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All Journal MDJ (Makassar Dental Journal)
Alamsyah Piliang
Program Pendidikan Dokter Gigi Spesialis Ilmu Penyakit Mulut, Fakultas Kedokteran Gigi, Universitas Padjadjaran Bandung, Indonesia
Dentistry

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Xerostomia as a potential condition in patients Covid-19 with tetanus: A Case report: Serostomia sebagai kondisi potensial pada penderita Covid-19 disertai tetanus: Laporan kasus Alamsyah Piliang; Dewi Zakiawati; Nanan Nur'aeny
Makassar Dental Journal Vol. 11 No. 1 (2022): Volume 11 Issue 1 April 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i1.501

Abstract

Introduction: Xerostomia is a dry mouth condition caused by many factors, including the potential of neuroinvasiveness and neurotropism from severe acute respiratory syndrome-coronavirus-2 (SARS-Cov-2). Tetanus causes muscle spasm, rigidity, and also as a risk factor for xerostomia. Objective: To discuss the pathogenesis of xerostomia in patients with coronavirus di-sease-2019 (Covid-19) and tetanus. Case: A 66-year-old male was referred to Oral Medicine Department from Neurology De-partment. Extraoral showed dry and exfoliative lips. Intraoral showed one finger mouth opening, a brownish plaque in dorsum of tongue, no saliva pooling in floor of mouth. Polymerase chain reaction SARS-Cov-2 was positive. Patient was diagnosed with xerostomia. Management: Cleaning the oral cavity with gauze moistened of 0.9% NaCl and 0.12% chlorhexidine diglu-conate, and applying the vaseline album on lips. Conclusion: The pathogenesis of xerostomia is an important factor as po-tential consequence of patients with Covid-19 and tetanus due to damage the angiotensin converting enzyme-2. Keywords: xerostomia, Covid-19, tetanus, angiotensin converting enzyme-2
Uremic stomatitis in patients with chronic renal failure undergoing hemodialysis: Stomatitis uremia pada penderita penyakit gagal ginjal kronis yang menjalani hemodialisis Alamsyah Piliang; Nelly Nainggolan; Riani Setiadhi
Makassar Dental Journal Vol. 11 No. 2 (2022): Volume 11 Issue 2 Agustus 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i2.598

Abstract

Patients with end-stage renal disease with or without hemodialysis are at risk of experiencing a number of comorbidities inclu-ding hypertension, anemia, risk ofbleeding and have oral manifestations related to the disease itself or due to hemodialysis; for example uremic stomatitis. This article describes uremic stomatitis in end-stage renal disease patient undergoing hemodialysis. A 14-year-old girl with chronic kidney disease had already undergoing hemodialysis, came with weak, pale condition and pre-viously vomiting, complaining sore mouth and difficult to eat. Extra oral revealed anemic conjunctiva, dry lips, exfoliative, ero-sive with serosanguinolenta crusts, tend to bleed, multiple purpuras and petechiae on the lower lip. Intra oral showed white plaque cannot be scrapped off on theventral tongue. Painful erosive area and white pseudomembranes on the lower labial mu-cosa, multiple white plaques can be scrapped off leaving erythematous area on the right buccal mucosa, purpura on the left buc-cal mucosa. Laboratory examination supported the diagnosis as as uremic stomatitis and exfoliative cheilitis. To overcome the complaints and improve the oral condition, the patient was treated with 0.12% chlorhexidine digluconate 0.12%, 0.9% NaCl solution, a mixture of tranexamic acid vials and aqua bides, and vaseline album. It was concluded that uremic stomatitis is an oral manifestation of end-stage renal disease, and appropriate therapy will improve the quality of life of the patient.
Co-Authors Dewi Zakiawati Nanan Nur'aeny Nelly Nainggolan Riani Setiadhi