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All Journal Journal of Dentomaxillofacial Science
Melisa Ruth
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
Dentistry

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Effects of 15 mg meloxicam administered before odontectomy on pain, facial edema, trismus, and expressions of TNF following odontectomy of impacted mandibular third molar Melisa Ruth; Cahya Y. Hasan; Rahardjo; Rustamadji Rustamadji
Journal of Dentomaxillofacial Science Vol. 5 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v5i2.1031

Abstract

Objective:To evaluate the effects of 15 mg meloxicam administered 60 minutes before odontectomy on pain, facial edema, trismus and expressions of TNF-α after odontectomy of impacted mandibular third molar.Material and Methods: A total of 24 patients were randomized into treatment groups, each with 12 patients: Group A was administered with 15 mg of meloxicam; and Group B with placebo. Drugs were administered orally 60 minutes prior to surgery. Observation of pain (seen from VAS scores), facial edema (seen from swollen cheeks), trismus (seen from mouth opening) and expressions of TNF-α (measured from saliva by ELISA method), performed before odontectomy, H+1 (24 hours after odontectomy) and H+3 (72 hours after odontectomy).Results: Patients who received 15 mg meloxicam 60 minutes before odontectomy showed less postoperative pain (p=0.000), less facial edema (p=0.000) and lower expressions of TNF-α (p=0.000). No differences were found in mouth opening between the meloxicam group and placebo group (p=0.522). The higher level of TNF-α level will lead to higher level of pain, greater facial edema and causes smaller mouth opening.Conclusion: Oral administration of 15 mg meloxicam 60 minutes prior to odontectomy was found more effective in reducing pain, facial edema and expressions of TNF-α after odontectomy of impacted mandibular third molar compared with placebo.
Removal of an ectopic canine tooth in the maxillary sinus using bone lid technique Melisa Ruth; Maria G. Widiastuti; Bambang Dwiraharjo
Journal of Dentomaxillofacial Science Vol. 7 No. 2 (2022): (Available online: 1 August 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i2.1389

Abstract

Objective: Ectopic teeth are teeth that are located deep in the jawbone or in other areas outside the alveolar bone, such as nasal cavity, chin, mandibular bone, palate, orbital cavity, and maxillary sinus. The presence of teeth in the maxillary sinus can cause an inflammatory reaction in the sinus and cause local sinonasal symptoms such as nasal obstruction, facial fullness, headache, hyposmia, and recurrent chronic sinusitis, due to obstruction of the sinus ostium and it can also develop into cysts. Replantation of bone fragments after tooth extraction using the Bone Lid technique can maintain sinus volume. The aim of this paper is to report the extraction of ectopic teeth in the maxillary sinus by using Bone Lid technique. Methods: A 9-year-old girl was referred from ENT clinic with complaints of pain in the right cheek and sniffles which were diagnosed as maxillary sinusitis. Radiographic examination showed that the canine tooth was located on the right maxillary sinus. The ectopic canine tooth was removed with a modified bone lid technique. Results: The panoramic radiograph and Waters’ projection radiograph postoperatively showed there were no ectopic teeth in the sinus and no volumetric changes of maxillary sinus cavity. In the clinical evaluation of 1 month postoperatively, there were no complaints of pain and sniffles. Conclusion: The use of the Bone Lid technique is beneficial because it maintains sinus volume, thus it does not disturb the function of the maxillary sinus.
Co-Authors Bambang Dwiraharjo Cahya Y. Hasan Maria G. Widiastuti Rahardjo Rustamadji Rustamadji