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Poerwati S. Rahajoe
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
Dentistry

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Parosteal osteosarcoma: a diagnostic dilemma on non-healing following tooth extractions: a case report Rahma Y. Damanhuri; Prihartiningsih Prihartiningsih; Poerwati S. Rahajoe
Journal of Dentomaxillofacial Science Vol. 3 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v3i1.698

Abstract

Objective: This paper reports a case of mandibular ramus parosteal osteosarcoma, discussing diagnostic problems and reviewing treatment variations. Methods: A 37 year old male patient was referred by a private hospital with a history of abscesses treatment and removal of his right lower molar 1.5 years ago. The wound in his tooth socket was not healed. Swelling with abscesses recurred and was diagnosed as osteomyelitis. The Orthopantomogram (OPG) result showed a description of osteomyelitis, and the Multi Slice Computed Tomography (MSCT) 3D confirmed the suspected osteosarcoma. Histopathologic results indicated parosteal osteosarcoma. Result: Hemimandibulectomy and chemotherapy were performed with good results.Conclusion: This parosteal osteosarcoma was difficult to diagnosis quickly because the initial image resembled osteomyelitis but it was low grade and rare; therefore, meticulous and accurate diagnosis was deemed necessary. Chemotherapy-combined surgery was thereby performed for treating this parosteal osteosarcoma.
Sialolithotomy and sialodochoplasty of giant sialolith in the submandibular duct: a case report Barra P. Novendra; Rahardjo Rahardjo; Poerwati S. Rahajoe
Journal of Dentomaxillofacial Science Vol. 3 No. 2 (2018): (Available online: 1 August 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v3i2.712

Abstract

Objective: To report a case of giant sialolith in the submandibularduct in which sialolithotomy and sialodochoplasty procedures wereperformed with an intraoral and extraoral approach.Method: A 47 years old male patient reported a complaint of swellingin the left lower jaw which triggered discomfort, particularly wheneating. The extraoral examination found 50 mm sized swelling thatwas firm in consistency, not painful and showed the same colour asthe tissue in the left submandibular region. Meanwhile, the intraoralexamination indicated a 5 mm sized whitish firm mass on the mucosalfloor of the mouth. The panoramic radiograph examination showeda multiple radiopaque mass in the left mandible with a well-definedborder. A multiple mass was found by the CT-scan examination inthe left submandibular region and floor of the mouth. Sialographicexamination described a total obstruction in the left submandibularduct and allegedly chronic inflammation-induced sialolith.Results: Sialolithotomy was done with an intraoral and extraoralapproach after which sialodochoplasty was also performed to insertthe pediatric feeding tube no. 8 aiming to retain the shape andfunction of the submandibular duct.Conclusion: Treating giant sialolith with sialolithotomy followedby sialodochoplasty has given a satisfactory result without anycomplication and recurrence.
Use of bones taken from the operated areas of impacted third molars as autografts for implant placement: cases report Antonius SS. Putra; Robby Ramadhonie; Poerwati S. Rahajoe
Journal of Dentomaxillofacial Science Vol. 3 No. 3 (2018): (Available online: 1 December 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1735.444 KB) | DOI: 10.15562/jdmfs.v3i3.745

Abstract

Objective: This report aims to explain how the bones taken from the operated areas of impacted third molars are used as autografts for implant placement.Methods: Two patients with missing maxillary incisor, lack of alveolar bone support, and impacted third molar underwent an implant placement procedure with bone grafting and third molar removal, subsequently. In both cases, the implant was placed and resulted in a dehiscence-typed defect. The defect was filled with an autograft harvested from the operated area of impacted third molar, and then covered with PRF membrane and titanium mesh. The wound was sutured accordingly and evaluation was taken 3 months following the procedure.Results: Under direct observation, in both cases, new bone formation appeared in the buccal region of the implant to the margin of the implant crestal. The implant was stable and no complications occurred.Conclusion: On the basis of this finding, it can be concluded that operated area of impacted third molar can be considered as an ideal alternative for donor sites for patients who needed bone grafts and third molar extraction simultaneously.
Co-Authors Antonius SS. Putra Barra P. Novendra Prihartiningsih Prihartiningsih Rahardjo Rahardjo Rahma Y. Damanhuri Robby Ramadhonie