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Tooth extraction complication and treatments at the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Universitas Padjadjaran Bandung Wirastriajeng, Harnastiti; Riawan, Lucky; Syamsudin, Endang
Padjadjaran Journal of Dentistry Vol 19, No 2 (2007): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

The patientâs 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 âs (co-assistant student) that still have limited capability, Â 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% ).

Characteristics and management of oro-maxillofacial trauma in the emergency room during the COVID-19 pandemic: a retrospective cross-sectional Study Yudianto, Cahyono; Sjamsudin, Endang; Sylvyana, Melita; Riawan, Lucky
Padjadjaran Journal of Dentistry Vol 35, No 2 (2023): July 2023
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no2.47077

AbstractIntroduction: Oro-maxillofacial traumas comprise injuries to the face, jaws, or both; they include injury to any of the bony structures, skin, and soft tissues around the face. During the COVID-19 pandemic, human activity was mostly at home, with movement restrictions. The purpose of this study is to find out the types of characteristics and management of oro-maxillofacial traumas during the COVID-19 pandemic at the emergency room. Methods: A cross-sectional study was conducted to evaluate every maxillofacial trauma in patients treated by the oral surgeon in the emergency room at RSUP Dr. Hasan Sadikin Bandung Hospital. Incidence records were taken directly from case reports from January 2020 to December 2021. The variables considered were patient age, gender, etiologies, sites, classifications, and management of the trauma. Then integrated into a table to be analyzed epidemiologically. Results: There were 177 maxillofacial trauma patients registered in the Department of Oral and Maxillofacial Surgery. It was found that the gender ratio, female to male, is equal to 2.3:7.6. The 18-36 age group accounted for the largest subgroup in both sexes. Motorcycle accidents accounted for as much as 80.22% of the etiology of the most common traumas. While dentoalveolar (28.22%) was the most common site of the fracture, followed by the mandible (23.31%). Injuries around the mouth made up the largest portion (62.15%) of the areas that were directly impacted by the injuries, followed by injuries to the face (18.64%) and injuries to the mouth and nose (6.21%). Among the 177 patients mentioned above, 10.17% were hospitalized. Conclusion: Male’s are more likely to be involved in traffic accidents, mainly motorcycle crashes, which are the primary cause of traumas. Dentoalveolar fractures were the most common type of fracture, and the management of the oro-maxillofacial trauma is done according to the standard procedure.

Differences in motoric function of masticatory and facial muscles post segmental mandibulectomy and hemimandibulectomy Karyono, Ariyanto Suryo; Hardianto, Andri; Riawan, Lucky
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.vol34no2.31612

ABSTRACTIntroduction: The highest predilection for jaw tumors is located in the mandible. One of the management of tumors in the mandible is resection. The resection will result in a discontinuity in the jaw and disruption of the stomatognathic system, one of which is a decrease in the motoric function of the masticatory muscles. Electroneuromyography (ENMG) is a type of examination that includes an electroneurography (ENG) examination, which includes a Neural Conduction Study (NCS) based on stimulation value (STIM) and velocity (VEL), and electromyography (EMG) which can be used to assess motoric function impairment of masticatory and facial muscles in patients undergoing mandibular resection. This study analyzed the differences in the motoric function of masticatory and facial muscles post-segmental mandibulectomy and hemimandibulectomy. Methods: This preliminary analytical cross-sectional study compares ten post-segmental mandibulectomy or hemimandibulectomy patients who had undergone mandibular reconstruction in the Oral Surgery Department of Hasan Sadikin Hospital Bandung. Assessment was performed using an AO plate (Arbeitsgemeinschaft für Osteosynthesisfragen) towards the patients. The results were compared using Chi-Square and Mann-Whitney statistical analysis. Results: A decrease in masticatory muscle function was detected using ENMG. NCS and EMG assessments were obtained. There was no significant difference in NCS values (p>0.05) in patients with segmental mandibulectomy (mean STIM 4.2 ± 1.7, VEL 13.23 ± 5.38) and hemimandibulectomy (mean STIM 4.3 ± 1.35, VEL 12.56 ± 4.83), however, a significant difference was found in the EMG values (p=0.025; p<0.05) of the patients with segmental mandibulectomy (mean 70% of patients were normal) and hemimandibulectomy (mean 20% of patients were normal). Conclusion: There are differences in the decreased motoric function of masticatory and facial muscles post-segmental mandibulectomy and hemimandibulectomy.Keywords: motoric function; masticatory muscles; facial muscles; mandibular resection

Teknik sinus lifting pada pasien dengan septa sinus maksilaris: systematic review Nurunnisa, Hanifa Rayna; Hardianto, Andri; Riawan, Lucky
Padjadjaran Journal of Dental Researchers and Students Vol 8, No 3 (2024): October 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v8i3.55192

ABSTRAKPendahuluan: Prosedur sinus lifting merupakan prosedur standar yang dilakukan di regio posterior maksila atrofi sebelum penempatan implan gigi, dengan perforasi membran sinus sebagai salah satu komplikasi yang dapat terjadi akibat keberadaan septa sinus maksilaris. Tujuan dari penelitian ini adalah untuk mengetahui teknik dan modifikasi terbaru dari sinus lifting yang tersedia untuk pasien dengan septa sinus maksilaris. Metode: Penelitian ini merupakan tinjauan sistematis yang mengacu pada kerangka Patient or Problem, Intervention, Control or Comparison, and Outcome (PICO) dan mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Pencarian artikel dilakukan pada tiga database dan satu academic search engine, yaitu PubMed, Science Direct, CrossRef, dan Google Scholar, menggunakan kata kunci dan kriteria inklusi. Hasil: Sebanyak dua belas artikel memenuhi kriteria untuk dilakukan review yang menggambarkan beberapa teknik sinus lifting dan modifikasinya yang dapat digunakan dalam menangani pasien dengan septa sinus maksilaris. Pendekatan lateral window adalah teknik dasar yang umum digunakan. Namun, teknik alternatif mencakup pendekatan lateral window menggunakan panduan bedah, pendekatan lateral window dengan teknik floating septum, pendekatan single window palatal, dan pendekatan transcrestal yang dibantu oleh perangkat hidrolik merupakan alternatif lain yang dapat digunakan dalam prosedur sinus lifting pada pasien septa sinus maksilaris. Simpulan: Pendekatan lateral window untuk sinus lifting adalah teknik yang direkomendasikan dan paling umum digunakan untuk pendekatan bedah pada pasien yang memiliki septa sinus maksilaris, dengan hasil yang dapat diprediksi. KATA KUNCI: teknik sinus lifting, modifikasi sinus lifting, septa sinus maksilaris, implan dentalSinus lifting technique on patient with maxillary sinus septa: systematic reviewABSTRACT Introduction: The sinus lifting procedure is a standard procedure performed in the atrophic posterior maxillary region prior to dental implants placement, with sinus membrane perforation as one of the complications that can occur due to the presence of maxillary sinus septa. The aim of this study is to explore the latest techniques and modifications of sinus lifting available for patients with maxillary sinus septa. Methods: This study is a systematic review based on the Patient or Problem, Intervention, Control or Comparison, and Outcome (PICO) framework and follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Article searches were conducted in three databases and one academic search engine: PubMed, Science Direct, CrossRef, and Google Scholar using specific keywords and inclusion criteria. Results: A total of 12 articles met the criteria for a review, describing several sinus lifting techniques and their modifications for patients with maxillary sinus septa. The lateral window approach is the basic technique commonly used. However, alternative techniques include the lateral window approach using a surgical guide, the lateral window approach with the floating septum technique, the single window palatal approach, and the transcrestal approach assisted by hydraulic devices. Conclusion: The lateral window approach for sinus lifting is the recommended and most commonly used technique for surgical intervention in patients with maxillary sinus septa, yielding predictable outcomes. KEY WORDS: Sinus lifting technique, sinus lifting modification, maxillary sinus septa, Implant dental

The management of oroantral communication post dentral extraction M1: a case report Sulfiana, Sulfiana; Riawan, Lucky; Priyanto, Winarno
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Objective : The purpose of this to report the management of oronatral communication case after extraction of first upper molar.Â Method : A 45 y.o male patient came with discharge from the nose after tooth extraction, 3 hours prior to admission when he was extraction right upper tooth. Ginggival hyperemis of tooth 16 region. The therapy we performed was upper right molar buccal flap and analgesics and rhinoceros.ResultsÂ : At the time of discharge the hospital was given rhinos caps 3x125 mg and medication from the previous hospital continued. Patient had no complaints when control back. Healing wounds in the flap shows good healing. And the patient no longer complains that there is fluid leakage while garglingConclussion : In this case, OAC cosure was treated with buccal flap and was given medication. The improvement was noted

Molar teeth impaction on panoramic radiography Fudhla, Fitri Hanifah; Sudjana, Nuskah; Riawan, Lucky
Padjadjaran Journal of Dentistry Vol 27, No 1 (2015): March 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol27no1.26692

Introduction: The third molar are the most frequently impacted tooth. Characteristic of impacted third molar in every person may be different. Third molar are the last erupted tooth in dental arch and grow during the final period of growth, therefore third molar have the most potential for problems. The aim of this research are to know and to give description about third molar impaction based on the jaw location, classification, and complaint. Methods: This research was a retrospective observasional descriptive research. Population of this study are students of Dentistry Faculty of Padjadjaran University from class 2008.The sampling was incidentale. A total of 45 panoramic radiograph and the complaint questionaires based on pathological condition that associated with third molar impacted were observed. Classifications that used in this research were Pell and Gregory for the mandible, and Archer and Kruger for the maxilla. Results: This research shows that 62,8% of third molar are impacted. Based on jaw location, the third molar impaction most frequently occurs in the mandible (66,35%) and region 4 (33,65%). In the mandible, 81,58% are bilateral, 42,03% are mesioangular, 55,07% are IIB Pell and Gregory classification. In the maxilla, 60% are C position Archer and Kruger classification, 65,71% are sinus approximation, and 40% are mesioangular similar with distoangular. The most frequent complaint from pathological condition that associated with third molar impacted is local pain at third molar area (75,6%). Conclusion: Third molar impaction most frequently occur in the mandible with mesioangular and IIB Pell and Gregory classification as the most frequently classification. The most frequent complaint from pathological condition that associated with third molar impacted is local pain at third molar area.

Distribution of oral carcinoma case requiring radiotherapy in the Oral and Maxillofacial Surgery Clinics Jelita, Dinda Tegar; Riawan, Lucky; Hambali, Herman
Padjadjaran Journal of Dentistry Vol 27, No 2 (2015): July 2015
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol27no2.26494

Introduction: Carcinoma is a highly malignant tumour of epithelium that occurred in the oral cavity. One of the most common therapies given is radiotherapy, with healing, adjuvant, and palliative intentions. This research was aimed to discover the distribution of oral carcinoma requiring radiotherapy. Methods: This study was a retrospective, descriptive method. Samples were taken from the medical record of patients with oral cavity carcinoma requiring radiotherapy at the Oral and Maxillofacial Surgery Clinics of Hasan Sadikin Hospital, Bandung, of January 2006–December 2010. Results: This study indicated that as many as 23 (20.9%) cases of oral carcinoma requiring radiotherapy from a total of 110 oral carcinoma cases in that period. Type of radiotherapy most frequently found was adjuvant radiotherapy, by 14 (60.8%) cases. The most frequent type of oral carcinoma case requiring radiotherapy was squamous cell carcinoma, by 12 (52.1%) cases. Tongue become the most common area of oral carcinoma requiring radiotherapy, by 7 (30.4%) cases. Oral carcinoma case requiring radiotherapy was most frequently found in men by 14 (60.8%) cases. The age group of 41-50 was become the majority by 7 (30.4%) cases from all of the oral carcinoma case requiring radiotherapy. Conclusion: Distribution of oral carcinoma case requiring radiotherapy in the Oral and Maxillofacial Surgery Clinics of Hasan Sadikin Hospital is found in as many as 23 (20.9%) cases. Most frequent radiotherapy given is adjuvant radiotherapy (14 (60.8%) cases). The most frequent type of oral carcinoma case requiring radiotherapy is squamous cell carcinoma (12 (52.1%) cases). The most common area of oral carcinoma requiring radiotherapy is tongue (7 (30.4%) cases). Oral carcinoma case requiring radiotherapy was most frequently found in men (14 (60.8%) cases). The age group of 41-50 is the majority age suffered from disease (7 (30.4%) cases).

The efficacy taro leaf extract on wound healing contaminated with Staphylococcus aureus Sjamsudin, Endang; Muharty, Annisya; Riawan, Lucky; Priosoeryanto, Bambang Pontjo
Padjadjaran Journal of Dentistry Vol 33, No 3 (2021): November
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no3.21325

Introduction: Taro (Colocasia esculenta (L.) Schott) leaves have been reported to possess wound healing, anti-inflammatory, antibacterial and antioxidant activities. One of the factors that affect wound healing is infection in the wound, wherein the wound is infected by bacteria, especially Staphylococcus aureus that is mostly found in the oral cavity, the wound healing process will be hampered and become longer healed. The objective of this research was to analyse the efficacy of Colocasia esculenta (L.) Schott extract on the healing process of wounds contaminated with Staphylococcus aureus. Methods: This experimental study on Sprague dawley rats was carried out at the Veterinary Medical Teaching Hospital of the Faculty of Veterinary Medicine of IPB University. Circular excision wounds were applied on 24 Sprague dawley rats with a diameter of 2 cm on the dorsum, and Staphylococcus aureus specimens were contaminated with a dose of 3.4x108 LAC. Rats were randomly divided into 2 groups. Group I (control group) was given a placebo, and group II (treatment group) was given a 25% concentration of Colocasia esculenta (L.) Schott extract on the wound once a day. Four rats from each group were euthanized on the 3rd, 7th, and 14th days. The number of neutrophils, macrophages, re-epithelialization and FGF-2 expression were measured by microscopic observation with visual field control, and comparative data were analysed using the Kruskal-Wallis statistical test. Results: The number of neutrophils on the treatment group on the 7th day was less than the control group (p=0.040). The number of macrophages on the 3rd day was found more in the treatment group than the control group (p=0.032), and on the 14th day, the treatment group was less than the control group (p=0.040). Epithelial cells on the 14th day of the treatment group was found more than the control group (p=.0.017). The level of FGF-2 expression of the treatment group on the 7th day was higher than the control group (p=0.044). Conclusion: Application of Colocasia esculenta (L.) Schott leaf extract is efficacious for healing wounds contaminated with Staphylococcus aureus in the proliferative phase.

The correlation between the severity of anterior crossbite and skeletal deformities in post-surgery cleft lip and palate among children Setianingtyas, Prastiwi; Primarti, Risti Saptarini; Riawan, Lucky; Oscandar, Fahmi
Padjadjaran Journal of Dentistry Vol 32, No 3 (2020): November 2020
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no3.17952

Introduction: Cleft lip and palate is the most common craniofacial malformations, which is a congenital deformity of lip and palate or both. Anterior crossbite is occlusal characteristics that are often found in patients with cleft lip and palate who had surgery, caused by dentoalveolar or skeletal abnormalities, can be distinguished based on the cephalometric analysis. This research was aimed to analyse the correlation between the severity of anterior crossbite and skeletal deformities in post-surgery cleft lip and palate among children. Methods: The research design was an analytic correlation with the sample selection based on purposive sampling. The research was conducted from 14 cleft lip and palate patients in the primary dentition (aged 4-6 years old) who had surgery (for 2-3 years) using analysis of study models and cephalometric digital. Statistical analysis was conducted by Spearman Rank Correlation Coefficient test to analyse the relationship between the severity of anterior crossbite with skeletal deformities. Results: Statistic test showed that 42.86% of the anterior crossbite in the cleft lip and palate post-surgery in primary dentition had a very high level of severity, thus leading to very poor occlusion. As many as 21.43% had a high level of severity, which leads to poor occlusion, and 35.71% had a moderate level of severity, which leads to fair occlusion. The Spearman Coefficient of Rank Correlation test results showed a weak correlation between the severity of anterior crossbite with skeletal deformities with coefficient relation of 0.13 and p-value of 0.48 (p<0.05). Conclusion: There is a weak correlation between the severity of anterior crossbite with skeletal deformities in post-surgery cleft lip and palate among children.

Expression of fibroblast growth factor-2 after application of the Queen's crepe-myrtle leaf (Lagerstroemia speciosa) and aloe vera extract gel in the wound healing process of hyperglycemic Razi, Fachrul; Hardianto, Andri; Riawan, Lucky; Priosoeryanto, Bambang Pontjo
Padjadjaran Journal of Dentistry Vol 33, No 1 (2021): March 2021
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no1.21276

Introduction: Fibroblast Growth Factor-2 (FGF-2) have a role in stimulating the proliferation and migration of various types of cells in the wound healing process. Hyperglycemic conditions can disrupt the wound healing process. Lagerstroemia speciosa are known to have antyphyerglycemic and antioxidant effects. Aloe vera is a plant that has been used for long time in topical treatment of wounds.This study was aimed to analyse the FGF-2 after application of Queen's crepe-myrtle leaf (Lagerstroemia speciosa) and aloe vera extracts gel in the wound healing process of hyperglycemia. Methods: A pure experimental study was conducted with simple random sampling. The sample was 27 experimental animals (CI 95%; power test 80%) of Sprague Dawley rat induced to have a hyperglycemic state using alloxan and had their palate injured. The immunohistochemical examination was performed to assess FGF-2 expression level. Samples were divided into three groups with a simple random sampling technique: nine of the rats received the Lagerstroemia speciosa extract gel application; nine rats received the aloe vera extract gel application on the injured palate; another nine rats in the control group. Examination of the FGF-2 expression level was performed on the third, seventh, and fourteenth observation days. Results: Overall, the control group had a significant difference with the Lagerstroemia speciosa and aloe vera extract gel group (p-value<0.05), however, the Lagerstroemia speciosa group did not have any significant difference with the aloe vera group (0.123>0.05). Conclusion: There was no difference in the amount of FGF-2 expressions on the wound healing process of the injured palatal tissue of Sprague-Dawley rats with hyperglycemic after application of the Lagerstroemia speciosa and aloe vera extract gel.

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