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Pre-surgical Orthopedic (PSO) Pre-maxilla Appliance for Children with Cleft Lip and Palate: A Case Series Saskianti, Tania; Amalia, Rizki; Limbri, Stephanie Clara; Dewi, Ardianti Maartrina; Tedjosasongko, Udijanto
Indonesian Journal of Dental Medicine Vol. 1 No. 1 (2018): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.26 KB) | DOI: 10.20473/ijdm.v1i1.2018.5-9

Abstract

Background: Cleft lip and palate is one of most common craniofacial anomalies. It is a congenital defect and can be resulted from genetic mutation, environment and multifactor causes. The problems of cleft lip and palate on baby complicate as poor feeding ability can lead to growth and development disturbances. Purpose: This article described the use of PSO in a 4-day old male neonate with unilateral cleft lip and palate and a 3- year old male child with soft and hard palate cleft, both with chief complaint of feeding difficulty. Case Management: Custom tray was used to deliver the alginate impression. The appliance was both fabricated using self-cured acrylic and with / without lip strapping. Discussion: Pre-surgical orthopedic appliances are most frequently provided by the pediatric dentist on cleft palate teams at most hospital-based programs. Conclusion: The PSO appliance could approximate the segments of the cleft maxilla by allowing spontaneous growth of palatal shelves prior to the reconstructive and definitive surgery.
Management of Avulsed Teeth using Fixed Orthodontics Appliances and Fiber Splint: A Case Series Wahluyo, Soegeng; Saskianti, Tania; Sudarsono, Wahyudi; Ernestine Harta, Putu Harlia
Indonesian Journal of Dental Medicine Vol. 1 No. 1 (2018): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.035 KB) | DOI: 10.20473/ijdm.v1i1.2018.14-17

Abstract

Background: Tooth avulsion is defined as the complete displacement of the tooth out of its alveolar socket. The treatment of choice is immediate replantation or if that is not possible, placement of the tooth in an appropriate storage media. Purpose: This paper reported of two cases of treatment management in children who experienced avulsion of the upper central incisor. The first and the second case, discuss about tooth that has been avulsed for 20 hours of unsterilized storage and 4 hours of storage in milk. Case Management: Replantation of those teeth were done by root canal treatment outside the oral cavity first. For the first case followed by splinting method using fixed orthodontics appliances, and for the second case followed by splinting using fiber and composite. Discussion: Evaluation were done every week, until 3 months after replantation to see the the success of the treatment. The progress of two cases with different situation showed good results. Conclusion: The case showed that the tooth that has been avulsed for 20 hours of unsterilized storage and 4 hours of storage in milk could have good prognosis.
Lingual Frenectomy as Treatment of Ankyloglossia in Children: A case report Saskianti, Tania; Aprillia, Zita; Puteri, Mega Moeharyono; Az Zahra, Alivy Aulia; Tedjosasongko, Udijanto
Indonesian Journal of Dental Medicine Vol. 1 No. 1 (2018): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (162.34 KB) | DOI: 10.20473/ijdm.v1i1.2018.18-21

Abstract

Background: Ankyloglossia or tongue tie is a congenital condition that results when the inferior lingual fraenulum is too short and attached to the tip of the tongue, limiting its normal movements.  It causes restricted tongue mobility which in turn causes feeding difficulties and speech problems. Purpose : The article was aimed to report the treatment of an  eight years old boy  who came with the chief complaint of difficulty in moving his tongue freely which causes speech difficulties. Case Management : The patient was treated for a lingual frenectomy procedure under local anaesthesia using one haemostat method. The haemostats were used to delimit the area to be excised as well as to guide the incisions. One haemostat used to clamp the upper aspect of the fraenulum may be helpful to guide the incision close to the ventral surface of the tongue. After the release of the tongue, care must be taken not to injury the submandibular ducts when making the second incision at the lower aspect of the fraenulum. After 1 to 2 weeks the incision was completely healed. Discussion: Ankyloglossia occurs due to failure in cellular degeneration leading to longer anchorage between tongue and floor of the mouth. Surgical intervention for treating ankyloglossia includes conventional technique with hemostats, electrocautery and laser. In this case, patient was undertaken surgical intervention using one hemostat method. Conclusion: The ankyloglossia case showed that the frenectomy gave good healing with no post operative complications in 8 years old boy.
Use of Removable Partial Denture in Child with Papillon-Lefevre Syndrome: Case Report Saskianti, Tania; Ramadhani, Karina; Ainayah, Aulia Nuur; Dewi, Ardianti Maartrina
Indonesian Journal of Dental Medicine Vol. 2 No. 2 (2019): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (638.882 KB) | DOI: 10.20473/ijdm.v2i2.2019.25-28

Abstract

Background: Papillon-Levefre Syndrome (PLS) is a rare genetic disorder with prevalence of 1-4 cases per millions of birth, characterized by the presence of palmar-plantar hyperkeratosis and rapid periodontal destruction of both the primary and secondary dentition. Purpose: This clinical report described such a rare condition with special attention on its diagnostic characterization, various treatment options and Prosthodontic rehabilitation. Case: Five years-old boy accompanied by his mother came to Pediatric Dentistry Specialist Clinic, Universitas Airlangga Dental Hospital - Surabaya with the chief complaint of gradually loss of upper and lower teeth since the patient was 3 years old. Case Management: Removable partial denture was chosen because it was considered as an appliance that can recover the function of mastication, speech and aesthetic patient. Removable partial denture was designed to replace 51, 52, 53, 54, 55, 61, 62, 63, 64, 65, 72, 73, 74, 75, 82, 83, 84 and 85 with retention on 16, 26, 36 and 46, and anterior bite riser on 31 and 41. Conclusion.Removable partial denture is the treatment of choice for children with PLS who are still in the growth period because it can recover mastication and aesthetic functions, have a good aesthetic, and easy maintenance that could done by the child.
Management of Acute Primary Herpetic Gingivo-stomatitis in Children Marzuqi, Naila; Taqwim, Ali; Vitasari, Niken Rahma; Saskianti, Tania
Indonesian Journal of Dental Medicine Vol. 2 No. 2 (2019): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v2i2.2019.29-31

Abstract

Background: Acute primary herpetic gingivostomatitis is the symptomatic presentation of the initial exposure to the herpes simplex virus 1 (HSV-1). The clinical condition of acute primary herpetic gingivostomatitis is characterized by a prodromal of fever followed by an eruption of painful, ulcerative lesions of the gingiva and mucosa, and often, perioral, vesicular lesions. Purpose: The case reported management of acute primary herpetic gingiva-stomatitis in a 6 years old boy. Case: A 6-year-old boy with complaints of difficulty eating or drinking due to pain associated with multiple ulcers in the oral cavity and lips. Patient have been living in boarding school since 6 months ago and was complained of stomatitis which have occurred 4 days ago followed by fever and malaise. Case Management: The patient was instructed to eat nutritious (high calorie and protein diet), soft, blend diet and the following medications were prescribed: (1) antiviral drug (Acyclovir® tablet 200mg) for four times a day; (2) topical hyaluronic acid gel (Aloclair® gel 8ml) to be applied on lesions; (3) mouthwash containing benzydamine hydrochloride (Tantum Verde® 15ml) for three times a day; and (4) multivitamin syrup for three times a day. Conclusion: The case reported that the drugs treatment was used according to the severity of HSV-1 infection and patient's symptoms of acute primary herpetic gingiva-stomatitis. Providing supportive care and educating about transmission of the virus are important aspects of nursing care.
Effectiveness of the Use of Manual and Electric Toothbrushes and the Effect of Educational Brushing Teeth with Video Animation on OHI-S Children with Down syndrome Az Zahra, Alivy Aulia; Audrey, Natasha Winona; Ichyana, Devalna Siwi; Saskianti, Tania; Pradopo, Seno; Nelwan, Sindy Cornelia; Masyithah, Masyithah
Indonesian Journal of Dental Medicine Vol. 4 No. 1 (2021): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v4i1.2021.6-10

Abstract

Background: Down Syndrome children have better ability in capturing instructions visually. The audio-visual learning method can be applied to Down Syndrome children. Electric toothbrushes were made to make it easier for them to brush their teeth, besides those electric toothbrushes have a handle that is comfortable to hold and control. Purpose: The purpose of this study is to determine the effectiveness of electric and manual toothbrushes on Down Syndrome children OHI-S scores and determine the effect of education on tooth brushing with animated videos on Down Syndrome children OHI-S scores. Methods: Subjects of the study were 34 Down Syndrome children aged 6-19 years in Surabaya, East Java, Indonesia. OHI-S scores were recorded before and after the subjects were educated to brush their teeth with animated videos or dental phantoms. OHI-S scores were also recorded before and after the subjects brushed their teeth using manual toothbrushes or electric toothbrushes. Results: The test results Independent T-test (p> 0.05) showed there was no significant difference between tooth brushing using a manual toothbrush and an electric toothbrush to the decline of OHI-S score of Down Syndrome children. The results of the Mann-Whitney statistical test were p> 0.05, that there was no significant difference in the reduction in OHI-S scores between Down Syndrome children who were educated with animated videos and dental phantoms. Conclusion: There was no significant difference between manual toothbrushes and electric toothbrushes and there was no significant influence of Down Syndrome OHI-S children who were educated with animated videos or dental phantoms.
Mandibular Condyle Shape and Symmetry in 4- to 19-Year-Old Children and Early Adolescents Bonardo, Barnabas; Saskianti , Tania; Moeharyono Puteri, Mega
Indonesian Journal of Dental Medicine Vol. 6 No. 2 (2023): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v6i2.2023.60-65

Abstract

Background: The prevalence of TMD (temporomandibular disorder) in children and early adolescents varies widely. TMD can cause permanent facial deformities and affect occlusion and speech, which will affect growth, development, and quality of life. For prevention, early detection is needed. However, early detection is often not possible due to a lack of understanding of the normal shape of the condyle. Research on the normal shape of the condyle and symmetry in children and early adolescents has not been much done. Purpose: To evaluate the shape of normal condyles in a population of children and early adolescents aged 4–19 years and determine the most dominant shape and symmetry. Methods: 220 mandibular condyles of 110 children aged 4–19 years (mean 11.4 years) were analyzed retrospectively using an orthopantomograph. Condyle types in primary, mixed, and permanent dentition were categorized according to Yale (convex, rounded, flat, angled) and Chaudhry classification (oval, diamond, bird beak, crooked). Right and left mandibular condyle symmetry was observed according to a previous study by Ribeiro. Results: In primary, mixed, and permanent dentition, the most dominant condyle shapes were (Yale, Chaudhry): 91.6% rounded, 100% oval; 95.8% rounded, 97.9% oval; 98% rounded, 97% oval, respectively. Asymmetry in the right and left mandibular condyles was not found in primary dentition; there were 2 cases in mixed dentition and 3 cases in permanent dentition. Conclusion: In children and early adolescents aged 4–19 years, the normal condyles found are: rounded, convex, angled (Yale), and oval, diamond, or bird beak (Chaudhry). The condyles are dominated by rounded and oval shapes. The incidence of asymmetry in the right and left mandibular condyles probably increases with age.
Development of dental clinic cooperativity predictor instrument for children with autism spectrum disorder Octavia, Alfini; Saskianti, Tania; Mohd Dom, Tuti Ningseh; Dewanto, Iwan; Azzahra, Syaina
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 4 (2024): December
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v57.i4.p267-272

Abstract

Background: A survey to identify factors affecting the cooperation of children with autism spectrum disorder (ASD) in Indonesia is crucial for enhancing this group’s dental care, oral health, and overall quality of life. However, limited culturally relevant instruments hinder such research. Purpose: This study aims to determine the essential domain needed to design a questionnaire instrument that can predict the cooperativity of children with ASD during dental procedures. Methods: Based on the literature and existing questionnaires, the newly developed questionnaire underwent forward–back translation, before being thoroughly reviewed by an expert committee. The response format, content, and question clarity were evaluated. A cross-sectional study with 30 parents of children with ASD was randomly conducted to test the questionnaire. The validity of each question was measured by the Pearson product-moment correlation coefficient, while its reliability was assessed by Cronbach’s alpha. Results: Each question within the domain showed varying degrees of validity: reading ability (r = 0.658), daily communication (r = 0.541), involvement in social activity (r = 0.360), daily self-care ability (r = 0.506), emotional status (r = 0.426), sensory responsiveness (r = 0.615), language comprehension (r = 0.362), and permission to be touched on the head at a barbershop (r = 0.458). The questions were found to be reliable (Cronbach’s alpha, r = 0.645 > 0.306). Conclusion: As prediction tools for assessing the cooperativity of children with ASD during dental procedures, the questionnaire should include the following items: communication and reading abilities, daily self-care, social activity, emotional status, sensory responsiveness and permission to be touched on the head at a barbershop.
Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge Purnamasari, Shinta; Marks, Luc A. M.; Devi Oktaviani, Paramita; Merlynike Leo, Leviena; Mulyawan, Indra; Rahayu, Retno Pudji; Saskianti, Tania
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 4 (2024): December
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v57.i4.p298-304

Abstract

Background: Odontogenic keratocyst (OKC) is considered an odontogenic cyst, with the unique clinical characteristics of this entity being local destruction, aggressive behavior, a high recurrence rate, specific histopathologic features, and the tendency for multiple lesions when associated with syndromes. Odontogenic keratocyst accounts for 12–14% of all cysts in the jaws. Purpose: The aim of this case report is to present an unusual odontogenic keratocyst associated with impacted maxillary central incisor, case management of anterior maxilla odontogenic keratocyst involving an adjacent tooth, and its postoperative six-month follow-up. Case: A 13-year-old female patient was referred to the Universitas Airlangga Hospital with a complaint that her upper front teeth had not erupted. The parents revealed that the patient had suffered trauma from falling down the stairs at the age of four, i.e., eight years ago. Case Management: The cyst was enucleated together with the associated permanent upper right central incisor, retained deciduous upper right central incisor, the permanent upper right lateral incisor, and upper right canine. Post surgical treatment, the patient used a partial denture to increase her self-confidence. Conclusion: Enucleation of the cyst with extraction of the permanent teeth should be performed to avoid recurrence of the OKC. Periodic radiographic evaluation is required with long-term follow-up.
Pemeriksaan dan tindakan pencegahan sederhana untuk anak dengan Autistic Spectrum Disorder pada center pendidikan anak berkebutuhan khusus di Surabaya Savitri, Irma Josefina; Udijanto Tedjosasongko; Tania Saskianti; Gilang Rasuna Sabdho Wening; Dimas Prasetianto Wicaksono; Sindy Cornelia Nelwan; Dewina Marsha Larasati; Salwa Alya Putri; Rafie Wahyu Purnomo; Savitri, Agil Torresia Nirwanasari
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2025)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/jb.v6i2.11786

Abstract

Abstract Background: ASD is at greater risk of caries than typical individuals, due to motor impairment, bad habits, sensory overload, and diet. Pits and fissures, small depressions, and ditches on the teeth's surface often become area where food remains are trapped, leading to tooth cavities. Pit and fissure sealant prevent cavities by making the pits and fissures shallow and preventing food debris from being trapped. Objectives: The aim of community service is dental examinations and pit and fissure sealant procedures for ASD children. Methods: Coordinating partners, and creating visual instructions to understand activities and reduce anxiety levels during treatment were conducted, as well as surveying experiences with dentists. Results: Videos was very helpful in preparing to go to the dentist because as many as 64% of the survey targets had no experience. The reasons were concerns about bringing children (40%), costs (40%), and difficulty finding service providers (20%). As many as 36% of surveyors had been to the dentist in the last 6 – 12 months (75%) with the main complaint being toothache and gum pain (64%) or broken teeth (36%). Most participants in community service activities were female (82%). Conclussion: Good collaboration between parents and dentists help successful treatment in ASD Keywords: Autistic Spectrum Disorder, pit dan fissure sealant, caries Abstrak Latar Belakang: ASD beresiko lebih besar menderita karies dibandingkan individu tipikal, karena hambatan motorik, kebiasaan buruk, kewalahan sensori, diet makanan. Pit dan fissure, cekungan dan parit-parit kecil di permukaan gigi, sering menjadi tempat terperangkapnya sisa makanan dan berlanjut menjadi lubang gigi. Pit dan fissure sealant adalah pencegahan gigi berlubang dengan cara pengisian pit dan fissure sehingga menjadi dangkal, dan mencegah terperangkapnya sisa-sisa makanan. Tujuan: Memberikan pemeriksaan gigi dan tindakan pit dan fissure sealant pada anak-anak penyandang ASD. Metode: Kegiatan diawali dengan koordinasi mitra pelaksana dan mitra sasaran, pembuatan instruksi secara visual untuk pemahaman kegiatan dan menurunkan tingkat kecemasan pada saat dilakukan perawatan, serta survey pengalaman ke dokter gigi. Hasil: Video sangat membantu persiapan ke dokter gigi, karena sebanyak 64% sasaran survey belum berpengalaman pergi ke dokter gigi. Kendala yang dihadapi adalah kekhawatiran membawa anak (40%), biaya (40%) dan kesulitan mencari penyedia layanan (20%). Sebanyak 36% surveyor pernah ke dokter gigi dalam kurun waktu 6 – 12 bulan terakhir (75%) dengan keluhan utama adalah sakit gigi-gusi (64%) atau gigi yang patah (36%). Peserta kegiatan pengmas sebagian besar adalah laki-laki (82%). Kesimpulan: Kerjasama yang baik antara orang tua dan dokter gigi akan membantu keberhasilan perawatan pada penyandang ASD Kata Kunci: Autistic Spectrum Disorder, pit dan fissure sealant, karies