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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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Parestesi pada fraktur kompleks zigomatikomaksilaris Paresthesia in zygomaticomaxillary complex fractures Pedro Bernado; Prihartiningsih Prihartiningsih; Poerwati Soetji Rahajoe
Journal of Dentomaxillofacial Science Vol. 12 No. 3 (2013): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v12i3.376

Abstract

Head trauma cases can involve os.zygoma and maxilla. Injury to the nerves is one of the complications that can beencountered as a result of the fracture fragments shift. This paper reported one case of n.infraorbitalis paresthesiafollowing zygomaticomaxillary complex fracture. A 30 years old man was referred to the Department of Oral Surgery,Dr.Sardjito Hospital with a history of traffic accident two weeks before admission. The patient complained of rightcheek area feels numbness, bite changed and there was a protrusion of bone under his right eye. Clinical examinationfound paresthesias of right n.infraorbitalis, left posterior open bite, and bone displace at right infraorbital rim. At theWater's x-ray and 3D CT scan visualized fractures involving the right maxillary and infraorbital rim. Open reductioninternal fixation (ORIF) zygomaticomaxillary complex fracture, with miniplate supported by arch bar as a device toachieve individually normal occlusions, was performed under general anesthesia. Postoperative follow up indicateparesthesia symptoms gradually decreased and totally recover within 5 months. Prognosis for this case was bonam. Itwas concluded that ORIF with miniplate, combined with mounting arch bar can support paresthesia correction due tothe displacing of fracture fragment zygomaticomaxillary complex.
An intraoral approach to minimize morbidity in a pediatric trauma case Baskara, Bima; Bernardo, Lucas Pedro; Rahajoe, Poerwati Soetji; Sejati, Bramasto Purbo; Haryosuwandito, Erdananda
Dental Journal (Majalah Kedokteran Gigi) Vol. 58 No. 1 (2025): March
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.v58.i1.p81-87

Abstract

Background: Maxillofacial fractures are rare in children. The treatment of fractures in children differs from that of adults due to the growth process of the jaw and dental development. The intraoral approach does not result in facial scars or nerve injury. Furthermore, it allows direct visualization of occlusion confirmation during the plate placement. Purpose: This case report describes a pediatric comminuted mandibular fracture that underwent open reduction with an intraoral approach. Case: A 13-year-old boy with a mandibular fracture was referred by the neurosurgery department. Clinical examination found a hematoma in the left submental region and discontinuity of the mandibular symphysis without a wound in the extraoral region. Coleman's sign and a vertical step between teeth 41 and 31 and teeth 33 and 34 with anterior open bite were found intraorally. A CT scan disclosed more than two fracture lines that involved the mandibular symphysis and a basal triangle fracture. The patient was diagnosed with a symphysis mandibular comminuted fracture with open bite malocclusion. Case management: Open reduction and reconstruction plate placement with an intraoral approach was performed under general anesthesia. The patient had no complaints during the two-month evaluation, and the plate was planned for removal in the third month postoperatively. Conclusion: In this case, open reduction with an intraoral approach was able to restore bone architecture without functional or aesthetic complications. This may be because the patient could be treated like an adult, as he had almost reached skeletal maturity due to his age. However, periodic observation is necessary to evaluate jaw growth.
Enukleasi pada kista residual: kasus insidental pada pasien usia muda Putri, Refitia Inayah; Arindra, Pingky Krisna; Rahajoe, Poerwati Soetji
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 11, No 1 (2025)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.104869

Abstract

Kista residual merupakan lesi odontogenik yang kerap ditemukan secara insidental pada pemeriksaan radiografi setelah pencabutan gigi. Jenis kista ini umumnya bersifat asimtomatik dan berpotensi menimbulkan komplikasi jika tidak ditangani dengan tepat. Pada tulisan ini dilaporkan perempuan 21 tahun yang menjalani pemeriksaan radiografi panoramik untuk perawatan ortodonti dengan temuan insidental berupa kista pada regio 46 yang edentulous. Pasien sempat merasa kebas pada area bekas pencabutan gigi geraham kanan bawah, namun gejala tersebut hilang setelah mengonsumsi kortikosteroid. Diagnosis awal kista residual ditegakkan melalui pemeriksaan Cone Beam Computed Tomography (CBCT) yang menunjukkan lesi radiolusen dengan tepi terkortikasi berukuran 26 × 16 mm. Pasien menjalani tindakan enukleasi kista melalui prosedur bedah yang meliputi insisi flap, pengurangan tulang, dan pengangkatan kantung kista. Pascaoperasi pasien diberikan medikasi antibiotik dan analgesik. Pemeriksaan histopatologi mengonfirmasi kista residual tanpa tanda keganasan. Hasil penyembuhan menunjukkan regenerasi tulang yang baik tanpa penggunaan bone graft, dan radiografi 30 hari pascaoperasi mengindikasikan pembentukan tulang baru. Teknik enukleasi efektif dan aman, menghasilkan penyembuhan tanpa komplikasi. Deteksi dini melalui pemeriksaan rutin dan tindakan enukleasi yang hati-hati direkomendasikan untuk mencegah komplikasi dan kekambuhan.
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