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All Journal The Indonesian Journal of Dental Research MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Majalah Kedokteran Gigi Indonesia Dental Journal (Majalah Kedokteran Gigi) Journal of Dentomaxillofacial Science
Poerwati Soetji Rahajoe, Poerwati Soetji
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Dentistry Health Professions

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Intrusi Berat dengan Keterlibatan Multipel Gigi Insisivus Maksila akibat Trauma pada Anak Priyatama, Andhika; Rahajoe, Poerwati Soetji; Rahardjo, Rahardjo
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013)
Publisher : Majalah Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Trauma gigi anak merupakan kasus yang sering dijumpai. Intrusi gigi merupakan salah satu akibat trauma berupa perpindahan gigi ke dalam soket alveolaris. Intrusi gigi permanen anak dengan pertumbuhan akar sempurna perlu segera ditangani untuk menghindari kerusakan permanen gigi dan jaringan pendukung. Reposisi secara bedah dipilih dengan pertimbangan kondisi umum, lama kejadian, keparahan dislokasi, kondisi mahkota dan pertumbuhan akar. Tujuan laporan ini adalah melaporkan keberhasilan pembedahan pada kasus fraktur dentoalveolar dengan multipel gigi intrusi. Seorang anak laki-laki berusia 10 tahun datang ke RSGM Prof. Soedomo dengan keluhan gigi masuk ke langit-langit setelah terjatuh kurang lebih 30 menit sebelum kedatangan. Keadaan umum baik, compos mentis,  GCS 15, tanda vital normal, rasa sakit pada gigi atas (VAS = 7), tidak dicurigai cedera kepala atau trauma di tempat lain. Pemeriksaan klinis menunjukkan vulnus laceratum pada gingiva anterior maksila, empat gigi incisivus maksila (12,11, 21, 22) mengalami intrusi. Gigi insisivus sentral dan lateral kanan terlihat sepertiga mahkota, gigi insisivus sentral dan lateral kiri mahkota tidak tampak. Pemeriksaan radiografis menunjukkan intrusi gigi insisivus maksila dengan kedalaman lebih dari 7 milimeter, akar gigi telah tumbuh sempurna, dan tidak terdapat fraktur akar, fraktur mahkota maupun fraktur rahang. Tindakan yang dilakukan adalah reposisi gigi intrusi dan fiksasi interdental maksila. Perawatan bedah dan fiksasi interdental memberikan hasil yang sangat  baik. Hasil kontrol pasca perawatan didapatkan oklusi normal, pasien mampu membuka dan menutup mulut tanpa ada gangguan, gigi-gigi intrusi dalam kondisi vital, mastikasi normal, dan estetika baik.ABSTRACT: Severe Traumatic Intrusions of Multiple Maxillary Incisors In Children. Dental trauma is one of the most common traumas during childhood. The report will discuss about a treatment of multiple severe traumatically  intruded maxillary incisors in children. A 10-year-old boy came to Prof. Soedomo Dental Hospital with a complaint of teeth intrusion after having accident in school thirty minutes before. The patient was in good general condition, compos mentis, the GCS score was 15, vital sign was normal, pain on anterior maxillary teeth (VAS was 7), no head injury or other traumas. The clinical examination showed that there was vulnus laceratum on maxillary gingival, and intrusion of the four maxillary incisors (12, 11, 21, 22). Only one-third crown of the right maxillary incisors was visible, meanwhile, the crowns of the left maxillary incisors were totally invisible. The supporting radiographic examination showed that the four maxillary incisors was apically intruded with more than seven millimeters in depth. The teeth’s root were well-developed (complete root formation), no fractures of the teeth’s root, crown, and the jaw. The patient underwent intruded teeth repositioning surgical treatment and maxillary inter dental fixation. Clinical evaluation (1 month and 2 months) after the treatments showed that the occlusion was achieved as the same as before the trauma. The patient was able to open and close the mouth normally without functional impairments. Furthermore, the intruded teeth were in a vital condition, no mastication pain, and with a good aesthetics.
Effects of contact time of natural cu-zeolite on the growth of Streptococcus pyogenes and Pseudomonas aeruginosa Rahman, Erwid Fatchur; Dwirahardjo, Bambang; Rahajoe, Poerwati Soetji
Majalah Kedokteran Gigi Indonesia Vol 6, No 1 (2020): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.40566

Abstract

Infection of a surgical wound due to bacteria is a major problem for surgical patients. Cu-zeolite is a material that can suppress bacterial growth with reversible cation characteristics and adsorption to be developed into non-toxic disinfectants for humans. Packaging uses filter paper to keep disinfectant solutions or instruments that will be sterilized clean. This study aimed to observe the effects of contact time of natural Cu-zeolite on the growth of Streptococcus pyogenes (S. pyogenes) and Pseudomonas aeruginosa (P. aeruginosa) bacteria. An experimental research was simple randomized design. Cu-zeolite 10 grams were packaged in Whatman no 42 paper bags measuring 5 x 5 cm2, contacted for 15, 30 and 45 minutes in 99.5 ml of distilled water exposed to 0.5 x 108 CFU / ml of S. pyogenes and P. aeruginosa. Subsequently, bacterial growth was calculated using total plate count method. The average growth of S.pyogenes for 15, 30 and 45 minutes (1840 ± 571.236 CFU; 29 ± 16.33 CFU and 0 CFU) while P. aeruginosa was (2776 ± 725.277 CFU; 55 ± 23.214 CFU and 0 CFU) respectively. Based on the independent t-test on Cu-zeolite, the bacterial growth in the 15th and 30th minute contact between S. pyogenes and P. aeruginosa was significantly different (pth and 30th minute contact.
Effects of Lidocaine Concentration on Streptococcus Mutans Bacteria Muhammad Wildan Hari Subagya Haryono; Poerwati Soetji Rahajoe
The Indonesian Journal of Dental Research Vol 1, No 1 (2010)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (582.291 KB) | DOI: 10.22146/theindjdentres.9985

Abstract

Lidocaine is one of the local anesthetics agents that are frequently used in dentistry. Streptococcus mutan is a gram-positive, facultatively an aerobic bacterium commonly found in human oral cavity. The study aims to find out the effects of Lidocaine concentration against Streptococcus mutans bacteria. The study used experimental design with liquid and solid dilution method to find out bacteriostatic and bacteriocidal effects of Lidocaine concentration. The test bacteria used in the study are the ones, which have been compared with Mcfarland standard solution with 10μCFU/ML concentration. The Lidocaine concentrations were 2%, 1%,0.5%, 0.25%, 0.125%, 0.0625%, 0.03125%, 0.015625%, and 0.007812%. Kruskal-Wallis and Mann-Whitney methods were used for the statistical test. The result of the study suggests that Lidocaine concentration has effects against Streptococcus mutans bacteria in the concentrations of 2%, 1% and 0.5%, to inhibit bacterial growth (p<0.05), but there was no bacteriocidal potential of Lidocaine concentration against Streptococcus mutans bacteria (p>0.05).
Misdiagnose of fine needle aspiration biopsy Rahma Yulinda Damanhuri; Maria Goreti Widiastuti; Poerwati Soetji Rahajoe
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 3, No 1 (2017)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.904 KB) | DOI: 10.22146/mkgk.49228

Abstract

The accuracy of biopsy on oral malignant lesion examination depends on the adequacy of clinical information obtained, biopsy type and procedure, determination of biopsy site, and integrity of biopsy tissue. Fine needle aspiration biopsy (FNAB) is one of among cytology examinationthat can be used for oral lesion. However, the results are variative, either false positive or false negative. The adequate management of a malignant lesion started with an accurate diagnosis. Histopathology and tissue biopsy examination is a gold standard in diagnosis determination of suspected malignant lesion. The aim of this case study was to report a refferal case of misdiagnosed lower lip squamous cell carcinoma using FNAB examination. Patient reffered from local hospital with squamous cell carcinoma lesion misdiagnosed as a benign cystic lesion prone to mucocele through FNAB finding. From this case study, it was concluded that FNAB examination is not reliable to diagnose superficial lesions, such as cystic lesions and SCC in the lower lip. ABSTRAKKetepatan diagnosis dari pemeriksaan lesi ganas rongga mulut tergantung pada adekuatnya informasi klinis yang didapatkan, jenis dan prosedur biopsi yang tepat, pemilihan tempat biopsi dan pemenuhan syarat dari jaringan biopsi. Aspirasi jarum halus (AJH) merupakan salah satu pemeriksaan sitologi yang bisa dilakukan untuk lesi di mulut, namun hasil pemeriksaan AJH masih ada yang dilaporkan false negative maupun false positive dengan hasil yang bervariasi.Penanganan yang tepat pada lesi ganas dimulai dengan melakukan diagnosis yang akurat. Standar baku dalam mendiagnosa terletak pada pemeriksaan histopatologi dari biopsi jaringan yang dicurigai mengalami lesi ganas. Tujuan studi kasus ini adalah melaporkan suatu kasus rujukan kesalahan diagnosis squamous cell carcinoma bibir bawah dengan pemeriksaan AJH. Seorang pasien rujukan dari salah satu RSUD dengan lesi squamous cell carcinoma yangdidiagnosis benigna cystic lesion yang condong ke mucocele melalui pemeriksaan AJH. Kesimpulan studi kasus ini adalah pemeriksaan AJH tidak tepat digunakan untuk kasus lesi superfisial seperti lesi kistik dan SCC di bibir bawah.
A Case of third molar autotransplantation into first molar recipient site with periapical granuloma Yuni Rahmawati; Maria Goreti Widiastuti; Poerwati Soetji Rahajoe
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 3, No 2 (2017)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.54471

Abstract

Autotransplantation of molar is a potential treatment option to restore perfect occlusion and to improve mastication following a substantial loss of molars. A succesful transplantation depends on the general patient condition, the donor tooth, and the recipient site. An ideal recipient site should have sufficient alveolar bone support, periodontal, and tissue and absence of chronic inflamation. We reported a case of third molar autotransplantation to first molar with periapical granuloma as recipient site with one year follow-up. Autotransplantation process started with an adequate curettage of the recipient site immediately, followed by atraumatic donor tooth extraction. The result of clinical and radiological examination showed no pain, no tooth mobility, and no inflammation at periapical first molar region. Periapical granuloma at the recipient site is not an absolute contraindication of autotransplantation. Extra-alveolar period and atraumatic extraction of the donor tooth during autotransplantation affected the condition of periodontal ligament
Intrusi Berat dengan Keterlibatan Multipel Gigi Insisivus Maksila akibat Trauma pada Anak Andhika Priyatama; Poerwati Soetji Rahajoe; Rahardjo Rahardjo
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (587.208 KB) | DOI: 10.22146/majkedgiind.7677

Abstract

Trauma gigi anak merupakan kasus yang sering dijumpai. Intrusi gigi merupakan salah satu akibat trauma berupa perpindahan gigi ke dalam soket alveolaris. Intrusi gigi permanen anak dengan pertumbuhan akar sempurna perlu segera ditangani untuk menghindari kerusakan permanen gigi dan jaringan pendukung. Reposisi secara bedah dipilih dengan pertimbangan kondisi umum, lama kejadian, keparahan dislokasi, kondisi mahkota dan pertumbuhan akar. Tujuan laporan ini adalah melaporkan keberhasilan pembedahan pada kasus fraktur dentoalveolar dengan multipel gigi intrusi. Seorang anak laki-laki berusia 10 tahun datang ke RSGM Prof. Soedomo dengan keluhan gigi masuk ke langit-langit setelah terjatuh kurang lebih 30 menit sebelum kedatangan. Keadaan umum baik, compos mentis,  GCS 15, tanda vital normal, rasa sakit pada gigi atas (VAS = 7), tidak dicurigai cedera kepala atau trauma di tempat lain. Pemeriksaan klinis menunjukkan vulnus laceratum pada gingiva anterior maksila, empat gigi incisivus maksila (12,11, 21, 22) mengalami intrusi. Gigi insisivus sentral dan lateral kanan terlihat sepertiga mahkota, gigi insisivus sentral dan lateral kiri mahkota tidak tampak. Pemeriksaan radiografis menunjukkan intrusi gigi insisivus maksila dengan kedalaman lebih dari 7 milimeter, akar gigi telah tumbuh sempurna, dan tidak terdapat fraktur akar, fraktur mahkota maupun fraktur rahang. Tindakan yang dilakukan adalah reposisi gigi intrusi dan fiksasi interdental maksila. Perawatan bedah dan fiksasi interdental memberikan hasil yang sangat  baik. Hasil kontrol pasca perawatan didapatkan oklusi normal, pasien mampu membuka dan menutup mulut tanpa ada gangguan, gigi-gigi intrusi dalam kondisi vital, mastikasi normal, dan estetika baik.Severe Traumatic Intrusions of Multiple Maxillary Incisors In Children. Dental trauma is one of the most common traumas during childhood. The report will discuss about a treatment of multiple severe traumatically  intruded maxillary incisors in children. A 10-year-old boy came to Prof. Soedomo Dental Hospital with a complaint of teeth intrusion after having accident in school thirty minutes before. The patient was in good general condition, compos mentis, the GCS score was 15, vital sign was normal, pain on anterior maxillary teeth (VAS was 7), no head injury or other traumas. The clinical examination showed that there was vulnus laceratum on maxillary gingival, and intrusion of the four maxillary incisors (12, 11, 21, 22). Only one-third crown of the right maxillary incisors was visible, meanwhile, the crowns of the left maxillary incisors were totally invisible. The supporting radiographic examination showed that the four maxillary incisors was apically intruded with more than seven millimeters in depth. The teeth’s root were well-developed (complete root formation), no fractures of the teeth’s root, crown, and the jaw. The patient underwent intruded teeth repositioning surgical treatment and maxillary inter dental fixation. Clinical evaluation (1 month and 2 months) after the treatments showed that the occlusion was achieved as the same as before the trauma. The patient was able to open and close the mouth normally without functional impairments. Furthermore, the intruded teeth were in a vital condition, no mastication pain, and with a good aesthetics.
Pengelolaan Fraktur Dentoalveolar pada Anak-Anak dengan Cap Splint Akrilik Dedy Sigit Nur Cahyo; Maria Gorreti Widyastuti; Poerwati Soetji Rahajoe
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1320.12 KB) | DOI: 10.22146/majkedgiind.9118

Abstract

Management of Dentoalveolar Fractures in Children Using Acrylic Cap Splint. The purpose of fracture treatment in children is basically the same as that in adults with different management, while the choice of treatment method mainly relies on the development of jaws and teeth. It reports two cases of dentoalveolar fractures in children under 5 years old who were treated using acrylic cap splint with circum-mandibular wiring under general anesthetic. Two children, aged 1 year and 3 years old were referred to the emergency department of Dr. Sardjito Hospital with the diagnosis of dentoalveolar fractures. Both cases were treated using cap splint with circum-mandibular wiring-based fixation under general anesthetic. After 3 weeks, the acrylic cap splint and the circum-mandibular wiring were released under sedation. No loose teeth were found in the fracture area. In the following 6 weeks, the teeth were stable with normal occlusion and no infection found. Acrylic cap splint with circum-mandibular wiring is a simple, effective and minimally invasive method for dentoalveolar treatment in children.
Autotranplantasi Caninus Maxilla pada Soket Incisivus Lateral Maxilla menggunakan Anestesi Lokal Adi Subekti Putra; Maria Gorreti Widyastuti; Poerwati Soetji Rahajoe
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.768 KB) | DOI: 10.22146/majkedgiind.9119

Abstract

Autotransplantation of Maxillary Canines in Lateral Incisor Socket Using Local Anesthetic. Autotransplantation as the primary option that has many benefits over a period of mixed dentition for contributing to stimulating bone growth; it is not obtained on dental implants. Autotransplantation donor tooth is best when root development reaches half or one-third of the total length with open apex, with a success rate of 94%. However in the complete root, the success rate is lower (84%) due to periodontal issues which are often damaged when making the donor. In this case report, the authors performed the autotransplantation using a whole root donor tooth. Embedded teeth were used to replace deciduous canine teeth with rampant caries. The aim of this case is to replace rampant caries teeth that are not anatomically perfect.
Effects of contact time of natural cu-zeolite on the growth of Streptococcus pyogenes and Pseudomonas aeruginosa Erwid Fatchur Rahman; Bambang Dwirahardjo; Poerwati Soetji Rahajoe
Majalah Kedokteran Gigi Indonesia Vol 6, No 1 (2020): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.40566

Abstract

Infection of a surgical wound due to bacteria is a major problem for surgical patients. Cu-zeolite is a material that can suppress bacterial growth with reversible cation characteristics and adsorption to be developed into non-toxic disinfectants for humans. Packaging uses filter paper to keep disinfectant solutions or instruments that will be sterilized clean. This study aimed to observe the effects of contact time of natural Cu-zeolite on the growth of Streptococcus pyogenes (S. pyogenes) and Pseudomonas aeruginosa (P. aeruginosa) bacteria. An experimental research was simple randomized design. Cu-zeolite 10 grams were packaged in Whatman no 42 paper bags measuring 5 x 5 cm2, contacted for 15, 30 and 45 minutes in 99.5 ml of distilled water exposed to 0.5 x 108 CFU / ml of S. pyogenes and P. aeruginosa. Subsequently, bacterial growth was calculated using total plate count method. The average growth of S.pyogenes for 15, 30 and 45 minutes (1840 ± 571.236 CFU; 29 ± 16.33 CFU and 0 CFU) while P. aeruginosa was (2776 ± 725.277 CFU; 55 ± 23.214 CFU and 0 CFU) respectively. Based on the independent t-test on Cu-zeolite, the bacterial growth in the 15th and 30th minute contact between S. pyogenes and P. aeruginosa was significantly different (pth and 30th minute contact.
CHA-collagen implantation to increase alveolar bone density Dody Setiawan; Poerwati Soetji Rahajoe; Cahya Yustisia Hasan
Majalah Kedokteran Gigi Indonesia Vol 6, No 2 (2020): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.41142

Abstract

Tooth extraction is the common procedure in dentistry. This procedure causes a wound in teeth socket. Thus, the socket had to be secured to prevent over resorption of alveolar bone. This study used the third molar as a model to examine the third molar mandibular odontectomy routine procedure in oral and maxillofacial surgery. The new bone formation could be evaluated by radiographic examination. The aim of this study was to evaluate the effect of CHA-collagen implantation on the third molar mandibular bone density using 3D-CBCT to determine bone quality. The research was conducted by comparing extraction socket after the third molar mandible odontectomy, before and after graft material implantation. The subjects were divided into two groups. Group A consisted of six non-implanted subjects and group B consisted of six subjects with CHA-collagen implanted socket. Three dimensional CBCT evaluated alveolar bone density using pixel intensity at the socket area after odontectomy procedure and 10 weeks after. The result of t-test showed that CHAcollagen implanted socket had significantly higher pixel intensity than non-implanted group (p=0,046) until 10 weeks. Spearman test showed that the implanted CHA-collagen had a positive correlation with the increase of alveolar bone density (p=0.028; r=0.860) until 10 weeks. In brief, implantation of CHA-collagen increased bone density until 10 weeks.
Co-Authors Adi Subekti Putra Andhika Priyatama Andhika Priyatama, Andhika Bambang Dwirahardjo Bambang Dwirahardjo, Bambang Baskara, Bima Bernardo, Lucas Pedro Bramasto Purbo Sejati Cahya Yustisia Hasan, Cahya Yustisia Dedy Sigit Nur Cahyo Dody Setiawan Erwid Fatchur Rahman Erwid Fatchur Rahman Haryosuwandito, Erdananda Maria Gorreti Widyastuti Maria Gorreti Widyastuti Muhammad Wildan Hari Subagya Haryono Pedro Bernado Pingky Krisna Arindra Prihartiningsih Prihartiningsih Putri, Refitia Inayah Rahardjo Rahardjo Rahardjo Rahardjo Rahma Yulinda Damanhuri Widiastuti, Maria Goreti Yosaphat Bayu Rosanto Yuni Rahmawati