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Characteristics of condylar fracture in Dr. Hasan Sadikin Central General Hospital, Bandung from 2020-2024. Wicaksono, Septyan Dwi; Sjamsudin, Endang; Oli'i, Eka Marwansyah; Utomo, Hafidh Seno Radi
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.150-157

Background: Condylar fractures are among the most common mandibular fractures resulting from maxillofacial trauma, primarily caused by traffic accidents, occupational injuries, and sports activities. These fractures can lead to complications such as pain, mandibular deviation, malocclusion, and pathological changes in the temporomandibular joint. This study aims to identify the characteristics of condylar fractures in the Oral Surgery Department of Dr. Hasan Sadikin General Hospital Bandung from 2020 to 2024.Method: A retrospective analysis was conducted using medical records of maxillofacial trauma patients. A total of 111 cases were analyzed based on gender, age, occupation, education level, fracture classification, trauma etiology, and management.Result: Results showed that the majority of patients were male (72%), aged 13–24 years (48,6%), students (51,3%), and had a bachelor’s degree as the educational background (49,6%). The AO classification predominantly involved condylar neck fractures (52,3%), with traffic accidents being the leading cause (51,4%). The most common management method was open reduction and interdental wiring (76,6%). Conclusion: These findings highlight the need for targeted road safety education, strict traffic regulations, and improved preventive measures to reduce the incidence of such injuries. Therefore, an effort must be made to improve the completeness of medical record data in order to support more accurate analysis and the implementation of future research involving more comprehensive data collection.

Characteristics of condylar fracture in Dr. Hasan Sadikin Central General Hospital, Bandung from 2020-2024. Wicaksono, Septyan Dwi; Sjamsudin, Endang; Oli'i, Eka Marwansyah; Utomo, Hafidh Seno Radi
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.150-157

Background: Condylar fractures are among the most common mandibular fractures resulting from maxillofacial trauma, primarily caused by traffic accidents, occupational injuries, and sports activities. These fractures can lead to complications such as pain, mandibular deviation, malocclusion, and pathological changes in the temporomandibular joint. This study aims to identify the characteristics of condylar fractures in the Oral Surgery Department of Dr. Hasan Sadikin General Hospital Bandung from 2020 to 2024.Method: A retrospective analysis was conducted using medical records of maxillofacial trauma patients. A total of 111 cases were analyzed based on gender, age, occupation, education level, fracture classification, trauma etiology, and management.Result: Results showed that the majority of patients were male (72%), aged 13–24 years (48,6%), students (51,3%), and had a bachelor’s degree as the educational background (49,6%). The AO classification predominantly involved condylar neck fractures (52,3%), with traffic accidents being the leading cause (51,4%). The most common management method was open reduction and interdental wiring (76,6%). Conclusion: These findings highlight the need for targeted road safety education, strict traffic regulations, and improved preventive measures to reduce the incidence of such injuries. Therefore, an effort must be made to improve the completeness of medical record data in order to support more accurate analysis and the implementation of future research involving more comprehensive data collection.

Characteristics of Maxillofacial Trauma Cases Before and During the Pandemic: A Rapid Review Hidayah, Meta Tria; Sjamsudin, Endang; Yuza, Abel Tasman
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2462

Maxillofacial trauma refers to injuries affecting the facial region and its surrounding tissues, involving both hard and soft tissue structures. When accompanied by head trauma, such injuries can be life-threatening, highlighting the critical need for prompt medical intervention. The emergence of SARS-CoV-2 in December 2019 prompted the World Health Organization (WHO) to recommend widespread social restrictions, significantly altering various aspects of life, including the patterns of maxillofacial trauma. This study aims to provide an overview of the characteristics of maxillofacial trauma before and during the COVID-19 pandemic. This study employs a rapid review methodology following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Data were retrieved from Scopus, ScienceDirect, and PubMed databases using specific keywords: for the pre-pandemic period — (maxillofacial trauma* OR maxillofacial injuries) AND (incidence OR etiology OR type); and for the pandemic period — (maxillofacial trauma* OR maxillofacial injuries) AND (incidence OR etiology OR type) AND (COVID-19 OR COVID 19 OR coronavirus OR SARS-CoV-2). A total of 15 articles met the inclusion criteria and were analyzed qualitatively. Prior to the pandemic, 15 etiological factors were identified, with road traffic accidents, falls, and interpersonal violence being the most common. The most prevalent types of trauma were orbital, mandibular, and zygomaticomaxillary complex (ZMC) injuries. During the pandemic, a decrease in reported cases was observed, along with fewer recorded etiological factors. Mandibular trauma emerged as the most frequently reported type, followed by orbital and ZMC trauma.

Karakteristik kasus bedah mulut dan maksilofasial di RSGM Unpad sebelum dan selama pandemi COVID-19: Studi retrospektif Fitri, Marsyanda; Sjamsudin, Endang; Putri, Farah Asnely
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 35, No 3 (2023): Desember 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v35i3.48728

Pendahuluan: Pandemi COVID-19 telah berdampak pada sistem kesehatan di seluruh dunia. Penularan COVID-19 yang terjadi melalui kontak, aerosol, droplet dan fomite membuat dokter gigi termasuk dokter gigi spesialis bedah mulut dan maksilofasial, memiliki resiko tinggi terinfeksi COVID-19. Pemerintah Indonesia mengeluarkan kebijakan PSBB dan PPKM dalam pengendalian penyebaran COVID-19. Hasil beberapa penelitian, peraturan di beberapa negara seperti karantina kewilayahan atau lockdown, mempunyai dampak terhadap kasus bedah mulut dan maksilofasilofasial. Penelitian ini bertujuan memberikan informasi ilmiah mengenai karakteristik kasus bedah mulut dan maksilofasial sebelum dan selama pandemi di RSGM Unpad. Metode: Penelitian ini menggunakan metode studi retrospektif deskriptif menggunakan data sekunder berupa rekam medis pada Maret 2018 hingga Februari 2022 di Poli Paviliun RSGM Unpad. Data yang diambil berupa usia, jenis kelamin, diagnosis, dan tatalaksana. Teknik pengambilan sampel menggunakan simple random sampling dengan pembobotan. Hasil: Jumlah kunjungan sebelum pandemi 264 (45.83%), selama pandemi 312 (54.17%). Jenis kelamin pasien sebelum pandemi diantaranya laki-laki 115 (43.56%), perempuan 149 (56.44%) dan selama pandemi diantaranya laki-laki 119 (38.14%), perempuan 193 (61.86%). Kategori usia terbanyak sebelum pandemi yaitu dewasa 86 (32.58%) sedangkan selama pandemi yaitu remaja 124 (39.74%). Kasus terbanyak sebelum dan selama pandemi yaitu impaksi gigi (sebelum 40.53%, selama 47.12%). Jenis tatalaksana terbanyak sebelum pandemi yaitu ekstraksi gigi (33.33%), sedangkan selama pandemi yaitu odontektomi (31.41%). Simpulan: Jumlah kunjungan selama pandemi lebih banyak daripada sebelum pandemi. Kasus terbanyak sebelum dan selama pandemi diantaranya impaksi gigi, kontrol pasca operasi, dan abses rongga mulut. Tatalaksana terbanyak sebelum dan selama pandemi diantaranya ekstraksi gigi, odontektomi, dan konsultasi dokter gigi spesialis.

Karakteristik kasus di Instalasi Gawat Darurat Rumah Sakit Gigi Dan Mulut sebelum dan selama pandemi COVID-19: observasional deskriptif Qurrataayuni, Rahimahullah Kamilatinnisa; Sjamsudin, Endang; Hadikrishna, Indra
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 35, No 3 (2023): Desember 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v35i3.48819

ABSTRAKPendahuluan: Pandemi COVID-19 berdampak pada mobilitas dan pelayanan kesehatan di Indonesia. Regulasi pemerintah terutama untuk pelayanan kesehatan gigi yaitu hanya menerima pasien emergensi saja, bahkan beberapa negara menggunakan teledentistry untuk mengurangi risiko penularan lewat aerosol. Penelitian ini bertujuan untuk mengetahui karakteristik kasus di Instalasi Gawat Darurat (IGD) sebelum dan selama pandemi COVID-19. Metode: Penelitian observasional deskriptif melalui teknik total sampling dari data sekunder seluruh rekam medis pasien di IGD Rumah Sakit Gigi dan Mulut Unpad Bandung periode 2018-2022. Data yang dikumpulkan berupa data pasien dengan diagnosis penyakit, terapi, usia, dan jenis kelamin. Hasil: Pasien sebelum pandemi COVID-19 berjumlah 392 orang dengan diagnosis terbanyak adalah Gingivitis Kronis 123 (31,4%) kasus; dan Pulpitis Reversible 59 (15,1%). Selama pandemi COVID-19 jumlah pasien 136 dengan diagnosis terbanyak adalah Cleft Lip and Palate 33 orang (24,3%) kasus; dan Abses Mulut 17 (12,5%) kasus. Jenis kelamin perempuan (50,9%) lebih banyak mengunjungi IGD sebelum pandemi, sedangkan kunjungan laki-laki (62,5%) selama pandemi. Jenis tindakan berjumlah 593 dengan usia terbanyak 20 hingga 60 tahun. Simpulan: Jumlah kunjungan pasien IGD RSGM Unpad lebih banyak sebelum pandemi dengan jenis kelamin perempuan, dan kasus terbanyak Gingivitis Kronis serta Pulpitis Reversible. Selama pandemi jenis kasus terbanyak Cleft Lip and Palate dan Abses Mulut.Kata kunci: Instalasi gawat darurat, pandemi COVID-19, pulpitis, fraktur dentoalveolar.Characteristic of cases in emergency room RSGM Unpad before and during the COVID-19 pandemic: descriptive observationalABSTRACTIntroduction :The COVID-19 pandemic has had an impact on mobility and health services in Indonesia. Government regulations, especially for dental health services, include only accepting emergency patients, and some countries even use teledentistry to reduce the risk of transmission via aerosols. This study aims to determine the characteristics of cases in the Emergency Room at RSGM Unpad before and during the COVID-19 pandemic. Method: A descriptive observational study using a total sampling technique from secondary data on all medical records of patients at the Dental and Oral Hospital Emergency Room, Unpad Bandung, for the 2018-2022 period. The data collected was in the form of patient data with disease diagnoses, therapy, age, and gender. Results: Patients before the COVID-19 pandemic totaled 392 people with the most diagnoses being Chronic Gingivitis 123 (31.4%) cases; and Reversible Pulpitis 59 (15.1%). During the COVID-19 pandemic the number of patients was 136 with the most diagnoses being Cleft Lip and Palate 33 people (24.3%) cases; and Mouth Abscess in 17 (12.5%) cases. Females (50.9%) visited the emergency room more before the pandemic, while males (62.5%) visited during the pandemic. Totaled therapy 593 was given with the most age being 20 to 60 years. Conclusion: The number of visits by Emergency Room patients at RSGM Unpad was higher before the pandemic, with the female gender, and the highest cases of Chronic Gingivitis and Reversible Pulpitis. During the pandemic, the most common types of cases were Cleft Lip and Palate and Mouth Abscess.Keywords: emergency unit, pandemic COVID-19, pulpitis, fracture dentoalveolar.

Correlation between blood international normalised ratio (INR) value and saliva prothrombin concentration in patients under warfarin therapy: An observational analytics study Pratama, Rachendra; Sjamsudin, Endang; Tasman Yuza, Abel; Wijaya, Indra; Arief Ichwan, Solachuddin Jauhari
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 1 (2024): April 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i1.52441

Introduction: Oromaxillofacial surgery has a bleeding risk complication. Increasing bleeding risk can be caused by the use of blood clotting inhibitors, including warfarin. Warfarin is an anticoagulant that works by inhibiting coagulation factors in the cascade. International normalised ratio (INR) indicates warfarin monitoring and bleeding risk during surgical procedures. INR examination currently uses blood plasma. This research analyses the correlation between blood INR value and salivary prothrombin concentration. Methods: This research was an analytical observational with a correlational design on 19 samples examined using a human prothrombin reagent from Elabscience. The samples used were blood and saliva, and then ELISA tests were carried out on them. Data results were analysed with linear regression and correlation tests. Results: In this study, 19 samples were collected from 6 male and 13 female subjects. The average value of salivary prothrombin concentration in this study was 227.63 (ng/ml), and the blood INR value was 1.85. The normality test result showed that the data distribution was normal; therefore, the correlation and simple linear regression tests can be conducted. The correlation and regression tests showed a positive correlation between blood INR value and salivary prothrombin concentration with a correlation coefficient of r = 0.81 (p < 0.001). Conclusion: There is a positive relationship between blood INR value and salivary prothrombin concentration in oromaxillofacial patients under warfarin therapy.

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