dan maksilofasial. Infeksi odontogen merupakan keadaan darurat yang harus segera ditangani oleh dokter gigi karena akan menimbulkan permasalahan lain secara signifikan. Dokter gigi adalah praktisi medis yang khusus mendiagnosis dan memberikan perawatan pada gigi, mulut, dan maksilofasial di sekitarnya. Pengetahuan yang memadai dibutuhkan dokter gigi untuk menegakkan diagnosis dalam melakukan perawatan darurat infeksi odontogen. Tujuan penelitian mengukur tingkat pengetahuan dokter gigi mengenai perawatan darurat infeksi odontogen. Metode: Jenis penelitian deskriptif kuantitatif dengan teknik pengambilan sampel cluster sampling. Penelitian dilakukan pada 45 dokter gigi umum dan 47 dokter gigi spesialis yang bekerja di rumah sakit Kota Bandung menggunakan instrumen berupa kuesioner dengan 15 butir pertanyaan. Hasil: Sebanyak 27 responden (29,3%) berada pada kategori cukup dan 65 responden (70,7%) berada pada kategori baik. Rata-rata dokter gigi menjumpai kasus infeksi odontogen setidaknya 1x dalam seminggu baik sebelum pandemi 2019, maupun dalam tiga bulan terakhir dengan persentase 38% dan 39,1% Simpulan: Tingkat pengetahuan dokter gigi di rumah sakit Kota Bandung mengenai perawatan darurat infeksi odontogen berada dalam kategori baik. Pengetahuan mengenai manajemen perawatan infeksi odontogen pada kuesioner tersebut memastikan kasus-kasus dapat ditangani secara efektif.KATA KUNCI: pengetahuan, perawatan darurat, infeksi, odontogen, rumah sakitThe level of Dentist’s knowledge about emergency management of odontogenic infection: quantitative descriptiveABSTRACTIntroduction: Odontogenic infections have been one of the most common diseases in the oral and maxillofacial region. Odontogenic infection is an emergency that must be treated by a dentist immediately because it will cause significant problems. A dentist is a medical practitioner who specializes in the diagnosis and treatment of problem that affect teeth, mouth, and the surrounding maxillofacial structure. Knowledge is needed by dentist to confirm the diagnosis in performing emergency of odontogenic treatment. The purpose of this study was to measure the level of dentists’ knowledge in Bandung hospitals about emergency treatment of odontogenic infections. Methods: This research used a quantitative descriptive method with cluster sampling technique. The study was conducted on 45 general practitioners and 47 specialists who work in Bandung hospitals using an instrument questionnaire with 15 questions. Results:  Total of 27 respondents (29.3%) were in the sufficient category and 65 respondents (70,7%) were in a good category. Dentist average encountered cases of odontogenic infection at least once a week, both before the 2019 pandemic and in the last three months, with percentages of 38% and 39,1% respectively. Conclusion: The level of dentists’ knowledge in the city of Bandung hospitals about emergency treatment of odontogenic infections is in a good category. The description of knowledge about management treatment of odontogenic infections in this questionnaire ensures that cases can be handled effectively.KEY WORDS: knowledge, emergency, treatment, odontogenic, infections, hospital
Hemimandibulectomy and intermaxillary fixation: surgical treatment of ameloblastoma in mandible: a case report Sandiah, Jihad H.; Priyanto, Winarno; Adiantoro, Seto; Nurwiadh, Agus
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5420.54 KB) | DOI: 10.20956/jcrdm.v1i3.101

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Objective: Ameloblastoma is a tumor derived from epithelial, gingival mucosa or gingivomaxillary that appear on a teeth. It is a benign yet destructive tumor with high recurrence rate. Hemimandibulectomy is one of therapies selected when the pathologic lesion had involved the coronoid processus and the condyle, although the therapy could results in facial defects and mandibular deviation.The purpose of this article is to report a hemimandibulectomy with bridging plate reconstruction and inter-maxillary fixation as a therapy for left mandibular ameloblastoma performed to reduce deviation and facial defects.Method: Fourty-two years old female patient came to the Oral and Maxillofacial Surgery Clinic at Hasan Sadikin Hospital Bandung, with a lump at the left side of lower jaw, it happened since 3 years ago, with small size in the beginning and grow gradually, painless, hard on palpation, and same colored with surrounding tissue.Result: The histopathologic examination results was plexiform type ameloblastoma at left mandible. Hemimandibulectomy is the removal of most or half of the mandible including the entire condyloideus process, coronoid processus, ramus and some mandibular corpus on one side of the jaw. Ameloblastoma is the most common odontogenic tumor in the mandible and maxilla. Ameloblastoma has several variations of histopathologic appearance, but the most commonly seen is the follicular and plexiform type. In most cases, ameloblastoma is usually asymptomatic, growing slowly, and can expand in the affected jaw.Conclusion: Hemimandibulectomy performed to remove pathologic lesions radically to prevent recurrence. Bridging plate is an act used as a mandibular reconstruction. Intermaxillary fixation is one of the ways to reduce mandibular deviation after hemimandibulectomy.Keywords: hemimandibulectomy, intermaxillary fixation, ameloblastoma
Compound Odontoma in young girl N., Nurwahida; Sylvyana, Melita; Nurwiadh, R. Agus; Diposarosa, Rizki
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (603.72 KB) | DOI: 10.24198/pjd.vol27no3.13558

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Introduction. Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. These tumors are formed from enamel and dentin, and can have variable amounts of cement and pulp tissues. According to radiographic, microscopic, and clinical features, two types of odontomas are recognized: Complex and compound odontomas. Complex odontomas occur mostly in the posterior part of the mandible and compound odontomas in the anterior maxilla. Case Report. A young girl patient, 9 years old came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left posterior mandible for 5 years in his history taking. The panoramic radiograph show  a radioopacity and radiolucent lesion at the lower second molar region, with well-corticated limits. An insisional biopsi   confirmed  as compound odontoma. The surgery  performed with simple enucleation and curettage under general anaesthesia. Discussion. Compound odontomas are usually located in the anterior maxilla, over the crowns of unerupted teeth, or between the roots of erupted teeth. In this case report, Compound odontomas are found in the posterior mandible. Conclusion. Compound odontomas in the posterior mandible is a rare. The treatment of odontomas depends on the size of the lesion. The early diagnosis, the treatment of choice is conservative surgical enucleation and curettage and prognosis is excellent.
Minimally invasive approach of panfacial fractures Wijaya, Yudi; Nurwiadh, R. Agus; Yuza, Abel Tasman; Fathurrahman, Fathurrahman
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (881.033 KB) | DOI: 10.24198/pjd.vol27no3.13562

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Background. Panfacial fractures involves fractures of several bones of face. They are associated with malocclusion, dish face deformity, enopthalmos, diplopia, cerebrospinal fluid leak and soft tissue injuries. Purpose. The purpose of this paper is to present a case of minimizing surgical wound and morbidity. Case. A 40 year old female presented with severe maxillofacial injuries caused by motor vehicle collisions about 5 days prior to admission. The assessment of the patient is mild head injury, panfacial fractures, lacerated wound at face,  rupture of globe of occular sinistra. An open reduction and internal fixation  (ORIF) and enucleation of globe occular sinistra was performed.  Intraoral vestibular incision is made in the upper and lower vestibular region. Mucoperiosteal flap elevation of vestibular will exposure of the anterior maxilla and mandibular fractures. Intermaksilary fixation within 3 week and restore aesthetic with prosthesis fitting eyeball and denture. Discusion. The goal of  treatment of  panfacial fracture is to restore both the functions and pre-injury 3-dimensional facial contours. To achieve this goal two common  sequences of management of Panfacial fractures are proposed, “Bottom up and inside out” or “Top down and outside in”. Other sequences exist but there are variations of these two major approaches. Conclusion. A minimally invasive approach to  the fracture site is an alternative method  to manage panfacial fracture with a simple, effective and lower complication rate.
Correlation of odontogenic infection severity score with C-reactive protein levels on patients with odontogenic infection in Dr Hasan Sadikin General Hospital Bandung Prihandana, Ariyaka Niastya; Yusuf, Harmas Yazid; Nurwiadh, Agus; Lismayanti, Leni
Padjadjaran Journal of Dentistry Vol 33, No 1 (2021): March 2021
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no1.21252

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Introduction:  Head and neck infections commonly caused by spreading odontogenic infection, which able to cause a local and systemic manifestation, from mild to severe complications according to its severity. Assessment of the severity of odontogenic infections is essential to determine the prognosis, assessed through local and systemic parameters. Laboratory examination used to examine the biological marker that indicates the ongoing infection. C-reactive protein (CRP) is a protein synthesised by hepatocytes in response to the body's inflammatory process, including odontogenic infection. This study was aimed to analyse the severity score of odontogenic infections using the CRP levels in patients with odontogenic infections. Methods: An analytic study with a cross-sectional approach was conducted on 30 patients of Dr Hasan Sadikin General Hospital Bandung diagnosed with odontogenic infections, determined by calculations according to Hosmer and Lemeshow. Assessment of the severity score in odontogenic infections and quantitative CRP levels with the Dimension tool was conducted afterwards. Correlation between odontogenic infection severity score and CRP levels was analysed using regression and correlation tests. Results: From 30 subjects, there was found 33.3% with mild severity score, 63.3% moderate score and 3.3% severe score. The mean of the CRP level was significantly increased according to the odontogenic severity scoring category. All research subjects who were examined showed that there was a very strong and significant correlation (p-value<0.05) between the severity of odontogenic infections and CRP levels in odontogenic infection patients with a correlation coefficient r=0.84 (p=0.001). Conclusion: There is a positive correlation between the CRP levels and the severity score of odontogenic infection. The higher the CRP levels, the odontogenic infection will be more severe. Therefore, the CRP level might be considered an additional biomarker in supporting the severity of odontogenic infection in clinical practice.
Description of odontogenic infection cases at the Oral Surgery Polyclinic of Hasan Sadikin Hospital Bandung, Indonesia Savitri, Ravitha; Karasutisna, Tis; Nurwiadh, Agus
Padjadjaran Journal of Dentistry Vol 24, No 1 (2012): March 2012
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (167.558 KB) | DOI: 10.24198/pjd.vol24no1.15382

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One of the most difficult cases to be managed in dentistry is an odontogenic infection. The study was aimed to finding the description of the odontogenic infection cases at the Oral Surgery Polyclinic of Hasan Sadikin Hospital, Bandung, Indonesia, according to the odontogenic infection types, genders, ages, sources of infection, and type of treatment given. This study was a retrospective-descriptive study with a survey method conducted from January 2009 to December 2010. The results of this study showed that there were total 8 types of odontogenic infection cases. The periapical abscess was the most frequent abscess found in 89 patients (30.6%). Male patients were having more often cases than women with the ratio of 53:47. The most frequent age group was the 21-30 years old age group in 57 patients (22.7%). The highest number of patients from 8 different cases of odontogenic infection (30.2%). The source of odontogenic infection was found most commonly by the mandibular first molar teeth, with as much as 26.6%.
Optimalization of DNA isolation from oral epithelial mucous cell with smear method Nasroen, Saskia L.; Maskoen, Ani Melani; Nurwiadh, Agus
Padjadjaran Journal of Dentistry Vol 21, No 3 (2009): November 2009
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (644.335 KB) | DOI: 10.24198/pjd.vol21no3.14110

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Deoxyribonucleic acid (DNA) is a genetic material which is found in all living organisms. On the human cell or eukaryotes cell, the DNA is found in the nucleus cell and the mitochondria. The DNA arrangement on each cell in human body is the same, that is why, for the analysis meaning, DNA can be isolated from any cell in the body. The source of DNA to be analyzed usually coming from the blood sample by an injection method, such a way resulting in pain and bringing about constraint. Therefore, a study was carried out to look for an alternative of DNA isolation. The aim of this experimental study was to get an optimal DNA isolation method by using oral mucous smear method with a purpose to get a quick and easy DNA isolation. The investigation materials were in the form of samples which were taken from the oral epithelial mucous cells out of three different subjects. The epithelial cells were obtained by the oral mucous smear method which in a variation of two, four and six times of smear applications, respectively. The DNA was then isolated using buffer extraction method. The concentrations of DNA were measured by using ultraviolet spectrophotometer at 260 nm wavelength. The results of DNA isolation were analyzed by Polymerase Chain Reaction (PCR) technique. The optimal DNA isolation could be analyzed by PCR technique. The experimental results show that from three different subjects of study, DNA can be isolated optimally by oral mucous smear method with six times of smear applications.