Fimma Naritasari
Departemen Ilmu Penyakit Mulut, Fakultas Kedokteran Gigi, Universitas Gadjah Mada

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Management of erosive oral lichen planus Naritasari, Fimma; Argadianti, Ayu Fresno; Fadilah, Nida Arum
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 10, No 2 (2024)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.101017

Abstract

Oral lichen planus (OLP) is an autoimmune disease that commonly affects the mucocutaneous area. The etiology of OLP remains unclear, but several factors are considered risk factors, such as chronic liver disease (hepatitis C infection), stress, genetics, hypertension, diabetes, smoking, and tobacco chewing. OLP often causes pain, especially during exacerbation periods. OLP management aims to reduce symptoms, improve clinical conditions, reduce the riskof oral cancer, and maintain oral health. This case report presents a case of OLP in a 54-year-old Javanese female patient with complaints of pain in her oral cavity that persisted for three weeks. The same condition occurred three months earlier, but it resolved without treatment. Clinical examination of pathognomonic features of OLP in the form of white, mesh-shaped lesions (Wickham striae) on the buccal and gingival mucosa is the basis for determining thediagnosis of OLP. The ulcerative type of OLP is established based on the appearance of ulcerated lesions in the tongue area and complaints of pain. The patient had a history of hypertension with regular consumption of captopril for the past three years., but there was no documented history of allergies. The results of the psychological assessment with DASS-42 revealed that the patient experienced very severe anxiety, moderate depression, and mild stress. Management in this case was done by prescribing topical corticosteroid, which is dexamethasone mouthwash, whichwas gargled by the patient twice a day. One month after therapy, the ulcerative lesions on the tongue resolved entirely, and pain complaints disappeared. In this case, topical corticosteroids effectively reduced symptoms and improved the clinical condition. However, long-term follow-ups are necessary to ensure that the lesion does not transform into a malignant lesion.
Hubungan antara Jumlah Gigi dan Jumlah Oklusi Gigi Posterior dengan Kekuatan Genggaman Tangan pada Populasi Lansia di Yogyakarta Vega, Christia Aye Waindy; Nur’aini, Bekti; Priyono, Bambang; Widita, Elastria; Hanindriyo, Lisdrianto; Agustina, Dewi; Naritasari, Fimma; Widyaningrum, Rini; Rodestawati, Budi
Jurnal Kesehatan Vokasional Vol 8, No 2 (2023): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.76423

Abstract

Latar Belakang: Penurunan jumlah gigi dan oklusi gigi posterior dapat memengaruhi kemampuan mengunyah yang dapat berakibat pada berkurangnya asupan nutrisi. Hal ini dapat berdampak pada aktivitas otot, terutama masa dan kekuatan otot yang tercermin melalui kekuatan genggaman tangan.Tujuan: Mengetahui hubungan antara jumlah gigi dan jumlah oklusi gigi posterior dengan kekuatan genggaman tangan populasi lansia di Yogyakarta.Metode: Penelitian observasional dengan rancangan cross sectional dilakukan pada 75 lansia berusia ≥60 tahun. Pemeriksaan rongga mulut dilakukan oleh empat dokter gigi terlatih. Pemeriksaan Indeks Masa Tubuh dan pemeriksaan fisik dilakukan oleh dua higienis gigi terlatih. Gigi dihitung dengan menjumlahkan gigi asli, jumlah oklusi gigi dihitung menggunakan Index Eichner’s. Indeks Masa Tubuh (IMT) dihitung dengan satuan kg/m2. Kekuatan genggaman tangan diukur menggunakan hand dynamometer dalam satuan kilogram. Tingkat aktivitas fisik dievaluasi menggunakan kuesioner terstandar IPAQ. Uji chi-square dan regresi logistik digunakan untuk mengetahui hubungan antara jumlah gigi, jumlah oklusi gigi dan variabel covariat dengan kekuatan genggaman tangan.Hasil: Uji Chi-square menunjukkan tidak terdapat perbedaan kekuatan genggaman tangan antara subjek yang memiliki jumlah gigi ≥20 dan <20 serta antara subjek dengan ≥2 dan <2 zona oklusi gigi posterior. Faktor risiko penurunan kekuatan genggaman tangan adalah aktivitas fisik (OR= 6,342, p=0,010). Kesimpulan: Mempertahankan jumlah gigi ≥20 dan aktivitas fisik bermanfaat untuk mempertahankan kesehatan oral dan sistemik.